Penny George Institute for Health and Healing Outcomes Report

Founded by the George Family Foundation and the Ted and Dr. Roberta Mann Foundation

bodymind

clinical care

spiriteducationresearch

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penny Georgetm institute for Health and Healing

Table of Contents1 Letter from the executive director2 approach to care5 Foundation of excellent care10 education and community Outreach12 research15 the role of philanthropy16 volume, Quality and Outcomes measures20 publications and presentations, 2007-200924 staff Listing27 about abbott northwestern Hospital28 accessing abbott northwestern

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P E N N Y G E O R G E I N S T I T U T E F O R H E A LT H A N D H E A L I N G 1

the Livewell Fitness center goes beyond traditional fitness training to help clients use exercise to promote health. this includes people whose health is compromised and who want to return to good health or optimize their health through exercise. it also serves as a fitness center for employees of allina, abbott northwestern and children’s Hospitals and clinics of minnesota. the Fitness center is engaged in outreach efforts with corporate partners and local businesses that are interested in developing an integrated approach to employee health promotion.

penny George institute researchers are actively investigating many aspects of integrative health, including the use of integrative modalities, the impact of integrative health services on specific patient populations and the health care system, and the effectiveness of lifestyle change programs. these initiatives are critical to developing best practices and gaining acceptance for integrative health services.

the penny George institute’s holistic approach is also reaching across the allina Hospitals & clinics system. when a new facility opens in 2010 to house unity Hospital’s virginia piper cancer institute®, the penny George institute will be part of it. patients will have on-site access to a variety of integrative services and complementary health therapies.

in partnership with the Bravewell collaborative, we are also engaged in the broader endeavor of advocating for the role of integrative health in health care reform. we believe that approaches like health promotion, wellness and treating the whole person—like the penny George institute promotes—can help to shape a more effective and efficient health care system. we are excited and proud to be part of this effort to improve health care for all.

penny George™ institute for Health and HealingO v e rv i e w a n d O u t c O m e s r e p O rt 2 0 1 0

as the largest hospital-based program of its kind in the country, the penny George™ institute for Health and Healing is setting the national standard for enhancing health care

through an integrative health approach. we do this by:

• blendingevidence-basedcomplementarytherapies,integrative medicine and conventional western medicine

• providingdirectservicetoinpatientsandoutpatients

• educatinghealthcareprofessionals

• teachingthecommunityabouthealthpromotionandpersonal responsibility for health

• conductingresearchtoidentifybestpracticesandtheeconomic impact of integrative health.

this Overview and Outcomes report highlights the accomplishments of the penny George institute’s programs and services in recent years. we have continued to expand and enhance our inpatient and outpatient services by working collaboratively with our colleagues throughout the hospital. Our practitioners provide 900 inpatient visits a month, and our services have had a measurable impact on patients’ self-reported pain and anxiety scores. we also have 700 visits a month in our Outpatient clinic.

through our transformative nurse training (tnt) program, nurses from abbott northwestern Hospital and other area hospitals are acquiring the knowledge, skills and confidence to enhance care through an integrative and holistic approach. in partnership with the Bravewell collaborative, we sponsor physician and nurse practitioner training in integrative medicine through the center for integrative medicine of the university of arizona. through local, regional and national conferences, we teach a wide range of professionals about transforming their health care practice with integrative approaches. Our ongoing classes and programs for the community on topics like yoga, stress reduction, nutrition and fitness attract more than 800 participants a year.

Letter from the Executive DirectorLori Knutson, RN, BSN, HNB-BC

Overview

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approach to care

Holistic Care that Empowers Patients Founded in 2003 through the support of the George Family Foundation and the Ted and Dr. Roberta Mann Foundation, the Penny George Institute for Health and Healing has created a national model of patient care built on the foundation of integrative health. Through its range of inpatient services, Outpatient Clinic, LiveWell Fitness Center, integrative health research, and community and professional educational programs, the Penny George Institute is the nation’s largest hospital-based integrative health program.


• advanceditsresearchcapabilitiesandpartnered with leading integrative medicine clinics to evaluate the impact, efficacy and effectiveness of integrative medicine/health services

• launchednewpartnershipsfocusedon health promotion with major employers and formed consulting relationships with other health care organizations

• createduniqueclinicalrotationsinpartnership with northwestern Health sciences university that develop inpatient skills for Oriental medicine and therapeutic massage students.

integrative health is defined as an approach to health care that places the patient at the center of care. it focuses on prevention and wellness and attends to the physical, psycho-social, emotional and spiritual needs of each person. integrative health is more than simply adding healing therapies to a range of services a hospital provides. it is a holistic approach to health care that advocates treating the whole person and involving the person as an empowered partner. integrative health also recognizes the value of conventional medicine in treating many chronic and acute conditions, as well as its limits in dealing with the complex needs of the whole person.

integrative health:

• blendsconventionalmedicinewithevidence-based complementary therapies and integrative medicine

• valuesrelationship-centeredcare

• promotesapartnershipbetweenthepatient and caregiver

• recognizesthewholepatientandhisor her individual needs

• focusesonhealingasmuchascuring

• emphasizespatientempowermentand personal responsibility

• advocateshealthpromotionandprevention of illness through education and coaching.

Care Across all Centers of Excellenceat abbott northwestern, the concepts of integrative health are fundamental to the care the hospital’s staff has provided for decades. the penny George institute’s team of health professionals supports this work by providing inpatient services throughout abbott northwestern, including medical/surgical areas, the minneapolis Heart institute®, neuroscience institute, Orthopaedic institute, sister Kenny® rehabilitation institute, spine institute, womencare and the virginia piper cancer

institute. patients are referred for inpatient integrative services by a physician, nurse or other caregiver, or they may self-refer.

each month, the penny George institute’s team of integrative health professionals provides enhanced care through more than 900 inpatient visits and 700 visits to its Outpatient clinic. more than 60,000 inpatient visits have been made since 2003.

since its inception, the penny George institute has:

• createdthelargesthospital-basedintegrative health program in the country

• transformedchronicdepressionandanxiety care through its outpatient resilience training program

• emergedasanationalleaderincancer care and cancer survivorship in partnership with the virginia piper cancer institute and the sister Kenny rehabilitation institute

• establishedamedicalfitnesscenterthathas been recognized by the american Heart association

• developedanadvancednursingeducation curriculum and mentorship program that leads to board certification in holistic nursing

Each month, the Penny George Institute’s team of integrative health professionals provides enhanced care through more than 900 inpatient visits and 700 visits to its Outpatient Clinic.

