Feb. 22, 2022  
Our Connected Ministry
New kidney function testing equation recommended by Kidney Foundation and Society of Nephrology improves health equity for Black/African American patients
On Feb. 28, we will begin using the 2021 Chronic Kidney Disease Epidemiology Collaboration equation when calculating estimated Glomerular Filtration Rate (eGFR) to assess kidney function. This new equation replaces the prior version which used race as a factor in calculation and perpetuated racial biases. As we close out Black History Month, we are proud to be part of this positive action when it comes to the management of kidney disease for our Black/African American patients.
 
Too much stress might break your heart
February is American Heart Month, an opportunity to raise awareness about cardiovascular disease prevention. Read on to learn how extreme emotional or physical stress can affect your heart health, as well as the support available to you and your family to help manage stress.
 
Our GHI impact: Step in a New Direction Program, Rwanda
Global Health Initiative’s (GHI) Step in a New Direction Program is focused on strengthening orthopedic surgery services at our partner hospital in Rwanda. With help from a recent incredible $1M endowment, GHI will continue to provide corrective surgeries for children suffering from clubfoot.
 
Avista nurse who lost home receives financial help from community
Denver7 surprised Kim Christensen, a nurse at Avista Adventist Hospital, with a significant gift thanks to donations from our community. Check out the story and watch Kim’s reaction.
 
Other News
30 Walden University scholarships available
We are excited to announce our continued partnership with Walden University. Together, we are investing in health care through education by providing 30 scholarships—ranging from $5,500 to $15,000 each—to Centura Health associates who enroll in a bachelor’s, master’s or doctoral program and start classes between June 1 and Sept. 30 at Walden University.
 
Reminders about how to access your tax forms
With the tax deadline just two months away, please take a moment to review the information below about how you can access your W-2 and 1095-C.
 
Dates to Know

February:
Black History Month
American Heart Month

The Joint Commission Breakfast Briefings:March 1
Livestream event with Peter D. Banko

March 4-8
Focus on Action: Virtual Nursing Town Halls
 
Breakfast Briefings
Rights & Responsibilities, Transplant Safety and Waived Testing: Are you survey-ready?
The Joint Commission’s survey is a vital part of maintaining our accreditation as a health care provider. Breakfast Briefings is a series of webinars designed to equip our caregivers with the information they need for a successful survey. Click below to learn more about this series, how you can earn CEU for participating, and this week’s topic: Rights & Responsibilities, Transplant Safety and Waived Testing.

 
On a Mission
Cultivating Growth through Faith and Business

Peter D. Banko, President & CEO, shares weekly updates on his blog to teach, support, and lift you up to help you fully live your mission.

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We extend the healing ministry of Christ by caring for those who are ill and by nurturing the health of the people in our communities.
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Feb. 22, 2022 
New kidney function testing equation recommended by Kidney Foundation and Society of Nephrology improves health equity for Black/African American patients

During Black History Month and throughout the year – it is essential to recognize the disparities that are experienced by Black/African Americans and other underrepresented and underserved communities across our nation. As we close out Black History Month, we are pleased to announce that we are making a ministry-wide change to improve the quality of the care we provide for all our patients. Effective Feb. 28, all estimated Glomerular Filtration Rate (eGFR) equations utilizing a race coefficient will be removed and replaced with the updated 2021 Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation.

In 2020, the National Kidney Foundation (NKF) and the American Society of Nephrology (ASN) formed a joint task force to review the use of race in eGFR calculations 3, and in 2021, the task force announced a new race-free calculation for estimating eGFR. This new calculation will help caregivers better diagnose and treat kidney related illnesses for all patients no matter what race they identify as.


“The coefficient for race in eGFR calculations is a textbook example of how racial injustices become built in, insidiously and by the confounding of assumption with truths. The cause for its removal at this time is undoubtedly the recent civil rights movement, which has not only insisted that assumptions are conceded, but also corrected. “
- Kathryn Matney Lloyd, MD, Medical Director Laboratory Services



What does eGFR measure and how is it used in medicine?
Glomerular filtration rate (GFR) measures how well the kidneys filter waste products out of the blood, including creatinine. Creatinine builds up in the blood as a person’s muscles use energy and muscle tissue breaks down. Everyone has creatinine in their bloodstream. However, creatinine levels can differ between people. GFR helps us understand kidney function and whether kidney disease is present. The earlier kidney disease is detected, the better the chance of managing or keeping the condition from getting worse.

