255287.qxd 9/9/05 1:39 PM Page 5 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 2 Miami Valley Hospital ProHealth 1 255287.qxd 9/21/05 3:31 PM Page 7 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 ProHealth 15 255287.qxd 9/15/05 4:18 PM Page 9 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. ProHealth 3 255287.qxd 9/9/05 1:39 PM Page 11 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. 4 Miami Valley Hospital ProHealth 13
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