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Winona Health - Healthy Connections Spring/Summer 2005

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Page 1: Winona Health - Healthy Connections Spring/Summer 2005
Page 2: Winona Health - Healthy Connections Spring/Summer 2005

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From thePresident/CEO:

On behalf of all of us at WinonaHealth, welcome to our newcommunity publication, HealthyConnections!

Your support of our hospital,nursing home, assisted living facilities and other programs and servicesis the reason Winona Health remains strong 111 years after its foundingin 1894.

Our building project begins a new era in Winona Health’s service toour community's healthcare needs. Our $32 million expansion projectincludes a new Winona Clinic/Medical Office Building. With WinonaClinic' s move to the Winona Health campus, this area's primaryhealthcare services will be centrally located for your convenience. Inaddition, the third-floor space allows for growth in services expandingour scope and meeting the needs of the community.

Our building project also includes a new Outpatient Diagnostic Center,to better serve your lab, radiology and outpatient surgical needs. A newfixed MRI machine means more convenient scheduling ofappointments, while additional Admitting kiosks will result in a quickerregistration process.

Already completed building project components include our rooftophelipad and our parking ramp. We welcome you to join us at ourParking Ramp Ribbon-cutting Ceremony on Wednesday, May 11, from4:30 - 6:00 p.m. This community-wide celebration will take place at theparking ramp and include tours of the ramp and refreshments.

This community can take great pride in Winona Health's buildingproject, as your contributions are helping build this new healthcarecomplex. And area builders and contractors are a vital part of the teamturning our plans into a structural reality. (see pg. 9)

All of us who work at Winona Health thank you for your support! It isthis community support that allows us to be devoted to improving thehealth and well-being of our family, friends, and neighbors.

Winona Health is pleased to offer youHealthy Connections, a newquarterly publication filled withinformation about health, wellness andthe many resources available to you,close to home. This publication isanother way we strive to fulfill ourmission: Winona Health is devoted toimproving the health and well-being of our family, friends andneighbors.

If you have questions or suggestionsfor making this publication morevaluable to you, please contact:

~ Loretta BronsonChief Communication Officer507.457.4116

Other Winona Health Marketing/Public Relations staff who worked onthis issue include:

~ Amanda AtlasGraphics/Web Development Specialist507.494.7371

~ Elizabeth HoughCommunity Relations Specialist507.457.4161

~ Karen SibenallerMarketing Communication Coordinator507.457.4157

Letter from President/CEO 2Emergency care close at hand 3 Stroke warning signs 4Allergy relief close to home 6Staff view of building project 8We're proud of . . . 10At the technology forefront 11Community calendar 12

Rachelle SchultzPresident/CEO

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Winona Health's services -- from our Family Birth Centerto our Assisted Living Facilities -- provide area residentswith peace of mind that quality healthcare is just aroundthe corner. Having quality medical care close at hand isespecially important when faced with an emergencyhealth need. Whether dealing with a broken bone, aweekend infection, or a life-threatening illness, a well-prepared Emergency Department assures patients andtheir families that every step has been taken to achievethe best possible outcome.

Bev Speltz, RN, CEN, serves as Winona Health'sEmergency Department and Dialysis Unit Director. Shehelps ensure that crucial medical care is available toWinona area residents around the clock. "To best servethe community, we need to be proactive and stay on theleading edge of patient care," Speltz said.

Serving the community for 18 yearsA lifelong Winona resident and Winona Senior HighSchool graduate, Speltz has been providing healthcare tothe Winona community for more than 18 years. "Eversince I was a little girl, I wanted to be a nurse, and I'vealways wanted to work here," explained Speltz. "I've justhad a sense that this was the place for me -- that it wouldbe a good fit -- and it is."

Speltz started her career as a Health Unit Coordinator in1987, then, with the help of scholarships from theWinona Health Auxiliary, began studying for a nursingdegree. In 1993, newly equipped with her AssociateNursing Degree (ADN), she was hired in WinonaHealth's Medical Pediatrics Unit. By 1995, Speltz was astaff nurse in the Emergency Department (ED). Toensure she was offering patients the best possible care,she challenged herself to write an exam through the

Emergency Nurses' Association and succeeded inbecoming a Certified Emergency Nurse (CEN).