Estimated GFR or eGFR is calculated using mathematical equations to determine expected creatinine levels in the blood. The estimate calculation incorporates patient factors such as age, height and weight. Lower creatinine levels in the blood indicate the kidneys are working well and effectively filtering creatinine from the body.

How does this change improve health equity?
Until recently, one of the patient factors included in the calculation of eGFR was race. Specifically, calculations were done differently for Black/African American patients. This was based on a number of flawed, poor-quality studies that led to the false narrative that “Black/African American persons have greater muscle mass than white persons” and would therefore be expected to have higher levels of creatinine in the blood.


Expecting higher creatinine levels in the blood of Black/African American patients and viewing those elevated levels as “normal for them” leads to delayed diagnosis and treatment of kidney disease.

As we move toward health equality, we must continue to analyze the root causes of health disparities and take action to address them. We are proud to be part of this positive action when it comes to the management of kidney disease for our Black/African American patients.

References:

  1. Eneanya ND, Yang W, Reese PP. Reconsidering the consequences of using race to estimate kidney function. JAMA 2019;322:113-4.
  2. Levey AS, Bosch JP, Lewis JB, Greene T, Rogers N, Roth D. A more accurate method to estimate glomerular filtration rate from serum creatinine: A new prediction equation. Modification of diet in renal disease study group. Ann Intern Med 1999;130:461-70.
  3. National Kidney Foundation. Removing race from estimates of kidney function. https://www.kidney.org/news/removing-race-estimates-kidney-function (Accessed March 2021).
  4. https://www.ajmc.com/view/flawed-racial-assumptions-in-egfr-have-care-implications

Feb. 22, 2022 
Too much stress might break your heart

Have you ever gone through a stressful or emotional situation that made your heart actually hurt and you thought maybe your heart broke? In some cases, your heart can break. In the medical world it’s called Broken Heart Syndrome, Stress-induced Cardiomyopathy or Takotsubo Cardiomyopathy.

The symptoms are similar to those of a heart attack. According to the American Heart Association, symptoms occur suddenly after extreme emotional or physical stress. But unlike a heart attack, there’s no evidence of blocked heart arteries in broken heart syndrome.

Symptoms may include:

In the Latin American culture, this syndrome is called “Susto.” It is described as a condition of "chronic somatic suffering stemming from emotional trauma or from witnessing traumatic experiences lived by others." Susto is classified as a culture-bound syndrome, a symptom that occurs and is recognized within an ethnic group.

Brian Metz, MD, a cardiologist at Colorado Springs Cardiology, was recently interviewed by KRDO-ABC affiliate about how the pandemic is taking a toll on our hearts and he referenced the syndrome.

“According to research, Broken Heart Syndrome dates to 1990, when the Japanese brought out a term Takotsubo cardiomyopathy, where they described a heart having an apical ballooning that looked similar to an octopus trap, or a Takotsubo,” he said.

Dr. Metz said it took time for experts to find out why this syndrome was impacting post-menopausal females. In fact, 90 percent of these cases occur in post-menopausal women.

“Over time, it became clear that this was a catecholamine or adrenaline-based mechanism that was causing this ballooning of the heart, and a presentation very similar to a typical heart attack. Same chest pain, same EKG abnormalities, not as high of the cardiac biomarker elevations on the blood test, but the chest pain syndrome was quite severe,” Dr. Metz said.

He said on heart catheterization results, the heart arteries would look fine or not severely blocked. So, it became clear that something was causing the heart to balloon out, mainly at the tip of the heart. It turns out it's due to a severe catecholamine elevation that usually is a result from severe emotional stress.

Since the syndrome is brought on by severe emotional distress, the reporter asked Dr. Metz if stress from the pandemic over the last two years could play a role in the rise of this condition.

Dr. Metz said, "Yes, definitely. I do think the increased stress caused people to become sick with the virus. The emotions of people unexpectedly dying of the virus, the effect on loved ones in the family, the financial stresses caused by it, I do think it is definitely contributing to an increase in the number of catecholamine or stress-induced cardiomyopathies that we're seeing.”

Treatment for Broken Heart Syndrome is similar to treatment for a heart attack and most people stay in the hospital while they recover. Plus, most people with broken heart syndrome fully recover within a few weeks to a month. Although it’s recommended to get a checkup four to six weeks after full recovery.

