GIVING BACK THROUGH RESEARCH - EVERGREENHEALTH
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WI NTER 202 1
Giving Back Through
Research
EvergreenHealth Parkinson’s Disease Patient
Contributes to Clinical Trials
Page 10
Finding Joy in the Unexpected—
Compassionate Care in the NICU Page 4
EvergreenHealth’s Award-Winning
Musculoskeletal & Orthopedic Care Page 6
A Lifesaving Second Opinion—
EvergreenHealth Cancer Care Page 8
Continuing Our Legacy—
Partnering to serve our community with the highest
1
quality care, safety and service for nearly 50 years Winter 2021
Continuing Our
Legacy
Message from Melissa Lee, MD
EvergreenHealth Medical Director
the CEO of Critical Care
Welcoming a new year always gives us an Features
opportunity to reflect on our past milestones, while
Dear neighbors, 4 Finding Joy in the Unexpected
also envisioning what lies ahead.
The end of a year, and beginning of a new year, is a come before us, we remain committed to working with you to
Over EvergreenHealth’s history, there have been many occasions when we’ve 5 Caring from the Heart
time for a reflection. Understandably, most of us would like to help you attain your best possible health. Thank you for trusting
come together to support one another, strengthening our bond with each
forget much of 2020. in our ability to provide care for you in the pandemic and thank 6 Get to Know EvergreenHealth’s
other and the community we care for. Though perhaps no moment has been
you for all the support you have provided us in this time. Award-Winning Musculoskeletal
Just over a year ago, the world first learned of the novel as significantly unifying as the experience of facing COVID-19 together—first
coronavirus, SARS-CoV-2, that led us in to this worldwide On that note, I am excited to welcome you to our Winter from the frontlines of our critical care unit, to the many ways it’s touched our & Orthopedic Care
pandemic. As I reflect on 2020, I will remember how well 2021 issue of Monitor, which demonstrates how our culture community, and the world.
the staff of EvergreenHealth courageously and tirelessly continues to help us achieve renowned clinical outcomes and 8 A Lifesaving Second Opinion
All of us at EvergreenHealth share an overwhelming sense of gratitude for
responded to the virus. They did so while providing compassionate care for our patients. This issue highlights the
compassionate, high-quality care. I will remember the importance of strong and collaborative partnerships between
every physician, staff member and volunteer who remains fully dedicated 9 When Nurse Becomes Patient
to caring for our community under every circumstance. We are even more
amazing collaboration and teamwork required to solve the patients and physicians, and across our health system.
many challenging problems they faced. It is often the difficult
grateful for you—every single community member who has demonstrated 10 Giving Back Through Research
We also highlight our ever-growing research department, their commitment to staying safe and healthy by following the guidelines of
times of life that we remember most, especially if we are able
to overcome them.
which excelled this year in partnering with the National wearing a mask, keeping safe distances and making countless sacrifices in 11 Living Recovery
Institutes of Health to become the first site on the West Coast, nearly every aspect of your lives. The sacrifices you make not only allow us to
The staff of EvergreenHealth will remember the trials but they and the second site globally, to enroll qualifying patients in take care of patients in the best way possible, but also ensure they get the 12 Spotlight: Practicing Absolute Safety
will also remember with great pride that they were on the the first COVID-19 clinical trial. And, their work continues as resources needed for a chance to get better. at EvergreenHealth
leading edge of the response to COVID-19. A new year is also they contribute to additional COVID-19 research, and across
Looking forward into 2021, I’m particularly enthusiastic about unveiling 14 EvergreenHealth’s New Intensive Care
a time to look forward. The arrival of the vaccine in December many other disciplines.
our brand-new intensive care unit (ICU) later this spring. As we’ve seen this Unit Will Provide High-Quality
came with excitement, lifting our spirits in the hope that this
You will also find information about EvergreenHealth’s past year, and on many other occasions, the role of critical care is integral to Innovative Care to Our Community
would bring the beginning of the end to the pandemic.
commitment to safety during these evolving times, and the overcoming great challenges. When patients and families are receiving care in
May it be so.
comprehensive services that make up the Eastside’s premier our ICU, they are often facing a significant crisis—one perhaps shared by our 15 Welcoming New Providers
The theme of this issue of Monitor is “Continuing Our Legacy.” care, here on our Kirkland campus. community, like a pandemic or a disaster; or maybe one that is more personal.
Responding to the pandemic will certainly be part of the These are pivotal moments in which having access to the safest possible care
legacy of EvergreenHealth, and we are extremely grateful for
On behalf of all of us at EvergreenHealth, we are grateful for
environment and technology are imperative on their journey to recovery. In Every Issue
the honor to continue to serve as your inclusive community
the public’s support throughout this time.
health system. This year especially, we look forward to a That’s why our new ICU, which you’ll read about in this issue, will feature 2 Message from the CEO
Since 1972, EvergreenHealth has been committed to meeting happy and healthy new year, together. advanced, state-of-the-art technologies, which combined with our highest
our mission to “advance the health of our community through standards of care, create a thoughtful environment that promotes well-being, 16 Health Classes
Sincerely,
our dedication to high quality, safe, compassionate, and cost- service, safety for both patients and caregivers and most importantly, hope.
effective health care.” With your trust and partnership, we 18 EvergreenHealth Foundation
When families are in their greatest time of need, as so many have found
steadfastly pursue our mission by delivering safe, high-quality
themselves over this past year, we are humbled by the opportunity to become 20 EvergreenHealth News
care. Accomplishing our mission requires committed staff who
part of your journey. Our legacy of exceptional care and service guides us as
consistently demonstrate a culture of respect and compassion. Jeff Tomlin, MD
EvergreenHealth Chief Executive Officer we help support you, today and well into the future.
