Positioning providers to provide the best care

emily.griffin
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Being a physician is demanding, but the Genesis Medical Group makes it easier. “Sometimes called the Physician Network, we’re essentially a group of nearly 200 physicians and almost 200 advanced practice providers (APPs) led by Genesis HealthCare System,” said Genesis Chief Medical Officer Scott Wegner, M.D., Fellowship-trained and Board-certified Oncologist. “We’re committed to the Genesis mission, to provide compassionate, exceptional and affordable healthcare.” 

Unlike private practice groups, medical groups have no individual economic incentives. The Genesis Medical Group’s sole focus is to provide the best medical care. “We’re a cooperative group that works well with each other to help our patients. It’s a great organization,” Dr. Wegner said. 

“As opposed to a lot of hospitals that interact with privately employed physician groups, we have alignment with our physician group, and that is critical,” said Physician Network Chief Operating Officer Chris Schoelles, R.N. “It allows us to do things other systems can’t do.” 

Providers only focus on patients 

“At Genesis, physicians can focus on their patients while the administrators take care of the staff, the building and everything else,” said Schoelles. “That’s a huge difference because it allows our physicians to do what they do best -- care for patients.” 

Dr. Wegner said physicians in private practice see their patients and then do the payroll, work with insurance companies, code and bill and ensure the staff is happy. 

“Due to our model and success, we only recruit and retain the highest quality physicians and APPs.” – Scott Wegner M.D. 

“All I have to do when I’m a Genesis-employed physician is take care of patients because the Genesis administrative team takes care of the rest,” he said. 

Dr. Wegner said it’s a nationally evolving trend that many physicians want the opportunity to care for patients without distractions. “When I came here 12 years ago, there was only a handful of employed physicians,” he said. “We made a commitment to grow the group to become a patient-focused, mission-driven medical group.” 

The Genesis Medical Group is an attractive place to work. “Due to our model and success, we only recruit and retain the highest quality physicians and APPs,” Dr. Wegner said. 

The key to a medical group’s success is the dyad partnership, whereby physicians assume primary responsibility for the organization’s clinical vision, and administrators support that vision. “In all phases of our group, in all specialties, we have partnerships between physicians and talented administrators,” Dr. Wegner said. 

 Leading the way is the Medical Group Leadership Team, composed of physicians from all specialties. It charts the course for the medical group’s operations. 

“We provide high quality, technically advanced care to the highest degree in Zanesville. That’s a huge accomplishment,” Schoelles said. 

“No matter where Dr. Wegner and I go together, we’ll run into one of his grateful patients. It’s always heart-warming to see that level of engagement in a community hospital,” Schoelles said. “I’ve worked other places, and that’s not always what happens.” 

Providing accessible care to rural communities 

The Genesis Medical Group is growing because the health system is expanding into Perry County, Coshocton and Cambridge. 

“Our expansion into rural areas that need care the most is a challenge for most medical groups,” Schoelles said. “We’ve done extremely well recruiting, retaining and allowing physicians to go to those areas in need and establish successful practices.” 

Schoelles said by moving into rural areas, Genesis is able to provide care to families that previously did not have easy access to healthcare and may not have seen a doctor in years. “That’s a big step forward,” he said. “We can help so many more people.” 

Chief Medical Officer Scott Wegner, M.D., and Chief Operating Officer Chris Schoelles, R.N., share why the Genesis Medical Group is best for patients.

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Providing the Highest Quality Care

emily.griffin
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“Running a hospital and practicing medicine is one of the most extraordinarily complex undertakings in the world,” said Genesis Chief Medical Officer Scott Wegner, M.D. “Human beings are complicated, and human beings with illnesses are even more complicated. Maintaining a safe and high-quality environment is a never-ending job.” 

Learning from the best 

Over the last several years, the top health systems in the world moved to adopt a more standardized approach to treating patients. The idea is to reduce inconsistencies in care and ensure every patient receives the best care every time. The philosophy came from the aviation industry, which pioneered this process-focused approach to ensure safety. Through exhaustive research, airlines determined the best ways to do everything that impacted safety and made it standardized to do each one of those things the same way every time. They also recognized the importance of empowering every employee to identify and call out safety issues. The result was safer flights. 

Incorporating this method into medicine means that teams of healthcare employees, from doctors to nurses to technicians and beyond, work together to identify and implement best practices to treat serious conditions like heart attacks, strokes, cancer and more. The goal is to remove any risk of deviation from the best treatment plan and utilize the experience and knowledge of all team members to benefit the patient. 

