The Direct Connect between Your Heart and Sleep

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News Brief
MVH Receives First
Gold Seal of Approval
New Healthcare Facility Plans
Announced
Miami Valley Hospital is the first hospital in the greater
Dayton area to earn the Joint Commission's Gold Seal
of Approval for treatment of acute coronary syndrome
(heart attack) and heart failure; and the first in the Dayton
area to be recognized as a Primary Stroke Center.
"This certification means Miami Valley Hospital does
the right things and does them well for acute coronary
syndrome, heart failure and stroke patients," says
Charles A. Mowll, executive vice president, Business
Development, Government, and External Relations,
Joint Commission on Accreditation of Healthcare
Organizations (JCAHO).
Residents in Dayton’s south-
According to the Ohio
ern suburbs heard good news
Department of Health, the MVH
"Miami Valley Hospital voluntarily pursued this com-
recently when MVH announced
Shaw Emergency and Trauma
prehensive, independent evaluation," says Bill Thornton,
plans to build a new full-service
Center saw more than 90,000
president and CEO. "We appreciate what our medical
outpatient facility in their area
patient visits in 2003, making it
staff and employees are doing every day to give safe,
to better serve the healthcare
the busiest adult emergency
high quality care.
needs of the hospital’s southern
department in Ohio. Outpatient
neighbors. Plans call for
visits at the main campus totaled
construction of a 200,000
more than half a million in 2004.
The JCAHO surveys15,000 healthcare organizations
and programs in the United States.
square foot facility at I-675 and
MVH Receives National
Leadership Awards
Miami Valley Hospital has been recognized for
Wilmington Pike in Centerville
beginning in 2006 with a target
completion date in 2007.
The facility will feature a
“MVH has owned property at
I-675 and Wilmington Pike since
1986,” says Boosalis. “In the last
and its population have grown
full-service, 24-hour emergency
considerably. Because of this, we
clinical excellence by VHA Inc., a national health care
care center, medical imaging
are prepared to move forward
provider alliance. MVH is one of only 13 VHA member
services, cardiac diagnostic
and expand our commitment to
hospitals nationwide to receive the 2005 VHA
services, a breast center, cancer
delivering excellent patient care
treatment center and laboratory
and services to the region.”
MVH was recognized for clinical excellence in
patient care through the hard work and dedication of
doctors, nurses and the entire staff. Winning the
award represents a milestone in efforts to continually
improve quality of care and demonstrate our commitment to our patients and the community.
services. A physician office
complex will also be built.
About one third of people who have
sleep apnea also have high blood
pressure. The opposite is true as well –
one third of those with high blood
pressure have sleep apnea.
The facility will serve residents
“An irregular heart beat can be pre-
in Centerville, Washington
Township, Kettering, Bellbrook
cipitated by sleep apnea,” says B.K.
overcrowding at our main
and Sugarcreek Township, as
Srivastava, MD, a heart doctor at Miami
campus facility while allowing
well as other communities in
patients in our southern service
Montgomery, Greene, Warren
“This development will relieve
area closer access to emergency
and Clinton counties.
improved processes for purchasing, distributing and
care and other quality services
managing materials and products needed to run the
offered by MVH,” says Mary
hospital. Results from this initiative have been a
Boosalis, executive vice presi-
For more information, contact Joann Ringer, project
administrator, at 208-2366.
significant improvement in efficiency and effectiveness
dent and chief operating officer.
The supply chain award shows that MVH has
By Alison Bour
20 years, the south Dayton area
excellence in supply chain management and for
Leadership Awards.
The Direct Connect between
Your Heart and Sleep
B.K. Srivastava, MD
adds, who have congestive heart failure
out how important the relationship
between his heart and sleep could be.
Kavy was treated for a heart condition
known as atrial fibrillation. Also known
as an irregular heart beat, the top part
of his heart did not beat in sync with the
bottom. “I’m out of breath all the time,”
he says.
Doctors use a special type of shock
often have sleep problems that can
treatment to correct the problem, how-
make the condition worse. That’s why
ever, in Kavy’s case, it wasn’t working.
heart doctors and doctors specializing
“That’s when I was referred to the MVH
in sleep medicine work together to
Sleep Center.” When Kavy’s sleep was
ensure the best medical results.
across the hospital.
