Education Registry - KRH · Education Registry 2017 Edition ... Melanie McManaway Department Assistant, Instructional Design Specialist Kathleen NallyMadigan, RN ... Nurse Residency

KALISPELL REGIONAL HEALTHCARE

Education Registry2017 Edition

“Educating the mind without educating the heart is no education at all.”

– Aristotle

Howl - Jack Bell

“Tell me and I forget, Teach me and I may remember, Involve me and I learn.”

– Benjamin Franklin

Lake McDonald - Jack Bell

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EMERGENCYDEPARTMENT

Bu�alo HillConference

Center

Elevators

INFOElevators

Elevators

= Restrooms

= Entrance

= Stairs

INFO

WaitingArea

Patient Registration

Lobby

Elevators

MainLobby

North

Laundry/Maintenance

to Cafeteria

*ATM

Dietary East and Dietary West

CONFERENCE ROOM LOCATIONS

DietaryConference RoomsUpstairs in the cafeteria

Glacier Conference Center - Bowman - McDonald - Swiftcurrent - Two Medicine

Blacktail, Big Mountain, Harvest, and Mission Conference RoomsTake the elevator to the basement

Dietary North

For more information regarding education opportunities at Kalispell Regional Healthcare, visit krh.org and select

“For Employees” at the bottom of the page to browse options under “Education and Resources” or call (406) 752-1775.

Please send updates of professional publications/presentations and education programming to Lindsay Konen at [email protected].

Table of contents

Our VisionTo be a fully integrated and aligned health care system that provides high quality and low cost primary, specialty, and tertiary medical care for the people we serve.

The Value of Education ............................................................................ 2

Overview of Education Services ............................................................ 3

Education Endeavors by Service ....................................................... 5-9

Nurse Residency Program .....................................................................10

Student Department ...............................................................................12

Student Affiliations ...........................................................................13, 14

Summer Intern Program .......................................................................15

American Heart Association Training Center ...................................15

Other Programs ........................................................................................16

Fellowship Spotlight ...............................................................................17

Rural Surgery Resident Program .........................................................18

KRH Culture ........................................................................................20, 21

Continuing Education .............................................................................22

Professional Publications/Presentations ................................... 23-30

Building a Dream .....................................................................................31

Education Department Team ...............................................................32

Contact Us..................................................................................................33

Cover image: Paintbrush Above Grinnell Lake - Jack Bell

Mountain Goat Kid - Jack Bell

Education Department TeamKristi Anderson, MN, RN-BC, CNLContinuing Education Coordinator

Mari Anderson, RN,CPAN KRMC Training Center Coordinator

Torr AndersonMulti-Media/Videoconferencing Technical Specialist

Shelley Astle, RN, CNORTraining Center Educator

Lindsay Bennett, BAEducation Department Associate

Heidi Brandt, MN, RN-BC, CNL Continuing Medical Education Coordinator

Rachel Burch, BSN, RN, CCRN-KPediatric Clinical Educator

Carla Genovese, BSN, RN-BCCritical Care Clinical Educator Debra Goodrum, BSN, RNAcute Care Clinical Educator

Richard Haven, AAMulti-Media/ Videoconferencing Technical Specialist

Robert Lee, MSKRMC Training Center Assistant

Jamie Mahowald, BSInstructional Design Specialist

Melanie McManaway Department Assistant, Instructional Design Specialist

Kathleen NallyMadigan, RNStaff Development Educator

Katie Neff, MN, BSN, RN, CNLStaff Development Educator

Peggy Perkins, RN, BSN, CEN Emergency Department Clinical Educator

Mandy Pokorny MHA, BSN, RNNurse Residency Coordinator

Emily SproulEducation Department Assistant

Tiffany Wehrmann, MBAEducation Department Operations Manager

Robyn Whalen, PhD, MBA, BSN, RNDirector Education Department

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Our Mission

The Value of Education

Over the past several years, Kalispell Regional Healthcare (KRH) has evolved from a local community-based health care center to a regional resource for community and tertiary care. Quietly growing in synergy with the clinical programs has been an educational foundation and infrastructure, which allow the health system to become a destination for medical and clinical education.

Education serves as a clinical enhancer improving the scope and sophistication of the clinical programs. It forms the basis for quality improvement and outcome measures and is essential in optimizing preventive medicine.

Education influences the performance of all medical providers, staff and support teams. Providers are called upon to be lifelong learners. The health of our community is intimately tied to the influences of education on prevention, and changing population behaviors.

Educational-induced behavior changes convert potential patients into healthy citizens. In an era of population health economics, education reduces health care costs with avoidance of use and decreases length of stays, overall morbidity and mortality.

Education is vital to innovation and growth. It is a stalwart of talent retention. Education differentiates

health care systems as being a resource to the local community as well as other lower acuity health care systems and providers.

On February 1, 2017, 53 members of the KRH community met for the first Educational Summit. This meeting was designed to start a conversation on how best to optimize the influence and impact of the educational efforts at KRH.

The goal in mind is to become not only a destination for complex and comprehensive medical care, but also a destination for medical and leadership education in the state of Montana.

This is the inaugural KRH Educational Registry. It is a living document. We encourage your participation in the effort to be complete.

Sincerely,The Education Advisory CouncilHeidi Brandt, MN, RN-BCNicholas Costrini, MD, PhD, MBAPatrick Madigan, MD, MBADoug Nelson, MDThomas Origitano, MD, PhDRobyn Whalen, PhD, MBA, BSN, RNPat Wilson, MN, BSN, RN

EducateInform

CoachInspire

Mentor

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Building a Dream: An Education Destination

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It is our dream and aspiration to make KRH a regional resource for medical education across the spectrum of students. To do this, the educational program will need to develop a center of education, simulation and hospitality. The center would provide the following resources:

EducationThe center would be a hub for medical education serving KRH and providing telehealth/conferencing to critical access hospitals and other major medical centers and groups in western Montana (Great Falls, Helena, Butte, Bozeman, and Missoula). The center would also interface with Flathead Valley Community College and Montana State University schools of nursing providing a vital educational link between hospital educational programs and local nursing schools. The center would contain a 400-seat conference auditorium, multiple flexible class room space which could flex from 10-50 seats, and a simulation laboratory which would be capable of performing practical skills courses (endoscopic simulation, cadaver dissection, basic procedural skills, etc.). The center would link to the hospital for simulcast of operative procedures. A catering facility would be included to serve both the educational and hospitality needs of the center.

HospitalityThe growth and development of KRH as a regional clinical and educational site will necessitate

housing for traveling patients, families, students and conference attendees. Current facilities are significantly underpowered to accommodate the current clinical load of patients/families traveling from out of the area. The unique geographical and financial challenges of our patients would be accommodated with a sliding scale room and board rate providing hospitality for all.

Center scholarsAn endowment to support center scholars would be established to provide educational and living support for individuals who are seeking advanced training outside the valley and/or coming to the valley to study for an extended period of time (ex: physicians, surgeons, nursing staff who are going to participate in technical training or education which will be brought back to KRH for implementation).

Center for simulationThe future of medical education and continuing medical education is simulation: see one, simulate 50, perform procedures under supervision, then alone. The demand for maintenance of certification is growing exponentially. This onsite facility would permit both model and cadaver simulations of operations and procedures and provide a venue for national and regional educational events.

Lead physician, surgeon and nursing in residence endowmentThis endowment would provide a stipend for physician, surgeon and nursing leadership to carry out the educational, administrative and potential research missions of the center. The center would be located on the Kalispell Regional Medical Center campus constructed to provide patients and family with the healing and restorative views of the mountains. The center would play an integral role in the caring part of health care delivery for Montana patients in Montana.

If you are interested in more information on building this dream, please contact Tagen Vine, Foundation President, at [email protected] or (406) 751-6930.

Overview of Education Services

• Affiliation with 62 colleges, eight high school and middle schools, and six other health care facilities• 1062 students/observers for clinical/observation experiences (2016)• Interface with 45 different undergraduate programs, 20 at Flathead Valley Community College (FVCC)• Nursing programs: Flathead Valley Community College (LPN, ASN), Montana State University (BSN, Accelerated RN), Salish Kootenai College (ASN)• Post graduate programs: Montana State University (Doctorate of Nursing, Masters of Nursing), Pacific Northwest University (osteopathic medical students), University of Montana (Doctorate of Pharmacology, Doctorate of Psychology)• University of Washington: medical student rotations in surgery, neurology and OB/GYN• Neurosurgical medical rotations: osteopathic medical students from across the country• Residencies/fellowships: · Family Medicine Residency of Western Montana · Rural Surgery Residency Rotation (one year) · Physician assistant fellowships: Neurological surgery, physical and rehabilitative medicine

• Services: · American Heart Association Training Center: 8,522 certificates awarded in 2016; 11 training sites statewide; 250 instructors statewide · Continuing Medical Education (CME): five regularly scheduled series and three conferences; 235 AMA Category 1 Credits offered; 5,918 participants · Continuing Nursing Education (CNE) programs: 54 programs offered; 230 contact hours offered; 2,273 certificates awarded · Married State Preceptor Program: 215 preceptors; 14 nursing and multidisciplinary units supported · RN Residency Program: two cohorts per year, nine nursing units receiving graduates; tracking to national accreditation in 2018 · Clinical specialty area training: ICU, IMC, cath lab; medical/surgical; emergency; Pathways; outpatient clinics; radiation oncology; operating room; trauma; pediatrics; Brendan House• Educational conferences supported: 6th Annual Cardiopulmonary; Timely Topics in Pediatrics; Critical Care Bootcamp; oncology conferences; American College of Cardiology; rotating state conferences; Pediatric Fundamental Critical Care Support, a Society of Critical Care Medicine (SCCM) program• Employee development programs: Rise and Shine; First Impressions and Welcoming Attitudes; computer classes for KRH, Courageous Conversations; DiSCTM Styles• General educational courses: strategic topics based on trends, events and needs• Proctoring services: certifications, billing and medical boards• Leadership and management development:

· Excellence in Leadership · Business Builders · Charge Nurse Academy · Twin Bridges Leadership Competency Program · Regulatory, national and state requirement training programs · The Mandt System Training®

EDUCATION DEPARTMENT METRICS

# of Programs Total Hours

20161,6332014

1,124

Program Hours

20165,604

20143,462

Total Participants

201650,870

201433,631

201679,976

201449,936

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Professional Publications/Presentations, cont.

Seifarth FG: “Common pediatric surgical cases and update on pediatric services in the Flathead Valley.” 10/6/2016, invited speaker. Rotary Club Kalispell.


Seifarth FG: “Pediatric Appendicitis: State of the Art Review.” 1/16/2107, invited speaker. CME Noon Conference Series, Kalispell Regional Medical Center.

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“What we learn with pleasure we never forget.”

– Alfred Mercier

A Day At The Beach - Jack Bell


Seifarth FG, Strong AT: “Laparoscopic approach to enteral access for chronic constipation.” The SAGES manual of pediatric minimally invasive surgery.

Seifarth FG, Yan J. “Thoracoscopic approach to eventration of the diaphragm.” The SAGES manual of pediatric minimally invasive surgery.

Seifarth FG, Chang J: “Minimally invasive gastrostomy.” The SAGES manual of pediatric minimally invasive surgery. Seifarth FG, Yung J: “Laparoscopic approach to intestinal atresia.” The SAGES manual of pediatric minimally invasive surgery.

Seifarth FG, Yung J: “Laparoscopic duodeno-duodenostomy.” The SAGES manual of pediatric minimally invasive surgery.

Seifarth FG, Lloyd JA: The Cleveland Clinic Intensive Review of Pediatrics. Chapter 65: “Common Problems in Pediatric Surgery.” Editor: Camille Sabella. Wolters Kluwer. 2016.

PresentationsFalk, GA: “Common Pediatric Surgical Cases, Nurse and Physician Education.” October 31, 2016, Mariposa Room, KRMC.

Seifarth FG, Rosales A, Alkhoury F: “Single-Port robotic cholecystectomy in pediatric patients: Single institution experience.” Oral presentation at IPEG’s 25th Annual Congress for Endosurgery in Children. Fukuoka, Japan. May 24-28, 2016.

Seifarth FG, Moslim MA, Mohan A: “Percutaneous endoscopic placement of gastrojejunal feeding tube: a novel modified Seldinger technique.” Podium video presentation at IPEG’s 25th Annual Congress for Endosurgery in Children. Fukuoka, Japan. May 24-28, 2016.

Seifarth FG, Moslim MA, Liu MH, Ayala D, Worley S: “Comparison of single-port hybrid cholecystectomy versus traditional four-port cholecystectomy in the pediatric population.” Oral presentation at IPEG’s 25th Annual Congress for Endosurgery in Children. Fukuoka, Japan. May 24-28, 2016.

Seifarth FG, Kundu N, Guerron AD, Garland MM, Gaffley MW, Worley W, Knight CG: “A simple umbilical negative pressure dressing lowers the rate of surgical site infections after transumbilical, extracorporeal appendectomy for acute appendicitis.” Oral presentation at IPEG’s 25th Annual Congress for Endosurgery in Children. Fukuoka, Japan. May 24-28, 2016.

Seifarth FG, Moslim MA, Davis M, Morris-Stiff G: “Robotic-Assisted Excision of Type I Choledochal Cyst with Hepaticoduodenostomy.” Podium video presentation at the SAGES 2016 Annual Meeting. Boston, March 16-19, 2016.

Seifarth FG, Revenue Integrity/KRMC: “Common pediatric cases.” 10/2016: Seifarth FG invited speaker.

Seifarth FG: Timely Topics in Pediatrics Conference at KRMC. “Abdominal pain and laparoscopic appendicitis.”

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Education Endeavors by Service

Education Department Courses and Classes(not inclusive of American Heart Association)

• Clinical · Nursing Grand Rounds

· Continuing Nurse Education

· Preceptor

· Nurse Residency Program – 12 month program;

hires two cohorts of newly licensed nurses

per year. Places in one of eight departments.