“With our standardized approach, we have been able to teach and perform the best method of treating illnesses to the point that the best approach is our only approach.” – Scott Wegner M.D. 

“At Genesis, our employees latched onto the idea of creating a culture of quality,” said Genesis Chief Nursing Officer Shon Bender, R.N. 

“They all realize the next patient in the door could be their neighbor or a loved one, and they want to make sure every patient receives the best care.” 

So, Genesis HealthCare System adopted this standardized approach to medicine and continues to practice and perfect it daily. One example is at the start of every shift, healthcare teams huddle together to discuss the patients in the hospital to ensure all employees are current on each patient’s conditions and care plans. This enables every doctor, nurse and everyone else to continue providing the proper care to get the patient well quickly. 

National recognition 

This standardized approach to quality improvement generated exceptional clinical outcomes for patients and resulted in Genesis being named a 100 Top Hospital by Fortune Magazine and Merative Health. Merative is an independent organization that evaluates how hospitals perform in many areas of quality and safety, such as the number of hospital-acquired infections, length of hospital stay and care-related complications. For details on the award, refer to the A community win for all article on page 8 of this publication. 

“As with anything in life, there are often many ways to accomplish your goal,” said Dr. Wegner. “With our standardized approach, we have been able to teach and perform the best method of treating illnesses to the point that the best approach is our only approach.” 

“I am so proud of our teams,” said Shon. “Over the last 25 years, they have transformed Genesis into a place that delivers the same level of care as the best hospitals in the nation. In fact, with the recognition of the 100 Top Hospital award, we have been designated as one of the best. It makes me happy to think we provide that level of care to our community.” 

Bender and Wegner

Chief Nursing Officer Shon Bender, R.N., and Chief Medical Officer Scott Wegner, M.D., describe how Genesis reached one of the highest levels of quality in the nation.

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A community win for all

emily.griffin
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You can feel confident in choosing your healthcare close to home, right here in Southeastern Ohio. Your community hospital is one of the top 100 in the nation. 

According to Fortune Magazine and Merative, a data, analytics and technology partner for the health industry, Genesis HealthCare System is top among its peers for excellence in clinical outcomes, operational efficiency, patient experience and overall financial health. 

Merative, formerly IBM Watson Health, established the list to help identify best practices that may help other healthcare organizations achieve consistent, balanced and sustainable high performance. 

Merative has identified the top hospitals from a rigorous evaluation of 2,650 short-term, acute care, non-federal hospitals in the U.S. 

Winning the top award despite COVID-19 challenges 

For more than two years, we have been working as a community to battle COVID-19. We were in good company with every other health system in the nation. Challenges included the virus, supply and business disruptions and workforce shortages. Those challenges make this year’s 100 Top Hospitals list, based on 2020 data, unlike any other in the study’s 28-year history. 

“Recognition as one of the Fortune/Merative 100 Top Hospitals demonstrates Genesis’ ongoing commitment to prioritizing patient-centered care.” -Scott Wegner, M.D. Chief Medical Officer, Genesis HealthCare System 

Quality measures reflect high performance 

According to the Merative study, when compared to similar hospitals, Genesis had better results on key clinical and operational performance indicators. These include survival rates, patient complications, healthcare-associated infections, 30-day mortality and 30-day hospital-wide readmission rates, length of stay, throughput in emergency departments, inpatient expenses and ratings from patients. 

Community health measures 

The Fortune/Merative 100 Top Hospitals list also incorporates a community health measure into its ranking process. 

Hospitals were surveyed across three components: 

  • Assessing hospital contributions to community health as a provider of critical services for community health and preventive care. 
  • Identifying ways that hospitals contribute to community health as a community partner by teaming up with local organizations to implement critical programs. 
  • Focusing on ways that hospitals promote community health through their practices as anchor institutions supporting local economic and social progress. The community health measure is weighted equally with other ranking measures. 

Genesis also won the prestigious Everest Award 

The Everest Award winners are a special group of the 100 Top Hospitals award winners that, in addition to achieving benchmark status for one year, have simultaneously set national benchmarks for the fastest long-term improvement on a national balanced scorecard. In 2022, Genesis was one of only 25 organizations to achieve this level of performance. 

Frontline employees drive quality and safety 

The High-Reliability Patient Safety Council and the Care Coordination Council empower frontline workers to implement best practices once they determine solutions to issues. Standardizing care has led to efficiencies and a higher quality of care. 

