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Healthy Nevada Project: What We've Learned
As the Healthy Nevada Project expands to 50,000 study participants, researchers are sharing the health insights gleaned from the pilot phase of the project. Air pollution is a major health factor affecting northern Nevadans, according to data gathered by researchers in the pilot phase of the Healthy Nevada Project, one of the largest population health studies in the country. Today, the project — which began 18 months ago as a partnership between Renown Health and the Desert Research Institute — is expanding to add 40,000 additional participants bringing total enrollment to 50,000 Nevadans. “We are thrilled to share the first insights from our 10,000-person pilot phase and discuss how we will begin using those results to improve patient care,” says Anthony Slonim, M.D., Dr.PH., FACHE, president and CEO of Renown Health and president of Renown Institute for Health Innovation, a collaboration between Renown and DRI. Healthy Nevada Project Pilot Phase — and What Happens Next The pilot phase of the Healthy Nevada Project proved Nevadans are excited to know more about themselves and want to contribute to research that could improve health outcomes for the entire state. The pilot phase enrolled 10,000 participants in less than 48 hours and DNA sample collection from each participant was completed in just 69 working days. Based on pilot phase data, researchers have seen increased use of regional healthcare services correlated with fluctuations in air quality and so-called “bad air events” such as wildfires and atmospheric inversions. In phase two, Renown IHI will evaluate possible links between genetics and increased susceptibility to respiratory ailments. Study researchers also announced care providers and scientists will begin working on a number of clinical programs and scientific studies focused specifically on Washoe County’s high age-adjusted death rates for heart disease, cancer and chronic lower respiratory disease. Collectively, these conditions among local residents stand at 33 percent above the national rate. In the coming months, Renown IHI will begin providing advanced calcium score screenings to pilot phase participants at higher risk for cardiovascular disease. This will allow researchers to examine the link between genetics and calcium buildup in the heart. Researchers are also evaluating future studies focused on age-related macular degeneration and breast cancer risks in northern Nevada. Pilot Phase Insights Fifty percent of pilot study participants responded to a comprehensive, socioeconomic survey, which revealed: High rates of lower respiratory disease in northern Nevada and co-morbidities such as diabetes and hypertension suggest air pollution in northern Nevada is a confounding and significant factor in health. Study participants had parents who died from cancer and heart disease at a higher rate than the age-adjusted national average. Study participants exercised less than recommended by the American Heart Association and expressed interest in receiving help with behavior modification using diet/nutrition and weight loss tools. In phase two, if study participants choose to complete a follow-up survey, they will have the chance to pick an additional health and wellness app specific to their individual genetic results. Learn More To see if you are eligible to participate in the study, to sign up for study updates and for full details on the Healthy Nevada Project, please visit HealthyNV.org.
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Healthy Nevada Project Returning Clinical Results to Participants
The Healthy Nevada Project – a first-of-its-kind population health study combining genetic, clinical, social and environmental data – has reached another landmark milestone. The study is notifying study participants at risk for familial hypercholesterolemia, BRCA and Lynch syndrome. “I took part in the Healthy Nevada Project to find out my ancestry. I didn’t even realize the test could give me so much information,” says 29-year-old Jordan Stiteler, who was recently diagnosed with familial hypercholesterolemia (also known as FH) through the Healthy Nevada Project. “After my dad passed away suddenly at age 45, I learned I had high cholesterol but I didn’t know it was genetic and I didn’t get an FH diagnosis until last week,” Jordan explains. “I immediately changed my diet, started walking more and doing more cardio. I also set up an appointment with my primary care physician for the first time in a while. I’ve talked with my family and even strangers about testing since my diagnosis. I hope my story will inspire others to test and can save someone’s family from going through the same loss I did.” Healthy Nevada Project Notifying Patients of Familial Hypercholesterolemia Risks Jordan is among the first Healthy Nevada Project participants to receive clinical results from the genetic study led by Renown Institute for Health Innovation (Renown IHI) – a collaboration between Renown and the Desert Research Institute Foundation. This groundbreaking population health study is now reaching out to study participants like Jordan, who asked to be notified of health risks. If study volunteers choose, the project will also provide guidance on treatment and additional testing for family members who may also be at risk. The project is starting with the return of FH risks which is a genetic tie to high cholesterol. Just a few months ago, a paper in the Journal of the American College of Cardiology recommended genetic testing become the standard of care for patients with a definite or probable FH diagnosis. Jordan says she plans to have her young son tested as well. “This is the future of health; not just reacting to sick people, but a coordinated effort between innovative technologies, data-driven researchers, and responsive practitioners to deliver