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ATLANTA – Mary Chatman, PhD, RN, executive vice president (EVP) of Acute Care Operations for Wellstar Health System, was elected chair of the Board of Trustees of the Georgia Hospital Association (GHA) earlier this month. Chatman, who has served on the GHA Board since February 2020, will lead the Board in developing strategies for GHA hospital members, advocating for the highest quality care for patients, and supporting adequate reimbursement for hospitals.

“Mary Chatman’s extensive leadership experience and skills make her well-equipped to lead our Board,” said GHA President and CEO Caylee Noggle. “She is a strong patient advocate, and her experience will serve our members well.”

Serving as a Wellstar EVP, Chatman oversees the operations of Wellstar’s 11 hospitals, post-acute services, and emergency departments. In 2020, she led the opening of Wellstar Kennestone Regional Medical Center’s new emergency department, the largest in the Southeast.

Prior to serving in her current role, Chatman was the chief operating officer and chief nursing officer at Memorial Health University Medical Center in Savannah, where she was responsible for managing the 654-bed hospital and its nursing operations. She also served as interim chief information officer for Memorial and completed the electronic health record conversion to EPIC.

In 2021, Gov. Brian Kemp appointed Chatman to the state’s Healthcare Workforce Commission, where she has helped address challenges in the hiring and retention of health care workers.

Chatman has been recognized locally and nationally as a prominent leader and strong patient advocate in health care. Atlanta Daily World recognized her among the 2018 Women of Excellence. Diversity MBA Magazine named her among the 2018 Top 100 Under 50 Executive & Emerging Leaders and 2020 Top 100 Women of Influence. Profiles in Diversity Journal named her a 2020 Women Worth Watching® in STEM award winner. Chatman was recognized by Atlanta Magazine among the 2021 Women Making A Mark honorees and by Becker’s as one of the 75 Black Healthcare Leaders to Know 2022. She was also named the 2020 West Cobb Citizen of the Year for serving on the frontlines for Cobb County, fighting COVID-19, and collaborating with local leaders.

Chatman is deeply involved in the community, serving as board member for United Community Bank and active in the fight to find a cure for type 1 diabetes. She is a member of the American Nurses Association and the American College of Healthcare Executives. She earned her Bachelor of Science, Master of Science, and Doctor of Philosophy degrees from East Carolina University in Greenville, North Carolina.

About GHA Founded in 1929, GHA serves nearly 150 hospitals in Georgia and promotes the health and welfare of the public through the development of better hospital care for all Georgia’s citizens. The mission of GHA is to advance the health of individuals and communities by serving as the leading advocate for all Georgia hospitals and health care systems. GHA represents its members before the General Assembly and Congress, as well as state and federal regulatory agencies, and is an allied member of the American Hospital Association. For more information, please call 770-249-4500 or visit gha.org.

Are you getting the most out of your healthcare experience? If you don’t have an established Wellstar primary care provider (PCP), you could be missing out on some major benefits.

Some people visit a different provider each time they need a check-up or just whenever they feel sick. Similarly, many patients use the walk-in convenience of urgent care as a substitute for primary care. However, in both of these cases, it can be difficult for you to build a lasting health partnership and leave your care feeling incomplete.

Having a designated Wellstar primary care provider—and specialty medicine providers within the same health system—gives you an entire team of health experts that are invested in you and your well-being.

Benefits of a primary care provider

The main role of a primary care provider is to keep you healthy at every age and stage of life. To keep you feeling your best, these experts are trained to:

• Get to know and understand your unique health needs. Your PCP can keep you on track with your individual wellness goals, whether you are planning to start a family, need help managing a chronic illness or maintaining a healthy weight.
• Coordinate care and provide referrals for specialists. Your PCP can quickly and seamlessly get you in touch with the robust network of medical experts, such as cardiologists, oncologists, neurologists and more at Wellstar.
• Keep you up-to-date on immunizations and vaccinations. You can build up your body’s immunity to common diseases and protect your health with the latest vaccines, all ordered by your PCP.
• Order appropriate health screenings, diagnostic tests and follow-up care. If your wellness check-up reveals certain risk factors, chronic conditions or new diagnoses, your PCP can help you get the right treatment fast.
• Treat you for acute illnesses, such as colds or the flu. When you feel under the weather, your established PCP can often get you an appointment sooner so you can feel better.

Continuing care for every stage of life

As you get older, your healthcare needs will change. That’s why many people keep the same Wellstar primary care provider for years, even decades.

Your provider can help you stay ahead of health issues and deliver tailored care for your unique needs, as they change over time. These experts are your first defense against many preventable diseases and can catch major illnesses earlier, so you have the best possible outcome.

Ready to find the right Wellstar primary care provider for you? We make it easy to get expert, comprehensive primary care at many convenient locations across metro Atlanta and West Georgia. To find a location near you, simply click “Book Now” at the top of any page.

Between cookie baking, busy shopping trips and being with family, the holiday season can pass by in a blur. Through all the hustle and bustle, Wellstar health experts warn it can be all too easy to put off your wellness.

“During this hectic time of year, health may be the last thing on your mind. However, the best present you can give yourself is prioritizing your well-being,” said Dr. Umme Nur, internal medicine physician with Wellstar.

“Seeing your provider now can help you stay on track this season,” Dr. Nur explained. “It can also help you jumpstart your health goals in January and already have a care plan tailored to your needs.”

Start healthy habits

It’s easy to let your normal routines slip during this time of year. However, you can take small steps to stay on track every day.

• Eat right. It’s okay to indulge in holiday treats, but try to keep your main meals balanced with fruits and veggies.
• Don’t forget about fitness. Create a routine and stick to your exercise goals, even if it’s just a 30-minute stroll.
• Catch some Z’s. Maintain an adequate sleep regimen to help your body rest, feel refreshed and ready for the day.

Check in on your well-being

Remember, the perfect gift isn’t something wrapped with a bow—it’s putting your health first. That means partnering with a Wellstar primary care provider (PCP) and scheduling a wellness exam.

Your provider will help you take charge of your health and create a personalized plan just for you. Because your PCP is a pro at preventative care, they’ll help keep you ahead of potential medical problems.

After your annual check-up, you’ll know your stats for:

• Blood pressure. Taken with a simple arm cuff, a blood pressure test helps diagnose hypertension (high blood pressure), hypotension (low blood pressure), heart disease and other conditions.
• Blood glucose level. The amount of glucose (sugar) in your blood can indicate the onset of diabetes and an increased risk for heart disease, heart attack or stroke.
• Blood cholesterol. Low-density lipoprotein (LDL), often called “bad” cholesterol, can indicate clogged arteries, which may lead to heart disease, heart attack or stroke.
• Body mass index (BMI). The BMI estimates human body fat, which may indicate an increased risk for heart disease, hypertension (high blood pressure) and diabetes.

At your exam, be sure to bring up any health goals, such as weight loss or managing a chronic condition. Your provider will work with you to create a custom treatment plan for your unique needs.

Know your family history & take action

Depending on your gender, age and family history, your provider may also recommend other preventative tests to screen for diseases before they start, such as a mammogram or colonoscopy.

Your provider can also help you understand your potential health risks with:

• Know Your Heart screenings. Preventative heart screenings help determine your risk of heart disease, stroke and other serious conditions.
• Genetic risk assessment. Genetic testing is a tool to help people determine their hereditary risk of cancer and heart problems. This program also helps couples and expecting mothers with prenatal or preconception concerns.

Learn more about how having an established primary care provider can keep you well.

The holidays can be challenging, especially for those struggling with mental health. Familial factors, unrealistic expectations, past trauma, and grief/loss can all play a role in why sometimes the holidays can be more stressful than joyful.

Physical and behavioral health outcomes are intertwined and provide a holistic view of our health. Physicians refer to assessing depression as “a vital sign” -- like checking blood pressure and heart rate. Considering the assessment of depression is essential for a person’s overall health status.

With nearly one in five Georgians struggling with mental illness yearly, treating mental health conditions and assessing suicide risk is a group effort between health professionals and state, local, and community partners. Wellstar’s director of adult & pediatric primary care behavioral health integration, Dr. Janna Williams-Pitts, helps us to understand why the holidays can be so stressful.

“When the stress response becomes activated due to something we are excited or concerned about, it can have a physiological and psychological impact. This occurs for those with and without a diagnosed mental health condition. The stress response, and more specifically chronic stress, can play a role in the onset of a depressive episode or the recurrence of heightened anxiety symptoms.”

Women are about twice as likely as men to be diagnosed with an anxiety disorder. In speaking with Dr. Williams-Pitts, we wanted to understand how specific risk factors like age and gender can make facing these holiday stressors more challenging.

“Research suggests that there are gender differences in the stress response due to biological factors, specifically hormonal differences. Women appear to be more likely to experience depression due to chronic stress, whereas men may be more likely to develop substance use disorders due to chronic stress. The APA completed a survey to assess for Stress in America in 2022. The results of this survey indicate that inflation, concerns about violence, and the racial climate in America are a few of the factors that contribute to differing experiences with stress for participants. Age differences emerged as well. Forty-six percent of adults under 35 reported feeling so stressed that it impacted their functioning whereas 42% of adults aged 35-44, 16% 45-64, and 4% of adults 65+ reported the same.”

People respond to stress in a variety of ways. Often, individuals can hide their symptoms from those closest to them. But we learned there are signs to look for in loved ones who might be experiencing stress blues during the holidays. Social withdrawal, increased substance use, change in hygiene/self-care, shifts in sleep, and experiencing feeling anxious, overwhelmed, and poor concentration can all be signs that chronic stress is starting to have an impact.

It's common for people to notice increased fatigue and feeling down due to less exposure to sunlight during the winter months. So, it’s only natural to wonder if environmental changes during winter months play a role in the onset of depression.

“Some people experience debilitating depressive episodes during the fall and winter months with significant improvement in the spring and summer months. When depressive episodes occur in a seasonal pattern, this is consistent with the diagnosis of Seasonal Affective Disorder.”

Dr. Williams-Pitts added that it is “important to identify a range of meaningful, enjoyable activities to engage in during the winter months to help reduce the likelihood of worsening depressive symptoms.”

Rescheduling appointments with your behavioral health clinician before the holidays can be tempting. Still, keeping that appointment is helpful for those who experience stress during this season. It serves as an opportunity to review your stress management plan and identify meaningful coping mechanisms, which may help the holiday season go more smoothly.

If you are wondering where to turn if you need help during the holidays but don’t have a behavioral health clinician, scheduling an appointment with your primary care provider can be a great way to connect with a behavioral health clinician.

According to the American Hospital Association, “Shortages of health care workers in all roles will persist well beyond the pandemic given today’s highly competitive labor market.” To help meet this need, the Cobb County School District and Wellstar Health System are introducing high school students to healthcare careers through the healthcare pathway at the Cobb Innovation Technology Academy (CITA). CITA is an innovative Career, Technical, and Agricultural Education (CTAE) program inside the Cobb County School District (CCSD).

Wellstar Health System and Wellstar Foundation recently awarded Cobb Schools Foundation a $2 million grant to expand the Cobb Innovation and Technical Academy (CITA) over the next five years. The CITA program is a beacon of opportunity for students seeking hands-on learning experiences and career prospects in healthcare through district, post-secondary and industry partnerships.

"This program seeks to inspire, educate, and nurture the next generation of healthcare professionals,” said David Jones, Executive Vice President and Chief Human Resources Officer for Wellstar. “We’re thrilled with the opportunity to help enhance the education of our community’s students and offer them rewarding career pathways."

Cobb students will have direct access to healthcare professionals from Wellstar who will make their classroom experience more practical and prepare them for their real-world jobs. All CCSD students can apply for the opportunity to enroll in CITA, which serves as one of the District’s seven magnet programs. Once enrolled, the Cobb students will be able to:

• Participate in the new Wellstar Healthcare Pathway Program
• Access cutting-edge equipment and technology
• Engage with Wellstar clinical team members and professionals before they graduate from high school
• Apply for two $2,500 college scholarships funded by Wellstar

"The Wellstar Healthcare Pathways Program will offer students exposure to training and potential job opportunities,” said Tiffany Barney, Director, CITA. “The Cobb Schools Foundation appreciates this investment in students who will go on to have careers in healthcare. It will further enhance the quality of education we provide our students in Cobb.

Kathy DeJoseph delights in making and giving away thousands of soft and cheerful hats to Wellstar cancer patients through a nonprofit she founded called Happy Caps. It’s all in the name of bringing a little light and comfort to people during a hard time.

Where did the idea come from? It started with Kathy’s own lung cancer diagnosis.

A commitment to yearly lung cancer screening

A cancer survivor for more than a decade, Kathy said regular lung cancer screenings were the key to her survival. With a long history of smoking and growing up around relatives who smoked, she decided to join an early detection lung cancer study at Wellstar.

Even though she felt fine and had no symptoms, committing to the study meant having an annual low-dose CT scan every year. After several years of clean scans with no signs of lung cancer, Kathy told a nurse that she was going to quit. But the nurse persuaded her to come in for another screening.

“Thank goodness she did,” Kathy said. “I was diagnosed the very next day.”

Quick and efficient treatment at the STAT Clinic

Being a part of the study and getting screened early allowed Kathy to move immediately to Wellstar Lung Cancer STAT Clinic at Wellstar Kennestone Regional Medical Center.

STAT stands for Specialty Teams and Treatment, highlighting the collaboration of multiple cancer experts. Together, they come to a consensus on a treatment plan and meet with the patient on the same day. This puts the patients at the center of their care plan, allowing them and their families to get immediate answers to questions, make decisions and start treatment faster.

“The biggest benefit for me with the way the STAT Clinic works is that I didn’t have to worry about whether the doctors had actually talked to each other,” Kathy said. “They’d come in one after another and tell me what they thought from their expertise.”

Immediate communication and mutual agreement among medical experts mean treatment plans are established and started faster, which is proven to improve long-term survival. On average, it takes 60 to 90 days from the time of diagnosis to treatment in the U.S. With the STAT Clinic at Wellstar, patients go from diagnosis to treatment in 14 to 20 days.

Kathy’s treatment started quickly—she had a lung biopsy the day after her STAT Clinic appointment and started chemotherapy a week later.

“I wasn’t as terrified for as long as most people are because I had answers within a short period of time,” Kathy remembered.

She had surgery once she completed chemotherapy. Throughout the process, she had the support of an entire cancer team, including a medical oncologist, a lung cancer surgeon, a pulmonologist and a nurse navigator.

This article was originally published on Atlanta Business Chronicle on November 3, 2023.

As cancer research advances, doctors know more about the keys to reducing cancer cases and driving better outcomes, like long-term survival. Prevention, early detection and treatment—an area that has drastically improved through scientific discovery—are the big three keys today. While preventative measures reduce the risk, screening for cancer before someone has symptoms can be a lifesaver when it is identified earlier and in more treatable stages. Newer, more advanced treatments and starting treatment faster are also making a sizeable impact on survival. For a closer look at how healthcare experts apply these keys in the fight against cancer, Atlanta Business Chronicle’s Market President and Publisher David Rubinger sat down with Wellstar leaders and patients for a sponsored panel discussion on the state of cancer care.

Panelists & moderator

• Dr. Bill Mayfield, MD, medical director, lung screening program, medical director, incidental pulmonary nodule program, medical director, STAT Clinics, Wellstar
• Dr. John French, MD, medical oncologist, Wellstar and Northwest Georgia Oncology Centers*
• Kathy DeJoseph, lung cancer survivor
• David Rubinger, market president and publisher, Atlanta Business Chronicle

*Wellstar partners with Northwest Georgia Oncology Centers to provide world class cancer care close to home.

Keys to better outcomes

David Rubinger: Cancer is one of the top causes of death in the U.S., second only to heart disease, with 1.9 million new cancer diagnoses expected this year. The whole idea of trying to beat cancer is the common language of treatment now. We’ve really changed the conversation in many ways. Dr. Mayfield, what have been the keys to getting these better survival rates across all types of cancers?

Dr. Bill Mayfield: There are three basic components to improving outcomes and reducing cancer. Number one is prevention. How can you prevent cancer? Smoking cessation is a major way to reduce the risk for cancer, especially lung cancer. The second key is early detection screening for cancer such as colonoscopies, skin exams and low dose lung cancer CT scans.

Finally, we have treatment as the third key. We have dramatically improved treatments, especially in the last 10 years, with targeted therapies, immune therapies and precisely targeted radiation therapy. For some cancers, reducing the time it takes to start treatment can be as impactful as some of the newer cancer therapies. At Wellstar, we speed up time to treatment through our STAT Clinics.

Rubinger: Dr. French, from the medical oncology standpoint, what has specifically gone on in your world since you started practicing medicine that you think has improved these outcomes?

Dr. John French: There’s no bigger story than immunotherapy in the last 10 years. It was 2017 when Jim Allison out of the University of Texas MD Anderson Cancer Center and Tasuku Honjo in Japan won the Nobel Prize for cancer immunotherapy—the first time the Nobel in Medicine recognized a cancer therapy in decades. Wellstar and our patients participated in clinical trial development of immunotherapy for various cancers.

In medical oncology, there are also targeted therapies. In improving the survival and outcomes of patients, we do a lot of what we call next generation sequencing—tumor genomics and tumor DNA. The way I explain this is, “We’re not testing Kathy’s DNA. We’re testing the tumor itself. We are trying to find a lock and key mechanism, where if we can find what’s driving the cancer, maybe there’s a pill or a target that we can go after to take it out.”

Rubinger: Let’s move on to lung cancer in particular. Lung cancer has traditionally been known as a smoker’s disease—at least that’s how many people view it. It appears as though in the United States we’ve seen an improvement in terms of the number of lung cancer cases. Dr. Mayfield, where is the lung cancer discussion right now? I feel it was maybe one of these small victories that are going on in the cancer movement.

Dr. Mayfield: We do actually have some large victories. The surgeon general came out with a report in the 1960s that said smoking caused premature death and lung cancer. Men in Georgia started reducing their smoking about 35 years ago. As a result, we have 50% fewer male smokers and 35 years later, we’re now seeing a 50% reduction in primary lung cancers from tobacco.

Rubinger: As far as I understand it, early lung cancer is one of those cancers that has no outward physical markers that tell you you’ve got something going wrong. So as lung cancer specialists, what do you advise people to do when they’re getting their checkup? What is the process by which they should be screening for lung cancer?

Dr. French: The biggest thing you can do is if you’re smoking, stop smoking and get screened if you’re eligible. Dr. Mayfield discussed that already, but I’ll add some numbers and perspective.

Number two, if you were a smoker, understand the guidelines and recommendations to undergo screening. They updated the guidelines in 2021 that if your age is 50 to 80 and you have a 20 or more pack per year history of smoking, and currently smoke or quit within the past 15 years, then you’re eligible for screening.

By having a CT scan, you can reduce the risk of lung cancer death by up to 20% by identifying and treating cancer earlier.

Rubinger: Let’s talk to a lung cancer patient about this. Kathy, thank you for joining us. Take us briefly through your journey. What is your background with cancer?

Kathy DeJoseph: This year, I’m a 12-year survivor. Before I was diagnosed, I was a career person and I was on my computer one day and up popped information about this early lung cancer screening study that Wellstar was a part of. I had no symptoms. I had a long history of smoking, grew up with parents who smoked, grandparents who smoked, lived near a factory that was belching out junk into the air.

I was a workaholic and a mom and I saw this study and for whatever reason, I called and talked to the nurse navigator. I was like, “I don’t know whether I want to do this or not. You know, this sounds like I’m going to end up paranoid about it.” She encouraged me to participate.

Dr. Mayfield: Kathy was enrolled in the study and had three or four normal CT scans before she developed a mass. And sure enough, we jumped right on it through Lung Cancer STAT Clinic and got her treatment plan together quickly. That was the point of her being in the annual screening study.

What is a STAT Clinic?

Rubinger: Kathy, before we dive further into your treatment, will Dr. Mayfield help define the STAT Clinic? It’s not a simple thing to do. You all are very busy people and you all have individual schedules. To turn you all into this sort of troop, if you will, moving in sync, that’s a logistical nightmare for a bunch of doctors.

Dr. Mayfield: STAT stands for Specialty Teams and Treatments and it’s about bringing multiple cancer experts together to collaborate about a patient’s care and meet with them the same day so they can get treatment started quickly. We created STAT because we saw a need to do things better and to put the patient at the center of everything we do.

About 17 years ago, we opened a general Thoracic Surgery practice at Wellstar Kennestone Regional Medical Center. And we did everything like everybody else did. We had a navigator—someone who connects a person who has cancer with the help and support they need. We had tumor boards—a group of physicians and scientists who meet to discuss treatment options for individual cancer patients.

But when we looked carefully, we saw that by the time the patient’s case was presented in a tumor board, it was 58 days on average from the time the patient had their original CT scan. They had gone from a primary care doctor to a pulmonologist to an oncologist back to the pulmonologist, then had a biopsy, a PET scan and then maybe saw a radiation oncologist. It was 58 days by the time they got to the tumor board and were able to get a treatment plan started. That’s a problem. But that is the standard of care in the United States today—60 to 90 days in this workup period.

We said, “There’s got to be another way.” I knew of a clinic run by a pretty notable oncologist in another state, who brought the thoracic surgeons, pulmonologists and the oncologist to his clinic to see the patient at the same time. An oncologist and I drove up there, spent the day, asked a bunch of questions and said, “You know what, we need to do this.”

So we came back and getting those specialists—the thoracic surgeon, pulmonologist, medical oncologist, radiation oncologist and navigator—in the same place at the same time was hard.

What we decided to do is start with one hour on Wednesday afternoon. So we saw two patients one week, then 2 to 3 the next week and then 3 to 4 the next week. Then a primary care doctor heard about it and the pulmonologists heard about it and suddenly we were seeing 12, 15, 20 patients.

A few years ago we surpassed more than 10,000 patient visits in the Lung Cancer STAT Clinic. And during that time, we started the lung screening program and the incidental nodule program.

The culmination of our initiatives to identify lung cancer earlier and hasten the time to treatment has reduced our time from abnormal image to starting treatment to somewhere between 14 and 20 days, rather than 60 to 90 days. The early detection program has made it such that 40% of the cancers diagnosed at Wellstar are stage 1 and 2, when cancer is more treatable and patients have better outcomes. On a national average, just 15 to 20% of lung cancer diagnoses are stage 1 or 2. We’ve dramatically improved the ability of our lung cancer patients in our community to survive their disease.

Rubinger: It sounds like early detection and shorter time to start treatment make a real impact for patients. Kathy, let’s talk a little bit about what those things meant for you as a patient. Let’s start with when you were diagnosed. Did you have any symptoms? What happened next?

DeJoseph: I didn’t have any symptoms. Everything was fine, except for my history with smoking. The year I was diagnosed, I was going to quit the study but the nurse navigator took me out to lunch to convince me to come back—and thank goodness she did. I was diagnosed the very next day.

The biggest benefit for me with the way the STAT Clinic works is that I didn’t have to worry about whether the doctors had actually talked to each other. I didn’t have to worry about whether maybe they didn’t actually agree. All those things that I would have been worried about went away because I talked to all of them on the same day in the same place.

It gives you a lot of confidence. I thought, “Well, you know, they’d have to all be wrong on the same day at the same time to screw this up.” I ended up becoming a volunteer and would meet with newly diagnosed patients for several years. One of the biggest things that I would talk to new patients about is how STAT Clinic kept things from dragging out for months, going from doctor to doctor.

Rubinger: It sounds like STAT Clinic is meaningful to patients, not just medically, but emotionally. Is the STAT Clinic exclusively for people with lung cancer or are patients with other conditions benefitting from this model now?

Dr. Mayfield: That’s a good question. We added Lung Cancer STAT Clinics at Wellstar Cobb, Douglas and North Fulton Medical Centers. Outside of lung cancer, my neurosurgery buddy got curious. He’s saying, “Wait a minute. You know, we have this patient with brain cancer and they have to go see the radiation oncologist but your patient gets to meet the radiation oncologist at the same time as you. We want that.”

So the next STAT Clinic that cranked up was for neurological tumors. It was awesome to see that we could inspire other folks to do the same thing.

Dr. French: To add to that, we also have STAT clinics for breast cancer and head and neck cancer. All of these cancers require multidisciplinary care with doctors from different specialties who collaborate on patient care because otherwise, you have to go see different cancer subspecialists and that may take a longer period of time.

Dr. Mayfield: Here’s the dark secret about cancer care in the U.S. Dr. Alok Khorana at the Cleveland Clinic published a paper about three years ago. He studied 1.2 million cases in the national cancer database and 340,000 of those were lung cancer patients. He clearly showed that for every seven days’ delay in therapy in stage 1 or stage 2 disease, you lose 2% five-year survival. Delay in time to initial cancer treatment in the U.S. is an important risk factor for survival over time.

A first-hand account

Rubinger: Kathy, let’s come back to you for a second. So you go into this STAT Clinic. Obviously, this whole process must have been terrifying on so many different fronts.

DeJoseph: I wasn’t as terrified for as long as most people are because I had answers within a short period of time.

Rubinger: How short?

DeJoseph: I had my biopsy the next morning after the first STAT Clinic appointment. About a week and a half after that, I started chemo. That was really fast. I had surgery after chemo.

In the STAT Clinic, every doctor comes in and talks to you. You learn what their role is going to be and what the timing will be with other treatments. It all happens at the same time. I took a lot of confidence in questioning everybody on the same day and knowing they had also talked together. I knew for sure that they had, where I would have really wondered about that if had I done it the normal way—visiting multiple specialists over a several-month period.

Rubinger: I’ll be the contrarian for a second. What if I walk into the STAT Clinic and say, “Well, I’d like to choose my surgeon. I’d like to choose my oncologist. I’d like to choose the radiation oncologist I want to use for my radiation treatment.” How much flexibility do I have within the STAT Clinic to select the doctor I want to work with? Or do I have to take the ones that are assigned to me regardless?

Dr. Mayfield: That is an excellent question. You can come to us for a consolidated opinion and get your care wherever you choose. You have four experts looking at you physically and reviewing all your imaging and all your tests together, coming to a consensus. For treatment, you can use any oncologist, any thoracic surgeon, anybody you want, even if it’s within our own institution.