Epic, Genesis’ electronic medical record system, has propelled the health system forward by enabling the power to track results and then develop evidenced-based practices based on the scenario. 

What if all hospitals were of the highest quality? 

Based on comparisons between the 100 Top Hospitals study winners and a peer group of similar hospitals that were not winners, it was reported that if all hospitals performed at the level of this year’s winners: 

  • Over 104,000 additional lives could be saved in-hospital 
  • Over 55,000 additional patients could be complication-free 
  • Over $12.5 billion in inpatient costs could be saved 
  • The typical patient could be released from the hospital almost a half-day sooner 
  • Over 18,600 fewer discharged patients would be readmitted within 30 days 

The national award and the Everest Award are based on a set of measures that reflect performance across the whole organization. 

Using independent public data and proprietary analytics, the 100 Top Hospitals study recognizes hospitals that have clearly demonstrated top performance in care, efficiency and community value. 

Learn more at genesishcs.org/top100

Genesis Top 100 LiveWell

Genesis is a Top 100 Hospital in the nation.

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A Letter from our President and CEO | LiveWell Autumn 2022

emily.griffin
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Recently, Fortune Magazine/Merative named Genesis a 100 Top Hospital for 2022. In addition, we were awarded the Everest Award, one of only 25 organizations selected from the 100 Top Hospital list recognized as achieving the fastest rate of improvement over the past five years. Although Genesis won these awards, this achievement would never have been possible without you, our patients, your families, local businesses and the community. In short, this achievement belongs to our whole community. 

Without your trust in our exceptional doctors and professional team members, we would not be performing at this high national level. 

We have spent the last quarter of a century listening to your needs and doing all we can to meet and surpass them. We have used your support to recruit the best physician teams. We have recruited the best physicians and team for the cancer center, heart doctors who perform innovative surgeries and other surgeons who excel in minimally invasive procedures that, in some instances, enable patients to return home the same day of their procedure. Learn more about the newest group of physicians to join Genesis starting on page 4. 

Your feedback and support also drove us to establish a culture where we constantly pursue clinical excellence, continually seek better options for treatment and find creative ways to impact community health. Learn more about these initiatives in our special 25th-anniversary section within this magazine. 

As significant as anything, you have trusted us with your health. Within this issue, you can learn how Diane Wills trusted us to help her overcome cancer and 

how Belinda Hohman came to us to improve the quality of her life with a knee replacement. 

In summation, your support and decision to choose Genesis positioned us to grow, improve and reach a level worthy of nationwide recognition. 

We thank you and wish you good health. 

Matthew J. Perry

President & CEO

 

A Community Win 

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Spotlight on Kinan Kassar, M.D.

emily.griffin
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“One of the nice things about interventional cardiology is you can see the impact instantaneously on patients’ lives. When I open a closed artery during a heart attack or place a new valve and watch the pressure decrease, I know I made a difference,” said Kinan Kassar, M.D., who joined the Genesis Heart & Vascular Group in July, specializing in interventional cardiology. 

Cardiology is continually being divided into specialties. Dr. Kassar said the availability of a cardiologist locally with training in different areas, such as interventions, structural heart and imaging, is important. A cardiologist must be able to look a patient’s condition as a whole and interpret data to determine the best treatment plan. 

“Patient management here is about prescribing medications and helping our patients have access to them,” Dr. Kassar said. He also said it’s essential to counsel patients to help them make healthier choices. 

Part of the care includes utilizing Genesis’ advanced technology or finding innovative ways to use existing technology. “Computed tomography has been used to image the body for decades but is new for the coronary field,” Dr. Kassar said. “It’s a valuable tool for physicians to investigate coronary artery disease in low to moderate risk patients complaining of angina.” 

Dr. Kassar said computed tomography also helps determines a patient’s cardiovascular risk and guides preventative measures through coronary calcium scoring. Additionally, CT scan imaging has become the most important method for planning certain procedures. 

Dr. Kassar’s experience practicing medicine in Syria made him mindful of certain aspects of patient care, including how socioeconomic status, access to healthy food and other challenges affect medication compliance. 

“Interventional cardiology requires a full understanding of the patient’s condition,” Dr. Kassar said. “Multidisciplinary decision-making and collaboration between specialties create the best treatment plan,” he said. 

Following a workday, Dr. Kassar usually rides his bike or runs. “Spending time outdoors helps me recharge for the next exciting day in the cath lab,” he said. 