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Transforming Health Care integrative health, with its emphasis on health promotion, self-responsibility, wellness and treating the whole person, is critical to transforming the health care system.

For example, the penny George institute’s work focuses on improving a person’s overall health and well-being and puts the patient at the center of care. patients have access to integrative services, such as physician consultations, ayurveda, Oriental medicine and complementary therapies, and classes or individual instruction on nutrition, fitness, resilience training and mind-body stress reduction. the goal is to empower individuals to take personal responsibility for their health, a vital step in improving the health of our patients, communities and nation.

in recognition of the role that integrative health can play in health care reform, the institute of medicine (the health arm of the national academy of sciences) hosted the summit on integrative medicine and the Health of the public in February 2009. scientists, clinicians, policy experts and industry leaders convened to address the principles of integrative health that could form the basis for effective health care reform. the summit also highlighted research results and success from clinical practice sites across the country, including abbott northwestern’s penny George institute.

through its partnership with the Bravewell collaborative (bravewell.org), the penny George institute is helping to shape a national model of hospital-based integrative programs and services. Founded in 2002, the Bravewell collaborative is a community of leading philanthropists who work together to transform our health care system and improve the health of the american public through the advancement of integrative medicine. For example, Jeffery dusek, phd, research director at the penny George institute, is the lead principal investigator on a grant application to the national institutes of Health that seeks to expand resilience training to two Bravewell collaborative research centers. the penny George institute also is helping to establish integrative health best practices as a member of the Bravewell clinical network by sharing information and lessons learned through Bravewell’s publications and online resources.

Bravewell Clinical Network (Bravenet)· Alliance Institute for Integrative Medicine

· Center for Integrative Medicine, University of Maryland School of Medicine

· Coordinating Center: Duke Clinical Research Institute, Duke University School of Medicine

· Duke Integrative Medicine, Duke University School of Medicine

· Jefferson-Myrna Brind Center of Integrative Medicine, Thomas Jefferson University Hospital and Thomas Jefferson University

· Osher Center for Integrative Medicine, University of California, San Francisco

· Penny George Institute for Health and Healing, Abbott Northwestern Hospital

· Scripps Center for Integrative Medicine

· Simms-Mann Health and Wellness Center at Venice Family Clinic

· The Continuum Center for Health and Healing, Beth Israel Medical Center

V I S I O N The Penny George Institute seeks to transform health care by blending the art of healing and the science of curing to optimize the health of the whole person—mind, body and spirit.

m I S S I O NThe Penny George Institute will transform health care locally through the provision of outstanding integrative care to patients and employees in all settings across Abbott Northwestern and its related institutions. The Penny George Institute will transform health care nationally through the development and dissemination of integrative care practices that demonstrably enhance quality, ensure safety and reduce costs.


Foundation of excellent care

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Inpatient Caresince it was founded in 2003, the penny George institute’s care team has provided more than 60,000 consults to hospitalized patients at abbott northwestern. through philanthropic support from the community, the inpatient team brings pain relief, anxiety reduction and healing to patients throughout the hospital.

more than 22 highly credentialed integrative health care professionals consult and work directly with patients and their family members to provide care. each weekday morning, the penny George institute practitioner team meets to assign an average of 25 to 30 new patient referrals. On a typical day, 60 to 75 patients will receive an integrative medicine consult or service. the penny George institute’s inpatient professionals are fully integrated into the hospital. they receive formal referrals, round with physicians, consult with nurses, provide bedside therapies and document their care in the electronic medical record system.

all of the penny George institute’s practitioners are cross-trained in a multitude of complementary therapies. patients receive individualized care developed in partnership with the care team to enhance their experience and outcomes. patients may be seen before surgery or immediately after surgery, and some practitioners have accompanied patients during a procedure or surgery. patients may receive one or more of these therapies:

• acupuncture/acupressure

• aromatherapy

• energyhealingincludingReikiandhealingtouch

• healingarts

• Koreanhandtherapy

• mind/bodytherapiesincludingrelaxationresponse,guidedimageryandbiofeedback

• musictherapy

• reflexology

• therapeuticmassage.


Outpatient Clinicthe penny George institute’s Outpatient clinic opened in 2004 on the abbott northwestern campus. clinic services are provided by 15 highly credentialed practitioners.

patient services include:

• OrientalMedicine/acupuncture

• Ayurveda

• energyhealing

• healingcoaching

• herbalconsultations

• integrativemedicinephysicianconsultations

• integrativenutritioncounseling

• mind/bodytherapiesincludingbiofeedback

• spiritualcoaching

• massagetherapy

• therapeuticyoga

• classesandworkshopsonaromatherapy, drum circle, healing through the arts and more.

the Outpatient clinic provides five popular group-based programs.

• TheuniqueResilienceTrainingprogram is led by holistic psychiatrist, Henry emmons, md, and is inspired by his book The Chemistry of Joy. participants in the eight-week program receive individual psychiatric, nutritional and fitness assessments and, as a group, develop meditation skills and personal insight for working through difficult emotions and managing stress.

• TheMindfulness-BasedStressreduction program helps participants develop mindfulness skills based on the work of Jon Kabat-Zinn.

• TheArtofHealingprogrambrings visual art, therapeutic music and movement therapies, as well as “caring for the caregiver” programming, into clinical settings.