Dr. French: Whether we’re providing the care or simply an opinion, STAT Clinic puts the patient first. We have patients from Alabama, Tennessee, North Georgia who can’t travel here for ongoing care. I’ve even had patients who live near the Carolina border. Part of the STAT Clinic is also handling the logistics where one of these patients may need treatment closer to home. For example, someone may need chemotherapy and I say, “OK, I’ll coordinate that with the medical oncologist in your area.” When we’re done seeing STAT Clinic patients, we agree, “You call the local radiation oncologist, I’ll call the local medical oncologist and let’s get them plugged in and connected with treatment recommendations.” Again, STAT Clinic expedites and coordinates all that care. Getting the foot in the door and getting that ball rolling is half the battle.

The state of screening and future goals

Dr. French: In talking about screening earlier, we didn’t address non-smokers. If I don’t smoke, I don’t need to be screened if I’m doing my well check-up and I’m not having a cough or chest pain. There’s really no screening for lung cancer outside of those recommendations.

That being said, the other thing that you need to understand is that in the state of Georgia, we are horrible at screening people. We rank toward the bottom quartile of the entire country in screening patients when it comes to the proportion of eligible patients. The American Lung Association data ranks Georgia 35th in the nation. We screen 5% of eligible people, so we’re not capturing 95% of people who could be screened.

We know the data to support screening is there. Kathy is a living example of this. Talk to your primary care doctor about your history with smoking and the need for screening.

Dr. Mayfield has ramped up the effort to capture more at-risk people through screening, but we still need to get the message out.

Dr. Mayfield: We started our screening program 15 years ago as part of I-ELCAP—the International Early Lung Cancer Action Project—and then we broke off of the study because the results were so positive. We decided we’re just going to do this as a standalone program in our community.

As a result, over the last 15 years, we become one of the three largest lung cancer screening programs in the U.S. We have about 15,000 people in our program currently.

The problem is, we serve a community of 1.7 million in 15 counties. Knowing that 40% of those are smokers or former smokers, we should be scanning a million people a year.

Why aren’t we screening more people? We’re a part of the Georgia Lung Cancer Roundtable and the National Lung Cancer Roundtable trying to solve that problem. I think it’s going to take a national awareness campaign.

When that happens, we need to prepare our screening centers for high volumes. That will drive us from discovering more stage 3 and 4 lung cancers when people are dying, to finding more stage 1 and 2 lung cancers. Those earlier-stage cancers are much less expensive to treat from a policy and population health level and are easier to treat, giving more patients good long-term outcomes.

Rubinger: But we wouldn’t be screening non-smokers at this point.

Dr. Mayfield: There’s not enough data yet to guide us to any other risk factor than tobacco use.

What employers should know about cancer

Rubinger: Let’s talk about the business community for a second.

When it comes to the employee, when you see patients who are in full-time jobs, what role do you see the employer playing when you’re caring for cancer patients? What can employers do to help them in their battles?

Dr. Mayfield: I have a pretty strong opinion on two items. One is that employers should promote age-appropriate screenings for all cancers among their employees. Give them that half a day off if they need to go somewhere for a doctor’s appointment to get that screening exam. And as callous as it may seem, that half a day off to find cancer in earlier stages is much less expensive than treating an advanced cancer years later, from extended time off to the insurance costs associated with advanced cancer.

The CEO of the corporation, the vice president, the chief medical officer, the chief operating officer—they assume that if they or any of their employees get cancer care, they’re going to get the best care available. But unfortunately, the best care available today in most places is going to take them 60 to 90 days to get through the initial doctors’ visits and tests that at the STAT Clinic, we manage in 14 days.

My challenge to the business community is to ask their insurers and their healthcare providers a very difficult question, “How long will it take to get our employee from an abnormal finding to starting treatment?” When insurers and healthcare providers have to start answering hard questions, then we’ll move the ball.

Dr. French: I would add, when a corporation buys health insurance, it needs to make sure institutions that perform research and clinical trials are covered.

I had a patient who had stage 4 prostate cancer and there is a clinical trial using novel bispecific immunotherapeutics. The guy is young; he’s eligible for the trial. The patient signed the trial consent only to find out that his insurance doesn’t cover the medical facility that’s offering it, so therefore he’s not eligible for the clinical trial. Now he’s going to have to get the standard of care, which is good. But he could have gotten something new on a trial if it was covered by his company’s health plan.

So, companies should first make sure that employees are covered for good quality healthcare and at top facilities that perform research.

Number two is, if you’re an executive, consider supporting on-site screening. I’ve seen a lot of patients in the STAT Clinic who get executive physicals, they get a day off and they do this comprehensive testing. Lo and behold it shows something. That early detection gets them to treatment at an earlier stage when the cancer is less advanced and they have a higher chance for better outcomes.

So consider offering a half-day, a health fair or on-site health screenings as part of your company’s health offerings.

I think a healthy employee, one that feels valued and respected, will be a hard worker. If I feel that my business cares about me, my health, my life and my family, that sounds like a company I’d want to work for.

Learn more about cancer care at Wellstar. 

The Centers for Medicare & Medicaid Services (CMS) announced the 2022 results for the Medicare Shared Savings Program (MSSP) and Wellstar Clinical Partners (WCP) Medicare Accountable Care Organization (ACO) helped CMS save over $16 million for the entire performance year. 
 
“These latest results from CMS clearly demonstrate how Wellstar is committed to providing world-class care for every person, every time. Our teams never waiver from that commitment – even during some of the most challenging times in healthcare,” said Dr. Alan Muster, senior vice president, Specialty Division for Wellstar Medical Group. Dr. Larry Hornsby, chairman of the board for WCP added, “At Wellstar, we all work together to keep our communities healthy. We provide the highest-quality care, at an appropriate cost, and ensure each patient has an exceptional experience while maintaining a laser focus on our caregiver well-being.”
 
Even after CMS revised its methodology for calculating the annual Quality score, Wellstar maintained a competitive rating compared to other Georgia systems that participate in the Medicare ACO. The System also saw an increase in patient satisfaction compared to 2021. The WCP Medicare ACO performed in the top 16 percent of ACOs for 2022 based on generated savings, out of more than 480 other ACOs.
 
“The health and well-being of every patient remain our top priority,” said Barbara Corey, president of the Wellstar Clinical Partners Medicare ACO. “The hard work and dedication of our WCP physicians is clearly reflected in our latest accomplishments, and we are proud of the compassionate care we consistently provide for the communities we serve.”
 
As one of the largest and most experienced ACOs in Georgia, the WCP Medicare ACO is consistently named one of the top ACOs in the country. Additionally, the ACO is the only one in Georgia to help Medicare bend the healthcare cost curve for nine of the last ten years. Medicare Shared Savings Program (MSSP) ACOs are groups of doctors, hospitals, and other healthcare providers who come together voluntarily to provide coordinated high-quality care to their Medicare patients.
 
The WCP Medicare ACO leverages its internal resources, infrastructure, and partnerships with employed and affiliated physicians to deliver high quality, cost-effective healthcare to the communities it serves. Since 2012, the WCP Medicare ACO has been a consistent, high-quality, top performing ACO and it is among the top MSSP ACOs when measured by cumulative savings to Medicare of nearly $150 Million.

Tameka Pearson experienced the best and the worst of women’s health in a decade. When she overcame her first health challenges, a new breast cancer diagnosis tested her again. As Tameka conquered cancer with the support of her family and her Wellstar cancer care team, she only grew fiercer in her dedication to self care.

Overcoming health challenges

Look back a decade and you’ll see Tameka, a mom of three, teaching middle school students. She started out as a special education teacher, then became an English and language arts teacher. She said, “I truly loved trying to figure out how to help the students learn the curriculum in a different way and to help them cope with their disabilities.”

She was also coping with her own issues at the same time—fibroids, heavy bleeding and pain. After five years, she had a hysterectomy and went through menopause at 36 years old. It took a year to recover, and she gained 60 pounds, high blood pressure, anxiety and depression.

“The heaviest I could lift was my clothes basket,” she remembered. “When I got clearance to exercise, I changed my eating habits, my mindset and my life for the better.”

A new focus on building strength shaped her into a new woman—inside and out. She rose at 4 AM daily, lifted weights, taught students and returned home for time with her family.

A second diagnosis

In peak physical condition at 43 years, Tameka scheduled her routine annual mammogram. She got called back for a second mammogram due to dense breast tissue.

“Getting a call back after a screening mammogram means that the doctor wants to look at something more closely,” said Diane Harris, RN, a certified oncology nurse navigator at Wellstar Douglas Medical Center. “It does not mean you have cancer, but if you do, finding it earlier could save your life.”

But for Tameka, further imaging led to more tests and finally, a needle-guided biopsy. Two days later, she got a call confirming she had triple negative breast cancer. She said, “I felt like this little bump can pretty much dictate the rest of my life. When I heard the term ‘breast cancer,’ my world stopped. I cried for about two weeks straight.”

Halloween is right around the corner, and while many Georgians are planning to celebrate this year, many may have questions about how to do so safely.

Wellstar’s very own Dr. Branstetter recently shared his recommendations to minimize the risk from the triple-demic and to keep family and friends safe while celebrating holiday occasions such as Halloween by ensuring you are up to date with the latest vaccines that help prepare our immune systems to prevent illnesses. 

"Some of my patients have already elected to get both their COVID and influenza shots. I don't think there is a perfect way that we need to go through and get these vaccines. The important thing is, if they're indicated for you and you're due for a vaccine, go ahead and get those done." - Dr. Danny Branstetter, Medical Director for Infection Prevention at Wellstar Health System in the Marietta Daily Journal

Millions of people in the U.S. and around the globe, including children of all ages, look forward to the festivities of Halloween. But–lest we forget–it's virus season, and RSV, flu, and COVID-19 are still lurking in the shadows. How can we celebrate while keeping our families, friends, and neighbors safe from the community spread of these viruses, which is essential to everyone's health and well-being? Get creative and think about safety. Think "TREAT!"

Let's Trick-or-TREAT

Wellstar has created these tips for a healthy Halloween celebration while keeping in mind it's a holiday full of tricks and TREATS!

• T – TRUST YOUR JUDGMENT - Take safety precautions during the holidays, like washing your hands, spending time outdoors to help minimize close contact with others, and staying home if anyone in your family has flu-like symptoms. Making good and healthy decisions is the key to reducing exposure to viruses. 
• R – ROADWAYS - Remember to watch the roadways on Halloween! Lack of visibility from dusk into the evening while children and families are trick-or-treating can be dangerous. Watch for children in dark clothing on roadways, medians, curbs, driveways, and alleys. Consider adding reflective tape to children's costumes and never assume the right of way; just because you can see a car doesn't mean they can see you. Let's keep everyone safe this spooky season!
• E – EAT- Halloween is an opportunity to avoid being tricked by treats. Make sure children wait to return home before consuming candy, helping prevent any reactions to food allergens. Allow time for inspecting potentially tampered-with goodies, only consume factory-wrapped treats, and toss any spoiled or suspicious items. Examine treats like stickers and candy wrappers for choking hazards and monitor the amount of sugar consumed. 
• A – AVOID - Trick-or-treating alone can be a hazard; ensure a trusted, responsible adult accompanies children on their adventure. You can walk in groups or implement the buddy system in the neighborhood. Steer clear of distracted walking by staying off our phones while trick-or-treating. Avoid spooky situations and only approach homes with the porch light on!
• T – TECHNOLOGY - Whether you are looking to plan the best trick-or-treating route, watching movies, or connecting with family and friends across the miles, technology can help unite us this holiday season. If you have a household with immunocompromised members, think about hosting a virtual pumpkin-carving contest or FaceTime a kid's costume fashion show to help families have holiday fun while staying safe.

Wellstar is committed to providing high-quality, tailored and compassionate care. For more information and the latest updates on COVID-19, visit wellstar.org/COVID-19.

Over the years, advice about breast self-exams and breast cancer screenings has changed. So what exactly should you be doing to make sure you’re staying your healthiest? We brought together a panel of women’s health experts to discuss the best strategies to keep tabs on your breast health—and who to talk to if you’re diagnosed breast cancer.

I do breast self-checks every month. Why do I need a mammogram too?

Dr. Paula Greaves, MD, OBGYN, Wellstar chief Women's Health officer: Unfortunately, 1 in 8 women will develop breast cancer in their lifetime, so early detection is key. We have shown over the years that the sooner we detect breast cancer, the more successfully it can be treated. Survival has increased significantly since we started finding breast cancer earlier—before there are symptoms, such as feeling a lump during a self-exam.

Mammograms are essential for early detection. It’s recommended that women start getting mammograms at age 40. However, if you have a family history of breast cancer or other risk factors, your gynecologist or primary care provider may recommend starting earlier and will help you create a personalized screening plan. There are some risk factors that women cannot change, such as genetics, but there are some ways women can lower their risk, like quitting smoking, eating a healthy diet and exercising regularly. Wellstar offers 14 mammography locations, and our patients have state-of-the-art technology on their side. We offer high-resolution breast screening, including 3D mammograms.

Women should continue not only getting annual mammograms, but also seeing their gynecologist or primary care provider for regular breast exams. Women should also be aware of physical changes within their bodies, including breast changes. Changes in the texture of the skin or a lump or pain in the breast should always be checked out by their healthcare provider.

Margie Apacible-Mancao, MSN, RN, CBCN, nurse navigator: I am so passionate about breast cancer screening—every opportunity I have I tell patients to get a screening mammogram when they’re of age. Tell someone in your circle that you’re going, then they’ll tell someone in their circle and the circle gets wider so more people will get screened.

Does it mean I have cancer if the doctor recommends a biopsy?

Dr. Sujatha Hariharan, MD, medical oncologist: When a mammogram detects an abnormality, a biopsy might be indicated. Many breast biopsies will be non-cancerous such as fibroadenomas.  

If cancer is found on a breast biopsy, there are several parts of the pathology result that the care team will utilize to make a treatment plan. For example, the presence of estrogen and progesterone receptor positivity allows the potential for hormone therapy as part of the treatment plan. The HER-2 gene is also tested for and if that is present and positive, it allows for medication directed at the HER-2 gene to be given along with chemotherapy.  

Sequencing of the various treatments for breast cancer—surgery, chemotherapy, radiation and hormone therapy—will be determined as a collaborative effort between the breast surgeon and medical oncologist.

If I’m diagnosed, who should I talk to next?

Margie: The anxiety of not knowing their diagnosis or what’s next is one of the hardest parts. At Wellstar, patients have access to a nurse navigator on the day they are recommended to have a biopsy. We make an appointment with the specialists as quickly as possible because just knowing that someone is helping them get to the next step and get that appointment fast dials down their stress level. 

Dr. Karen Xu, MD, radiation oncologist: If you are diagnosed with breast cancer, you will need to see a breast surgeon first to discuss your surgery options—lumpectomy or mastectomy; a radiation oncologist to discuss the duration of radiation treatment and whether lymph nodes should be included in the target; and a medical oncologist about whether endocrine therapy or chemotherapy is indicated and the timing of systemic therapy. Patients who desire reconstruction after mastectomy will discuss with a plastic surgeon the type and timing of reconstruction they want.

Schedule a mammogram

Find a breast imaging location near you online or call (678) 581-5900.

Picture a big swath of land out in West Georgia. It’s a little wild and a little cultivated, but it’s well cared for thanks to the Rodgers.

“My wife and I are blessed to live on this land,” Greg Rodgers said. “God instructs us to be good stewards of the land and we are dedicated to doing just that. We’re always mowing, planting and tending to fallen trees.”



Much like their acreage, Greg sees his body as something that deserves to be maintained with care. And he’s an advocate that other men do the same. Seeing a doctor regularly and getting screened can help identify conditions earlier so they’re more treatable. Greg learned that from his personal experience with prostate cancer, and the team at Wellstar West Georgia Medical Center who helped him overcome it.

“It’s not so much my story as the story of the professionals at Wellstar—they’re tremendous people,” he said.

The right tests for an accurate diagnosis

Prostate health is not something to ignore. Greg understands this now after a routine PSA test—a simple blood test—came back abnormal in 2020. When PSA levels are checked regularly and rise over time, they can be a sign of prostate cancer.

Because of his elevated PSA, Greg began monitoring his prostate health and eventually, connected with Wellstar Urologist Dr. Richard Jadick in LaGrange. Dr. Jadick performed a UroNav fusion biopsy to investigate his climbing PSA. During the procedure, an MRI helps accurately target the biopsy location. This biopsy has a low false negative rate, meaning the results are more trustworthy than in the past. Greg’s results came back positive for prostate cancer.

Pursuing personalized, expert care

Because every case of prostate cancer is different, there are a range of options for treating it, from active surveillance (monitoring with imaging) to advanced treatments like robotic surgery and targeted radiation therapy that have fewer side effects than traditional treatments. 

Greg and Dr. Jadick discussed several options, but before Greg made any decisions, Dr. Jadick recommended he see Dr. Robert Taylor, a Wellstar radiation oncologist. 

Greg remembers having reservations about radiation therapy. But once he arrived for the appointment, he felt immediately at ease. “Dr. Taylor is a quiet, confident person with a kind smile,” he said. “He was really good at explaining everything, going through studies and the different procedures. He’s so methodical, so good at answering questions and so patient.”

The option they settled on was a high dose of targeted radiation aimed at the prostate during a shorter treatment course (20 days versus 44). A newer technology called SpaceOAR Hydrogel would separate the rectum from the prostate during treatment, preventing unnecessary radiation exposure—and side effects.

“When it comes to choosing the right treatment, everything is a balance between the risk level and a variety of other personal factors,” Dr. Taylor said. “We want to provide treatment that is the least disruptive and most effective.”

To be sure this was the best plan for Greg, Dr. Taylor requested a second opinion from Mayo Clinic. Wellstar experts have a direct connection to Mayo Clinic specialists through its Mayo Clinic Care Network membership. Wellstar physicians and patients can access eConsults—virtual second opinions—at no additional cost to patients.

Some additional imaging was recommended, which validated Dr. Taylor’s treatment plan. Greg moved forward with his cancer treatment with pure confidence.

To live life to the fullest, men need to keep a pulse on their health stats, including their prostate numbers. Regular well checks and prostate cancer screenings with a primary care physician or urologist can identify prostate conditions—like prostate cancer—early, leading to better outcomes and higher long-term survival.

Partnering with a Wellstar doctor now means that if you are diagnosed later, you’ll have a team of prostate specialists in your court who are ready to support you faster.

For example, if you have prostate-related symptoms or an elevated PSA, our Prostate Health Program offers patients access to the least invasive and most advanced testing and treatment options. Plus, patients who are diagnosed with prostate cancer will have a multidisciplinary team to provide treatment options. If needed, men can have non-invasive monitoring, minimally invasive robotic surgery or highly targeted radiation therapy at Wellstar—all of which minimize side effects compared to traditional treatments.

A better approach to prostate health

Wellstar created the Prostate Health Program to offer men a safe place to discuss sensitive health topics with less anxiety. 

One benefit of seeking care at Wellstar is that the team will minimize uncomfortable testing while giving you a best-in-class evaluation that delivers clear results. And you’ll have access to advanced genetic testing. If diagnosed with prostate cancer, patients have immediate access to a team of specialists working together to create the most personalized treatment plan.

“One great benefit of the Wellstar Prostate Program is our multidisciplinary approach to prostate care,” said Wellstar Urologist Dr. Adarsh Manjunath. “We work closely with radiation and medical oncologists to provide holistic care to our patients. The collective expertise and communication between everyone involved optimizes patient well-being.”

At the first appointment, patients meet with a urologist and a nurse navigator. Navigators help bridge the gap between office visits and medical tests. They’ll facilitate scheduling any appointments that are needed, help patients prepare and arrange any follow-up care that may be needed.

Today’s treatments offer fewer side effects

Once diagnosed, patients have immediate access to a multidisciplinary team of prostate experts. They want what’s best for you and work together to help you understand your diagnosis and personalized care options. Because not all prostate cancers are the same, there is no one-size-fits-all treatment. 

Wellstar West Georgia Hospice in LaGrange has provided dedicated, compassionate care for patients for more than thirty years. This year, the facility hosts its 34th Annual Poinsettia Sale to share the beauty of the holiday season, while also collecting contributions that directly benefit its mission.

Once again you can continue the tradition when you purchase beautiful poinsettias through this program to share with your family, friends and business associates. The cost is $15 per plant.

Each plant is hand-delivered (free local delivery) by a hospice volunteer with a personalized card recognizing you and your recipient. Delivery dates for the flowers are Monday through Thursday, December 4 - 7, 2023, in plenty of time to enjoy their beauty all throughout the holiday season.

Please visit the Poinsettia Sale Order Form page to start your order. If you have questions, please call Sandy Melton at 706-845-3962 for assistance. Note that orders more than $75 will be acknowledged showing your tax-deductible contribution.

Funds raised will be used for patient care services for hospice patients at Wellstar West Georgia Hospice, as well as those being served in their own homes, nursing homes, and assisted living facilities. West Georgia Hospice provides services to all regardless of their ability to pay.

Thank you very much for supporting the ongoing care efforts of West Georgia Hospice in our community. And don't delay: the deadline to place your order is November 1, 2023.

Your support of Wellstar West Georgia Hospice is sincerely appreciated, thank you!

Place your Poinsettia Order here!

Wellstar Health System and Augusta University Health System (AUHS) are pleased to announce that today is our first day as a unified system. AUHS will now be known locally as Wellstar MCG Health. Together, Wellstar and Wellstar MCG Health will revolutionize healthcare and enhance the well-being of communities across Georgia. This transformative partnership is set to make a significant impact on the lives of people throughout the state.

Through this partnership, we are committed to investing in cutting-edge medical facilities and infrastructure, strengthening collaborations with rural hospitals, and providing greater access to digital health services and top-notch clinical care, such as the exceptional pediatric care offered by Wellstar and Children’s Hospital of Georgia. Most importantly, we’re focused on addressing the unique needs of each person and community we serve as effectively and compassionately as possible.

Our vision doesn’t stop there. This partnership also represents a powerful alliance between Wellstar Health System, the University System of Georgia, Wellstar MCG Health and one of the nation’s best public medical schools, Augusta University’s Medical College of Georgia (MCG), to propel medical education and research forward. By continuing to build on the rich legacy of MCG and creating new opportunities for more physicians to be trained in a modern clinical environment, we are addressing physician shortages in our local communities and contributing to solving this challenge nationwide.

The possibilities that lie ahead are extraordinary, and we can’t wait to expand our shared commitment to enhancing the health and well-being of the people we serve across our great state. We are forging a path toward a brighter, healthier future for Georgia and beyond.

This statement is issued jointly by:

Sonny Perdue, chancellor, the University System of Georgia

Candice L. Saunders, FACHE, president and chief executive officer of Wellstar Health System

Brooks A. Keel, Ph.D., acting chief executive officer of Augusta University Health System and president of Augusta University

Click, call or come in—easy online booking helps students take the first step toward taking charge of their health. Visit any of our student health locations on Campus Loop Road in Kennesaw, in University Village in Kennesaw or in University Courtyard in Marietta.

While physical health is an important part of overall wellness, it’s crucial that students look out for their mental well-being too. We offer compassionate, confidential care for mental health concerns with conveniently located offices on the Kennesaw and Marietta campuses. Call (470) 578-6644 to make an appointment. Learn more or book online at ksu-health.wellstar.org. 

“This community is where we live, and when we care for our patients, we’re caring for our neighbors and friends—that’s why pursuing excellence is such a high priority,” said Steve Cermak, executive director of Wellstar Center for Cardiovascular Care & Hospital Operations at Wellstar Kennestone Regional Medical Center. “We feel it’s our duty to provide the highest level of care possible.”

This article was originally published on Atlanta Business Chronicle on July 14, 2023.

The key to avoiding health problems is prevention, and the keys to prevention are annual checkups, regular screenings and vaccinations. With the start of the next school year looming in late summer, healthcare experts in Atlanta say it’s a good time for families to get back into the routine of scheduling and keeping these important appointments—not just for children, but for parents too, especially that one parent who tends to be the primary scheduler, often the mother.

In an Atlanta Business Chronicle panel discussion in partnership with Wellstar, physicians from Wellstar and Cobb & Douglas Health District discuss why checkups are important and how families can overcome obstacles to stay on track with preventative care.

Taking care of the family and the family’s No. 1 manager

David Rubinger, Atlanta Business Chronicle market president and publisher: When we think about family wellness and how it intersects with our daily work routines, it can get very complicated, given how busy working professionals are. We’re trying to figure out a way to manage not only our children’s health, and maybe our parents’ health if we’re in the sandwich generation, but our own health. The checklist is longer and longer every day. Let’s start with the basics. We’re a few weeks away from the start of school. Dr. Stinson, what are you telling your parents of kids of school age right now?

Dr. Carrie Stinson, Chief, Pediatric Service Line, Wellstar: The summer is a great time to get caught up on all the things that fall through the cracks during the busy school year. Our lives are very hectic, and when school starts back, things get even busier.

One big thing is the annual well-child exam. Every child should have a well-child exam every single year. When you have babies and toddlers, it’s routine — you’re scheduling these frequently. When kids get older and busier, these visits may feel less important and fall off your radar.

Well visits are important every year. They focus on the comprehensive health and well-being of your child. Pediatricians focus on physical health, development, emotional, social, and even behavioral health. During these visits, the care team collects information on patient and family history, talks about developmental milestones and how your child is doing in school socially. We also assess sleep habits and nutrition. As they become adolescents, well-child exams become even more important as we ask questions about your child’s mental and sexual health.

Those are important conversations to start having and your pediatrician can be a great facilitator. Sometimes parents are uncomfortable talking about those topics with their children even at an early, pre-adolescent stage, so those well checkups are really great places to get insight on how to approach sensitive topics.

Rubinger: Dr. Stinson, since COVID, tell me what you’re seeing that’s different in terms of talking to both parents and children. I am sure the pandemic took some families off their schedules for well checkups. How has the doctor-patient pediatric conversation changed over the past couple of years?

Dr. Stinson: What we’re hearing from our pediatricians since COVID is also what we’re hearing in the news. The behavioral and mental health crisis that we’re experiencing in this country has been really impactful on children, especially teenagers. During COVID, the social isolation of being out of school for periods of time had a significant impact on adolescents. The rise in social media popularity during that time also had a negative impact on pediatric mental health.

Our pediatricians are really seeing that impact now. They’re feeling the strain our teenagers are experiencing. We’re seeing many more cases of depression and anxiety, and cases that escalate to dangerous proportions such as suicidal thoughts and actions.