16 Miami Valley Hospital
Valley Hospital. Those patients, he
John Kavy, a 51-year-old chef, found
Continued on next page
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Miami Valley Hospital
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News Brief
monitored, it was discovered he was
Kevin Huban, PsyD, specializes in
waking up 273 times a night and getting
the treatment of sleep disorders. He
no deep sleep at all.
says sleep apnea occurs when the
“There is a direct connection between
sleep apnea and heart disease,” said
Dharmesh Gandhi, MD, Kavy’s doctor.
“Sleep apnea causes the blood
pressure and heart rate to increase
at night.”
“It’s mostly desaturation, or a low
level of oxygen at night, that triggers it,”
adds Dr. Srivastava. Also, since a sleep
“There is a direct
connection
between sleep
apnea and heart
disease.”
apnea patient’s body goes through
– Dharmesh Gandhi, MD,
diplomat, American
Board of Sleep Medicine
stroke – even heart attacks.
chemical changes, a sleep illness can –
in turn – cause heart problems.”
People who have untreated sleep
apnea are at risk for serious medical
conditions such as heart blockages,
upper airway relaxes during sleep and
Thornton Announces Retirement; Other Executive
Promotions Announced
blocks normal breathing. A person with
Bill Thornton, presi-
sleep apnea must partially wake up to
dent and chief executive
since 1997. Prior to that, she held the
breathe normally.
officer of Miami Valley
position of senior vice president of
Hospital (MVH), has
hospital operations for seven years.
are beset by fears of losing
feel tired even if they’ve been in bed for
announced his retire-
Over the past 18 years, she was
access to quality health care,
as long as 10 hours. It’s common for
ment at the end of
responsible for planning and develop-
Premier Health Partners and
them to fall asleep during the day. In
2005. Thornton has had
ment of the South Tower addition and led
UnitedHealthcare have worked
Kavy’s case, lack of sleep was also a
a significant impact on
planning and development of the recently
together to agree on a contract
contributing factor to other health
the hospital’s success for the past
announced South Dayton Campus.
that preserves that benefit for
problems.
17 years. During his tenure, MVH was
In the morning, sleep apnea sufferers
vice president and chief operating officer
Bill Thornton
named the region’s highest-quality
“Sleep apnea makes cardiac issues
more difficult. It’s an aggravating factor,”
said Dr. Huban. When Dr. Srivastava
follows a normal course of treatment for
heart ailments and finds his patient
does not get better, he immediately
looks to sleep problems as a possible
factor. “Sleep apnea is one thing they
hospital by area residents for nine
consecutive years. MVH was also named
by U.S.News & World Report among the
nation’s top 50 hospitals in numerous
clinical areas from 2002 to 2004.
Thornton will always be an inspiration
to MVH because of his integrity, decency
and respect for others.
commonly have. If (after heart treatment)
the patient is still not doing well, it’s one
Effective January 1, 2006, Mary
of the first places we look.” Dr. Gandhi
Boosalis will succeed Bill Thornton as
said, each time there is a blockage of
president and chief executive officer of
the throat during sleep, oxygen level in
Miami Valley Hospital. Boosalis brings an
the blood falls. The heart must work
outstanding record of achievement to her
harder to circulate blood.
new position, having served as executive
It’s not always known whether the
Bobbie Gerhart will be promoted to
executive vice president and chief oper-
five-year contract, (effective April 1,
vice president, strategic sourcing/chief
2005) which ensures that
purchasing officer, Gerhart’s extensive
200,000 Dayton area enrollees
clinical experience includes over 25 years
of UnitedHealthcare continue to
of healthcare management experience
enjoy access to high-quality,
with excellent management skills in
affordable health care.
operations, clinical quality and metrics,
and strategic planning and sourcing.
Good Samaritan, and Middletown
Regional, 100 HealthNet doctors
tal operations, will be
and other services in
promoted to vice
UnitedHealthcare’s network.
president, strategic
Having a signed contract seven
sourcing/chief
months before the expiration date
heart disease much like a history of
Partners January 1, 2006. In her 16-year
high blood pressure, a family history of
tenure, Broner’s significant operations
heart problems, or obesity.
experience has enabled her to success-
stronger predictor of sleep apnea than
Body Mass Index.”