• Therapeuticyogaisofferedin group settings to promote relaxation and support the healing process.

• Groupacupunctureisofferedtofacilitate more affordable access to the service in a setting that creates a sense of community and support.

The Penny George Institute has transformed chronic depression and anxiety care through its Resiliency Training Program.

Penny George Institute researchers evaluated the impact of Resiliency Training on key measures of depression, quality of life and work productivity among 38 Allina employees with moderate depression. The study showed that, compared to a control group, participants in Resiliency Training experienced significant improvement in depression symptoms, quality of life measures and work productivity. Read more about this study on page 14.

Classes for the community offered by the Penny George Institute attract more than 800 participants a year.

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Health Promotion and Wellnessthe Livewell Fitness center is committed to helping communities promote health and wellness.

• Itprovidesexpertiseinhealthpromotionandwellnesstovariouscorporationsand community organizations. creating quality fitness and nutrition programs with a mind/body approach provides opportunities for employers and community leaders to encourage and support a culture of good health and well-being.

•IncollaborationwithAllina’sEmployeeBenefitsDepartment,LiveWellstaffdesigned and coordinated the six-week Health is wealth contest for 840 employees at abbott northwestern Hospital and the allina commons. this incentive program motivated participants to engage in healthy exercise, nutrition and stress management practices at work and home.

•LiveWell’sTakeActionWeightManagementProgramandFitnessProfileassessment are included in allina’s Be Fit employee health program. Be Fit offers programs that enhance the overall health of employees. successful completion of these programs qualifies employees for wellness rewards.

LiveWell Fitness Centerthe Livewell Fitness center encourages clients to seek their highest level of well-being each day. the center supports the journey to optimal health by offering a full spectrum of programs and services to enhance an individual’s lifestyle. a highly credentialed, professional staff of exercise physiologists, physical therapists, licensed nutrition experts, a wellness coach and aftercare specialists is available to help design exercise and nutrition plans that help clients meet personal health and fitness goals.

services include fitness assessments and consulting, body composition testing, exercise training, fitness rehabilitation, nutrition counseling, metabolism testing, wellness coaching and more. innovative and/or enhanced programs include:

• BodyinBalanceProgramforpostureenhancement

• CancerSurvivorshipProgram,whichincludes the nationally renowned Healthy steps group exercise classes

• TheTakeActionWeightmanagement program, which includesanew,flexibleone-to-oneformat to complement an already successful group program

• PilatesReformerTrainingforcustomizedstrengthandflexibilityprogramming.

The LiveWell Fitness Center received the American Heart Association’s Gold Star

Award. The award recognizes employers that champion the health of their

employees and work to create a culture of physical activity in the workplace.

2009 VOLUmE

Memberships: 650 Visits: 25,000


The Art of Healingat abbott northwestern, creative arts are used to support healing, and research is being conducted to measure the impact of the arts in patient care.

the art of Healing program offers positive, creative and constructive arts programming for patients, visitors, employees and volunteers. patients can explore art as a healing tool during their hospitalization. music therapy is used to reduce anxiety, stress and pain. exhibits, concerts, classes and other events explore the healing aspects of art. the caring for the caregiver program offers a series of classes designed to support abbott northwestern employees and volunteers in the art of self-care, including visual journaling, movement and the meditative aspects of painting.

the penny George institute is a member of the society for arts in Healthcare. this national organization demonstrates the valuable role the arts can play in the healing process and encourages and supports research into the benefits of arts in health care. Life After Cancer

Through collaborative work across Abbott Northwestern, the Penny George Institute offers a synergistic, integrative approach to optimizing life after cancer. In partnership with the Virginia Piper Cancer Institute and the Sister Kenny Rehabilitation Institute, the Penny George Institute is emerging as a national leader in the promotion of wellness and well-being after cancer—bringing together all of its resources to promote nutritional, physical, mind-body and spiritual health. For example, cancer patients have an opportunity to work with a healing coach in all stages of their journey, from diagnosis to post-treatment and beyond. Health promotion tools and resources that focus on stress reduction, nutritional guidance, weight management and exercise offer individualized support and instruction. Penny George Institute Team Mandala, Richard Bonk, artist

Mandalas symbolize the universe and have been used in many cultures as tools to focus the mind and support transformation. This mandala was created by collecting information in and around the Penny George Institute Outpatient Clinic: photographs of the space, audio recordings of ambient sounds, hand-written vision statements from the staff and video recordings of patient interviews. Using computer software, the artist translated the materials into raw data and created this visual representation.

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Serving Patients, Professionals and the CommunityThe Penny George Institute offers educational programming in three areas: professional education on integrative care, patient and community education that focuses on health promotion, and community classes and programs that provide an understanding of the principles and therapies of integrative medicine.

education and community Outreach

Pre-Hospital Programthe pre-Hospital program helps people prepare for an upcoming surgery or procedure at abbott northwestern. it is designed for patients who are anxious about their visit, worried about pain, need help developing a self-care plan or want to learn skills to enhance recovery.

through mind-body skills training, participants discover tools, skills and information that will help make their hospitalization and recovery a positive, healing experience. a mind-body coach helps participants learn to use skills like meditation, breath work, relaxation techniques, guided imagery, biofeedback and self-care practices. the participants learn to apply their new skills toward:

• reducingpaintoatolerablelevel

• shiftingfeelingsofanxietytofeelingsofcalmandconfidence

• planningforandexperiencingapositiveoutcomeaftersurgery

• tamingthestressresponseandelicitingtherelaxationresponse.


Transformative Nurse Training Programthe transformative nurse training program is one example of abbott northwestern’s commitment to excellence in nursing. the program brings nurses back to the essence of nursing practice and teaches the foundations and principles of holistic nursing.

