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Combating Burnout for a Healthier Work Environment
At Renown Health, we often discuss the importance of both healthcare – how we treat people when they are sick or injured – and health – how we keep people well in their mind, body and spirit. This conversation is as important for the patients we serve as it is for our healthcare providers. It’s well known that the medical field can impose challenging and even unhealthy expectations for healthcare workers. Long hours and physically and emotionally demanding work can lead to burnout. Yet, until recently, these issues were rarely discussed openly. Because the role of healthcare providers is to care for other people, they may feel uncomfortable asking for help themselves. The good news is that more and more physicians and professional associations are talking about burnout. Hospitals are also taking action to address concerns like mental and emotional fatigue. We need our workforce to be healthy in mind, body and spirit. That’s why we support our team by educating them on the warning signs of burnout. Renown Health also trains management-level employees to care for those who need help. We encourage employees to talk openly about these challenges and encourage them to access the many services available to our employees that can help them live well. Caring for people is central to Renown Health’s mission. We believe this applies to both our patients and our teammates.
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How to Spot Depression in Men
Has a male in your life been affected by depression? It could be your father, husband, or son. Or maybe your brother, a friend – or even, your co-worker. They all have one thing in common, they’re men and they may not always be able recognize when they need help. Here’s how you can support the men in your life by understanding their unique signs of depression. Dr. Coard, Ed.D., Psychologist with Renown Behavioral Health, weighs in on the topic of depression and the warning signs. More than 6 million men are diagnosed with depression each year, and surprisingly, depression in men can differ from women. The signs of depression are not easily recognized and it’s common for men to be in denial about what they’re going through. They can demonstrate anger and aggression instead of sadness – making it difficult for loved ones, or even their providers, to recognize. Behavioral Signs of Depression in Men High levels of the hormone cortisol are released during stressful situations affecting the neurotransmitter, serotonin (a feel good hormone), contributing to depression. You can identify depression or suicidal tendencies by paying close attention to the following behavioral changes: Anger, irritability, or aggression Avoiding family or social situations Losing interest in family responsibilities, passions and hobbies Lack of sex drive Becoming controlling/abusive in relationships Risk-taking behavior such as; unsafe sex, overspending or gambling Not being able to concentrate or remember details Excessive drinking or drug use Having frequent thoughts about death Talking about suicide Attempting suicide Factors That Lead to Depression in Men Life Events Work stress or long-term unemployment can be huge contributing factors relating to depression. This type of life event can be overwhelming, making it impossible for a man to cope. Changes in Relationships The loss of a relationship can be a significant contributing factor to the emergence of depressive symptoms and past experienced physical, sexual, or emotionally abusive relationships. With this in mind, counseling can often help individual to overcome this type of trauma. Grief and Loss Overwhelming sadness due to the loss of a loved one can trigger depression. Although normal, each person goes through their own grieving period. For example, normal responses to death are insomnia, poor appetite and loss of interest in activities. Pay attention if grief seems prolonged or out of the ordinary. Health Problems In particular, depression coexists with medical conditions. As men age, this can be passed off as normal aging, but it could be more serious. In addition, illnesses such as thyroid disorders, Addison’s disease and liver disease can cause depressive symptoms. Diabetes, cancer, heart disease, or Parkinson’s disease can affect any age, thus triggering or worsening depression. Some older men also feel like they may be suffering from dementia because of difficulties with memory this may be a symptom of depression. A trip to the doctor may be in order to help alleviate concern and worry. Depression in Men and Suicide Frequently the emotional pain occurring with depression can distort a man’s ability to see a solution beyond suicide. Individuals with depression become very rigid and constricted in the way they solve problems. The statistics below speak for themselves, helping us understand the need to reach out to those who need our support. Male suicide rates are on rising – men die by suicide 3.53 times more often than women, accounting for 70% of all suicides. Sadly, every day 129 men commit suicide. White males accounted for 69.67% of suicide deaths in 2017. In 2017, firearms accounted for 50.57% of all suicide deaths. Middle aged Men who are middle aged have the highest suicide rates. 40% of those identifying as transgender have attempted suicide in their lifetime. Males who are guy or transgendered are at an increased risk for suicide attempts, especially before age 25. Veterans often suffer from post-traumatic stress disorder (PTSD) and depression, and are more likely to act on a suicide plan. How You Can Help Now that you can identify some of the warning signs of depression, here’s how you can help: Talk about your concern and communicate that you’re there to help him. Let him know depression is a medical condition and will usually get better with treatment. Suggest professional help from a Primary Care Provider, Psychologist or Therapist. Help set up appointments and offer to accompany him – let him make the decision, but make it clear you’re there for him, no matter what he decides. If you feel he is in a dire or life-threatening situation, contact 911. Call the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255) to talk to a trained counselor. Call the Veteran’s Crisis Line at 1-800-273-TALK (1-800-273-8255) and press “1”
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4 Fantastic Health Benefits of Being Clutter-Free
The Benefits of Being Clutter-Free Gives you a better sense of well-being. Did you know procrastination is linked to clutter? According to a recent study clutter problems led to less life satisfaction, especially among older adults. Helps you lose weight. Constantly being in cluttered room, office or car can be stressful. All the undone cleaning tasks in the back of your of mind cause stress, which is linked to obesity. Promotes mental health. Having clutter around can make you feel anxious or overwhelmed. This prevents you from truly relaxing or focusing. Saves you money. It’s not a secret that money worries cause stress. According to a Journal of Consumer Research study, you’re more likely to make a purchase when you’re sitting in a messy room compared to a tidy room. Clutter-Free Tips Start with a plan. Make a list of your clutter-improvement priorities and the tasks needed to accomplish each one. Focus on one section of your home per week, so you don’t get overwhelmed. In fact, organizational expert Peter Walsh suggests starting with the easiest room first to gain momentum. Conversely, "The Life-Changing Magic of Tidying Up" author Marie Kondo suggests organizing by category (for example clothing or books). Experiment with an organizing plan that appeals to you. There are also many helpful on-line calendars you can use as a starting point. Delegate when you can. Include your children and spouse into your plan. Is uncle Bob an electrician? Then get him to swap out your eyesore of a ceiling fan or update an old light fixture. Of course it’s ok to outsource the duties - such as window cleaning or painting - if your budget allows. Buy less. The less you purchase the less you need to store, clean, keep track of, organize or dust. Seems simple, right? Not for everyone. On average we are bombarded with over 4,000 marketing messages a day, not to mention FOMO (Fear Of Missing Out) when we see our friends posting about their newest toys on their social media feeds. Focus on quality over quantity. When in doubt, throw it out. Still on the fence about what to throw away? Use these declutter decision-making guide questions to help you. Organize Your Health Along with taking care of your surroundings, make a commitment to get up to date on your health checkup and screenings. Preventing an illness is a bargain compared to the cost of a chronic disease. It's also a good idea to go through all of your medications and check the expiration date. Remember to properly dispose of medications. DO NOT flush medications down the drain or toilet, unless the label indicates it is safe to do so.
