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February 18, 2010     Lovell Chronicle
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February 18, 2010
 

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61The Lovell Chronicle I February 18, 2010 www.LovellChronicle.com NBHH strives for personal service excellence North Big Horn Hospital recently made a re- newed commitment to Personal Service Excellence (PSE). The kick off was at the beginning of Febru- ary and featured a week of special events for staff including a door decorating contest, commercial making contest, trivia, BINGO and a traveling pep rally to promote service excellence. "In an effort to rekindle our determination to separate ourselves from other facilities in the re- gion, we are embarking on a focused journey to be the very best we can be," said NBHH CEO Rick Schroeder in a written statement submitted to the Chronicle. "Every moment we are at work, we are on stage. When we are off work, we are advocates of North Big Horn Hospital District." Left, members of the North Big Horn Hospital staff pose for a picture wearing matching PSE shirts last week during PSE week. BRAD D.WUX PHOTO Telemed brings doctors and patients together BY BRAD DEVEREAUX As many area patients might already know, visit- ing North Big Horn Hos- pital is sometimes just the first step toward receiving treatment. While the facili- ty in Lovell offers many ser- vices in-house, it faces the same challenge as many other small rural hospitals in Wyoming and across the nation: balancing quality patient care with expenses. The facility often has to send patients to Cody or Billings for some types of surgery, and to see special- ists in the areas of derma- tology, orthopedics and oth- ers. While NBHH providers serve as a great starting point for patients with con- cerns or questions in those areas, any major cases are referred elsewhere. In the past, NBHH has tried to expand their list of services by welcoming visit- ing specialists to the facil- ity to see patients. Avail- able periodically at NBHH, these visiting specialists would mark their schedules to be in Lovell for a set peri- od of time out of the month, making it more convenient for local patients to receive the care they need. Recently, NBHH has been adding more conve- nience for both patients and visiting providers by imple- menting a tele-medical sys- tem that uses video-con- ferencing along with a few medical tools that allows patients to see specialists, with neither party having to travel more than a few BRAD Dewux Trisha Mangus (left) and Lisa Strom sit in the North Big Horn Hospital eonterenee room while talking with Mike Rosco in the EMTN studio at Billings "Clinic: .... " miles. The Telemed equipment was first brought to NBHH through a grant from Shri- ners International, and was used primarily for telemed visits for children to the Shriners Children's Hos- pital in Salt Lake City, ac- cording to Trish Mangus. The system started small and has been "up- graded tremendously" and expanded into other areas over the last decade, Man- gus said. NBHH joined the Eastern Montana Telemed- icine Network several years ago, which encompasses 24 sites in Montana and Wyo- ming. At first look, the Telemed system looks like a typical videoconferencing set-up, with a video monitor and a camera on each end, allowing providers and pa- tients to talk as if they are face to face. Patients may ask questions and the spe- cialist on the other, end can answer with authority on the subject. Telemed uses special tools and help from special- ly trained nurses at NBHH to forward the specialist any information needed to com- plete a visit. With a stetho- scope that transmits audio through Telemed, a doctor at Billings Clinic can hear a patient's heart and lungs just as well as if they were in the same room. "Our providers are re- ally happy with the audio quality," Mangus said. And patients, includ- ing some of the older ones, seem to like using Telemed, Mangus said. "Some are hesitant at first, maybe thinking the quality won't be as good, but I think they like it after experiencing it," she said, adding that the system works great for follow-up visits. "Who wants to drive for two hours for a half hour appointment?" The technology has been improved over the years and though it is still pretty new, many new hires at NBHH report that they have been exposed to similar systems in medical school, Mangus said. Upon arrival at NBHH for a Telemed appoint- ment, a nurse records the patient's height and weight with CERNER, an elec- tronic version of a medical chart. The patient's chart is available for the special- ist to view on a computer monitor. Depending on the nature of the visit, a nurse might also send other in- formation to the specialist such as temperature, blood pressure or the results of lab tests. NBHH also has a handheld camera that can be linked to the system. A trained nurse sits in during the visit and can relay other information to the doctor. At the end of the