Over the course of six day-long sessions, nurses acquire practical skills to promote and enhance self-care and care for patients, including massage, guided imagery, physiologic relaxation response, meditation, Oriental medicine, nutrition and much more.

an important and unique component of the program is mentorship. after completing the course, each participant has the opportunity to work with an integrative health nurse clinician to integrate what they have learned into their own lives and use it to enhance patient care. this has led to increased nurse engagement and patient satisfaction and has improved patient outcomes.

researchers are evaluating the changes in nurses’ attitudes and their knowledge and application of therapies that are addressed in the transformative nurse training program.

since it was established in 2006, 192 nurses from abbott northwestern and other health care organizations (including courage center, children’s Hospitals and clinics of minnesota, ridgeview medical center, united Hospital, walker methodist Health center and waseca medical center) have participated in the 48-hour training program. the program will also be provided to nurses at two department of veterans affairs hospitals in california as part of a scientific study.

Outreachthe penny George institute is dedicated to wellness, health promotion and the prevention of illness—issues that need to be addressed with urgency in the community and throughout the nation. Outreach and education are key components of the penny George institute’s work within abbott northwestern, allina Hospitals & clinics, the community and the health care system nationally.

as part of this commitment, the penny George institute regularly sponsors conferences and seminars for community members and professionals on a range of integrative health and health promotion topics, such as:

Transformative Nurse Training is an approved course for upper division credits at St. Mary’s University of Minnesota.

• CreatingPersonalResiliencethrough mind-Body skills and spiritual practices

• DiscoveringtheArtofHealing

• GrowingHealthyFamilies

• HarmonizingWorldMedicineinthe21st century: traditional chinese & western medicine

• IntegrativeHealthCareConference:transforming Health care practice.

the penny George institute has also formed new partnerships with corporations and employers to promote integrative health programs and services that focus on prevention, health and wellness.

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research

in randomized controlled trials, the iHrc uses psychological and biological measurement to understand how integrative therapies influenceclinicaloutcomes. iHrc research involves patients across abbott northwestern’s centers of excellence. with a large inpatient integrative service and documentation in an electronic medical record system, the penny George institute maintains the largest integrative medicine dataset of its kind in the country. using this dataset, the iHrc is unique in its ability to conduct observational studies assessing the best practices and effectiveness of integrative services in the “real world” setting of an acute care hospital. through rigorous research, the penny George institute is testing new models of care and is sharing this knowledge through training and publishing and by replicating its programs and services at other allina facilities and beyond.

Identifying Best Practices Through Research

Measuring exhaled levels of nitric oxide allows researchers to study the effects of integrative therapies on clinical outcomes. Nitric oxide is known to dilate blood vessels and reduce blood pressure.

Innovative research conducted by the Integrative Health Research Center (IHRC) establishes measurable patient outcomes and identifies best practices through data analysis and clinical trials.

the iHrc maintains a balance of basic science, randomized controlled trials and observational studies in support of allina’s research goals. Led by Jeffery dusek, phd, the iHrc collaborates with Harvard medical school teaching hospitals (massachusetts General Hospital) in using innovative gene expression to detect genomic mechanisms of how integrative therapies affect the body and mind.


Research Summary STUDY

BRAVENET SURVEy

To evaluate the demographics, quality of life and characteristics of individuals choosing to receive services at the Penny George Institute Outpatient Clinic.

This multi-center study includes about 4,000 people at eight integrative medicine centers comprising Bravenet, the Bravewell Collaborative’s practice-based clinical network.

BREAST CANCER SURVEy

To collect quality of life measures from 50 women choosing to receive services at the Piper Breast Center. The goal is to include these measures in the electronic medical record system so that physicians and nurses can track their patients’ changing quality of life as they go through treatment and follow-up.

In progress.

CONGESTIVE HEART FAILURE CROSS-SECTIONAL SURVEy

To assess the incidence of depression, anxiety and stress in heart failure outpatients treated at the Minneapolis Heart Institute®’s Outpatient Clinic.

The study uses three short self-report questionnaires, a brief structured qualitative interview, and a biologic panel of outcomes.

INTEGRATIVE MEDICINE EFFECTIVENESS

To assess the effectiveness of more than 60,000 integrative medicine visits in reducing pain and anxiety among patients hospitalized at Abbott Northwestern from July 2004 to December 2009. Services were provided across all areas of the hospital including medical/surgical services, neurology, Sister Kenny Rehabilitation Institute, orthopaedics, spine, WomenCare and the Minneapolis Heart Institute®.

Pain was reduced by 50 percent in more than six out of 10 patients and was eliminated in 30 percent of patients. Similar results have been shown for anxiety reduction. Further research is underway on the impact on pain medication use, quality of life, sleep quality and the hospital length of stay. The initial results were published in 2010.

GyNECOLOGy ONCOLOGy ALIMENTARy LENGTH OF STAy (GOALS)

To examine if an integrative medicine approach to care for women undergoing surgery for endometrial, ovarian or cervical cancer has an impact on the length of hospital stay compared to usual care.

The study will also evaluate physiologic outcomes (pain, nausea, time to first ambulation, time to discontinuation of bladder catheter, time to first void) during hospitalization and compare psychological symptoms (anxiety), quality of life and self-care knowledge before and after hospitalization.

PURPOSE/DESCRIPTION NOTES

RESILIENCE TRAINING FOR EMPLOyEE WELLNESS

To evaluate whether an eight-week resilience training intervention reduces depression symptoms and improves self-reported quality of life among Allina Hospitals & Clinics employees (see page 14).

Results indicate there are significant reductions in depression symptoms, perceived stress and anxiety, and improvement in presenteeism.

RESILIENCE TRAINING

To determine whether including specific biological samples should become a standard of care in the Penny George Institute’s Resiliency Training Program.

In progress.

SIMTAP: BRAVENET OUTCOMES STUDy

To assess the impact of an integrative medicine approach in treating chronic pain among 400 people treated at eight integrative medicine centers that comprise Bravenet, the Bravewell Collaborative’s practice-based clinical network.