We’re trying to respond to it by increasing the resources in our communities, but it’s hard to move fast enough to keep up with the demand. At Wellstar, we are developing an integrative model for behavioral health into our pediatric offices. Five of our pediatric practices will have embedded behavioral health professionals, so pediatricians can make direct referrals and patients have immediate access to behavioral health providers in their pediatric office setting.

Rubinger: Dr. Greaves, the mother might be the caretaker who takes care of the child. Most mothers would put their kid’s health ahead of their own health. Tell me what you are experiencing in terms of women’s health as it relates to those people who are the caretakers. What are the issues that they’re having to face to address their own needs?

Dr. Paula Greaves, Chief, Women’s Health Service Line, Wellstar: Women are usually considered the CEOs of their households and the drivers of healthcare in the community. Most women are the care bridge between several generations. They take care of their children, their parents, their partners and at times their communities.

Unfortunately, they sometimes forget to take care of themselves. As physicians, it is our duty to ensure that women are made aware of the warning signs their bodies may be sending them and encourage them to seek help earlier to improve health outcomes.

There are nine signs that I tell my patients to watch out for:

1. Fatigue: Most women think, “Oh, I’m tired. It’s because I’m doing too much or I’m not getting enough sleep.” But fatigue can be a sign of something more than simply lack of sleep. It could be thyroid dysfunction. It could be menstrual irregularities causing them to be anemic and thus feeling fatigued. It could be heart disease. Fatigue could also be a sign of depression or menopausal symptoms. Every household should own a blood pressure monitor, and women should know their numbers (blood pressure, weight, and last menstrual period).
2. Women should be aware of physical changes within their bodies, including breast changes. Changes in the texture of the skin or a lump or pain in the breast should always be checked out.
3. Bloating is another subtle symptom to be aware of. Most women feel bloated and think, “Oh, it’s time for my menstrual cycle, so that’s why I am bloated.” But bloating can be a sign of a gastrointestinal problem or an enlarged pelvic organ. If you have bloating that doesn’t resolve after one or two cycles, let your doctor know.
4. Chest discomfort, shortness of breath and pain or discomfort in the jaw, neck, shoulder, or arm are also red flags. Heart attack signs and symptoms can be completely different in women than the typical ones seen in men. Heart disease is the number one killer of women, so it is very important that these signs are not ignored.
5. Lung cancer isn’t just a smoker’s disease. If you notice an unusual cough or wheezing, have it checked out.
6. Weight changes: Either too much weight gain or unexpected weight loss should be mentioned to your physician. Fluid retention can also affect weight gain.
7. Blood in the urine or stool should be reported.
8. Irregular or heavy periods—heavy enough to change pads every hour or soil through clothes.
9. Skin changes such as discolorations, new moles or growths are definitely worth having a professional take a look.

Rubinger:  Is there ever a situation, Dr. Stinson, where you are treating a child and you see a mother whom you can tell is having health issues, even without an exam? As a pediatrician, do you ever say, “Hey, I think you need to get that checked out?”

Dr. Stinson: As pediatricians, we really focus on the whole family. While we’re seeing the child, we’re also interacting with the parents, guardians, grandparents, or whoever’s bringing the child in to see us on a routine basis.

I think we often get questions from family members about their own health because of exactly what Dr. Greaves mentioned. People think, “I am in a doctor’s office. I don’t have time to go to my own doctor. Let me just see if I can get this question answered.

While being careful not to give medical advice to a patient who is not ours or who is outside of our scope of practice as pediatricians, we are very willing to give recommendations on where that person should seek care. One benefit of our health system is we have the expertise to take care of patients from before they’re born until they need end-of-life care. We have a scope of providers within our system who can help with pretty much any problem that might come up. I would not hesitate to refer a patient to Dr. Greaves and say, “This mom is really worried about her own health. Can you please help? She’s very busy, but her symptoms sound concerning. Can you maybe work her into your schedule?

I practice in the hospital, and we have sent several parents to the emergency room in our hospital for their own health while we’re taking care of their child in the pediatric unit.

How providers are addressing rising mental health needs

Rubinger: Dr. Memark, you get to look at this from the standpoint of two counties that are in great need of public health support. What are the trends that you’re seeing at a 30,000-foot view? What do you see within your communities that your organization tries to address?

Dr. Janet Memark, District Health Director, Cobb & Douglas Health District: From my point of view, one of the big things that we do at Cobb & Douglas Public Health is a large community health assessment. Dr. Greaves is actually a member of our board. We just finished a 2016-2020 five-year assessment. This was at the beginning of the pandemic, so keep that in mind. Our next assessment will capture 2021-2025. One of the things that was surprising to me was looking at causes of death in our communities. The assessment showed that in older people, it’s what you’d expect. For example, in Cobb County for those age 75 and older, the leading causes of death are things like vascular disease, stroke and Alzheimer’s. For ages 65 to 74, it’s heart disease and cancer. But when we started looking at the lower age groups, I was very surprised at what I saw:

• For people in their 30s and 40s, the leading cause of death was accidental poisonings, and that includes drug abuse and drug overdoses. Number two was suicide.
• For ages 25 to 34, number one was overdoses and poisonings and number two was suicide.
• For ages 20 to 24, motor vehicle accidents were number one. Suicide was also number two for this group.
• For 15 to 19, suicide took the number one spot. Number two was motor vehicle accidents.
• For 10 to 14, number one was motor vehicle accidents followed by suicide.

After the timeframe studied in the assessment, we went through two more years of the pandemic, which affected almost everyone’s mental health in one way or another. We’ve heard on the news how pediatricians in medical school are now being trained on how to provide more extensive mental healthcare because there just aren’t enough mental health experts.

It’s wonderful to hear Dr. Stinson say they are really trying to bolster up mental health screenings for our young people during their pediatric visits. I’d also like to add that we have high rates of maternal mortality in Georgia. The state Department of Public Health did a deep dive and found that mental health is a huge component of maternal mortality. You see these same themes of mental health running through several different medical specialties.

Wellstar West Georgia Medical Center recently earned Primary Stroke Certification from The Joint Commission.

Offered in collaboration with the American Heart Association/American Stroke Association, achieving Primary Stroke Center (PSC) Certification means the hospital is making exceptional efforts to foster better outcomes. It’s a signal to the community that quality of care provided meets the unique and specialized needs of stroke patients.

Joint Commission-certified PSCs adhere to a set of standardized performance measures. Organizations collect monthly data for each measure in the set, and the data is then submitted quarterly to The Joint Commission.

“This important certification as a primary stroke center demonstrates our team’s commitment to a higher standard of clinical service,” says Coleman Foss, Wellstar West Georgia Medical Center President. “Stroke patients can be confident in the quality and safety of care, treatment and services delivered at West Georgia Medical Center.”

West Georgia Medical Center joins Wellstar's network of other stroke-certified hospitals, including Comprehensive Stroke Centers Wellstar Kennestone and Wellstar North Fulton, other Primary Stroke Centers Wellstar Cobb and Wellstar Spalding, and Remote Stroke Treatment Centers Wellstar Douglas and Wellstar Paulding.

Wellstar Paulding Medical Center is the first hospital in North America to join the Hidden Disabilities Sunflower network. Adopted by the hospital’s Diversity, Equity, Inclusion & Belonging (DEIB) Council, the initiative aims to help people who have disabilities that are not immediately obvious, such as visual or hearing impairments, autism, chronic pain, dementia or anxiety.

“We want to foster a sense of belonging and respect for every patient, family member and team member,” said Rev. Dr. Rhonda James-Jones, manager of Spiritual Health at Wellstar Paulding Medial Center & Nursing Rehabilitation Center. “Paired with education and other care initiatives, the Sunflower will enable every member of our team to provide the highest quality, most personal care for patients with invisible disabilities.

At the hospital, the official Hidden Disabilities Sunflower logo — a yellow sunflower on a green background — is placed on the door of a patient with a disability. The Sunflower symbol discreetly indicates to patient-facing team members that the wearer needs additional support or a little more time when a diagnosis or procedure is explained. 
“The Sunflower will help us in our efforts to honor every voice at Wellstar,” said Tricia Everitte, a Wellstar registered respiratory therapist and Sunflower program initiative lead.

Everitt introduced the effort to the hospital because she cares for people with hidden disabilities both professionally and personally.

She added, “Several nurses and other team members have shared that they have people with hidden disabilities in their lives and are proud to work at a hospital that will go the extra mile to meet their needs.”

The Hidden Disabilities Sunflower has been adopted globally across all public sectors including major airports, supermarkets, entertainment and sports venues, government programs, public safety services and an increasing number of businesses, large and small.

“Our aim is to help make the invisible, visible,” said Paul White, CEO, The Hidden Disabilities Sunflower. “We’re thrilled to welcome Wellstar Paulding Medical Center to the global Hidden Disabilities Sunflower network. As the first hospital in North America to join the Sunflower, we champion and share their drive to support people with non-visible disabilities within the healthcare sector.”

The Sunflower is another layer of support as the team at Wellstar Paulding seeks to provide high-quality healthcare to every person, every time. Patients at Wellstar Paulding also have access to whole person-centered care provided by clinically trained chaplains and pet therapists, as well as through technology such as adaptive phones and interpretation services.

Learn more about Wellstar Paulding Medical Center.

Wellstar CEO Candice Saunders visits Small TALK program

On May 23, Wellstar Health System hosted a ribbon cutting to celebrate the completion of a major renovation to bring advanced cancer treatments to people in Paulding County and surrounding communities. The event was hosted at Wellstar Paulding Medical Center in Hiram, Georgia, and attended by patients, physicians, healthcare leaders, team members, government officials and community partners.

“We strive to bring world-class healthcare to our neighbors every day,” said Ralph Turner, Wellstar senior vice president and president of Wellstar Paulding Medical Center. “We opened this new hospital almost 10 years ago, but that was not the finish line — just a stop on our journey. We continue to find new ways to keep pace with this community’s growth and provide the most comprehensive cancer care to this community.

Expanded capacity & new cutting-edge technology

The expansion enhances the patient experience by adding a new radiation vault to house a TrueBeam linear accelerator — an advanced system that delivers radiation therapy. While the capacity to treat people with cancer doubled, new technology brings more cutting-edge treatments to Paulding, alongside a modernized dressing room area offering patients more space and comfort. 

“This is a dream come true after seeing the growing need for cancer treatment in this area,” said Dr. William Thoms, Radiation Oncology medical director. “The new TrueBeam allows people to stay closer to home rather than driving outside our own community for radiation therapy."

The expansion enhances the patient experience by adding a new radiation vault to house a TrueBeam linear accelerator — an advanced system that delivers radiation therapy. While the capacity to treat people with cancer doubled, new technology brings more cutting-edge treatments to Paulding, alongside a modernized dressing room area offering patients more space and comfort.

New, advanced treatments in Paulding

Wellstar Paulding’s new linear accelerator also brings a leading-edge cancer treatment called stereotactic body radiation therapy (SBRT) to Paulding County for the first time.

“SBRT will transform cancer care in our community,” said Dr. Rakendu Shukla, Wellstar radiation oncologist. “In the coming months, we will roll out new treatments previously unavailable in Paulding.”

SBRT is different from conventional radiation therapy because it delivers very high, precise doses of radiation directly to tumors that are traditionally difficult to treat. It is more powerful at killing tumors, and it decreases the amount of radiation that healthy tissue is exposed to, which decreases side effects. And the treatment can be delivered over a short course of time — around 1-5 days rather than weeks or months.

The renovated space is located at Wellstar Paulding Medical Center’s Outpatient Pavilion at 148 Bill Carruth Parkway in Hiram, Georgia.

Pictured l-r: Don Zarkou, VP, Oncology Service Line, Wellstar Health System; Ralph Turner, SVP, Wellstar Health System, President, Wellstar Paulding Medical Center; Dr. Michael Andrews, Chief Cancer Officer, Wellstar Health System; Dr. William Thoms, Radiation Oncology Medical Director, Wellstar Paulding Medical Center; Sandy Kaecher, Post II Paulding Commissioner; Nichole Rydahl, AVP, Operations, Wellstar Paulding Medical Center; Shawn Jackson, Manager, Radiation Oncology, Wellstar Paulding Medical Center; Dr. Rakendu Shukla, Radiation Oncologist, Wellstar Paulding Medical Center.

Physicians and team members from the Wellstar Paulding Medical Center oncology team gathered for a ribbon cutting to celebrate the completion of a major expansion to cancer services. 

Wellstar Paulding Medical Center’s new TrueBeam linear accelerator helps make cancer treatment more accessible to patients and brings a leading-edge cancer treatment called stereotactic body radiation therapy (SBRT) to Paulding County for the first time. 

Learn more about Wellstar Paulding Medical Center.

This article was originally published on Atlanta Business Chronicle on May 19, 2023.

Stroke is the fifth leading cause of death in the United States. The Georgia Department of Public Health reports the state had the 12th highest stroke death rate in the country. Georgia is also part of the “stroke belt,” an area of the southeastern United States with stroke death rates 30% higher than the rest of the nation.

As the leading — but preventable — cause of disability, stroke can happen at any age.

Stroke is a medical emergency, meaning the blood flow to an area of the brain is cut off, depriving brain tissue of oxygen and nutrients. When this happens, brain cells start to die and abilities controlled by that area of the brain, such as speech or muscle control, are lost.

New drugs and new advanced treatments — such as the Tigertriever and Artemis — are helping reduce the death and disability impact of stroke, as well as comprehensive care programs and innovative hospital partnerships that expand stroke services into rural areas.

Physicians from Wellstar Health System and the CEO of a hospital in northeast Georgia joined Atlanta Business Chronicle to discuss stroke prevention and the future of stroke care.

Panelists & moderator

• Dr. Rishi Gupta, Endovascular Neurologist and Co-Medical Director of Neuro Care
• Dr. Ashis Tayal, Vascular Neurologist, Wellstar, Director of Neuro Care Network
• Van Loskoski, CEO, Stephens County Hospital
• David Rubinger, Market President & Publisher, Atlanta Business Chronicle; Moderator

What is stroke, screening and secondary prevention

David Rubinger: Dr. Tayal, set the stage for us about the definition of stroke.

Dr. Ashis Tayal: A stroke is a sudden injury of the brain due to blockage or rupture of an artery in the brain. Injuries to the brain and disability can vary significantly.

The most common, ischemic stroke injury, is due to obstruction of an artery that causes a loss of blood flow to a critical part of the brain which damages the brain rapidly.

The other type of stroke is hemorrhagic stroke, where there’s a rupture of an artery, bleeding into the brain, or the surfaces of the brain, and that is called an intracerebral hemorrhage or a subarachnoid hemorrhage.

Rubinger: I think Americans have become a little better educated as to who’s at risk for stroke, but why don’t you walk us through that. Who would be a potential stroke candidate?

Tayal: High blood pressure, or hypertension, is the most common risk factor for both ischemic and hemorrhagic strokes. High blood pressure is an extremely common but controllable condition. Almost 80% of people have hypertension as they’re getting older.

Other risk factors include diabetes associated with elevated blood sugars causing accelerated blockage of arteries and high cholesterol, which can be related to diet and genetics.

Atrial fibrillation, a common heart arrhythmia that occurs as people get older, also places people at risk for the most severe and disabling types of strokes. And plaque buildup in specific arteries of the neck and brain also leads to an increased risk of stroke.

Smoking is another risk factor. Many adults still smoke despite a lot of progress in stroke treatment, and smoking puts people at risk for different types of stroke.

Rubinger: What about atmospheric things like stress and other areas like that? How does that play into it? Or do those things manifest themselves because of the other underlying physical conditions?

Tayal: I don’t view stress, in and of itself, as a risk factor for stroke. I think that’s more related to people’s environments and their own personalities and how they respond to stress. I do think people who are under undue stress can have poor lifestyle habits, and those poor lifestyle habits, whether poor eating habits, smoking, weight gain or lack of exercise, can lead to conditions that increase the risk for stroke.

Rubinger: So how is the healthcare system doing treating strokes? Do you believe that what’s going on at the primary care provider’s office is helping or do we have a way to go?

Tayal: In the United States, preventive care has improved the treatment of risk factors that lead to stroke, but communities must maintain routine checkups as many of the risk factors are silent.

There are improved treatments for hypertension, more aggressive treatment for diabetes, and more efforts at smoking cessation. Just the fact that we treat hypertension better than we did a generation ago has had a great impact on lowering the prevalence of stroke.

That being said, some of the most exciting work on stroke has often been done in the area of acute treatment of stroke with clot-busting drugs, catheter-based treatments and medications to protect the brain during an acute injury.

Rubinger: Has pharmacology gotten better in terms of the hypertension medicines that are out there? Have anti-cholesterol medicines improved in recent years?

Tayal: In the past, healthcare providers were often undertreating people with hyperlipidemia — high cholesterol — and not fully appreciating the benefits of significant reductions in cholesterol levels. For example, we’ve learned that driving cholesterol down into much lower ranges under 55 mg/dL can benefit our patients who have vascular disease as a cause for their stroke.

In the fight against high cholesterol, newer medications that prevent the absorption of cholesterol are now available. Recent developments have led to the discovery of a new underutilized class of drugs called PCSK-9 inhibitors that are highly effective.

Douglasville, Georgia resident Ralph Aiken experienced a motorcycle accident in April of 2022. The 82-year-old was thrown 10 feet in the air and another 20 feet down into a hole, suffering a broken left leg below the knee. As part of his healing, Aiken worked closely with Dawnette Waters, Wellstar Physical Therapist, to rebuild muscle in the injured leg.

One fateful day while at therapy, the U.S. Army veteran suffered cardiac arrest. Due to the quick actions of Waters and members of the adjoining Wellstar Outpatient Cardiac Rehab center, EMTs were able to revive Aiken and rush him to Wellstar Douglas Medical Center, where Wellstar Interventional Cardiologist Dr. Cheryl Robertson found the cause of the cardiac event — 95% blockage of an artery. Dr. Robertson immediately inserted an atrial stent. Mr. Aiken has felt healthy since the surgery and is grateful for the team at Wellstar who saved his life. 

“Wellstar is very well-operated and efficient, and the doctors, the nurses and the therapists are top-notch. I wouldn't be here if it hadn't been for the therapy staff,” Aiken says, choking up.

In early March of this year, Aiken enthusiastically reunited with his entire care team at Wellstar. Smiles and hugs were the mood of the day, as each recalled the events that led to Aiken still being with us to enjoy life.

Today, Aiken continues to exercise and is proud of his active lifestyle, despite his age. “Look at me. How many 82-year-old men have a 34-inch waist and an arm muscle like that?” he says, showing off his impressive bicep.

Wellstar Kennestone Regional Medical Center has been recognized with an “A” Hospital Safety Score by The Leapfrog Group, an independent national nonprofit run by employers and other large purchasers of health benefits. The Leapfrog Hospital Safety Grade is a letter grade assigned to U.S. hospitals based on data calculated using 26 measures evaluating the hospital’s overall capacity to keep patients safe from infections, injuries, and medical and medication errors.

“Patient safety is at the forefront of everything we do at Kennestone, and we are pleased to be recognized by the Leapfrog Group for earning an A grade,” said Callie Andrews, Wellstar Kennestone Senior Vice President and Chief Operating Officer. “Not only does an A grade affirm the high quality of care that we deliver to our patients every day, but this prestigious ranking also honors the critical role that our physicians, nurses and caregivers play in keeping our communities healthy and safe.”

The Hospital Safety Score was compiled under the guidance of the nation’s leading experts on patient safety. The first and only hospital safety rating to be peer-reviewed in the Journal of Patient Safety (April 2013), Hospital Safety Score is designed to give the public information they can use to protect themselves and their families.

To see how Wellstar Kennestone’s scores compare nationally and locally, visit the Hospital Safety Score website at www.hospitalsafetyscore.org, which provides information on how the public can protect themselves and loved ones during a hospital stay. Local hospitals’ scores are also available on the free mobile app, available at www.hospitalsafetyscore.org.

Wellstar Health System and Georgia State University’s Department of Respiratory Therapy in the Byrdine F. Lewis College of Nursing and Health Professions announce a $320,000 grant to expand the pipeline of respiratory therapy (RT) professionals.

"Respiratory therapists are a vital part of the care team and are in critical demand – a trend exacerbated by the COVID-19 pandemic and felt throughout the healthcare industry," said Julie Teer, president of the Wellstar Foundation. "The Wellstar Foundation is proud to increase the workforce pipeline by collaborating with and funding Georgia State to hire an additional faculty member to lead a new clinical cohort of RT students at Wellstar Kennestone Regional Medical Center."

The faculty shortage is a major barrier to increasing program enrollment and adding this position will result in a 20 percent increase in the program’s enrollment capacity.

"Highly educated respiratory therapists will always be needed, but due to the pandemic and the burnout of healthcare practitioners, the job market is wide open for new graduates," said Dr. Doug Gardenhire, chair of the Department of Respiratory Therapy.

Over 150,000 respiratory therapists work in the United States, and 92,000 are likely to retire by 2030. In addition to faculty shortage, demand for professionals that outpaces the capacity of degree programs also contributes to the national shortage of respiratory therapists. According to the U.S. Bureau of Labor Statistics, the number of RT positions will grow by at least 19 percent through 2029 due to an aging population and increased cases of respiratory illness.

"There are more than 17,000 advertisements for needed respiratory therapy positions around the country, and the need is no different in metro Atlanta," said Gardenhire. "This partnership with Wellstar allows us to educate and graduate more baccalaureate and master’s degree prepared respiratory therapists."

Georgia State’s RT program is one of only two U.S. programs to receive the American Association for Respiratory Care Apex Award for three consecutive years. The award recognizes respiratory care in clinical care facilities and educational programs that highlight best practices with evidence-based medicine. Over the past decade, every Georgia State RT graduate has earned a 100 percent pass rate on the licensure exam.

"This grant helps strengthen our relationship with Wellstar and will bring more of our students into the Wellstar system for clinical practice and potentially for employment after graduation," said Dr. Huanbiao Mo, dean of the Lewis College. “Congratulations to RT faculty and leadership for forging this successful clinical partnership."

Explore how the Lewis College at Georgia State is producing respiratory therapists and other professionals prepared for the frontlines of healthcare at lewis.gsu.edu. See how corporate and foundation partner and individual donor dollars are making a difference at Georgia State at giving.gsu.edu. Learn how Wellstar Foundation, through philanthropy and partnership, is making a meaningful difference in the health of our communities at wellstar.org/foundation.

Click to watch 11 Alive coverage of partnership between Wellstar and Georgia State University. 

RSVP by contacting Sarah Hersey at (706) 845-3848 or [email protected]

RSVP by contacting Pam Plasket at (770) 410-4556 or [email protected]

Wellstar Health System, one of the largest and most integrated healthcare systems in Georgia, is collaborating with CLEAR, the secure identity company, focused on optimizing Wellstar consumers’ digital and physical healthcare experiences. Wellstar will embed secure identity verification Powered by CLEAR technology to provide patients with secure and easy access to their personal health information.

Using the Powered by CLEAR platform will provide a seamless and secure experience by eliminating the need for patients to manually re-enter biographic data with each interaction. Wellstar expects the partnership with CLEAR will save patients time, reduce help desk calls and operational costs, improve security, lower fraud risk, and drive consumer adoption and engagement across the health system’s digital ecosystem.

“This exclusive partnership will open the door to new innovations that make accessing care easier and experiences curated in the moments people need them most,” said Hank Capps, M.D., FAAFP, Wellstar’s Executive Vice President and Chief Information and Digital Officer. “As we continue to build future care models that blur digital to brick and mortar experiences, we need advanced capabilities and constant innovation. We are excited to roll-up our sleeves with CLEAR and design that future together.”

“CLEAR’s partnership with Wellstar marks another important step as we work to replace the clipboard and improve the patient experience,” said Caryn Seidman-Becker, CEO of CLEAR. ”We’re excited to power safer, easier experiences - physically and digitally - for Wellstar patients across their healthcare journey.”

Catalyst by Wellstar, a first-of-its-kind innovation company and venture firm, will support the partnership with CLEAR to accelerate innovation.

Powered by CLEAR enables frictionless confirmation of your identity and credentials to make everyday experiences safer and easier – transforming the way people live, work, and travel. Whether CLEAR’s 15 million members are networking online, visiting a doctor, checking into a hotel, renting a car, or cheering on their favorite sports team, they can frictionlessly affirm their identity with CLEAR — for free — wherever life takes them. New users can simply enroll once to verify anywhere in our Powered by CLEAR network.

In Georgia, CLEAR operates its signature expedited identity verification lane at Hartsfield–Jackson Atlanta International Airport (ATL). CLEAR also operates a free, dedicated entry lane at State Farm Arena to help fans get into games and events faster.