While much has changed in the last half century, our mission
and values have remained constant. And, like those who have
We invite your feedback and questions. Contact us at patientrep@evergreenhealth.com
2 EvergreenHealth Monitor Winter
Winter2021
2021 33
CONTI N U I NG OU R LEGACY CONTI N U I NG OU R LEGACY
Finding Joy in the Unexpected Caring from the Heart
Compassionate care in the EvergreenHealth NICU helps one family through hardship How one physician’s support changed a patient’s outlook on women’s care
Carolyn Kline, MD,
For many women, facing a hysterectomy is a life-altering
Eastside Maternal-Fetal Medicine decision. For Rowlanda Cawthon, Ed. D., that was no different.
perinatologist But when her first consultation at a different health system left
Anthony Tagavilla, MD,
her feeling unwelcome, she decided to look elsewhere for care. EvergreenHealth Obstetrics and
“Polly was an incredibly Gynecology physician
She was referred to Dr. Anthony Tagavilla, an OB/GYN with
strong and resilient EvergreenHealth Obstetrics and Gynecology Care, but she was
woman throughout her admittedly unsure what to expect. “It’s important to me to
entire pregnancy and particularly when meet my patients at their
we decided her baby needed delivery,” level of understanding and
Dr. Kline described. to never rush them to a decision,
especially one that involves surgery,” Dr.
On April 25, 2019, Hudson London Smith was born. Though
Hudson was only two pounds, he could breathe on his own,
Tagavilla shared. “I always want my patients
which was remarkable for a premature baby of his size. to have time to think about the decision
Polly and Chris Smith, with daughter Mya and son Hudson Over the next three months, Hudson grew in the
and ask me any questions. After all, we’re
EvergreenHealth Neonatal Intensive Care Unit (NICU). partners in care.”
Kenmore parents Polly and Chris Smith were shocked, but
delighted, to learn they were expecting a second child—a “One of us would stay with Hudson during the day, while the
Before her procedure, Cawthon and Dr. Tagavilla met one
sibling to their 12-year-old daughter. other took care of our daughter. We’d meet at the hospital and
last time.
have dinner as a family. Then, we’d switch shifts overnight and
But when Polly developed preeclampsia, the couple was do it again,” Polly said. “What I valued most is that he said, ‘Sister, if you wake up
concerned for Polly and the baby’s safety. Polly partnered with
the morning of your surgery and you feel like this is not
her care team to regularly monitor her blood pressure and
“The nurses and doctors were incredible. going to work for you, don’t hesitate to call me and cancel.
communicate any abnormalities. Rowlanda Cawthon, Ed. D., EvergreenHealth Obstetrics and
Gynecology Care patient It’s a life-changing decision—physically, mentally and
“Preeclampsia usually presents as high blood pressure in
They never made us feel like we were a spiritually. You need to take the time to work through it,’”
expecting mothers whose blood pressure has been normal. burden. We were always aware of Hudson’s Cawthon recalled.
It’s becoming increasingly more common due to its risk factors progress, and his care team was always there “I’ll be honest: I had reservations because he
Together, they opted for a minimally invasive laparoscopic
becoming more prevalent amongst women,” explained
to sit with us one-on-one to answer all our is a man,” Cawthon shared. “But since day surgery, allowing for an easier path to recovery.
Dr. Carolyn Kline, Polly’s perinatologist who practices with
questions. The staff became our extended one, Dr. Tagavilla broke down my biases.”
Eastside Maternal-Fetal Medicine at EvergreenHealth, which “He doesn’t just listen with his ears; he listens with
is one of the only programs on the Eastside to offer high-risk family,” Chris shared. Dr. Tagavilla made a point to understand Cawthon’s medical
his heart, and he’s one of those rare people who truly
pregnancy care. understands your experience. This is what women need: to
and personal history. During their conversations, he often
feel that there’s a genuine concern for our well-being—and
Polly was admitted to EvergreenHealth’s Obstetric Emergency Eventually the Smiths returned home with a healthy baby, illustrated what he observed—drawing what would happen
Dr. Tagavilla exemplifies that,” Cawthon said.
Department at 26 weeks gestation. Two weeks later, Polly’s who is now a rambunctious toddler. during the procedure, giving Cawthon the opportunity to
care team performed an emergency C-section to keep her and visualize her procedure’s intricacies.
the baby safe. “Hudson is our miracle baby and he’s here thanks to our
thoughtful and compassionate care team at EvergreenHealth,”
Polly and Chris added.
4 EvergreenHealth Monitor Winter 2021 5
CONTI N U I NG OU R LEGACY CONTI N U I NG OU R LEGACY
Get to Know
EvergreenHealth’s Award-Winning Musculoskeletal & Orthopedic Care
Our renowned team is leading the way with the latest technology,
treatment and innovations for musculoskeletal and orthopedic care
High quality. Personalized. Innovative.
EVERGREENHEALTH DEYOUNG PAVILION
Those are some of the ways patients visiting Mark Freeborn, MD, Chief Surgeon,
EvergreenHealth Orthopedic Care describe the EvergreenHealth Orthopedic Spine Surgeon
collaborative, comprehensive care offered by our SECOND FLOOR
team of renowned specialists.
“It is truly an honor to work Rehabilitation Services
From spinal and orthopedic surgeons, physiatrists and alongside an elite group EvergreenHealth DeYoung Pavilion
podiatrists, to interventional pain physicians, radiologists, THIRD FLOOR
of providers who share a Comprehensive Care Under One Roof
and rehabilitation therapists, more than 20 fellowship-
Neurological Care
trained physicians offer the latest technology and advanced vision for improving our patients’ Located on the EvergreenHealth campus in Kirkland, the
approaches for treating pain from injuries, chronic conditions lives with personalized, innovative DeYoung Pavilion provides patients with the convenience of FOURTH FLOOR
or simple wear and tear, from a single location in the DeYoung complementary services in one location. The space not only
Pavilion on the EvergreenHealth campus in Kirkland.
treatment options. The complementary Orthopedic & Sports Care
offers continuity between services, but also provides ease of
services within our practice allow us to access for patients and families, and promotes collaboration Foot & Ankle Care
The practice’s team of experts use the latest diagnostic tools
to pinpoint the root cause of pain, and then design effective
enhance the ways we innovate in the areas between provider teams and their patients. EvergreenHealth Interventional Spine Care
of patient care, treatment and experience— Neuroscience, Spine & Orthopedic Institute spans four levels
treatment programs, which may include non-surgical FIFTH FLOOR
of the building, including two floors dedicated to the system’s
options, such as physical therapy, medical management, all of which work together to create musculoskeletal and orthopedics practices, which feature:
massage therapy and acupuncture. Or, if surgery is necessary, Sport & Spine Care
EvergreenHealth surgeons are regional leaders in minimally
exceptional care.”