personalized interventions to identify, prevent and treat disease,” says Anthony Slonim, M.D., Dr.PH., FACHE, president and CEO of Renown Health and president of Renown IHI. “As care providers, we often don’t see patients until they’re already sick and that’s a difficult problem. By embracing personal genomics, we can accelerate the ability of researchers to access data and apply those learnings back to our health system sooner.” In the Months Ahead: Notification of BRCA1/2 & Lynch Syndrome Risks The Healthy Nevada Project will start notifying study volunteers at risk for other CDC Tier 1 conditions including hereditary breast and ovarian cancer syndrome (BRCA 1/2 genes) and Lynch syndrome in the months ahead. These conditions are the key focus for the Healthy Nevada Project. The reason: Because early detection and treatment will save lives, and these conditions are some of the most common. “This research allows us to look into cancer, cardiac, respiratory illness and beyond to identify underlying causes, assess real risks and eventually initiate appropriate preventive actions much earlier. Human subject research is often intangible to participants – we are treated as subjects. The Healthy Nevada Project is creating actionable information for our participants while engaging in leading-edge research on health determinants,” said Joseph Grzymski, Ph.D., associate research professor at DRI, principal investigator of the Healthy Nevada Project and chief scientific officer for Renown Health. Landmark Population Health Study Continues to Expand Since launching two years ago, the Healthy Nevada Project has quickly evolved and expanded. The pilot project enrolled 10,000 participants in just 48 hours in September 2016. In March 2018, phase two of project expanded to an additional 40,000 participants with genetic testing partner, Helix. Helix’s genomic sequencing provides participants and researchers greater depth and quality of DNA data. With this, they can gain further insights to improve health. During a recent media roundtable announcing the return of clinical results, the Healthy Nevada Project also announced plans to complete testing of 40,000 people by the end of 2018. This will bring the project’s total enrollment to 50,000 people – approximately 10 percent of northern Nevada’s population. The Healthy Nevada Project hopes to reach more than 250,000 people in its next phase. The ultimate goal is to offer genetic testing to every Nevadan interested in learning more about their genetics and health. Join the Healthy Nevada Project Recruitment for phase two is still open. In addition to opting in to receive clinical results, participants receive National Geographic’s Geno 2.0 ancestry app at no cost. They also have the chance to pick an additional app for health and wellness after completing a follow-up survey. Learn More or Sign Up
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How to Fight Cancer that Runs in the Family
Your mother had breast cancer. Your uncle had colon cancer. A cousin has stomach cancer. Could yours be the next name to make the family cancer list? “Possibly,” says Dr. Robert Nathan Slotnick, MD, PhD, Medical Geneticist at Renown Medical Group. In this article, the doctor discusses the genetics behind Lynch syndrome — and how you and your family can fight it. What is Lynch Syndrome? Lynch syndrome, also known as hereditary non-polyposis colorectal cancer (HNPCC), is one of the most common genetic conditions known to increase cancer risk in individuals and families. It enables colon and other cancers to develop by causing mutations in mismatch repair (MMR) genes. “The genes MLH1, MSH2, MSH6, PMS2 and EPCAM normally help to repair damaged DNA,” explains Dr. Slotnick. “But when they don’t work properly, naturally occurring DNA replication errors are not repaired efficiently. These errors accumulate and cancer can be the result.” Colon cancer is just one of many possibilities. People with Lynch syndrome also have a higher risk of developing endometrial cancer (cancer of the inside lining of the uterus) as well as cancer of the ovaries, stomach, pancreas, kidney, brain, and bile duct, among others. These syndrome-enabled cancers often appear in patients before the age of 50. Family Cancer Clues The family connection to cancer is a strong one notes the doctor. “Cancer is best considered a genetic disease because it is always tied to changes (or mutations) in our inherited material: our DNA,” says Dr. Slotnick. “These DNA changes cause cells to lose control of their normal constraints on growth and metabolism and can allow abnormalities to develop.” “Although all cancers are genetic,” he adds, “not all cancers are hereditary or passed down through generations.” But because Lynch syndrome IS a hereditary condition, personal and family cancer histories provide invaluable information toward diagnostic confirmation and to a path of surveillance, prevention and treatment. Once a strong family history of cancer is confirmed, doctors and geneticists can move forward with targeted genetic testing to identify specific gene mutations. If Lynch syndrome is diagnosed, testing can also reveal your risk for associated cancers. And your results could be a wake-up call to family members. According to the Centers for Disease Control and Prevention (CDC), close relatives of people with Lynch syndrome have a 50% chance of having similar gene mutations and a higher risk of cancer. The good news is detection and prevention progress is being made. “Lynch is just one of many cancer syndromes where risk is tied to heredity,” explains Dr. Slotnick. “In the last few years, our ability to identify those at risk for this type of cancer predisposition has improved markedly, both in diagnostic accuracy and cost. This allows us to provide aggressive surveillance and prevention choices to individuals and families at risk. Healthier families and lower cost: it’s a win-win.”