Residents undergo 14 weeks of 1:1 precepted

orientation on clinical units, eight bi-weekly

8-hour residency classes, followed by eight

3-hour monthly classes until 12 months of hire

· Continuing Medical Education programming as

an educational partner with University of

Washington

· Continuing Medical Education programming

through telemedicine with St. Patrick’s Hospital,

Seattle Children’s Hospital and Denver Children’s

Hospital

• Leadership Development · DiSC™ (Measure your Dominance, Influence,

Steadiness and Conscientiousness) to better

understand your work style and how to

build more effective relationships

· Business Builders

· Charge Nurse Academy

· Excellence in Leadership

· Twin Bridges Leadership Competency Program

• Just In Time · Ebola Preparation Training

· Pressure Ulcer Prevention

· New Product Training

• Employee Development · Rise and Shine

· Computer classes at KRH

· Courageous Conversations

· DiSC™

· Mandt™

· Proctoring Services

· Simply Speaking

· General education – strategize topics based

on trends, events, requests and needs.

· Multidisciplinary preceptor classes

· The Power of First Impression and

Welcoming Attitudes

· How to Deliver a Great Presentation

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Zeider, R: “Save the Brain.” Presented at Kalispell, MT, February, 1 2016.

Zeider, R: “Behavioral Management in Cognitively Impaired Patients.” Presented at Kalispell, MT, June 17, 2016.

Zeider, R: “Neuropsych Meds for Nurses.” Presented at Kalispell, MT, August 8, 2016.

Zeider, R: “Amputee.” Presented at Kalispell, MT, September 8, 2016.

Pediatric Surgery

Published AbstractsFalk, G; Moslim, MA; Cruise, M: Morris-Stiff, G: “Simultaneous Clear Cell Sarcomas of the Duodenum and Jejunum.” Case Rep Med. 2016; 2016:1534029. doi: 10.1155/2016/1534029. Epub 2016 Jun 7.

Federico G. Seifarth, Oliver S. Soldes: “Congenital Anomalies and Surgical Disorders of the Stomach.” Pediatric Gastrointestinal and Liver Disease, 5th edition, 2016. Robert Wyllie, Jeffrey Hyams, and Marsha Kay.

Seifarth FG, Karam PA, Hiuser A, Magnuson DK: “Intracorporeal hybrid single port vs conventional laparoscopic appendectomy in children.” Pediatr Med Chir. 2016 Dec 20;38(3):133.

Seifarth FG, Mohan A, Karam PA, Buta MR, Worley S: “Transumbilical laparoscopically assisted extracorporeal appendectomy in children and young adults: A retrospective cohort study.” Int J Surg. 2016 Dec;36(Pt A):261-264.

Seifarth FG, Kundu N, Guerron AD, Garland MM, Gaffley MW, Worley S, Knight CG: “Umbilical Negative Pressure Dressing for Transumbilical Appendectomy in Childern.” JSLS. 2016 Oct-Dec;20(4).

Seifarth FG, Karam PA, Mohan A, Buta MR: “Comparison of transumbilical laparoscopically assisted appendectomy to conventional laparoscopic appendectomy in children.” Surg Laparosc Endosc Percutan Tech. 2016 Dec; 26(6):508-512.

Seifarth FG, Moslim MA, Takahashi H, Walsh MR, Morris-Stiff G: “Choledochal cyst disease in a Western center: a 30-year experience.” J Gastrointest Surg. 2016 Aug; 20(8):1453-63.

Seifarth FG, Mohan A, Guerron AD, Karam PA, Worley S: “Laparoscopic extra-corporeal appendectomy in overweight and obese children.” JSLS. 2016 Apr-Jun;20(2). pii: e2016.00020.

Seifarth FG, Peng JS, Ritter K, Hamadeh F: “Asymmetric hypertrophic pyloric stenosis with concurrent pancreatic rest presenting as gastric outlet obstruction in an infant.” J Pediatr. 05/2016.

Seifarth FG, Bruns N, Asfaw SH, Stackhouse KA, Falk GA, Magnuson DK: “Laparoscopic Excision of a Ciliated Hepatic Foregut Cyst in a Child: a Case Report and Review of the Literature.” Annals of Medicine and Surgery, Vol. 4, Issue 4, p467–469.

Seifarth FG, Abbass MA: “Laparoscopically assisted anorectal pull-through for anorectal malformations.” The SAGES manual of pediatric minimally invasive surgery.

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Education Endeavors by Service, cont.

Certification Offerings(including American Heart Association)

• BLS – basic life support• ACLS – advanced cardiac life support• PALS – pediatric advanced life support• PEARS – pediatric emergency assessment, recognition and stabilization• NRP – neonatal resuscitation program• BLS instructor • ACLS instructor• PALS instructor• ILS – intermediate life support• TNCC – trauma nursing care course• ENPC – emergency nursing pediatric course• Certification prep courses for nursing through HealthStream online education• CMSRN – Medical Surgical Nursing Review Course and Certification Exam in conjunction with Flathead Valley Community College• APHON – Association for Pediatric Hematology/ Oncology Nurses; pediatric chemotherapy and biotherapy provider course

Digestive Health Institute• Digestive Disease Challenges for Community Clinicians · University of Washington AMA PRA Category 1 credits™• CME Noon Conference Series GI presentations (1-3/year) · University of Washington AMA PRA Category 1 credits™• “Pizza, Polyps and Pancreas” lecture series every three months for nurses and clinicians• Clinical rotation for rural surgery resident-endoscopy training• Family Medicine Residency of Western Montana GI training• Polson Health monthly GI lecture

Cancer Center Institute• CME Noon Conference Series – regularly scheduled cancer talks · University of Washington

42 AMA PRA Category 1 credit™

• Cancer Conference/Tumor Board · University of Washington

70.5 AMA PRA Category 1 credits™

• Multidisciplinary Breast Cancer Conference · University of Washington


• Quarterly Cancer Conference education updates

Cardiopulmonary Services• Cardiovascular Critical Care Conference · University of Washington

50 AMA PRA Category 1 credits™

• CME Noon Conference Series cardiology presentations (4-6/year) · University of Washington


• Updates in Cardiopulmonary Disease Conference · University of Washington


• Basic EKG• Advanced EKG• Basic and advanced hemodynamics• Hemodynamics for cath lab• ICU and IMC open heart surgery classes• Care of the patient post percutaneous coronary intervention (PCI)• Care of the patient pre and post transcatheter aortic valve replacement (TAVR) • Care of the patient with an intra-aortic balloon pump (IABP) • Chest Tube Management• ICU “Essentials of Critical Care Orientation” supplement classes• Any needed Just In Time training (Impella®, new equipment, etc.)• Preceptor classes

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Origitano, TC: “Synergies.” Presented at the Glacier Bancorp’s Annual Economic Round Table, Kalispell, MT, February 18, 2016.

Origitano, TC: “Synergies: Health System/Community Partnership.” Presented to the Kalispell Rotary, Kalispell MT, May 5, 2016.

Origitano, TC: “Health System/Community Partnership: Synergies in Neuroscience Care.” Presented to the Whitefish Rotary, Whitefish, MT, May 21, 2016.

Origitano, TC: “The Neurological Surgery Boot Camp Experience: A Wrinkle in Time.”Presented at the Society of Neurological Surgeons Annual Meeting, Indianapolis, IN, June 4-7, 2016.

Origitano, TC: “Professionalism, Supervision, and Pearls for the Junior Resident.” Presented at the SNS Boot Camp Fundamentals Skills Course, Chicago, IL, July 8-9, 2016.

Origitano, TC: “From Practices To Programs; Integration and Citizenship in Kalispell Regional Healthcare System: Leading the Way.” Presented To the Neuroscience and Spine Staff Educational Meeting, Kalispell, MT, August 11, 2016.

Perisho, N: “Stroke updates and Patient Management.” Presented at Pondera Medical Center, Conrad, May 4, 2016.

Perisho, N: “Stroke Updates and Patient Management.” Presented at Marias Medical Center, Shelby, May 4, 2016.

Perisho, N: “Stroke Updates and Patient Management.” Presented at Liberty Medical Center, Providers, Chester, MT, May 5, 2016.

Perisho, N: “Stroke Updates and Patient Management.” Presented at St. Luke Hospital in Ronan, MT, June 24, 2016.

Perisho, N: “Stroke/tPA competencies.” Presented at Northern Rockies Medical Center in Cut Bank, MT, September 13, 2016.

Perisho, N: “Stroke Awareness.” Presented at the Health Fair in Cut Bank, MT, September 14, 2016.

Perisho, N: “Faces of Stroke.” Presented at Kalispell, MT, October 3, 2016.

Perisho, N: “Faces of Stroke.” Presented at Whitefish, MT, October 4, 2016.

Perisho, N: “tPA, Competencies.” Presented at Pondera Medical Center, Conrad, MT, November 15, 2016.

Perisho, N: “Stroke Updates and Patient Management and tPA competencies.” Presented at Chester, MT, November 16, 2016.

Shobe, J: “Stroke Syndromes.” Presented at Kalispell, MT. March 30, 2016.

Zeider, R: “Neurogenic Bowel and Bladder.” Presented at Kalispell, MT, December 9, 2015.

Zeider, R: “Traumatic Brain Injury.” Presented at Whitefish, MT, October 1, 2015.

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Emergency Services• Case Review Night for EMS and RN staff scheduled every other month• Rocky Mountain Trauma Conference September 15-16, 2017 sponsored by Western Region Trauma Advisory Committee of which KRH is a member

Family Practice Services• CME Noon Conference Series · University of Washington 42 AMA PRA Category 1 credits™• Family Medicine Residency of Western Montana• Pacific Northwest University Osteopathic medical student third year core rotation• American Academy of Family Physicians (AAFP) credit programs

Health Information Technology Training• Computer applications for new employees• Provider application training

Human Resources• Bi-weekly general orientation• Employee timekeeping training (content through HealthStream)• Annual benefit education • Leadership training, topics including but not limited to: sexual harassment, interviewing, fundamentals of HR, compassion fatigue and team building• HR computer applications for leaders• Performance management

Medical Library Services • PubMed/CINAHL searching• Creating a search string from PICO (problem/patient/population, intervention/ indicator, comparison, outcome) statement · Clinical staff wanting to improve literature searching for clinical articles · MSU-Bozeman junior students · Student interns• Searching the literature · Regularly scheduled course addressing needs of UBC (Unit Based Councils) and nurse residents · Advanced session in curriculum development stage• Moving complaints to commitments · Part of up to seven languages series “How the Way We Talk Can Change the Way We Work”• Evidence-based practice for the busy bedside nurse• How to find funding sources and how to have a successful grant proposal• Various departmental staff meetings, tailored to their interest and needs · Essential oils used by patients – What the OR RN needs to know • Quickly finding patient education information; information prescriptions

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Krass, Joshua: “Emergency Neurological Life Support in MT.” Presented at the MT Osteopathic Medical Association Meeting, Bozeman, MT, August 4, 2016.

Krass, Joshua: “Cervical, Thoracic, and Lumbar Anatomy Review for Radiology Tech Students.” Presented at Kalispell Regional Medical Center, Kalispell, MT, August 10, 2016.

Krass, Joshua: “lntraoperative Training for Neurosurgical Cases for Radiology Tech Students: Cervical, Thoracic, Lumbar Spines, and lntraoperative CT (0-Arm).” Presented at Kalispell Regional Medical Center, Kalispell, MT, September 7, 2016.

Krass, Joshua: “Minimally Invasive Treatment of Burst Fractures, Presented at the American College of Osteopathic Surgeons.” Phoenix, AZ, September 23, 2016.

Krass, Joshua: “Emergency Neurological Life Support Course.” Presented at Kalispell Regional Medical Center, Kalispell, MT, October 8-9, 2016.

Krass, Joshua: “Adjunct Clinical Faculty Appointment Pacific Northwest University of Health Sciences.” Yakima, WA, October 28, 2016.

Lindsay, Kurt: “Updates in Acute Stroke Management.” Presented at St. Luke Hospital in Ronan, MT, October 13, 2015.

Lindsay, Kurt: “Updates in Acute Stroke Management.” Presented at Pondera Medical Center in Conrad, MT, May 4, 2016.

Lindsay, Kurt: “Updates in Acute Stroke Care.” Presented at Marias Medical Center, Shelby, MT, May 4, 2016.

Lindsay Kurt: “Updates in Acute Stroke Care.” Presented at Liberty Medical Center, Chester, MT, May 5, 2016.

Lindsay, Kurt: “Updates in Acute Stroke Care.” Presented at St. Luke Medical Center, Ronan, MT, June 24, 2016.

Origitano, TC: “Hotel Management and the Art of Managing the Psycho-Socio Economic and Practical Aspects of Delivering Neurological Care: To Treat, To Cure: and/or To Heal.” Presented at the Neuroscience Staff Educational Conference, Kalispell, MT, August 20, 2015.

Origitano, TC: “Cerebrovascular Physiology and CBF Direct Application To the Bedside Management of Patients” Presented at the 3rd Annual Neurosurgical Boot Camp for Midlevel Providers, Whitefish, MT, October 1-2, 2015.

Origitano, TC: “Case Management and Decision Making in Neurosurgery.” Presented at the Advanced Resident Course in Micro-Neurosurgery, Little Rock, AR, December 5-7,2015.

Origitano, TC: “Why Mid-Level Boot Camp?” Presented at the Richard Lende Winter Neurosurgery, Mid-Level Boot Camp Course, Snowbird, UT, January 28-29, 2016.

Origitano, TC: “Cerebrovascular Physiology, Theory To Bedside.” Presented at the Lende Winter Neurosurgical Boot Camp for Mid Levels, Snowbird, UT, January 28-29, 2016.

Origitano, TC: “Call Sucks, Building Resilience in Neurological Surgery.” Presented at the Richard Lende Neurosurgical Conference, Snowbird, UT, January 28-February 2, 2016.