> 51 exam rooms Spine & Neurosurgical Care
invasive, robotic and computer-assisted surgical techniques. > 6 pre- and post-procedure rooms
> 3 procedural rooms EvergreenHealth Orthopedic Care is focused on offering an
John Manning, MD Jeff Stepanian, PA-C > 2 imaging centers extraordinary level of care. To schedule an appointment or
As a past collegiate Jeff Stepanian, PA-C, receive a referral, visit www.evergreenhealth.com/ortho
athlete himself, Dr. is well-known across or call 425.899.3000.
Continuously Investing in Manning knows how the region for his
Experts in Leading-Edge Surgical Techniques
Innovative Expertise to care for patients at the top of their expertise in building programs and
EvergreenHealth orthopedic surgeons have trained at some
game, as well as patients new to their services to meet the evolving needs
More than 20 best-in-class, highly specialized physicians of the most prestigious fellowships in the country, and
sport. His expertise is ensuring access and preferences of orthopedic care
come together to work collaboratively with you to reach to quality orthopedic care for athletes patients. In the clinic, he specializes are leaders in combining minimally invasive surgery with
your health goals. As we continue to expand our team, we of all levels. in hip conditions, knee conditions, computer navigation techniques to provide even greater
look forward to welcoming additional providers in 2021 minimally invasive hip and surgical precision. Orthopedic Care Earns Five
who will contribute to offering new, effective orthopedic He specializes in sports medicine, knee replacement surgeries and knee
minimally invasive shoulder, hip and The keys to successful minimally invasive surgery are the tiny, Stars from Healthgrades
care programs. computer navigation.
knee surgeries, cartilage restoration, robotic instruments and the advanced training of our surgeons.
sports and overuse injuries, fracture He is board-certified by the National Healthgrades regularly recognizes
To learn more about EvergreenHealth They also use GPS technology, similar to what you have in your
care and non-surgical treatment Commission on Certification of EvergreenHealth’s Orthopedic Care team for
Orthopedic Care’s experts, visit Physician Assistants, and he enjoys car, and 3D computer images to help your surgeon move the
options. He is also well-trained in the its excellence in hip and knee replacements.
www.evergreenhealth.com/orthopedic-experts. focusing on his patients’ care instruments with more precision.
most modern biologic and surgical
treatments, and incorporates a holistically. In addition, he has
EvergreenHealth is among the few health systems to combine
multifaceted approach including received the Seattle Met Top Physician
Assistant Award four times since 2016. both technologies, providing patients with the precise
nutrition and exercise optimization.
alignment of computer-navigated surgery and the comfort and
easier recovery of minimally invasive surgery.
6 EvergreenHealthMonitor
EvergreenHealth Monitor Winter 2021 7
CONTI N U I NG OU R LEGACY CONTI N U I NG OU R LEGACY
A Lifesaving When Nurse Becomes Patient
Second Opinion After a routine check-up revealed cause for concern, Lindsay Hanculak
sought care from the best team she knew
Redmond resident Debbie Kirchner knew something wasn’t right, For more than 12 years, Lindsay Hanculak has worked
so she turned to the care team at EvergreenHealth as a nurse in EvergreenHealth’s Kirkland Emergency
Department. In 2018, she found herself not only caring for
Ever since Debbie Kirchner was a girl, she’s lived with Dr. Hakkarainen arranged for a chemotherapy port to
others but becoming a patient herself.
Hashimoto’s, an autoimmune disorder that attacks the be implanted and Kirchner began working with Dr. Tim
thyroid. It had become a regular part of her life, taking Carlos, a medical oncologist with EvergreenHealth’s After receiving concerning bloodwork results that indicated
hormones daily and attending regular check-ups. Cancer Program—a partnership program abnormalities with her parathyroid, Hanculak scheduled
between EvergreenHealth and Seattle an appointment with EvergreenHealth specialist Dr. Timo
That was until Kirchner felt a particularly large lump in her
Cancer Care Alliance, located on the Hakkarainen.
throat. After an initial consult with another provider, she read
EvergreenHealth Kirkland Campus.
outstanding reviews for EvergreenHealth endocrine surgeon Not only had Hanculak witnessed Dr. Hakkaranien’s
Dr. Timo Hakkarainen, and she scheduled an appointment Timothy Carlos, MD,
exemplary patient care first-hand, she was also impressed
for a second opinion. Seattle Cancer Care Alliance that he’s one of only three fellowship-trained endocrine
at EvergreenHealth surgeons in Washington state.
“Part of my practice involves performing diagnostic
“Debbie came to me prepared ultrasounds at the bedside, which is not always done for
with insightful questions and we’ve formed hyperparathyroidism,” Dr. Hakkarainen explained. “For
a great partnership,” shared Dr. Carlos. Lindsay, we were able to detect a large nodule on her Lindsay Hanculak, EvergreenHealth Surgical Care patient, EvergreenHealth
Emergency Care nurse
thyroid during her first consultation. I was concerned that
“What’s unique about our cancer care is her parathyroid problem was now secondary, and I was
when patients have a rare form of cancer, “Dr. Hakkarainen has been an amazing partner
concerned she had thyroid cancer.”
like Debbie’s, we’re able to collaborate with and supporter. Not only does he make his
A biopsy confirmed their suspicions; the 38-year-old
innovative cancer centers in the U.S. to learned she had papillary thyroid cancer. Within days,
patients feel cared for clinically, he also deeply
better care for our patients.” Dr. Hakkarainen performed a total thyroidectomy, cares on an emotional level, too.”
meticulously freeing Hanculak’s laryngeal nerve—
Between rounds of chemo, Kirchner saw her care team which helps control speaking and swallowing—from Hanculak was thrilled to learn her surgery was a success.
daily for immune-boosting shots, where they made sure the tumor’s grip. Though her life is different without a thyroid, experiencing
she felt her best—whether she needed water, someone to a few common side effects is a small price to pay for living
talk to or a place to lie down. without cancer, she says.
