A Happier Gut … for Him and for Her

WWW.H2USUNRISEHEALTH.COM
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JUNE 2014
A Happier Gut …
for Him and for Her
Here’s a gut check: It turns out that your gender can play
a role in your digestive health, from the way you digest
food to how likely you are to suffer from certain gastrointestinal problems.
Men tend to experience acid reflux more
acutely than women, but women are more
likely to have irritable bowel syndrome or
gallstones.
Fortunately, learning about your body
and making lifestyle or dietary changes
often can relieve or eliminate digestive
problems.
The Inside Scoop
Several factors account for the digestive differences between
men and women, from anatomy to hormones. For starters,
women have a deeper pelvis and a longer colon (4 inches on
average). Women also have more internal reproductive organs
competing for space in the abdomen, which can cause loops and sharp angles
in the intestines. The result: constipation and bloat, two conditions women
experience much more often than men. Hormone fluctuations associated with
menstruation also contribute to bloat, as well as to more serious digestive problems like irritable bowel syndrome.
Male hormones, in contrast, may protect men from some digestive problems.
Testosterone helps keep abdominal walls firm and muscular, even under a “spare
tire.” Strong abdominal muscles hold intestines in place, which reduces the risk
for developing troublesome loops in the intestines.
continued on next page
ISSUE
FOCUS
Digestion & Nutrition
Electronic Kiosks Make
ER Check-In Faster
The Hospitals of the Sunrise Health
System are pleased to provide our
patients with electronic ER check-in. This
technology helps us triage patients quickly
and effectively. It enables our caregivers to
retrieve important medical information and
to create a paperless electronic record. The
process is simple and quick—just like at the
airport. Simply scan your driver’s license or
enter basic identification information and
the reason for your visit to begin the process.
This adds you to an electronic list that
determines the order in which you will be
seen based on symptom severity. Electronic
check-in allows our providers to:
• Collect the most accurate information
for diagnosis and treatment
• Retrieve your medical and prescription
drug history
• Triage patients based on symptom
severity
The information we collect, like all your
other medical and personal information,
is kept completely confidential and made
available only to personnel involved in your
visit. If you check-in using iTriage® through
iNotify® before you arrive at the ER, you
will be asked to confirm your arrival and
information at the electronic check-in kiosk.
This is another way that we are continually
improving the patient experience! n
1
H2U Sunrise Health
3150 North Tenaya Way, Suite 114
Las Vegas, NV 89128
HEALTH TO YOU
A Happier Gut …
for Him and for Her
continued from front page
Pipe Cleaners
Many digestive ailments have similar
symptoms that come and go or vary in
intensity, making it difficult to diagnose
whether symptoms are caused by disease
or by one’s diet or lifestyle.
In her 2013 book, Gutbliss: A 10-Day
Plan to Ban Bloat, Flush Toxins, and
Dump Your Digestive Baggage, gastroenterologist Dr. Robynn Chutkin takes
an integrative approach to improving
digestive health that includes medicine,
nutrition, exercise, counseling, biofeedback and massage. Here are some of her
top tips for achieving a happy gut:
> Practice good bathroom habits. If
you feel the urge to go, don’t wait.
> Avoid using laxatives regularly—they
can weaken digestive muscles.
Put Nighttime
Heartburn
To Bed
W
hen heartburn strikes
in the middle of the
night, all you want is to
ease the pain and get
back to sleep. Unfortunately, it’s not
always easy to beat the burn.
Nighttime heartburn is a common
cause of sleep problems. The National
Digestive Diseases Information
Clearinghouse says up to 1 in 5 adults in
2 H2U.com
> Quit smoking.
Tobacco use is linked
to colon polyps, bowel
cancer and Crohn’s
disease, an inflammatory bowel disease.
> Don’t skip meals—
hunger can lead to
overeating later.
> Eat your biggest
meal earlier in the day
when your stomach is
most active. Use this
phrase as a guide: Eat breakfast like a
queen, lunch like a princess and dinner
like a pauper.
> Impose a dinner curfew. For example, eat by 7 p.m. and don’t eat snacks
after 9 p.m. Digestion is tied to your
circadian rhythm, so activity in your
tummy slows down after dark, too.
> Get moving! Losing excess weight
and exercising daily helps keep bowels
regular. Going for a walk after eating
promotes good digestion.