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Neuroscience and Spine Institute• Pacific Northwest University osteopathic medical student third year core rotation• Western University quarterly medical student rotation• Physician assistant student rotations• Clinical rotation for rural Surgery resident• Neurosurgical elective for family medicine residents• University of Washington fourth year neurology clerkship• Fellowship in neurological surgery for advanced practice providers• Fellowship in physical and rehabilitative medicine for advanced practice providers• Save the Brain educational training• CME Noon Conference Series in neuroscience annual presentations · University of Washington 42 AMA PRA Category 1 credits™• Neuroscience Institute Educational Conference (with teleconferencing to Hamilton and Anaconda)

· University of Washington 60 AMA PRA Category 1 credits™


· Neurological surgery case conference · Neuroimaging conference · Multidisciplinary spine conference · Topics review• Neuroscience education without CME (with teleconferencing to Hamilton and Anaconda)

· Morbidity and mortality · Journal club• Grand rounds in neuroscience annual presentations• Bi-annual Flathead Valley Community College Nursing School lectures • Glacier High School Career Fair• Neuro Boot Camp• ICU and ER “Emergency Neurological Life Support (ENLS)” (multiple annual presentations)• Any needed Just In Time training (ICU EVD, new equipment, etc.)• Stroke awareness at the health fair in Cut Bank• Participation on AHA/ASA 2015 National Boot Camp Conference• Participation on the planning committee for the 2017 State of Montana Stroke Conference• Monthly second Thursday morning education for staff development

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Neuroscience and Spine Institute

Peer Reviewed PublicationsGillani R, Pdraza Km, Luthra N, Origitano TC, Schneck MJ: “Factors Influencing the Management of Unruptured lntracranial Aneurysms.” Cureus 8 (5): 6601.Doi; 10.7759/Cureus.601, May 4, 2016.

Menger R, Pennicooke B, Barnes T, Fouke S, Kissel P, Origitano TC, Rak R, Zusman E, Cozzens J, Grande A, Toms S, Webb S, Taylor S: “Assessing the Value of a Neurosurgeon to a Hospital and Health System: Survey and Analysis from the CSNS Medical Director’s Ad-Hoc Committee.” Submitted for publication.

Published AbstractsOrigitano TC: “Call Sucks: Building Resilience in a Changing Value System for Neurological Surgery.” Presented at the Richard Lende Winter Neurosurgical Conference, Snowbird, UT, Jan 30-Feb 3, 2016.

Origitano TC, Griffin Tep: “Subspecialty Training of Mid-Level Providers: Initial Experience With a Neurosurgical Primary Technical Skills Boot Camp With Evolution Into a Mid-Level Fellowship Program.” Presented at the Society of University Neurosurgeons Annual Meeting, Phoenix, AZ, March 10-13, 2016.

Origitano TC, Griffin Tep: “Neurological Surgery Physician Assistants Fellowship.” Presented at the 84th Annual Meeting of the Aans, Chicago, IL, April 30-May4, 2016.

Origitano TC: “Developing a Tertiary Care Neuroscience and Spine Institute in a State without a University Medical Center.” Presented at the 51st Annual Meeting of the Rocky Mountain Neurosurgical Society, Whitefish, MT, June 19-22, 2016.

Origitano TC: “Building Resilience and Avoiding Burnout in the Changing Neurosurgical Environment.” Presented at the 51st Rocky Mountain Neurosurgical Society Meeting ,Whitefish, MT, June 19-22, 2016.

PresentationsBailey, M: “Cardiac Issues in Rehab.” Presented at Kalispell, MT, February 3, 2016.

Bailey, M: “Hypertension Update.” Presented at Kalispell, MT, March 2, 2016.

Cole, A: “Save the Brain.” Presented at Bigfork, MT, May 15, 2015.

Cole, A: “Concussion.” Presented at Whitefish, MT, October 1, 2015.

Cole, A: Post Stroke/Brain Injury Behavioral Changes: Caregiver Information and Strategies for Optimizing Your Loved One’s Condition. Presented at Kalispell, MT, June 29, 2016.

Cole, A: “Post Stroke/Brain Injury Behavioral Changes: Caregiver Information and Strategies for Optimizing Your Loved One’s Condition.” Presented at Kalispell, MT, June 29, 2016.

Krass, Joshua: “Emergency Neurological Life Support Course.” Presented at Kalispell Regional Medical Center, Kalispell, MT, May 21-22, 2016.

Krass, Joshua: “Save the Brain Concussion Program: Useful Information for Diagnosis, Treatment, and Prevention for Your Community.” Presented at the MT Osteopathic Medical Association Meeting, Bozeman, MT, August 4, 2016.

- 25 -


Pediatric, Women and Children Services• Timely Topics• Pediatric Grand Rounds · Series through Denver Children’s Hospital AMA PRA Category 1 credits™• NICU education• NICU education — independent study• Stabilization care of sick infants - sugar, temperature, airway, blood pressure, labs, emotional support (STABLE)• Neonatal resuscitation program (NRP)• Nursing care of OB patients• Pediatric emergency assessment, recognition, and stabilization course (PEARS)• PALS• Outreach Education Regional Neonatal Nursing Grand Rounds 2016 – 2017 Video Teleconference Series through Seattle Children’s• Peds-R-Us conference training every other year• Decompensating pediatric patient • Obstetric and Pediatric Grand Rounds · University of Washington 24 AMA PRA Category 1 credits™• Society of Critical Care Medicine (SCCM); Pediatric Fundamental Critical Care Support (PFCCS) program

Pharmacy• Pharmacy Journal Club• Pharmacy Grand Rounds• Pharmacy Times newsletter• University of Montana pharmacy student rotations

Surgical Services• University of Washington surgical clerkship rotations• Pacific Northwest University osteopathic medical student core rotations• New York Medical College rural surgery resident• University of Kansas visiting medical student • University of Washington core surgical rotation• University of Washington; Wyoming, Alaska, Montana, Idaho (WWAMI) Graduate Medical Education (GME)• National poster sessions by David Sheldon, MD and Randall Zuckerman, MD• Forecasted programs · University of Utah GME surgical training · University of Washington international surgery resident training · Bassett Health care surgical oncology rotation• Association of periOperative Registered Nurses (AORN): Peri-Op 101 Program · On-site administrator for Peri-Op 101 modules over six weeks · Surgical services educator oversees practicums and integration over 14 weeks• Weekly Thursday morning education for staff development• Organize and deliver an orientation to the following groups throughout the year: · Nursing students for three separate groups (FVCC, MSU – junior and seniors) · Paramedic students · Medical students (a new third medical student every six weeks) · Residents• Observers and students• Meditech 6.15 representative for OR and Endo• KRH leadership presentations• Summer intern leadership development program

- 9 -


PresentationsPokorny, A: “Exemplars of Success” (panelist), MT CAHN Nursing Education and Practice Summit, Helena, MT, April 6, 2016.

Pokorny, A: “From Surviving to Thriving in Your First Year” (keynote), MNA Transition to Practice Conference, Helena, MT, January 23, 2017.

Pokorny, A: MNA Transition to Practice Conference, Helena, MT, January 22–23, 2016.

Pokorny, A: MSNA Annual Student Convention, Helena, MT, October 8, 2016.

Pharmacy

Published AbstractsEasley H, Wilhem K: “One Year Cost Savings After an Interchange from Tiotropium to Ipratropium/Albuterol Nebulizer Solution in a Community Medical Center.” American Society of Health-System Pharmacists midyear clinical poster presentation, Las Vegas, NV, December 2016.

PresentationsCattron, H: “Fall Prevention.” Fall Prevention Workshop. Presented at the The Summit, Kalispell, MT, February 16, 2016.

Dotter, M: “Fall Prevention.” Fall Prevention Workshop. Presented at the The Summit, Kalispell, MT, June 16, 2016.

Dotter, M: “Statin Intolerance.” Presented at the CME Noon Conference, Kalispell, MT, September 12, 2016.

Dotter, M: “Updates in Anticoagulation.” Presented at Cardiopulmonary Conference, Whitefish, MT, September 23, 2016.

Easley, H: “Practical Solutions for Naloxone Administration for the First Responder.” Presented at Vizient Clinical Conference, Dallas, TX, September, 2016.

Easley, H: “Shoring Up Safety in the Sterile Compounding Room.” Presented at Kalispell Regional Medical Center, Kalispell, MT, October, 2016.

Elson, E: “PCSK9 Inhibitors in Hyperlipidemia.” Cardiology in Montana for the Health care Providers of Pharmacy. Three Forks, MT, April, 2016.

Elson, E: “Pulmonary Arterial Hypertension.” Pharmacy Grand Rounds, Kalispell Regional Medical Center, Kalispell, MT, September, 2016.

Morrison, G: “Influenza Updates 2016-2017 Season.” Presented at Immanuel Lutheran Communities, Kalispell, MT, September, 2016.

Morrison, G: “Pharmacy Annual OIG Presentation.” Presented at Kalispell Regional Medical Center, Kalispell, MT, October, 2016.

- 24 -

Nurse Residency Program

The KRH Nurse Residency Program is a 12-month program designed to support newly licensed nurses during their first year of employment. Research shows that the first year of nursing is a high-risk time for the profession, often resulting in turnover. The residency program is designed to bridge the gap between academics and practice, and to provide nurses an environment where they can build a strong clinical foundation, be immersed into our culture and values, and engage in the profession early on.

Twice per year (spring and fall), KRH hires an average of 12 nurse residents into the program. They are hired into a number of areas including all medical and surgical units, intermediate care, labor and delivery, neonatal intensive care, transitional care, behavioral health, and starting in 2018, intensive care.

For the first four months, nurse residents work one-on-one with a trained preceptor while also

attending an eight-hour residency class twice per month. Class topics are taught by subject-matter experts and focus on topics that will help the nurse resident succeed in their role, such as prioritization and time management, inter-professional teamwork, critical thinking, adjusting to shift work, and compassion fatigue.

For the remainder of the year, nurse residents begin to work on their own and attend four-hour monthly residency classes. Class topics shift to topics around evidence-based practice, nursing professional development and leadership.

The program is currently seeking a national accreditation and hopes to become an accredited residency site by 2018.

For more information, contact the Program Coordinator, Mandy Pokorny, [email protected].

NURSE RESIDENCYPROGRAM MODEL

Encourage LifeLong Learning

Build a Foundationfor Practice

ProvideSupport

PromoteProfessionalism

SeekExcellence



ProvideSupport


SeekExcellence

Formalized in 2015, the program is built on five principles.

- 10 -

Professional Publications/Presentations

Digestive Health Institute

PresentationsCostrini, N: Crohn’s Disease – “Mission to Remission.” Presented at Polson, MT, August, 2015.

Costrini, N: “IBD and the PCP - Critical Connection.” Presented at Whitefish, MT, December, 2015.

Lecture Programs for 2016Costrini, N: “Diverticular Disease, Pathophysiology, Diagnosis, and Management.” Presented at Polson Clinic, Polson, MT, January 17, 2016.

Costrini, N: “Advances in IBD.” Presented at Kalispell Regional Medical Center, Kalispell, MT, February 1, 2016.

Costrini, N: “Irritable Bowel Syndrome in the Work Place.” Presented at Polson Clinic, Polson, MT, February 18, 2016.

Costrini, N: “Advances in IBD.” Presented at Polson Clinic, March, 2016.

Costrini, N: “Extraintestinal Manifestations of IBD.” Presented at Polson Clinic, Polson, MT, May, 2016.

Costrini, N: “Fatty Liver, Steatohepatitis, and Insulin Resistance.” Presented at Polson Clinic, Polson, MT, June, 2016.

Costrini, N: “Abbvie Lecture: Crohn’s Disease, Personalized Care.” Presented at Missoula, MT, June, 2016.

Costrini, N: ‘Abbvie Lecture: Inflammatory Bowel Disease.” Presented at Kalispell, MT, Sept. 2016. Costrini, N: “Pizza, Polyps, and Pancreas” Series: Advances in Colon Cancer Screening. Presented at Kalispell, MT, Oct. 2016.

Costrini, N: “Abbvie Lecture: Inflammatory Bowel Disease, Management of Crohn’s Disease.” Presented at Helena MT, Nov 2016. Costrini, N: “Risk and Benefit Issues of PPI’s.” Digestive Health Institute of MT. Presented at Polson, MT, Dec 2016.

Costrini, N: Bi-Weekly “Life and Health in MT” column in Daily Interlake, 2015-2016.

Education

Published AbstractsPokorny, A: “Core Curriculum for Nursing Professional Development.” 5th Edition, Chapter 25 author; “Partner for Practice Transitions.” Association for Nurses in Professional Development. 2017.

Pokorny, A: “Exploring Scope of Practice Issues for Correctional Facility Nurses in MT.” Journal Correctional Health care, January 2012.

- 23 -

Teachers open the door, but you must enter by yourself.

– Chinese Proverb

Mountain Goat Kid in Glacier Lily Meadow - Jack Bell

Continuing Education

Continuing medical education is a specific form of continuing education that helps those in the medical field maintain competence and learn about new and developing areas of their field. These activities may take place as live events, written publications, online programs, audio, video, or other electronic media. Content for these programs follows the educational design process including needs assessment, planning, implementation and evaluation.

What type of credit is offered for CME programs?The American Medical Association has two categories of credit for CME programs: AMA PRA Category 1 Credit™ and AMA PRA Category 2 Credit™. For a further description differentiating the two categories, please see www.ama-assn.org/resources/doc/cme/pra-booklet.pdf. Kalispell Regional Medical Center’s CME program in partnership with the University of Washington, the approved provider, designates the CME programs for AMA PRA Category 1 Credit™.

In addition, for members of the American Academy of Family Physician (AAFP), the CME Noon Conference Series programming is acceptable for credit by the AAFP totaling 42 programs per year. What is Kalispell Regional Medical Center’s relationship with University of Washington School of Medicine?Kalispell Regional Medical Center (KRMC) is an educational partner with University of Washington School of Medicine. The University of Washington School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) and partners with KRMC to provide continuing medical education to medical professionals locally. KRMC offers five CME programs, four of which are weekly. KRMC is responsible for the educational design process which includes a needs assessment, planning, implementation and evaluation. This information is submitted in an application with a fee to University of Washington. Educational records such as program content and attendance are kept by KRMC and copies are forwarded to University of Washington on a regular basis.

- 22 -

Continuing Medical Education (CME)

KRH is an approved provider of continuing nursing education by the Montana Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. CNE educational programs may take place as live classes, conferences, online courses, webinars, videos, or other electronic media. KRMC maintains a rigorous process to ensure criteria is met for CNE programs.

Continuing Nursing Education (CNE)

Current CME and CNE schedules can be found on

the WIRE under Education Services and at krh.org.

