Saint Joseph London to Offer Joint Pain Solutions in Community Seminar
London, Ky. (June 23, 2017) – Saint Joseph London, part of KentuckyOne Health, will be offering a free Joint Pain Seminar to help educate the community on the causes of hip and knee pain, along with the latest treatment options.
Kelly Sawyers is passionate about her job as a soccer
coach. Thanks to Dr. Shah and the staff at Saint Joseph London hospital, she didn’t let a torn meniscus and ACL keep her off the field.
Kelly was coaching high school girls’ soccer for Whitley County when a scrimmage resulted in her injury. Having seen other athletes experience this before, Kelly said she knew almost immediately what had happened.
“Dr. Shah was so professional and patient,” said Kelly. “He walked me through my X-rays and explained everything. He showed me what was torn and told me what it would look like after surgery.”
Dr. Shah provided Kelly with a list of at-home exercises that would prepare her for surgery, including walking and stretching to loosen the muscles that needed surgery. Kelly followed the exercise plan and received surgery within a month of getting injured.
“Dr. Shah fixed everything quickly and always made me feel comfortable,” said Kelly. “You could tell he really cared about me. He offered his phone number and said to call anytime with any questions. He explained every step of the process so that I was never blindsided.”
Recovering from Surgery
Kelly’s procedure was outpatient and she noted how Dr. Shah used small, precise incisions to minimize scarring.
“Before surgery, I was so nervous and emotional. I said to Dr. Shah, ‘Small cuts, small scars,’” said Kelly. “He kind of laughed and said ‘OK,’ but he didn’t let me down. My scars are smaller
than my pinky nail. And it made me feel good that he listened to what I had to say.”
Kelly is now working hard in physical therapy toward her goal of coaching soccer again in June. Dr. Shah is overseeing her therapy and providing protocol for her therapists to ensure she heals correctly. She is engaging in agility training and can already run more than a mile.
“The recovery process has been very encouraging,” said Kelly. “Dr. Shah pushes me toward my goals, but never pushes too hard. Best of all, he understands my passion for soccer and tells me that I will play again. He never says ‘no,’ he just says ‘in time,’ which keeps me going.”
KentuckyOne Health now pledges a 30-minute or less emergency room wait.
The team at KentuckyOne Health values your health, and they know just how much you value your time. Based on a commitment to deliver compassionate care that’s also efficient, KentuckyOne Health is taking a new approach to the ER treatment process with a pledge to see ER visitors within 30 minutes of their arrival.
“Patients want and deserve to receive high-quality emergency care within a reasonable time frame,” said Jeff Murphy, vice president of marketing and communications at KentuckyOne Health. “This means delivering care that is not only beneficial for patients, but also improves the operating efficiency of our hospitals.”
How ERs Operate
With more than 130 million Americans requiring the critical care of an ER each year, according to the Centers for Disease Control and Prevention, the role of the emergency department has become more crucial for individual as well as public health.
KentuckyOne Health recognizes the unique and vital role ERs play in health care and the impact they have on the public. In Kentucky, where more than half of the state is medically underserved, it’s not uncommon for people to arrive at an ER in need of immediate care and experience wait times of more than an hour.
In ERs throughout the country, the lack of prompt care necessary to relieve emergency situations has reached crisis proportions in many locations, causing overcrowding. This congestion in ERs has the potential to threaten public health by compromising patient safety and jeopardizing the reliability of the emergency care system.
The large number of ER visits and the subsequent rate with which people were leaving the ER without receiving any care led KentuckyOne Health to look for a new way to approach emergency care.
A FastER Approach
To address these complex issues, KentuckyOne Health has developed a new approach to ER care that has two paths: a traditional treatment path and a FastER path.
Watch the video below to learn more about the FastER approach.
The new, streamlined model is centered on a condition-ranking system that’s supported by a pivot nurse. During peak ER times, a pivot nurse assesses patients as they arrive. Each patient is given a number from one to five, corresponding to the severity of his or her condition, that is based on a standardized index. Once the severity level is determined, patients are introduced to their “Mini-Team — a group of seasoned physicians specially trained in treating the conditions that fall under the patient’s specific severity level.
Patients entering the ER with more severe injuries or conditions receive care through a traditional emergency care path. Depending on the assessment, they may be admitted to the hospital following treatment.
Those with less severe conditions receive treatment through a FastER path that tends to have very short wait times, as well as shorter treatment times. Since the introduction of FastER, KentuckyOne Health has also seen a significant reduction in the “left without being seen” rates — the number of people who enter the ER and leave before seeing a clinical provider.