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Social Connections: Why They Benefit Your Health
Some days a chat with a friend is all you need to feel better. Why? Because humans are social beings. Although we have more technology than ever at our fingertips, sometimes we may still feel left out or disconnected. Dr. Buddy Coard, Ed.D., Psychologist at the Stacie Mathewson Behavioral Health Addiction Institute at Renown, discusses the importance of social connections and tips on how to keep connecting, warning signs of loneliness and how to feel less lonely. Why are Social Connections Important? Dr. Coard points to significant research on the topic of loneliness and social connections. He uses the findings below to detail how social connections affect our overall health. In a recent survey 40% of participants reported they sometimes or always feel that their relationships are not meaningful and that they feel isolated. Surprisingly, this survey suggests Generation Z (18-22 years old) is the loneliest generation. Another study associates loneliness as a risk factor for early death. It indicates lack of social connection heightens health risks as much as smoking 15 cigarettes a day, or having alcohol use disorder. In fact, loneliness and social isolation are twice as harmful to physical and mental health as obesity (Perspectives on Psychological Science, Vol. 10, No. 2, 2015). A 2018 study investigated several standard measures of social isolation, including marital status, frequency of religious service attendance, club meetings/group activities and number of close friends or relatives. The findings revealed race as a strong predictor of social isolation. In particular, black men and women were more likely to be lonely than were white men and women. Loneliness also switches on your body’s long-term “fight-or-flight” stress signaling system, which negatively affects your immune system. People who feel lonely have lower immunity and more inflammation than people who don’t. Dr. Coard recommends the following tips for those who feel lonely. Tips to Increase Social Connection Get outside. More and more nature prescriptions are common. In fact even a 10 minute walk can elevate your mood and get your blood flowing. Develop a schedule of activities to accomplish in a week, setting realistic goals. Monitor your technology. Of course, watching the 24/7 news cycle can be depressing. Turn off the TV and listen to music or read a book instead. Even better, use technology to connect with family members by having a virtual game night or book club discussion. Write it out. When was the last time you sent a good old-fashioned letter or card? Or even wrote in a journal? Try to brighten someone’s day with snail mail. Writing down your hopes and fears also helps you to get worries off your mind and process your emotions. With this in mind, there are also volunteer opportunities to support others by sending a handwritten letter to others battling depression. De-clutter your surroundings. Go through those old photos and put them in an album. Clean out a drawer, cupboard or closet. You will feel a sense of accomplishment and can donate items you no longer need that others can enjoy. Increase your joy by reducing your clutter. Warning Signs of Chronic Loneliness One size does not fit all when it comes to loneliness. For this reason, loneliness can be different depending on your particular situation and your unique personality. However, if you feel some (or all) of the following symptoms, chronic loneliness may be affecting you: Lack of ‘best’ or close friends. You connect with others on a surface level, but feel no one truly understands you. People are n your life, yet you are not connecting on a deep, intimate level with them. You feel lonely even when people are around. This means feeling disengaged or not part of the group when around others. You feel less than enough. You often doubt yourself or don’t feel good enough when comparing yourself to others. And social situations feel exhausting. What Can Someone Do to Feel Less Lonely? Dr. Coard offers the following suggestion for those with a lack of social connections: Talk with your doctor, psychologist or another healthcare professional. Sometimes chronic loneliness relates to longstanding negative beliefs that an individual has about themselves. Engage in behavioral activation. For example, being more active and involved in life by scheduling activities which can potentially improve your mood and decrease feelings of isolation. Initially behavioral activation can be very challenging due to lack of motivation, but setting a reasonable schedule of activities is a good start. Pay attention to your sleep. Sometimes when people become lonely they experience significant changes in their sleep cycle. Frequently they sleep too much, or too little. Make sure to maintain a normal, healthy sleep/wake cycle, following good sleep hygiene recommendations.