The care teams at Wellstar are dedicated to enhancing the health and well-being of everyone we serve, and we thank our team members for their commitment to world-class care. We also thank Cobb residents for trusting the expertise of Wellstar to keep their families healthy and provide them with more than healthcare, PeopleCare.
Several Wellstar team members have been voted among the Best of Cobb:

• Bruce Alayof, MD
  Wellstar Center for Cardiovascular Care
  Best Cardiac/Vascular Specialist, Second Place


• Kyle Brown
  Wellstar Health Place
  Best Personal Trainer, Second Place


• Ryan Breshears, PhD
  Wellstar Clinical Psychology
  Best Psychologist, Second Place


• Ryan Cantwell, MD
  Wellstar Internal Medicine
  Best Family Physician, First Place
  Best General Practice Doctor, Second Place


• Kozue Cunningham
  Wellstar Health Place
  Best Massage Therapist, First Place


• Diedre Greene, MD
  Wellstar Pediatrics
  Best Pediatrician, Second Place


• Amy Gross
  Wellstar Outpatient Rehabilitation
  Best Physical Therapist, First Place


• Ashish Kapila, DPM
  Wellstar Podiatry
  Best Podiatry, Third Place


• Amy Kewin, MD
  Wellstar Pediatrics
  Best Pediatrician, First Place


• Keisha McClure
  Wellstar Health Place
  Best Massage Therapist, Third Place


• Eduardo Molinary, MD
  Wellstar Pulmonary Medicine
  Best Pulmonary Medicine, Third Place


• David Parks, MD
  Wellstar ENT
  Best ENT Specialist, First Place


• Dhaval Patel, MD
  Wellstar Center for Cardiovascular Care
  Best Cardiac/Vascular Specialist, Third Place


• Daniel Saade, MD
  Wellstar Pediatrics
  Best Pediatrician, Third Place


• Carolyn Smallwood, DO
  Wellstar Primary Care
  Best General Practice Doctor, First Place
  Best Family Physician, Second Place


• Randall Webb, MD
  Wellstar OB/GYN
  Best OB/GYN, Third Place


• Wellstar Atherton Place
  Senior Living and Memory Care
  Best Nursing Home, Third Place


• Wellstar Health Place
  Best Fitness Center/Gym, First Place


• Wellstar Health Place
  Best Yoga/Barre/Pilates Studio, Third Place


• Wellstar Health Place
  A Healthier You- Medical Fitness
  Best Weight Loss Clinic, Third Place


• Wellstar Pediatrics at 3707 Largent Way
  Best Pediatric Group, First Place


• Wellstar Pediatrics at 760 Kennesaw Avenue
  Best Pediatric Group, Second Place


• Wellstar Pediatrics at 121 Marble Mill Road
  Best Pediatric Group, Third Place

Wellstar Health System, one of Georgia’s largest and most integrated healthcare systems, announced the grand opening of the Wellstar North Fulton Cancer Center on the Wellstar North Fulton Medical Center campus in Roswell, Georgia on March 27. The Center will serve as one of only two locations in metro Atlanta featuring state-of-the-art CyberKnife® technology for radiation therapy, a noninvasive treatment for cancerous and non-cancerous tumors and other conditions where radiation therapy is needed.

The Cancer Center will now offer comprehensive cancer services, including medical oncology; radiation oncology; imaging and many medical specialties from nationally recognized, expert and experienced physicians all in one convenient location.

“With this beautiful new $12 million state-of-the-art Comprehensive Cancer Center, we can offer people in our community some of the most advanced cancer treatments close to home,” said Jon-Paul Croom, president of Wellstar North Fulton Medical Center. “People will be able to come to the 12,000-square-foot Wellstar North Fulton Cancer Center for almost all aspects of diagnosis, staging and treatment, with surgery across the way at the hospital.”

Wellstar team members and the Roswell community celebrated the official opening of the Cancer Center last week with a ribbon cutting ceremony following ten months of construction. Attendees had the opportunity to tour the facility and Wellstar’s second CyberKnife system, newly housed at the Cancer Center.

Wellstar first began using the CyberKnife System at Wellstar Kennestone Regional Medical Center in 2006 to treat conditions throughout the body and can be an alternative to surgery or for patients who have inoperable or surgically complex tumors. CyberKnife can reduce radiotherapy timelines from the traditional eight weeks to as little as one to five days.

“We are committed to providing the best treatment options for our patients and are proud to bring the CyberKnife system to this community,” said Dr. Mark McLaughlin, radiation oncology medical director for Wellstar North Fulton Medical Center. “With the state-of-the-art CyberKnife technology, we can deliver high precision radiation in fewer radiotherapy sessions with the goal of making treatment easier and improving outcomes for patients. We look forward to continuing to help patients beat cancer and celebrate their futures.”

The multidisciplinary team of cancer experts onsite will offer patients a high level of knowledge and expertise, along with compassion and hope. The multi-disciplinary physician experts at Wellstar North Fulton Cancer Center include:

• Dr. Mark McLaughlin, Radiation Oncologist
• Dr. Jay Singh, Colorectal Surgeon
• Dr. Faisal Bhutta, Pulmonologist
• Dr. Greg Coffman, General Surgeon
• Dr. Arthur Grigorian, Neurosurgeon
• Dr. Sachin Lavania, Pulmonologist
• Dr. Nagender Mankan, Medical Oncologist
• Dr. Satyen Mehta, Medical Oncologist
• Dr. Scott Miller, Surgical Urologist
• Dr. Laura Pearson, Breast Surgeon 
• Dr. Theolyn Price, Thoracic Surgeon
• Dr. Fiyin Sokoya, Otolaryngologist

Learn more about Wellstar North Fulton Cancer Services.

To learn more about the CyberKnife System, please visit cyberknife.com.

CyberKnife technology

According to the Centers for Disease Control and Prevention (CDC), about 1 in 10 Americans have diabetes. Of that group, 90 to 95% have type 2 diabetes. Because this condition often develops in people over 45, getting screened and getting the best treatment to live your healthiest life is essential.

"Diabetes is a chronic and complex condition, and treatments are continuously changing," said Dr. Georgia Forrest, Wellstar primary care physician. "Teaming up with a primary care provider who personalizes your care plan to you and everything that makes you unique should be a top priority."

Whether you currently have type 2 diabetes, a family history of the disease or feel concerned about your overall well-being, you can take proactive steps to manage your health. Here are some key facts to help you better understand the relationship between diabetes and good health.

1. Undiagnosed diabetes costs you money & health
Not knowing you have diabetes carries high medical costs. Undiagnosed diabetes can increase your risk for death and other medical issues.

Diabetes was the eighth leading cause of death in 2021, the most recent data reported by the U.S. Preventive Services Task Force. And according to the American Diabetes Association, having diabetes doubles your risk for heart disease and stroke—heart disease is the number one killer in the U.S. 

2. A diagnosis and personalized treatment can save your life
Knowing you have diabetes and then working to manage your blood sugar, blood pressure and cholesterol effectively can lower your risk of death and help you live a better quality of life.

3. Getting screened for diabetes is easy
The U.S. Preventive Services Task Force now recommends getting screened with a simple blood test at the age of 35 for people with no symptoms but who are overweight or obese. Even if you have no signs or family history of diabetes, it can lurk in your numbers. Getting screened can help you catch it early and even prevent it altogether.

Consider getting screened for diabetes if you:

• Are obese or overweight
• Are physically inactive 
• Have a parent or full sibling with diabetes
• Are an African American, Latino, Native American, Asian American or Pacific Islander 
• Have a history of cardiovascular disease
• Have hypertension
• Have blood work that shows an HDL of less than 35 mg/dl or triglycerides greater than 250 mg/dl
• Have a diagnosis of polycystic ovarian syndrome
• Have other medical conditions that lead to insulin resistance

4. Some people have pre-diabetes
If your screening shows that you have pre-diabetes, your blood sugar levels run higher than average but aren't within the range of type 2 diabetes. However, you have an increased risk of getting type 2 diabetes.

Identifying that diabetes is around the corner can help you stop it before it starts.

5. Diabetes treatment plans should be unique
When crafting a plan to address diabetes, the conversation must be about more than the numbers.

"Additional diseases or conditions you may be experiencing in conjunction with your diabetes should also become part of your individualized health plan," Dr. Forrest said.

A complete medical history helps your healthcare provider understand how other medications and treatments may interact with your symptoms and treatments related to type 2 diabetes.

6. Lifestyle modifications can make a big impact on diabetes
Lifestyle modifications may involve slight changes to your weight, the amount of exercise you get, your diet and even your sleeping patterns.

Changes don't have to be major. For instance, your doctor may suggest you lose around 10 pounds and exercise for 30 minutes five days a week.

Our primary care providers work with patients one-on-one but can also refer patients with pre-diabetes and diabetes to Wellstar Diabetes Services to help prevent the onset or manage the effects of diabetes.

7. S.M.A.R.T. diabetes treatment plans
According to Dr. Forrest, your overall plan should include "specific, measurable, achievable, relevant and timely (S.M.A.R.T.) goals and involve shared decision-making between you and your care provider. There should be plenty of follow-ups to keep the conversation fluid and open to modification."

8. Know your numbers — and acronyms (A1C, CGM, TIR)
Should your screening lead to a type 2 diabetes diagnosis, conversations with your health providers will focus on several acronyms and numbers.

"Know your ABCD’s of diabetes," said Dr. Forrest. "Your A1C, blood pressure, cholesterol and the medications you are taking. Knowing these facts about your health will be key to your success."

• A = Hemoglobin A1C goal is <7 
• B = Blood pressure goal is <130/80 
• C = Cholesterol goal is to keep bad cholesterol <100 
• D = Drugs 

Keeping the A1C low and within an optimal range will help prevent complications like eye damage, blindness, kidney failure and nerve damage. 

A mainstay for type 2 diabetes management centers around constant glucose level monitoring. Continuous glucose monitoring (CGM) provides readings every few minutes via a sensor inserted just below your skin. Monitoring glucose is a common way to help regulate insulin in your body, giving you the readings you need to self-adjust with insulin when appropriate. Average glucose levels should be 100 mg/dl or lower though they can increase if you've just eaten.

New developments introduced the importance of tracking Time in Range (TIR). Along with monitoring your glucose levels, TIR may impact your customized plan for maintenance. According to Dr. Forrest, the goal for TIR is 70% or more.

9. Receive individualized diabetes care at Wellstar
For diabetes management, a personalized, proactive approach can make all the difference. Wellstar primary care providers are here to partner with you to help prevent or manage diabetes, heart disease and many other conditions.

"A true patient-centered approach for managing diabetes is the key to the future of this disease," Dr. Forrest said. "Get screened and speak up when it comes to your care. Opportunities for personalized and individualized medicine should be a part of your treatment plan as you move forward."

Find a primary care provider near you.

On March 8, Wellstar’s Office of Diversity, Equity and Inclusion hosted a fireside chat with leaders,  Beth Kost, Kem Mullins and Julie Teer, who also serve as Executive Sponsors to our Women’s Business Resource Group.  They engaged inn an important conversation about celebrating women in the workplace.  Focusing on the national theme for Women's History Month, "Celebrating Women Who Tell Our Stories," they discussed women who have positively impacted their careers, the importance of mentorship and sponsorship, and advice they would give to female leaders of the next generation.

Kost is senior vice president and chief compliance officer of Wellstar, Mullins is executive president of ambulatory and business development, and Teer is senior vice president and president of the Wellstar Foundation. 

Women's History Month celebrates the contributions of women, past and present. President Jimmy Carter instituted the first National Women's History Week in March 1980. He said, "From the first settlers who came to our shores, from the first American Indian families who befriended them, men and women have worked together to build this nation. Too often, the women were unsung and sometimes their contributions went unnoticed. But the achievements, leadership, courage, strength and love of the women who built America was as vital as that of the men whose names we know so well." On March 8, we joined the world in celebrating International Women's Day and incorporate it into our month-long celebration of women's history.

Learn more about diversity, equity and inclusion at Wellstar.

Watch the virtual event below.

On Wednesday, Feb. 22, Wellstar’s Office of Diversity, Equity and Inclusion partnered with the African American/Black Business Resource Group, B.R.A.V.E., to host an engaging conversation between Dr. Khalil Gibran Muhammad, the Ford Foundation Professor of History, Race and Public Policy at the Harvard Kennedy School, and Dr. Hank Capps, Wellstar executive vice president and chief information and digital officer and B.R.A.V.E. Executive Sponsor. Focusing on “Honoring the Past, Celebrating the Present, and Inspiring the Future,” they discussed wrestling with the fundamental contradictions of our country’s past, addressing bias and holding unflinchingly to science and facts.

"Black History Month allows all individuals to reflect on the power of diversity, equity, inclusion and belonging in every facet of American culture. It is a time to understand and reflect upon Black stories of joy, pain and triumph. It is a time to come together to honor the great achievements of Black individuals, acknowledge and appreciate their many contributions to our society, both past and present, and to celebrate Black excellence," said Wellstar’s SVP and Chief Diversity, Equity and Inclusion Officer, Le Joyce Naylor.

Watch a portion of the program below.

Wellstar Health System is proud to announce that Goodr, a sustainable food waste management and hunger relief company, just unveiled Goodr Mobile Grocery Store on March 8 at Atlanta City Hall. Wellstar is proud to sponsor this 26-foot truck stocked with grocery items, including fresh produce, milk, eggs, and shelf-stable items – all for free. The truck aims to bring Goodr's signature free grocery shopping experience to food-insecure communities.

Fully kitted with refrigerators, freezers, and shelving, families will enjoy an experience much like shopping for goods at a local grocery store. Beyond that, every aspect of the Mobile Grocery Store is about access – from the wheelchair ramp to the resource room for private health screenings or social services consultation.

Wellstar’s Community Health Needs Assessments identified food insecurity as a key social determinant of health impacting the well-being of the communities we serve across the state in both 2019 and 2022. In late 2020, Wellstar joined the Goodr partner network and launched the Wellstar Mobile Markets, a uniquely branded variation of the pop-up grocery markets. The Mobile Markets have reached communities in metro Atlanta and beyond.

“I’m honored to represent Wellstar Health System, the Wellstar Foundation, and our generous donors who have helped make this vision, the Goodr Mobile Grocery Store, a reality,” said Julie Teer, SVP, Wellstar Health System, and president, Wellstar Foundation. “At Wellstar, we truly believe each and every person deserves to live their healthiest life, regardless of their circumstances. And, for a person to live their healthiest life, they need sustainable access to fresh, nutritious food.”

Wellstar is incredibly excited for this next chapter in our partnership with Goodr, and we are honored to be the exclusive healthcare partner and sponsor for this new and innovative way to serve communities.

To truly improve the overall health of our communities, it will take all of us working together to address the social determinants of health. The Goodr Mobile Grocery Store is a perfect example of what we can achieve when we work together.

Wellstar has been dedicated for the past 30 years to making Georgia a healthier place for everyone, and it is because of philanthropy that we are able to reinvest in the communities we serve. We appreciate the opportunity to partner with Goodr to offer these critical resources to more people through the Goodr Mobile Grocery Store, and we are excited to see how our organizations can continue to work together to further improve the health of our communities.

This article was originally published on Atlanta Business Chronicle on February 9, 2023.

Cardiovascular disease is the leading cause of death in the United States, claiming more lives than all forms of cancer combined. Heart disease and stroke are among the forms of cardiovascular disease. In 2019, nearly 900,000 people died of cardiovascular disease in the United States, according to the American Heart Association. In Georgia, about 1 in 3 deaths are caused by cardiovascular disease, according to the Georgia Department of Public Health. Most of these deaths are premature and preventable. Atlanta Business Chronicle recently talked with a panel of experts from Wellstar Health System and the American Heart Association about ways to accelerate heart care progress through diversity and inclusion and finding better ways to fight heart disease through unconventional methods, early detection and education and through the workplace.

Panelists & moderator

Moderator: David Rubinger, Market President & Publisher, Atlanta Business Chronicle

Rubinger: What is the best way to define heart disease? And what does it mean for our culture?

Dr. Vivek Nautiyal: Let me start by saying that heart disease or cardiovascular disease is a very broad term which include a wide variety of conditions affecting our heart and blood vessels. The most common type is coronary artery disease, which is usually caused by cholesterol plaque clogging the arteries, supplying blood to our heart. This is the number one cause of death in the U.S. and across the world.

Some other types of heart disease include heart failure, which affects the heart muscle pump, heart valve disease and heart rhythm disorders affecting electrical activity of the heart. Vascular disease includes aortic aneurysm, and disease affecting neck arteries going to the brain or arteries going to the legs. All of these would broadly come under heart disease.

These conditions affect the ability of the heart to function properly and can lead to serious health problems such as heart attacks or stroke.

Rubinger: How much of that would we consider to be genetics and how much would we consider to be lifestyle, leading to the disease itself?

Nautiyal: Genetics is important, but I would say the vast majority are lifestyle-related. And that is why it's killing so many people. Heart disease is often the result of lifestyle factors like poor diet, lack of exercise, mental stress.

About four in 10 U.S. adults currently are obese. Three in 10 have high cholesterol, four in 10 have hypertension. One in 10 have diabetes. So, this is an epidemic. Adolescent and childhood obesity is on the rise and we in Georgia are sitting in the diabetes belt of the U.S.

Lack of awareness of these common risk factors often leads to delay in seeking preventive or medical care. You can have hypertension, high cholesterol, and diabetes for years or decades without knowing, which is why they're called silent killers. Unless you check for them, you may be blissfully unaware of your risk, until one day it leads to a major event.

Rubinger: It's very common to hear about examples where sometimes it can be genetic and other times it can be a lifestyle cause. Dr. Sacks, in your career, how have you viewed this whole conundrum of how to best approach heart disease?

Dr. Harvey Sacks: Getting back to your previous question, one form of heart disease we did not mention is congenital heart disease — malformations of the heart and blood vessels which occur at birth. As regards to lifestyle, when I started practicing cardiology, I saw patients in Paulding County. At that time, it was a rural community, but it is not so rural anymore but rather an extension of Atlanta. Many members of that community had a lifestyle consisting of poor dietary habits, lack of exercise, cigarette smoking and use of smokeless tobacco.

We began an educational process to teach people about healthy living. We socialized this into the community by giving talks to schools, churches and Rotary Club meetings.

The community bought into these new concepts, and we have made great progress. We have made significant changes as a result of this education in heart attack rates and cardiac mortality in that community.

Rubinger: Do we have any data to support that?

Sacks: We do. Since we have been seeing patients in Paulding County, data show a decrease in cardiac mortality. People understand the risk factors that contribute to the development of heart disease. And this trend is not unique to Paulding County. Similar efforts have been successful throughout the country. The American Heart Association (AHA) has helped us educate millions of people, and as a result, people are adopting healthier choices.

Unconventional weapons: Collaboration, technology & more

Rubinger: From a medical standpoint, what have you learned from research that has helped deliver better outcomes?

Nautiyal: As Dr. Sacks was mentioning, we have made huge advancements in improving cardiovasular mortality and morbidity, especially in the Medicare population. There's clear evidence of that in the last two decades. One area where we are lagging behind is in the young population. Unlike the older population, in the younger population the event rates are either flat or going up.

One of the reasons for this is that traditional risk factor calculators tend to underestimate cardiovascular risk in young people. By young people, I mean below 50. So, if you are below 50 and you have family members who had premature events or if you have very high cholesterol, or if you are a woman with certain complications during pregnancy, then be aware that traditional risk factors will underestimate your cardiac risk. Also, younger people tend to have this sense of invincibility. You don't have any symptoms. You think, “I’m doing OK,” not realizing that silently, processes are going on in your body which one day will lead to a catastrophic event.

As part of an NIH-funded 4-year study, led by the Mayo Clinic, we at Wellstar are implementing a shared decision-making electronic tool called CV Prevent Choice in our primary care offices. This enables the patient and physician to have a discussion about their personal risk for heart attack over next 10 years. It shows in an easy-to-understand graphic the impact of lifestyle measures, like healthy diet and exercise and — if needed — medications, in reducing their cardiac risk. We collaborated with the Mayo team to include factors on this risk calculator, like family history, women-specific risk factors and coronary calcium score, which alerts the clinician and patient that actual risk may be higher than indicated.

Another area where we in the U.S. lag behind is utilization and adherence to easily available life-saving therapies. A recent study showed that in over 600,000 commercially insured patients with established cardiovascular disease in the U.S., the utilization of appropriate, life-saving medications, such as statins, was low, despite overwhelming evidence of the benefit and established clinical guidelines. Only one in five patients received appropriate high-strength statins, despite these being relatively inexpensive generic medicines. Younger patients and female patients were less likely to receive these therapies. Furthermore, patient adherence, as measured by prescription refill rates, was low.

To better understand some of the factors behind this and also improve our quality of care, we at the Wellstar Center for Cardiovascular care are honored to have been chosen by the American Heart Association, to be one of six health care organizations across the country to participate in an integrated cardiovascular cholesterol management initiative, a learning collaborative grant. As part of this initiative, we will track patients admitted with heart attacks and follow them as they transition home. We will pilot programs to get patients to their treatment goals within a short time after discharge and improve patient outcomes.

Rubinger: Mr. Mooney, why aren’t people taking their statins? Is this part of the problem? Are people making bad decisions based on lack of education about what the risk factors are?

Mooney: There are a lot of factors that play into why patients are not adhering to taking statins or medications. Some of those barriers is health literacy, access to health care, and the affordability of medications. The expansion of Medicaid could address some of these factors. We at the American Heart Association are supporting the states that are advocating for Medicaid expansion.

Rubinger: What have been the major technological changes that have really made your jobs more effective or easier?

Sacks: There are different kinds of technology. One type is the evolution of the treatment of coronary heart disease. We are not only able to diagnose blockages in coronary arteries, but in a large proportion of the patients we can treat them with stents, reserving surgery for more extensive and complex heart disease. We are treating patients with valve abnormalities without having to open their chests, thus providing a much less invasive procedure.

A spot on the lung, or pulmonary nodule, is sometimes found incidentally on a CT which was ordered for another reason. We have an AI (artificial intelligence) program to follow and surveil these nodules for the possible development of lung cancer. And in addition, some of these patients have been found to have enlargement of their aorta (known as an aortic aneurysm). AI can identify these patients from a narrative report. They can then be referred to medical and surgical specialists for treatment. This helps prevent an otherwise fatal event from rupture of the aneurysm.

The other part is virtual visits. We believe that virtual visits are the future. There are so many people who for many, many reasons cannot come in to see the doctor, whether it's a transportation issue, whether it's having childcare, finances, whatever it may be. We want to bring those technologies to the person when they can't come to us. We believe that we can really influence people's lives greatly by being able to do that technologically by virtual visits.

Rubinger: And virtual medicine was something really born out of the pandemic. Is the concept of virtual medicine here to stay, Dr. Nautiyal?

Nautiyal: I believe so. The idea was there before, but the pandemic forced us into implementing it a very short time span. Now I think it's going to stay, but in a hybrid model. In-person conversation and physical exams still have meaning in spite of all the technology. An example of a hybrid model would be if someone was hospitalized recently for heart failure and now needs frequent visits for adjusting medications, they don't have to come in every time. We can do virtual visits to adjust the medications and get them to their goal.

Sacks: Psychological ill health can be as important as physical disease. Wellstar has introduced a Cardiovascular Behavioral Health program which can in part be virtual. It integrates behavioral health with physical wellbeing. We can help patients identify emotional problems which can contribute to physical maladies. Obesity is a prime example.

Obesity is often stigmatized, but it is actually a disease. And when you recognize it as a disease, you can treat it as such, similar to how we can treat other conditions. We can do a lot of this support virtually. We also have medications to curb obesity and even surgery for complex cases. If we eliminate the stigma associated with certain conditions, we can better treat them. We need to recognize emotional triggers which can lead to physical medical issues.

Prioritizing early detection

Rubinger: You mentioned earlier younger people who may think they’re invincible. These are the people who need to learn about early detection, earlier on in their lives. What is the recommendation you all give to the younger population to start monitoring their own heart health to know whether they need help? What are the steps younger people need to take to make sure they are addressing these issues?

Nautiyal: I would like to highlight two key groups who are at a very high personal risk of heart attacks or strokes. One is familial hypercholesterolemia. This is a genetic condition where you have high cholesterol levels since early childhood. The way to identify this is to know your cholesterol numbers and know your family history. Familial hypercholesterolemia, FH for short, is not as uncommon as we thought. One in 250 people have FH, and only about 20% of people with FH have been identified or recognized. This leaves a vast reservoir of undiagnosed and undertreated people. If you are a man with untreated FH, there is a 50% chance of having a heart attack by age 50, that is basically a coin flip. Women with untreated FH have a one in three chance of having a heart attack by age 60.

The second group is people with family history of premature heart attacks or strokes.

If you are in one of these two groups, I would strongly urge you to seek preventive cardiology consultation.

Regardless of whether or not you belong to one of these two groups, I cannot emphasize enough the importance of following a heart healthy dietary pattern, exercising regularly, not smoking, getting adequate sleep and knowing your numbers — blood pressure, cholesterol and sugar levels.

On a positive note: know that your DNA is not your destiny. If you treat FH adequately early on in life, you can have a healthy and long life without any cardiac problems. Similarly, and this has been well studied, even among people who have a cluster of genetic mutations predisposing them to heart attacks (high polygenic score), following a heart-healthy lifestyle can reduce their risk by 50%. Again, your DNA is not your destiny.

At Wellstar, we also offer a robust 'Know Your Heart' screening program for the general public to schedule an appointment. The advanced version of this includes a CT coronary calcium score. For specialized care, we have a Preventive Cardiology office, where we offer evidence-based, patient and family-centered care with a multidisciplinary team including a cardiologist, dietician, clinical pharmacist and geneticist. Our cardio-genetics program has the highest volume of patients in Georgia.

Mooney: Through programs like Kids Heart Challenge at the American Heart Association, which partners with schools to help prepare children for success by empowering them to embrace a healthy lifestyle — eat well, move more and stay tobacco free. The Kids Heart Challenge prepares elementary students for future success both physically and emotionally. Through cardio-pumping physical activities, kids learn the importance of being heart-healthy. Participating schools and/or teachers receive discounted certificates for PE equipment, direct contributions to their school and new curriculum resources for whole-child centered learning. Healthy students are better learners; teachers and schools have a major influence on students’ health, and the Kids Heart Challenge is designed to support and improve those efforts.

One other AHA program, Target BP (blood pressure), using the M.A.P. (measure accurately; act rapidly; partner with patients, communities) Framework is connecting the community to clinics. This program here at the American Heart Association is designed to work with clinicians with improving how blood pressure is measured, developing treatment algorithms to improve uncontrolled blood pressure. This program’s framework was used to train barbers and stylists in an initiative called “Do You Know Your Numbers?”

We worked in barber shops and salons, faith-based and community-based organizations to install blood-pressure monitors and train them on how to use them. In the barbershop we talk about sports, families, children, so within that conversation it was simple to bring up “do you know your numbers?” And once they asked that question, and their clients are interested in knowing their numbers, they are able to screen those clients for high blood pressure. The people who need medical care are connected with health centers or clinics.

It has worked and it has grown and it's nationwide. We sent this national hypertension project throughout so many different communities, whether rural or urban. We find that bringing in that community component helps get patients to seeing their clinicians.

Education to reduce the numbers

Rubinger: Education about cardiovascular disease risk factors clearly plays a big part in helping people avoid making bad decisions. What programs or initiatives have had the biggest impact?

Sacks: If there is a group of people that we have significantly impacted, it is women. Mr. Mooney can speak to this too. You know, if you ask a woman what is she most likely to die from, she will probably tell you breast cancer or uterine cancer. But the truth is she is most likely to die from heart disease. The AHA has highlighted this with their Wear Red Day events and other programs. Women have come to understand their cardiac risk, and that their symptoms of heart disease may differ from those of men.