Student Department

Postgraduate Programs11 different postgraduate programs• Montana State University · Doctor of Nursing Practice · Master of Science in Nursing• Pacific Northwest University Osteopathic Medical School · 2 students for third year core rotations• University of Montana Psychology · 2 PhD students for 10-month practicum• University of Washington School of Medicine · 7-8 medical students per year for a 6-week surgery clerkship · 4 medical students per year for a 6-week OB/GYN clerkship

· 4 medical students per year for a 4-week neurology clerkship • Western University Medical School · 4 students per year for 4-week neurology rotation• Other medical schools · 6 students per year for 4-week neurosurgery rotations

Residencies and Fellowships• Family Medicine Residency of Western Montana – 6 residents per year• Rural Surgical Residency – 1 resident for 1 year• Physician assistant fellowships

- 12 -

Supporting Messages

Why are the core values important?

• KRH Core Values are not just words. They drive every decision and action taken.• The KRH Core Values tell our patients and families, our community, our medical staff, potential employees and others what we’re about and what they can expect from us.• The KRH Core Values are a recruitment and retention tool. They define our culture and working environment.

Why should I care?

• Developing a culture of integrity, compassion, service, excellence and ownership is not the role of a few. It is the role of all.• The KRH Core Values were developed by employees, refined by administration, and approved by the board.• The core values are incorporated into every KRH employee’s performance evaluation.• Embracing the core values creates a healthier environment for everyone, which creates a better patient and employee experience.

What’s in it for me?

By embracing the core values, employees help build a positive culture at KRH for patients, families, employees and themselves that creates a safe, friendly, positive and comfortable environment. In turn, that provides a competitive advantage in improving health, comfort and life.

KRH Culture, cont.

As a guardian of this

amazing organization, I will:

Uphold INTEGRITY in my

words and actions.

Show COMPASSION to

every person, every time.

Provide SERVICE to my

patients, my co-workers,

and my community.

Demonstrate EXCELLENCE

every day, in every way.

Take OWNERSHIP for all I do.

- 21 -

AFFILIATIONS62 colleges and universities

8 high schools and middle schools6 other health care organizations for training

UNDERGRADUATE PROGRAMS

45 di�erent programs of study

STUDENT NUMBERS914 students and observers in 2015

1062 students and observers in 2016

2015

2016

378 125 17 26 368378 125 17 26 368

524 180 23 40 295524 180 23 40 295

Student Affiliations

Primary Undergraduate Affiliations Clinical placements that recur annually

Flathead Valley Community College Associate of Science in Nursing Certified Nursing Assistant Medical Assistant Paramedic Pharmacy Technician Phlebotomy Physical Therapy Assistant Practical Nurse Radiology Technician Surgical TechnologyMissoula College-University of Montana Respiratory TherapyMontana State University Bachelor of Science in Nursing Dietetics Clinical Lab Scientist Salish Kootenai College Associate Degree in Nursing

Secondary Undergraduate Affiliations Clinical placements that occur on a case-by-case basis with manager approval

Bellevue College DosimetryCapella University Mental Health CounselingColorado School of Nursing InformaticsEastern Michigan University DieteticEmporium State University Health PromotionEastern Washington University Communication Disorders Physical TherapyFlathead Valley Community College Information TechnologyGreat Falls College-Montana State University RespiratoryHelena College Registered NurseLiberty University Registered NurseMontana Tech of University of Montana Health Care InformaticsMontana State University Northern ASN to BSN MT Tech Bachelor of Science in NursingPacific University Occupational TherapyRegis University Physical TherapySalish Kootenai College Medical Office ClerkSanta Barbara City College Health Information TechnologySeton Hall University CounselingUniversity of Mary Occupational TherapyUniversity of Montana Exercise Science Microbiology Medical Laboratory Scientist Physical Therapy Social Work Speech TherapyUniversity of North Dakota Bachelor of Science in Nursing Occupational TherapyUniversity of Puget Sound Occupational TherapyUniversity of Walla Walla Social WorkUniversity of Wisconsin River Falls Clinical Exercise PhysiologyWeber State University Magnetic Resonance Imaging Technologist

- 13 -

KRH Culture

Our strategy is defined as “Doing what we need to do to win in our mission and market of improving health, comfort and life.”

The purpose of the KRH Cultural Architect Strategy is to embrace and tell the story that includes the mission, vision, values and clear expectations that deliver on the overall strategic goals. Our KRH culture influences and engages desire, engagement and execution of the overall KRH strategies. Culture is built every day based on practiced behaviors of KRH employees and defines the journey creating either positive or negative experiences. When culture engages the overall KRH strategy, execution of said strategies becomes sustainable and provides a clear competitive advantage in northwest Montana.

The focus of the KRH culture is to educate, communicate and drive the execution of organizational values, practices and behaviors that will ultimately drive the overall KRH strategies of people, service, quality, finance, growth and community. Core value skills are specific learned activities that will evolve into competencies which are skills + knowledge + behavior driving leadership core competencies in health care.

Culture is human and is a feeling of what really matters to people, and will ultimately drive the desired outcomes. Culture is monitored to understand the health and engagement of KRH.

Four Key Areas of Focus:1. Engaged KRH leadership – Know what’s going on at all levels of the organization, internal and external to KRH.2. Living the core values – Role models, live and practice the core values daily.

3. Core value ownership – Take ownership for everything around you and in your world. Recognize others for ownership and help others develop ownership behaviors by being a role model. Align culture and core values with leadership and employees at all levels.4. Celebrate success and failures – Celebrate successes - no matter how small or large - and celebrate the learnings, too, as a result of mistakes.

At KRH, we authentically embrace the core values and keep these cultural cornerstones alive within the KRH organization.

Outcomes:The communications strategies are designed to influence attitudes and change behaviors.

Specifically, employees will:• Understand, practice and demonstrate behaviors of the KRH Core Values daily.• Understand how to incorporate the core values and put them into practice in everyday tasks and interactions with others as well as help others practice through being a role model.• Recognize others who are living, practicing and demonstrating behaviors that reflect the core values.

Three key objectives will be employed to achieve these desired outcomes:• Teach the core values: Strategies to keep the core values visible and relevant for all audiences• Live the core values: Strategies to help employees inspire and influence others • Recognize the core values: Strategies to reinforce the core values through reward and recognition

- 20 -

Student Affiliations, cont.

Primary Graduate Affiliations Clinical placements that recur annually

KRH Physician Assistant Fellowship programs Neurosurgery Orthopedics (in development) Physical Medicine and RehabilitationMontana State University Doctor of Nursing Practice Family/Individual Doctor of Nursing Practice Psych/Mental Health Master of Science in Nursing Clinical Nurse Leader New York Medical College at Metropolitan Hospital Rural Surgery Resident Program (1 year Surgical Resident)Pacific Northwest University Osteopathic 3rd and 4th year Medical StudentsUniversity of Washington OB/GYN ClerkshipWWAMI (Washington, Wyoming, Alaska, Surgery Clerkship Montana and Idaho Medical School Program) Neurology Clerkship (starting in 2017)University of Montana Pharmacist Psychology PhD Family Medicine Residency of Western Montana

Secondary Graduate Affiliations Clinical placements that occur on a case-by-case basis with manager approval

Barry University Physician Assistant Chamberlain College of Nursing Nurse Practitioner Des Moines University Medical StudentDuke University Master of Science in Nursing Frontier Nursing University MidwiferyGonzaga University Family Nurse PractitionerHeritage University Physician AssistantIdaho State University Physician AssistantLake Erie College of Osteopathic Medicine Medical StudentMarshall University Pharmacy StudentMaryville University Nurse PractitionerMidwestern University Pharmacy StudentMisericordia University Physician Assistant Pacific University Physician Assistant Rocky Mountain College Physician Assistant Rocky Mountain University Nurse Practitioner Rocky Vista University Medical StudentSouth University Nurse Practitioner University of Americas Medical StudentUniversity of Arizona Medical StudentUniversity of Cincinnati Nurse PractitionerUniversity of Iowa Pharmacy StudentUniversity of Pikeville Medical StudentUniversity of South Carolina Physician AssistantUniversity of Utah Medical Student MidwiferyUniversity of Washington MEDEX Physician Assistant Walden University Master of Science in Nursing Nurse PractitionerWalla Walla University Master in Social WorkWest Virginia School of Medicine Medical StudentWestern University Medical Student

- 14 -

“A leader is one who knows the way, goes the way, and shows the way.”

– John C. Maxwell

Coming At You - Jack Bell

For graduate student placements contact Amy Sterchi, Medical Student/Residency Coordinator, [email protected], (406) 751-7694.

Summer Intern Program

Summer Intern ProgramKRH hires 20-25 college students for four to six weeks each summer. Students must have completed one year of college to apply. The program goal is to expose the student to a variety of career choices tailored to each student’s specific interests in health care from finance to clinical areas. Students also take part in a two-day Leadership Training course. The Peter M. Sorini, MD, Educational Endowment will, in part, fund a summer internship program, which is meant to provide students an opportunity to experience the clinical neurosciences in hopes of inspiring a future career in the field.

Montana State University (MSU)NRSG 498: Internship

KRH accepts 12-15 junior and senior level nursing students each May for the six-week program. This elective course is designed to increase competence and confidence in previously learned clinical skills. Students are paired with a KRH RN for a period of intensified clinical experience.

American Heart Association Training CenterThe American Heart Association (AHA), established in 1924, is the nation’s oldest and largest voluntary organization dedicated to fighting heart disease and stroke. KRH became an AHA training center in 2001.

Our mission is to provide training to as many people as possible in the skills of CPR (cardiopulmonary resuscitation), ACLS (advanced cardiac life support), PALS (pediatric advanced life support), and PEARS (pediatric emergency advanced resuscitation support). Spanning western Montana, the KRH Training Center has 11 training sites and oversight for approximately 250 instructors.

Our advanced courses include ACLS and PALS teaching science-based treatment guidelines to health care professionals helping provide quality care. BLS (basic life support), ACLS, PALS and PEARS are course offerings under the guidelines of the AHA as well as other course offerings from the ENA (Emergency Nursing Association) such as ENPC (emergency nurse pediatric course) and TNCC (trauma nurse core course).

- 15 -

Rural Surgery Resident Program

KRH has implemented a unique program that provides a one year experience for a surgical resident to be exposed to rural surgery. David Sheldon, MD, and Randall Zuckerman, MD, have developed the program in collaboration with New York Medical College at Metropolitan Hospital Center.

Most surgical residency programs do not provide exposure to the complexities of being a rural surgeon who must manage a broad array of conditions that may not be within the practice scope of a general surgeon in a population dense area. In rural United States, more than 1,300 critical access hospitals (CAH) deliver health care to a large segment of our population that does not live near a tertiary medical center. A CAH is defined as a hospital of less than 25 beds that is greater than 25 miles from a larger tertiary care facility. Our rural state of Montana is home to 50 CAHs spread out over close to 150,000 square miles. KRH has developed this rural surgery program to prepare general surgeons that have expressed a desire to practice in a rural setting.

In KRH’s program, the resident is exposed to surgical oncology, rural trauma, acute care, obstetrics, gynecology, urology, endoscopy, radiology, plastics, orthopedics and neurosurgery in the operating rooms of The HealthCenter, Kalispell Regional Medical Center and North Valley Hospital. Part of the experience is also spent at Cabinet

Peaks Medical Center in Libby, Frances Mahon Deaconess Hospital in Glasgow and St. Peter’s Hospital in Helena. More rural Montana hospitals are being recruited for this effort.

Cynthia Sulzbach, MD, was the first graduate of the program. Damitra Lotakis, MD, will be the Rural Surgery Resident July 2017 through June 2018.

A special thanks to all involved in this program that is being looked at as a model for the rest of the country to help prepare surgeons for the diverse skills needed in rural settings.

- 18 -

Damitra Lotakis, MD, Rural Surgery Resident

David Sheldon, MD Randall Zuckerman, MD

Other Programs

Area Health Education Center (AHEC)Research and Explore Awesome Careers in Health Care (REACH)REACH is a one-day program, taking place at the local health care facility that provides high school students the opportunity to explore the health care field through a variety of hands-on stations and activities. REACH usually contains a series of seven to eight stations, each approximately 30-45 minutes in length, led by professionals from various disciplines and KRH departments.

Kalispell Regional Healthcare (KRH)Educational DaysKRH Educational Days are designed to provide local high school and middle school students with a chance to explore careers within the health care field by offering them a variety of experiences. The day consists of a series of three to five stations or tours, each approximately 25-45 minutes in length, led by KRH professionals from different departments.

Observer ProgramAn observer is a person who is in the facility to shadow a specific person(s). The observer will have no direct physical contact with the patient, nor direct or participate in the treatment of the patient in any way. This person is in the organization to observe only. A typical observation experience in any KRH department is one to four hours.

Flathead High School (FHS)Community SchoolFHS Community School combines hands-on learning with community service. Students apply for internships in their areas of interest, and FHS staff will seek to match each participant with a volunteer mentor in those fields. Students are seeking placements in the medical field, education and business, along with areas as diverse as videography, cosmetology, forensics, wildlife biology and web comics. Most community school students will attend regular classes part of the day and earn credit off-campus for 5-15 hours per week.

Employees from Other Montana Health Care FacilitiesNon-employee Trainee Hands-OnA non-employee trainee is a person employed by another facility, i.e., hospital or physician’s clinic, seeking practical experience or training at KRH and will be involved in the treatment of patients under the supervision of KRH staff.

Non-employee Trainee ObserverA non-employee trainee observer is a person employed by another facility, i.e., hospital or physician’s clinic, seeking observational experience and is at KRH to shadow a specific person(s). The observer will have no direct physical contact with the patient, nor direct or participate in the treatment of the patient in any way. This person is in the organization to observe only.

- 16 -

Fellowship Spotlight

Congratulations to Jessica Christensen, PA-Con the completion of herAdvanced Practice Provider Neurological Surgery Fellowship

Advanced practice providers are playing an ever increasing role in the delivery of subspecialty surgical care. Jessica completed the inaugural Neurological Surgery Advanced Practice Provider Fellowship at KRH. The fellowship was a combination of one year of clinical rotations and 50 learning modules. With the successful completion of her fellowship, Jessica has joined the Department of Neurological Surgery at KRH’s Neuroscience and Spine Institute.