In 1999, Speltz expressed interest in an opening forOperations Manager at Winona Area Ambulance Service(WAAS) to Sara Gabrick, Winona Health's Chief NursingOfficer. "I've been so fortunate to work with Sara formore than 10 years," Speltz said. "She heads up ournursing leadership team, which provides an awesomesupport system, a true sense of teamwork anddepartmental integration. Sara exemplifies excellence inclinical care with the ultimate goal being outstandingpatient service."

With Gabrick's advice to "go for it," Speltz applied forand was hired as WAAS manager. During her four yearsat WAAS, a joint venture between Winona Health andGundersen Lutheran Medical Center in La Crosse, Speltzgained unique insight into the importance of whathappens before a patient gets to the ED.

Exceptional emergency care close at hand

“To best serve the community, we need to

be proactive and stay on the leading edge

of patient care.”

Bev Speltz RN, CEN, Emergency Department and Dialysis Unit Director, gets astatus report from Jody Doebbert, RN.

Continued on pg. 4

Bev Speltz, RN CEN

Page 4: Winona Health - Healthy Connections Spring/Summer 2005

"Time is of the essence" when dealing with a stroke,according to Dr. Marc Dummit, a Winona HealthEmergency Department physician. "It's always better tobe evaluated in the Emergency Department (ED) and toldthat you're okay, than to lose an opportunity to reverse alife-changing event." A stroke occurs when a blood vesselto the brain is blocked or bursts and the affected part ofthe brain begins to die.

Dr. Dummit speaks as a physician -- and from personalexperience. "Several years ago I was in the ED when mymom came in. Thanks to the quick thinking of my dad,who noticed the stroke warning signs, we were able toadminister a clot-busting drug. While there are some risksassociated with the treatment, my mom was thankful forthe opportunity to 'strike back' at her stroke. A completeright-sided paralysis and inability to speak reversedovernight."

According to the National StrokeAssociation, 750,000 people areaffected by strokes each year. Whilesome risk factors, such as gender,heredity, and age, cannot be controlled,

other risk factors such as tobacco use, high bloodcholesterol, and excessive alcohol use can be controlled ortreated. For more information about stroke prevention,talk to your doctor.

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"I'm always challenging myself to get to the next level,and I try to encourage others to do that, too," said Speltz.So in September of 2003, she returned to Winona Healthas ED Manager; just recently, she assumed managementresponsibility for the hospital's Dialysis Unit as well.

Speltz clearly understands the importance of having anoutstanding healthcare facility serving the Winonacommunity. "While our region is fortunate to have strongmajor medical facilities in La Crosse and Rochester, theexceptional services Winona Health provides give arearesidents peace of mind that quality care is just aroundthe corner. A strong community hospital is essential forbetter health for the whole family."

New collaborative heart attack protocolsTo continue offering the best possible care for allemergency situations, Speltz and Dr. Charles Shepard,Winona Health Medical Director, have collaborated withGundersen Lutheran in La Crosse and Mayo Clinic inRochester on new heart attack protocols for identifying,

treating and transporting heart patients to either facility.To ensure the best possible outcome, these programs aredesigned to give patients the advantage of time.

May is Stroke Awareness Month

Bev Speltz, Continued from pg.3

~ Sudden numbness or weakness of face, arm or leg,especially on one side of the body

~ Sudden confusion, trouble speaking orunderstanding

~ Sudden trouble seeing in one or both eyes

~ Sudden trouble walking, dizziness, loss of balance orcoordination

~ Sudden severe headache with no known cause

If you or someone you are with experiences any ofthese symptoms, call 911 immediately. Every minute is critical, and the Emergency Department at Winona Health is here to help.