Dr. Kassar’s office is in the Genesis Heart & Vascular Institute, 955 Bethesda Drive, First Floor, Zanesville. His phone number is 740-454-0804. Dr. Kassar is accepting new patients by physician referral. 

Doctor of Medicine: 

University of Damascus, Damascus, Syria 

Residency in Internal Medicine: 

West Penn Alleghany Health Network, Pittsburgh, Pennsylvania 

Fellowships: 

Cardiology, interventional and structural cardiology at West Penn Alleghany Health Network, Pittsburgh, Pennsylvania 

Board-certified: 

The American Board of Internal Medicine and Cardiovascular Disease, the National Board of Echocardiography, Cardiovascular Computed Tomography Board Exam and the Nuclear Cardiology Board Exam 

KINAN KASSAR, M.D.

Interventional Cardiology 

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Student Nurse Intern Program

Kyle.Norton
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Abstract

The Student Nurse Intern Program provides R.N. nursing students with the opportunity to gain experience, learn and practice new skills during hands-on patient care. Under the direct supervision of an R.N., the student nurse intern will apply their classroom knowledge in a healthcare setting. The position provides clinical exposure to skills and knowledge for their respective clinical areas of study.

Breast Cancer Feedback Leads to Fewer Worries

When Kelly Ashby went for a routine OB/GYN appointment in March 2022, her mammogram showed an abnormality. There was a mass on her left breast, which worried her. 

“I thought, oh, no,” said Kelly. 

She had previously needed mammograms every six months instead of annually due to her medical history. “The waiting was always the hardest part. I’m so grateful to Genesis for reducing the time,” said Kelly. 

Her doctor told her to go to Genesis Imaging for a follow-up. She was able to get an appointment for the next day. 

An ultrasonographer did an ultrasound to examine the abnormality. Kelly thought that following the ultrasound, she would be released and wait for the doctor to call. However, the technician told her she wasn’t done. 

Immediate explanations 

“Dr. Lafferty came to see me during that appointment,” said Kelly. 

Peter Lafferty, M.D., Board-certified Diagnostic Radiologist with Riverside Radiology and Interventinonal Associates (RRIA) at Genesis said, “Everyone who has a follow-up exam is seen by a radiologist who reads the results for the patient right then.” 

This is one of the ways Genesis continues to make improvements. In 2021, Genesis brought in RRIA, a LucidHealth Company, to provide breast imaging services. This means that radiologists play a key role in patient care and interact with each patient who has a diagnostic mammogram follow-up. This enables patients to talk to their radiologist while still at their appointment and not go home wondering about the results. 

“LucidHealth’s program compresses the time frame for screenings and results,” said Dr. Lafferty. “When we interact with patients directly, we’re able to discuss results, follow-up tests, care plans or guidance.” 

“I left feeling incredible. Usually, when you leave, you wait and worry,” said Kelly. “I received quality, compassionate care at Genesis without needing to travel elsewhere.” 

Screenings make a difference 

Regular screenings are now easier than ever, and are still important. Genesis makes it as easy as possible. The goal is to have a patient in and out of a routine screening in 15 minutes. 

“The American College of Radiology feels that breast screenings have led to a reduction in mortality rates,” said Dr. Lafferty. “On average, there has been a 1% reduction every year for the past three decades. “Screenings can help catch pre-clinical breast cancer, which doesn’t show up in a physical breast exam. Screenings and exams by physicians andpatients are key to catching cancer at the earliest possible stage.”

Learn more at genesishcs.org/cancer

Kelly Ashby

Screenings make a difference.

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Injections Help Cervical Dystonia Patient

In 2012, Bernie Schubach was diagnosed with cervical dystonia. The painful attacks left his neck scrunched and made it difficult to do basic tasks. Bernie said, “It’s physically tiring when cervical dystonia isn’t properly treated. I had to use a lot more energy. There was also a social stigma that came with it. When my neck scrunched, it left my head tilted.” 

Cervical dystonia is the result of abnormal muscle tone. Your central nervous system suppresses your muscle tone, but when the signal your brain sends to the muscle gets disrupted, it can cause erratic muscle firing. That means the muscle will hurt even if you didn’t do anything. With cervical dystonia, it’s specifically the muscles in your neck that hurt. 

Bernie’s neurologist at the time recommended he get Botox injections to help with the attacks. Since then, he has received injections every three months. 

While cervical dystonia is not curable, Botox injections are a way to keep attacks at bay. 

“When my neurologist left, they couldn’t find anyone else to do the injections for me. That’s when I started seeing Dr. Wang. I liked that he used EMG guidance. My previous neurologist didn’t use it,” said Bernie. 