Debbie Kirchner, EvergreenHealth Cancer Care patient
“Because the lump had grown quite rapidly and an initial
“Throughout the entire process, I realized Timo Hakkarainen, MD,
biopsy returned with abnormal cells, I had a suspicion for EvergreenHealth Surgical Care
potential thyroid lymphoma, even though it’s rare,” Dr. how lucky I was to have a support group – Did You Know?
Hakkarainen explained. doctors, nurses, food staff and technicians. “Lindsay came to me at the right Dr. Hakkarainen and the team at
EvergreenHealth are among the few providers who
The tumor was attached to an area where damage could leave While I was blessed to have the support of time,” Dr. Hakkarainen shared. offer two innovative, minimally invasive surgical
her with a paralyzed vocal chord and voice changes. Though it my family and friends, I also had a class act, “Thyroid cancer can often be symptomless techniques that leave no visible or hidden scars for
took nearly three more hours than an average thyroidectomy,
surgery was successful.
transparent care team by my side.” and it’s becoming increasingly more common some patients undergoing thyroid surgery.
Learn more at www.evergreenhealth.
However, Dr. Hakkarainen was right. Kirchner was diagnosed
in the U.S.”
Kirchner is now cancer-free. She visits EvergreenHealth com/surgical-clinic.
with Burkitt’s lymphoma, a rare cancer that impairs immunity routinely for check-ups, takes thyroid hormones and is
and is sometimes fatal. It was an oncologic emergency. learning to enjoy her newly found lifestyle as a retiree
8 9
in Redmond.
EvergreenHealth Monitor Winter 2021
CONTI N U I NG OU R LEGACY CONTI N U I NG OU R LEGACY
Giving Back Through Research Living Recovery Then came another discovery. She learned she was six weeks
pregnant. Already a mother of two, she had previously lost
custody of her son and daughter and she knew this time needed
After a diagnosis confirmed Parkinson’s Disease, How Ashley Brown-Smith ended her to be different.
Eric Singsaas knew he wanted to contribute to EvergreenHealth clinical trials uphill battle with addiction “I was so scared, but I wanted to change so badly. I knew I couldn’t
keep doing this and I desperately wanted my baby to be born
healthy,” Brown-Smith described.
For years, Eric Singsaas thought his right arm tremor was the
result of enjoying one too many cups of coffee. Singsaas didn’t allow his diagnosis to hinder his positive spirit. Within a week, Brown-Smith checked into The Recovery Center
“It’s ominous to hear that you have a neurodegenerative disease— at EvergreenHealth Monroe, where one of their specialties is
But when his wife, Vickie, asked why he was shaking at church providing treatment for pregnant women with substance use
your mind can go to dark places,” he shared. “But I’m blessed to
one morning, it was a sign that he needed to see a physician. disorders.
have the love of an amazing woman and knew right away
They met with neurologist Dr. Pinky Agarwal, who specializes I wanted to participate in research.” Though she’d been to rehab programs before, she felt like The
in movement disorders at EvergreenHealth’s Booth Gardner Recovery Center care team understood her like others hadn’t. She
Parkinson’s Center. After a series of tests, Vickie asked, “Does Pinky Agarwal, MD, could relate on a personal level with her counselors and connect
EvergreenHealth Neurological care,
he have Parkinson’s disease?” Being a hospice nurse, she was with other patients.
Booth Gardner Parkinson’s Center
accustomed to seeing patients with Parkinson’s disease at
their worst.
“Clinical trials can be Doug Benecke, Outpatient Counselor,
Dr. Agarwal was straightforward. “Yes, you do,” she said to Eric.
challenging, but Eric EvergreenHealth Monroe Recovery Center
“But early identification helps manage the disease’s better.”
understood the rationale
“The remarkable thing
behind the studies and was eager to Ashley Brown-Smith, EvergreenHealth Monroe Recovery Center patient,
about Ashley is that she
help us understand if a clinical trial may with daughter Journey and son Braden
was motivated and took our
alter the progression of the disease,” Ashley Brown-Smith was just 17 years old when she began
struggling with substance use and addiction after the death advice to heart,” said Doug Benecke,
Dr. Agarwal explained.
of her father. Brown-Smith’s outpatient counselor.
Currently, he’s enrolled in PROSEEK, a double-blind, placebo- What started with alcohol progressed to drugs, and by her 30s, “There are different pathways to recovery
controlled study for newly diagnosed patients. He has a 33% she’d been arrested more than 50 times for crimes to support her and Ashley has forged her own through
chance of receiving the medication being studied to help treat drug addiction. At the same time, she’d made repeated attempts
the disease. to get clean, but each time returned to using.
community-based support groups, a
commitment to herself and self-exploration.
“Parkinson’s is a part of who I am, I’ve “I felt like I could manage it; like I could We are very proud of her.”
accepted it. But I want to help contribute to start and stop when I wanted. But I just
In August 2020, Brown-Smith delivered a healthy baby girl,
research so someone else doesn’t have to didn’t realize how bad addiction could get,” Journey Rose, and she’s living well from a new apartment that all
Eric Singsaas, EvergreenHealth Neurological care patient, with wife Vickie go through what I have,” Singsaas said. Brown-Smith shared. three of her kids call home.
Dr. Agarwal went on to explain EvergreenHealth’s clinical “I couldn’t be where I am without The Recovery Center,” Brown-
Singsaas’ trial ends in July 2021 and he’s looking forward to the In December 2019, she was homeless and living without shelter Smith shared. “I actually feel like I changed; I became a better
trials cater to patients who have recently been diagnosed with
possibility of joining more research. In the meantime, he enjoys in the woods when something within Brown-Smith changed. woman, mother, friend—one step at a time.”