More importantly, it’s vital to help individuals deal with the traumatic event that caused the broken heart in the first place. Mental health plays a key role in long-term recovery.

Feb. 22, 2022 
Our GHI impact: Step in a New Direction Program, Rwanda

Global Health Initiatives (GHI) works to improve lives around the world by providing high quality health care in collaboration with international partners to strengthen health systems in developing countries.

GHI’s Step in a New Direction Program: Rwanda
This program is focused on building Rwanda’s capacity to provide orthopedic care, specifically strengthening orthopedic surgery services at Mugonero Hospital, and providing corrective surgeries for children suffering from clubfoot.

Clubfoot surgeries
In the rural country of Rwanda, children born with clubfoot not only face the physical discomfort of walking around on their ankles, but they have an added emotional burden. In most communities, because of the necessity of able-bodied family members to support the household, these little ones are often looked down upon.

There are only a handful of orthopedic surgeons in the entire country. And for families living in extreme poverty, even if they could travel to a hospital that offers orthopedic services, they’d still be faced with treatment costs that far exceed their incomes.


GHI impact
GHI helps facilitate sponsored surgeries that will change the life of a child forever. For $5,000, a child can receive the surgery, follow-up care, rehabilitation services and regular check-ups needed to ensure a successful recovery.  

Rwandan patient Brenda Niyomukiza after a successful clubfoot surgery!
Since the beginning of this program, GHI has been able to provide funding for nearly 100 free surgeries for club foot patients that would otherwise be unable to afford the surgery and rehabilitation costs.

How you can help
While clinical trips are on hold since the onset of the COVID-19 pandemic, the needs are just as great as ever. The GHI team hopes to start leading trips again in late 2022, early 2023. Until then, financial donations are always appreciated, and volunteers are always needed to help with local fundraising efforts.

Questions?
Please contact Courtney Haas, Development Officer, Rocky Mountain Adventist Healthcare Foundation, at CourtneyHaas@Centura.org.

Feb. 22, 2022 
Avista nurse who lost home receives financial help from community



For RN Kim Christensen in GI, who has worked at Avista Adventist Hospital for the past 18 years, Dec. 30 was normal at first.

“I was taking care of my patients and looked out the window and saw the big black plume of smoke," said Christensen, recalling the day of the Marshall Fire.

Her home was just down the street from the hospital, and she quickly realized it might not survive the fire.

“I was hopeful, but I really didn't think we would have a home to come back to.”

Sure enough, after evacuating the hospital and joining her family as parts of Louisville burned, she learned her home was burned.

She is back at work but it will take a long time to return to normalcy, and Kim says like many in the area, her family was underinsured and the cost to rebuild is daunting.

“I feel very blessed and supported by Centura,” Kim said, adding that she is grateful for any assistance and appreciates the outpouring of support from the community.

However, she had no idea what was in store when Denver7 interviewed her on Wednesday. Thanks to community donations organized by the TV station, Kim was shocked to learn that her mortgage will be paid through the end of the year.

Watch the surprise for Kim here and what she had to say afterwards.

Feb. 22, 2022 
30 Walden University scholarships available

We are excited to announce our continued partnership with Walden University. Together, we are investing in health care through education by providing 30 scholarships—ranging from $5,500 to $15,000 each — to our incredible caregivers who enroll in a bachelor’s, master’s or doctoral program and start classes between June 1 and Sept. 30, 2022 at Walden University. Scholarship applications will be accepted March 1 through April 30, 2022.

This is a competitive scholarship process, and we encourage you to get a head start today by registering for one of our virtual Q&A sessions here and applying for admission to Walden University at WaldenU.edu. Only Centura associates newly accepted and enrolled at Walden University will be eligible for these scholarships.

This unique opportunity is powered by philanthropy and would not be possible without the generosity of Walden University through the Centura Health Foundations. For questions, please contact foundationscholarships@centura.org.

Who qualifies?
With more than 80 degree programs and 385+ specializations and concentrations, the school offers all Centura Health associates a way to build highly transferable skills that can be immediately applied to your current role, as well as provide a pathway for greater career success. Both clinical and non-clinical degrees qualify for scholarships if your selected program meets our hiring needs. Eligible associates must also be employed for at least six months, work a 0.5 FTE or greater, and have no adverse employment-related action in the last year.