> Reduce GAS—gluten,
alcohol and sugar. These
can contribute to digestive
problems.
> Minimize fatty foods.
These cause the stomach
to empty slowly, which can
cause discomfort.
> Space out fiber consumption. Fiber is good
for you, but large amounts
eaten all at once can clump
up in the stomach.
> Sip, don’t gulp. Stay hydrated but
don’t drink too much at one time.
Instead, sip fluids throughout the day,
especially in between meals, to avoid
overfilling the stomach.
Remember, if your symptoms persist
or worsen, get to the bottom of things
by seeing your doctor. If you have severe
pain, blood in your stool or a fever, see
your doctor right away. n
the United States have heartburn at least
once a week; three quarters of them also
experience heartburn at night, report
researchers at the Medical College of
Wisconsin Dysphagia Institute.
The best way to stop nighttime heartburn is before it begins. Try these tips to
alleviate your heartburn.
> Make it harder for stomach acid to
flow back up the esophagus by elevating the head of your bed about 6 inches.
Use a wedge pillow under the mattress or blocks under the headboard or
bedframe.
> Sleep on your left side. Research
shows this can lessen symptoms though
scientists are not sure why.
> Chew sugarless gum for 30 minutes
after a meal. This produces saliva that
can neutralize acid in the stomach.
> Talk to your doctor or pharmacist about using over-the-counter or
prescription antacids. Also, find out if
heartburn could be a side effect of any
medications you are taking.
> Avoid caffeine, alcohol and
tobacco. They relax the valve that
keeps stomach acid from flowing back
into your esophagus.
> Lose weight. Excess weight is associated with more frequent heartburn.
> Skip spicy, acidic and high-fat
foods, as these can trigger heartburn.
> Eat smaller meals, especially at
night. Large meals create pressure in
the stomach and can increase production of stomach acid.
> Don’t eat too close to bedtime
so the stomach has time to partially
empty before you go to sleep.
> Avoid tight clothing and belts.
These can interfere with digestion.
> Keep a food diary and a record of
your symptoms to uncover patterns.
If your symptoms don’t get better,
or if you get heartburn two or more
times a week, talk to your doctor. You
may have gastroesophageal reflux
disease (GERD) or another underlying
condition. n
Smart Move Reviewed:
The Heimlich
Step Out of
Harm’s Way
If someone is choking and can’t
speak or breathe, the Heimlich
maneuver could save his or her
life. However, if the person is
coughing or can speak, do not
use the Heimlich maneuver.
Coughing is the body’s way of
dislodging stuck objects.
Never slap a choking person
on the back or offer water, as this
can lodge an object farther back in the
throat.
Have you ever seen walkers who
are disrupting the flow of foot traffic
because their eyes are glued to a
smartphone while they amble
along? Such behavior is not only
rude, it also can be dangerous.
Distracted walkers, like distracted
drivers, can be a hazard to themselves
and others, say researchers. A study
at the University of Queensland in
Australia found that walkers who were
using their phones to send or read texts
moved stiffly and slowly, swerved more
often, and were less aware of their
surroundings.
How to Perform the Heimlich
1. Stand behind the person and reach
your arms around the waist.
2. Place your fist, thumb side in, just
above the person’s belly button and
grab your fist with the other hand.
3. Pull your fist quickly up and
inward. You may need to do this several
times before the object is dislodged.
4. If the person is lying down or you
can’t reach around the waist, straddle
her facing her head. Push your fist up
and inward from this position.
5. If the person loses consciousness,
lower her to the floor and call 911. If
you see the object, try to remove it
but only if the person is unconscious.
Then begin CPR.
When You’re Alone and Choking
Perform abdominal thrusts on
yourself or stand behind a chair and
use your body weight to try to dislodge
the object. n
Is it a Cramp or Pulled Muscle?
In the middle of an exercise class, you suddenly feel a
sharp pain in your leg. Is it just a cramp or a pulled muscle?
Knowing the answer could mean the difference between
sitting out one class or sitting out the rest of the month.
Whenever you feel sharp pain in a muscle, take a break to
rest and investigate. Feel the muscle with your hands. If it’s
tightly knotted and your muscle seems locked in a flexed
position, it’s probably a cramp. Stretch the muscle and massage with your fingers or the heel of your palm until the
knot unwinds. If the muscle is tight, sore and doesn’t relax
with stretching and massage, it may be a pulled muscle.