Parkinson’s disease to those with more advanced motor and
walking his dog, Cooper, in their Sammamish neighborhood, and “It just felt like the end of the end. I was so done,” she described.
non-motor symptoms and provide innovative treatment options
spending time with Vickie and their five children.
to improve quality of life.
In 2020, more than 2,200 patients scheduled an appointment
10 EvergreenHealth Monitor
with EvergreenHealth Research Services.
Winter 2021 11
CONTI N U I NG OU R LEGACY CONTI N U I NG OU R LEGACY
as important to preventing a similar safety event in the
future. Each event is examined with an in-depth analysis
to inform even safer policies. SafeLinQ submissions aren’t
negative or punitive. Rather, they help us learn and
provide even safer care.
Q: How is safety measured?
Practicing Absolute Safety A: Safety is commonly measured with qualitative and
quantitative data and through clinical outcomes.
at EvergreenHealth Healthgrades and other organizations provide patients
with information about how the safety of a health care
system compares to others across the nation. Our
EvergreenHealth Chief Medical and Quality Officer Dr. Ettore Palazzo unwavering diligence to sustain an environment of
shares how the health system, along with patients and families, support a culture absolute safety has helped us achieve recognition as a
Healthgrades Top 100 hospital, as well as earning an
of safety, now and always “A” rating for outstanding patient safety from The
Leapfrog Group.
Ettore Palazzo, MD, Q: How has EvergreenHealth maintained its commitment to 100% Safe. Always.
EvergreenHealth Chief Medical and Quality Officer safety throughout the response to COVID-19? As we continue our response to COVID-19, we
A: Ensuring our patients’ safety is ongoing and constant. We also continue our commitment to safety every day
and night, to protect our families, our patients
EvergreenHealth embraces our responsibility to be experts in delivering safe care—it’s part of our
were ready to respond to COVID-19 because of the
organizational culture and one of the many ways in which we live our values. and one another.
strength of our systems and protocols. Now, safety
Dr. Ettore Palazzo leads clinical quality and safety at EvergreenHealth, overseeing quality and continues to be vitally important—from the way we 100% Safe Always reminds us to keep our safety
regulatory work, infection control, risk management, pharmacy, medical staff services and meticulously don and doff our personal protective precautions top of mind with videos, signage,
hospitalists and intensivists services. Dr. Palazzo joined EvergreenHealth in 2003 and served as equipment (PPE), to our standard screening procedures education and other resources, all related to
an internal medicine hospitalist physician before becoming Quality Medical Director, and later for everyone entering any of our locations, our common, and crucial, COVID-19 safety topics—
expanding his quality work as the system’s Chief Medical and Quality Officer. commitment to absolute safety leads us in our response. including our visitor policy, safe distancing,
Monitor sat down with Dr. Palazzo to learn about EvergreenHealth’s culture of safety. Q: What role do patients and families play in masking, how to have challenging conversations,
and many other important topics that require our
To read the full interview, visit www.evergreenhealth.com/absolute-safety-qa. EvergreenHealth’s culture of safety?
daily attention and commitment to the safety and
A: Patients are the most important member of the health care of our community.
care team. They help ensure safety by being informed and
Q: What does safety in health care mean? Q: How does EvergreenHealth invest in safety? involved in their care. We encourage patients and families
Together we continually renew our commitment
to protect one another—at work, at home and in
A: The terms “safe” and “safety” are used frequently in A: Two of the areas where we continually invest in safety to play active roles by asking questions about their
our community. Every person, every safety action,
health care. Keeping patients safe starts with basic safety are with our people and our technology. It involves general health or condition. Research shows that patients
every time.
initiatives, like ensuring our waiting areas are kept providers who work on the frontlines with our patients, who are engaged in decisions about their own health care
impeccably clean, that patients seeking care are and teams who work behind the scenes. Everyone is are more likely to get better faster.
properly triaged, that systems are in place for accurate responsible for safety, which is why we ensure our teams
EMR documentation and that staff and providers are have the education, tools and commitment to uphold
properly educated to provide the best care. All of these safety without exception.
are supremely important, though safety goes beyond Leapfrog’s Hospital Safety
We are also dedicated to the systems, technologies and
basic protocols. Safety also includes more complex Grade report scores more
protocols that represent the latest developments in safety
initiatives, like providing patients the right level of care than 2,600 hospitals, assessing how well they keep
initiatives. SafeLinQ is a digital tool that empowers all
at the right time. patients safe from errors, accidents and infections.
staff to report a safety event, such as a patient fall or
EvergreenHealth is one of only 18 hospitals in
staff injury, or something that could have resulted in a
Washington to achieve an “A” rating this fall.
safety incident. We believe these “near misses” are just
12
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2021 13
CONTI N U I NG OU R LEGACY CONTI N U I NG OU R LEGACY
Welcoming New Providers
EvergreenHealth’s New Intensive Meet the newest physicians to join EvergreenHealth Medical Group
Care Unit Will Provide High-Quality,
Innovative Care to Our Community
John Dockins, MD, FACS, FASMB Lisa Miller, ARNP
EvergreenHealth Weight Loss & EvergreenHealth Primary Care,
Bariatric Care Monroe
Jinat Parveen, MD
Opening in spring 2021, the new ICU will provide space for patients and their families Dr. Dockins is fellowship
EvergreenHealth Primary Care,
Lisa Miller, ARNP is a
Canyon Park
to receive care in a modern environment that supports compassionate, trained and board-certified family nurse practitioner at
in obesity medicine and general surgery, and EvergreenHealth Primary Care in Monroe and
Dr. Parveen specializes in
high-quality care in their greatest time of need has clinical experience with morbid obesity, Sultan. She specializes in women’s health and
pediatric medicine and enjoys
obesity-related diseases, and minimally invasive is passionate about empowering her patients
partnering with her patients’ families to help
Caring for our most critically ill patients with nationally Opening this spring, the new 20-bed ICU will be located on the bariatric surgery. He believes that to be a skilled through proper education so they can make the
improve chronic and acute problems in order to
recognized critical care is central to our legacy of service to third floor of the Silver Tower on EvergreenHealth’s Kirkland bariatric surgeon, he must be fully invested best decisions for their unique health needs.
make positive changes in their lives and overall
our community. medical center campus—where we can better provide safe in all aspects of weight loss and the
health. She speaks English and Bengali and is
care in the most advanced healing wellness journey.
board-certified in family medicine.