- 17 -

Other Programs

Area Health Education Center (AHEC)Research and Explore Awesome Careers in Health Care (REACH)REACH is a one-day program, taking place at the local health care facility that provides high school students the opportunity to explore the health care field through a variety of hands-on stations and activities. REACH usually contains a series of seven to eight stations, each approximately 30-45 minutes in length, led by professionals from various disciplines and KRH departments.

Kalispell Regional Healthcare (KRH)Educational DaysKRH Educational Days are designed to provide local high school and middle school students with a chance to explore careers within the health care field by offering them a variety of experiences. The day consists of a series of three to five stations or tours, each approximately 25-45 minutes in length, led by KRH professionals from different departments.

Observer ProgramAn observer is a person who is in the facility to shadow a specific person(s). The observer will have no direct physical contact with the patient, nor direct or participate in the treatment of the patient in any way. This person is in the organization to observe only. A typical observation experience in any KRH department is one to four hours.

Flathead High School (FHS)Community SchoolFHS Community School combines hands-on learning with community service. Students apply for internships in their areas of interest, and FHS staff will seek to match each participant with a volunteer mentor in those fields. Students are seeking placements in the medical field, education and business, along with areas as diverse as videography, cosmetology, forensics, wildlife biology and web comics. Most community school students will attend regular classes part of the day and earn credit off-campus for 5-15 hours per week.

Employees from Other Montana Health Care FacilitiesNon-employee Trainee Hands-OnA non-employee trainee is a person employed by another facility, i.e., hospital or physician’s clinic, seeking practical experience or training at KRH and will be involved in the treatment of patients under the supervision of KRH staff.

Non-employee Trainee ObserverA non-employee trainee observer is a person employed by another facility, i.e., hospital or physician’s clinic, seeking observational experience and is at KRH to shadow a specific person(s). The observer will have no direct physical contact with the patient, nor direct or participate in the treatment of the patient in any way. This person is in the organization to observe only.

- 16 -

Fellowship Spotlight

Congratulations to Jessica Christensen, PA-Con the completion of herAdvanced Practice Provider Neurological Surgery Fellowship

Advanced practice providers are playing an ever increasing role in the delivery of subspecialty surgical care. Jessica completed the inaugural Neurological Surgery Advanced Practice Provider Fellowship at KRH. The fellowship was a combination of one year of clinical rotations and 50 learning modules. With the successful completion of her fellowship, Jessica has joined the Department of Neurological Surgery at KRH’s Neuroscience and Spine Institute.

- 17 -

Summer Intern Program

Summer Intern ProgramKRH hires 20-25 college students for four to six weeks each summer. Students must have completed one year of college to apply. The program goal is to expose the student to a variety of career choices tailored to each student’s specific interests in health care from finance to clinical areas. Students also take part in a two-day Leadership Training course. The Peter M. Sorini, MD, Educational Endowment will, in part, fund a summer internship program, which is meant to provide students an opportunity to experience the clinical neurosciences in hopes of inspiring a future career in the field.

Montana State University (MSU)NRSG 498: Internship

KRH accepts 12-15 junior and senior level nursing students each May for the six-week program. This elective course is designed to increase competence and confidence in previously learned clinical skills. Students are paired with a KRH RN for a period of intensified clinical experience.

American Heart Association Training CenterThe American Heart Association (AHA), established in 1924, is the nation’s oldest and largest voluntary organization dedicated to fighting heart disease and stroke. KRH became an AHA training center in 2001.

Our mission is to provide training to as many people as possible in the skills of CPR (cardiopulmonary resuscitation), ACLS (advanced cardiac life support), PALS (pediatric advanced life support), and PEARS (pediatric emergency advanced resuscitation support). Spanning western Montana, the KRH Training Center has 11 training sites and oversight for approximately 250 instructors.

Our advanced courses include ACLS and PALS teaching science-based treatment guidelines to health care professionals helping provide quality care. BLS (basic life support), ACLS, PALS and PEARS are course offerings under the guidelines of the AHA as well as other course offerings from the ENA (Emergency Nursing Association) such as ENPC (emergency nurse pediatric course) and TNCC (trauma nurse core course).

- 15 -

Rural Surgery Resident Program

KRH has implemented a unique program that provides a one year experience for a surgical resident to be exposed to rural surgery. David Sheldon, MD, and Randall Zuckerman, MD, have developed the program in collaboration with New York Medical College at Metropolitan Hospital Center.

Most surgical residency programs do not provide exposure to the complexities of being a rural surgeon who must manage a broad array of conditions that may not be within the practice scope of a general surgeon in a population dense area. In rural United States, more than 1,300 critical access hospitals (CAH) deliver health care to a large segment of our population that does not live near a tertiary medical center. A CAH is defined as a hospital of less than 25 beds that is greater than 25 miles from a larger tertiary care facility. Our rural state of Montana is home to 50 CAHs spread out over close to 150,000 square miles. KRH has developed this rural surgery program to prepare general surgeons that have expressed a desire to practice in a rural setting.

In KRH’s program, the resident is exposed to surgical oncology, rural trauma, acute care, obstetrics, gynecology, urology, endoscopy, radiology, plastics, orthopedics and neurosurgery in the operating rooms of The HealthCenter, Kalispell Regional Medical Center and North Valley Hospital. Part of the experience is also spent at Cabinet

Peaks Medical Center in Libby, Frances Mahon Deaconess Hospital in Glasgow and St. Peter’s Hospital in Helena. More rural Montana hospitals are being recruited for this effort.

Cynthia Sulzbach, MD, was the first graduate of the program. Damitra Lotakis, MD, will be the Rural Surgery Resident July 2017 through June 2018.

A special thanks to all involved in this program that is being looked at as a model for the rest of the country to help prepare surgeons for the diverse skills needed in rural settings.

- 18 -

Damitra Lotakis, MD, Rural Surgery Resident

David Sheldon, MD Randall Zuckerman, MD

Student Affiliations, cont.

Primary Graduate Affiliations Clinical placements that recur annually

KRH Physician Assistant Fellowship programs Neurosurgery Orthopedics (in development) Physical Medicine and RehabilitationMontana State University Doctor of Nursing Practice Family/Individual Doctor of Nursing Practice Psych/Mental Health Master of Science in Nursing Clinical Nurse Leader New York Medical College at Metropolitan Hospital Rural Surgery Resident Program (1 year Surgical Resident)Pacific Northwest University Osteopathic 3rd and 4th year Medical StudentsUniversity of Washington OB/GYN ClerkshipWWAMI (Washington, Wyoming, Alaska, Surgery Clerkship Montana and Idaho Medical School Program) Neurology Clerkship (starting in 2017)University of Montana Pharmacist Psychology PhD Family Medicine Residency of Western Montana

Secondary Graduate Affiliations Clinical placements that occur on a case-by-case basis with manager approval

Barry University Physician Assistant Chamberlain College of Nursing Nurse Practitioner Des Moines University Medical StudentDuke University Master of Science in Nursing Frontier Nursing University MidwiferyGonzaga University Family Nurse PractitionerHeritage University Physician AssistantIdaho State University Physician AssistantLake Erie College of Osteopathic Medicine Medical StudentMarshall University Pharmacy StudentMaryville University Nurse PractitionerMidwestern University Pharmacy StudentMisericordia University Physician Assistant Pacific University Physician Assistant Rocky Mountain College Physician Assistant Rocky Mountain University Nurse Practitioner Rocky Vista University Medical StudentSouth University Nurse Practitioner University of Americas Medical StudentUniversity of Arizona Medical StudentUniversity of Cincinnati Nurse PractitionerUniversity of Iowa Pharmacy StudentUniversity of Pikeville Medical StudentUniversity of South Carolina Physician AssistantUniversity of Utah Medical Student MidwiferyUniversity of Washington MEDEX Physician Assistant Walden University Master of Science in Nursing Nurse PractitionerWalla Walla University Master in Social WorkWest Virginia School of Medicine Medical StudentWestern University Medical Student

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“A leader is one who knows the way, goes the way, and shows the way.”

– John C. Maxwell

Coming At You - Jack Bell

For graduate student placements contact Amy Sterchi, Medical Student/Residency Coordinator, [email protected], (406) 751-7694.

Student Affiliations

Primary Undergraduate Affiliations Clinical placements that recur annually

Flathead Valley Community College Associate of Science in Nursing Certified Nursing Assistant Medical Assistant Paramedic Pharmacy Technician Phlebotomy Physical Therapy Assistant Practical Nurse Radiology Technician Surgical TechnologyMissoula College-University of Montana Respiratory TherapyMontana State University Bachelor of Science in Nursing Dietetics Clinical Lab Scientist Salish Kootenai College Associate Degree in Nursing

Secondary Undergraduate Affiliations Clinical placements that occur on a case-by-case basis with manager approval

Bellevue College DosimetryCapella University Mental Health CounselingColorado School of Nursing InformaticsEastern Michigan University DieteticEmporium State University Health PromotionEastern Washington University Communication Disorders Physical TherapyFlathead Valley Community College Information TechnologyGreat Falls College-Montana State University RespiratoryHelena College Registered NurseLiberty University Registered NurseMontana Tech of University of Montana Health Care InformaticsMontana State University Northern ASN to BSN MT Tech Bachelor of Science in NursingPacific University Occupational TherapyRegis University Physical TherapySalish Kootenai College Medical Office ClerkSanta Barbara City College Health Information TechnologySeton Hall University CounselingUniversity of Mary Occupational TherapyUniversity of Montana Exercise Science Microbiology Medical Laboratory Scientist Physical Therapy Social Work Speech TherapyUniversity of North Dakota Bachelor of Science in Nursing Occupational TherapyUniversity of Puget Sound Occupational TherapyUniversity of Walla Walla Social WorkUniversity of Wisconsin River Falls Clinical Exercise PhysiologyWeber State University Magnetic Resonance Imaging Technologist

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KRH Culture

Our strategy is defined as “Doing what we need to do to win in our mission and market of improving health, comfort and life.”

The purpose of the KRH Cultural Architect Strategy is to embrace and tell the story that includes the mission, vision, values and clear expectations that deliver on the overall strategic goals. Our KRH culture influences and engages desire, engagement and execution of the overall KRH strategies. Culture is built every day based on practiced behaviors of KRH employees and defines the journey creating either positive or negative experiences. When culture engages the overall KRH strategy, execution of said strategies becomes sustainable and provides a clear competitive advantage in northwest Montana.

The focus of the KRH culture is to educate, communicate and drive the execution of organizational values, practices and behaviors that will ultimately drive the overall KRH strategies of people, service, quality, finance, growth and community. Core value skills are specific learned activities that will evolve into competencies which are skills + knowledge + behavior driving leadership core competencies in health care.

Culture is human and is a feeling of what really matters to people, and will ultimately drive the desired outcomes. Culture is monitored to understand the health and engagement of KRH.

Four Key Areas of Focus:1. Engaged KRH leadership – Know what’s going on at all levels of the organization, internal and external to KRH.2. Living the core values – Role models, live and practice the core values daily.

3. Core value ownership – Take ownership for everything around you and in your world. Recognize others for ownership and help others develop ownership behaviors by being a role model. Align culture and core values with leadership and employees at all levels.4. Celebrate success and failures – Celebrate successes - no matter how small or large - and celebrate the learnings, too, as a result of mistakes.

At KRH, we authentically embrace the core values and keep these cultural cornerstones alive within the KRH organization.

Outcomes:The communications strategies are designed to influence attitudes and change behaviors.

Specifically, employees will:• Understand, practice and demonstrate behaviors of the KRH Core Values daily.• Understand how to incorporate the core values and put them into practice in everyday tasks and interactions with others as well as help others practice through being a role model.• Recognize others who are living, practicing and demonstrating behaviors that reflect the core values.

Three key objectives will be employed to achieve these desired outcomes:• Teach the core values: Strategies to keep the core values visible and relevant for all audiences• Live the core values: Strategies to help employees inspire and influence others • Recognize the core values: Strategies to reinforce the core values through reward and recognition

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Student Department

Postgraduate Programs11 different postgraduate programs• Montana State University · Doctor of Nursing Practice · Master of Science in Nursing• Pacific Northwest University Osteopathic Medical School · 2 students for third year core rotations• University of Montana Psychology · 2 PhD students for 10-month practicum• University of Washington School of Medicine · 7-8 medical students per year for a 6-week surgery clerkship · 4 medical students per year for a 6-week OB/GYN clerkship

· 4 medical students per year for a 4-week neurology clerkship • Western University Medical School · 4 students per year for 4-week neurology rotation• Other medical schools · 6 students per year for 4-week neurosurgery rotations

Residencies and Fellowships• Family Medicine Residency of Western Montana – 6 residents per year• Rural Surgical Residency – 1 resident for 1 year• Physician assistant fellowships

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Supporting Messages

Why are the core values important?

• KRH Core Values are not just words. They drive every decision and action taken.• The KRH Core Values tell our patients and families, our community, our medical staff, potential employees and others what we’re about and what they can expect from us.• The KRH Core Values are a recruitment and retention tool. They define our culture and working environment.

Why should I care?

• Developing a culture of integrity, compassion, service, excellence and ownership is not the role of a few. It is the role of all.• The KRH Core Values were developed by employees, refined by administration, and approved by the board.• The core values are incorporated into every KRH employee’s performance evaluation.• Embracing the core values creates a healthier environment for everyone, which creates a better patient and employee experience.

What’s in it for me?

By embracing the core values, employees help build a positive culture at KRH for patients, families, employees and themselves that creates a safe, friendly, positive and comfortable environment. In turn, that provides a competitive advantage in improving health, comfort and life.

KRH Culture, cont.

As a guardian of this

amazing organization, I will:

Uphold INTEGRITY in my

words and actions.

Show COMPASSION to

every person, every time.

Provide SERVICE to my

patients, my co-workers,

and my community.

Demonstrate EXCELLENCE

every day, in every way.

Take OWNERSHIP for all I do.