Pulled muscles actually are tears in the muscle fiber.
Along with pain and tightness, you may see bruising and
swelling. If it hurts to use the muscle, call it a day and
employ the RICE method for a few days: rest, ice, compression and elevation. Over-the-counter anti-inflammatories may help, too.
To prevent pulled muscles and cramps, stay well hydrated, and get plenty of
potassium and calcium in your diet. When working out, always warm up, stretch
and cool down. Also wear appropriate clothing and supportive shoes. n
This results in a greater risk for falling
off curbs, tripping on obstacles, running
into stationary objects or weaving into
traffic. Worse, taking the wrong step
while texting can land you in the hospital
with cuts, bruises or broken bones.
Prevention is easy: Simply stow your
phone in a pocket, purse or bag when
you’re out walking. If you must check or
send text messages, stop and move out
of the way.
More Pedestrian Safety Tips
> Cross streets only at designated crosswalks.
> If there is no sidewalk,
face traffic while walking.
> Look both ways when
crossing streets and be wary of all
cars, especially in places where it’s difficult
for drivers to see you.
> Wear light-colored or reflective clothing at night to make yourself visible. n
3
HEALTH TO YOU
All H2U events require registration
48 hours in advance. To register for an
event, call (702) 233-5300 or the
Consult-A-Nurse numbers listed below
for your hospital of choice.
This class provides an introduction to the
diabetes disease process and the actions
and effects of medications on the diabetic
patient. This class is for adults only; you
are welcome to bring a guest.
H2U Sunrise Hospital
Diabetes Education
“Nutrition” Class
Tracy Netherton
Manager, Guest Services
(702) 735-5510
H2U Member Meal Coupons are
available in the H2U office at
3131 La Canada Street, Suite 107, or at the
front desk of the Sunrise Hospital main
lobby.
Office Closed: June 6, 13, 20, 27
Limited office hours on Thursdays —
please call ahead at (702) 735-5510.
All events are held at the H2U office,
unless otherwise indicated.
Tai Chi Class
Thursday, June 5, 12, 19, 26
11 a.m. - Noon
Breast Center Multipurpose Room
Tai Chi instructor Terry Tichota has been
practicing and teaching Tai Chi since 1995.
Terry specializes in working with seniors
and is very intune with the needs and
requirements to get the most benefit from
Tai Chi. There is a $5 fee to attend this
class.
One on One Medicare Counseling
Tuesday, June 10
10 a.m. - Noon
Join a Medicare S.H.I.P. volunteer as they
help you navigate through the Medicare
process one on one. By appointment only,
every 20 minutes.
Diabetes Education “Overview
and Medication” Class
Tuesday, June 10
2 - 4 p.m.
3121 S. Maryland Parkway, Suite 600
4 H2U.com
Wednesday, June 11
2 - 4 p.m.
3121 S. Maryland Parkway, Suite 600
This class will provide an introduction to
the dietary needs of the diabetic patient
and the benefits of diet and exercise. This
class is for adults only; you are welcome to
bring a guest.
Lunch and Learn:
Bucket List Party
Tuesday, June 17
11:30 a.m. - 1:30 p.m.
Sponsored by Wendy Kraft from KraftSussman Funeral Services.
AARP Smart Driver Class
Wednesday, June 18
Noon - 4:15 p.m.
$15 for AARP members
$20 for non-members
Attend this class and receive a discount on
your automobile insurance.
Lunch and Learn:
Eat, Laugh, and Be Well
Friday, June 20
11:30 a.m. - 1:30 p.m.
You will be treated to a FREE “Super
Foods” Lunch prepared by Nevada Senior
Services’ Chef Terrell and a presentation
by Marty Jacobs, nutrition and wellness
expert. This two-hour program includes
lunch and a tour of relaxation, seated
stretching, nutrition, laughter, and wellness
opportunities for senior adults and
caregivers. This program is appropriate for
any fitness level.
Lunch and Learn: Emergency
Response Services Update
Tuesday, June 24
11:30 a.m. - 1:30 p.m.
Please join Daniel Llamas, Sunrise Health
System EMS Director, for an informative
lecture on EMS services throughout
the city including billing, processes, and
services.