When EvergreenHealth began our response to COVID-19,
environment.
plans were already underway to expand and relocate our
intensive care unit (ICU). Our brand-new ICU will combine Melissa Lee, MD,
The Power of
Jeremiah Pamer, DO
the highest standards of care with advanced state-of-the- EvergreenHealth Critical Care EvergreenHealth Primary Care, Ingrid Van Swearingen, MD Preventive Care
Medical Director Redmond EvergreenHealth Primary Care,
art technologies, to create a thoughtful environment that Canyon Park
Preventing injuries and illnesses
promotes well-being, service and safety for patients and detecting diseases early are
and caregivers. “Our ability to quickly Dr. Pamer specializes in
Dr. Van Swearingen’s practice essential to optimizing your health
preventive care and focuses
adapt is crucial to on acute illness and chronic pain, including is focused on understanding and living well. By partnering with
her patients’ health in the larger context your providers to stay up-to-date
Coming Soon: providing critical care, and treatment for joint pain, and osteopathic
of their lives, and partnering with them on
musculoskeletal manipulation, skin biopsies on regular wellness checks and
A Re-Envisioned Family these renovations help us plan for the and treatment of other skin maladies. He is a individualized plans for diagnosis, treatment
recommended screenings, you
and follow-up, rather than a one-size-fits-all
Maternity Center future by building in the flexibility to firm believer in partnering with his patients
declaration, while still remaining informed by
not only increase your chances of
and involving them in all aspects of care
Renovations are slated to begin integrate new systems and equipment, evidence-based science and national guidelines. catching potential problems, but it
planning and decision-making.
summer 2021 also can significantly reduce your
without adding complexity to the patient’s health care costs.
Families have continually embraced EvergreenHealth’s bedside or requiring further renovations.” Hoda Samia, MD
Paul Boone, MD
Family Maternity Center for its exceptional care and
Dr. Melissa Lee, EvergreenHealth Medical EvergreenHealth Primary Care, EvergreenHealth Primary Care, Looking for a Doctor?
family-centered approach. That’s why we’re excited to Sammamish Canyon Park
Let us help. Call EvergreenHealth’s
announce new upgrades to the unit, which will help us to Director of Critical Care
Dr. Samia is board-certified Nurse Navigator & Healthline
continue to provide high-quality, safe care for welcoming Dr. Boone brings a breadth of
in family medicine and speaks at 425.899.3000 and we’ll be
new babies. The new ICU creates intentional spaces within patient rooms, knowledge in family medicine,
preventive medicine, chronic disease and both English and Arabic. She cares for family happy to refer you to a provider or
and across the unit, that welcome and include families in their
New FMC enhancements will include: common procedures to EvergreenHealth’s members of all ages and specializes in adult specialist who meets your needs
loved one’s care, with private consultation rooms for families to
> Renovations to the unit’s birthing suites, with two full floors Sammamish primary care practice. Dr. Boone medicine, women’s health and preventive care. and preferences. Or, visit online at
gather as a group, seek solitude or talk with their clinical team.
dedicated to mothers and babies has practiced medicine for more than 20 www.evergreenhealth.com/find-
> A brand new OB emergency department (ED), offering direct years and originally decided to pursue family a-doctor where you can read more
access to private triage and treatment rooms Recognized for Excellence in Critical Care medicine because of his passion for about our physicians’ philosophies
> A redesigned entrance and lobby, adjacent to the OB ED to Healthgrades regularly recognizes EvergreenHealth’s Critical working with people.
and their patient reviews.
warmly welcome laboring mothers and families efficiently Care team among the top 10% of hospitals nationwide.
and comfortably
14 EvergreenHealth Monitor 2021
Winter 2021 15
H EALTH CL ASSES H EALTH CL ASSES
Register for Classes Online or By Phone
Due to COVID-19, many classes are being held virtually in lieu of an For your convenience, you may register and pay for classes 24/7 online at www.evergreenhealth.com/classes.
in-person format. Please call the EvergreenHealth Nurse Navigator & Healthline at 425.899.3000 You may also call the EvergreenHealth Nurse Navigator & Healthline at 425.899.3000, Mon. – Fri., 7 a.m. – 7 p.m.
or visit www.evergreenhealth.com/classes for help with questions about a specific class. Pre-registration is required for all classes. Checks, VISA and MasterCard are accepted. Refunds and rescheduling will only be
given for cancellations two business days prior to the class. Let us know if you need special accommodations to participate.
FREE SEMINARS SENIOR HEALTH CLASSES SENIOR HEALTH CLASSES CHILDBIRTH PREPARATION CHILDBIRTH PREPARATION BABY CARE, SAFETY & PRESENTATIONS SUPPORT GROUPS
CONTINUED CONTINUED PARENTING CONTINUED
Fall Prevention In addition to the classes offered For class dates and times or to Medical Marijuana Bosom Buddies Breast Cancer
This class offers information at EvergreenHealth Medical Home Sweet Home register for classes, go to www. Delivery Day for Multiples Screen Savvy Parenting Jan. 23 from 10:00-11:00 a.m. Support Group
about strategies for staying Center, we offer classes and health Learn more about the various evergreenhealth.com/birthing- This class covers information Meets every third Wednesday,
Labor Coping Skills Review Combating Chemo Brain
safe, active and independent. screenings at other convenient senior housing options classes or call the EvergreenHealth on how screen time affects 9:30 – 11:30 a.m.