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Suicide Risk How to Spot a Friend in Crisis
How can you tell if a friend is in trouble or struggling with suicidal thoughts? And how can you support them in finding help? Are you feeling virtually exhausted? Life is always challenging, but the mental fallout of a global pandemic is real. Contributing to the loneliness epidemic is the shifting American lifestyle. More Americans live alone (28%) now than ever before, and fewer have kids. First, let’s acknowledge this is a time of anxiety and worry for everyone. Economic uncertainty, job transitions, grief, and loneliness are a perfect storm for mental stress. Even before the COVID-19 (coronavirus) pandemic mental health was a concerning issue, now it is a relevant topic of crisis. Secondly, anyone can struggle with suicidal thoughts. Those suffering from drug addiction are especially vulnerable. In particular the U.S. is currently seeing a rise in drug overdoses by almost 18% due to the pandemic. Unfortunately suicide is responsible for one U.S. death every 11 minutes, according to the Centers for Disease Control and Prevention. Not to mention the millions who think about it, make a plan or attempt it. It is important to remember that suicidal thoughts, plans or intent must be helped immediately. Understanding Suicide Risk To clarify, depression is not a choice. No one wishes for endless days of feeling down, sleepless nights, and feeling as if you are in a dark tunnel. Currently, one in five Americans will experience a mental illness this year. This means one of your friends is struggling, right now. Specifically, consider this: When your body feels pain it talks to your mind. When your mind is suffering who does it talk to? So, how can you tell if a friend is in trouble? According to the National Institute of Mental Health be on the lookout for some depression clues below. Signs and Symptoms of Depression Persistent sad, anxious, or “empty” mood Feelings of hopelessness, or pessimism Irritability Loss of interest or pleasure in hobbies and activities Decreased energy or fatigue Moving or talking more slowly Feeling restless or having trouble sitting still Difficulty concentrating, remembering, or making decisions Signs and Symptoms of Suicide Risk Expressing feelings of hopelessness or having no purpose Talking about feeling trapped or being in unbearable pain Talking about being a burden to others Increasing the use of alcohol or drugs Sleeping too little or too much Withdrawing or isolation Displaying extreme mood swings. Talking about wanting to die or to kill oneself (Reference: Suicide Awareness Voices of Education) How to Help a Suicidal Friend It can feel awkward to approach the subject of suicide with a friend, but take any of the above warning signs seriously. Other ways you can help are by: Encouraging self-care and making sure they take care of basic needs Listen to their worries without judgement Ask them what they need from you, then follow through with action Let them know they are not a burden Don’t minimize or invalidate their feelings Point them to helpful resources Be their advocate and get them help If someone you know is in a life-threatening crisis situation, call 911 immediately. Suicide Risk Resources: National Suicide Prevention 24/7 Lifeline: 1-800-273-8255 Ayuda En Español: (Spanish National Suicide Prevention Lifeline) 1-800-628-9454 Crisis Text Line: Text HOME (or CONNECT) to 741741 to chat with a crisis counselor 24/7 free of charge. The National Alliance on Mental Health: 1-800-950-6264 Substance Abuse and Mental Health Services Administration: (SAMHSA) 24/7 helpline 1-800-662-4357
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A Renown Anesthesiologist's Unique Journey
Dr. Nariman Rahimzadeh’s career path has been anything but typical. From humble beginnings as a shuttle bus driver for Renown Regional Medical Center, then named Washoe Medical Center, to his service as Chief of Staff for Renown South Meadows Medical Center, the steps and detours he took along the way – and the strong support from his colleagues and family members – make up a tale of perseverance, conviction, compassion and inspiration. However, his healthcare career journey began several years before he even joined Washoe Medical Center in the 1990s. It all began 7,446 miles away in Iran. This is Dr. Rahimzadeh’s story. Defining Moments The moment Dr. Rahimzadeh knew he wanted to dedicate his career to the healthcare field started during his childhood. Growing up in Iran during the midst of the Iranian Revolution, a thought that often came to mind was, “Who is helping all the people injured in the war?” The answer? The doctors. “In Iranian society, doctors are extremely valued, as they are the first to help people in need,” said Dr. Rahimzadeh. “I knew I wanted to give back to society in some way, and I see my time in Iran as very formative in my future career. I just didn’t know it yet.” After immigrating to the U.S. with his family during his preteen years, he only had one mission: to support his family. “My desires were to help my family not fall behind,” he said. “I didn’t have career aspirations at the time. All I knew is that I wanted to help my family and my community, which immediately opened its arms up to us, as well as be a good student and a good ambassador for Iran.” Dr. Rahimzadeh remembers several influential people that helped solidify his aspiration from “helping people” to “helping people as a healthcare professional.” Their family physician and other medical professionals in the family’s lives were monumental in helping him make this decision. Coupled with his natural love for the sciences, the decision to become a doctor became clear. But the question remained, “How do I get started in the healthcare field?” No Links to Healthcare? No Problem With no physicians in his immediate family and no direct connections to healthcare, Dr. Rahimzadeh set off to follow the advice he received from the influential people in his life: get a job at a healthcare facility, regardless of what the job title is. Some of his friends had recently joined Washoe Medical Center as patient transporters and mentioned job openings that were available. He sprang into action and headed to Washoe Medical Center to apply. Just one problem – he didn’t have the EMT certification requirement. Enter Barry O’Sullivan, who would be Dr. Rahimzadeh’s first supervisor at Washoe Medical Center (and a friend he still speaks with to this day). Barry saw promise in Dr. Rahimzadeh immediately. As a result, Barry made a suggestion to him that would ultimately set him on the course towards medicine. “Barry told me that he had an open position that I could work while completing the senior year of my undergraduate degree and studying for my EMT certification and eventually becoming a patient transporter. He told me Washoe Medical Center would support me in this endeavor. So, I asked what the job was and learned it was driving a shuttle bus.” Without hesitation, Dr. Rahimzadeh responded, “I’ll take it.” And so, his fulfilling journey with Washoe Medical Center, and eventually Renown Health, began. While he finished up the last few months of his degree at the University of Nevada, Reno, (UNR) Dr. Rahimzadeh proudly drove the shuttle bus a few days a week. The job not only helped him pay for his degree and put food on the table, but it also allowed him to begin living out his passion for helping people in the healthcare field. Dr. Rahimzadeh graduated with his bachelor's degree in Pre-Medicine from UNR and finished his EMT