STROKE WARNING SIGNS

Barb Filas, RN smiles as Dr. Marc Dummit greets and reassures a youngpatient visiting the Emergency Department. Last year, there were 17,206patient visits to Winona Health's Emergency Department.

Page 5: Winona Health - Healthy Connections Spring/Summer 2005

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The initiative with Gundersen Lutheran is called thePriority One Heart Attack Program; Mayo's is theRegional STEMI Protocol. A call from Winona Health'sED staff activates a team of professionals at eithertertiary care facility to begin preparing for the patient'sarrival.

Speltz shared a well-known saying in the treatment of aMyocardial Infarction (MI), commonly known as a heartattack: "Time is muscle." The longer the heart goeswithout oxygenated blood, the more damage it sustains."In general, the sooner a patient receives initial treatment,the better the chance to reduce the damage. For example,if a patient arrives for treatment within three hours of theonset of a heart attack, physicians at Winona Healthdetermine if it's appropriate to administer a clot-bustingdrug," Speltz said.

Dr. Shepard noted, "Winona Health has a history ofbeing at the forefront of treatment of MI patients. Weparticipated in the original TIMI (Thrombolysis in

Myocardial Infarction) trials which established the benefitof clot busters. While the clot buster may buy some time,many patients still need angioplasty." Heart attack patientsentering Winona Health's Emergency Department canrest assured they will quickly receive time-saving care thenbe transported to the tertiary center of their choice.

The new heart attack protocols are only one of manyrecent advancements at Winona Health. "From our moveto Electronic Medical Records to the current buildingproject and Winona Clinic's impending move to theWinona Health campus, these advances will benefitseveral area communities," Speltz said. "We'll have a morestream-lined entry to the Emergency Department andmore services under one roof."

Speltz, enthusiastic about her role in thiscommunity's health services, is equally excitedabout the community's response to WinonaHealth's building project. "For a communityour size to be able to do this project isincredible. The support and interest we'vereceived tells us that quality healthcare issomething the community values.”

“So all of us in Winona Health's EmergencyDepartment want the community to know weare committed to providing quality emergencycare 24 hours a day, seven days a week,"concluded Speltz.

Winona Health’s emergency staff and Gundersen Lutheran MedLink AIR personnelsuccessfully completed a mock Priority One code. The program’s goal is to get patientsfrom the ED to Gundersen Lutheran’s cath lab and clear their arteries within 90 minutes.

“Winona Health has a history of being at

the forefront of treatment of MI patients.”

“All of us in Winona Health’s Emergency

Department want the community to know

we are committed to providing quality

emergency care 24 hours a day, seven days

a week.”

Dr. Charles Shepard

Bev Speltz, RN, CEN

Page 6: Winona Health - Healthy Connections Spring/Summer 2005

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At just two years of age, Alexandra Lau was diagnosedwith asthma. The pediatric allergist she visited poked andprodded and eventually prescribed medication using anebulizer — an electrically powered machine that turnsliquid medication into a mist easily inhaled by a child.Alexandra’s mother, Kris Sorensen, was resigned to thefact that her daughter would be limited in her activitiesand dependent on using her nebulizer at least twice a day.

“It’s so hard to watch your child struggle to breathe,” saidSorensen. “It’s a frightening experience.”

Last summer, almost seven years after Alexandra’s firstvisit to an allergist, Dr. Terry Donnal opened the doors tohis Allergy & Asthma Clinic at Winona Health. Havingknown Dr. Donnal from Community Memorial Hospital’sEmergency Department, where he is a full-time physician,Sorensen immediately made an appointment.

“I knew Dr. Donnal would make Alexandra feel verycomfortable,” Sorensen said. “What I didn’t know is thathe would virtually cure her asthma!”

Dr. Donnal examined Alexandra, scheduled testing withCMH’s Respiratory Therapy Department and evaluatedher symptoms. Sorensen was impressed that Dr. Donnalnever used any needles in his examination. “The pediatricallergist went right for the needles,” she remembered.“Dr. Donnal was able to avoid them in this case, and hewas still able to find the cause of her symptoms.”