Providing precision care 

“At Genesis, we use electromyographic (EMG) guidance for Botox injections. This allows us to find the muscle firing abnormally and inject the Botox directly into it,” said Even Wang, M.D., Fellowship-trained and Board-certified Neurologist at the Genesis Neuroscience Center. 

“Genesis is great because it’s not too far away. I live in New Albany,” Bernie said. “The team at Genesis makes it easy to get the care I need. I’ve never had a problem with refills, and they’re always helpful with reimbursement for the Botox Savings Program. It’s very convenient.” 

“Botox helps manage cervical dystonia, but it can also help with spasticity, post-stroke care and migraines,” Dr. Wang said. “It’s important to know that Botox and cosmetic fillers are different. Botox injections use botulinum toxins. While Botox is used to reduce wrinkles, it works by blocking the signal between the nerve and the muscle. This causes the muscle to relax and helps with attacks. Fillers add volume to the injected area but don’t have the same medical effect. 

“Bernie has been doing great, and the Botox injections have helped him be stable,” said Dr. Wang. 

Bernie’s life is easier with the Botox injections. He loves to go on bike rides with his wife Jaime. Bernie and Jaime have a full house. “We have two kids, three dogs and three birds,” Bernie said. “Botox injections have helped reduce the energy it took for me to perform basic tasks.” 

 Learn more at genesishcs.org/neurosciences

Bernie Schubach

Patient receives precise care from the team at the Genesis Neuroscience Center.

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Genesis Made My Cancer Treatment Easy

By Diane Wills

 

When I had difficulty swallowing earlier this year, I brushed it off. My neck would swell a little and then go back down. I thought it was a thyroid issue. 

Then, it got worse. 

I started choking on food. Pills started getting wedged in my throat. I knew I had to make an appointment with my primary care provider. When he examined my throat, he referred me to an ear, nose and throat doctor. 

On April 15, I got a CAT scan, which led to a biopsy that revealed lymphoma. I was referred to Dr. Bastola and saw him on April 22. I was so grateful for how quickly Genesis responded. 

I was scared to death going into the appointment, and when they asked me to rate my stress level from 1 to 10, I said “10.” Dr. Bastola told me the biopsy showed non-Hodgkin’s diffuse large B cell lymphoma, and it was aggressive. By aggressive, he meant the cells divided rapidly. The good news was, as it was aggressive it would respond well to chemo. I felt so relieved. 

Nurse Navigator Annette Barr immediately had the necessary tests completed. I received the results from the blood work and echocardiogram the same day. I was impressed I received my test results so quickly. 

Six days later, I started chemo. 

I had seen the Genesis Cancer Care Center from Maple Avenue for years. My husband and I always thought it seemed nice, but we hoped never to have to use it. 

Yet, on April 28, I was ready to start my first round of chemo. Everyone was so nice and welcoming, from the receptionists to the nurses. I felt good just walking into the center. 

Three days after my first round of chemo, the Cancer Care Center staff called to check on me. I told the nurse I could no longer feel the mass in my throat. 

In the three weeks between rounds of chemo, I recovered at home. I was extremely fatigued for a few days, then I‘d feel better … and then we’d start the cycle over. Through it all, I had a great support system in my family and friends, the team at the Cancer Care Center and God. Before I was diagnosed, I routinely went to a local workout facility with my husband, and I think that helped with the side effects. 

Dr. Bastola initially thought I’d do six rounds of chemo, but the PET (positron emission tomography) scan after my third round was clear of cancer cells. He said we’d have to do one more round of chemo to make sure the cancer was gone. 

“I was in good hands from start to finish.” 

At the end of June, after my fourth round of chemo, I went back to Dr. Bastola. He told me I was in remission. I was amazed at how quickly the cancer went away, and I was so grateful to Dr. Bastola that I hugged him and cried. 

Now, I feel great. I’m taking life day by day. I’m spending time with Dave, my husband of 51 years, my two children, five grandchildren and my first great- grandchild. I was very careful during chemo, but I’m spending time with my friends again. At the end of July, I went back to the gym for the first time since chemo. I started slowly, but I’m building my strength back up. 

I could not be more grateful for the care I received. Knowing I had cancer was terrifying, but Dr. Bastola and the Cancer Care Center team made my treatment feel easy. I went in with a positive attitude and prayers, and God was with me every step of the way. I was in good hands from start to finish. 

Learn more at genesishcs.org/cancer.

By Diane Wills

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