certification program. Sure enough, Barry and Washoe Medical Center lived up to their promises and helped him secure his first direct healthcare job as an EMT and Patient Transporter with REMSA. But he didn’t stop there – after several years as a ground transporter, his career literally took flight. He joined REMSA Ground Ambulance and eventually Care Flight as a Flight EMT II, caring for patients that were flying to Washoe Medical Center from nearby communities that needed lifesaving medical care. Helping save lives every day as a member of the emergency medical team is an ultimate feat, especially when it comes to Dr. Rahimzadeh. And he didn’t stop there. Valuing One-on-One Connections In the 1990s, as it is today, the U.S. experienced a significant primary care provider shortage which resulted in many medical schools encouraging students to complete their residencies in a primary care specialty, like internal medicine – which is precisely what Dr. Rahimzadeh set out to do at the University of Connecticut. However, his mind would soon change about the course of his career. “I had a deep, introspective conversation with my residency program director, openly and honestly chatting about my future,” Dr. Rahimzadeh said. “I ended up taking a week off of my residency and wrote a long pros and cons list about what I wanted to do with my life in the medical field.” Eventually he decided on anesthesiology because of the opportunity to have a one-on-one relationship with every surgery patient, regardless of their procedure. “Even though it’s for a short duration of time, it is a very impactful relationship,” he said. “I feel I am making a difference in the outcomes and lives of patients every day.” Dr. Rahimzadeh finished his internal medicine residency in three years and passed his board exam, and he went on to do the same thing for anesthesiology. He then ventured back home to Reno. Career Progression at Its Finest Dr. Rahimzadeh knows that people don’t always get to settle down in a place that influenced their upbringing, care and dream, yet he was able to make that vision a reality for himself. “I feel like Renown Health and myself have this intertwined relationship that led to my growth as a person and as a physician,” he said. “For that, I feel very blessed." Upon his arrival back to Reno with two residencies under his belt, Dr. Rahimzadeh was quickly hired at one of the two anesthesiology groups in town at the time. He started his career with Sierra Anesthesia and after working for the group for several years, he joined Associated Anesthesiologists of Reno in 2014, which went on to become one of the largest anesthesiology groups in northern Nevada. The group continuously worked very closely with Renown, taking care of all of its surgical patient needs and eventually becoming Renown Medical Group employees as of April 1, 2022, with Dr. Rahimzadeh setting up his home base at the Renown South Meadows campus. Today, Dr. Rahimzadeh wears three “hats” at Renown. As a medical professional first and foremost, his largest “hat” is his general anesthesiologist role, where he cares for patients in the operating room. Another significant “hat” is his role as the Medical Director for Surgical Services, where he reviews surgical patient charges alongside his dedicated team of nurses and ensures optimal patient outcomes by verifying they have had the appropriate workup to proceed with surgery in a safe manner. To round out his immense responsibilities with Renown, he serves as Chief of Staff for Renown South Meadows, where he makes connections with colleagues and collaborates with leaders to review protocols, policies and address concerns that arise. Outside of Renown, Dr. Rahimzadeh is still a contributor within his own anesthesiology practice. He also is the current President of the Nevada State Society of Anesthesiologists and the Director to the Board of Directors of the American Society of Anesthesiologists, helping bridge the gap in anesthesia concerns between his northern and southern Nevada colleagues. He reflects on the opportunities Renown and our local community have extended to him by saying, “If you can dream big enough and continue to chase your dreams, you can make it happen right here.” On the COVID-19 Frontlines Nothing could prepare us for the dire situation hospitals on the east coast – especially those in Livingston, New Jersey – were experiencing at the beginning of the pandemic. Livingston was known as the “second hardest hit area” by COVID-19 in April of 2020. Hospitals were overwhelmed with patients in the ICU fighting for their lives. They needed help, and they needed help now. Unable and unwilling to sit idly by, Dr. Rahimzadeh and six of his colleagues from his practice traveled to Livingston to help. They jumped in on the frontlines alongside other anesthesiologists and intensivists to offset the sudden influx of COVID-19 patients. Many lives were saved, and Dr. Rahimzadeh was a direct part of that. “When you care and work with people that also care, you can move the needle a lot – it doesn’t matter where you're from,” he said. Home Means Nevada – and Renown Renown Health is deeply rooted in the northern Nevada community. Dr. Rahimzadeh is proud to be among a diverse team who have taken responsibility for its community for generations. "We live in a very passionate and caring community, which is often underestimated,” he said. “It’s clear to me that Renown refuses to settle. Renown is incredibly progressive in providing the best for the community. We never remain stagnant, we keep moving forward and we take care of your loved ones. This health system has never been able to sit still and settle for the status quo. That stands out to me.” One story especially sticks out to Dr. Rahimzadeh as the moment when he knew that Renown was home. In 1997 while working as a patient transporter, his grandmother passed away on the sixth floor of the Sierra Tower at what is now Renown Regional Medical Center. At the funeral, a huge bouquet of flowers arrived. Not being especially close to anyone in Reno yet, Dr. Rahimzadeh's family had no idea who sent the beautiful arrangement. Turns out, it was Rod Callahan, the Chief Operating Officer (COO) of Washoe Medical Center at the time. “At that point, I knew I wasn’t just a part of a workforce with thousands of employees,” said Dr. Rahimzadeh. “The COO cared so much about me that he felt compelled to send such a wonderful gift during a tragic time. That’s the value of a local, community-focused hospital; the people here know you and care about you. There’s a reason why people stay at Renown for so long – we feel that connection.” Dr. Rahimzadeh also reflected on how far Renown South Meadows has come, from the time he immigrated to the U.S. to today. “Growing up, Renown South Meadows was kind of a ‘mom and pop shop’ primarily serving senior citizens in one wing and surgical patients in the other,” he said. “Now, I am so proud to see how far it has come. It really made its niche in the community in a great way. The future is bright!” It’s clear that Dr. Rahimzadeh is leaving a lasting legacy with his family, from the local community to global medicine. His son is a senior at Baylor University in Texas with a strong desire to go into medicine, just like his dad. His daughter is a junior at Bishop Manogue Catholic High School in Reno and enjoys being involved in her community. His loving wife is a speech therapist in the area. The Rahimzadeh family is thriving together, and they all share the same conviction about northern Nevada and Renown: “This is home.”