Dr. Donnal found that Alexandra’s asthma was broughton by a number of allergen triggers. Using the nebulizertreated the symptoms, but did nothing to eliminate theircause. Dr. Donnal prescribed two allergy medications thatblocked the triggers, thereby reducing the symptoms.

Two days after her visit at the Allergy & Asthma Clinic,Alexandra felt like a different person. For the first time inher life, she was able to finish an entire game of

Allergy reliefclose to home

Services ofServices offered at fered at WWinona Health’inona Health’ssAllerAllergy & gy & Asthma Clinic include:Asthma Clinic include:~ Skin testing~ Allergy evaluations and management~ Asthma evaluations and management~ Asthma education~ Medication instruction and management~ Immunotherapy/allergy shots

Call: 507.457.4149Call: 507.457.4149

Page 7: Winona Health - Healthy Connections Spring/Summer 2005

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basketball. “It was overwhelming, watching her play thatgame,” recalled Sorensen. “We knew then that her allergieswere finally under control.” Even more exciting is thatAlexandra hasn’t had to use her nebulizer since visiting withDr. Donnal.

Though spring season is often the toughest time for allergysufferers, Alex hasn’t had any problems so far this season.“I can breathe better,” said Alex, who is looking forward toa summer of activities without the limitations of herasthma. “It’s awesome!”

Dr. Donnal, a certified family practice physician, was theChief of Allergies and Immunizations at the Fairchild AirForce Base in Washington. He joined Winona Health in2003. While working in CMH’s Emergency Department, henoticed many patients he saw were traveling for their allergytreatments.

“I realized treatment for allergies and asthma wasn’t readilyavailable in Winona,” he said. “I wanted to make care andtreatment more convenient for area residents.

His accessibility is one of the many reasons patients are sofond of his service. “We got in immediately,” Sorensensaid. “And Alexandra visits him every six months. We’venever had a problem making appointments.”

One individual drove all the way from Mankato, Minnesota,when he heard of the clinic’s availability from one of Dr.Donnal’s previous patients. “A lot of my referrals are from patients I’ve seen,” noted Donnal. “They are glad to havequality allergy and asthma treatments that are easilyaccessible and close to home.”

“I became a physician because I wanted to help people,” hestated. “At the Allergy & Asthma Clinic, I can concentrateon helping people find a treatment plan that works best forthem.”

Kris Sorensen and her daughter Alexandra would say thathe does exactly that. “We are so lucky to have him righthere at Winona Health,” Sorensen stressed. “I wouldrecommend him to anyone suffering with allergies orasthma.”

For more information or to make an appointment,call 507.457.4149.

Alexandra visits Dr. Donnal for a follow up evaluation almostone year after saying goodbye to her asthma medication.

Allergy Season Alert!

Spring is in the air – and so are those pesky allergens! Allergiesaffect both kids and adults. Though symptoms and severity mayvary, many Winonans deal with seasonal and year-round allergies.Here are some common symptoms and tips on how to preventsome of the triggers.

SIGNS & SYMPTOMS~ Sneezing ~ Congestion~ Runny nose ~ Itchiness in the nose or ears~ Scratchy throat ~ Watery/itchy eyes

PREVENTION TIPS~ Do a thorough spring-cleaning~ Postpone outdoor activities until after 10:00 a.m.~ Check your local pollen count~ Use air conditioning instead of opening windows

~ Stay indoors when it is especially hot, dry and windy~ Use the dryer instead of hanging laundry outside~ Wear a mask when raking leaves or mowing the lawn~ Shower and wash your hair before going to bed each night~ Use non-toxic cleaners to remove visible mold~ Beware of high mold spore counts in the evening or after a

heavy rain

For more information and tips on allergies and asthma, check out KidsHealth at www.winonhealth.org. Find it under HealthInformation, along with other great wellness resources.