In progress.

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Evaluating the Effectiveness of Resiliency Training

STUDY PURPOSE/DESCRIPTION NOTES

TRANSFORMATIVE NURSE TRAINING SURVEy

To survey nurses who have completed a 48-hour training program in evidence-based holistic nursing approaches that could be used for patient care.

More than 100 nurses are enrolled in the survey. Data are currently being analyzed.

WOMENCARE PILOT

To define the “dose” of treatment that delays delivery among women with pre-term labor and premature ruptured membranes.

As a result of this study, researchers hope to gain the ability to recommend standard integrative protocols to patients and their caregivers.

Research Summary Continued

in a controlled trial of 38 allina employees with moderate depression, researchers at the penny George institute evaluated the impact of resilience training on psychological endpoints. participants completed questionnaires assessing depression symptoms, quality of life and presenteeism scores at the start and end of the eight-week program. presenteeism is defined as lost productivity that occurs when employees report to work but perform below par due to any kind of illness or life stressor distraction.

FindingsDepression scores using the Patient Health Questionnaire-9 (PHQ-9)

• Averagedepressionscoresdropped71percentfrommorethan 12.3 to less than 3.6 in the resilience training (rt) group (n=19). in the wait list control group, scores dropped 10 percent from 14.1 to 11.8 (n=19). the difference between the groups was statistically significant (p<0.01).

• Importantly,morethan60percentoftheRTgroupachieved remission of their depression (defined as a pHQ-9 score of less than 5) without the addition of any medications. the control group experienced a 16 percent remission rate.

Quality of life scores using the SF-12 Health Survey: Mental Status Subscale

• Qualityoflifescoresimproved71percentinthert group from 28.6 to 49.1, relative to a 19 percent increase in the control group (29.5 to 35.1). the difference between the groups was statistically significant (p<0.01).

Presenteeism scores using the Workplace Productivity and Activity Impairment (WPAI) questionnaire

• Presenteeismdecreased63percentintheRTgroup(31.2 to 11.5), relative to a 25 percent increase in the control group (31.5 to 40.5).

• Thisreductioninpresenteeismwasstatisticallysignificant (p<0.01) and translates to a cost savings of more than $1,676 for each rt participant during the eight-week study. the return on investment is $1.86 for every dollar spent.

these results demonstrate the value of providing rt in workplace settings. Future efforts seek to expand rt to other centers and possibly to additional patient and nonpatient populations.

To test whether an eight-week stress management intervention reduces systolic blood pressure and pulse pressure without significant side effects and whether this occurs by increasing nitric oxide production and/or by reducing stress hormone levels (epinephrine and cortisol).

The study will enroll 80 older adults in a randomized, controlled trial. Primary outcome measures are systolic blood pressure and pulse pressure. Secondary outcome measures are blood levels of nitric oxide and stress hormones as well as psychological well-being. Funded by the National Center for Complementary and Alternative Medicine – National Institutes of Health.

SySTOLIC HyPERTENSION


Founding donors of the Penny George Institute include Penny and Bill George (left), and Dr. Roberta Mann

(right). A gift from Blythe Brenden (center), Dr. Mann’s daughter, established the award-winning LiveWell Fitness Center at the Penny George Institute.

Visionary Support for Health Care Innovation

the role of philanthropy

Through philanthropy, the Penny George Institute has created a national model for integrative health with its comprehensive programs and services delivered throughout Abbott Northwestern and Allina Hospitals & Clinics.

dedicated to innovation, the penny George institute is transforming health care while providing options for self-care, wellness and maximizing quality of life.

the penny George institute is supported by the financial generosity of the community. it came into existence in 2003 through the visionary support of the George Family Foundation and the ted and dr. roberta mann Foundation. in 2006, the penny George institute established its award-winning Livewell Fitness center with a gift from Blythe Brenden.

to learn more or to make a gift, call the abbott northwestern Hospital Foundation at 612-863-4126.

2009 GRANT FUNDING

Abbott Northwestern Hospital Foundation: $1.9 million

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A total of 60,783 inpatient visits with services were provided between July

2004 and December 2009.

Inpatient Visits, 2004-2009

15,000

12,000

9,000

6,000

3,000

020052004

(July-Dec)2006 2007 2008 2009*

Visi

ts w

ith S

ervi

ces

Prov

ided 11,460

8,707

3,413

11,644

13,19612,363

The Penny George Institute serves patients

across all Centers of Excellence at Abbott

Northwestern.

Types of Patients Receiving Inpatient Integrative Health Services, 2004-2009

WomenCare 14%3,031

Orthopaedic/ Spine 16%

3,446

Neuroscience/ Rehabilitation 19%

4,062

Cardiovascular 15%3,236

Medical/Surgical and Cancer 36%

7,893

Penny George Institute staff provided services

to 17,215 individuals between July 2004 and

December 2009.

Number of Individuals Receiving Inpatient Integrative Health Services, 2004-2009

5,000

4,000

3,000

2,000

1,000

020052004

(July-Dec)2006 2007 2008 2009*

Num

ber o

f Ind

ivid

uals 3,782

1,016

2,600

3,6753,850 4,024

volume, Quality and Outcomes measures

*In 2009, the Penny George Institute refined referral criteria to focus on the patient populations that can benefit most from integrative health services. The change resulted in a slight decrease in the number of visits.


Average Number of Integrative Health Visits per Hospital Stay, 2004-09

Average Length of Inpatient Integrative Health Visit, 2008-09

20052004(July-Dec)

2006 2007 2008 2009

Number of Outpatient Visits, 2004-2009

10,000

8,000

6,000

4,000

2,000

0

3.5

3.0

2.5

2.0

1.5

1.0

0.5

0

20052004(July-Dec)

2006 2007 2008 2009*

Visi

tsVi

sits

8,321

1,185

3,582

5,125

8,134

3.07 2.992.75 2.9

2.6 2.6

9,239

2008 2009

30

25

20

15

10

5

0

Min

utes

28.83 29.43

*In 2009, the Penny George Institute refined referral criteria to focus on the patient populations that can benefit most from integrative health services. The change resulted in a slight decrease in the number of visits.