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AFFILIATIONS62 colleges and universities

8 high schools and middle schools6 other health care organizations for training

UNDERGRADUATE PROGRAMS

45 di�erent programs of study

STUDENT NUMBERS914 students and observers in 2015

1062 students and observers in 2016

2015

2016

378 125 17 26 368378 125 17 26 368

524 180 23 40 295524 180 23 40 295

Teachers open the door, but you must enter by yourself.

– Chinese Proverb

Mountain Goat Kid in Glacier Lily Meadow - Jack Bell

Continuing Education

Continuing medical education is a specific form of continuing education that helps those in the medical field maintain competence and learn about new and developing areas of their field. These activities may take place as live events, written publications, online programs, audio, video, or other electronic media. Content for these programs follows the educational design process including needs assessment, planning, implementation and evaluation.

What type of credit is offered for CME programs?The American Medical Association has two categories of credit for CME programs: AMA PRA Category 1 Credit™ and AMA PRA Category 2 Credit™. For a further description differentiating the two categories, please see www.ama-assn.org/resources/doc/cme/pra-booklet.pdf. Kalispell Regional Medical Center’s CME program in partnership with the University of Washington, the approved provider, designates the CME programs for AMA PRA Category 1 Credit™.

In addition, for members of the American Academy of Family Physician (AAFP), the CME Noon Conference Series programming is acceptable for credit by the AAFP totaling 42 programs per year. What is Kalispell Regional Medical Center’s relationship with University of Washington School of Medicine?Kalispell Regional Medical Center (KRMC) is an educational partner with University of Washington School of Medicine. The University of Washington School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) and partners with KRMC to provide continuing medical education to medical professionals locally. KRMC offers five CME programs, four of which are weekly. KRMC is responsible for the educational design process which includes a needs assessment, planning, implementation and evaluation. This information is submitted in an application with a fee to University of Washington. Educational records such as program content and attendance are kept by KRMC and copies are forwarded to University of Washington on a regular basis.

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Continuing Medical Education (CME)

KRH is an approved provider of continuing nursing education by the Montana Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. CNE educational programs may take place as live classes, conferences, online courses, webinars, videos, or other electronic media. KRMC maintains a rigorous process to ensure criteria is met for CNE programs.

Continuing Nursing Education (CNE)

Current CME and CNE schedules can be found on

the WIRE under Education Services and at krh.org.

Nurse Residency Program

The KRH Nurse Residency Program is a 12-month program designed to support newly licensed nurses during their first year of employment. Research shows that the first year of nursing is a high-risk time for the profession, often resulting in turnover. The residency program is designed to bridge the gap between academics and practice, and to provide nurses an environment where they can build a strong clinical foundation, be immersed into our culture and values, and engage in the profession early on.

Twice per year (spring and fall), KRH hires an average of 12 nurse residents into the program. They are hired into a number of areas including all medical and surgical units, intermediate care, labor and delivery, neonatal intensive care, transitional care, behavioral health, and starting in 2018, intensive care.

For the first four months, nurse residents work one-on-one with a trained preceptor while also

attending an eight-hour residency class twice per month. Class topics are taught by subject-matter experts and focus on topics that will help the nurse resident succeed in their role, such as prioritization and time management, inter-professional teamwork, critical thinking, adjusting to shift work, and compassion fatigue.

For the remainder of the year, nurse residents begin to work on their own and attend four-hour monthly residency classes. Class topics shift to topics around evidence-based practice, nursing professional development and leadership.

The program is currently seeking a national accreditation and hopes to become an accredited residency site by 2018.

For more information, contact the Program Coordinator, Mandy Pokorny, [email protected].

NURSE RESIDENCYPROGRAM MODEL



ProvideSupport


SeekExcellence



ProvideSupport


SeekExcellence

Formalized in 2015, the program is built on five principles.

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Professional Publications/Presentations

Digestive Health Institute

PresentationsCostrini, N: Crohn’s Disease – “Mission to Remission.” Presented at Polson, MT, August, 2015.

Costrini, N: “IBD and the PCP - Critical Connection.” Presented at Whitefish, MT, December, 2015.

Lecture Programs for 2016Costrini, N: “Diverticular Disease, Pathophysiology, Diagnosis, and Management.” Presented at Polson Clinic, Polson, MT, January 17, 2016.

Costrini, N: “Advances in IBD.” Presented at Kalispell Regional Medical Center, Kalispell, MT, February 1, 2016.

Costrini, N: “Irritable Bowel Syndrome in the Work Place.” Presented at Polson Clinic, Polson, MT, February 18, 2016.

Costrini, N: “Advances in IBD.” Presented at Polson Clinic, March, 2016.

Costrini, N: “Extraintestinal Manifestations of IBD.” Presented at Polson Clinic, Polson, MT, May, 2016.

Costrini, N: “Fatty Liver, Steatohepatitis, and Insulin Resistance.” Presented at Polson Clinic, Polson, MT, June, 2016.

Costrini, N: “Abbvie Lecture: Crohn’s Disease, Personalized Care.” Presented at Missoula, MT, June, 2016.

Costrini, N: ‘Abbvie Lecture: Inflammatory Bowel Disease.” Presented at Kalispell, MT, Sept. 2016. Costrini, N: “Pizza, Polyps, and Pancreas” Series: Advances in Colon Cancer Screening. Presented at Kalispell, MT, Oct. 2016.

Costrini, N: “Abbvie Lecture: Inflammatory Bowel Disease, Management of Crohn’s Disease.” Presented at Helena MT, Nov 2016. Costrini, N: “Risk and Benefit Issues of PPI’s.” Digestive Health Institute of MT. Presented at Polson, MT, Dec 2016.

Costrini, N: Bi-Weekly “Life and Health in MT” column in Daily Interlake, 2015-2016.

Education

Published AbstractsPokorny, A: “Core Curriculum for Nursing Professional Development.” 5th Edition, Chapter 25 author; “Partner for Practice Transitions.” Association for Nurses in Professional Development. 2017.

Pokorny, A: “Exploring Scope of Practice Issues for Correctional Facility Nurses in MT.” Journal Correctional Health care, January 2012.

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Pediatric, Women and Children Services• Timely Topics• Pediatric Grand Rounds · Series through Denver Children’s Hospital AMA PRA Category 1 credits™• NICU education• NICU education — independent study• Stabilization care of sick infants - sugar, temperature, airway, blood pressure, labs, emotional support (STABLE)• Neonatal resuscitation program (NRP)• Nursing care of OB patients• Pediatric emergency assessment, recognition, and stabilization course (PEARS)• PALS• Outreach Education Regional Neonatal Nursing Grand Rounds 2016 – 2017 Video Teleconference Series through Seattle Children’s• Peds-R-Us conference training every other year• Decompensating pediatric patient • Obstetric and Pediatric Grand Rounds · University of Washington 24 AMA PRA Category 1 credits™• Society of Critical Care Medicine (SCCM); Pediatric Fundamental Critical Care Support (PFCCS) program

Pharmacy• Pharmacy Journal Club• Pharmacy Grand Rounds• Pharmacy Times newsletter• University of Montana pharmacy student rotations

Surgical Services• University of Washington surgical clerkship rotations• Pacific Northwest University osteopathic medical student core rotations• New York Medical College rural surgery resident• University of Kansas visiting medical student • University of Washington core surgical rotation• University of Washington; Wyoming, Alaska, Montana, Idaho (WWAMI) Graduate Medical Education (GME)• National poster sessions by David Sheldon, MD and Randall Zuckerman, MD• Forecasted programs · University of Utah GME surgical training · University of Washington international surgery resident training · Bassett Health care surgical oncology rotation• Association of periOperative Registered Nurses (AORN): Peri-Op 101 Program · On-site administrator for Peri-Op 101 modules over six weeks · Surgical services educator oversees practicums and integration over 14 weeks• Weekly Thursday morning education for staff development• Organize and deliver an orientation to the following groups throughout the year: · Nursing students for three separate groups (FVCC, MSU – junior and seniors) · Paramedic students · Medical students (a new third medical student every six weeks) · Residents• Observers and students• Meditech 6.15 representative for OR and Endo• KRH leadership presentations• Summer intern leadership development program

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PresentationsPokorny, A: “Exemplars of Success” (panelist), MT CAHN Nursing Education and Practice Summit, Helena, MT, April 6, 2016.

Pokorny, A: “From Surviving to Thriving in Your First Year” (keynote), MNA Transition to Practice Conference, Helena, MT, January 23, 2017.

Pokorny, A: MNA Transition to Practice Conference, Helena, MT, January 22–23, 2016.

Pokorny, A: MSNA Annual Student Convention, Helena, MT, October 8, 2016.

Pharmacy

Published AbstractsEasley H, Wilhem K: “One Year Cost Savings After an Interchange from Tiotropium to Ipratropium/Albuterol Nebulizer Solution in a Community Medical Center.” American Society of Health-System Pharmacists midyear clinical poster presentation, Las Vegas, NV, December 2016.

PresentationsCattron, H: “Fall Prevention.” Fall Prevention Workshop. Presented at the The Summit, Kalispell, MT, February 16, 2016.

Dotter, M: “Fall Prevention.” Fall Prevention Workshop. Presented at the The Summit, Kalispell, MT, June 16, 2016.

Dotter, M: “Statin Intolerance.” Presented at the CME Noon Conference, Kalispell, MT, September 12, 2016.

Dotter, M: “Updates in Anticoagulation.” Presented at Cardiopulmonary Conference, Whitefish, MT, September 23, 2016.

Easley, H: “Practical Solutions for Naloxone Administration for the First Responder.” Presented at Vizient Clinical Conference, Dallas, TX, September, 2016.

Easley, H: “Shoring Up Safety in the Sterile Compounding Room.” Presented at Kalispell Regional Medical Center, Kalispell, MT, October, 2016.

Elson, E: “PCSK9 Inhibitors in Hyperlipidemia.” Cardiology in Montana for the Health care Providers of Pharmacy. Three Forks, MT, April, 2016.

Elson, E: “Pulmonary Arterial Hypertension.” Pharmacy Grand Rounds, Kalispell Regional Medical Center, Kalispell, MT, September, 2016.

Morrison, G: “Influenza Updates 2016-2017 Season.” Presented at Immanuel Lutheran Communities, Kalispell, MT, September, 2016.

Morrison, G: “Pharmacy Annual OIG Presentation.” Presented at Kalispell Regional Medical Center, Kalispell, MT, October, 2016.

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Neuroscience and Spine Institute• Pacific Northwest University osteopathic medical student third year core rotation• Western University quarterly medical student rotation• Physician assistant student rotations• Clinical rotation for rural Surgery resident• Neurosurgical elective for family medicine residents• University of Washington fourth year neurology clerkship• Fellowship in neurological surgery for advanced practice providers• Fellowship in physical and rehabilitative medicine for advanced practice providers• Save the Brain educational training• CME Noon Conference Series in neuroscience annual presentations · University of Washington 42 AMA PRA Category 1 credits™• Neuroscience Institute Educational Conference (with teleconferencing to Hamilton and Anaconda)

· University of Washington 60 AMA PRA Category 1 credits™


· Neurological surgery case conference · Neuroimaging conference · Multidisciplinary spine conference · Topics review• Neuroscience education without CME (with teleconferencing to Hamilton and Anaconda)

· Morbidity and mortality · Journal club• Grand rounds in neuroscience annual presentations• Bi-annual Flathead Valley Community College Nursing School lectures • Glacier High School Career Fair• Neuro Boot Camp• ICU and ER “Emergency Neurological Life Support (ENLS)” (multiple annual presentations)• Any needed Just In Time training (ICU EVD, new equipment, etc.)• Stroke awareness at the health fair in Cut Bank• Participation on AHA/ASA 2015 National Boot Camp Conference• Participation on the planning committee for the 2017 State of Montana Stroke Conference• Monthly second Thursday morning education for staff development

- 8 -


Neuroscience and Spine Institute

Peer Reviewed PublicationsGillani R, Pdraza Km, Luthra N, Origitano TC, Schneck MJ: “Factors Influencing the Management of Unruptured lntracranial Aneurysms.” Cureus 8 (5): 6601.Doi; 10.7759/Cureus.601, May 4, 2016.

Menger R, Pennicooke B, Barnes T, Fouke S, Kissel P, Origitano TC, Rak R, Zusman E, Cozzens J, Grande A, Toms S, Webb S, Taylor S: “Assessing the Value of a Neurosurgeon to a Hospital and Health System: Survey and Analysis from the CSNS Medical Director’s Ad-Hoc Committee.” Submitted for publication.

Published AbstractsOrigitano TC: “Call Sucks: Building Resilience in a Changing Value System for Neurological Surgery.” Presented at the Richard Lende Winter Neurosurgical Conference, Snowbird, UT, Jan 30-Feb 3, 2016.

Origitano TC, Griffin Tep: “Subspecialty Training of Mid-Level Providers: Initial Experience With a Neurosurgical Primary Technical Skills Boot Camp With Evolution Into a Mid-Level Fellowship Program.” Presented at the Society of University Neurosurgeons Annual Meeting, Phoenix, AZ, March 10-13, 2016.

Origitano TC, Griffin Tep: “Neurological Surgery Physician Assistants Fellowship.” Presented at the 84th Annual Meeting of the Aans, Chicago, IL, April 30-May4, 2016.

Origitano TC: “Developing a Tertiary Care Neuroscience and Spine Institute in a State without a University Medical Center.” Presented at the 51st Annual Meeting of the Rocky Mountain Neurosurgical Society, Whitefish, MT, June 19-22, 2016.

Origitano TC: “Building Resilience and Avoiding Burnout in the Changing Neurosurgical Environment.” Presented at the 51st Rocky Mountain Neurosurgical Society Meeting ,Whitefish, MT, June 19-22, 2016.

PresentationsBailey, M: “Cardiac Issues in Rehab.” Presented at Kalispell, MT, February 3, 2016.

Bailey, M: “Hypertension Update.” Presented at Kalispell, MT, March 2, 2016.

Cole, A: “Save the Brain.” Presented at Bigfork, MT, May 15, 2015.

Cole, A: “Concussion.” Presented at Whitefish, MT, October 1, 2015.

Cole, A: Post Stroke/Brain Injury Behavioral Changes: Caregiver Information and Strategies for Optimizing Your Loved One’s Condition. Presented at Kalispell, MT, June 29, 2016.