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Taking Control of Her High Cholesterol and Health
In 2018, Jordan Stiteler became a Healthy Nevada Project advocate. Her DNA results revealed that she had Familial Hypercholesterolemia (FH). FH is a genetic condition that can cause high cholesterol. Since then, Jordan’s taken action to lower her cholesterol and make her family aware of this potentially dangerous condition. Read Part I of Jordan’s story Taking Control of High Cholesterol Looking at Jordan, an active young mother, you would never suspect she has high cholesterol. However, because of FH, Jordan’s cholesterol levels are unusually high. She chose to take action when learning of her FH gene, in order to maintain her long-term health. Jordan started by exercising more and eating healthier. “I’ve definitely been checking all the labels to see if the food has a lot of cholesterol, trans fats, or saturated fats,” she explains. She now eats a 100% plant-based diet which helps to lower her cholesterol naturally. Additionally, Jordan partnered with Dr. Michael Bloch, a lipid specialist, to monitor and manage her cholesterol. She told Dr. Bloch that she and her husband were planning on having a second baby. With this in mind, he helped Jordan create a plan to accommodate her pregnancy. Several months after giving birth to her beautiful daughter Logan, it was time to revisit her cholesterol treatment plan. Dr. Bloch prescribed Jordan a statin called Lipitor. It successfully cut her total cholesterol by half in just three months. “I had blood work done in November 2019 and my total cholesterol was 293 (normal is less than 199). I started taking cholesterol medication in February 2020. I had blood work done in June 2020 and my total cholesterol was 149, ” Jordan shares. “My LDLs went from 219 to 78! I am so grateful that the medication worked so well and so quickly! It’s a weight lifted off of my shoulders.” Although Jordan no longer limits herself to a strictly vegan diet, she is mindful of what she eats and how it affects her cholesterol. She’s thrilled that her cholesterol is now at a healthy level!
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Nonalcoholic Liver Disease and Genetics: Is There a Link?
What exactly is the relationship between genetics and disease? Powered by Renown Health, the Healthy Nevada Project is one of the most visible genomic studies in the United States. They are recruiting participants here in northern Nevada to understand the relationship between genetics and nonalcoholic liver disease. Joseph Grzymski, Principal Investigator at the Healthy Nevada Project and Chief Scientific Officer at Renown Health, shares why this study is so important and who should take part. Many people are aware that heavy drinking can lead to liver disease. Yet they are unaware that other types of liver disease are not caused by alcohol consumption. These types of liver disease are more difficult to diagnose but are equally dangerous. What is NASH? A build-up of fat causes nonalcoholic Fatty Liver Disease (NAFLD) in the liver. The most dangerous form is called Nonalcoholic Steatohepatitis (NASH). It causes inflammation and damages liver cells, leading to fibrosis, scarring of the liver, and decreased liver function. If NASH goes untreated, irreversible liver damage can occur, leading to cirrhosis, cancer, or liver failure. These conditions can be fatal. What’s most concerning about NASH is that the symptoms don’t typically cause pain and aren’t noticeable. The good news is that a new local study is raising awareness about this disease by recruiting at-risk people for NASH. Am I at risk for developing NASH? The following factors put you at risk: Obesity Type 2 diabetes Metabolic syndrome High blood lipids, such as cholesterol and triglycerides Does having a family member with nonalcoholic liver disease increase my risk? We do not know a lot about inheriting NASH, although a lot risk factors run in families. One goal of this study is to better understand the genetic component of NASH. There are certainly other risks too, such as environmental and behavioral risk factors. However, we don’t yet have a good grasp on how these impact NASH risk. How is NASH diagnosed? Diagnosis is traditionally done with either a liver ultrasound or biopsy. However, both procedures are expensive and the invasive biopsy has risks. Therefore doctors often use risk factors or less invasive blood tests for diagnosis. This NASH study will include a new blood test called the enhanced liver function (ELF) test. Doctors and researchers have data suggesting that the ELF test is a better diagnostic test for NASH risk. Conducting this cutting-edge test with study participants allows them to share results with their doctors to ensure the best care. What can I do to reduce my NASH risk? Limiting exposure to the risk factors of NASH often lowers risk. Eating a healthy diet, maintaining a recommended weight and exercising regularly can proactively lower your risk.
