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August 27, 2009     Tri-County News
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p.-........ 1 .---- - ! =._ Thursday, August 27, 2009 News Kimball, MN d =am * ..... ale Heao The Intensive Care Unit at workers, dietitians and chaplains cal Care Program i tomatoes bt. Cloud Hospital is honored toOnly 29 other Intenswe Care With the support ot tile lnten- ': ..... ~' be a recipient of the 2009 Beacon Award for Critical Care Excellence. This is the second time the ICU has received the Beacon Award given by the American Association of Critical Care Nurses (AACN). The Beacon Award is given to rec- ognize Intensive Care Units that: Exhibit high quality stan- dards; Provide exceptional care of patients and their families; and Exhibit excellence in collabo- ration, communication and part- nerships that support the value of healing and healthy work environ- ments. Because it provides units a way Units of an estimated 6,000 ICUs sivist program, multiple qual- I talk to lots of gardeners. Lucky this big time. The fruits look nor- in the United States have achieved, ity initiatives have been started me because I really enjoy it. Most mal on the top, but when you go to the award more than once since the including evidence-based prac- ofus are still waiting for our toma- pick them there is a large, unap- AACN first launched the Beacon Award in the fall of 2003. The first recipients of the Beacon Award were announced in the spring of 2004. Intensivist program at St. Cloud Hospital celebrates five years Aug. 23, 2009, marks the five- year anniversary of the intensivist- directed Intensive Care Unit (ICU) program at St. Cloud Hospital. The ICU program was one of the first in the state to have doctors trained and certified in the specialty of critical care medicine. Scott Davis, MD, Medical to report their systems, outcomes Director of the ICU, was instru- and environment, this award is mental in getting the program off increasingly linked to patient the ground. He later was joined by safety initiatives. Drs. John Olsen and Sandeep ]ain. The award is evidence to These doctors work exclusively in the commitment and collabo- Intensive Care to respond to urgent ration of care within a multi- patient needs. PulmonologistsJeff disciplinary team comprised of Kowitz, MD, Keith Leavell, MD, Buffalo Hospital listed in top three Study lists Buffalo Hospitalprimary care physicians. among top three best value, "Best Practices demonstrates quality-care hospitals in state that Minnesotans don't have to Buffalo Hospital is among the sacrifice health-care quality to top-three hospitals in the state for control medical costs," said Min- providing quality health care with nesota 2020 Executive Director efficient value, according to results John Van Hecke. "As our nation is of Best Practices, a research study looking for ways to ensure more released by Minnesota 2020, an people receive medical care, pol- Internet news site. icy makers and health administra- The report said that while the tors must find ways to increase the nation debates how to insure its number of well-trained, dedicated citizens without cutting the qual- and caring primary-care doctors, ity of health care, several Minne- which is becoming increasingly sota hospitals and medical centers difficult, especially in rural coun- are providing a model for control- ties." ling costs while delivering high- quality care. tice related to sepsis, ventilator, and delirium management and prevention of ICU acquired infec- tions. Significant achievements since implementing the program in 2004 include: A 35 percent reduction in sep- sis mortality, saving more than $2 million and at least 124 lives; Through implementation of a delirium bundle in 2007, patients with delirium have had a reduc- tion in time spent on mechanical ventilation, a reduced length of stay and an overall cost savings of $1 million for Fiscal Year 2009; 16 consecutive months with- out a VAP (Ventilator Associated Pneumonia), which calculates to five lives saved; and 10 consecutive months with- out a central line associated blood stream infection. "So many medical problems are preventable or can be better man- aged," said ]ohn Spielmann, MD, Buffalo Hospital Medical Staff Chair. "If we are able to prevent or detect diseases, for instance car- diovascular disease or diabetes, we can dramatically improve a patient's quality of life and reduce their overall health-care costs." DAAN@Home focuses on prevention Prevention is so important to Buffalo Hospital, next month it is launching a new initiative called DAAN@Home. Patients at Allina Medical Clinic - Buffalo and Bur- "Our strength as a hospital is falo Clinic with high blood pres- our team of primary-care phy- sure will be invited to take part in toes to ripen. It has been too cool for them to ripen on time. As you know, I ate my first tomato on July 3. I have a good supply of the early tomatoes that I have planted; New Girl and Early Girl varieties. My other tomatoes are still mostly green. Patience is needed. The tomatoes .will ripen; they are just going to be late. Some mor.e warm weather will help. But there can be plenty of other troubles with toma- toes, too. Two of the most harmful dis- eases that attack tomato plants are fusarium and verticill[m wilt. Both are caused by a fungus. Infected plants display yellow- ing and wilting of the older leaves about midsummer. The yellowing moves up the stem until the whole plant is dead. Unfortunately, there are no controls which are effec- tive against either fungus. Instead, gardeners should be proactive and practice crop rotation and plant only wilt-resistant tomato variet- ies which are designated by a VF after the cultivar name. The fun- gus can survive up to eight years in the soil and can also attack pep- per, eggplant, potato, cucumber and melon, strawberries and many other broad-leaved plants. Another problem that often occurs is blossom end rot. I have petizing black spot on the blos- som end of the tomato. This is not a disease, but is caused by a lack of calcium in the fruit. One way to avoid this is to make sure you water and mulch regularly. Even moisture will also help keep the fruit from splitting. The fruit will still be good to eat if the soft spot is removed in time. Tomatoes that you have picked should be stored stem side down. Tomatoes that are stored stem side up will shrivel and start to mold much sooner. Why? The theory is that the scar left on the tomato skin where the stem once grew provides both an escape for mois- ture and an entry point for mold and bacteria. By placing a tomato stem-end down you block air from entering and moisture from exit- ing the scar. Summer is winding down and in a few short weeks our gardens will start to look a little bedraggled. Time to enjoysummerwhile it lasts, and I hope for you that includes a few sweet, juicy tomatoes! If you have gardening questions or suggestions for Mr. Potato Head please e-mail him at . Mr. Potato Head is Stearns County Master Gardener and Kim- ball resident Rick Ellis. can work with a health coach to help them find ways to be more active in their daily lives." Visit us on the Web To learn more about the ser- vices provided by Buffalo Hospital See the full report at . About Buffalo Hospital Part of Allina Hospitals.& Cljn- ics. Buffalo Hospital is a not-for- profit regional medical center com- Buffalo Hospital was ranked sicians, nurses and other health a free health-coachingprogram. third in tho ~ttl~ty or 42 Minne rJror4=~_~ional_~ from Alllna Medical "Uncontrolled high blood ores- a ,a IIasi Al Tke studyls author attributes the lower cost of health care found in some communi- ties to a more holistic approach to wellness that stresses preventative care and encourages strong rela- tionships between patients and and the care teams, visit