H2U Southern Hills Hospital
Jasmine Smith
Marketing/Volunteer Coordinator
(702) 880-2918
Seminars are held in Southern Hills
Hospital’s Education Room on the first
floor across from the cafeteria.
Nevada Talking Books
Thursday, June 5
11:30 a.m. - 1 p.m.
Nevada Talking Book Services (NTBS) is
part of the Library of Congress’ National
Library Service for the Blind and Physically
Handicapped (NLS). A network of libraries
provides services to blind, visually or
physically handicapped individuals.
Recorded books and magazines and
special playback equipment are loaned to
eligible readers free of charge. All reading
materials are sent to and returned by
readers through postage-free mail. Lunch
will be provided free to H2U members.
Joint Replacement
Education Class
Friday, June 13 and June 27
2 - 3 p.m.
Education Room 1
Southern Hills Hospital is now offering
free joint replacement education classes
to prepare patients and their caregivers for
upcoming hip and knee replacements. This
informative session will provide details on
what to expect before, during and after
surgery. It will also provide an opportunity
for patients and their caregivers to ask
questions prior to surgery and pre-register,
making surgery day as smooth as possible.
Recreation Therapy with Damien
Wednesday, June 18
10:30 - 11:30 a.m.
Have you ever been curious about
developing and having more meaningful
relationships? If so, join Certified
Therapeutic Recreation Specialist
Damien Cavanaugh as he holds a
fun-filled exercise on building and
maintaining connections. Light
refreshments will be provided.
H2U MountainView Hospital
Rita A. Moore, Program Manager
(702) 255-5404
Cards and Games
Monday, June 2 and 16
Noon - 3 p.m.
Stroke Support Group
Tuesday, June 3
2 - 3 p.m.
May & June Birthday Party
Wednesday, June 4
1:30 - 3 p.m.
If you are born in May or June, you and
a guest are invited for coffee, cake, ice
cream or fruit.
NEW TIME: Movie Matinee
Mitch’s Tai Chi/Ki Gong Class
Mondays
9 - 10 a.m.
$5 per class
Saving Mr. Banks
Thursday, June 5
1:30 – 3:40 p.m.
Bunco
Monday, June 9 and 23
1:30 - 3 p.m.
Blood Pressure
Tuesdays
10 - 11 a.m.
Collette Tours 2014-2015
Tuesday, June 10
10 - 11 a.m.
Mitch’s Meditation Class
Wednesdays
9:30 - 10:30 a.m.
$5 per class
LaSpaluto Financial Lecture
and Luncheon
Yoga with Christian
Thursdays
9 - 10 a.m.
$5 per class
New Time:
MS In-Balance Exercise Class
Lunch And Learn:
Bucket List Party
Thursday, June 12
Noon - 1:30 p.m.
Lunch sponsored by Nathan Adelson
Hospice.
Alzheimer’s Caregivers
Support Group
Tuesday, June 17
10 - 11 a.m.
AARP Smart Driver Class
Tuesday, June 17
11:45 a.m. - 4 p.m.
Free Medicare Counseling
Wednesday, June 18
9:15 - 11:15 p.m.
By appointment only.
Premier World Discovery
Tours 2014 - 2015
Wednesday, June 18
1:30 - 3 p.m.
BINGO
Thursday, June 19
1:30 - 3 p.m.
Tuesday, June 10
Noon - 1:30 p.m.
Lunch sponsored by LaSpaluto Financial.
O2 on the Go Support Group
Wii™ Games
Lunch And Learn:
Daily Medications and YOU
Wednesday, June 11
1:30 - 3 p.m.
Thursdays
10:30 - 11:30 a.m.
Free for individuals with Multiple Sclerosis.
$5 for all others.
Friday, June 20
10 a.m. - Noon
Thursday, June 26
Noon - 1:30 p.m.
Lunch sponsored by Home Instead.
Eyes on the Prize Adults should get a comprehensive eye exam
at least every two years, even if you have perfect vision. Those over
age 60 should see their eye doctor annually.
Source: American Optometric Association
5
HEALTH TO YOU
Pasta
Primavera
is
Try the!
p
i
c
e
r
Let’s celebrate National Fresh Fruit and
Vegetables month with a decadent dish
that is deceptively healthy. Simply toss inseason vegetables with whole-grain pasta
and a light, Alfredo-like sauce.