visit, any prescriptions needed are printed at NBHH with the doctor's electronic sig- nature. Mangus said the sys- tem is useful, especially in the winter, when there could be icy roads on the 90-minute drive to Billings Clinic. Telemed also saves patients and providers time and money spent on fuel, she said. The system also saves NBHH money on train- ing. Training sessions are offered on Telemed that employees such as CNAs are required to attend and would otherwise have to travel for. From July to Septem- ber of 2009 the hospital saved $16,492.90 because of Telemed, according to hos- pital financial statements. Roughly $14,000 was saved on continuing education. NBHH used the system 44 times in three months. The system is also used during board meetings to allow a representative from Billings Clinic attend meet- ings in Lovell. NBHH is part of the Eastern Montana Telemed- icine Network, which in- cludes 24 sites in Montana and Lovell and Cody in Wy- oming. NBHH currently holds a cardiology clinic, where patients visit with a doctor one at a time, one on one on Telemed..Mangus said the clinic is gaining popularity with patients as the word gets out. Other popular ser- vices are sleep study fol- low-ups, oncology and vis- its with psychologists, she said. Mangus encourages pa- tients to ask about Telemed and see if it could be used on a future visit. THIN-KING ABOUT BUYING A BUSINESS OPPORTUNITY? The Loves Chronicle and the Federal Trade Commission, the nation's consumer protection agency, say investigate before you invest. Visit ftc.gov/bixopps to learn how to tell a real deal from a raw deal. Dr. Clark Jensen, optometrist from Casper, Wyo., will be speaking about his book, Wolves in Sheep's Clothing at Rocky Mountain High School in Byron on Saturday, Feb. 27 at 1 p.m. Friday February 19 Cabre Gym Cheer on Coach Janis Beal and the Trappers as they take the court against Miles Community College. T.III,G.ITI.: "l'l|l,:.t'l'S -- Cabre Gym lobby, 5 pm BBQ beef sandwich, chips & coolde, $3 per person 1 Trapper spirit face painting, $2 Booster Club hat & mug It's NWC's Alumni Night; check out our new alum merchandise. Northwest College Trapper Boo=tar Club Game time: 5:30 pm Join us! Questions? Contact Robbi.Welch@northwestcollege.edu or 754.6034. A special thanks to the crew at Aramark for their delicious donations. BHC School District No. 1 Board, 2nd Thursday BHC School District No. 2 Board (Lovell), 2nd Monday, board room, 7 p.m. BHC Treasurer at County Annex, 1st and 3rd Thursday each month, 9a.m.- 1 p.m. Big Horn Basin chapter of Gold Prospectors Association of America, Skyline Care in Powell, 2rid Tuesday, 7 p.m., 754-5921. Big Ham County 4-H Leader's Council, 1st Monday, Extension Office on Hwy 310, 7 p.m. Big Horn County Weed and Pest monthly board meeting, 2nd Tuesday, 1 p.m., W&P office at 4782 Hwy. 310, Graybull. Byron Lions Club, tstand3rd Tuesday, Byron Town Hall, 7 p.m. ' Cancer Support Group, 3rd Thursday, 7 p.m., NHCC multi-purpose room. Compassionate Friends Support Group, last Wednesday, Long Term Cr Center Conference Room, West Park Hospital, 7 p.m. Contact Melodye Trusty, 578-2416. Cowley Riding Club, 3rd Monday, 7 p.m. Lovell Area Chamber of Commerce general membership meeting, 3rd Monday, noon, Lange's Kitchen Lovell Bulldog Booster Club, 3rd Wednesday, Big Horn Federal Hos- pitality Room, 7 pro. Lovell Guitar Club, Thursday, 8 pro. Call Steve, 548-7227. Lovell Library Story Time, every Tuesday, 10:30 a.m. Lovell Lions Club, 2ndFddsy noon; 4th Wednesday, 6:30 p.m., 548- 2431. Lovell Riders, Inc. meeting, 2nd Thursday, Fire Hall, 7 p.m. Lovell Town Council, 2nd Tuesday, Town Hall, 7 p.m. Lovell Woman's Club, 2rid Wednesday, Big Horn Federal Hospitality Room, 1 p.m. Contact Deanna Wagner, 548-7793. NAMI Big Horn County, 1st Thursday, 548-2431, 548-6865. North Big Horn County Health Coalition, 3rd Tuesday, noon, rotating locations, 548-6410. Ostomy Support Group meeting, 2nd Tuesday, 7 p.m., North Fork room, West Park Hospital in Cody. Pindroppers Quilt Club, 4th Thursday, 7 p.m., Big Horn Federal hos- pitality room. Spokes=n-Folks, call 548-2431 ; 548-2883. TOPS @ WY169, every Thursday, St. John's Episcopal Church base- ment in Powell, 6 p.m. 754-2652, 664-2394 Trl-Mountain View Masonic Lodge, 2nd Thursday, dinner 6:30 p.m., lodge meeting 7:30 p.m. VFW Meeting, 4th Thursday, 7 p.m., Big Horn County Annex bldg, Lovell. Veterans Representative, 1st Wednesday, Powell Workforca Center, 9 am - noon; 2rid Thursday Frannie Town Hall, 9 am - noon & Lovell Police Dept. 1 - 4 pm; 3rd Friday, Greybull Town Hall, 9:30- 1:30 am & Worland Werkforce Center 12:30 - 2:30 pm. WyDOT Driver Licensing Facil- Ity open in Love, every Tues- day, 9:30 a.m. to 4 p.m. Call the Lovell Chronicle at 548- 2217 to list your club here. Sponsored by Big Horn Federal l ( Gm foulL Powell, ThermopoUs, Cod)', Worland, LoveU OUR TAX PROFESSIONALS HAVE THE EXPERTISE AND TRAINING TO MAKE SURE YOUR TAXES ARE DONE RIGHT. Get It Right. 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