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Prestigious Honor Shines National Spotlight on Healthcare In Nevada
Renown Health President and CEO Dr. Tony Slonim recognized as one of Modern Healthcare’s 50 Most Influential Clinical Executives in the U.S. Renown Health President and CEO, Anthony Slonim, M.D., DrPH, FACHE, has been selected as one of the top influential clinical executives in the U.S. for his innovation and leadership in healthcare on a national level. Dr. Slonim is joined by an elite list of 50 esteemed honorees identified as Modern Healthcare’s “Most Influential Clinical Executives.” The list features leaders from top-rated institutions across the country including an impressive list of that includes Dr. Anthony Fauci, director, National Institute of Allergy & Infectious Diseases, Dr. Rochelle Walensky, director, Centers for Disease Control and Prevention, and colleagues from Weill Cornell Medicine, Yale School of Medicine, UCLA Health and more. Fawn Lopez, publisher and vice president of Modern Healthcare, the industry's leading source of healthcare business and policy news, research and information, noted, “Under Slonim’s leadership, Renown a couple of years ago launched the Healthy Nevada Project® with the goal of doing comprehensive population health work. The Project has sequenced genetic data with 60,000 study participants was expanded across the state. The system is also building a new clinically integrated network after joining forces with the University of Nevada School of Medicine. In 2018, Slonim was appointed by the governor as one of the two hospital officials on the state’s Patient Protection Commission, which advises policymakers on access and equity issues. During the pandemic, Renown was an early leader in adopting home monitoring systems, offering free ICU beds to those in need, and expanding disease monitoring. Slonim wrote passionately about the loss of his father to COVID and used that experience as the backdrop to advocate for more family and staff support structures.” “Under Dr. Slonim’s leadership, Renown Health is an extraordinary force for good in our community,” said James DeVolld, chair of the Renown Health Board and Managing Director, Commercial Banking at First Independent Bank. “He leads by example to serve our patients, employees and community, helping pave the way for other leaders and physicians to thrive at Renown. We are honored to serve our community alongside Tony as we work together to make a genuine difference for those we serve.” “We never would have anticipated the challenges we encountered through the pandemic. The highest priority of all CEOs - whether you are the leader of a state or a health system - is to ensure safety and the public’s health. Knowing I had a solid team in place to mitigate, prepare, respond, communicate, and recover from the COVID 19 outbreak and provide access to people who needed us most, gave me confidence and Dr. Slonim was a critical part of that team,” said Steve Sisolak, Governor of the State of Nevada. “Little did we know we would also face an economic crisis, political turmoil and significant social unrest. While at times these challenges seemed daunting, they also accelerated our ability to learn and grow together, to prove we could manage through times of great ambiguity, to move at unprecedented speeds, and have ultimately prepared us to change our world for the better. On reflection, it turned out that we could not have asked for better preparation for our future. Thank you, Dr. Slonim.” “Tony is just getting started! Renown Health and the University of Nevada, Reno School of Medicine (UNR Med) have announced our affiliation and the creation of the first integrated health system in northern Nevada, said Brian Sandoval, President, University of Nevada, Reno. “Dr. Slonim has always answered the call, and worked with me to improve health through proactive community-based prevention, to create an exceptional healthcare system for those with acute and chronic diseases, and to care for all people in our community. We are so fortunate to have him in Nevada.” During Dr. Slonim’s career at major healthcare organizations and academic institutions, he has developed a national profile as an academic leader and tenured professor, holding appointments as clinical professor in the departments of internal medicine and pediatrics at the University of Nevada, Reno School of Medicine. Dr. Slonim is also an expert in patient safety, accountable care, health care quality and innovative care delivery models focused on improving health within the community. Since joining Renown as CEO and President in July 2014, Dr. Slonim has completely reoriented northern Nevada’s largest locally governed, not-for-profit healthcare network. With a personal passion for population health, Dr. Slonim created the Institute for Healthcare Innovation, launching the nation’s first community-based, population health study that currently has more than 60,000 participants and is returning clinical results on the first three genetic conditions identified. The Healthy Nevada Project® is a collaboration with global leader in environmental data, Desert Research Institute, and personal genomics company, Helix. The Healthy Nevada Project combines genetic, environmental, social and clinical data to address individual and community health needs with the goal of improving health across the state, and the nation. The “50 Most Influential Clinical Executives” awards and recognition program honors individuals in healthcare deemed by their peers and the senior editors of Modern Healthcare to be paving the way to better health through their executive responsibility, leadership qualities, community service and achievements inside and outside of their organization. Judging for the final ranking of the 50 Most Influential list is based on readers’ votes as well as input from the senior editors of Modern Healthcare. Dr. Slonim was among the initial nominee list of 150 names published in March 2021. For more information about the program, please contact Jodi Sniegocki. 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.
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Renown Health Welcomes New Chief Information Technology Officer
Chuck Podesta, national IT leader to use technology to improve the health and well-being of Nevadans. Renown Health is pleased to announce Charles (Chuck) Podesta has been named Chief Information Officer. Podesta is a seasoned executive with over 30 years of experience leading some of the nation’s top healthcare IT teams. He has literally worked from coast to coast and is excited to bring his talents to Nevada. “We are pleased to bring an experienced and talented leader like Chuck Podesta to lead our information and technology areas at Renown,” said Tony Slonim, MD, DrPH, President & CEO of Renown. “As Chief Information Officer, he will have the opportunity to foster a culture of innovation and excellence in information technology which serves hundreds of thousands of people across the state and the nation. Chuck will use the power of technology to bring a new level of convenience to patients and providers and will use his talents and team to improve the health and well-being of Nevadans.” Chuck most recently served as Interim Chief Information Officer for UCONN Health’s John Dempsey Medical Center, School of Medicine and Clinical Research IT. Prior to that, Chuck served as CIO for UCI Health/UC Irvine School of Medicine and the University of California Health System. He also served as CIO for University of Vermont Health Network/Fletcher Allen Health; Steward Health/Caritas Christi Healthcare; Berkshire Health; Baystate Health and UMASS Medical Center, all in the New England area. Podesta specializes in creating, resourcing and implementing strategic technology plans; maximizing the power of the Epic electronic medical record; streamlining governance and priorities; aligning IT and medical informatics needs across affiliated entities including a medical school environment, Accountable Care Organizations (ACOs), Clinically Integrated Networks (CINs) and medical practices; partners to implement best of breed customer-driven digital tools; leads participation in state-wide health exchanges (HIE) and coaches and mentors IT teams. “Chuck’s experience and strengths in a variety of diverse and complex environments make him the perfect leader for us at this important time in our history,” explains Josiah (Sy) Johnson, Chief of Staff for Renown. Chuck will assure we are leading with innovative and contemporary approaches and integrating technology and expertise in our ongoing pursuit of excellence in improving health and healthcare in Nevada. “I am honored and excited to join the Renown Health family and the northern Nevada community,” says Chuck Podesta, Chief Information Officer. “I am impressed with the innovation and transformation at Renown; which has earned it a reputation as one of the nation’s leading health systems. I look forward to joining Renown Health at this exciting time in its history. I am excited to bring my skills and experience to create a positive experience when people use our technology. I am looking forward to leading the organization on this important journey.” Podesta is a graduate of the Massachusetts College of Liberal Arts and an active member of CHIME, HIMSS and the Society for Information Management (SIM). Podesta will begin at Renown on July 12. About Renown Health Renown Health is the region’s largest, local not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,200 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 and Neurosciences. 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.