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Winona Health invites area residents to the Parking Ramp Ribbon-cutting Ceremony on May 11, 2005 from 4:30 p.m. to 6:00 p.m. This celebration will take place at the ramp

and will include refreshments and tours of the new structure. Please join us as we celebrate the completion of our new parking ramp!

Staff members share their building project excitement on these two pages.

Join us as we CE LEBRA TEour parking ramp completion

“The community will be the biggest winner, with better

access to needed specialties, an improved patient

experience, less running around for tests and

appointments, and cost savings from not duplicating

expensive equipment such as in Radiology.”

~ Rand Gettler, COOBuilding Project Administrator

“When the building project is

finished, the physicians will be

just a step away – creating a

safer transition for patients who

need to go between the clinic

and the hospital.”

~ Mary Schmoker, RN

Dialysis Unit

“I have been a proud member of the Winona Health team

for 25 years and am especially excited and thrilled to be a

part of the development of a contemporary medical campus

that will create a patient-centered care delivery system. It

will help provide excellence in service and care by locating

the Winona Clinic, other care providers and Winona Health

on one campus.”~ Debi Allen, RN

Dialysis Unit

"All of Pre-Operative will be

moved downstairs once the

construction is completed,

streamlining the patients’

transition between pre-op

and surgery.”~ Kris Cichon

Manager, Surgery

Page 9: Winona Health - Healthy Connections Spring/Summer 2005

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Parking Ramp• The parking ramp

includes 280 spaces.

• Parking Ramp Ribbon-cutting Ceremony is 4:30 - 6:00 p.m., May 11, 2005.

Clinic/Medical Office Building

• This three-story building will have 82,000 square feet.

• Winona Clinic will own 52,000 square feet.

• The third floor will be available forindependent physicians and otherhealthcare providers.

• Construction began December 2004 and isscheduled for completion April 2006.

Outpatient Diagnostic Center and Hospital Renovation

• A new surgical suite will include four operating rooms, a procedure room andan endoscopy suite.

• The existing surgery area will include 18 recovery bays, a waiting room and anoperating room for C-sections.

• The outpatient area will include a new registration area, mammography and radiology.

• Construction began December 2004 and is scheduled for completion April 2006.

• The helipad was moved to the hospital roof and completed November 30, 2004.

Winona Building Project ContractorsSchwab CompanyWinona ExcavatingDunn Blacktop CompanyWapasha ConstructionRalph Scharmer & SonsBiesanz StoneKendell LumberWinona Heating & VentilatingKendell Doors & Hardware, Inc.Winona Glass ReplacementO’Laughlin Plumbing

“I am excited to watch the progress

of the construction. I believe that

this building project will help

expand the services that are offered

to the community.”

~ Karen Dworschack,Environmental Services

Bauer ElectricWinona RentalRonco EngineeringSeverson OilScherbring EnterprisesRiver Valley SweepingOtomo EngineeringFlagpoles International

Building Project Details

Winona Contractors

“We are very excited for the construction to be completed. We

will have more rooms available as well as a new waiting room

for patients’ families. We can’t wait!”

~ (l - r) Liz Seltz, Liz McGrory, & Colleen Schneider, RN Pre-Operative

Page 10: Winona Health - Healthy Connections Spring/Summer 2005

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... Linda Rose, a Food &Nutrition supervisor. LakeWinona Manor received aletter from the daughter ofa couple living there. Lindareserved the LWM van and,on her own time, drove thecouple to their son’s homein Pickwick so they couldhave a family gathering.This family was especiallythankful, as none of thefamily members feltcompetent to manage thetransport when the coupleneeded wheelchairs. Thedaughter wrote, “This wasa wonderful, selflessgesture that was greatlyappreciated by my entirefamily.” Lake WinonaManor is a skilled nursingfacility. For moreinformation, call507.457.4366.

... Ahlex Hoffman &Amber Stinson, who workin Roger Metz Manor andput together scrapbooksfor each resident. NotedJenni Johnson, AssistedLiving coordinator, “Thesescrapbooks were handedout to families at ourannual Valentine Tea asgifts. Amber and Ahlexhave been working onthese scrapbooks forseveral months. Theirdedication and hard work will be appreciated byour residents’ families for many years to come.” Formore information on ourmemory care residences,contact Sara Blair, 507.494.7493.