Ingredients
12 oz. whole-grain bow-tie pasta
2 Tbsp. extra virgin olive oil
½ medium onion
2 cloves garlic
1 Tbsp. dried tarragon
2 carrots, shredded
1 yellow bell pepper, thin slices
1 zucchini, matchstick-like slices
12 oz. frozen peas
½ cup cherry tomatoes, halved
2 Tbsp. butter
½ cup white wine
1 cup Parmesan cheese, grated
Directions
Cook pasta in a large pot per package
directions. If you prefer not to cook with
wine, reserve ½ cup of pasta water as a
replacement. Strain pasta and set aside in
a large bowl. Heat oil in a large skillet over
medium-high heat. Add onion, garlic and
tarragon and sauté 1 to 2 minutes, until
the onion starts to become translucent.
Add carrots, bell pepper and zucchini and
cook 3 to 5 minutes. Then add peas and
tomatoes and cook 2 minutes more. Spoon
vegetable medley over the pasta. Add wine
and butter to the pan. For flavor, scrape
up any browned bits stuck to the pan. Stir
Parmesan cheese into the wine and butter
to make a thin sauce. Pour sauce over
the vegetables and pasta, tossing to coat.
Serve immediately. Makes 4 servings.
Monthly Challenge
Get Packing! Lunch, That Is
Whether you’re working, volunteering or going on a day trip, save
some dough and eat healthier by packing your lunch this month. A
delicious, homemade lunch is usually better for your waistline than
greasy fast food. With the right lunch containers, you can tote both
hot and cold meals. Here are some of our favorite healthy lunch ideas:
➻
Add cooked, peeled shrimp
straight from the freezer to a
salad of mixed greens; they’ll be
perfectly thawed by lunchtime.
Mix tuna or chicken salad with
➻
leftover cooked rice to make rice balls—a
tasty alternative to a sandwich.
Boil extra pasta with dinner and
➻
use leftovers to make pasta salad. Just add
salad dressing, roasted or grilled veggies,
legumes or olives.
➻
Chopped raw vegetables are
crunchy and nutritious. Cut up your
faves at the beginning of the week and
divide them into separate baggies to
grab on the go or add to salads.
➻
Cook a large batch of quinoa. Toss
with roasted vegetables and vinaigrette
for a quick salad one day, then add a
scoop to beef stew later in the week for
extra heartiness.
➻
Add fresh fruits like mandarin
orange or apple slices to salads, sandwiches and wraps.
➻
And don’t forget old standbys
like cheese and crackers. Just be sure
to use whole-grain, low-sodium crackers and not too much cheese. n
Nutrition Information: Calories 616,
Total fat 20 g, Carbs 85 g, Sodium 345 mg,
Sugars 12 g n
H2U National Office
P.O. Box 1300
Nashville, TN 37202-1300
6 H2U.com
➻
Get creative with soft tortillas.
Spread on a little hummus, top
with raw or roasted vegetables
and a layer of baby spinach,
then roll it up.
(800) 771-0428
H2U.com
feedback@h2u.com
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This newsletter is not intended to
provide advice on personal medical
matters, nor is it a substitute for
consultation with a physician.
H2U Benefit
All About Health … All About You
Join H2U today, and we’ll help you reach your health goals—and
live life to the fullest! With H2U membership, you receive valuable
resources you can use at home, at work or on the go, including these:
* H2U magazines and newsletters
* Online library, health tools and
other resources at H2U.com
* National savings on travel,
health services, gifts and more
Summer Savings on
Hotels Worldwide
With summer beginning to heat up,
now is a great time to head out of town
for some rest and relaxation. But where
will you stay? Finding the right hotel
can be overwhelming and expensive,
but it doesn’t need to be.
H2U has teamed up with leading hotel
chains to provide you with discounted
rooms at thousands of great properties,
offering a variety of rates and amenities.
Simply use your H2U discount code
when booking rooms online or by phone
to get your member rate.
Here’s a look at our current partners
and offers:
Hyatt Hotels: Receive a 10 percent
discount at Park Hyatt, Andaz, Hyatt
Place, Hyatt Summerfield Suites and
Grand Hyatt Regency hotels.
La Quinta Inns and Suites: Save
10 percent on any stay.
Red Roof Inn: Save an extra 20 percent off best available room rates.