Cole, A: “Post Stroke/Brain Injury Behavioral Changes: Caregiver Information and Strategies for Optimizing Your Loved One’s Condition.” Presented at Kalispell, MT, June 29, 2016.

Krass, Joshua: “Emergency Neurological Life Support Course.” Presented at Kalispell Regional Medical Center, Kalispell, MT, May 21-22, 2016.

Krass, Joshua: “Save the Brain Concussion Program: Useful Information for Diagnosis, Treatment, and Prevention for Your Community.” Presented at the MT Osteopathic Medical Association Meeting, Bozeman, MT, August 4, 2016.

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Emergency Services• Case Review Night for EMS and RN staff scheduled every other month• Rocky Mountain Trauma Conference September 15-16, 2017 sponsored by Western Region Trauma Advisory Committee of which KRH is a member

Family Practice Services• CME Noon Conference Series · University of Washington 42 AMA PRA Category 1 credits™• Family Medicine Residency of Western Montana• Pacific Northwest University Osteopathic medical student third year core rotation• American Academy of Family Physicians (AAFP) credit programs

Health Information Technology Training• Computer applications for new employees• Provider application training

Human Resources• Bi-weekly general orientation• Employee timekeeping training (content through HealthStream)• Annual benefit education • Leadership training, topics including but not limited to: sexual harassment, interviewing, fundamentals of HR, compassion fatigue and team building• HR computer applications for leaders• Performance management

Medical Library Services • PubMed/CINAHL searching• Creating a search string from PICO (problem/patient/population, intervention/ indicator, comparison, outcome) statement · Clinical staff wanting to improve literature searching for clinical articles · MSU-Bozeman junior students · Student interns• Searching the literature · Regularly scheduled course addressing needs of UBC (Unit Based Councils) and nurse residents · Advanced session in curriculum development stage• Moving complaints to commitments · Part of up to seven languages series “How the Way We Talk Can Change the Way We Work”• Evidence-based practice for the busy bedside nurse• How to find funding sources and how to have a successful grant proposal• Various departmental staff meetings, tailored to their interest and needs · Essential oils used by patients – What the OR RN needs to know • Quickly finding patient education information; information prescriptions

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Krass, Joshua: “Emergency Neurological Life Support in MT.” Presented at the MT Osteopathic Medical Association Meeting, Bozeman, MT, August 4, 2016.

Krass, Joshua: “Cervical, Thoracic, and Lumbar Anatomy Review for Radiology Tech Students.” Presented at Kalispell Regional Medical Center, Kalispell, MT, August 10, 2016.

Krass, Joshua: “lntraoperative Training for Neurosurgical Cases for Radiology Tech Students: Cervical, Thoracic, Lumbar Spines, and lntraoperative CT (0-Arm).” Presented at Kalispell Regional Medical Center, Kalispell, MT, September 7, 2016.

Krass, Joshua: “Minimally Invasive Treatment of Burst Fractures, Presented at the American College of Osteopathic Surgeons.” Phoenix, AZ, September 23, 2016.

Krass, Joshua: “Emergency Neurological Life Support Course.” Presented at Kalispell Regional Medical Center, Kalispell, MT, October 8-9, 2016.

Krass, Joshua: “Adjunct Clinical Faculty Appointment Pacific Northwest University of Health Sciences.” Yakima, WA, October 28, 2016.

Lindsay, Kurt: “Updates in Acute Stroke Management.” Presented at St. Luke Hospital in Ronan, MT, October 13, 2015.

Lindsay, Kurt: “Updates in Acute Stroke Management.” Presented at Pondera Medical Center in Conrad, MT, May 4, 2016.

Lindsay, Kurt: “Updates in Acute Stroke Care.” Presented at Marias Medical Center, Shelby, MT, May 4, 2016.

Lindsay Kurt: “Updates in Acute Stroke Care.” Presented at Liberty Medical Center, Chester, MT, May 5, 2016.

Lindsay, Kurt: “Updates in Acute Stroke Care.” Presented at St. Luke Medical Center, Ronan, MT, June 24, 2016.

Origitano, TC: “Hotel Management and the Art of Managing the Psycho-Socio Economic and Practical Aspects of Delivering Neurological Care: To Treat, To Cure: and/or To Heal.” Presented at the Neuroscience Staff Educational Conference, Kalispell, MT, August 20, 2015.

Origitano, TC: “Cerebrovascular Physiology and CBF Direct Application To the Bedside Management of Patients” Presented at the 3rd Annual Neurosurgical Boot Camp for Midlevel Providers, Whitefish, MT, October 1-2, 2015.

Origitano, TC: “Case Management and Decision Making in Neurosurgery.” Presented at the Advanced Resident Course in Micro-Neurosurgery, Little Rock, AR, December 5-7,2015.

Origitano, TC: “Why Mid-Level Boot Camp?” Presented at the Richard Lende Winter Neurosurgery, Mid-Level Boot Camp Course, Snowbird, UT, January 28-29, 2016.

Origitano, TC: “Cerebrovascular Physiology, Theory To Bedside.” Presented at the Lende Winter Neurosurgical Boot Camp for Mid Levels, Snowbird, UT, January 28-29, 2016.

Origitano, TC: “Call Sucks, Building Resilience in Neurological Surgery.” Presented at the Richard Lende Neurosurgical Conference, Snowbird, UT, January 28-February 2, 2016.


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Certification Offerings(including American Heart Association)

• BLS – basic life support• ACLS – advanced cardiac life support• PALS – pediatric advanced life support• PEARS – pediatric emergency assessment, recognition and stabilization• NRP – neonatal resuscitation program• BLS instructor • ACLS instructor• PALS instructor• ILS – intermediate life support• TNCC – trauma nursing care course• ENPC – emergency nursing pediatric course• Certification prep courses for nursing through HealthStream online education• CMSRN – Medical Surgical Nursing Review Course and Certification Exam in conjunction with Flathead Valley Community College• APHON – Association for Pediatric Hematology/ Oncology Nurses; pediatric chemotherapy and biotherapy provider course

Digestive Health Institute• Digestive Disease Challenges for Community Clinicians · University of Washington AMA PRA Category 1 credits™• CME Noon Conference Series GI presentations (1-3/year) · University of Washington AMA PRA Category 1 credits™• “Pizza, Polyps and Pancreas” lecture series every three months for nurses and clinicians• Clinical rotation for rural surgery resident-endoscopy training• Family Medicine Residency of Western Montana GI training• Polson Health monthly GI lecture

Cancer Center Institute• CME Noon Conference Series – regularly scheduled cancer talks · University of Washington

42 AMA PRA Category 1 credit™

• Cancer Conference/Tumor Board · University of Washington


• Multidisciplinary Breast Cancer Conference · University of Washington


• Quarterly Cancer Conference education updates

Cardiopulmonary Services• Cardiovascular Critical Care Conference · University of Washington


• CME Noon Conference Series cardiology presentations (4-6/year) · University of Washington


• Updates in Cardiopulmonary Disease Conference · University of Washington


• Basic EKG• Advanced EKG• Basic and advanced hemodynamics• Hemodynamics for cath lab• ICU and IMC open heart surgery classes• Care of the patient post percutaneous coronary intervention (PCI)• Care of the patient pre and post transcatheter aortic valve replacement (TAVR) • Care of the patient with an intra-aortic balloon pump (IABP) • Chest Tube Management• ICU “Essentials of Critical Care Orientation” supplement classes• Any needed Just In Time training (Impella®, new equipment, etc.)• Preceptor classes

- 6 -


Origitano, TC: “Synergies.” Presented at the Glacier Bancorp’s Annual Economic Round Table, Kalispell, MT, February 18, 2016.

Origitano, TC: “Synergies: Health System/Community Partnership.” Presented to the Kalispell Rotary, Kalispell MT, May 5, 2016.

Origitano, TC: “Health System/Community Partnership: Synergies in Neuroscience Care.” Presented to the Whitefish Rotary, Whitefish, MT, May 21, 2016.

Origitano, TC: “The Neurological Surgery Boot Camp Experience: A Wrinkle in Time.”Presented at the Society of Neurological Surgeons Annual Meeting, Indianapolis, IN, June 4-7, 2016.

Origitano, TC: “Professionalism, Supervision, and Pearls for the Junior Resident.” Presented at the SNS Boot Camp Fundamentals Skills Course, Chicago, IL, July 8-9, 2016.

Origitano, TC: “From Practices To Programs; Integration and Citizenship in Kalispell Regional Healthcare System: Leading the Way.” Presented To the Neuroscience and Spine Staff Educational Meeting, Kalispell, MT, August 11, 2016.

Perisho, N: “Stroke updates and Patient Management.” Presented at Pondera Medical Center, Conrad, May 4, 2016.

Perisho, N: “Stroke Updates and Patient Management.” Presented at Marias Medical Center, Shelby, May 4, 2016.

Perisho, N: “Stroke Updates and Patient Management.” Presented at Liberty Medical Center, Providers, Chester, MT, May 5, 2016.

Perisho, N: “Stroke Updates and Patient Management.” Presented at St. Luke Hospital in Ronan, MT, June 24, 2016.

Perisho, N: “Stroke/tPA competencies.” Presented at Northern Rockies Medical Center in Cut Bank, MT, September 13, 2016.

Perisho, N: “Stroke Awareness.” Presented at the Health Fair in Cut Bank, MT, September 14, 2016.

Perisho, N: “Faces of Stroke.” Presented at Kalispell, MT, October 3, 2016.

Perisho, N: “Faces of Stroke.” Presented at Whitefish, MT, October 4, 2016.

Perisho, N: “tPA, Competencies.” Presented at Pondera Medical Center, Conrad, MT, November 15, 2016.

Perisho, N: “Stroke Updates and Patient Management and tPA competencies.” Presented at Chester, MT, November 16, 2016.

Shobe, J: “Stroke Syndromes.” Presented at Kalispell, MT. March 30, 2016.

Zeider, R: “Neurogenic Bowel and Bladder.” Presented at Kalispell, MT, December 9, 2015.

Zeider, R: “Traumatic Brain Injury.” Presented at Whitefish, MT, October 1, 2015.

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Education Endeavors by Service

Education Department Courses and Classes(not inclusive of American Heart Association)

• Clinical · Nursing Grand Rounds

· Continuing Nurse Education

· Preceptor

· Nurse Residency Program – 12 month program;

hires two cohorts of newly licensed nurses

per year. Places in one of eight departments.

Residents undergo 14 weeks of 1:1 precepted

orientation on clinical units, eight bi-weekly

8-hour residency classes, followed by eight

3-hour monthly classes until 12 months of hire

· Continuing Medical Education programming as

an educational partner with University of

Washington

· Continuing Medical Education programming

through telemedicine with St. Patrick’s Hospital,

Seattle Children’s Hospital and Denver Children’s

Hospital

• Leadership Development · DiSC™ (Measure your Dominance, Influence,

Steadiness and Conscientiousness) to better

understand your work style and how to

build more effective relationships

· Business Builders

· Charge Nurse Academy

· Excellence in Leadership

· Twin Bridges Leadership Competency Program

• Just In Time · Ebola Preparation Training

· Pressure Ulcer Prevention

· New Product Training

• Employee Development · Rise and Shine

· Computer classes at KRH

· Courageous Conversations

· DiSC™

· Mandt™

· Proctoring Services

· Simply Speaking

· General education – strategize topics based

on trends, events, requests and needs.

· Multidisciplinary preceptor classes

· The Power of First Impression and

Welcoming Attitudes

· How to Deliver a Great Presentation

- 5 -


Zeider, R: “Save the Brain.” Presented at Kalispell, MT, February, 1 2016.

Zeider, R: “Behavioral Management in Cognitively Impaired Patients.” Presented at Kalispell, MT, June 17, 2016.

Zeider, R: “Neuropsych Meds for Nurses.” Presented at Kalispell, MT, August 8, 2016.

Zeider, R: “Amputee.” Presented at Kalispell, MT, September 8, 2016.

Pediatric Surgery

Published AbstractsFalk, G; Moslim, MA; Cruise, M: Morris-Stiff, G: “Simultaneous Clear Cell Sarcomas of the Duodenum and Jejunum.” Case Rep Med. 2016; 2016:1534029. doi: 10.1155/2016/1534029. Epub 2016 Jun 7.

Federico G. Seifarth, Oliver S. Soldes: “Congenital Anomalies and Surgical Disorders of the Stomach.” Pediatric Gastrointestinal and Liver Disease, 5th edition, 2016. Robert Wyllie, Jeffrey Hyams, and Marsha Kay.

Seifarth FG, Karam PA, Hiuser A, Magnuson DK: “Intracorporeal hybrid single port vs conventional laparoscopic appendectomy in children.” Pediatr Med Chir. 2016 Dec 20;38(3):133.

Seifarth FG, Mohan A, Karam PA, Buta MR, Worley S: “Transumbilical laparoscopically assisted extracorporeal appendectomy in children and young adults: A retrospective cohort study.” Int J Surg. 2016 Dec;36(Pt A):261-264.

Seifarth FG, Kundu N, Guerron AD, Garland MM, Gaffley MW, Worley S, Knight CG: “Umbilical Negative Pressure Dressing for Transumbilical Appendectomy in Childern.” JSLS. 2016 Oct-Dec;20(4).

Seifarth FG, Karam PA, Mohan A, Buta MR: “Comparison of transumbilical laparoscopically assisted appendectomy to conventional laparoscopic appendectomy in children.” Surg Laparosc Endosc Percutan Tech. 2016 Dec; 26(6):508-512.

Seifarth FG, Moslim MA, Takahashi H, Walsh MR, Morris-Stiff G: “Choledochal cyst disease in a Western center: a 30-year experience.” J Gastrointest Surg. 2016 Aug; 20(8):1453-63.

Seifarth FG, Mohan A, Guerron AD, Karam PA, Worley S: “Laparoscopic extra-corporeal appendectomy in overweight and obese children.” JSLS. 2016 Apr-Jun;20(2). pii: e2016.00020.