2
Miami Valley Hospital
three hospitals, Miami Valley,
Eloise Broner, MVH
Premier Health
16 inches or larger for women) is a
The agreement keeps Premier’s
vice president of hospi-
apnea. Sleep apnea is a risk factor for
“Neck size (17 inches or larger for men;
In May, Premier Health Partners
effective January 1, 2006. Formerly
purchasing officer for
for several profiles,” says Dr. Gandhi.
area residents.
and UnitedHealthcare signed a
cause of some heart problems is sleep
“In assessing sleep apnea, we look
At a time when working people
ating officer for Miami Valley Hospital
Eloise Broner
fully lead the integration of three Nutrition
John Kavy, of Dayton, enjoys relaxing on the front porch with his sister Tina, and
mother, Ida.
UnitedHealthCare
and Premier Sign
Five-Year Contract
Services Departments, align operating
plans with annual budget requirements,
truly speaks to the determination
of both UnitedHealthcare and the
Premier negotiating team to avoid
any disruption of patient care. It
also removes any uncertainty for
area employers who are doing
their health benefit planning.
and oversee compliance with the Joint
Commission on Accreditation of
HealthCare Organizations (JCAHO) and
the Centers for Medicare and Medicaid
Services’ patient care requirements.
Bobbie Gerhart (left)
and Mary Boosalis
Continued on next page
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Symptoms of sleep apnea can include
Getting
Ready for
Baby –
Classes
for
Everyone
Before Baby Arrives
Family Involvement
Your Amazing Newborn – Building
trust, techniques for comforting and communicating with your very special baby
Sibling-at-Birth – Preparing big brothers
and sisters to be in the delivery room
Childbirth Preparation – What to
expect during labor and birth, including a
tour of the facility. Classes are offered as
a four-week series, a weekend series,
classes for “Over 30s” and “Just for
Teens.”
Refresher Class for “Experienced
Parents – What’s changed since your
last baby and a tour of the facility
Pregnancy Massage
“How To’s of Labor
Comfort
High-Risk Pregnancy –
Education on an individual
basis while hospitalized
Cesarean Birth – Coping
with surgery as well as
caring for your baby
Vaginal Birth After
Cesarean (VBAC)
Marvelous Multiples –
Pregnancy, birth and early
parenting of twins and triplets
Doula Support for Laboring
Families – Referrals and information
about doula to assist with delivery
Nutrition and Exercise
Coming Attractions – Focusing on a
healthy lifestyle from early pregnancy to
birth
Moms in Motion – Exercise, stretching
and toning during pregnancy
Pregnancy Yoga
Sometimes it’s a challenge to get
heavy snoring, nocturnal choking or
to treat sleep apnea; other times
patients to wear their CPAPs on a
gasping, restless sleep, a dry throat or
surgery is necessary. However, the
regular basis because it can cause nasal
headache in the morning, and night
CPAP is the first and best choice. “It’s
irritation and congestion. Dr. Huban
sweats.
not invasive and we know it works,”
says these side affects are treatable
said Dr. Huban.
with humidifiers and some allergy
Dr. Gandhi said Kavy was a ‘classic’
sleep apnea patient. He had many of
As long as sleep apnea patients wear
medicines.
Exclusively for Dad and Baby –
Fathering skills and fun for dads
the symptoms sleep doctors look for
their CPAP, results can be amazing.
including a large neck size. In addition
Usually, patients are not aware of how
following both his heart and sleep
Grandparenting – What’s changed
since you had your baby
to his cardiac symptoms, Kavy often fell
tired they were until they find out what
apnea treatment plans. While he is
asleep while reading.
it’s like to get normal sleep. That was
hopeful his problems will improve with
certainly the case for Kavy. He used to
time, he continues to be a dedicated
fall asleep at 8 p.m. and still wake up
CPAP wearer. “I never miss a day.
tired. Now he sleeps much less and
I even wear it for naps.”
feels 10 times better. And having lost
To learn more, contact the Center
for Sleep and Wake Disorders at
937/208-2515.
Big Brother/Big Sister – Helping
siblings adjust for 3- to 6-year-olds and
7- to 12-year-olds
Fortunately, sleep apnea is treatable.
The first line of treatment, according to
Dr. Huban, is a special device called a
Breastfeeding
CPAP (pronounced See-PAP). The
Introduction to Breastfeeding –
Benefits for your baby and what to expect
person wears a mask during sleep.