Wyndham Worldwide: Save 10
to 15 percent off standard room rates at
Wyndham, Ramada, Days Inn, Super 8,
Wingate by Wyndham, Baymont Inn
& Suites, Microtel Inns and Suites,
Hawthorn Suites, Howard Johnson,
and Travelodge and Knights Inn.
To book your stay at any of these
hotels, log in to H2U.com, click on
the Discounts tab, and choose Travel.
Here you will find your H2U member
discount codes, as well as a link to book
rooms online.
Travel well and stay safe. n
* Benefits at local affiliated hospitals
JOIN
TODAY!
* 10% off at ShopH2U.com, plus
double H2U Reward Points
Learn more at www.h2u.com.
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NL14
7
HEALTH TO YOU
MountainView Hospital
Physician Lecture
Lunch and Learn With
Dhaval J. Shah, MD
Wednesday, June 4
Noon - 1:30 p.m.
“Skincare: Infection
Control and You”
Join Dr. Dhaval J. Shah
of Clinical Infectious
Disease Specialists for an informational
lecture on skincare. As you age, you are at
increased risk for skin injury. Your skin is
thinner and more fragile, and the protective subcutaneous fat layer is lost. In addition, your ability to sense touch, pressure,
vibration, heat and cold may be reduced.
Thus, your skin is at higher risk for injury.
Certain diseases, such as diabetes, may
increase your risk for a serious infection.
People who have diabetes, peripheral arterial disease or an impaired immune system
may require medical treatment at the first
signs of infection.
Dr. Shah will discuss about appropriate
use of IV vs. oral antibiotics, wound care
and use of Hyperbaric oxygen. This will followed by a Q & A with Dr. Shah.
Registration is required. Please call
(702) 233-5474.
Access Your Personal Health
Information with the Patient
Portal
At Sunrise Health, we know that your
time is valuable. The Patient Portal makes
time-consuming tasks like retrieving lab
results or reports simple and fast. You can
now access your personal health information from your hospital stay online,
including:
• Allergies
• Discharge summaries
• Discharge instructions
• Hospital visit histories
• Lab results
• Medications and instructions
• Radiology reports
• Upcoming appointments
To enroll in the Patient Portal, log onto one
of the following websites and click on the
“Patient Portal” link:
www.SunriseHospital.com
www.MountainView-Hospital.com
www.SouthernHillsHospital.com
This is yet another way that the Sunrise
Health System provides patient-centered,
quality healthcare to our community.
Southern Hills Hospital Awarded Alzheimer’s Disease
Program Certification From The Joint Commission
8 H2U.com
and helps create a culture of excellence,”
said Kimball S. Anderson, Chief
Executive Officer (CEO). “Achieving
Joint Commission certification in
Alzheimer’s disease for our organization
is a major step toward maintaining excellence and continually improving the care
we provide.”
Southern Hills Hospital underwent
a rigorous on-site review this month.
A Joint Commission expert evaluaated
Southern Hills Hospital for compliance
with standards of care specific to the
needs of patients and families, including
infection prevention and control,
leadership and medication management.
In January 2012, Southern Hills
H2U Sunrise Health
www.H2USunriseHealth.com
(702) 233-5300
Hospital opened RISE (Respect, Inspire,
Strengthen, Empower) Behavioral
Health, a 14-bed, in-patient specialty
senior psychiatric unit serving ages 50
and older with behavioral health needs
including, but not limited to depression,
dementia, psychosis and anxiety
disorders. Additionally, RISE Behavioral
Health expanded its services in December
2013 by offering an Intensive Outpatient
Program (IOP) that provides both
individual and group therapy programs.
To learn more about the RISE Behavioral
Health at Southern Hills Hospital, visit
SouthernHillsHospital.com or call RISE
Behavioral Health at (702) 880-2415. n
For more information
on H2U programs,
visit www.h2u.com or
call (800) 771-0428.
Photos: Thinkstock
Membership
information
Southern Hills Hospital has earned
The Joint Commission’s Gold Seal of
Approval® for its Alzheimer’s disease
program by demonstrating compliance
with The Joint Commission’s national
standards for health care quality and
safety in disease-specific care. The
certification award recognizes Southern
Hills Hospital’s dedication to continuous
compliance with The Joint Commission’s
state-of-the-art standards.
“With Joint Commission certification,
we are making a significant investment in quality on a day-to-day basis
from the top down. Joint Commission
accreditation provides us a framework
to take our organization to the next level