FastER provides compassionate care, geared toward getting you better and on your way, in 30 minutes or less. Treatment begins the minute you walk through the door.
“Not only are we committed to providing quick, efficient emergency care, but we are also dedicated to continually reviewing our processes to see if there’s something we can do to improve quality of care or reduce wait times through greater efficiencies,” Murphy said. “Regardless of the time of day or ER location, everyone who seeks emergency treatment deserves the best care.”
In situations that require emergency medical attention, whether you need help or you’re seeking care for a loved one, KentuckyOne Health’s 30-minute or less pledge comes as a relief. And, when it comes down to it, relief is what an ER should provide for patients.
This article originally appeared in the Spring 2017 edition of One Health magazine. For more wellness stories, healthy lifestyle tips and information on upcoming community events, subscribe today.
Below is your weekly roundup of KentuckyOne Health news.
Transplant Center at Jewish Hospital Only Kentucky Hospital Selected for National Study
Louisville, Ky. (June 22, 2017) – The Trager Transplant Center at Jewish Hospital, part of KentuckyOne Health, has been selected to participate in the second pilot phase of the Collaborative Innovation and Improvement Network (COIIN), a three-year project intended to increase kidney utilization and study new methods of quality monitoring.
Take Precautions During Fourth of July Celebration to Avoid Injuries
Louisville, Ky. (June 15, 2017) – The Fourth of July and fireworks go hand in hand, and while bright lights and loud bursts will soon fill the air to signify the national holiday, thousands of people will spend it in the emergency room, suffering from a fireworks-related injury.
Since the young age of 5, Jaylon Conwell has loved sports, especially football. The now 17-year-old plays for the Pulaski County High School football team, and was part of the team when it won its first state championship in 2014.
The Pulaski County Maroons defeated Graves County 14-7 in the state championship game, and Jaylon helped score the two touchdowns for the win. While the team was thrilled to win, Jaylon dreamed of bringing home another state title.
For several years, the Maroons have made it back to the state tournament. It was in the 2015 playoff game before the state championship, however, where Jaylon encountered a setback – a torn ACL as another player’s helmet hit his knee. While the team made it to the state championship again, and lost, Jaylon was thinking about recovery and getting back on the field again for his senior year.
“Jaylon was determined to make it back to the state championship,” said Georgia Reed, Jaylon’s mother. “It usually takes nine months to recover from an ACL tear. Jaylon did it in eight months.”
All summer long, as students were enjoying time off from school, and the football team was training for the approaching season, Jaylon was working with Dr. Jay Shah with KentuckyOne Health Orthopedic Associates in London. He never lost his focus of returning to the field for his last season at Pulaski County High School, and returning to the state championship.
Returning to the Field
After working with Dr. Shah and going through rehabilitation, Jaylon was able to return to the football team this year for his final season. There have been minor setbacks on the field, including a shoulder sprain, but every step of the way, Dr. Shah has been there to help Jaylon. The leading rusher has even found a friend in his doctor, who has showed up at games to support Jaylon.
“Now, Jaylon is even interested in working in the medical field someday,” said Reed. “He’s considering being an orthopedic surgeon, like Dr. Shah. Jaylon is thankful that Dr. Shah helped him to return to the sport he loves, and is interested in doing the same for others.”
Jaylon plans to attend college within the state of Kentucky next year, and will continue to pursue his love of football. Thanks to Dr. Shah, his dream to return to the football field in time for his senior year was reached.
The addition of Stanley and other future therapy pets is possible thanks to a generous donation from the June and Stanley Atlas family to the Jewish Hospital & St. Mary’s Foundation.
“The Atlas family graciously provided more than $160,000 in support, which will allow Frazier Rehab Institute to grow the pet therapy program and add an additional three therapy dogs,” said Leslie Buddeke Smart, CFRE, division vice president of development for KentuckyOne Health.
For the Atlas family, this generous donation came straight from the heart.
“We want to help make a difference for patients like my mother, June, who spends so much time at Frazier Rehab Institute,” said LouAnn Atlas, who is also a KentuckyOne Health board member. “Seeing her face light up when she opened this gift and saw Stanley was truly
a priceless moment. We know he will be loved by my mother and so many other patients.”
June Atlas and her granddaughter, Maggie Atlas, introduce Stanley at Frazier Rehab Institute.