Seifarth FG, Peng JS, Ritter K, Hamadeh F: “Asymmetric hypertrophic pyloric stenosis with concurrent pancreatic rest presenting as gastric outlet obstruction in an infant.” J Pediatr. 05/2016.

Seifarth FG, Bruns N, Asfaw SH, Stackhouse KA, Falk GA, Magnuson DK: “Laparoscopic Excision of a Ciliated Hepatic Foregut Cyst in a Child: a Case Report and Review of the Literature.” Annals of Medicine and Surgery, Vol. 4, Issue 4, p467–469.

Seifarth FG, Abbass MA: “Laparoscopically assisted anorectal pull-through for anorectal malformations.” The SAGES manual of pediatric minimally invasive surgery.

- 28 -

“What we learn with pleasure we never forget.”

– Alfred Mercier

A Day At The Beach - Jack Bell


Seifarth FG, Strong AT: “Laparoscopic approach to enteral access for chronic constipation.” The SAGES manual of pediatric minimally invasive surgery.

Seifarth FG, Yan J. “Thoracoscopic approach to eventration of the diaphragm.” The SAGES manual of pediatric minimally invasive surgery.

Seifarth FG, Chang J: “Minimally invasive gastrostomy.” The SAGES manual of pediatric minimally invasive surgery. Seifarth FG, Yung J: “Laparoscopic approach to intestinal atresia.” The SAGES manual of pediatric minimally invasive surgery.

Seifarth FG, Yung J: “Laparoscopic duodeno-duodenostomy.” The SAGES manual of pediatric minimally invasive surgery.

Seifarth FG, Lloyd JA: The Cleveland Clinic Intensive Review of Pediatrics. Chapter 65: “Common Problems in Pediatric Surgery.” Editor: Camille Sabella. Wolters Kluwer. 2016.

PresentationsFalk, GA: “Common Pediatric Surgical Cases, Nurse and Physician Education.” October 31, 2016, Mariposa Room, KRMC.

Seifarth FG, Rosales A, Alkhoury F: “Single-Port robotic cholecystectomy in pediatric patients: Single institution experience.” Oral presentation at IPEG’s 25th Annual Congress for Endosurgery in Children. Fukuoka, Japan. May 24-28, 2016.

Seifarth FG, Moslim MA, Mohan A: “Percutaneous endoscopic placement of gastrojejunal feeding tube: a novel modified Seldinger technique.” Podium video presentation at IPEG’s 25th Annual Congress for Endosurgery in Children. Fukuoka, Japan. May 24-28, 2016.

Seifarth FG, Moslim MA, Liu MH, Ayala D, Worley S: “Comparison of single-port hybrid cholecystectomy versus traditional four-port cholecystectomy in the pediatric population.” Oral presentation at IPEG’s 25th Annual Congress for Endosurgery in Children. Fukuoka, Japan. May 24-28, 2016.

Seifarth FG, Kundu N, Guerron AD, Garland MM, Gaffley MW, Worley W, Knight CG: “A simple umbilical negative pressure dressing lowers the rate of surgical site infections after transumbilical, extracorporeal appendectomy for acute appendicitis.” Oral presentation at IPEG’s 25th Annual Congress for Endosurgery in Children. Fukuoka, Japan. May 24-28, 2016.

Seifarth FG, Moslim MA, Davis M, Morris-Stiff G: “Robotic-Assisted Excision of Type I Choledochal Cyst with Hepaticoduodenostomy.” Podium video presentation at the SAGES 2016 Annual Meeting. Boston, March 16-19, 2016.

Seifarth FG, Revenue Integrity/KRMC: “Common pediatric cases.” 10/2016: Seifarth FG invited speaker.

Seifarth FG: Timely Topics in Pediatrics Conference at KRMC. “Abdominal pain and laparoscopic appendicitis.”

- 29 -

Overview of Education Services

• Affiliation with 62 colleges, eight high school and middle schools, and six other health care facilities• 1062 students/observers for clinical/observation experiences (2016)• Interface with 45 different undergraduate programs, 20 at Flathead Valley Community College (FVCC)• Nursing programs: Flathead Valley Community College (LPN, ASN), Montana State University (BSN, Accelerated RN), Salish Kootenai College (ASN)• Post graduate programs: Montana State University (Doctorate of Nursing, Masters of Nursing), Pacific Northwest University (osteopathic medical students), University of Montana (Doctorate of Pharmacology, Doctorate of Psychology)• University of Washington: medical student rotations in surgery, neurology and OB/GYN• Neurosurgical medical rotations: osteopathic medical students from across the country• Residencies/fellowships: · Family Medicine Residency of Western Montana · Rural Surgery Residency Rotation (one year) · Physician assistant fellowships: Neurological surgery, physical and rehabilitative medicine

• Services: · American Heart Association Training Center: 8,522 certificates awarded in 2016; 11 training sites statewide; 250 instructors statewide · Continuing Medical Education (CME): five regularly scheduled series and three conferences; 235 AMA Category 1 Credits offered; 5,918 participants · Continuing Nursing Education (CNE) programs: 54 programs offered; 230 contact hours offered; 2,273 certificates awarded · Married State Preceptor Program: 215 preceptors; 14 nursing and multidisciplinary units supported · RN Residency Program: two cohorts per year, nine nursing units receiving graduates; tracking to national accreditation in 2018 · Clinical specialty area training: ICU, IMC, cath lab; medical/surgical; emergency; Pathways; outpatient clinics; radiation oncology; operating room; trauma; pediatrics; Brendan House• Educational conferences supported: 6th Annual Cardiopulmonary; Timely Topics in Pediatrics; Critical Care Bootcamp; oncology conferences; American College of Cardiology; rotating state conferences; Pediatric Fundamental Critical Care Support, a Society of Critical Care Medicine (SCCM) program• Employee development programs: Rise and Shine; First Impressions and Welcoming Attitudes; computer classes for KRH, Courageous Conversations; DiSCTM Styles• General educational courses: strategic topics based on trends, events and needs• Proctoring services: certifications, billing and medical boards• Leadership and management development:

· Excellence in Leadership · Business Builders · Charge Nurse Academy · Twin Bridges Leadership Competency Program · Regulatory, national and state requirement training programs · The Mandt System Training®

EDUCATION DEPARTMENT METRICS

# of Programs Total Hours

20161,6332014

1,124

Program Hours

20165,604

20143,462

Total Participants

201650,870

201433,631

201679,976

201449,936

- 3 -




Seifarth FG: “Pediatric Appendicitis: State of the Art Review.” 1/16/2107, invited speaker. CME Noon Conference Series, Kalispell Regional Medical Center.

- 30 -

The Value of Education

Over the past several years, Kalispell Regional Healthcare (KRH) has evolved from a local community-based health care center to a regional resource for community and tertiary care. Quietly growing in synergy with the clinical programs has been an educational foundation and infrastructure, which allow the health system to become a destination for medical and clinical education.

Education serves as a clinical enhancer improving the scope and sophistication of the clinical programs. It forms the basis for quality improvement and outcome measures and is essential in optimizing preventive medicine.

Education influences the performance of all medical providers, staff and support teams. Providers are called upon to be lifelong learners. The health of our community is intimately tied to the influences of education on prevention, and changing population behaviors.

Educational-induced behavior changes convert potential patients into healthy citizens. In an era of population health economics, education reduces health care costs with avoidance of use and decreases length of stays, overall morbidity and mortality.

Education is vital to innovation and growth. It is a stalwart of talent retention. Education differentiates

health care systems as being a resource to the local community as well as other lower acuity health care systems and providers.

On February 1, 2017, 53 members of the KRH community met for the first Educational Summit. This meeting was designed to start a conversation on how best to optimize the influence and impact of the educational efforts at KRH.

The goal in mind is to become not only a destination for complex and comprehensive medical care, but also a destination for medical and leadership education in the state of Montana.

This is the inaugural KRH Educational Registry. It is a living document. We encourage your participation in the effort to be complete.

Sincerely,The Education Advisory CouncilHeidi Brandt, MN, RN-BCNicholas Costrini, MD, PhD, MBAPatrick Madigan, MD, MBADoug Nelson, MDThomas Origitano, MD, PhDRobyn Whalen, PhD, MBA, BSN, RNPat Wilson, MN, BSN, RN

EducateInform

CoachInspire

Mentor

- 2 -

Building a Dream: An Education Destination

- 31 -

It is our dream and aspiration to make KRH a regional resource for medical education across the spectrum of students. To do this, the educational program will need to develop a center of education, simulation and hospitality. The center would provide the following resources:

EducationThe center would be a hub for medical education serving KRH and providing telehealth/conferencing to critical access hospitals and other major medical centers and groups in western Montana (Great Falls, Helena, Butte, Bozeman, and Missoula). The center would also interface with Flathead Valley Community College and Montana State University schools of nursing providing a vital educational link between hospital educational programs and local nursing schools. The center would contain a 400-seat conference auditorium, multiple flexible class room space which could flex from 10-50 seats, and a simulation laboratory which would be capable of performing practical skills courses (endoscopic simulation, cadaver dissection, basic procedural skills, etc.). The center would link to the hospital for simulcast of operative procedures. A catering facility would be included to serve both the educational and hospitality needs of the center.

HospitalityThe growth and development of KRH as a regional clinical and educational site will necessitate

housing for traveling patients, families, students and conference attendees. Current facilities are significantly underpowered to accommodate the current clinical load of patients/families traveling from out of the area. The unique geographical and financial challenges of our patients would be accommodated with a sliding scale room and board rate providing hospitality for all.

Center scholarsAn endowment to support center scholars would be established to provide educational and living support for individuals who are seeking advanced training outside the valley and/or coming to the valley to study for an extended period of time (ex: physicians, surgeons, nursing staff who are going to participate in technical training or education which will be brought back to KRH for implementation).

Center for simulationThe future of medical education and continuing medical education is simulation: see one, simulate 50, perform procedures under supervision, then alone. The demand for maintenance of certification is growing exponentially. This onsite facility would permit both model and cadaver simulations of operations and procedures and provide a venue for national and regional educational events.

Lead physician, surgeon and nursing in residence endowmentThis endowment would provide a stipend for physician, surgeon and nursing leadership to carry out the educational, administrative and potential research missions of the center. The center would be located on the Kalispell Regional Medical Center campus constructed to provide patients and family with the healing and restorative views of the mountains. The center would play an integral role in the caring part of health care delivery for Montana patients in Montana.

If you are interested in more information on building this dream, please contact Tagen Vine, Foundation President, at [email protected] or (406) 751-6930.

Table of contents

Our VisionTo be a fully integrated and aligned health care system that provides high quality and low cost primary, specialty, and tertiary medical care for the people we serve.

The Value of Education ............................................................................ 2

Overview of Education Services ............................................................ 3

Education Endeavors by Service ....................................................... 5-9

Nurse Residency Program .....................................................................10

Student Department ...............................................................................12

Student Affiliations ...........................................................................13, 14

Summer Intern Program .......................................................................15

American Heart Association Training Center ...................................15

Other Programs ........................................................................................16

Fellowship Spotlight ...............................................................................17

Rural Surgery Resident Program .........................................................18

KRH Culture ........................................................................................20, 21

Continuing Education .............................................................................22

Professional Publications/Presentations ................................... 23-30

Building a Dream .....................................................................................31

Education Department Team ...............................................................32

Contact Us..................................................................................................33

Cover image: Paintbrush Above Grinnell Lake - Jack Bell

Mountain Goat Kid - Jack Bell

Education Department TeamKristi Anderson, MN, RN-BC, CNLContinuing Education Coordinator

Mari Anderson, RN,CPAN KRMC Training Center Coordinator

Torr AndersonMulti-Media/Videoconferencing Technical Specialist

Shelley Astle, RN, CNORTraining Center Educator

Lindsay Bennett, BAEducation Department Associate

Heidi Brandt, MN, RN-BC, CNL Continuing Medical Education Coordinator

Rachel Burch, BSN, RN, CCRN-KPediatric Clinical Educator

Carla Genovese, BSN, RN-BCCritical Care Clinical Educator Debra Goodrum, BSN, RNAcute Care Clinical Educator

Richard Haven, AAMulti-Media/ Videoconferencing Technical Specialist

Robert Lee, MSKRMC Training Center Assistant

Jamie Mahowald, BSInstructional Design Specialist

Melanie McManaway Department Assistant, Instructional Design Specialist

Kathleen NallyMadigan, RNStaff Development Educator

Katie Neff, MN, BSN, RN, CNLStaff Development Educator

Peggy Perkins, RN, BSN, CEN Emergency Department Clinical Educator

Mandy Pokorny MHA, BSN, RNNurse Residency Coordinator

Emily SproulEducation Department Assistant

Tiffany Wehrmann, MBAEducation Department Operations Manager

Robyn Whalen, PhD, MBA, BSN, RNDirector Education Department

- 32 -

Our Mission

“Tell me and I forget, Teach me and I may remember, Involve me and I learn.”

– Benjamin Franklin

Lake McDonald - Jack Bell

Co�

eeShop

Elevators

EMERGENCYDEPARTMENT

Bu�alo HillConference

Center

Elevators

INFOElevators

Elevators

= Restrooms

= Entrance

= Stairs

INFO

WaitingArea

Patient Registration

LobbyElevators

MainLobby

North

Laundry/Maintenance

to Cafeteria

*ATM

Dietary East and Dietary West

CONFERENCE ROOM LOCATIONS

DietaryConference RoomsUpstairs in the cafeteria

Glacier Conference Center - Bowman - McDonald - Swiftcurrent - Two Medicine

Blacktail, Big Mountain, Harvest, and Mission Conference RoomsTake the elevator to the basement

Dietary North

For more information regarding education opportunities at Kalispell Regional Healthcare, visit krh.org and select

“For Employees” at the bottom of the page to browse options under “Education and Resources” or call (406) 752-1775.

Please send updates of professional publications/presentations and education programming to Lindsay Konen at [email protected].

KALISPELL REGIONAL HEALTHCARE

Education Registry2017 Edition

“Educating the mind without educating the heart is no education at all.”

– Aristotle

Howl - Jack Bell

Documents

Education Registry - KRH · Education Registry 2017 Edition ... Melanie McManaway Department Assistant, Instructional Design Specialist Kathleen NallyMadigan, RN ... Nurse Residency