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Prestigious Honor Shines National Spotlight on Health Care in Nevada
Renown Health CEO, Dr. Tony Slonim Elected to Highest Office with American Hospital Association. Renown Health President and CEO, Anthony Slonim, M.D., DrPH, FACHE, has been elected to serve as a member of the American Hospital Association (AHA) Board of Trustees for a three-year term beginning Jan. 1, 2022. The Board of Trustees is the highest policymaking body of the AHA and has ultimate authority for the governance and management of the organization. The American Hospital Association (AHA) is the national organization that represents over 40,000 individual members and serves over 5,000 hospitals, health care networks, and their patients and communities. As a representative and advocate for those serving in the health care field, Dr. Slonim's role as a Trustee will be to ensure that members' perspectives and needs are heard and addressed in national health policy development, legislative and regulatory debates, and judicial matters. Dr. Slonim joins an elite list of CEOs from the nation’s most respected health care organizations in AHA Board service, including Yale New Haven Health (CT), Dartmouth Hitchcock Health (NH), Providence Health (WA), Henry Ford Health (MI), UMass Memorial Health (MA), Vanderbilt University Medical Center (TN), and Advocate Aurora Health (WI). The American Hospital Association was founded in 1898, the same year Marie Curie began studying uranium as a treatment for cancer. Dr. Slonim is among the first health care leaders from Nevada elected to serve on the AHA Board of Trustees. In an announcement to the national media, the AHA wrote, “Anthony Slonim, MD, DrPH, leads Renown's charitable mission of making a genuine difference in the community's health and well-being for one of the nation's most innovative and progressive health systems.” Steve Sisolak, Governor of the State of Nevada, in support of Dr. Slonim’s nomination wrote, “Both Dr. Slonim and I share a common interest for improving the health of over 3 million residents of our state. I urge you to appoint him to this position, as his national leadership would benefit the American Hospital Association, our state and our nation.” Brian Sandoval, President of the University of Nevada wrote in his nomination, “Dr. Slonim has always answered the call, and worked with me to improve health through proactive community-based prevention, to create an exceptional healthcare system for those with acute and chronic diseases, and to care for all people in our community.” Bill Welch, President and CEO of the Nevada Hospital Association, wrote in support, “I consider Dr. Anthony Slonim to be one of the most extraordinary leaders in health care today.” Dr. Slonim is recognized nationally as a thought and opinion leader who does not accept the status quo. He is a quadruple board-certified physician by training and holds a Doctorate in Public Health and Health Policy with Fellowships in the American College of Healthcare Executives (ACHE), American Association of Physician Leaders (AAPL), and the College of Critical Care Medicine. Dr. Slonim’s holds a university appointment at the University of Nevada, Reno School of Medicine, is a highly sought after speaker on healthcare trends and leadership development, holds a Six Sigma Black Belt and is a 2-time TEDx speaker. Dr. Slonim has authored more than 120 publications, 15 textbooks, and has millions of dollars in research funding to his name. Modern Healthcare has named Dr. Slonim as one of the 50 Most Influential Leaders in Healthcare. He has been named to Becker's Hospital Review's "Physician Leaders to Know" list since 2014. Before joining Renown Health in 2014, Slonim served on the senior leadership teams for Barnabas Health in New Jersey, Carilion Clinic in Virginia and Children's National Medical Center in Washington, D.C. Slonim, who was also a registered nurse, got his medical degree from New York Medical College, served four years in the U.S. Public Service Commissioned Corps as a commander, and earned both his master's and doctoral degrees in public health and health policy from The George Washington University's Center for Health Policy Studies. About Renown Health Renown Health is a locally governed, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown has a long tradition and commitment to improving the care and the health of our community. For more information, visit renown.org.
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Renown Health Leads Nation With Focus on Clinician and Employee Wellness
New mental health benefits and two leaders Top Women in Wellness and HR by Ragan Communications Concern about clinician well-being has been top of mind for years, but the pandemic has exacerbated stress and trauma and presented a unique opportunity to reframe core approaches to fostering a thriving workforce. More than ever, clinicians require compassionate, holistic support to ensure that they feel safe, valued and engaged,” begins the introduction to the 2022 Health Care Talent Scan from the American Hospital Association. In line with this new report, Renown Health President and CEO Tony Slonim, MD, D.Ph., and a newly appointed member of the American Hospital Association Board of Directors, has announced a number of additional benefits to address some of the physical and psychological impacts of chronic clinician workforce stressors and to promote rest-and-recuperation strategies, essential for sustaining high-performing clinical teams. In an enterprise-wide communication, Dr. Slonim wrote to Renown Health employees, “I often say good health is a positive connection of a person’s body, mind and spirit. To honor you this holiday season, we have added to your comprehensive benefits package to help you achieve well-being, realize greater financial security, advance your education, enjoy enhanced life balance, and when needed, face illnesses and setbacks with the greatest possible peace of mind.” In addition to offering a $100 cash holiday gift for all frontline employees (up to manager level), Renown leaders are working to remove the stigma and barriers to using mental health services when needed, and reinforcing that seeking help indicates strength, not weakness. “By listening, recognizing and honoring our team member’s emotional health, we are looking to help each other process these experiences, grow from them and emerge more resilient and available to our patients and families,” said Michelle Sanchez Bickley, MS, SPHR, SHRM-SCP, Chief Human Resources Officer. “This could include taking a day off to refresh and recharge or taking advantage of confidential, mental health counseling visits at no charge. We have updated our policy to include mental and emotional well-being as eligible for use of sick leave.” Sanchez-Bickley is the newest inductee to the HR Hall of Fame this week by Ragan Communications, for leading the charge for health care organizations across the United States in employee health, performance management, Diversity, Equity and Inclusion, training and development, and for implementing innovative employee benefits. She is the only health care HR leader named to the Hall of Fame this year. Also named to the national leadership list is Ann Beck, MBA, Chief Financial Officer, who, Ragan Communications noted, “despite being in the middle of a COVID pandemic and economic and financial down turn, was able to drive performance to secure Renown’s workforce and long-term financing to serve this generation and the next.” In addition, hospital staff will be offered free chair massages, courtesy of a local donor organization, MOBE. “Without a doubt, it’s the little things like this, free chair massages, food trucks at lunch time, a hot cup of coffee near the end of your shift, and a sincere “thank you” from a patient or family, that makes all the difference to us as nurses,” said Jana Elliott, DNP, RN, Associate Chief Nursing Officer Acute Services. Clinicians and employees are also encouraged to take vacation time away, and will continue to earn 10 paid holidays plus vacation time, employee recognition and rewards through the Everyday Amazing employee recognition program, enrollment in a free life insurance plan, and offered paid volunteer time and health insurance, 401k retirement planning, and education and tuition reimbursement. Dr. Slonim ended his communication by saying, “This year, as we readjust, realign and restore our way to a new world, I have never been prouder to ‘Be Renown.’ Thank you for standing by us, offering your time and expertise, and helping us emerge stronger people, and a stronger organization through a very challenging time. Please enjoy this holiday season with family and friends, and know you are appreciated.” Renown Health is currently hiring key roles to support the health and well-being of our community. The HR and Recruiting team are providing applicants with support during the application, interview and onboarding processes with a variety of digital and virtual tools. To join the Renown team to help Fight the Good fight, visit https://careers.renown.org. About Renown Health Renown Health is a locally governed, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. In U.S. News and World Report Best Hospital rankings, Renown Regional Medical Center was listed #1 in the State of Nevada. Renown has a long tradition and commitment to improve the care and the health of our community. 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.