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Celebrating Renown Health's Nursing Excellence Conference
Renown Health recently wrapped up the twentieth annual Nursing Excellence and Excellence in Critical Care Conferences, the conference theme was the Courageous Calling and over 400 nurses from specialty fields across the region attended to learn, reflect, build relationships and obtain continuing education units (CEUs). Celebrating The Courageous Calling During the first day of the Nursing Excellence Conference, local and national leaders presented topics including redefining resilience, documentation liability, transgender healthcare and caring for the homeless population. Among the list of impressive speakers were Chief Nurse Executive at Renown Health, Melodie Osborn, and Nora McInerny, writer and host of the "Terrible Thanks for Asking" podcast. On day two,speakers focused on the critical care specialties within nursing, including intensive care, emergency room, pediatric intensive care and neonatal intensive care. Topics covered included post-COVID-19 pulmonology with Dr. Graham, traumatic brain injuries with Dr. Demers, COVID-19 reflections with Anicia Beckwith, a discussion about "Mis C” with Dr. Healy, innovations in imaging with Dr. Rangaswamy and cardiology with Dr. Danaf. Thank you to our sponsors and raffle donors for making this event possible: Erik Olson and Larry Duncan, Jana Elliott, Melodie Osborn, Becky Haase, Lori Tuntland, Dr. Akbar, Dr. Lous, Mel Morris, Grand Sierra Resort, Renown Health Gift Shops, Renown Health Directors of Nursing, Renown Health Marketing & Communications Department, Renown Health Dermatology, Laser, & Skin Care and Renown Health Foundation. Learn more about finding purpose in the health of our community when working at Renown Health here.
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What is the Healthy Nevada Project?
The Healthy Nevada Project (HNP) is one of the most visible genomic studies in the United States, and guess what? Renown Health powers it! The Healthy Nevada Project (HNP) aligns with Renown's goal to do the best for our patients. The genomic study is at no-cost for Nevadans and gives participants insight into different genetic traits, including results on three prevalent and serious health conditions known as CDC Tier 1 conditions. CDC Tier 1 Conditions Include: Hereditary Breast and Ovarian Cancer Syndrome (HBOC) Lynch Syndrome Familial Hypercholesterolemia (FH) Not only does HNP give participants insights into their genetic background, but it also facilitates Renown's ability to study population health. Research lays the foundation for the future of medicine, and Renown's HNP is on the cutting edge of genetic research. We do this by providing skilled researchers access to studies for the diseases that currently have limited treatment, including nonalcoholic steatohepatitis liver disease or NASH. For example, the observational NASH study helps researchers understand genetic links to the disease. Make an Appointment to Get Screened If you haven't already, join the over 55,000 HNP participants and make an appointment to have yourself screened. You can schedule a screening appointment through MyChart. Click “Schedule an Appointment" and select Research Appointment - Genetic Screening. Prior to your appointment, please complete e-Check-in and complete your consent form.
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Nevada System of Higher Education Board of Regents Approve Renown Health and University of Nevada, Reno School of Medicine Affiliation Agreement
Establishes first integrated health system in Nevada. The Nevada System of Higher Education (NSHE) Board of Regents voted today at its monthly board meeting to approve an affiliation agreement between the University of Nevada, Reno School of Medicine (UNR Med) and Renown Health that will establish the first fully integrated health system in Nevada. The Board of Regents approval of the collaboration between Nevada's oldest medical school and one of its largest non-profit health care organizations comes after Nevada Governor Steve Sisolak signed Senate Bill 342 into law. The bill authorizes the NSHE Board of Regents to enter into an agreement to affiliate with a publicly or privately owned medical facility or related entity, whether for profit or not for profit, to further promote and enhance a medical education or health education program at a university. Nearly a year ago, UNR Med and Renown Health announced an intent to affiliate and create an enhanced health care network with increased access to clinical care, and expanded clinical training and clinical research programs. In September 2020, the Board of Regents unanimously endorsed a Letter of Intent between the two organizations, which advanced a period of due diligence to further define the relationship. In addition, the Renown Board of Trustees unanimously approved the agreement. “Thank you to the Board of Regents and Chancellor Rose for supporting UNR Med and Renown Health in this collaborative and generational partnership that will have historical impacts on health care delivery, clinical research development, and training for health care professionals in our state and our community,” says University of Nevada, Reno President Brian Sandoval. “This affiliation will help address Nevada’s access to health care and medical education challenges in new and innovative ways that proactively support the health and wellness of all.” The affiliation agreement details a 50-year commitment for combining the clinical practice, clinical teaching and clinical research programs of both institutions, including descriptions of purpose, structure, governance, funds flow, joint leadership roles and faculty positions, operational management, mission and culture. Renown Health and UNR Med aim to accomplish key strategic goals, including: Improving access to care, including