Breastfeeding: The First Months –
Guidance in techniques, eating patterns,
pumping, returning to work and
introducing solids
Breastfeeding Package – Combines
Introduction and The First Months
Lactation Counseling – Certified
lactation consultants provide support
on an individual basis
Taking Care of Baby…Tools
for Parenting
Infant Care – The basics from feeding
to doctor’s visits
Infant Safety – How to provide a safe
environment for your baby, including
infant CPR
Infant Massage – To soothe and
stimulate infants from 2 to 12 weeks
Adoptive Parenting – Information on
baby and child care for pre-adoptive
parents
First Steps packages – Infant
Care/Infant Safety and Your Amazing
Newborn/Dad and Baby
Moms and Babies Play Group –
Networking for moms, socializing for
babies.
14 Miami Valley Hospital
Sometimes a dental appliance is used
It delivers “air under pressure” to solve
weight too, he believes this will help
both his sleep and heart problems.
Kavy remains a firm believer in
the problem of sleep apnea.
Say Good Night to Sleep Disorders
The Sleep Center at Miami Valley
Hospital was established in 1985
and is accredited by the American
Academy of Sleep Medicine. In 2004,
the center was expanded and services
greatly enhanced. “Rooms are larger,”
said Kevin Huban, PsyD, a diplomate
of the American Board of Sleep
Medicine and a specialist in
behavioral sleep medicine.
The Sleep Center has grown to
eight beds and baths. Beds to
accommodate heavier patients have
been added and new equipment has
been installed. With the expanded
center, more sleep studies can be
completed at the same time, reducing
wait time. Special equipment in a
control room is used to monitor
sleep studies. Huban said infrared
cameras enable patients to sleep in
complete darkness and be adequately
monitored. The Sleep Center offers
other treatments for a variety of sleep
disorders. “We are unique in that we
Kevin Huban, PsyD, specializes in the
treatment of sleep disorders.
offer full service consultation and
follow-up. We really are a
comprehensive center.”
The most common form of sleep
disorder is sleep apnea – a condition
where the breathing passage is
blocked during sleep. Other sleep
disorders treated include insomnia,
narcolepsy, restless leg syndrome,
sleep walking, night terrors and
nocturnal seizures.
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EACH YEAR MORE WOMEN DIE FROM HEART DISEASE THAN FROM BREAST CANCER. SURPRISED?
womb, the baby was used to constant
close cuddling and warmth, continual
Help for Young Mothers
Holly Wood, of Dayton, has graduated
all the time.” Holly is devoted to Dominic.
She says, “Every baby has the right to a
feeding and the noise of mother’s
from high school and is studying to
good parent, to do what’s best for him
heartbeat. The more we can recreate
become a dental assistant. Because
instead of concentrating on yourself.”
that – by feeding whenever the baby’s
she spent her life without a mother to
hungry and keeping them swaddled
help her, she wants to always be there
and warm – the more the child will
mothers and fathers to look over the
for her son, Dominic. For Holly, that
come to trust the world around them.”
course selection at MVH. Whether it’s
meant learning all she could about raising
Getting to know the baby’s rhythms is
your first baby or your fifth, there is
a healthy, happy child. “I’ve learned a
essential to meeting his or her needs,
good information and a few “aha!”
lot,” Holly says of her Miami Valley
so Maria encourages parents to keep
moments to prepare you and your child
classes. “I decided to breast feed after I
their babies as physically close to them
for a great future.
learned that it gives your baby a great
as possible.
start in life. Maria showed us how tiny
“The Amazing
the baby’s stomach is – that helped us
Newborn class
understand why the baby seems hungry
Maria and Sharon invite expectant
For information about the classes
listed on the next page, call
208-BABY.
could also be
called ‘Wisdom for
Parents’,” adds
Women’s Health
Services Project
Sharon
Orozco, RNC, MS
Manager Sharon
Orozco, RNC, MS.
“Most moms and
dads come into the class feeling like
they are the only ones with a problem,”
she says. “They soon find they aren’t
alone. We stress that babies are individuals who grow and mature at different
rates. Babies should be valued and
enjoyed for setting their own pace.”
Classes are not limited to married
couples having their first child. The
hospital offers a special series of
10 classes for pregnant teens and a
separate series for over-30 parents.
In fact, classes address every aspect
of labor, birth and childcare.
Jalonda and Joey Hill,
of Moraine, welcomed
daughter Skyler earlier
this year.
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Miami Valley Hospital
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