Mooney: I would agree with you on that. The information, as it relates to women dying of heart disease, is really the approach of addressing social determinants of health.

And quality improvements are really about self-management. For example, with the blood pressure project, it is a way of educating the patients, empowering the patients to take control of their blood pressure through what the doctors have shared with them. Talking to and educating these patients, as in the example Dr. Sacks gave in Paulding County, helps them know what are those factors that impact their health, such as healthy eating, access to care, also access to medication.

We're discovering in this hypertension research project that these populations would not have had access to blood pressure monitors outside of the doctor's office to get true blood pressure readings. That's self-measurement. Now these devices, when they check their blood pressure, it automatically links up into their EMR systems. It's all about time: the patient comes from that (screening) to a follow-up appointment. Doctors have a real clear big picture of what the patient’s true blood pressure readings are, and that's where it goes into better treatment plans as it relates to physical activity, diet, and so forth.

Sacks: That recent study involving stationing pharmacists in predominantly African-American owned barber shops demonstrated the power of education. They screened patrons’ blood pressure. A large number of men, with no prior medical history, were found to have significant hypertension (high blood pressure). These individuals were then placed on medication. It was an amazing study because they were able to identify, educate and treat these patients thus reducing their risk of heart attack and stroke.

Rubinger: The key here is my numbers. My primary care physician needs be looking at those numbers closely, even though I am a younger person, because they're the bridge to getting referred to take care of these conditions. Is the primary care system addressing the hard health issues in cardiac care?

Nautiyal: When we started the Preventive Cardiology Program about two years ago, we took a holistic or multi-pronged approach for this very reason. When thinking of cardiovascular risk in the population, you can imagine a pyramid. At the base of the pyramid are people with traditional risk factors like obesity, high blood pressure, high cholesterol. As you move up this pyramid, you will have more serious risk factors — for example, diabetes — and at the tip of the pyramid would be people with familial hypercholesterolemia or family history for premature heart disease, who are fewer in comparison to the base, but have highest personal risk.

We'll make the most impact by focusing on the base, because that's where the most patients are and that can be addressed adequately at the primary care level or through community-led initiatives.

And we at the Wellstar Preventive Cardiology Program are engaging with our primary care colleagues to accomplish this through the initiatives I mentioned earlier, helping them in their own preventive strategies and identifying those at the tip of the pyramid, with higher personal risk who will benefit from specialized preventive cardiology care.

Mooney: That's what the American Heart Association is all about: bringing awareness on heart disease to rural and urban communities and vulnerable populations. We are developing science based tools and resources for clinicians and providers to keep them informed with the current research and what's going on out there, as well as providing educational tools in all languages for their patient population.

We discovered that patients heard the numbers but didn't know what they meant and didn't know how they impacted their bodies. We design educational materials for these patients to really understand the consequences of high blood pressure for any literacy level. For example, in some workshops with patients and the community, we may use infographics of a home water hose connected to a street fire hydrant as an example of blood vessels to the heart and/or a boxer beating the kidney to give a visual of what high blood pressure does to the body organs. Blood pressure has impacts on your entire body. Giving the visual, just keeping it simple and straight to the point.

Rubinger: It's all about trust, right? They have to trust the medical system. There are certain communities that in the past have not trusted the medical establishment.

Mooney: Absolutely. That's why we are such a big proponent of diversity in the workplace and bringing young scholars, HBCU scholars, historical black institutions and biomedical students into this arena, connecting them with cardiologists and scientists throughout their undergrad, up into medical school and up into their careers. That's key. And that's important because getting out there in the community is key to building that trust. People trust people who are very familiar with their environment.

Expanding heart care to diverse groups

Rubinger: That need to build trust between the medical profession and certain communities leads me to another issue: the disparity in different groups when it comes to obtaining medical care. How can our cardiac experts help close the gap in this area?

Mooney: The AHA has put a lot of money and research and grants focused on science-based solutions to address health inequalities through, for example, our Health Equity Research Network on Prevention of Hypertension.

I'm research-focused on cardio and oncology working in underserved communities and bringing forward awareness of the connection of heart disease and cancer, as well as putting our money back into the community to support community-based organizations that are addressing social determinants of health that could assist with improving overall cardiovascular health as it relates to addressing food insecurity, vaping advocacy work that we do in school systems throughout the country and also where we are invested into people. We're working with our historically black colleges and universities, identifying those underrepresented in the medical field and enlightening them to also become representatives in the medical field to help improve overall health and communities throughout the nation. We've been committed to that, and we're very much committed to that.

As it relates to the training for our providers and clinicians through quality improvement programs such as “Get Down With Your Blood Pressure” and our cholesterol control program as well, we are providing the research and the educational tools for providers and for patients to assist health systems. We'll start on improving blood pressure with other health systems throughout the United States and particularly in the metro Atlanta area.

Sacks: If we needed a reminder about health equity, certainly the pandemic provided us with that experience. The mortality from Covid was much higher in the African-American and Latino communities. There is a saying that a parent is only as happy as their least happy child. Similarly, the medical community should only be satisfied if everyone has access to health care.

We must do a lot more than we are doing to ensure a better distribution of our resources. That is our obligation as health care providers. We need to deliver health care to those who are unable to come to us, but who nonetheless are in need of our services. We need to go to them.

Winning in the workplace

Rubinger: How important is the employer towards helping deliver on some of these messages to their employees?

Sacks: From the business standpoint, employers need to offer more health and wellness opportunities for their employees. And why is that? Because if they do, their workers will spend more time at work and less time at home, sick. They will spend less time in the emergency room because of adopting a healthier lifestyle and medical conditions will be identified sooner. The more businesses can promote these kinds of internal programs, the more an employee realizes 'my employer really cares about me; they really want me to be healthy.' It's a win-win for everyone, so those programs need to be much more widespread and offered to more people.

Mooney: The American Heart Association has workplace programs where we work with employers throughout the nation and throughout Georgia. Also we work with organizations just in in terms of broadening or expanding the pool of applicants, or those in leadership, to be able to be a representation of the community in which they serve.

When COVID forced everyone to spend more time at home, Tom Murphy decided he wouldn’t sit around idle. At 62, he upped his regular activity to work out with his son, daughter and daughter’s fiancé — college athletes who kept him in top shape.

Tom’s go-to workout was a long walk in a hilly East Cobb neighborhood. He and the kids also played a lot of pickleball.

About a year in, Tom noticed a physical change.

“I was playing fewer games of pickleball at a time and making it only halfway through my walks,” he said.

Tom turned to his cardiologist, who, with the help of specialized imaging offered at Wellstar Kennestone Regional Medical Center, created a personalized action plan.

Getting answers with the help of HeartFlow

During Tom’s annual appointment with his Wellstar Dr. George Kramer, he shared his concerns about his symptoms.

“I do sports with my kids, and I’m short of breath,” Tom said.

The physician requested a cardiac CT (CCTA), the new standard for detecting heart disease, according to the American Heart Association. It can be more accurate than treadmill stress tests and is less invasive than cardiac catheterization.

“Results of the initial CT showed two blockages,” Dr. Kramer said. “One blockage was 67%, one was 75%, and we decided to follow up with further analysis using the HeartFlow test.”

Because Wellstar was the first HeartFlow Platinum site in Georgia, the cardiology staff were able to create a personalized, 3D model of Tom’s coronary arteries to check on blood flow. HeartFlow is a fractional reserve assessment that looks at how each blockage impacts the heart. Previously, this in-depth view of the heart could only happen with a more invasive procedure.

According to Dr. Kramer, the test itself has been “a godsend” since it makes it possible for patients to avoid invasive tests while still getting important — and potentially lifesaving — information about their hearts.

HeartFlow revealed the blood flow to Tom’s heart was significantly compromised.

Tom and his 91-year-old mother stand together for heart health.

This month Wellstar Health System announced it is extending its partnership with Moth+Flame to further utilize its virtual reality (VR) training technology throughout the enterprise.

Moth+Flame is an award-winning VR communication technology developer and premier enterprise-grade immersive learning provider offering innovative and adaptive learning programs for mastering technical and cognitive skills. Their platform includes content focused on emotional intelligence. When learners put on their headsets, they inhabit and interact with immersive simulated environments. They decide in the moment how to respond and see for themselves the impact their words and decisions have on others — and reflect on how to improve. Trainees receive an empathy rating score at the end of their session.

Last May, Catalyst by Wellstar led Wellstar’s first-ever VR-based leadership development training in collaboration with Moth+Flame. This was Moth+Flame’s first healthcare partnership, and the use of this technology continues to expand within Wellstar’s enterprise.

Following the training, 97% of participants recommended the virtual learning experience to others. They also reported that the training reduced their anxiety around difficult conversations by 57%. As a result of the successful pilot, Wellstar decided to offer VR emotional intelligence training regularly.

“We believe strongly that immersive learning is the future of learning and builds more confidence through practice,” said Kevin Cornish, CEO and founder at Moth+Flame. “Using virtual reality puts you inside of a difficult conversation and gives you a chance to learn in a safe simulated environment.”

The VR emotional intelligence training encourages Wellstar’s employees to build composure and gain practical experience in a highly realistic scenario by navigating difficult conversations and testing resiliency in an emotionally charged environment. This experience helps Wellstar’s workforce develop strategies to build situational awareness and prioritize composure, critical thinking and conscious emotional responses when engaging in triggering conversations.

By gaining conversational expertise and knowledge, Wellstar’s team will know how to respond in real scenarios with the confidence to interact appropriately and strategically.

“The realism within Moth+Flame's VR experiences, from using real-life actors, dramatically increases the emotional connection to the content and helps learners retain the information they learn. We are grateful for Moth+Flame's partnership in helping introduce VR to our leaders,” said Steven LeClercq, executive director of learning and onboarding at Wellstar Health System.

This use of innovation keeps Wellstar on the leading edge of training and team development, and the organization will continue to explore use cases for this technology within a clinical setting.

In March of 2021, Ashley Martin suffered cardiac arrest, which kills about 90% of people when it happens outside of a hospital. Thankfully, she was already at Wellstar Kennestone Regional Medical Center receiving the compassionate care she’d been seeking to address a long list of symptoms.

Everything began at a hectic time in Ashley’s life. She was 30 and had just gotten engaged. Wedding planning had started with the help of her fiancé and their two young boys. The hope had been to have the wedding toward the end of 2021. But the unexpected happened.

“I was always healthy,” she said. “I grew up playing sports. I was a runner. I used to get headaches, but that was the extent of my medical history.”

Finding the right care when there is more than one symptom

Symptoms of what would ultimately be diagnosed as Guillain-Barré syndrome began in February of 2021. This rare neurological disorder causes the body’s immune system to attack the nerves. 

Ashley started experiencing tingling in the tips of her hands and feet, which moved up her legs and arms as days passed. When intermittent numbness became a symptom, Ashley went to a hospital near her Peachtree City home. A clean CT and MRI meant she went home with plans to see a rheumatologist.

As she waited for her first appointment, she started feeling numbness in her feet.

“At one point, I took a step down the stairs and went tumbling down to the concrete floor,” Ashley said. 

On another trip to the hospital near her home, Ashley was diagnosed with Guillain-Barré syndrome, but treatment was unsuccessful. The numbness continued, spreading to her face. She began using a walker and, soon after, a wheelchair.

“The paralysis had moved to my abdomen,” Ashley said. “I went to sleep one night and woke up abruptly gasping for air.”

Compassionate medical care at a pivotal point

 Later that night, an ambulance brought Ashley to Wellstar Kennestone, where she would finally get the specialized neuro care she desperately needed. She was admitted to the Neurocritical Care unit, staffed by physicians, nurses and a medical team with specialized training in neurological conditions.

Upon arrival, she underwent respiratory failure due to paralysis spreading to her diaphragm. She was stabilized, but shortly after that, she experienced sudden cardiac arrest — the abrupt loss of heart function that stops blood flow to the body.

After a critical care nurse administered CPR, Ashley’s heart started beating again. Life support medications were given to keep her heart pumping.

“The neuro ICU nurses and doctors saved my life,” she said.

Later, her attending neurologist explained that the stress of her nervous system and immune system fighting, paired with respiratory failure, caused such high stress that she had a cardiac arrest.

Wellstar Health System announced today that The Joint Commission recognized Wellstar North Fulton Medical Center as a Comprehensive Stroke Center, the most demanding stroke certification recognizing hospitals that have specific abilities to receive and treat the most complex stroke cases. With two of the eight Comprehensive Stroke Centers in Georgia, Wellstar Health System now offers stroke patients greater access to the highest level of stroke and aneurysm care. Wellstar Kennestone Regional Medical Center is also Joint Commission certified as a Comprehensive Stroke Center.

“For years, we have provided world-class stroke care for each and every patient when they need it most. This designation represents how hard we have worked to provide the very best quality care for patients in North Fulton County and across Georgia. We’re proud that our work and subsequent positive patient outcomes are being recognized,” said Dr. Michael Mendoza, medical director of the Stroke Program at Wellstar North Fulton.

Wellstar North Fulton’s certification allows more Georgians to have access to the most advance diagnostics and treatments for cerebrovascular disease such as stroke. This is important because Georgia is located in the Stroke Belt, which is comprised of 11 states in the Southeast where the associated mortality rate for stroke patients is 10 percent above the national average.

At Wellstar North Fulton and Wellstar Kennestone, patients have access to advanced diagnostics and therapies to care for even the most complicated strokes faster and more effectively. These include:

• Neuro Intensive Care Units –  A multidisciplinary team of physicians and nurses who specialize in neurocritical care.
• Minimally-invasive treatment – Wellstar is one of only four programs in the state that offer neuroendovascular treatment, such as minimally-invasive clot retrieval, patients can be provided with a much less invasive treatment technique.
• Cutting-edge imaging – Neurointerventional biplane imaging shows detailed, 3D views of blood vessels in the brain. This allows neurosurgeons to flip neuroendovascular cases to an open neurosurgical case when needed.
• Pioneering technology – Wellstar North Fulton was among the first hospitals in the country to use the groundbreaking Artemis Neuro Evacuation device to treat brain bleeds, a condition that was nearly impossible to treat in the past.
• Around-the-clock care – Artificial intelligence such as VizAi allows quicker identification of patients who are candidates for thrombectomy and organizes care in a connected system by quicker response to identify and provide care as quickly as possible.

“Our team of neurosurgeons, neurocritical care physicians, neuroradiologists, advanced practice practitioners and nurses work together to perform world-class thrombectomies, aneurysm treatments, carotid surgeries and cerebral bypass procedures so that patients can regain their best quality of life. Additionally, our dedicated hybrid neurovascular suite is equipped with innovative bi-plane technology. This allows neurosurgeons to view highly detailed images of brain vessels, so we as a team can customize treatments in real time,” said Dr. Arthur Grigorian, neurosurgeon, Wellstar North Fulton.

“When you have a stroke, every second counts. Getting fast, expert stroke care can mean the difference between life, death, or lasting brain damage. We are proud to receive this prestigious certification at Wellstar North Fulton, informing the surrounding community that they don’t have to go far to receive the best treatment possible. We will continue to work hard to provide an interdisciplinary, innovative, and compassionate approach to safe and quality comprehensive stroke care to all the communities we serve,” said Jon-Paul Croom, president, Wellstar North Fulton and senior vice president, Wellstar Health System.

Wellstar is a leading provider of stroke and aneurysm services in Georgia and performs one of the highest numbers of thrombectomy and aneurysm treatments in the country. The Joint Commission is a United States-based nonprofit organization that accredits more than 22,000 healthcare organizations and programs.

There aren’t many people out there who can say they survived cardiac arrest at 30. Kevin Miskewicz can.

According to the American Heart Association, more than 90% of people who experience an out-of-hospital cardiac arrest die. Those who survive often have permanent neurological disabilities. But Kevin’s story has an incredibly fortunate ending, thanks to the highly coordinated work of his medical experts at Wellstar.

Recovering from cardiac arrest is something Kevin will never forget. It lives forever as a piece of his health history — one that includes a dedicated healthcare team — and his wife, who was the first to save his life.

CPR to the rescue

Kevin woke up on Labor Day 2017 at 5:30 a.m. to take the dog out. Pausing to adjust the thermostat as he came in, he fell, knocking over a lamp.

He was in cardiac arrest.

With no symptoms and no known pre-existing condition, this was unexpected, but that didn’t stop his wife, Andrea, from jumping into action.

“If it weren’t for me knocking over a lamp when I passed out,” said Kevin, “she would have never woken up and saved my life.”

In addition to calling 911 and unlocking the door for the paramedics, Andrea performed CPR for 10 minutes.

“Kevin’s wife doing good CPR was critical,” said Dr. Arthur Reitman, the interventional cardiologist who was a vital part of Kevin’s treatment team at Wellstar Kennestone Regional Medical Center. “More than five minutes of poor blood flow to the brain can result in permanent irreparable injury from which a patient is unable to recover.”

Coordinating multidisciplinary care to save a life

When paramedics arrived at Kevin’s home, he had no pulse and was not breathing. As the paramedics performed their lifesaving work, he technically died two times.

The ambulance took him to Wellstar North Fulton Medical Center, where he was initially assessed and treated by Dr. David Jacoboff. The interventional cardiologist implanted an intra-aortic balloon pump to stabilize him. Then, he transferred Kevin to Wellstar Kennestone Regional Medical Center for highly specialized heart care.

When Kevin arrived at Kennestone by helicopter, his heart function wasn’t strong enough to support his body. Dr. Reitman and a team of doctors including a cardiologist, a pulmonologist and critical care doctors worked in tandem to put Kevin on an advanced life support system called veno-arterial extracorporeal membrane oxygenation. Better known as VA-ECMO, it took the heart “offline” so it could heal. The technology removed unoxygenated blood from his body, oxygenated it and pumped it back in for the next three days.

“Very few places in the state — only four or five hospitals — have the technology and specialized training to put a patient on ECMO,” Dr. Reitman explained.

You’re considered obese when your body mass index (BMI) reaches 30.0 or higher. Sometimes that means you gain 15 pounds, and nobody notices you’ve gotten much bigger. Sometimes it means you have a visible weight problem.

For U.S. adults aged 20 and over, there’s a 41.9% prevalence of obesity according to the Centers for Disease Control and Prevention. That most likely makes it more common than you suspected. And, even if you don’t feel like you’re severely overweight, being obese—according to the numbers—means opening the door to a long list of potential health risks.

So, if you can’t stop gaining weight or simply aren’t seeing the pounds come off no matter what you do, it’s time to consult a primary care doctor or advanced practice professional (APP).

Understanding what causes chronic weight gain

“Physicians previously thought obesity was only due to overeating and less exercise,” said Dr. Alicia Shelly, a Wellstar primary care provider. “The advice was always to move more and eat less, but it never guaranteed they would lose significant weight.”

In recent years, there’s been a shift in understanding weight gain, where it can stem from and how broad the range of categories really is. You can be obese because of:

• Medical conditions
• Depression or anxiety
• Thyroid issues
• Genetics
• Immune conditions
• Environmental issues

The factors that impact your weight gain drastically affect your options for treatment and what lifestyle changes you need to make to see a difference.

The one constant of obesity

Even with so many factors potentially causing obesity, the one constant is its negative impact on your health.

“There are more than 200 complications that accompany obesity,” Dr. Shelly said. 

These include more serious issues like heart disease, liver disease, hypertension and diabetes, but also other risks like reproductive disorders, sleep apnea, joint pain and mood disorders.

“Losing only 5-10% of your current weight can prove beneficial at reducing the risk of many of these obesity-related complications,” Dr. Shelly shared.

Reducing your weight by just 2.5% percent can help lower your risk of diabetes, and losing just 5% percent of your weight can improve your overall quality of life.

Having the weight conversation with your provider

Being overweight—and talking about it—can sometimes be difficult. You may feel embarrassed or that your weight gain reflects poorly on you. However, seeing that so many factors can cause weight gain that may be out of your control, there’s no reason to fear this type of conversation. What’s important though, is having a doctor or APP you trust and who supports you.

Tips for discussing weight with your doctor

1. Be ready to talk about your weight. This conversation may include answering questions that feel uncomfortable to you but will help your doctor provide the right level of care.
2. Listen carefully to the health risks associated with your weight and be open to creating a strategy for even a modest weight loss, like 5-10 pounds.
3. Participate in the creation of your treatment plan. Consider your doctor's recommendations, and speak up about what will or won’t work for you.
4. Be open to losing weight at a realistic rate.

Your expectations for what weight loss should look like may be different than your health provider. However, it’s sometimes necessary to put your assumptions about weight loss aside. Use the information your doctor gives you to make an educated choice as to what’s best for your overall health.

There’s no rush to lose weight. What’s important is making positive changes that you can commit to indefinitely that will take weight off and allow you to keep it off.

What a weight loss plan may look like

Many weight loss plans begin with lifestyle changes. These can include changing how you handle stress, keeping a food journal or focusing on portion control. You may even have to add or remove certain foods or beverages from your diet.

With these changes should also come a plan for staying vigilant even when life throws a curveball to your routine.

“It is common for people to get overwhelmed with the challenges during their weight loss journey and quit,” Dr. Shelly said. “This is why a piece of your weight loss plan will include addressing potential challenges and mapping out ways to overcome them.”

Appetite suppressants may also assist with an effective weight loss plan. New weight management options have come on the market in recent years. Your doctor may prescribe an FDA-approved medication, but it’s good to know that most offer an average weight loss of anywhere between 6-15%, and all carry the possibility of side effects that range from insomnia to nausea to constipation.

Work closely with your doctor before taking any medication, and only use what they prescribe.

Beginning your weight loss journey

Once you’re motivated to start losing weight, the first step on your journey is to create a road map with a qualified medical professional as your guide. Schedule an appointment with your primary care physician or search for a primary care provider near you.

Wellstar Paulding Medical Center now offers spine surgery, giving patients in Paulding County and surrounding areas access to expert care for spinal conditions. 

Spine surgery can help people like patient Ulysses Price find relief from chronic pain and get back to the activities they enjoy. 

“Low back pain is such a common complaint among patients, and there are a limited number of specialists who are able to address these concerns,” said Wellstar Neurosurgeon Dr. Phillip Parry. 

If you are experiencing neck or back pain or managing a spinal condition, Wellstar’s Neuro Care team will work with you to create a personalized care plan and decide if surgery is the most effective treatment option. Wellstar’s spine surgeons help patients with a variety of spinal conditions, including scoliosis, sciatica, arthritis, herniated disks and spinal deformities.  Our spine surgeons perform cervical disk replacements and cervical fusions for cervical neck pain syndromes and offer both simple and complex spine surgical options for patients with low back pain syndromes. 

Surgeons at Wellstar Paulding Medical Center also perform peripheral nerve decompression surgery for patients with carpal tunnel syndrome and other compression neuropathies. 

“Wellstar offers a unique opportunity for patients to receive comprehensive, compassionate and close-to-home care for whatever disease process they may have,” Dr. Parry said. “The spine care provided here at Wellstar is world-class.” 

Schedule an appointment with a neurosurgeon in Hiram by calling (770) 422-2326. 

Healthcare professionals are trained to work with science, data and facts. But when the pandemic hit, leaders had to grapple with working through the unknown. According to Jill Case-Wirth, senior vice president and chief nurse executive of Wellstar Health System, core tenets of leadership, such as communication, courage, and the ability to establish trust, remained constant, while other characteristics moved more clearly into focus in 2020.

“Humility rose to the forefront,” Case-Wirth said. “You had to be comfortable being able to say, ‘I don’t know, but together we’re going to figure this out … and we’re going to do the best that we can with the information we have available.’”

“We learned a lot of things during COVID about leading differently that we shouldn’t let go of now,” she said.

Case-Wirth shared that data analytics is one of those growth areas for today’s healthcare leaders. Having the ability to review data, gain consensus on the insights, and then quickly develop a plan for an actionable change management strategy is essential for future successful leaders. As a registered nurse, Case-Wirth also places an imperative on planning for the future of nursing, pioneering a career pathway program that starts as young as middle school. In addition to partnering with local universities and technical colleges, she emphasized the importance of being “thoughtful that we have these programs in diverse communities” to reach a wide student population and grow a diverse workforce for the future.

Listen to more insights on Healthcare Executive Podcast.

Case-Wirth was also featured among other healthcare leaders in the article “Leadership for Intense Times” in the November/December issue of Healthcare Executive Magazine.

Mary Chatman, PhD, RN, executive vice president (EVP) of Wellstar Health System and president of Wellstar Kennestone Regional Medical Center and Wellstar Windy Hill Hospital, was named chair-elect of the Board of Trustees of the Georgia Hospital Association (GHA) on Nov. 10. Chatman, who has served on the GHA Board since February 2020, will lead the Board in developing strategies for GHA hospital members, advocating for the highest quality care for patients and supporting adequate reimbursement for hospitals. 

“Mary Chatman is a visionary leader whose vast leadership skills have benefited Wellstar hospitals and the communities they serve,” said GHA President and CEO Earl Rogers. “She is a strong patient advocate and we look forward to her expertise and leadership of our Board.”  

In addition to serving as a Wellstar EVP and president of two of the system’s hospitals, Chatman oversees the operations of the seven other Wellstar hospitals. In 2020, she led the opening of Wellstar Kennestone’s new emergency department, the largest in the Southeast.  

Prior to serving in her current role, Chatman was the chief operating officer and chief nursing officer at Memorial Health University Medical Center in Savannah, where she was responsible for managing the 654-bed hospital and its nursing operations. She also served as interim chief information officer for Memorial and completed the electronic health record conversion to EPIC.  

This year, Gov. Brian Kemp appointed Chatman to the state’s Healthcare Workforce Commission, where she has helped address challenges in the hiring and retention of healthcare workers.  

Chatman has been recognized locally and nationally as a prominent leader and strong patient advocate in health care. Atlanta Daily World recognized her among the 2018 Women of Excellence. Diversity MBA Magazine named her among the 2018 Top 100 Under 50 Executive & Emerging Leaders and 2020 Top 100 Women of Influence. Profiles in Diversity Journal named her a 2020 Women Worth Watching® in STEM award winner. Chatman was recognized by Atlanta Magazine among the 2021 Women Making A Mark honorees and by Becker’s as one of the 75 Black Healthcare Leaders to Know 2022. She was also named the 2020 West Cobb Citizen of the Year for serving on the frontlines for Cobb County, fighting COVID-19 and collaborating with local leaders.   