creating new clinical services not currently available in the community; Creating new clinical training programs for UNR Med residents and medical students; Increasing UNR Med’s student class size, which currently accommodates 70 students per medical class; and Providing increased patient access to clinical trials and expanding research and employment capabilities. Like many medical schools and health care systems across the nation, UNR Med and Renown Health have collaborated for decades to advance a mutual commitment to improving the health of the community. Since mid-2020, the organizations have been exploring formalizing a high-level clinical integration. “I appreciate and am so pleased that the Nevada System of Higher Education Board of Regents, Governor Sisolak and the legislature have provided such incredible support for the affiliation of University of Nevada, Reno School of Medicine and Renown Health. We are excited to further our mission of supporting the health and healthcare of the people and communities we serve in local urban and rural communities, across our state and our nation, says Tony Slonim, MD, DrPH, President & CEO of Renown Health. “With this new level of integration, we will be able to drive innovation, research, medical education, grant funding for public health, clinical trials and integrate our medical practices to improve access and affordability of care. Together, we are excited to create a healthier Nevada.” “We are creating an integrated health system that brings together three complimentary initiatives - patient care, research and medical education - and melds them into a single mission, each enhancing the others synergistically, while benefitting the community and the state,” says UNR Med Dean Thomas L. Schwenk, M.D. “The affiliation with Renown Health enhances and leverages the fundamental missions of UNR Med as a state-funded, accredited public medical school governed by the Nevada System of Higher Education so as to remain accessible to Nevada residents and provide opportunities to serve the state in new and expanded ways. The affiliation helps both of our institutions contribute to outstanding health care in Nevada.” This is an affiliation between a 159-year old health care provider, the state’s original land grant university and the state’s oldest medical school. Over the last five decades, UNR Med has educated more than 3,900 physicians with over 30% percent practicing in Nevada, increasing access to care for Nevadans across the state. Equally rooted in the community, Renown’s long legacy of service started in 1862 as a county hospital, Washoe Medical Center. Now, Renown Health, a charitable, not-for-profit organization, serves the community by providing care through hospitals, outpatient medical offices, institutes and a health insurance plan, Hometown Health. UNR Med Public Relations Julie Ardito, APR M: 775-846-8445 E: jardito@med.unr.edu About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the region’s largest, locally owned not-for-profit insurance company, Hometown Health. Clinical institutes include: Cancer, Heart and Vascular Heath, Neurosciences and Robotic Surgery. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org. About University of Nevada, Reno School of Medicine The University of Nevada, Reno School of Medicine, Nevada’s first public medical school, is a community-based, research-intensive medical school with a statewide vision for a healthy Nevada. Since 1969, UNR Med has trained more than 3,900 students, residents and fellows. UNR Med continues to improve the health and well-being of all Nevadans and their communities through excellence in student education, postgraduate training and clinical care, research with local, national and global impact and a culture of diversity and inclusion. For more information, visit med.unr.edu.
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Renown Health and the University of Nevada, Reno School of Medicine hosted affiliation agreement certificate signing event
Today, leaders from Renown Health, the Nevada System of Higher Education (NSHE) Board of Regents, the University of Nevada, Reno and the University of Nevada, Reno School of Medicine (UNR Med) converged for an affiliation agreement certificate signing event. The certificate signing commemorates the affiliation agreement - a 50-year commitment - between Renown Health and UNR Med establishing Nevada’s first integrated health system to advance health and health care through world-class medical education, clinical research and patient care for our community and our state. The certificate signing event comes after the NSHE Board of Regents approved the agreement on June 11, 2021 and after Nevada Governor Steve Sisolak signed Senate Bill 342 into law on May 10, 2021 authorizing the NSHE Board of Regents to enter into an agreement such as the one with Renown Health. A high resolution photo is available for download at med.unr.edu/news/archive/2021/affiliation-signing. About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the region’s largest, locally owned not-for-profit insurance company, Hometown Health. Clinical institutes include: Cancer, Heart and Vascular Heath, Neurosciences and Robotic Surgery. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org. About University of Nevada, Reno School of Medicine The University of Nevada, Reno School of Medicine, Nevada’s first public medical school, is a community-based, research-intensive medical school with a statewide vision for a healthy Nevada. Since 1969, UNR Med has trained more than 3,900 students, residents and fellows. UNR Med continues to improve the health and well-being of all Nevadans and their communities through excellence in student education, postgraduate training and clinical care, research with local, national and global impact and a culture of diversity and inclusion. For more information, visit med.unr.edu.