We’d Like to Recognize...

... Kim Rock-Stockheimer & Lori Britton, occupationaltherapists. Kim and Lori completed three lymphedemaresearch projects. Two of them will be published in theJournal of Hand Therapy and the third will appear in theAmerican Journal of Occupational Therapy. Kim and Loriwork in Winona Health's Rehab Services department.For more information about these services, go online towww.winonahealth.org, then click on Our Services.

... Sheila Skeels, MaryModjeski and WinonaHealth’s Hospice staff. Ahospice patient’s daughterwrote of her family’sappreciation for “the lovingcare that was given to mymother ... When she firstcame to visit us, Sheila spenta lot of time tending to ourneeds ... Then she took time... to visit us at my mother’swake. Mary never tired ofgiving physical andemotional support to mymother and us. She wentabove and beyond what weexpected. I don’t know whatI would have done without[hospice staff ’s] help ... Ourfamily was able to feel ourmother was getting the bestof care ... while we were ableto grieve her passing ...Thanks for being there togive your special help to usand our loved ones. ” Formore information onHospice Services, call507.457.4468.

Kim Rock-StockheimerLori Britton

... Coletta Berg, Lana Lara, Lacy Squires, TessaKnutson, Gina McRae, Ahlex Hoffman, Megan Routh,Jim Brust, and Jane Bremer, Winona Health's firstAssisted Living mentors. These mentors completed specialin-depth training developed by Winona Health's AssistedLiving supervisors. “We have an outstanding group toinitiate our Mentor Program,” according to Beth Nelson,Assisted Living manager. “They are all dedicated toproviding the best care to our residents and making ourManors a great place for staff to work.” Winona Healthoffers assisted living facilities for active, independentseniors and for those needing memory care. Foradditional information, contact Sara Blair, 507. 494.7493.

... Rachelle Schultz, (above)Winona HealthPresident/CEO, and Dr. Darrell Krueger,Winona State UniversityPresident, sign theMinnesota Job SkillsPartnership grant certificatesduring a presentation on April 7, 2005. The $216,000grant will bring Lean inHealthcare training toWinona Health.

Page 11: Winona Health - Healthy Connections Spring/Summer 2005

Allergy & Asthma Clinic

Alzheimer’s Care

Assisted Living Facilities

Dialysis

Emergency Care

Family Birth Center

Home Health Care

Hospice Care

Laboratory

Long Term Care

Medical Services

Mental Health Services - Inpatient & Outpatient

Nutrition & DiabetesEducation

Parkview Pharmacy

Radiology

Rehabilitation Services

Respiratory Care

Rushford Clinic

Sleep Lab

Sports Medicine

Surgery - Inpatient &Outpatient

For more information:

507.454.3650www.winonahealth.org

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Community-wide EMRReceives Innovation AwardWinona Health'sCommunityMemorial Hospitalreceived a MinnesotaHospitalAssociation'sInnovation in PatientCare Award for itsCommunity-wideIntegrated ElectronicMedical Record(EMR).

Winona's EMR is arare innovation in arural community and small healthsystem. This system implementationwas four years in the planning andinvolved the work of many: "It was avision by area physicians and thehospital to have all information aboutour patients in the same database,"explained Mike Allen, Winona HealthCFO.

Winona Health -- working with Cerner,a healthcare software company, FamilyMedicine of Winona P.A. and WinonaClinic -- began making this vision areality in 2000.

Dr. William Davis, partner in FamilyMedicine and Winona Health's medicaldirector for health information, alreadyhas seen the value of the EMR, whichallows him to track patient data andgenerate prescriptions in the examroom, triggering pharmacy orders.