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Inpatient Self-Reported Pain Scores by Type of Patient Served, 2008-2009

Inpatient Self-Reported Anxiety Scores by Type of Patient Served, 2008-09

Before Intervention

After Intervention

Cardiovascular (n=1,405)

Medical/Surgical (n=3,683)

Neuroscience/Rehabilitation (n=2,988)

Orthopaedic/Spine (n=1,453)

WomenCare (n=2,409)

0 2 4 6 8 10

Anxiety Intensity Numeric Rating Scale 0-10 (10 = worst)

Before Intervention

After Intervention

0 2 4 6 8 10

Pain Intensity Numeric Rating Scale 0-10 (10 = worst)

p=<.01January 2008-December 2009

p=<.01January 2008-December 2009

Cardiovascular (n=1,540)

Medical/Surgical (n=4,050)

Neuroscience/Rehabilitation (n=3,506)

Orthopaedic/Spine (n=1,671)

WomenCare (n=2,529)

3.571.53

3.541.44

2.050.74

3.581.25

3.211.09

57% Decrease

59% Decrease

64% Decrease

65% Decrease

66% Decrease

3.1452% Decrease

51% Decrease

53% Decrease

53% Decrease

67% Decrease

1.52

3.67

1.79

3.04

1.43

5.152.41

2.920.97

volume, Quality and Outcomes measures

Read more about the Penny George Institute’s pain management study:Dusek JA, Finch M, Plotnikoff GA, Knutson L. The impact of integrative medicine on pain management in a tertiary care hospital. J Pat Safety. 2010;6(1):48-51.

ProductivityandWorkflow:Inpatient Integrative Health Practitioners


Clinical Research 2%

Activities Included in Direct Care(72% of Inpatient Practitioner Time)

Time Spent in Direct Care vs. Indirect Care

Activities Included in Indirect Care(28% of Inpatient Practitioner Time)

Staff and Visitor Treatment28%

Community Program Development31%

Health Research7%

Outreach34%

Direct Care72%

Indirect Care28%

Rounding 11%

Bedside Treatment for CaregiverStaff and Patient Visitors 8%

Clinical Program Development 9%

Patient Education 8%

Mentoring/Supervision 1%

With a large patient base and integrative services documented directly into each patient’s electronic medical record, the Penny George Institute has the largest integrative medicine data set of its kind in the country.

Inpatient Treatments61%

20 O U T c O m E S R E P O RT 2 0 1 0

publications and presentations, 2007-2009


PublicationsEvans KC, Dougherty DD, Schmid AM, Scannell E, McCallister A, Benson H, Dusek JA, Lazar SW. Modulation of spontaneous breathing via limbic/paralimbic-bulbar circuitry: An event related fMRI study. Neuroimage. 2009;Sep;47(3):961-71. Epub 2009 May 18.

Casey A, Chang BH, Huddleston J, Virani N, Benson H, Dusek JA. A model for integrating a mind/body approach to cardiac rehabilitation: outcomes and correlators. J Cardiopulm Rehabil Prev. 2009;July/August;29(4):230-238.

Dusek JA, Benson H. Mind-body medicine: A model of the comparative clinical impact of the acute stress and relaxation responses. Minn Med. 2009;92:47-50.

Ospina M, Bond K, Karkaneh M, Buscemi N, Dryden DM, Barnes V, Carlson LE, Dusek JA, Shannahoff-Khalsa D. Clinical trials of meditation practices in healthcare: Characteristics and quality. J Altern Complement Med. 2008;14:1199-213.

Dusek JA, Otu HH, Wohlhueter AL, Bhasin M, Zerbini LF, Joseph MG, Benson H, Libermann TA. Genomic counter-stress changes induced by the relaxation response. PLoSOne 2008;3:e2576.

Dusek JA, Hibberd PL, Buczynski B, Chang BH, Dusek KC, Johnston JM, Wohlhueter AL, Benson H, Zusman RM. Stress management versus lifestyle modification on systolic hypertension and medication elimination: A randomized trial. J Altern Complement Med. 2008;14:129-138.

Carei TR, Fyfe-Johnson AL, Breuner CC, Marshall M. Randomized controlled clinical trial of yoga in the treatment of eating disorders. J Adolesc Health. April 2010 (in press).

Fyfe-Johnson AL. The Year in Health 2009: Yoga. Time Magazine Web site. www.time.com/time/specials/packages/article/0,28804,1942543_1942487_1942498,00.html. Accessed December 30, 2009.

King J. A rose is a rose: A story of spirit in acute care. Beginnings: A Publication of the American Holistic Nurses Association, Winter 2008;26.

Rakel D, Bolles S, Knutson L, Herman P, Hiza D, Weeks J. Medical homes: Defining cost-effective health care teams. Alternative and Complementary Therapies Journal. 2009;15(1):248-250.

Knutson L. Exploring integrative medicine: The story of a large urban tertiary care hospital. In: Dossey BM, Keegan L. eds. Holistic Nursing: A Handbook for Practice. 5th ed. Sudbury, MA: Jones and Bartlett; 2009.

Knutson L. Exploring integrative medicine and the healing environment. In: Dossey BM, Keegan L. eds. Holistic Nursing: A Handbook for Practice. 4th ed. Sudbury, MA: Jones and Bartlett; 2007.

Plotnikoff GA. Herbal medicines. In: Snyder M, ed. Complementary/Alternative Therapies in Nursing. 6th Edition. New York, NY: Springer Publishing; 2009.

Plotnikoff GA. What are our priorities for prevention? Minneapolis Star-Tribune, Nov. 11, 2008.

Plotnikoff GA, Weisberg MB. Why emphasize pills more than skills? BMJ. 2009;338:a3148.