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Governor Sisolak Signs Senate Bill 342
CARSON CITY, NV – Today, Nevada Governor Steve Sisolak signed Senate Bill 342 into law. The bill authorizes the Nevada System of Higher Education (NSHE) Board of Regents to enter into an agreement to affiliate with a publicly or privately- owned medical facility or related entity, whether for profit or not for profit, to further promote and enhance a medical education or health education program at a university. "Throughout the pandemic, we have relied on doctors, nurses and medical professionals to care for Nevadans in need. Legislation like this will help strengthen existing partnerships in the State so we can recruit, train and keep more medical professionals in Nevada,” said Gov. Sisolak. “I look forward to these continued partnerships to help our state for years to come.” Governor Sisolak was joined by University of Nevada Reno President and former Governor Brian Sandoval for the bill signing. “I wish to thank the members of the Nevada State Legislature and Governor Steve Sisolak for their support of this bill,” University of Nevada, Reno President Brian Sandoval said. “This collaborative and forward-thinking framework will provide cutting-edge patient care delivery, greater clinical research opportunities and will ensure that the next generation of medical providers in Nevada will receive the highest possible training. As the past year-plus has demonstrated, the health care environment in our state and throughout the country continues to be dynamic. The passage of this bill ensures that Nevada has the proactive tools to look to the future, so that we can meet our health care and medical education challenges.” “I appreciate and am so pleased that Governor Sisolak and the legislature approved Senate Bill 342 today, which provides support for integrating the University of Nevada, Reno School of Medicine with Renown Health,” said Anthony D. Slonim, MD, DrPH, FACHE, President and CEO, Renown Health, who was present at today’s signing. “This partnership will improve the health and healthcare of Nevadans and all of the communities that we serve. With this new level of affiliation, we will be able to drive innovation, research, medical education, grant funding for public health, clinical trials and integrate our medical practices to improve access and affordability of care. Together, we are excited to create a healthier Nevada.” “We are so appreciative of the unanimous support of the legislature and now the Governor’s signature and support of this bill that provides guidance to the NSHE Board of Regents as it considers the approval of this critical affiliation between UNR Med and Renown Health. We are excited to move to the next step of seeking approval from the Board of Regents for the affiliation and the establishment of an integrated health care system that will enhance medical care delivery and medical education, will improve health care, and will benefit the health and well-being of all Nevadans,” said University of Nevada, Reno School of Medicine Dean and Vice President, Health Sciences, Thomas L. Schwenk, M.D. “The opportunities to take medical care, medical education and clinical research in Nevada to an entirely new level are unlimited and we thank Governor Sisolak for moving us to the next step in this endeavor.” Photos from the bill signing can be requested from the Nevada Governor's Office. In addition, Governor Sisolak also signed the following bills today: Senate Bill 17 - Revises provisions governing the renewal of certain instruction permits to operate a motor vehicle or motorcycle. Senate Bill 23 - Revises the boundaries of the area from which certain members of the State Conservation Commission are appointed. Senate Bill 53 - Authorizes the Administrator of the Division of State Parks of the State Department of Conservation and Natural Resources to organize the areas under the jurisdiction of the Division into regions. Senate Bill 65 – Revises provisions relating to the composition and administration of the State Department of Agriculture. Nevada Governor's Office Public Relations Media Contact E: press@gov.nv.gov
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Kristina Deeter, MD, MBA, FAAP Appointed Chair of Pediatrics (UNR Med) and Physician-in-Chief, Renown Children’s Hospital
Kristina Deeter, MD, MBA, FAAP has been promoted from Vice Chair of Pediatrics to Chair of Pediatrics, University of Nevada Reno School of Medicine (UNR Med) and Physician-in-Chief, Renown Children’s Hospital, effective July 15, 2022. Dr. Deeter follows Dr. Max Coppes who recently stepped down to lead Renown’s Pennington Cancer Institute on a full-time basis. Dr. Coppes will continue to serve as Professor of Pediatrics and Internal Medicine at UNR Med. In her new role, Dr. Deeter will be responsible for leading a growing team of over 40 pediatric physician specialists and 15 general pediatric providers at Renown Children’s Hospital who provide over 30,000 patient and family visits annually for families across northern Nevada, Lake Tahoe and northern California. Larry Duncan, MS, Vice President of Pediatrics and Surgery & Administrator of Renown Children's & Women’s Services will serve as dyad partner with Dr. Deeter. “Together, Dr. Deeter and Larry Duncan will be responsible for the strategic direction, operations, fiscal management and recruitment of professionals to Renown Children’s,” said Sy Johnson, MBA, president and chief of staff for Renown Health. “As one of Renown’s ‘Destination Health’ service lines, Dr. Deeter and Larry will continue to support an integrated leadership model that puts the youngest patients- and their families- at the center of all that we do.” As Physician-in-Chief for Renown Children’s Hospital, Dr. Deeter will serve as a senior clinical leader with oversight for the healthcare system’s pediatric medical and surgical services, academic advancement, research and teaching programs. “Dr. Deeter is an energetic, collaborative physician, researcher and mentor