Process
Upon successful admission to Walden University, candidates must fill out a second application for scholarship. Scholar awards will be determined by a diverse selection committee comprised of our leaders, board members, foundation representatives and Walden University representatives. Scholarship recipients will be notified of their award by mid-May.

Upon accepting their award, associate scholars agree to maintain a minimum 3.0 GPA, continue working a minimum 0.5 FTE, remain in good employment standing, agree to work for Centura for a minimum of two years following completion of the degree, and agree to participate in printed, digital and event promotions as requested by the foundation and Centura.


Key takeaways
  • 30 scholarships to Walden University available to associates. Applications open March 1.
  • Who can apply: All Centura Health associates who are accepted at Walden University, enroll in a bachelor’s, master’s, or doctoral program, and begin classes between June 1 and Sept. 30, 2022.
  • 3 Easy Steps:
    • Now - March 1:  Apply for admission to Walden University.
    • March 1- April 30: Apply for scholarship.
    • Month of May:  Selection Committee awards 30 scholarships!
  • To learn more, register for one of our virtual Q&A sessions here.


Feb. 22, 2022 
Reminders about how to access your tax forms

With tax deadline quickly approaching, please take a moment to review the information below about how to access your W-2 and 1095-C.

Access your W-2 electronically
If you signed up for electronic W-2 in a prior year, this preference will be retained for all future years.

Paper W-2s mailed to your home
If you did not opt-in for electronic W-2, your W-2 was mailed to your current address in Lawson as of Thursday, Dec. 23.
Form 1095-C
The IRS requires all 1095-C (Employer-Provided Health Insurance Offer and Coverage) forms be postmarked by March 1. This form is mailed to all associates who were eligible to receive health coverage from Centura Health in 2021 and is part of the reporting requirements for employers and health insurance companies under the Affordable Care Act. This form will contain health insurance coverage information you may need to report as part of your income tax submission for the 2021 tax year.

You should receive your form by the required deadline at the address reflected in Lawson Employee Self-Service as of Dec. 23, 2021. Keep in mind, while information on the 1095-C may be helpful in preparing your tax return, it is not required to file your taxes. Like last year, you can prepare your tax return using other information to confirm your coverage. The 1095-C you receive from Centura Health is for your records only.

If you do not want to wait for the mailed copy, you may access this form online at www.w2.adp.com. For full details on creating an account, including what to do if you have forgotten your password, visit www.w2.adp.com.

Questions?

Feb. 22, 2022 
Rights & Responsibilities, Transplant Safety and Waived Testing: Are you survey-ready?


Watch for a new, subject-specific Breakfast Briefing webinar to be released each week! To view the full lineup, visit our Regulatory Teams site and watch your entity newsletters over the coming weeks.
The Joint Commission’s surveys are a vital part of maintaining our hospitals’ accreditation as a health care provider – and your participation, expertise and dedication to delivering safe, high-quality care are crucial to our success.

To help ensure you are prepared, we are offering The Joint Commission’s Breakfast Briefings – a series of webinars designed to equip you with the information you need for a successful survey.

Each Breakfast Briefing will share the latest Comprehensive Accreditation Manual for Hospitals (CAMH) content. Subject matter experts from The Joint Commission will teach the standards, elements of performance, expectations for the survey and any changes for the coming year. These recorded webinars provide an opportunity to learn directly from Surveyors, the Standards Interpretation Group (SIG) and JCR Consultants with personal experience and best practices gathered from organizations across the United States!

Participants can also earn Continuing Education Units (CEU) by participating in a Breakfast Briefing!

Feb. 21-25: Rights & Responsibilities, Transplant Safety and Waived Testing
This week’s webinar will focus on Rights & Responsibilities, Transplant Safety and Waived Testing. Click here for more information about how to join this Breakfast Briefing.

All recorded Breakfast Briefings will remain available through Aug. 26, 2022. Registered users may access the webinars here: https://jcr.skyprepapp.com/course_items/show/520676?course_id=90122

If you are signing in for the first time, please follow this self-registration link to register: https://jcr.skyprepapp.com/users/enroll_to_learning_path?user_group_id=41363&show_fields=Company

You will need the following information to register:

Questions?
Email RegulatorySupport@Centura.org.