But "the biggest benefit," he noted, "isimmediate access to patient records anyplace, any time. I have patients callingme at home, and I look at their record:It's right there. It's hard to beat that.And electronic prescribing is a huge

advantage. All patient meds are listedon the record; the interactions aredocumented; it avoids errors."

Integrated community health systemsalso are aligned with current nationalhealth goals, which emphasize the rolecommunities play in creating aninterconnected health system."Community data exchanges" are thekey building blocks to this wirednational healthcare system.

To ensure its integrated health systemnot only improves patient outcomesbut also respects privacy, WinonaHealth, its affiliates, and the twoindependent physician clinics formed ajoint healthcare organization to ensureHIPAA privacy compliance throughoutthe newly integrated system.

"We've put something together inWinona that is far more powerful thanan integrated electronic medicalrecord," Allen explained. "It hasconnected our community andimproved how we provide patientcare."

Attending the MHA Awards ceremony (l-r) were Bev Speltz; Marie Kowahl;Sara Gabrick, CNO; Kathleen Lanik, Chief HIM Officer; Greg Thackery,Cerner; Dar Pozanc; Mike Allen, CFO; and Dr. William Davis, Family Medicine.

Winona HealthServices

Page 12: Winona Health - Healthy Connections Spring/Summer 2005

Calendar of Events

MAY 20058-14 National Nurses, Hospital and Long Term Care Week

11 Parking Ramp Ribbon Cutting Ceremony4:30 p.m. – 6:00 p.m.Join Winona Health in celebrating the completion of the city’s first parking ramp. Enjoy refreshments and tours ofthe completed structure.Contact: Elizabeth Hough 457.4161

10 Childbirth Experience Class, 6:30 p.m. – 8:30 p.m.,B.A. Miller Auditorium, 5 week classContact: Staff Development 457.4491

13 -14 Childbirth Experience Weekender Class,B.A. Miller AuditoriumFriday: 6:00 p.m. – 8:00 p.m.Saturday: 8:00 a.m. – 3:00 p.m.Contact: Staff Development 457.4491

16 Health Care Directives Informational Session, 6:30 p.m.,Westview Conference RoomContact: Volunteer Services 457.4316

19 Healthcare CPR Recertification, 7:30 a.m. – 11:30 a.m.,B.A. Miller Auditorium, $30Contact: Staff Development 457.4491

JUNE 20051 - 29 Childbirth Experience Class, 6:30 p.m. – 8:30 p.m.,

B.A. Miller AuditoriumContact: Staff Development 457.4491

6 Breastfeeding Class, 6:30 p.m. – 8:30 p.m.,Lake Winona Manor Classroom, $10Contact: Staff Development 457.4491

16 Healthcare CPR Recertification, 7:30 – 11:30 a.m.,B.A. Miller Auditorium, $30Contact: Staff Development 457.4491

27 - 28 Healthcare CPR Certification-1st Timer,6:00 p.m. – 10:00 p.m.. B.A. Miller Auditorium, $40Contact: Staff Development 457.4491

JULY 2005

18 Health Care Directives Informational Session,9:30 a.m., Parkview Conference RoomContact: Volunteer Services 457.4316

19 Public First Aid, 6:00 p.m. – 8:30 p.m.,B.A. Miller Auditorium, $25Contact: Staff Development 457.4491

Check the community calendar at www.winonahealth.orgfor more information.

Prostate Cancer Support Group,7:00 p.m. – 9:00 p.m.Parkview Conference RoomMeets the first Monday of every month.Contact: Staff Development 457-4491

Fibromyalgia Support Group1:00 p.m. – 2:00 p.m.,Lake Winona Manor ClassroomMeets the first Thursday of every month.Contact: Diane Montgomery 457-4535

Alzheimer’s Support Group5:30 p.m. – 7:00 p.m.,Lake Winona Manor ClassroomMeets the second Wednesday of every month.Contact: Cheryl Krage 457-4560

Support Groups:

NONPROFIT ORGU.S. POSTAGE

PAIDWINONA, MN

PERMIT NO. 72855 Mankato Ave.

Winona, MN 55987