Learning the Ropes
Stanley will join forces with Charlie, the Frazier Rehab Institute’s beloved therapy dog who came on board in 2015. Canine Partners for Independence, a local nonprofit, will assist in training Stanley as a therapy pet. He will learn various skills to help promote physical movement, emotional well-being, cognitive function and social improvements in patients.
“The pet therapy program has helped so many patients,” Smart said. “It is a great example of integrative medicine and has been shown to help patients relax, reduce blood pressure
and heart rates, and serve as a calming distraction during procedures.”
An injectable medication for patients recovering from opioid addiction helps them get their lives back on track.
Addiction is a major health concern in the Commonwealth, and that’s particularly true of the use and abuse of prescription opioid medications and their illegal cousin, heroin. Drug overdose claimed the lives of more than 1,200 Kentucky residents in 2015, according to the Centers for Disease Control and Prevention.
No single treatment or program can solve the opioid epidemic, but the Long-Acting Injection (LAI) Clinic — a new service at Louisville behavioral health hospital Our Lady of Peace, part of KentuckyOne Health — plays an important role in recovery for many patients struggling with opioid addiction.
Buying Time to Get Well
Since the LAI Clinic opened its doors in February, the clinic’s providers have been focused on providing monthly injections of the drug naltrexone to individuals who have completed the detoxification process for opioid addiction. The long-acting injectable form of naltrexone is called VIVITROL®.
“VIVITROL blocks the chemical receptor responsible for the euphoria patients experience from taking prescription opioids or heroin,” said Steve Cummings, PharmD, pharmacy and LAI Clinic manager at Our Lady of Peace. “The drug blocks that feeling for a month. During that time, patients can pursue outpatient treatment, such as counseling, while
VIVITROL helps prevent them from relapsing.”
Psychiatrists prescribe VIVITROL and determine the length of each patient’s course of treatment. Providers at the LAI Clinic regularly update behavioral health professionals about patients’ progress and compliance with the injection regimen.
The Right Service at the Right Time
A pharmacist and a medication access coordinator run the LAI Clinic. The medication access coordinator schedules patients’ visits to the clinic, handles prior authorization paperwork to clear individuals to receive VIVITROL, and connects patients with outpatient behavioral health services.
Most patients who visit the LAI Clinic learn about it during or just after completing inpatient detoxification at Our Lady of Peace. That is by design, according to Cummings.
“We don’t want people to be discharged without giving them the option to receive naltrexone on-site,” Cummings said. “For many individuals, detoxification is a low point when they’re more likely to desire treatment. We want each patient to beat addiction and live a normal life.”
The LAI Clinic is open Monday through Thursday from 10 a.m. to 6:30 p.m. and Friday from 7 a.m. to 3 p.m. For more information or to schedule an appointment, call 844.297.8982.
The 16-year-old sophomores, Madison and Payton Phelps, attend Southwestern High School in Somerset and are active in their school’s athletic program. Unfortunately, they have both had personal experiences with one of the greatest downsides of playing sports — injuries. But, with the help of Jay Shah, MD, an orthopedic surgeon at Saint Joseph London, the Phelps twins are working toward an exceptional comeback.
Madison: A Scrimmage Misstep
A wrong step during a basketball scrimmage left Madison in agony. It only took a moment, but the intense pain in her knee told her that something was seriously wrong.
After visiting her primary care physician, who ordered an X-ray and MRI, Madison was diagnosed with a strained anterior cruciate ligament (ACL). When her pain continued despite physical therapy, Madison’s doctor recommended she see Dr. Shah for a second opinion.
Dr. Shah diagnosed Madison with a 70 percent ACL tear and advised her that surgery would be the best way to free her from pain. Shortly after, Dr. Shah performed corrective surgery, and Madison’s real recovery began.
“After surgery, Dr. Shah called to check on me multiple times,” Madison said. “He asked if I had any questions and made me feel comfortable about the process. I saw him for follow-up appointments, and he kept up with my progress from physical therapy until I was completely healed.”
Madison has been cleared to continue playing basketball.
Payton: A Tricky Catch
About a year after Madison’s knee injury, her brother, Payton, injured his finger while catching a football. At first, the family thought it was jammed and would heal with time. However, the swelling and pain continued getting worse.
A visit to his primary care provider revealed that Payton’s finger was broken and would require surgery. The Phelps family knew exactly who to turn to.