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Renown Welcomes New Chief Clinical and Quality Officer; Thomas Graf, MD
Dr. Graf will support clinical providers in delivering the most effective, highest-quality patient care at lowest cost. Renown Health is excited to announce that Dr. Thomas Graf is joining the organization as its Chief Clinical and Quality Officer on September 20. In this role, Dr. Graf will support clinicians in delivering the most effective, highest-quality patient care at the lowest cost. Dr. Graf will also assist Renown in expanding innovative care models like Hospital at Home and remote patient monitoring technology to deliver patient-centered health care that both convenient and affordable. “At Renown, delivering the highest quality care is our #1 priority. Embracing our vision to improve the health of our community, we are pleased to welcome an experienced leader like Dr. Graf to our organization and to Nevada,” said Tony Slonim, MD, D.Ph., President and CEO, Renown Health. “As the Chief Clinical and Quality Officer, Tom will fuel Renown’s transformation to a value-based care organization, help advance technologies to enhance the patient experience, and collaborate with providers in our medical group, acute care hospitals, and through our clinically integrated network, accountable care organization and affiliation with UNR Med to create a healthier Nevada. Dr. Graf embodies our core values of caring, integrity, collaboration and excellence, and respect for all. We are thrilled to bring him to the Silver State, and to continue to offer health care that is affordable, accessible and of the highest quality.” Graf is a highly accomplished physician executive with leadership experience from leading health care and insurance organizations as well as a national consulting firm. A family medicine physician, researcher and academic, Dr. Graf has focused on driving quality improvement to lower the total cost of care. He has developed and published on care models that have delivered measurably better results for quality, cost, and experience in a variety of venues. He has practiced in an integrated delivery system, with over a decade at Geisinger (PA), as well as clinically integrated networks and accountable care organizations. He also has worked with a number of academic medical centers through his consulting work with The Chartis Group. Dr. Graf is respected for his adaptable and effective leadership style and the ability to create consensus through shared perspectives. Dr. Graf adds, “My goal is to produce greater value for the patient by delivering care that is of highest clinical quality. Renown has a national reputation for delivering excellent care using approaches that are creative, innovative and maximize technology, and I look forward to engaging physicians and administrators in an agenda that supports this vision.” Dr. Graf comes to Renown from Ascension in St. Louis, MO, where he served as Senior Vice President, Chief Population Health and Value Based Care Officer. He has extensive experience in population health, having been involved in clinical re-engineering and payment model evolution since 2005 with the Centers for Medicare & Medicaid Services in the Physician Group Practice Demonstration project as well as Geisinger’s Proven Care® and ProvenHealth Navigator® programs. “Choosing a physician and hospital for their care is one of the most important decisions people will ever make. I am excited to begin my work with Renown to help patients enhance their health and well-being,” said Dr. Graf. “I am grateful for the opportunity to contribute to the great progress that Renown Health is making in becoming the best place to practice medicine and to receive care. I am excited to join this journey of transformation to value- based care, and to serve patients, clinicians and the community.” Dr. Graf will report directly to Dr. Tony Slonim, president and CEO, Renown Health. Dr. Graf earned his Doctor of Medicine from University of Michigan, Ann Arbor, and completed his Family Practice Residency at Henry Ford Health System in Detroit. In U.S. News and World Report Best Hospital Rankings, Renown Regional Medical Center is named #1 in the State of Nevada for 2021. No other hospital in Nevada earned recognition from U.S. News. About Renown Health Renown Health is a locally governed, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown is one of the region's largest private employers with a workforce of more than 7,000. It comprises three acute care hospitals, the region's only children's hospital, a rehabilitation hospital, the area's most comprehensive medical group and urgent care network, and the region's largest and only locally owned not-for-profit insurance company, Hometown Health. Renown has a long tradition and commitment to improve the care and the health of our community. For more information, visit renown.org.