Gepshtein Y, Plotnikoff GA, Watanabe K. Kampo in women’s health: Japan’s traditional approach to premenstrual symptoms. The Journal of Alternative and Complementary Medicine. 2008;14(4):427-35.

Plotnikoff GA, Culbert T, Kemper KJ. Integrative pediatric medicine. In: Hoekelman RA, ed. Primary Pediatric Care. Elk Grove Village, IL: American Academy of Pediatrics; 2008:455-466.

Plotnikoff GA, Watanabe K, Yashiro F. Kampo: From old wisdom comes new knowledge. HerbalGram. 2008;78:46-56.

Plotnikoff GA, Watanabe K, Yashiro F. Interview with Masaki Kitajima, MD: World famous surgeon and prescriber of Kampo. HerbalGram. 2008;78:57.

Plotnikoff GA. Fatty acid and vitamin D status in the EPIC trials of Crohn’s disease treatment. JAMA. 2008;300(6):650.

Plotnikoff GA. Misleading 25-hydroxyvitamin D laboratory reference ranges. BMJ. Epub June 17, 2008.

Plotnikoff GA. Nutritional interventions and the possibility of type II errors. BMJ. Epub March 16, 2008.

Watanabe K, Nishimura K, Plotnikoff GA, Ishige A, Aiso S, Kitajima M, Amano T. Education about Kampo medicine at Keio University Medical School. Medical Education. 2008;39:125-9. (Japanese).

Plotnikoff GA. Kampo clinical research in the United States: Challenges and lessons. Kampo Medicine. 2007;58(4):636-39. (Japanese)

Plotnikoff GA, Amano T. A culturally appropriate, student-centered curriculum on medical professionalism: Successful innovations at Keio University in Tokyo, Japan. Minnesota Medicine. 2007;90(8):42-3.

Reaney JB, Plotnikoff GA. Culture and spirituality in integrative pediatrics. In: Culbert TP, Olness K, eds. Integrative Pediatrics, New York: Oxford University Press; 2010.

Smith DA. Chapter contributor: Ezra S., Reed T. An idea whose time has come. In: Maxwell J, ed. Guided Imagery and Beyond: Stories of Healing and Transformation. Denver, CO: Outskirts Press; 2008.

PresentationsArnold S, Kerber K, King J, Kinney M, Knutson L, Lindell M, Smith D. Holistic nursing and mentorship: Transforming clinical practice. Presented at: American Holistic Nurses Association Annual Conference; June 7-10, 2007; Lake Tahoe, CA.

Blair J. Dietary therapy according to the principles of Chinese medicine. Presented at: University of Minnesota; November 2009; Minneapolis, MN.

Blair J. Dietary therapy according to the principles of Chinese medicine. Presented at: Dieticians Association; March 2009; Roseville, MN.

Blair J. Acupuncture in the acute care setting. Presented at: Northwestern Health Sciences University, Minnesota College of Acupuncture and Oriental Medicine; Bloomington, MN

Donley KS. The healing energy of music. Presented at: The Pancreatic Cancer Symposium; Sept.12, 2009; Minneapolis MN .

Donley KS. The healing energy of music. Presented at: Health Partners Wellness Study; March and May 2009; Bloomington, MN.

Donley KS. Clinical uses of the reverie harp in music therapy. Presented at: The Great Lakes Region Music Therapy Conference; March 2009; Bloomington, MN.

Donley KS. Integrating music therapy into the medical environment. Presented at: The Pre-Conference Institute, Great Lakes Region Music Therapy Conference; March 4, 2009; Bloomington, MN.

Donley KS. The healing energy of music. Presented at: Health Partners Wellness Study; June and September 2008; Bloomington, MN.

22 O U T c O m E S R E P O RT 2 0 1 0

Donley KS. Clinical uses of the reverie harp in music therapy. Presented at: The Great Lakes Region Music Therapy Conference; April 2008; Naperville, IL.

Donley KS. The healing energy of music. Presented at: Hutchinson Integrative Therapies Conference; October 2007; Hutchinson, MN

Dusek JA. Integrative medicine for oncology patients at Abbott Northwestern Hospital. Presented at: International Meeting, Society for Integrative Oncology; November 2009; New York, NY.

Dusek JA. Integrative medicine for oncology patients at Abbott Northwestern Hospital. Presented at: National Meeting, Avera Cancer Institute; October 2009; Sioux Falls, SD.

Dusek JA, Knutson L, Plotnikoff GA. From bench to bedside to boardroom: Successful implementation of integrative medicine in a large hospital and healthcare system. Presented at: International Meeting, North American Research Conference on Complementary and Integrative Medicine; May 2009; Minneapolis, MN.

Dusek JA, Knutson L, Plotnikoff GA. Integrative medicine at Abbott Northwestern Hospital: The first 43,726 integrative medicine inpatient visits. Presented at: International Meeting, North American Research Conference on Complementary and Integrative Medicine; May 2009; Minneapolis, MN.

Dusek JA. The relaxation response – 35 years of research and practice: An Invited Symposium. Presented at: International Meeting, Society for Behavioral Medicine; April 2009; Montreal, CA.

Dusek JA. The integrative medicine experience at Abbott Northwestern Hospital. Presented at: American Heart Association International Meeting; November 2008; New Orleans, LA.

Dusek JA. Meditation and yoga-based interventions in behavioral medicine: An introduction to conceptual, research and practice issues. Presented at: Society for Behavioral Medicine; April 2008; San Diego, CA.

Ericson G. Exercise is medicine, “Are you healthier than a 5th grader?” Presented at: Nurses Cardiovascular Conference; September 2009; Edina, MN.

King J, Kinney M. Co-creative mentoring: a new era of nurse relationships. Presented at: American Holistic Nurses Association Annual Conference; June 2008; Mount Washington, NH.