Chatman is deeply involved in the community, serving as board member for United Community Bank and active in the fight to find a cure for type 1 diabetes. She is a member of the American Nurses Association and the American College of Healthcare Executives. She earned her Bachelor of Science, Master of Science and Doctor of Philosophy degrees from East Carolina University in Greenville, North Carolina.

Whether you experience an injury, minor illness or simply need a wellness exam, the most important step you can take is getting the care you need. That way, you can find trained experts for your specific medical needs, stay ahead of potential health issues or even help prevent your condition from worsening. 

With primary, virtual, urgent and emergency care services available, as well as retail pharmacies, how do you decide which type of care is best for your medical situation? Learn the differences between each type of medical service so you don’t delay and get care right away. 

Local Pharmacies 

If you are ill and have minor symptoms, over-the-counter medications can help you feel better. At your local retail pharmacy, you can find over-the-counter treatments for minor conditions like colds. If your symptoms worsen or do not go away with over-the-counter treatments, contact your primary care provider or visit an urgent care location. 

Local pharmacies also carry at-home COVID-19 tests, offering a convenient testing option for people who have been exposed or are experiencing mild symptoms of COVID-19. 

Virtual Care 

Whether you have a busy schedule or are just looking for a more convenient option, virtual appointments are an easy way to keep up with your health from anywhere. 

At Wellstar, we offer virtual visits with both primary care providers and specialists — no matter if you are an established patient or not. Connect with your Wellstar provider over the phone or with video on a computer, smartphone or tablet. 

If you’re an established patient, simply request a virtual visit through MyChart. If you don’t have an account, it’s easy to sign up for MyChart and keep all of your important health information in one secure space. You can also call your physician’s office directly and request a virtual appointment over the phone. 

These days, many types of appointments can be done virtually, including consultations, care for chronic conditions and prescription management. In addition to virtual primary and specialty care appointments, we also provide virtual urgent care through WellstarON for minor medical concerns. 

While virtual care is a convenient way to stay well, it should never be used in place of emergency care. If you are experiencing a life-threatening medical emergency, call 911 right away. 

Primary Care 

Primary care is ongoing, comprehensive care and preventative medicine that helps you live a full, healthy life. 

Your primary care provider — either an internal or family medicine physician, pediatrician or OB/GYN, depending on your age and medical needs — gets to know you and your health history on a deeper level. That means they have a more accurate view of your overall wellness. 

Services include: 

• Annual wellness exams 
• Health screenings, labs and imaging 
• Care for chronic conditions, such as diabetes or high blood pressure 
• Immunizations for children and adults 
• Treatment for acute illness, such as the flu or colds 
• Coordinating care with other specialists 
• Physical and mental health concerns, such as weight loss or anxiety 

Find a Wellstar primary care provider in your neighborhood. 

Urgent Care 

If you’re dealing with a minor injury or illness or need care after your physician’s regular office hours, going to urgent care is often the right choice. Wellstar Urgent Care Centers provide quick, convenient care for non-emergency medical conditions. 

We also offer urgent care through WellstarON, which provides virtual health visits for minor medical concerns from the comfort and convenience of home. 

Wellstar Urgent Care provides: 

• Care for minor illnesses and injuries, such as coughs, colds, sprains and broken bones 
• Treatment for medical issues like bites, burns and cuts 
• COVID-19 testing and evaluation for patients 12 and older 
• Lab and X-rays 
• Sports physicals 
• Occupational health services 
• Worker’s compensation services 

Find a Wellstar urgent care location near you or make a virtual urgent care appointment. 

Emergency Care 

In a life-threatening medical emergency, every second counts. Never put off getting the proper care when lives are on the line. Remember, driving yourself to the emergency department (ED) may delay care, so call 911 for the fastest access to emergency care. 

When the unexpected happens, Wellstar is always ready in a medical emergency. Our trained team provides expert emergency care 24 hours a day for people of all ages. We even have several pediatric emergency room locations, specifically designed to treat children. 

Recognize the signs of a medical emergency: 

• Difficulty breathing or shortness of breath 
• Chest discomfort or pain 
• Severe abdominal pain 
• Fainting or loss of consciousness 
• Sudden dizziness, weakness or vision changes 
• Sudden, severe pain 
• Uncontrolled or severe bleeding 
• Choking, coughing up blood or severe vomiting 
• Suicidal or homicidal thoughts 
• Changes in mental status, such as confusion or unusual behavior 
• Traumatic injury due to a motor vehicle or other accidents 

Find a Wellstar emergency department close to you. Remember, call 911 right away in a medical emergency. That way, care can begin sooner during the crucial time it takes to be transported to the hospital. 

Innovative technology at Wellstar is offering patients a minimally invasive option for lung biopsies, reducing complications and helping expedite lung cancer treatment.

The Ion system is a robotic-assisted platform for performing lung biopsies. If a lung cancer screening or any other CT scan shows a suspicious nodule, providers will need to perform a biopsy to determine if the patient has lung cancer and how to proceed with care.

“Those nodules may not be cancer, but in certain situations we still need to know what it is,” said Wellstar Pulmonologist Dr. Timothy Udoji. “The Ion technology helps us biopsy those nodules to get an answer so that additional workup can be done immediately. If it is cancer, we want to catch it at an early stage.”

The system uses a three-dimensional spatial recognition technology that helps guide a catheter down the airway, deep into the lung, all the way to small nodules where biopsies can be performed. The robotic catheter maintains its shape and stability throughout the biopsy process significantly improving diagnostic yield compared to other modalities.

“The better the image and the more certainty we have of the spatial location of the catheter, the better we can avoid complications by making sure we are not too close to a blood vessel or the edge of the lung,” said Wellstar Thoracic Surgeon Dr. Daniel Fortes.

During the biopsy, providers can also use the Ion system to mark an area in the lung, making it easier to find later during surgery.

“If something is very small and hard to find in surgery, Ion can be used to mark that area with dye, or contrast, that allows us to find it in surgery,” Dr. Fortes said. “With this technology added to the surgical robotic system in the operating room, we can better identify those lesions and remove smaller portions of lung, also called segments.”

Technology to help provide peace of mind

The Ion system also has further reach than previous technologies and is able to more easily biopsy nodules in the peripheral areas of the lung. For many cancer patients, this will allow them to initiate care earlier and improve their outcomes, as well as give them peace of mind during the treatment process.

“Mental health impacts physical health. We are able to confidently biopsy and identify these nodules and that means a lot for our patients,” Dr. Udoji said. “Now, with this new technology we are able to get a biopsy done much earlier which has huge outcome implications for malignant nodules.”

At Wellstar, cancer care is tailored for each patient. In the Wellstar STAT Clinic for Lung Cancer, patients meet with multiple specialists at once to discuss their care options and create a personalized treatment plan. Specialists in the STAT Clinics, which are located at Wellstar Cobb, Douglas, Kennestone Regional, North Fulton medical centers, work with patients to determine the optimal course of treatment and will talk with patients and families about biopsy options, including the Ion system. The STAT Clinics give patients the opportunity to have their diagnoses managed right away, and literature shows that the clinics’ diagnostic and treatment model improves outcomes for patients.

The Ion system is currently in use at Wellstar Kennestone Regional Medical Center. Learn more about lung cancer care at wellstar.org/lungcancer.

This recognition is a testament to the nearly 1,000 digital, technology, data, and innovation team members who help deliver on Wellstar’s mission of improving the health and well-being of every person served.

Wellstar Health System announced a multimillion-dollar investment to bring cutting-edge radiation therapy to Wellstar Paulding Medical Center in Hiram, Georgia on November 2, 2022.

“Our motto is ‘Neighbors Caring for Neighbors’ and these new technologies will enhance access to medical care for every neighbor in Paulding County,” said Ralph Turner, Wellstar senior vice president and president of Wellstar Paulding Medical Center. “Our team is focused on providing a patient-centric experience. Having a short drive and the comforts of home and family nearby helps the healing process.”

Breaking ground for groundbreaking radiation technology

The expansion will enhance the patient experience by adding a new radiation vault to house a second linear accelerator — the technology that delivers radiation therapy — and is slated for completion in early 2023.

In the last year, patients received nearly 8,000 radiation treatments. The radiation oncology team often extended hours from 7 a.m. until 7 or 8 p.m. to accommodate patients.

During a recent press conference, a group of patients, physicians, healthcare leaders, team members, government leaders and community partners ceremonially broke ground on the major expansion of Wellstar Radiation Oncology. The facility is located on the ground floor of Wellstar Paulding Medical Center’s Outpatient Pavilion at 148 Bill Carruth Parkway in Hiram, Georgia.

The new machine will also bring a leading-edge cancer treatment called stereotactic body radiation therapy (SBRT) to Paulding County for the first time. This radiation technology uses multiple X-ray beams to treat tumors with highly precise, high-dose radiation to any location in the body, preserving surrounding tissue, organs and nerves. The technology allows patients to have significantly fewer treatment sessions.

“This is a huge step forward for cancer care for the people of Paulding County,” said Dr. William Thoms, who has served as the radiation oncology medical director for Wellstar Paulding Medical Center since 2017. “This expansion will allow people to stay in our community for more advanced treatments with shorter wait times.”

The renovation will also modernize the dressing rooms and add more space to increase patient comfort.

Learn more about Wellstar Paulding Medical Center.

Atlanta Medical Center (AMC) has proudly served the community with compassionate healthcare for more than 100 years. It’s a legacy of service and success spanning its years as Tabernacle Baptist Infirmary, Georgia Baptist Hospital and AMC, and at Wellstar, we are honored to have been part of this story. 

We understand and share the community’s disappointment that the hospital has closed as of November 1. While the decision may have felt abrupt, it came after an exhaustive search where a national consulting firm identified a number of potential partners. However, after learning more about AMC’s infrastructure and finances, none were willing to move forward. Discussions with state, local and community officials also offered no alternate paths forward. 

Throughout the transition, we have remained focused on supporting our AMC patients and team members. Because our top priority is ensuring patient safety, we worked to thoughtfully wind down services in advance of the closure, including safely transferring the few remaining patients to other appropriate Wellstar hospitals and connecting with partners to ensure people receive the care they need. 

We are deeply grateful to the hundreds of AMC team members and clinicians who have worked hard to ensure a successful transition and for their many years of service at AMC. We are honored that nearly 75% of our more than 1,780 offers to AMC team members for new positions have been accepted, and we are grateful they will continue in their shared pursuit of Wellstar’s mission and vision. Now that the hospital has been safely closed, Wellstar will continue to secure and maintain the facility and begin a thoughtful process to determine what is next for the site.

The challenges we faced at AMC were multi-faceted and included the age of AMC’s buildings, patients using less than half of the bed capacity, lack of public support while caring for communities most in need of whole-person wellness offerings such as primary and preventive care. Compounding these issues were the intense financial pressures facing hospital systems across the country. Like many of our peers, we felt the pain of the end of government pandemic aid and the skyrocketing costs of supplies and labor. The needed investment to address these challenges was simply too great for Wellstar alone.  

As we look ahead, Wellstar will continue to build lasting partnerships that will provide people with increased access to the care they need. As the largest provider of uncompensated care in Georgia, we are proud to serve 1 in 6 Georgians in diverse communities across the region. We will continue to be there for those who need us for primary and specialized care and through our critical role in the statewide collaborative trauma network. 

Through our recently announced partnership with Southside Medical Center, Wellstar will invest $5 million in Southside’s East Point clinic to expand their size and capacity and provide greater access to much-needed primary and preventive care, among other services. This is the latest example of our long-standing commitment to partner with others to provide ongoing care to the AMC community. 

Our vision for the future requires collaboration with mission-aligned partners and with our friends and neighbors in our communities. That includes partners within and beyond the healthcare industry who can bring unique ideas and perspectives to support the health of the whole person, address the social determinants of health and expand access to world-class care when, where and how people need it. Together, we can transform healthcare to support the people we serve throughout their health and wellness journeys — not just when they are sick or injured. We can build the bold future of care Georgians need and deserve. 

Candice L. Saunders, FACHE, is the president and CEO of Wellstar Health System, one of the largest and most integrated health systems in Georgia. A former critical care nurse, she leads nearly 25,000 team members and physicians overseeing the health and well-being of communities throughout the state.

O. Scott Swayze, MD, is the chair of the Board of Trustees for Wellstar Health System. He is an accomplished orthopaedic surgeon, practicing at Pinnacle Orthopaedics and belonging to local, state and national orthopaedic associations.

 

Wellstar Health System and Southside Medical Center are announcing a new partnership to improve primary and preventive care throughout Atlanta communities. Together, the organizations will focus on expanding access to preventive, whole-person care and chronic disease support, rather than treating patients episodically when they are acutely sick or injured without guaranteed follow up.

As the first step in this collaboration, Wellstar will invest nearly $5 million toward expanding primary care services for thousands of East Point residents at Southside Medical Center’s East Point clinic located at 1100 Cleveland Ave. Through Wellstar’s investment, the Southside Medical Center clinic in East Point will expand its size, capacity and hours.

“This important partnership will create a much-needed medical home that will meet the primary and preventive care needs of the South Fulton County community,” said David M. Williams, MD, President and CEO of Southside Medical Center. “Wellstar and Southside share a vision to promote a culture of health and well-being. Building upon the initial expansion in East Point, our plan is to promote change in health status, lifestyles and health outcomes in the patients we serve through a new model of care throughout Metro Atlanta.”

The Southside Medical Center clinic is adjacent to Wellstar’s East Point Health Center (EPHC), which offers urgent care, care coordination and behavioral health services. Through this partnership, care coordinators at EPHC will support urgent care patients in developing a relationship with primary care clinicians at Southside Medical Center to support their long-term health and well-being.

“At Wellstar, we know from our experience, and we have heard from our patients and consumers that our communities have a critical need for preventive primary care health services, especially those focused on chronic illnesses,” said Candice L. Saunders, President and CEO of Wellstar Health System. “We are proud to partner with Southside Medical Center to grow access to the kind of care that matches the needs of the community and promotes the long-term health and well-being of the people we serve. This partnership represents Wellstar’s broader vision for the future of healthcare, which is focused on transformative care models that support overall community health and wellness through personalized preventive care.”

In April 2022, Wellstar transitioned the Atlanta Medical Center South hospital campus to an urgent care clinic to better match the care needs of the community. The partnership with Southside Medical Center represents the next step on this journey to create a sustainable care solution that will best serve the South Fulton County community long-term.

By expanding and enhancing the care offered through Southside Medical Center, patients will have access to family medicine, general dentistry, behavioral health services and substance abuse disorders management. Patients will also have access to Southside’s Behavioral Lifestyle Enrichment Center, which provides mental health and addiction treatment through their comprehensive Lifestyle Enrichment Treatment program to address addiction, depression, anxiety and other disorders.

Southside Medical Center is a Federally Qualified Health Center (FQHC) that has provided care to East Point and Atlanta communities for over 55 years. As an FQHC, Southside Medical Center provides primary care access to all patients of the communities it serves, especially underserved communities. Southside Medical Center has strong ties to the community, and expanding their clinic is the right next step toward a sustainable care solution for a population that needs access to primary care, preventive and mental health services. As an FQHC, Southside Medical Center intends to provide greater access to primary and preventive health care services in addition to addressing the chronic care needs of the community through the patient-centered medical home model, which is designed to address both the clinical and social determinants of health issues which impact the healthcare and well-being of our community.

An important member of the East Point and Atlanta communities, Southside Medical Center has been nationally recognized by the National Association of Community Health Centers for having one of the best primary care delivery systems for the medically underserved.

“I look forward to the incredible impact this clinic will have on the lives of the patients and families we serve,” Dr. Williams said. “The expansion in East Point is just the beginning of an impactful partnership with Wellstar that I’m confident will meaningfully improve the health of our friends and neighbors throughout our region.”

As these groups move forward with this exciting partnership, Wellstar and Southside Medical Center will continue to work in collaboration with East Point Mayor Deana Ingraham, and we look forward to sharing more about this exciting next step.

Wellstar Health System has recently hit 1 million active users on MyChart. When we deployed this electronic medical record patient portal in 2015, we were the first Georgia-based health system to offer the service to patients.

Since then, MyChart has transformed the way patients interact with their healthcare information and clinical team by giving them 24/7 access at their fingertips. Patients became active participants in their care, both during their hospital stay and at home. Research shows that empowering patients to take control of their health leads to lower costs and better clinical outcomes.

MyChart’s "Open Notes" feature also allows patients to go to appointments and ask questions without having to worry about writing down information. Our physicians type up all notes and attach them to the records, allowing patients to review everything once they get home. If additional questions come to mind, patients can also ask them directly on the portal.

"I love MyChart and that I keep everything organized. What medications I'm taking, I can order them easily. I can text the doctors and Sharon at Ryan Cantwell's office, the nurse there," said Frank Ryan, who has used Wellstar to navigate through his health journey for several years.

"At Wellstar, we work as a team to take care of our patients," Wellstar Family Medicine Physician Dr. Ryan Cantwell  said. "I enjoy being my patients’ quarterback and coordinating their care with other physicians. Through our electronic health records system, the referral process and communication with other specialists is easy and accurate."

That’s why Wellstar continues working on how we connect digitally with our patients to improve their experience and keep them in control of their health.

In 2018, we set the goal of reaching Epic’s top quartile for MyChart activation, which was 50 percent. At that time, the activation rate at Wellstar was 28 percent, with 420,000 patients signed up for MyChart. As of July 2022, the MyChart activation rate at Wellstar hit 65 percent.

Looking to the future, Wellstar is focusing on increasing and optimizing MyChart digital experiences, particularly around patient self-scheduling, e-Check, and MyChart bedside utilization for in-patient encounters. This high level of MyChart engagement ultimately gets Wellstar closer to our mission of providing world-class healthcare to every person we serve.

Click here to sign up for MyChart today and start taking advantage of all its benefits.

Quick history lesson: In the 1990s, U.S. doctors adopted the prostate-specific antigen test—or PSA—to identify prostate cancer early, when it’s more treatable. While the PSA helped more men get diagnosed, concern was raised over the risks versus benefits of biopsies, procedures and treatment. In response, the U.S. Preventive Services Task Force gave a controversial recommendation against routine screening with PSA in 2012.

But with new evidence from a variety of credible studies, they changed their recommendation in 2017. The current Task Force recommendation focuses on men having a conversation with their doctors about their risk for prostate cancer and the risks and benefits of screening.

Why did the guidelines change?

Prostate cancer is the most common cancer diagnosed in males after skin cancer. According to projections by the American Cancer Society, there will be twice as many new prostate cancer cases diagnosed as lung cancer this year.

“The prevalence of the disease cannot be ignored,” said Wellstar Health System Chief of Primary Care and Medicine Service Line Dr. Jeffrey Tharp, a primary care physician. “Early-stage prostate cancer has higher survivability than prostate cancer diagnosed in later stages.”

Dr. Tharp pointed out that while guidelines have changed, so have the way doctors diagnose and treat prostate cancer. An elevated PSA does not automatically mean a cancer diagnosis. And when cancer is diagnosed, some care options have no side effects.

Read on to learn:

• Who should have a conversation with their doctor about prostate cancer screening, and when
• Who is at higher risk
• How the reason that’s holding some men back has changed
• What is a PSA and why having them at regular intervals is important
• Care options for prostate cancer

A new multidisciplinary program at Wellstar cares for people with aortic conditions, providing both emergency and non-emergent treatment.

The Wellstar Comprehensive Aortic Program brings together a highly-skilled team of experts, including cardiovascular surgeons and vascular surgeons, cardiologists, anesthesiologists, nurse practitioners and physician assistants. These providers share the common goal of diagnosing, treating and preventing aortic diseases and emergencies — making care more comprehensive and improving outcomes for patients.

“Traditionally, aortic diseases have been managed by multiple physicians spread throughout multiple specialties, which can lead to confusion, delays in treatment and competing treatment plans,” said Wellstar Cardiothoracic Surgeon Dr. James Ryan Burke. “Wellstar has created a single, multidisciplinary program to bring together aortic-specific disease expertise and leverage advanced technology.”

Aortic health is crucial to overall wellness

The aorta is the major artery that carries blood away from the heart to the rest of the body. If the aorta is ruptured, then blood does not flow to other areas like the legs, feet and brain, which can lead to lasting brain damage or death.

An aortic aneurysm is an abnormal bulge in the wall of the aorta. Aneurysms are often asymptomatic until they become large, rupture or dissect. However, an aortic dissection, when a tear develops on the inner wall of the aorta, is one for concern. Depending on the aneurysm location, the most common symptom could be one of severe chest pain, back pain, or abdominal pain.  When an aneurysm ruptures or tears, it can lead to death within minutes or hours.

Wellstar’s aortic program takes a proactive approach to prevent aneurysms by monitoring and treating aortic conditions.

“Identifying aortic pathology early leads to better patient outcomes,” said Wellstar Cardiovascular Disease Specialist Dr. Jennifer Giuseffi. 

The program’s team partners with patients to reduce their risk of an aortic emergency. Risk factors include tobacco use, being older than 65, obesity, high blood pressure, high cholesterol, history of coronary artery disease or peripheral vascular disease, family history of aneurysms, certain connective tissue disorders, and certain genetic conditions. Men are also at higher risk than women.

The team of aortic care specialists gets to know each patient and collaborates with them to create a personalized care plan to keep their aorta healthy.

“Every patient is different. Every aorta is different. The risk factors and complications with every aorta are different,” Dr. Giuseffi said. “Within our group, we’ll be able to address all of our patients’ issues individually.”

Wellstar’s approach to aortic care brings together experts from multiple specialties, allowing patients to have all their questions answered and get multiple perspectives.

“All patients with aortic diseases being cared for at Wellstar will benefit long-term through the program’s unique collaboration of health care practitioners from cardiology, cardiac surgery and vascular surgery all working together to ensure the best possible care and outcomes for patients with these complex heart conditions,” said Vascular Surgeon Dr. Michael Corey.

Managing aortic emergencies

While the program includes an outpatient component to help patients manage aortic conditions or recover from aneurysms or dissections, the systemwide team is also prepared to save lives and step into action during emergencies.

The program offers treatments including aortic root and aortic valve surgery, thoracic aortic surgery and thoracoabdominal aortic surgery.

If you experience any of these symptoms of aortic disease, call 911:

• Severe, sudden pain in the chest, back, abdomen or groin area
• Pulsating feeling in the abdomen similar to a heartbeat
• Cold, numbness or tingling in the hands, legs or feet
• Drop in blood pressure, dizziness or feeling faint

While the team performs procedures at Wellstar Kennestone Regional Medical Center, care teams at all Wellstar hospitals are trained in how to address aortic emergencies and transfer patients if needed. Kennestone was the first hospital in Georgia and only fourth in the country to receive the highest certification in cardiovascular care — the Comprehensive Cardiac Care Center Certification — by The Joint Commission and American Heart Association.

Receiving care from the Wellstar Comprehensive Aortic Program

To see a provider in the aortic program, patients can either be referred by their physician or call the office to make an appointment. The team will help patients determine which provider they should see first, depending on their health history or aortic condition. Call (770) 590-4180 to make an appointment or learn more about the program.

This article was originally published on Atlanta Business Chronicle on August 19, 2022.

Cancer is the second-leading cause of death in the United States, with more than 600,000 people dying of cancer in the country in 2021. While the U.S. death rate, or the percentage of people dying from cancer, is decreasing — partly due to fewer people smoking — the number of cancer deaths is going up due to our aging population. All these statistics are behind the call to decrease cancer deaths by 50% in the next 25 years. Atlanta Business Chronicle recently talked with a panel of experts from Wellstar Health System and the American Cancer Society, headquartered in Atlanta, about ways to accelerate cancer care progress through scientific research, patient care, partnerships, early detection, diversity and inclusion, and local care.* (Remarks edited for clarity and brevity.)

Panelists & moderator

Moderated by David Rubinger, market president and publisher, Atlanta Business Chronicle.

*Wellstar partners with Northwest Georgia Oncology Centers to provide world class cancer care close to home.

Research & treatment

David Rubinger: Where are we today in the world of scientific research? Are we in a good place in terms of research dollars?

Kimberly Jackson: I think we’re in a good place, but we can always be doing better and that’s a fact. There’s no other nongovernmental, nonprofit organization in the United States that’s focused on finding the cause and cures for cancer like the American Cancer Society. We’re committed to continuously funding the best new and ongoing projects at institutions across the country. For instance, right now in Georgia, we are currently funding eight research multi-year grants that are totaling more than $6.3 million. In addition to funding and conducting research, we are mobilizing our grassroot network advocates to increase the funding for cancer research. We’re primarily supporting those investigators that are early in their career, who are doing the most innovative cancer discovery research.

Rubinger: While the aging population is causing the cancer deaths to increase, the average death rate for the population has actually decreased. What do you attribute recent successes to and how will we continue to fight cancer deaths in the future?

Dr. Steve McCune: The mission of the Wellstar and Northwest Georgia Oncology Centers partnership is to help cancer patients live longer by providing innovative therapies in their local communities. What we have seen in the last 10 years has revolutionized the treatment of certain cancers, particularly lung cancer and melanoma, with immunotherapy and targeted therapies, oral drugs that address a gene mutation. What may be a good way to think of that is it’s the Achilles heel for certain cancers: they have one gene that drives their growth. And there are, because of the research that has occurred, typically one or more drugs that may specifically treat that mutation and block it so that it no longer encourages the growth of cancer cells.

Next-generation sequencing makes it very easy and fast to sequence 400 to 500 genes in a tumor from an individual patient, so that you know exactly any gene mutations in that particular tumor. It’s the most individualized medicine you could have. That’s the reality and that’s very accessible for many patients.

Rubinger: Nicole, from the nursing standpoint on the front line with patients, how has immunotherapy changed the relationship between the patient and the healthcare provider psychologically?

Nicole Centers: From the patient care perspective, it’s very clear that patients are more involved in their care. They want to have more say in their care. When we can educate patients appropriately up front about all of their different options and their care along with their providers, they feel like they have more control. We know when patients feel more in control of their care, they’re more compliant to the plan of care. When it comes to immunotherapy and monoclonal antibodies that are given, they’re generally tolerated far better than chemotherapies of the past. That doesn’t mean everything can be treated with an immunotherapy or monoclonal antibody. However, when we have more options to give patients that they can tolerate better, then it kind of alleviates all of those nightmares of, “This is a horrific journey,” and, “It’s not going to work for me.” Overall, we have medicines that work with your body to fight the cancer in ways that we just haven’t had before.