HypnoBirthing Feb. 9 from 6:30-7:30 p.m. S
Falls are quite common in community locations. Visit available and what’s right Nurse Navigator & Healthline children’s growth and
Breast Friends Breast Cancer
adults ages 65 and older for you. Conscious Fathering development. We’ll explore Chair Yoga
www.evergreenhealth.com/ at 425.899.3000. Support Group
but fortunately, they are interactions on children ages Feb. 16 from 6:30-7:30 p.m.
classes for class schedules and Register early Fit4Baby Program Meets every third Tuesday,
NEUROLOGICAL & MOVEMENT birth to five, share best practice
preventable. You can also locations. during your Transitioning into Survivorship 6:30-8:30 p.m.
DISORDERS Yoga for Pregnancy recommendations and solutions
watch previously recorded pregnancy, as Feb. 17 from 9:30-10:30 a.m. &
classes here: I See What You’re Saying for common challenges. GI Cancer Support Group
EvergreenHealth Neurological classes fill quickly. Pelvic Health Class Feb. 17 from 6:30-7:30 p.m.
www.evergreenhealth.com/ (Using Visual Cues To Meets every first Wednesday,
Care offers classes and support Toddler Talk Spring Cleaning & Cancer:
balance-fall-prevention. Maximize Communication Journey to Birth BABY CARE, SAFETY & 6:30-8:00 p.m.
groups to aid patients living with Join us virtually to share about Renewing Our Spirits
Success) PARENTING the joys and challenges of Living with Cancer Support
Weight Loss and Bariatric Care a variety of neurological diseases Family Maternity Center March 2 from 6:30-7:30 p.m.
This class explores techniques parenting a toddler. Designed Group
Seminar and movement disorders. Tour
for improving communication Car Seat Safety for parents of toddlers from 15 Navigating Your New Normal Meets every second Tuesday,
Bariatric Care Support Group Parkinson’s Carepartner This free, 20-minute tour is
skills, understanding lip-reading Car Seat Checkup months through 3 years old, After Cancer 6:30-8:30 p.m.
Support Group currently offered via YouTube
Type 2 Diabetes Support Group basics and maximizing your Contact Healthline for virtual this Parent Baby education March 3 from 6:30-7:30 p.m.
during the pandemic. Living with Metastatic Cancer
This class will be held virtually hearing in noisy places for those Women Living With and in-person options. and support group format will Life in Survivorship
Meet A Midwife Support Group
and in-person on the first that are hearing-impaired. Parkinson’s include questions and answers March 10 from 6:30-7:30 p.m.
Infant Safety and Injury Meets every second & fourth
Thursday of each month from Manage Your Blood Pressure Delivery Day – Birth and on: development, discipline, Saturday, 10:00-Noon.
Neuro-Nutrition Class Prevention Palliative Care: A Component
5:30-7:00 p.m. Through Nutrition Beyond feeding, sleep, potty readiness,
From-The-Ground-Up Day About Baby of Cancer Treatment Oral Head and Neck Cancer
tantrums and more.
WELLNESS & HEALTHY LIVING Laughter Yoga Strength and Flexibility During COVID-19, Delivery Day April 10 from 10:00-11:00 a.m. Support Group
offerings have changed. Please Breastfeeding Basics and
CANCER CLASSES Addressing Fears of Recurrence Meets every second Wednesday,
What You Need to Know Five Wishes Living Well After Stroke contact the Healthline or visit Beyond
April 13 from 6:30-7:30 p.m. 6:30-8:30 p.m.
About Stroke Five Wishes is an easy-to-use For more information, email www.evergreenhealth.com/ Pumping Class Cancer Lifeline at EvergreenHealth
legal document that shows stroke@evergreenhealth.com. birthing-classes for the most Genetic Testing for Prostate Lung Cancer Support Group
How Dietary Antioxidants continues to support patients
loved ones how a person wants updated information. Bringing Baby Home Cancer Meets every first Tuesday,
Can Support Immunity Evergreen Men’s Parkinson’s and caregivers during these
to be cared for, should they fall Workshop April 15 from 6:30-7:30 p.m.PRE- 6:30-8:o0 p.m.
Support Group Delivery Day for Teens and challenging times of COVID-19.
Healthy Meals Made Easy! ill. This class teaches you how Parent-Baby Groups Join support groups, classes and NEW Creative Outlets for
Eastside MS Self Help Group Young Adults
to complete this document and presentations online. Families with Children and
Prevention of Burnout for Contact Healthline at This Is Not What I Expected
gives you peace of mind in your Kirkland MS Self Help Group For a complete listing, visit Adolescents
Employees 425.899.3000 for more
medical care. Starting Solids CancerLifeline.org or call Meets every fourth Saturday,
Learn ways to cope and information.
decrease stress with a busy Breastfeeding Your Older 206.297.2500. 10:00-11:00 a.m.
work schedule before it leads to Baby Classes are available in the
burnout. areas of:
Baby & Family Boutique
Hormones: Menopause and Artistic Expression
Pre-Menopause For more information visit STRENGTH. DIGNITY. HOPE.
www.evergreenhealth.com/ Nutrition and Cooking
Visit www.evergreenhealth.com/
boutique. Exercise and Movement
classes for a full listing of classes,
Denotes virtual class meeting > Gentle Yoga
descriptions, dates and times. > Vital Moves
> Qigong
Stress Reduction &
Relaxation
16 EvergreenHealth Monitor Winter 2021 17
EVE RGR E E N H EALTH FOU N DATION EVE RGR E E N H EALTH FOU N DATION
Building the
ICU of the Future
Built in the 1970s, EvergreenHealth’s Intensive Care
Monroe’s Blue
Unit (ICU) has taken care of the sickest, most vulnerable
patients in our community for nearly 50 years. In need of a
transformation, construction began to relocate and renovate
the ICU in spring 2020, unexpectedly coinciding with the
Jeans & Boots Gala
Celebrating
COVID-19 pandemic. As it turns out, a global health crisis
waits for no construction timetable.