who cares deeply about improving the health and well-being of children everywhere,” said Thomas Graf, MD, CEO of Renown Health. “This is an exceptionally exciting time to shape the future of pediatrics in this community, and we are so excited that she is embarking on this new role. I know her talent, energy and inspiring leadership will further elevate our mission of outstanding care, exceptional training, innovative research and impactful advocacy in children’s health.” Dr. Kris Deeter is a highly accomplished physician leader with over twenty years of experience in children’s hospitals and outpatient settings, including federal, academic and private practices. Locally, Dr. Deeter has served as Vice Chair of Pediatrics for Renown Children’s while also leading the ICU teams of Pediatrix National Medical Group as their Specialty Medical Officer since August 2021. For the past six years, she has been the Medical Director of the Pediatric Intensive Care Unit (PICU) and Pediatric Hospitalist teams for Renown and Pediatrix. Since 2017, Dr. Deeter has served as an Educator for REMSA and other Northern Nevada counties, providing pediatric education for Care Flight teams, paramedics and fire departments. Dr. Deeter also recently completed her MBA from the University of Nevada, Reno. “The School of Medicine is delighted to appoint Dr. Deeter as the new Chair of Pediatrics at UNR Med and Physician-in-Chief, Renown Children’s Hospital, says, Melissa Piasecki, MD, UNR Med Acting Dean. “She brings extensive experience in medical education, a positive leadership style and unwavering commitment to the community. We look forward to the ongoing development of medical education and research opportunities in pediatrics.” Dr. Deeter has a passion for service. Coming from an underserved background, her education started in a Head Start preschool. Years later, she received a full-ride scholarship to the University of California, Berkeley where she double-majored in biology and psychology. Dr. Deeter found her true calling in pediatrics while at medical school at New York Medical College. There, she developed an interest in pediatric HIV and infectious diseases while volunteering to help during the HIV/AIDS crisis. Her medical training was primarily funded through a government scholarship that allowed her to start her career as a pediatrician caring for underserved children with the National Health Service Corps. After residency, she and her military husband followed orders and educational opportunities and moved around the country. She worked in a Federally Qualified Health Center (FQHC) in San Antonio with predominantly Spanish-speaking patients and led one of the first academic pediatric hospitalist programs at the University of Texas. Early on, Dr. Deeter developed a passion for medical education developing a new curriculum for students and transitioning residents to new work hour rules. After a move with the military to Ft Benning, Georgia and a busy private practice, she was recruited to Seattle Children’s/University of Washington School of Medicine for ICU fellowship training. There, she joined a large DKA study group and launched her own research into sedation andcomfort practices for critically ill children, publishing in top journals in pediatrics. She later transitioned to clinical practice in a large CICU/PICU in South Florida where she continued her academic collaborations with Florida Atlantic University. Dr. Deeter volunteers her time locally and internationally, including many visits to help improve the only PICU in Haiti after the earthquake there in 2012. She was a board member for a women and children’s hospital in Bangladesh while also supporting local children’s organizations like Head Start. She has served in leadership positions throughout her career, both in academic and private settings, including terms as vice president of the Broward County (FL) medical society, legislative positions with the TMA and FMA, and chairing the hospital’s peer review committee. The Deeter family moved to Reno in 2016 for an opportunity to move closer to family and for what she calls her “dream job” as a leader at Renown Children’s Hospital. “Dr. Deeter is a highly competent and passionate care giver, dedicated teacher, and fierce advocate for the health and well-being of children and their families,” said Max J. Coppes MD, former Chair of Pediatrics (UNR Med) and Physician-in-Chief, Renown Children’s Hospital. “We are fortunate to have her step up to this new role. Her extensive experience will springboard our Children’s Hospital, our membership in Children’s Oncology Group, and if approved in September 2022, a new 3-year accredited pediatric residency program in Reno. She is an inspiration to all, and will help encourage UNR Med students who choose pediatric specialties to excel as pediatricians and eventually practice in northern Nevada, our rural communities and our state.” Dr. Deeter is a member of the Society of Critical Care Medicine: Pediatric section; American Academy of Pediatrics, Nevada Chapter; AAP Section Membership: Critical Care; Pediatric Trauma Society; Pediatric Sedation Society and the American Medical Association. She is a frequent contributor to national and local media on topics regarding pediatrics and child health. The University of Nevada, Reno School of Medicine (UNR Med), Nevada’s first public medical school, is a community-based, research-intensive medical school with a statewide vision for a healthy Nevada. Since 1969, UNR Med has trained more than 3,900 students, residents and fellows. UNR Med continues to improve the health and well-being of all Nevadans and their communities through excellence in student education, postgraduate training and clinical care, research with local, national and global impact and a culture of diversity and inclusion. For more information, visit med.unr.edu. Renown Health is the region’s largest, locally governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoeand northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®.