Patient care & partnerships

Rubinger: The cancer “moonshot" is a term that excited everyone. Have you seen the concept of patient care change from when you first got into the field to where it is today?

McCune: I think it’s dramatically different. In some ways the moon shot has already happened and I'll explain what I mean by that.

Immunotherapy revolutionized the treatment of cancer. If you have a chemotherapy that kills 99% of cancer cells, well that means eventually that 1% keeps coming back. Immunotherapy can work for years, even after the actual immunotherapy has stopped. It’s not a vaccine, but it works in much the same way that a person’s own immune system actually can control or eliminate the cancer. I think that, in a sense, was the biggest game changer for the way that people were treated.

I started doing this about 20 years ago. And so most things that we treated were chemotherapy, very few things that were actually what we would have called targeted therapy or intelligently designed targeted therapy. The first drug was really coming out at that time called Gleevec, which treated CML (chronic myeloid leukemia.) I treated patients before that era who had to have a bone marrow transplant or they were basically going to die of CML. And now we think of CML as a condition that’s almost 100% survivable. We have eight different medicines that are commercially available for treating CML. It’s totally changed the future for some patients who would have had very poor outcomes otherwise.

Melanoma used to be very difficult to treat. Chemotherapy didn't work well. A treatment called Interleukin-2 worked for about 8% of patients and no one really knew why. It basically is an early immunotherapy but with a lot of toxicity. Now you have drugs like Opdivo, Yervoy, Keytruda, which are really the standard of care. Chemotherapy is rarely, if ever, used for melanoma.

There are antibody drug conjugates — something that basically has a payload on the monoclonal antibody, so it homes in on certain proteins on the outside of different cancer cells. That’s a way of delivering a toxin directly to the cancer cells with less impact on normal tissues.

There are companies all over the United States, from large to small, that are really driving the innovation in targeted therapies, antibody drug conjugates, so it’s an exciting time in oncology.

Wellstar has participated in trials for 15 years. In just the last three years, we have participated in cancer trials resulting in over 20 FDA approvals for either new medicines or new combinations of medicines. Usually, it is four to five years before something is FDA-approved. Now not everything’s approved, not everything works better, but it gives people hope and it gives them the chance to have cutting-edge therapies in their local communities.

Rubinger: Nicole, how have advances like these changed the psychology of talking with a patient with a cancer diagnosis?

Centers: I think it has changed. When I started in this field 20 years ago, we would say “the breast cancer down the hall" or “this is the breast cancer treatment.” Now we say, “the patient with breast cancer,” “the patient with lung cancer,” and we treat it as an illness that is part of the whole person, versus the whole person being the illness. That’s a different way that we think about things and that’s how we approach our patients differently when it comes to nursing.

There’s a very unique field inside of nursing called navigation. And one of the things that moonshot really promoted was something that we've been out here doing for a pretty good while, but it brought it to the center stage for all Americans to hear this word called a navigator. It meant someone that was going to guide you on your cancer journey. Several years ago, there was just one kind of navigator and they tried to do the whole care path, but we at Wellstar recognize that there’s lots of pieces to people who could have cancer, people who are being tested for cancer, and those patients that actually have cancer. So we have screening navigators, we have diagnostic navigators, and we have actual care trajectory navigators, which are oncology nurse navigators. We have over 15 of those in our system and some of those specialize by tumor type and some of those are more generalized.

What they do is they actually bring the whole person into view during their care. It means if you have childcare or if you have your parents, that you're taking care of first, or that transportation is an issue, these navigators work with you and your provider as well as your payers, whether it’s insurance or if you don't have insurance, we try and get you on insurance — to be sure that those things that would affect your compliance to the plan of care, they're helping you resolve.

It’s great if you can come in for your treatment. But if your dog has to be walked at two o'clock every single day and your treatment starts at noon, then we need to help you get a dog walker. We need to help you link to resources. For years there have been resources out there that patients didn't even know to utilize. And so organizations have this money that’s sitting there trying to help patients, but no one to link them to it. Navigators link patients to community resources, to national resources. The American Cancer Society has this really great program that will offer patients free rides to go get their cancer care, and most patients don't even know about that. But you talk to the navigator and they're like, “Wait, I have them on speed dial” because they get to know what those resources are, and they can help patients keep their appointments and keep a total life balance.

When we look at that, what that does is it makes their care more effective because they're more compliant to the plan of care.

The other thing navigators do is to help timeliness of care. So if two providers talk and say “we're both going to go see Sally Sue,” or whoever your patient is, and they turn to the front desk and say, “be sure we get this patient on the schedule.” However, the front office staff may not be aware the appointment doesn't meet the latest benchmark for timely care. So what a nurse navigator does is say, “Wait, we have some timeliness to care parameters that we know are best practice.” And they work with that provider or that office to help expedite those appointments.

The best part of navigation is it really brought care back into the patient’s community. Patients didn't understand what was available to them in their community. They thought you had to go to an academic center in a large city that cost them lots of money because they had to stay in hotels or take a flight or go get a car, because there’s so many patients in the states that don't have valid transportation that can take them two hours away. Navigators help patients understand what’s available in their community and the care that they can receive. They can also link them to clinical trials, arrange for assisted lodging and help patients get the best care out there to survive their cancer.

We've also seen an uptick in clinical trials because the navigators say, “Do you remember when your doctor talked to you about clinical trials? Do we want to circle back on that? And do you want to go talk to your doctor again?" They're reinforcing that education.

Second opinions & local care

Rubinger: Let’s move to another topic: the second opinion. The second opinion might be local, but if you have the resources, it might be at Sloan Kettering, MD Anderson or Mayo. Is there less of that going on today because local providers are able to provide that level of confidence in what the care is going to be? Twenty years ago you would have maybe run to Houston.

McCune: I think people still do, but maybe for a different reason. I think they have more information and more knowledge and they're not just running to Houston, they're running to a specialist in Houston or New York or Atlanta. I say, “Hey, you're not stepping on my toes. I want you to get a second opinion. I can help you get that, more than just a cold phone call. Let me try to get you to the right person.”

At Wellstar, we do have Mayo Clinic Care Network e-consults available. That’s a pretty easy way to get a quick question answered if we need a specific answer or a second opinion without someone having to travel somewhere.

In addition to second opinions, we believe in collaborative care. We have groups of cancer experts who diagnose and plan treatments together in tumor boards so patients have the best outcomes. In Specialty Teams & Treatments (STAT) Clinics, multiple cancer specialists meet with the patients and their families in one place on one day to help them get questions answered. This helps them start treatment faster so they have better outcomes.

Centers: At Wellstar, 300 cancer specialists in our network can collaborate with each other. When they do request second opinion e-consults from the Mayo Clinic, it is free to patients which is a really nice thing because they usually have to pay for second opinions.

Rubinger: Kimberly, when I think of the Cancer Society, I think of the research dollars going to help cure cancer. But as we were talking earlier about how it helps with driving patients to treatment, the society’s partnerships with a Wellstar or other healthcare systems may be less well known. Can you address that?

Jackson: Collaboration is absolutely critical. So many cancer patients and their families are facing barriers and challenges that are too complex for just one organization to address on its own. To help overcome those barriers, we unite organizations in partnership to improve the lives of people facing cancer.

One example, we have Hope Lodges all over the country where individuals and a family member are able to stay for free and they're wonderful. It’s a great resource for our patients and their families.

Another example is we partner with Wellstar and other health systems in Georgia to provide those transportation grants that Nicole talked about and service to people who need it the most.

For some people with cancer, transportation is a challenge and it creates that barrier to receiving the treatment that they need. Many of them need daily or weekly treatment and often over the course of several months and the need was particularly pronounced during the pandemic. We were able to provide funding to 251 health systems across the country to alleviate that financial burden of transportation.

Another way we mobilize the cancer community on both the national and the local level is through our mission-critical roundtables. We're providing organizational leadership and expert support to multi-organizational roundtables focused on breast, cervical, colorectal and lung cancer, HPV vaccination and patient navigation. Each roundtable has a shared vision to support people to prevent and support and survive cancer. It’s a proven model close to home. Wellstar Health System was a key partner in launching our Georgia Lung Cancer Roundtable, whose primary goal is to improve screening rates and lung cancer outcomes.

Rubinger: Our society has come a long way in terms of reducing smoking. What are the trends in lung cancer that you're seeing? Does it primarily impact your older patients or is it across the age spectrum?

McCune: It can be any age and certainly there are people who are non-smokers who are much more likely to have a lung cancer that is driven by a single gene mutation and those are usually treatable with targeted therapy, which is typically an oral drug. So, in one sense, lung cancer is a disease of people who have smoked for a long time, 30 or 40 years. But it’s also a disease of nonsmokers. I do think people are generally smoking less. I remember people used to smoke in the pediatrician’s office when I was little. Things have changed dramatically.

There is a very active lung cancer screening program at Wellstar through the thoracic surgeons and the pulmonary physicians. It looks at people who have had some smoking history, who are typically at more risk for developing lung cancer. They'll have a low-dose screening CT scan, and we do see a number of lung cancers get discovered earlier. That’s a worthwhile initiative when something is surgically curable, as opposed to it’s gotten so advanced that people are having symptoms.

The pandemic impact – screenings & DEI

Rubinger: During the pandemic, I didn't see my doctors as often. None of us did. It was harder to access healthcare the way we did before. What has that done?

Centers: The pandemic did change us. A lot of screening procedures at the beginning of the pandemic were paused, but we were still able to quickly to return to those services. But the temporary delay made some patients think that screening wasn't as important as it once was. We really worked hard to get the message out there about the importance of early detection.

We use a lot of automated tools like our lung nodule software to help us identify nodules in patients who come into our system for other reasons and have those incidental findings. We also work with our church network here at Wellstar. We work with BLKHLTH in Atlanta, and there’s lots of healthcare organizations that are reaching out to their communities to get people back to screening.

We at Wellstar have made a very concerted effort to go back out and say, “We have kit testing that you don't have to come into the hospital to have done. You can do that at home. Let us help you get the kits.” We reopened our screening mammography centers with all the safety protocols in place. And then we called the patients and said, “Hey, you missed your cancer screening.”

We did see an initial dip because if you're not screening, you're not finding it, as cancer usually doesn't hurt. So most people don't know that there’s something in there growing. Now we're seeing patients come in with later stages, or more advanced tumors than we traditionally would have seen. That’s because of the lag in screening.

Rubinger: Kimberly, is this consistent with what you've been seeing?

Jackson: Yes it is. Early during the pandemic, cancer screening rates decreased dramatically and an estimated 35% of Americans missed routine cancer screening due to Covid-19-related fears and care disruptions when many facilities reduced or suspended services. Screening rates remain below historical averages. In addition to the coronavirus, top barriers to screening are that individuals have no symptoms, procrastination, lack of recommendation, cost, and no insurance. During the pandemic we worked with healthcare systems to address the issue as part of the “Get Screened” initiative. Through donor support, we were able to provide $2.2 million in grant funding to 77 health partners to implement quality improvement strategies to rapidly increase cancer screening rates and reduce the barriers that have been exacerbated through the pandemic. Wellstar was one of our partnering health systems in the Get Screened initiative. They were able to increase their breast cancer screening rate by 6.8 percentage points, which resulted in over 44,000 people in Georgia being up to date with their breast cancer screenings.

Rubinger: One of the crises in our society is the ability that people have to access care. When you think about those things from the DE&I perspective, where do we see the biggest challenges and where are the biggest opportunities?

Jackson: While the pandemic is shining a light on the issue, the reality is if we were focusing on having more diverse physicians, nurses, etcetera, if we were focused more on removing the barriers and investing more, we would have fewer people who are getting diagnosed at later stages, or, you know, unfortunately losing their lives to cancer. That’s a fact. There’s an opportunity right now that we cannot shy away from. The evidence is there to show the tie between the impact on an entire community by ensuring equitable health for all by focusing on the ones that need the most is actually equalizing and improving the health of the community itself.

Rubinger: I'm curious what role can the employer play?

Jackson: The employer, they have team members and staff that make up the community that we're seeking to serve. So what they can do immediately is educate the employees on the resources that are available on the prevention side. They can also make prevention a priority and establish norms of only offering healthy snacks, for example.

As well, they can encourage employees to go to their doctors, and also for the top leaders to serve on these boards and these councils of the hospitals and organizations like the American Cancer Society, to be aware and to stay ahead of the issues and to be informed and proactive about helping the community.

Centers: There’s really three ways to look at equitable care, and it’s not a one-path journey. First off, there’s a screening environment and the diagnostic environment, getting people to the services where they are and getting them access to care.

The second part is a mistrust of the healthcare system, which is ingrained in many of our societies across the U.S., so educating them to the safety parameters we have in place to ensure that all patients have equal access to care.

The third component is to teach our healthcare providers, be they nurses, medical assistants, physicians, about diversity and the things that happen to patients who maybe don't look like you, that walk through the door. What we know is, especially among our patients of color, that when they come in, sometimes their complaints aren't taken as seriously as others. We see that in the national studies.

What we have to do is educate our providers and our healthcare workers, but also educate our patients to say “you are your own best advocate.” If you go to a doctor and you're not getting the care that you think that you need or you deserve, then you can go to another place or else you can reach out to your patient advocates at the facility that you're going to. At Wellstar, we have invested a lot of time and energy into educating all staff so that all patients who walk through the door regardless of their social standing, regardless of what they look like, regardless of their history, are all treated equitably, and we do our best.

Rubinger: Dr. McCune, anything to add on that topic?

McCune: Yes. We have a diverse group of research coordinators, both African-American and native Spanish-speaking, so I do think there are opportunities to narrow some of those health gaps. I will say the pandemic across the board affected clinical trial enrollment, because there are typically more procedures like more CT scans that a person has to go through to go on a clinical trial, than just receive what we would call standard of care therapy. So across the board, that is something that has reduced clinical trial participation and that is starting to come back.

But I do think you have to meet people where they are. We obviously have a health system that covers some urban to rural areas in Georgia. One of the things that we're able to do is take clinical trials to people who are as far west as Carrollton, as far north as Cartersville, or closer to the Atlanta area in Marietta, Austell and Douglasville. We're expanding that research network as well.

Not everybody can drive two hours. Not everybody has a family member who can drive them when they're too sick. Access to care is a huge list of things that don't sound like much but a ride to the doctor’s office, a ride to a CT scan is the difference between someone getting care or not getting care. It’s things that seem little but are really not.

When you were talking about what can corporations do, I'll just say, it seems like most people’s experience is very dependent on whether the human resources person is nice to them. From the patient’s point of view, either “they're working with me and I can show up,” or “if I have a bad day, I can just stay home,” or “they fired me yesterday.” So maybe just a little bit of grace there. People have their federally mandated leave but they need more than that. They need a little attitude of caring or just going the extra mile, to help somebody get through their cancer treatment. They'll probably be a better employee and grateful if you treat them nicely.

Wellstar is dedicated to serving our communities with high-quality care that’s conveniently located and accessible when it is needed most. 

Several Wellstar facilities have been recognized in the U.S. News & World Report Best Hospitals rankings for providing world-class care in a variety of specialties, including cardiology, neurology and cancer care. Hospitals ranked as high-performing in an area of care are in the top 10 percent in the country.

Our team is grateful to be recognized for our care and looks forward to continuing our mission to enhance the health and well-being of every person we serve. To learn more about care at Wellstar, call (770) 956-STAR (7827). 

Wellstar Cobb Medical Center was recognized as high-performing in treating:

• Congestive heart failure
• COPD
• Heart attacks
• Kidney failure
• Strokes

Wellstar Douglas Medical Center was named high-performing in treating:

• Congestive heart failure
• COPD
• Kidney failure
• Pneumonia
• Strokes

Wellstar Kennestone Regional Medical Center was ranked 32nd in the nation for rehabilitation services and the hospital ranked ninth in the state overall. It was also named a Best Regional Hospital and was recognized as high-performing in the following procedures and treatments:

• Heart bypass surgery
• Congestive heart failure
• Colon cancer surgery
• COPD
• Diabetes 
• Heart attacks
• Hip replacement
• Kidney failure
• Knee replacement
• Lung cancer surgery
• Prostate cancer surgery
• Strokes

Wellstar North Fulton Medical Center was recognized as high-performing in treating:

• Congestive heart failure
• COPD
• Strokes 

Wellstar Paulding Medical Center was named high-performing in care for:

• Congestive heart failure
• COPD
• Hip fractures
• Kidney failure
• Pneumonia

Wellstar Spalding Medical Center was recognized as high-performing in treating:

• Congestive heart failure
• COPD
• Strokes

Wellstar West Georgia Medical Center was named high-performing in treating:

• Congestive heart failure
• COPD
• Kidney failure
• Pneumonia

Wellstar now offers advanced care for people with head and neck cancer — a complex disease that is often aggressive and requires coordination amongst multiple cancer experts. The new STAT Clinic for Head & Neck Cancer opened on the campus of Wellstar North Fulton Medical Center on August 11, 2022. 

People with all types and stages of head and neck cancer now have access to expert care and advanced treatments that are typically only available at academic centers. Treatments available in North Fulton include complex excision and reconstruction with microvascular free tissue transfers as well as CyberKnife radiation treatments.

Technologically advanced CyberKnife care close to home

In Wellstar’s STAT Clinics — short for Specialty Teams and Treatments — patients can see multiple cancer subspecialists to be diagnosed, have questions answered and finalize a treatment plan in a single day. This reduces the need to drive to different locations and helps the patient start treatment faster. 

“The concept of multidisciplinary care is tried and true and shown to be effective for cancer patients,” said Dr. Fiyin Sokoya, the head and neck cancer surgeon who co-founded the North Fulton STAT Clinic for Head & Neck Cancer. “This model decreases the time to proceed and receive care.”

First, a group of medical specialists including a head and neck oncological and facial plastic surgeon, a radiation oncologist, a medical oncologist, a pathologist and a neuroradiologist review the patient’s pathology and imaging as a group to diagnose, stage and create a personalized treatment plan. 

Next, the patient and their family meet one-on-one with the head and neck cancer surgeon, radiation oncologist and medical oncologist. This is an opportunity for the patient to learn about the recommended treatments and ask questions. 

“Traditionally, patients must drive to several different appointments to learn the stage of their cancer, meet with different specialists and make decisions,” said Dr. Nagender Mankan, the dedicated medical oncologist in the new STAT Clinic. “At that point, four to five weeks have gone by. In STAT Clinic, we are expediting the complicated decision-making process.” 

The patient also meets with a nurse navigator. This specialized nurse helps coordinate many aspects of care for the patient including scheduling appointments and connecting patients with support team members, such as a registered dietitian, a speech therapist or a dentist who may help relieve irritation in the mouth and throat. 

Why STAT Clinic is good for patients, and what to expect

When a STAT Clinic patient needs surgery, Dr. Sokoya is one of only a few surgeons in the region to perform complex excision and reconstruction with microvascular free tissue transfers.

“North Fulton has now become a destination center for head and neck cancer treatment because of our ability to offer advanced surgical care,” he explained. “The launch of this STAT Clinic is exciting, and it’s going to bring very advanced, high-level care to this area.”

Hundreds of patients travel to Roswell each year to seek Dr. Sokoya’s expertise from Georgia, Florida and Alabama. 

Patients from all over the Wellstar system are seeing Dr. Sokoya for complex head and neck cancer management,” said Dr. Mark McLaughlin, a Wellstar radiation oncologist who co-founded the STAT Clinic.

Adding the new clinic allows us to invite those patients to come to North Fulton for evaluation and discussion of treatment options. Then we can work with their hometown doctors.”

Technologically advanced CyberKnife care close to home

Patients of the STAT Clinic who are candidates for radiation therapy will soon have access to the latest CyberKnife technology when the new Wellstar North Fulton Hospital Cancer Center opens in early 2023. The CyberKnife radiation suite will be one of just two in the entire metro Atlanta area.

People with complex head and neck cancer such as large or recurrent tumors often benefit from CyberKnife radiation therapy. The technology minimizes radiation exposure to healthy tissue and limits side effects while shortening treatment courses. Normally patients receive five to eight weeks of radiation therapy. In many situations, they can complete their radiation course in as few as one to five treatments with CyberKnife.

“This highly advanced technology treats advanced head and neck cancers,” Dr. McLaughlin said. “You don’t have to go all the way into Atlanta.”

STAT Clinic for Head & Neck Cancer at Wellstar North Fulton Medical Center is located at 4500 Hospital Blvd, Suite 120 in Roswell, Georgia. For more information or to schedule an appointment, call the nurse navigator at (770) 751-2556.

Whether it’s your first time on campus or you’re a seasoned college student, the start of a new school semester can be exciting, stressful and a little scary all at the same time.

Between finding classes on campus and fitting in with new friends, you may be feeling anxious about the upcoming semester. Keep in mind, new-school-year nerves are normal and there are resources to help you—including a check-up with your Wellstar primary care physician as well as on-campus counselors.

“Anxiety often goes unrecognized and undiagnosed,” said Wellstar Physician Dr. Andrew Doyle. “It’s not always recognized or talked about because people think it’s a normal part of life. But when anxiety interferes with completing homework, socializing or working at your job, it’s not necessarily normal. It’s helpful to have someone check it out.”

Signs of anxiety can also include difficulty sleeping, abdominal pain, headaches, significant changes in appetite or an explosive temper.

“There are effective treatments that make a difference for students including lifestyle changes, medication and therapy,” Dr. Doyle said.

Getting enough sleep, exercise and healthy food are highly important, and Dr. Doyle also recommends planning downtime from social media and life responsibilities.

“Therapy and role-playing can help you recognize your stressors and think through how to handle them ahead of time so you can face those situations,” he said. “For example, on exam day, start with positive self-talk. You can say, ‘I’m feeling nervous. I have a headache and an upset stomach. I know that’s because I’m anxious. I’ve taken many tests before and I can do this so I don’t need to worry about it.’ Breathing exercises before the test can help you stay calm. You can also plan ahead of the test to do something enjoyable afterward and to focus on that instead of the stressor.”

To help you start the semester off feeling mentally strong and physically healthy, here are some wellness tips to get you off to your best school year yet.

Study guide to stay healthy

From medical appointments to personal safety, follow our tips to prepare for college and prioritize your health.

• Take control of your health. Book your annual physical with your primary care physician at the start of the semester.
• Make mental health a priority. Get sufficient sleep, exercise and nutrition. Bring up any questions or concerns about stress, anxiety and depression with your primary care provider.
• Recognize anxiety and manage it. When you recognize a situation that triggers anxiety, start positive self-talk and deep breathing. 
• Schedule in self-care. College can be intense. Make time for yourself to do things you enjoy for your mental and physical well-being.
• Stay organized. Use a planner or calendar to schedule classes, exams and study time to keep yourself on track.
• Set roommate rules. If you’re living with roommates, create clear rules for your space like noise levels, chores and when other friends are allowed over.
• Know your surroundings. Get familiar with the campus layout and where the security station or emergency phones are located.
• Use the buddy system. Stay alert on campus and walk with a friend when possible, especially at night.
• Protect yourself at parties. Never leave drinks unattended, whether you’re hanging out at a bar, party or other gathering with friends.

Get ready for campus life

Heading to college can be a big transition, and you may feel anxiety about the upcoming changes, especially during a pandemic. But don’t be afraid to ask for help if you need help getting ready or adjusting.

Talking to your Wellstar is a great place to start, whether your concerns are about physical, emotional or mental health. Our health partners are here to support you and can connect you with specialists to keep you feeling well.

Book your annual physical today and be sure to bring up any questions or concerns you have with your doctor.

Wellstar's interpreting team partners with clinicians to ensure that culturally and linguistically diverse patients, including those who are deaf or hard-of-hearing, have access to communication and information in all aspects of their healthcare. 

Effective communication, which includes verbal, nonverbal and written, is an essential component of quality care, successful treatment plans and patient safety. Communication errors can have negative and even life-threatening consequences.  We integrate literacy, culture and language access to improve healthcare quality for diverse populations.

Technology Benefits Effective Communication

In addition to staff interpreters, Wellstar has partnered with Martti to provide remote interpreting services both on video and telephone. Martti offers many benefits, including access to 250 languages, an average of 30 seconds to connect with an interpreter, and top-of-the-line equipment in hospitals and outpatient practices, with user-friendly technology. Wellstar is also making network upgrades to optimize the connection on calls with interpreters, which will be especially beneficial for deaf or hard-of-hearing patients who use video calls to communicate with their interpreters. 

Wellstar Provides Communication Assistance

Our team is comprised of professional interpreters and experienced translators. Wellstar is the only health system in the state that has nationally certified American Sign Language interpreters on staff. An interpreter must understand cultural nuances, be proficient in at least two languages and follow professional interpreting ethics and best practices. 

Being bilingual alone does not qualify someone to be a professional interpreter. At Wellstar, for a bilingual team member to interpret in their department, they must complete medical interpreter training and pass the same proficiency assessment we require of our full-time interpreters. Like interpreters, the translator's skills are assessed for written language proficiency. Proof of competency for our team includes training in the following areas:

• Medical terminology, specialties, anatomy and physiology, medical conditions, pathology, symptoms and treatment, medical tests and diagnostic procedures, medical abbreviations and acronyms 
• The use of advocacy to enhance communication 
• Multiculturalism and diversity 
• Interpreter Code of Professional Ethics & Standards of Professional Practice 
• Spoken and written fluency in both source and target languages
• Message interpretation accuracy, cohesion and clarity

Communication Assistance at Wellstar

If you are within the Wellstar Health System, your care team can assist in finding an interpreter for you. If you are in the community or at home, you can call Wellstar’s Direct Access to an Interpreter line at (470) 944-7300. This line is staffed by interpreters, in multiple languages, who can assist patients to communicate with their provider’s office or the appropriate Wellstar department. You simply provide the interpreter with the Wellstar phone number you would like to reach. 

For more information or questions about these or other language access services, please contact [email protected].

El equipo de interpretación de Wellstar trabaja en asociación con los médicos para garantizar que los pacientes cultural y lingüísticamente diversos, incluidos los sordos o con pérdida de la audición; tengan acceso a la comunicación y estén informados en todos los aspectos de su atención médica.