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Renown Welcomes Director, Cardiovascular Services; Jayson Morgan, MD, FACC
Dr. Morgan embraces a patient-centered approach to delivering a comprehensive cardiac and vascular program in Nevada. Renown Health is excited to announce that Dr. Jayson Morgan has been promoted to serve as Director of the Cardiovascular Services. Dr. Morgan, who formerly served as the Cardiology Division Chief, began his new position on September 6. Dr. Morgan plays a key role in supporting clinical and administrative leaders to embrace a patient-centered approach in delivering the most effective, highest-quality care within the Institute for Heart and Vascular Health and across Renown Health. Dr. Morgan will expand care, enhance clinical outcomes and transform cardiovascular health care through adopting technological advances which promote patient-centered health care that is both convenient and affordable. “At Renown, delivering the highest quality care is our #1 priority. Embracing our vision to improve the health of Nevadans, we are pleased to promote an extraordinary physician like Dr. Morgan to lead and further develop cardiovascular services - and elevate and grow this important Destination Health program to serve the growing needs of our community,” said Tony Slonim, MD, D.Ph., President and CEO, Renown Health. “Unfortunately, Heart Disease continues to be the #1 cause of death in Washoe County, the state and the nation. Dr. Morgan and his team focus on saving lives and reducing the number of people needing heart and vascular interventions. He embodies our core values of caring, integrity, collaboration and excellence, and respect for all, and we are pleased to have Dr. Morgan at the helm of our cardiovascular program.” Dr. Jayson Morgan is a highly accomplished physician leader. He served as both an Internal Medicine Hospitalist and an Internal Medicine resident at UCSF Health in San Francisco, where he specialized in the care of advanced heart failure, pulmonary hypertension, and heart transplant patients. He completed his cardiology fellowship at Cedars-Sinai Medical Center in Beverly Hills, CA in 2017 and immediately joined Renown afterwards. In 2019, he served as director of the Echocardiography laboratory at Renown. In 2020, he was promoted to Division Chief, Cardiology. “The experts at Renown’s Institute for Heart and Vascular Health provide an integrated, multi-disciplinary, patient-centered approach to the prevention, diagnosis and treatment of heart and vascular disease. I am proud to have Dr. Jayson Morgan leading a team of experts who respond to and treat heart and vascular problems that extend from mild to the most critical of emergencies. Our specialized physicians (cardiologists, interventional radiologists, heart and vascular surgeons) work collaboratively with our clinical team to determine the best treatment plan for each patient,” says Rahul Mediwala, MD, Medical Director, Health Services. “High blood pressure, heart disease, and stroke affect one in three Nevada residents. These diseases are preventable and many acute events are avoidable, by leading heart-healthy lifestyles including not using tobacco products, limiting sodium and adopting a plant-based diet, engaging in at least 30 minutes of physical activity daily, limiting or eliminating alcohol consumption, and following prescribed medication regimens. Together, we can make a genuine difference in improving the health of our families, friends and neighbors,” says Jayson Morgan, MD, FACC, Director, Cardiovascular Services. “We are pleased to offer a medically supervised, Pritikin-certified, intensive cardiac rehabilitation (ICR) program for those with heart disease. Our expert team creates tailored plans, providing the support heart patients need to make lasting lifestyle changes.” Dr. Morgan continues, “Renown now has 3 cardiac surgeons, 17 cardiologists and 16 advanced practice providers who provide excellent cardiovascular care. Our technical capabilities have expanded with a structural heart program including trans catheter aortic valve replacements (TAVR), trans catheter mitral valve repairs (Mitraclip), patent foramen ovale closures, and atrial septal-defect closures; with over 100 structural heart procedures being performed each year. Our Cardiothoracic surgeons are the highest volume in the region and consistently exceed national performance standards for operative care. Renown Regional Medical Center was the first hospital in the region to implant the CardioMEMS pulmonary artery pressure monitoring system for advanced heart failure patients, dramatically reducing hospitalizations in these patients. Three interventional cardiologists have joined our team which has expanded our capacity to handle interventions for complex coronary artery disease. Renown’s three electrophysiologists have performed over 1000 procedures this year, drastically decreasing the symptomatic burden of atrial fibrillation in our community. In addition, with the UNR Medical School affiliation, we look forward to even greater contributions to cardiovascular research.” Dr. Morgan graduated from Stanford University School of Medicine and graduated from Yale University with his undergraduate education in Chemical Engineering. “I am excited to continue to help patients enhance their health and well-being,” said Dr. Morgan. “I am grateful for the opportunity to contribute to the great progress that Renown Health is making in becoming the best place to practice medicine and to receive care. I am excited to advance our journey of transformation to value-based care, and to serve patients, clinicians and the community.” To make an appointment with a provider at Renown’s Institute for Heart and Vascular Health, request that your primary care provider make a referral. For more information on Renown’s Institute for Heart and Vascular Health, visit renown.org/Health-Services/Heart-Care. Renown Institute for Health and Vascular Health is the recipient of a number of national awards for outstanding clinical care and service, including: In U.S. News and World Report Best Hospital rankings for 2021, Renown Regional Medical Center- #1 in the State of Nevada for 2021. No other hospital in Nevada earned recognition from U.S. News. Renown Regional Medical Center is High Performing, its highest rating possible, for Heart Failure and Chronic Obstructive Pulmonary Disease. Awarded by the American College of Surgeons for the Renown Regional earned America’s 100 Best Hospitals for Critical Care Award™ (2021) for Superior clinical outcomes in treating pulmonary embolism, respiratory system failure, sepsis, and diabetic emergencies. Regional also earned the Pulmonary Care Excellence Award (2021), for superior outcomes. Designated Level II Trauma Center. For the 30th year, Renown Regional Medical Center is northern Nevada's only designated level II trauma center. Renown Regional awarded The Get with the Guidelines – Heart Failure Gold Plus Quality Achievement award for continually ensuring heart failure patients receive the most appropriate treatment according to nationally recognized, research-based guidelines, as well as AHA’s Mission: Lifeline Gold Receiving honor for the treatment of patients who suffer severe heart attacks. American College of Cardiology’s NCDR Chest Pain ̶ MI Registry Platinum Performance Achievement Award. Renown Regional Medical Center is one of only 225 hospitals nationwide to receive the honor. The award recognizes Renown’s success in implementing a higher standard of care for heart attack patients and signifies that Renown has reached an aggressive goal of treating these patients to standard levels of care as outlined by the American College of Cardiology/American Heart Association clinical guidelines and recommendations. About Renown Health Renown Health is a locally governed, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown is one of the region’s largest private employers with a workforce of more than 7,000. It comprises three acute care hospitals, the region’s only children’s hospital, a rehabilitation hospital, the area’s most comprehensive medical group and urgent care network, and the region’s largest and only locally owned not-for-profit insurance company, Hometown Health. Renown has a long tradition and commitment to improve the care and the health of our community. For more information, visit renown.org.
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