“We emailed Dr. Shah on a holiday about Payton’s finger, expecting him to respond the next day, and he replied within 10 minutes,” said Paula Phelps, the twins’ mother. “The next day, Dr. Shah saw Payton and did his surgery. It was great to feel that personal connection.”
Payton’s surgery was successful and Dr. Shah is optimistic that his finger will continue to heal.
During a stroke, your brain loses 1.9 million neurons a minute. Rapid intervention is the best chance for survival.
Stroke is the most common cause of long-term disability in the U.S. When a stroke occurs, it’s vital to recognize the symptoms quickly and access medical attention at a facility that can provide top-quality stroke care.
“Acute care in an emergency department is the best way to provide patients immediate treatment,” said David Blake, MD, medical director of the stroke program at Saint Joseph Hospital, part of KentuckyOne Health. “Prompt treatment can potentially restore blood flow and improve the outcome for stroke patients.”
In December 2015, Saint Joseph Hospital received The Joint Commission certification as an advanced primary stroke center. Support begins with Saint Joseph Hospital’s emergency medical services team and continues with intervention, home health and rehabilitation.
In addition to an acute stroke team that responds to patients’ bedsides if they experience stroke symptoms, the hospital also provides rapid assessment for the use of clot-busting medication. The stroke response team includes specially trained nurses who provide comprehensive education for both patients and families. Providers know that saving lives begins well before the first symptoms appear; it begins with controlling risks.
“Approximately 80 percent of strokes can be prevented by addressing the medical and lifestyle risk factors that contribute to stroke,” Dr. Blake said. “Establishing a good relationship with a primary care doctor or nurse practitioner can help patients make proactive decisions and prevent strokes.”
Medical providers regularly monitor patients for stroke risk factors and help determine how to reduce the likelihood of stroke.
Lifestyle risk factors for stroke include:
Not exercising regularly
Medical risk factors for stroke include having poorly managed conditions such as high blood pressure, diabetes and elevated cholesterol, which can be positively affected by lifestyle modifications.
“Stroke providers such as myself are excited to see people in our region take action to control risk factors,” Dr. Blake said. “Patients who do so succeed at improving their well-being and longevity.”
F.A.S.T. is an easy way to remember the sudden signs of a stroke
Facial Drooping — Ask the individual to smile. Is one side of his or her face drooping downward?
Arms — Next, ask him or her to raise both arms and note whether one drifts downward.
Slurred or Strange Speech — Finally, ask the person to repeat a simple sentence. Is it correct? Is his or her speech difficult to understand?
Time — If someone has these symptoms, call 911 immediately. Don’t put off medical attention, even if the symptoms disappear.
This article originally appeared in the 2017 Spring edition of One Health magazine. For more stories like this one, subscribe to One Health today.
Jewish Hospital Trager Transplant Center Opens New Outreach Clinic in Bowling Green
Bowling Green, Ky. (June 7, 2017) – The Jewish Hospital Trager Transplant Center, part of KentuckyOne Health, has opened a new outreach clinic in Bowling Green that will help patients in need of transplant evaluations.
Saint Joseph London to Discuss Orthopedic Injuries and Treatment Options During Bite Size Learning Event
London, Ky. (June 7, 2017) – Saint Joseph London, part of KentuckyOne Health, invites the community to learn about common orthopedic injuries and conditions, as well as treatment options available, at the Bite Size Learning health education event on Wednesday, June 21.
KentuckyOne Health Primary Care Associates Completes Renovation to Improve Patient Comfort and Flow
Berea, Ky. (June 5, 2017) – KentuckyOne Health Primary Care Associates has completed a renovation to upgrade its waiting room and improve patient comfort and flow, thanks to a $380,000 gift from the Saint Joseph Berea Foundation, part of KentuckyOne Health.
Jewish Hospital Honored With Mission: Lifeline Gold-Plus Achievement Award
Louisville, Ky. (June 5, 2017) – Jewish Hospital, part of KentuckyOne Health, has received the Mission: Lifeline® Gold Receiving Quality Achievement Award for implementing specific quality improvement measures outlined by the American Heart Association for the treatment of patients who suffer severe heart attacks.
Saint Joseph Mount Sterling Hits a Hole-In-One with Golf Tournament
Mt. Sterling, Ky. (June 5, 2017) – The Saint Joseph Mount Sterling Foundation, part of KentuckyOne Health, will host its annual golf tournament, presented by Maysville Community and Technical College, Montgomery Campus, on Thursday, June 22 at Indian Creek Golf Course in Mt. Sterling.