La comunicación efectiva, que incluye verbal, no verbal y escrita, es un componente esencial de la atención de calidad, los planes de tratamiento exitosos y la seguridad del paciente. Los errores de comunicación pueden tener consecuencias negativas e incluso mortales. En WellStar integramos el acceso a la alfabetización, la cultura y el idioma para mejorar la calidad de la atención médica para diversas poblaciones.

Tecnología que beneficia la comunicación efectiva

Además de los intérpretes de planta, Wellstar se ha asociado con Martti para brindar servicios de interpretación remota tanto por video como por teléfono. Martti ofrece muchos beneficios, incluido el acceso a 250 idiomas, un promedio de 30 segundos para conectarse con un intérprete y equipos de primera línea en hospitales y consultorios ambulatorios, con tecnología fácil de usar. Wellstar también está realizando actualizaciones de red para optimizar la conexión en las llamadas con intérpretes, lo que será especialmente beneficioso para los pacientes sordos o con pérdida de la audición que usan videollamadas para comunicarse con sus intérpretes.

Wellstar proporciona asistencia de comunicación

Nuestro equipo está compuesto por intérpretes profesionales y traductores con experiencia. Wellstar es el único sistema de salud en el estado que cuenta con intérpretes de lenguaje de señas americano certificados a nivel nacional. Un intérprete debe comprender los matices culturales, dominar al menos dos idiomas y seguir la ética y las mejores prácticas de interpretación profesional.

Ser bilingüe por sí solo no califica a alguien para ser un intérprete profesional. En Wellstar, para que un miembro bilingüe del equipo esté habilitado para servir como interprete en su departamento, debe tomar el curso de entrenamiento como intérprete médico y aprobar la evaluación de aptitudes que exigimos a nuestros intérpretes de tiempo completo. Al igual que los intérpretes, las habilidades del traductor se evalúan para el dominio del idioma por escrito. La prueba de aptitudes de nuestro equipo incluye capacitación en las siguientes áreas:

Terminología médica, especialidades, anatomía y fisiología, afecciones médicas, patología, síntomas y tratamiento, pruebas médicas y procedimientos de diagnóstico, abreviaturas y acrónimos médicos

• El uso de la defensoría del paciente para mejorar la comunicación
• Multiculturalidad y diversidad
• Código de ética profesional y normas de práctica profesional para intérpretes
• Fluidez hablada y escrita en los idiomas de origen y de destino
• Precisión, cohesión y claridad en la interpretación de mensajes

Asistencia en comunicación en Wellstar

Si se encuentra dentro del Sistema de Salud WellStar, su equipo de atención puede ayudarlo a encontrar un intérprete para usted. Si se encuentra en la comunidad o en su hogar, puede llamar a un intérprete a la línea de acceso directo de Wellstar al (470) 944-7300. Esta línea cuenta con intérpretes, en varios idiomas, que pueden ayudar a los pacientes a comunicarse con el consultorio de su proveedor de salud o el departamento de Wellstar correspondiente. Simplemente proporcione al intérprete el número de teléfono de Wellstar con el que desea comunicarse.

Para obtener más información o preguntas sobre estos u otros servicios de acceso de idioma, comuníquese con [email protected].

As a longtime resident of Paulding County, Imogene Walraven Waldrop has a passion for giving back to the community that she called home for years – the place where she made so many memories with her brother, Bobby, and sister, Doris, and where she and her husband spent the early years of their marriage together. Unfortunately, illness has taken the lives of many of Ms. Waldrop's loved ones, which is why she is so dedicated to uplifting the well-being of her community by bolstering healthcare services and enhancing access to care.

In the fall of 2021, Wellstar Paulding Hospital was designated a Level IV Trauma Center by the Georgia Department of Public Health. Level IV Trauma Centers demonstrate the ability to provide advanced trauma life support prior to transfer of patients to a higher-level trauma center when necessary. This added community resource was made possible by gifts to the Wellstar Foundation from generous members of the community like Ms. Waldrop. In 2018, she also made a substantial contribution to the hospital’s new infusion center, aptly named the Imogene Walraven Waldrop & Charles W. Waldrop Infusion Center. The 2,860-square-foot facility provides patients undergoing cancer and other medical treatments with world-class care conveniently located within their community. 

“After witnessing both my brother and sister having to travel long distances to receive cancer care, I realized how critical it was to have these resources in Paulding,” Ms. Waldrop said. “Through the Infusion Center and now the Trauma Center, Wellstar is making leading-edge healthcare available to people when and where they need it most – that’s something I’m happy to be a part of.”

Ms. Waldrop’s donations to the Foundation were made through planned gifts, which allow donors the flexibility of contributing to the causes most meaningful to them while supporting their financial goals and creating a long-lasting legacy. 

“I have enjoyed working with the Foundation and take pride in knowing that 100 percent of my gift will stay right here in Paulding,” said Ms. Waldrop. “I’m thankful for the opportunity to make a difference in my community that will benefit people now and the generations to come.”

The Wellstar Foundation is grateful to Ms. Waldrop for her dedicated partnership and philanthropic support. Through the generosity of corporations, organizations and individuals like Ms. Waldrop, the Foundation is addressing Georgia’s most pressing challenges through a strategic focus on health equity, behavioral health, innovation and workforce development. To learn more about the Foundation’s strategic initiatives or to discuss whether a planned gift may be right for you and your family, visit wellstar.org/foundation or email [email protected]. 

The new school year comes with a lot of change for children—a different classroom, teacher, peers, learning material and routine. These changes can cause stress and anxiety in some children and teens, especially if they struggle in school and dread going back.

How to respond to stress

Kids and teens of all ages can feel stress at times, and that’s normal. It’s essentially a signal to get ready for what’s coming. With typical back-to-school stress, a parent or caretaker can help adolescents start the school year with confidence—and gain important coping skills—with the following tips.

1. Listen and validate your child or teen’s feelings.
2. Talk through what they can expect of everything from the morning routine to the bus ride to the school day and dismissal.
3. Visit the school and the classroom, especially if the child is younger or is new to the school.
4. Check in with your child about how the year is going so far.
5. Look ahead at what the rest of the year could be like.

Recognize chronic stress and anxiety

Stress can be good for kids. But on the other hand, chronic stress and anxiety that lasts for more than a few weeks aren’t healthy. In recent years, Dr. Doyle has noticed a growing number of adolescents, especially females, have anxiety.

“It’s normal to have stress; it’s not normal to have anxiety,” said Wellstar pediatrician Dr. Andrew Doyle. “Understandably you get nervous with new situations that make you uncomfortable, but you’re still able to do it and have fun. Significant anxiety starts to interfere with a child or teen’s ability to do what they need to do—homework, school, social situations. That’s when it’s helpful to get it checked out.”

In addition to having difficulty participating in and completing activities, signs of anxiety in children and adolescents can include difficulty sleeping, abdominal pain, headaches, significant changes in appetite or an explosive temper.

Effective treatments include lifestyle changes, medication and therapy. For example, lifestyle changes can include getting enough sleep, exercising, eating a healthy diet and planning downtime from social media and life responsibilities.

“Therapy and role-playing can help you recognize your stressors and think through how to handle them ahead of time so you can face those situations,” he said. “For example, on exam day, start with positive self-talk. You can say, ‘I’m feeling nervous. I have a headache and an upset stomach. I know that’s because I’m anxious. I’ve taken many tests before and I can do this, so I don’t need to worry about it.’ Breathing exercises before the test can help you stay calm.”

Start the year strong with a wellness screening

Another way to begin the school year right is to check in on your child’s emotional and physical health. Wellstar pediatricians will get to know your child and help them live their healthiest.

“I try to do whatever I can to help our patients and families so that when they leave my office, I've given them something to hold onto that is going to make life better for them,” Dr. Doyle said.

Find a pediatrician near you and book your child’s back to school exam so they can start the year strong.

Wellstar Douglas Hospital recently attained advanced certification as a Primary Heart Attack Center (PHAC) by The Joint Commission and The American Heart Association. This means the hospital offers patients the next generation of cardiac care.

“Our cardiac experts in Douglas County are dedicated to doing what is best for the patient,” said Dr. Joshua M. Willis, Medical Director of Cardiac Catheterization Lab at Wellstar Douglas Hospital. “The Joint Commission certification shows that our cardiac program is designed to help people having heart attacks receive the fastest, most evidence-based care.” 

Wellstar Douglas Hospital has 24-hour-a-day coverage to treat heart attacks. The hospital’s team communicates with first responders, so patients can get diagnosed and treated as fast as possible upon arrival at the hospital by ambulance. 

“Everything we do is centered around giving each person the best chance for positive outcomes,” Dr. Willis said.

The hospital’s team aims to get patients diagnosed fast by performing cardiac tests within 10 minutes of arrival at the hospital. For patients who need surgical intervention, Wellstar Douglas Hospital’s interventional cardiologists perform percutaneous coronary intervention (PCI) — a minimally-invasive procedure that restores blood flow to the heart — within a 90-minute-window. 

According to Gene Morris, Director of Cardiac and Vascular Services, the cardiac team has performed 2,500 PCIs since the program launched in 2012.

Wellstar Douglas Hospital is also designated as an Emergency Cardiac Care Center (ECCC) Level II by the Georgia Department of Public Health. 

To learn more about Wellstar Douglas Hospital, please visit the hospital webpage.  

Wellstar Health System, one of Georgia’s largest and most integrated healthcare systems, has hired Susan Grant as executive vice president and chief experience officer. Grant will begin her role on July 1 and will be focused on creating holistic, curated experiences that power the continued development and growth of Wellstar’s system of care. She will work closely with Dr. Hank Capps, Wellstar’s Chief Information and Digital Officer, as well as operations leaders across the system to advance digital experience and integration to enhance care model innovation.

"Wellstar Health System has made significant drives to remain on the cutting edge of medical service through our care and dedication to patient experience. Initiatives and programs that define our care often involve addressing the unique needs of each patient and community to be both as effective and compassionate as possible," said Candice L. Saunders, president and CEO of Wellstar Health System. "The more advances we make in the field of medical technology, the more effort we must give to unify these innovations into a holistic experience that benefits not only our patients, but our doctors, nurses, and practitioners as well. Grant’s highly knowledgeable background will help us define and develop that experience across our system."

Grant has operated in healthcare for over 30 years. Her wealth of experience in various roles such as Executive Vice President and Chief Nursing Officer at Beaumont Health in Detroit, Michigan, has led to incredible achievements, including leading the nursing practice of over 10,000 nurses across all care settings and overseeing successful Magnet redesignation of two hospitals. In addition, she helped secure the initial designation of four of eight hospitals in the system at that time. 

Grant received her Doctor of Nursing Practice from Vanderbilt University, a Masters in Psychiatric/Community Mental Health Nursing from the University of South Carolina and her Bachelor of Science in Nursing from the Medical College of Georgia. She is currently the chair-elect of the Building Health Systems Excellence expert panel with the American Academy of Nursing, is a member of the Nurse Executive Council for The Beryl Institute and serves on the Board of Directors for the Daisy Foundation Board.

Existing Wellstar Health System programs such as Catalyst by Wellstar, the Wellstar Clinical Partners Program, and the Hospital Quality & Efficiency Program are key components of Wellstar’s dedication to Patient Experience. By increasing the systems, programs, and access to critical care needs, world class technology and care, and highly skilled staff and care practitioners, Wellstar continues to grow its ability to provide both meaningful care outcomes as well as world class care that matters – PeopleCare. 

These programs and partnerships have revolutionized the way our patients and our staff engage with medical treatment, from enhanced training techniques, to employee wellness centers dedicated to mental health, to additional family support for hard-working professionals within the system.

UnitedHealthcare and Wellstar Health System have reached a multi-year agreement that restores network access to Wellstar’s clinicians, hospitals, health parks and clinics for people enrolled in UnitedHealthcare employer-sponsored, individual and Medicare Advantage plans, effective July 1, 2022. The agreement also expands access to Wellstar Clinical Partners, skilled nursing facilities, home health and hospice care.

UnitedHealthcare members can begin scheduling appointments with Wellstar today through MyChart or by calling their clinician’s office. For more information, call 770-956-STAR (7827).

“We know how important it is for patients to have local access to high-quality care from the doctors and hospitals they know and trust,” said Candice L. Saunders, President and CEO of Wellstar Health System. “This agreement will offer expanded access and more convenient options for patients with UnitedHealthcare insurance.”

“The care that Wellstar provides to our members is important and personal to them,” said Junior Harewood, CEO of UnitedHealthcare Georgia. “Our top priority throughout this negotiation has been ensuring the people and employers we’re honored to serve in Georgia have access to quality, more affordable health care, and this new agreement helps accomplish that goal.”

Wellstar’s mission is to enhance the health and well-being of every person they serve and provides access to compassionate, high-quality care to 1 in 6 Georgians through 10 hospitals, 300+ medical office locations, 9 cancer centers, 74 rehabilitation centers, 3 hospice facilities, 1 retirement village, 34 imaging centers, 18 urgent care locations and 5 health parks.

In Georgia, UnitedHealthcare serves nearly 1.2 million people through a network of more than 150 hospitals and nearly 35,000 physicians and other care providers.

As Wellstar Kennestone Regional Medical Center celebrates our 72nd birthday, we are grateful for the opportunity to serve our growing community. We also are very grateful for the ongoing partnership and support our community affords us as we continue to evolve and grow to meet the changing healthcare needs of patients and families. This year has been a true testament of excellence in the quality of care we provide at Kennestone. Even through the challenges that the past several years imposed upon us, we have led by taking care of each other, our patients and our communities. 

We are honored to continue to be recognized alongside Wellstar and its network of award-winning hospitals as we worked hard, together, to exceed the national standards of care. Among the awards and distinctions bestowed to Kennestone were the National Accreditation Program for Rectal Cancer, a first for Wellstar; Stroke Gold Plus award from the American Heart and American Stroke Associations; the very coveted Georgia Oglethorpe award; and several disease specific re-designations through The Joint Commission.     

Our Vision: To deliver world-class healthcare to every person, every time.

This year also brought a meaningful opportunity to continue to support our commitment to growth by preparing for the enabling work of a new, state-of-the-art bed tower. This new tower replaces the Baird building on campus and allows us to expand our patient care capabilities. The new tower is expected to be complete by late 2025 and open in 2026. In the meantime, we are engaging with our front line team members, providers, patients and a neighborhood advisory council and listening to their specific needs and desires as we consider this building’s amenities. Among such sought-after features will be private patient rooms. 

Additionally, the tower will offer:

• Expanded and state-of-the-art Neonatal ICU
• Expanded, all-private cardiovascular and neuro care services 
• Rooms designed specifically for patient, family and healthcare provider comfort and functionality 
• New kitchen, cafeteria and in-room dining services 
• And much more

All of this will be enabled by technology to ensure the expertise housed within the tower is accessible to everyone. Sustainability is also a key factor as we finalize the tower’s design and materials.

Innovation

Technology continues to be a priority area for innovation in the healthcare industry and at Kennestone Medical Center. For example, in 2021, we opened a new Hybrid CVOR which enables us to offer advanced cardiovascular operations and procedures with the most up-to-date technology available.  Additionally, we have a Neuro Robot in the Vascular Institute and a a Cardiac Robot in the Cath Lab. These robots offer more precise tools for delicate procedures and assist surgeons with life-saving techniques, while also offering additional safety to physicians by reducing their exposure to radiation. This very exciting robotic technology also presents a tremendous opportunity for impact in the future. Robotics will enable our world-class physicians to leverage their expertise and expand our care to rural areas by assisting with operations remotely.

As we advance our mission through deploying a refreshed strategic plan, we look forward to innovating new care models to serve our patients, leveraging digital innovation and heavily investing in ambulatory spaces in order to increase our primary care footprint for easy access to care.  

Our Mission: To enhance the health and wellbeing of every person we serve.

We learned a tremendous amount about disease crises as we watched how this hospital and the entire U.S. healthcare system pivoted to the dedicated care of Covid. In spite of the profound toll the pandemic had on employees everywhere, we remarked at the resiliency of our workers and clinical excellence of our providers and caregivers. We cannot thank you enough for the overwhelming show of support you gave our teams during that time. You nourished their minds and hearts and helped them thrive through incredibly challenging times. 

Kennestone’s birthday and our new fiscal year represents a renewed hope in our journey, together, as our country continues to heal, grow and move past the devastating effects of Covid. It is more important than ever to stand in support of one another and continue to invest in resources for our staff. As the health and wellness of our teams continues to be of utmost importance, we continue to work with our staff to implement new and expanded employee programs, including wellness rooms and relief perks as a way to renew and refresh. Health equity also remains a priority. Our Diversity, Equity and Inclusion Team is dedicated to providing each team member with resources including book study groups, dialogue forums, videos and other tools which optimize technology resources for learning aimed at honoring every voice and ensuring equitable care to our patients and their families. This is a theme we carry through our community involvement, as well. 

We remain excited to welcome new hires to Kennestone and Wellstar, especially new graduates who have chosen our medical center as their first clinical site. You are the reason we do what we do. We pledge to never stop striving to improve your health and wellness and remain committed to advancing care. Thank you for the trust you place in us to serve you and your loved ones. We are grateful to be your care provider of choice. 

Wellstar Health System, one of the largest and most integrated health systems in Georgia, has selected Workday as their technology partner for finance, human resources and supply chain. Workday’s online platform will expand Wellstar’s ability to efficiently engage team members through improving how they gather information, distribute information throughout the system and improve existing operations. Wellstar’s continued investment in advanced tools is a part of its broader enterprise strategy that will power our transformation to a more digitally empowered workforce.

“As we look toward our health system's future, how we invest in our people is going to become more important than ever. With the integration of Workday, we will enable our staff to work more efficiently so that they can focus on what matters most – their patients,” says David A. Jones, executive vice president and chief human resources officer at Wellstar. “Our people are at the center of everything we do. We must care for them so that the best people choose to work and stay here.” 

Nationally recognized for quality care and as a top employer of choice, Wellstar is committed to continuing to improve patient outcomes and the caregiver experience led them to evaluate new solutions for core administrative functions. Wellstar strives to make the workplace better for everyone who serves, and in doing so they continue to build upon the momentum of their digital transformation, helping to secure recent recognitions such as being honored with the Healthcare Information and Management Systems Society's (HIMSS) Stage 7 validation for its continuous efforts to improve patient outcomes through technological advancements. Stage 7 is the highest ranking an organization can receive, with less than 10% of hospitals nationwide recognized at this level. Wellstar is the only health system in Georgia to achieve this systemwide designation. This expanded capability will increase the communication and performance of team members as the organization continues its digital transformation across all facets of care. By designing the system with best practices and the caregiver in mind, Wellstar will continue to evolve to meet the changing needs of employees and patients. 

“We are thrilled Wellstar has joined our growing Workday healthcare customer community. We look forward to helping Wellstar achieve their goals, learning from their extraordinary team and welcoming them into our customer forums as we partner together to help advance the future of healthcare," said Deana Kraft, Global Head, Healthcare at Workday.

With over 25,000 team members, 10 hospitals and more than 300 medical practice offices, Wellstar serves more than 1.7 million patients annually. Workday will provide Wellstar team members with an enhanced experience through greater accessibility and self-service capabilities ultimately reducing team member administration time so the team can focus on what matters – patient care. 

Your body supports you in everything you do, from everyday activities like grocery shopping to milestones and memories with friends and family. 

But while you may make sure you eat healthy, get your exercise and see your doctor to keep up with your physical health, it’s important to check in on your mental health, too. 

Wellstar offers a full range of behavioral health services close to home in convenient locations, so you can feel your best both physically and mentally.

Meeting you where you are

If you’re dealing with feelings of anxiety and depression, you may turn to your primary care physician or another healthcare provider for help. Wellstar is removing barriers to behavioral healthcare by integrating those services into many of our locations. 

On-site behavioral health providers work at many of our primary care and specialty clinics, making it a little easier to take that first step in improving your mental health. Wellstar also provides access to on-site and virtual behavioral health specialists in hospital emergency departments and on the medical floors.

“We know that patients are already struggling with stigma, and sometimes it takes a lot for a patient to come into care with a behavioral health professional, and we wanted to remove that stigma,” said Dr. Ryan Breshears, Wellstar’s chief behavioral health officer.

About 1 in 3 patients with a physical health condition also could benefit from some form of mental health support, Dr. Breshears said. Wellstar’s providers work together across specialties to ensure each patient receives “whole person care” – addressing both their mental and physical well-being.

“When you address the mental health components that an individual is dealing with, you’re going to improve the physical outcomes,” Dr. Breshears said. “In the same way, if you address the physical health outcomes, you’re probably going to provide care that improves the mental health outcomes as well.”

Wellstar Psychologist Dr. Shawn Coyne works with cardiac patients to provide that whole person care to patients like John Petrick and his daughter Janin as they adjust to cardiac diagnoses. 

Cardiac health and behavioral health are closely tied, Dr. Coyne said – if someone is depressed, they are twice as likely to have a cardiac health issue or twice as likely to experience a second cardiac event. Heart patients are also three times as likely to be depressed as the general population.

In addition to cardiovascular behavioral medicine, Wellstar also offers several other specialized programs to assist patients with the mental and emotional challenges of a medical condition: 

• Metabolic behavioral medicine, for patients with metabolic conditions or who have received bariatric surgery
• Psycho-gastroenterology to provide support to gastrointestinal patients
• Psychosocial oncology to help patients adjust to cancer treatment
• Somatic symptom disorders for people experiencing unexplained physical symptoms that may be caused or impacted by stress

With Wellstar’s PeopleCare approach, providers tailor care to each patient, taking the time to get to know their needs and create a customized care plan.

“You as the patient are part of the treatment team,” Dr. Coyne said. “You are involved, you can participate, you give feedback, you engage and we get a better end product when we work as a strong team.”

To learn more about outpatient behavioral health services, call (770) 644-1570.

Compassionate inpatient care

If you or a loved one requires immediate care for a behavioral health condition, our inpatient behavioral health units provide 24-hour care for adults ages 18 and older.

Inpatient behavioral health services include round-the-clock monitoring, medication management, individual and group therapy, and educational resources for both the patient and their family.

If you have questions, you can reach our Behavioral Health Assessment & Resource Center anytime at (470) 732-3789. However, in the case of an emergency, call 911 or go to the nearest emergency department.

Learn more about Wellstar’s behavioral health services.

Wellstar Health System is shaping the future of leadership training and development through an initial training program with Moth+Flame, an award-winning virtual reality (VR) provider and technology studio. 

On May 18-19, 2022, Catalyst by Wellstar, the health system's global digital health and innovation center, along with Wellstar Leadership Development and Moth+Flame hosted the health system's first-ever VR-based leadership development training, focused on emotional intelligence. Across the two days, more than 100 Wellstar leaders participated in an immersive, VR-powered learning experience to prepare them to lead their teams through ongoing change in the healthcare industry. 

"Partnering with Moth+Flame is an opportunity for us to gain a deeper understanding of how virtual reality can impact the way we care for and engage with our patients, consumers and each other," said Hank Capps, M.D., FAAFP, Wellstar's executive vice president and chief information and digital officer. "Our team members are essential in creating curated healthcare experiences, and we hope this initial training will showcase how VR technology can help our team be even more effective, compassionate and culturally competent leaders."

Studies show virtual reality learners learn four times faster than traditional methods and are 275 percent more confident to act on their training. This initial training aims to validate these numbers with a select group of Wellstar's clinical and leadership teams to elevate the organization's leadership development programming. At the end of the two-day training, Wellstar measured an increase in levels of confidence in the material learned and 97 percent of participants reported they would recommend this training.

"We've seen that investment in high quality training can improve retention across all industries," said Kevin Cornish, Founder and CEO of Moth+Flame. "By training in a simulated life-like environment, our product offers employees immersive training that helps them feel more confident. The metrics in Wellstar's launch show a continued trend that virtual reality is proving to be one of the most effective tools for professional development." 

"Virtual reality and other technologies can open the door for us to take our leadership and team development to the next level," said Laura Dannels, Wellstar's chief talent officer. "These outcomes show us what's possible when we think outside of the box and embrace solutions from across industries. Our goal is to support our leaders as they guide their teams in creating exceptional consumer and team member experiences."

Unlike most typical VR experiences, Moth+Flame leverages real people instead of virtual avatars, which helps provide a more profound, meaningful experience for the end users. During the session, Wellstar leaders used headsets and iPads to immerse themselves in scenarios designed to prepare them to guide their teams through moments of change. This video describes more about the training.

"This 30-minute VR training on emotional intelligence was more effective and comprehensible than two full days of in-person training," said Michael Collins, Wellstar team member and participant.

Catalyst by Wellstar and Moth+Flame were connected through Engage, a first-of-its-kind collaborative innovation and corporate venture platform. Engage brings together industry-leading corporations, enterprise startups and universities with the shared mission of elevating Atlanta and the Southeast as a leading technology and innovation hub. Wellstar is proud to be the only healthcare organization to partner with Engage as the health system works to create new solutions to transform health and well-being.

Wellstar Health System, one of Georgia’s largest and most integrated healthcare systems, announced yesterday it will open the Wellstar North Fulton Cancer Center in early 2023 on the Wellstar North Fulton Medical Center campus in Roswell, Georgia. The Center will also serve as one of only two locations in metro Atlanta featuring state-of-the-art CyberKnife® technology for radiation therapy.

Located at 4500 Hospital Blvd., the Cancer Center will offer comprehensive cancer services, including nationally-recognized, expert and experienced physicians; medical oncology; radiation oncology; imaging and many medical specialties all in one convenient location. Oncology surgery will continue to be performed at Wellstar North Fulton Hospital, on the same campus. 

“Wellstar North Fulton has been delivering expert, compassionate cancer care and support to North Metro Atlanta residents for many years,” said Jon-Paul Croom, president of Wellstar North Fulton Medical Center. “Our expansion of cancer services enables patients to receive the most advanced and robust offering of treatments available to beat cancer – close to home.”

Wellstar Health System supports people with cancer throughout their journeys, from early screening to diagnosis to treatment. However, our encouragement and dedication to delivering world-class, compassionate care doesn’t end in remission.

Across our system, Wellstar honors the bravery and strength of survivors every day, rejoicing in each milestone. This National Cancer Survivors Day, we are proud to pay tribute to people who have conquered cancer while offering hope to those still f