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James M. Alexander M.D., Named First OB/GYN Chair for Nevada's First Integrated Health System
Experienced physician, researcher, mentor, and educator to lead obstetrics and gynecology department at the University of Nevada Reno School of Medicine (UNR Med) and Renown Health. James M. Alexander, M.D., an experienced leader and clinician in OB/GYN, is regularly in the room at the beginning of something new, so it’s fitting that he is one of the first jointly appointed senior clinical leaders of Nevada’s first integrated health system. As the chair of the department of Obstetrics and Gynecology at the University of Nevada, Reno School of Medicine (UNR Med) and Renown Health, Dr. Alexander will lead the medical and surgical services, academic advancement, research, and teaching programs for the healthcare system. A 50-year affiliation agreement signed in 2021 solidified the integration of the UNR Med, Nevada’s first medical school, with Renown, northern Nevada’s most extensive health system. “The affiliation offers a remarkable opportunity to advance health and health care through medical education, clinical research, and patient care for our community and our state,” Dr. Alexander said. “By integrating our teaching, research, and patient care, we can make a difference for women and children in Nevada and beyond.” He is one of the first of several planned joint-chair hires for UNR Med and Renown. “Dr. Alexander is a dedicated obstetrician and gynecologist who takes great pride in his work as a researcher and mentor,” said Melissa Piasecki, M.D., UNR Med Acting Dean, and Renown Chief Academic Officer. “He has a deep commitment to improving women's health and fostering the careers of future physicians in this specialty. Our school of medicine and health system are very fortunate to have recruited Dr. Alexander and will benefit from the growth of clinical services, medical education and clinical research in obstetrics and gynecology under his direction.”” A 1991 graduate of the University of Texas at Houston, Dr. Alexander most recently chaired the OB/GYN department at the Kirk Kerkorian School of Medicine at UNLV. He completed his residency at the University of Alabama at Birmingham and a fellowship in Maternal Fetal Medicine at the University of Texas Southwestern. He was recruited to the faculty at UTSW after finishing his fellowship and held several leadership positions there, including chief of the obstetrics service. Dr. Alexander established himself as a clinical investigator at UTSW and served as co-investigator on several studies conducted by the Maternal Fetal Medicine Units Network of the Eunice Kennedy Shriver National Institute of Child Health and Human Development. He has published widely on obstetrics and maternal fetal medicine topics, including cesarean delivery, prematurity, obstetric complications, labor management, and obstetric anesthesia. He has contributed to the leading textbook on obstetrics, “Williams Obstetrics.” Following his tenure at UTSW, Dr. Alexander held the positions of division director of maternal fetal medicine at the University of Arkansas for Medical Sciences as well as director of maternal fetal medicine and obstetrics at the Billings Clinic. He is board certified in Obstetrics and Maternal Fetal Medicine and currently serves as an examiner for the American Board of Obstetrics and Gynecology. “Shaping the future of healthcare in our state has never been more important than it is now,” said Rahul Mediwala, M.D., Chief Medical Officer of the Health Services Division at Renown Health. “I do not doubt that Dr. Alexander will apply his skills, enthusiasm, and guiding leadership to improve our community's health through increased access to care, innovative health care delivery, and expanding clinical research.” About University of Nevada, Reno School of Medicine The University of Nevada, Reno School of Medicine (UNR Med), Nevada’s first public medical school, is a community-based, research-intensive medical school with a statewide vision for a healthy Nevada. Since 1969, UNR Med has trained more than 3,900 students, residents and fellows. UNR Med continues to improve the health and well-being of all Nevadans and their communities through excellence in student education, postgraduate training and clinical care, research with local, national and global impact and a culture of diversity and inclusion. For more information, visit med.unr.edu. About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org.