Goes Virtual
20 Years of the Evergreen Gala Along with many other organizations in 2020,
EvergreenHealth Monroe Foundation pivoted
away from our annual Blue Jeans & Boots
Save The Date for April 19-25, 2021 country themed in-person gala. Instead,
The Foundation hosted a week-long,
virtual program that ran from
Sept. 14 through Sept. 19.
as EvergreenHealth Foundation celebrates its Hospital staff, leadership,
20th Anniversary Evergreen Gala community members, patients
and sponsors, which included
small local businesses, came
together to make the event
This year’s annual gala is a benefit a huge success. The gala featured a video that highlighted
for EvergreenHealth and the NICU All are invited to participate, support and celebrate! With all EvergreenHealth Monroe’s response to the COVID-19
Enhancement Project and is our biggest elements online—the auctions, the red carpet, photobooth, pandemic and was shared widely in Snohomish County. The
fundraiser of the year. The virtual, week- cocktail hour with John Howie—there’s no reason not to join EvergreenHealth’s new ICU under construction event also featured a robust silent auction where hundreds
long campaign will highlight 20 years of in! You won’t want to miss the incredible program we are of bids were placed in support of the gala’s beneficiary.
EvergreenHealth’s ICU became the center of the fight
Gala success, our wonderful doctors and staff and will planning. As a special highlight, the virtual after party will against COVID-19 when the health system became the The virtual gala, presented by Coastal Community Bank,
showcase video stories of our patients and families. feature music from EvergreenHealth’s own “Doc Band”! It will first hospital in the country to lead a cohesive response to has raised nearly $145,000 and that number is still growing.
be the best Gala yet! a community-based outbreak of COVID-19. The ongoing The Foundation has already deployed funds raised to purchase
Gala support for the NICU Enhancement Project ensures
EvergreenHealth will continue to provide the highest quality pandemic reminds us that the strength of our community’s 24 personal respirators, known as CAPRs, for our frontline staff.
care in a thoughtful environment to our tiniest patients who health care affects us all. This and other future investments are only made possible
require specialized care. Want to Know More? through the generosity of our donors who continue to make
With the community’s support we will build the ICU of the
For more information on how to get involved, a lasting impact on EvergreenHealth Monroe. The success of
Community partners have come together to donate auction future—an expanded 22,000 square-foot unit, located at the
contact Shauna Smith, the Foundation’s this reimagined virtual event is a testament to the incredible
items and help EvergreenHealth Foundation create a platform heart of the hospital, that prioritizes patient safety and care
Corporate Relations and Events Officer, at philanthropic support from our community.
where the whole community can join and support. with the addition of state-of-the-art technology and medical
smsmith@evergreenhealth.com or (425) 899-1908.
equipment. With this new, upgraded facility, scheduled Thank you for continuing to support
to open to patients in spring 2021, we will be prepared for
whatever comes our way next, ensuring we can continue to
EvergreenHealth Monroe!
serve the families in our community for the next 50+ years.
Invest in what matters most—the future of health care in our
community—and make a gift today. Follow the construction
progress and learn how you can support this project at
www.evergreenhealthfoundation.com or by contacting
Megan Whitman at mmwhitman@evergreenhealth.com.
18 EvergreenHealth Monitor Winter 2021
Winter 2021 1912040 NE 128th Street
Kirkland, WA 98034
www.evergreenhealth.com
For more information, contact
EvergreenHealth by email at
patientrep@evergreenhealth.com,
or call the 24/7 Nurse Navigator
& Healthline at 425.899.3000.
EVERGREENHEALTH
Healthgrades EvergreenHealth BOARD OF COMMISSIONERS
Names Receives Primary
TIM MCLAUGHLIN, CHAIR
EvergreenHealth Plus Stroke Center Redmond/Sammamish
As One of (PSC+) Certification MINERVA BUTLER, SECRETARY
America’s 100 Best for Excellence At-Large
Hospitals for Specialty Care in Stroke Care AL DEYOUNG
EvergreenHealth has once again been named EvergreenHealth was recognized as Bothell/Duvall/Woodinville
among America’s 100 Best™ hospitals in five a Primary Plus Stroke Center (PSC+) DAVID EDWARDS
specialty areas by Healthgrades, the leading Certification from DNV-GL Healthcare, At-Large
resource that connects consumers, physicians a world-leading certification body for REBECCA HIRT
and health systems. EvergreenHealth hospitals and health systems. To be Kirkland/Kenmore
earned recognition for excellence in stroke recognized with PSC+ status, health systems CHUCK PILCHER, MD
care, pulmonary care, gastrointestinal must demonstrate excellence within a At-Large
care, general surgery and critical care, as range of quality and safety requirements.
VIRGIL SNYDER
part of Healthgrades’ 2021 Report to the EvergreenHealth’s state-of-the-art standards At-Large
Nation. Annually, Healthgrades evaluates for thrombectomies, hemorrhagic care, brain
You may contact the
hospital performance among nearly 4,500 aneurysm management and commitment
Commissioners by email at
hospitals across the country and ranked to providing the highest quality stroke care CMScairpon@evergreenhealth.com.
EvergreenHealth among the top 2% of made this certification possible.
hospitals in the nation in four key areas of EDITOR
specialty care. EvergreenHealth Marketing
and Public Relations Group and
Firmani + Associates Inc.
PHOTOGRAPHY
FACEBOOK YOUTUBE INSTAGRAM
Keith Brofsky
facebook.com/ youtube.com/ @EvergreenHealth
evergreenhospital.org evergreenhospital DESIGN
Lot22
TWITTER PINTEREST OUR APP
PRODUCTION
@EvergreenHosp pinterest.com/ @EvergreenHealth
Arscentia
evergreenhosp
EvergreenHealth Monitor is
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news to help you be your healthiest best! EvergreenHealth. Its contents are not
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EvergreenHealth complies with applicable Federal civil rights laws and does not discriminate on the information relevant to your
basis of race, color, national origin, age, disability or sex. medical history.
Español (Spanish) EvergreenHealth cumple con las leyes federales de derechos civiles aplicables y no EvergreenHealth is an equal opportunity
discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. employer and service provider.
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