King J. Compassionate, intentional touch: An integral acute care intervention; Holistic therapies: Discovering health and harmony. Presented at: University of Minnesota Continuing Education; Feb. 15, 2008; Minneapolis, MN.

King J. Compassionate intentional touch: An integral part of acute care. Presented at: Integrative Health and Healing Expo; Oct. 27, 2007; Hutchinson, MN.

King J. Compassionate, intentional touch: An integral part of nursing practice. Poster presented at: American Holistic Nurses Association 27th Annual Conference; June 7-10, 2007; Lake Tahoe, CA.

Knutson L. Integrative medicine at the bedside: The Allina health care model. Presented at: Integrative and Holistic Nursing Conference – Scripps Center for Integrative Medicine; May 2009; San Diego, CA.

Knutson L. Integrating music therapy in the medical environment (panel presentation). Presented at: Great Lakes Music Therapy Conference; March 2009; Bloomington, MN.

Knutson L. Restoring harmony: Holistic nursing principles for self-care. Presented at: Cardiovascular Nursing Conference; September 2008; Minneapolis, MN.

Knutson L. Investing in your health: Creating your personal health portfolio. Presented at: Minnesota Women’s Economic Roundtable; September 2008; Minneapolis, MN.

Knutson L. Lifestyles and stress. Presented at: Women’s Health Seminar M & I Bank; April 2008; Minneapolis, MN.

Knutson L, Arnold S. Holism: The essence of nursing from the inside out. Presented at: Metropolitan State University Nursing Student Assembly; April 2007; St. Paul, MN.

Knutson L, Arnold S, Kerber K, Kinney ME, King J, Lindell M, Smith D. Transformative nurse training: Holistic nursing education and mentorship. Presented at AHNA Annual Conference; June 2007; Tahoe City, CA.

Knutson L. Creating healing environments in hospitals. Presented at: American Hospital Association Health Forum: Integrative Medicine for Health Care Organizations; February 2007; San Diego, CA.

Lindell M. Oncology nursing: The integrative approach. Presented at: Dimensions in Oncology; Oct. 29-30 and May 7-8, 2009; Minneapolis, MN.

Lindell M. Oncology nursing: The integrative approach. Presented at: Dimensions in Oncology; May 15-16 and Oct. 2-3, 2008; Minneapolis, MN.

Lindell M. Oncology nursing: The integrative approach. Presented at: Dimensions in Oncology; March 1-2 and Nov. 28-29, 2007; Minneapolis, MN.

Masemer S, Pereira R. Creating a multi-disciplinary approach for patient success. Presented at: 2008 Regional Medical Fitness Association Meeting, Courage Center; April 5, 2008; Minneapolis, MN.

Masemer S. Resilience training: an integrative approach to the recovery and prevention of depression. Presented at: Integrative Mental Health Conference; May 11, 2009; Minneapolis, MN.

Plotnikoff GA. Vitamin D and optimal health. Presented at: The Marsh; Aug. 13, 2009; Minnetonka, MN.

Plotnikoff GA. 2009 Update on the Vitamin D controversies. Presented at: St. Paul Public Health Department; June 29, 2009; St. Paul, MN.

Plotnikoff GA. Integrative medicine in the United States: 2009 update. Presented at: Japanese Society for Oriental Medicine 60th Annual Meeting; June 19, 2009; Tokyo, Japan.

Plotnikoff GA. 2009 Update on medicinal mushrooms. Presented at: Nutrition and Health: State of the Health and Clinical Applications; May 12, 2009; Chicago, IL.

Plotnikoff GA. Vitamin D deficiency: Impact on dentition and orofacial pain. Presented at: University of Minnesota Dental School; May 5, 2009; Minneapolis, MN.

Plotnikoff GA. Pediatric care and hypovitaminosis D. Presented at: Hennepin Country Medical Center Pediatric Grand Rounds; April 16, 2009; Minneapolis, MN.


Plotnikoff GA. Medical professionalism and the white coat: Lessons for today. Presented at: Keio University School of Medicine Hakui Shiki; March 28, 2009; Tokyo, Japan.

Plotnikoff GA. Western bioethics in eastern cultures? A linguistic analysis of the challenges. Presented at: Keio University School of Medicine Grand Rounds; March 27, 2009; Tokyo, Japan.

Plotnikoff GA. Music and medicine: A new perspective. Presented at: American Music Therapy Association Great Lakes Conference; March 4, 2009; Bloomington, MN.

Plotnikoff GA. Integrative nutrition and inflammatory bowel disease. Presented at: Crohn’s and Colitis Disease Association of Minnesota; Feb. 19, 2009; Minneapolis, MN.

Plotnikoff GA. Integrating medicine, agriculture and the environment: A focus on food systems. Presented at: LifeScience Alley 7th Annual Conference and Expo; Dec. 10, 2008, Minneapolis, MN.

Plotnikoff GA. Frontline integrative medicine in neurology. Presented at: Frontline Neurology Conference; Oct. 3, 2008; Minneapolis, MN.

Plotnikoff GA. Vitamin D deficiency: A new modifiable risk factor for cardiovascular disease? Presented at: Cooper Institute; Sept. 30, 2008; Dallas, TX.

Plotnikoff GA. Kokoro: New insights on spirituality. Presented at: Whole Hearted Health Care; Sept. 12, 2008; Minneapolis, MN.

Plotnikoff GA. Interventional nutrition: The American experience. Presented at: Monterrey Tecnologica Medical School; April 15, 2008; Monterrey, Mexico.

Plotnikoff GA. Eastern perspectives for western innovations: Three insights from Japan. Presented at: LifeScience Alley; March 10, 2008; Minneapolis, MN.

Plotnikoff GA. Neither common nor sense: Western bioethics in Japan. Presented at: University of Minnesota Center for Bioethics Faculty Seminar; March 7, 2008; Minneapolis, MN.

Smith DA. Holistic nursing and mentorship: transforming clinical care. Presented at: American Holistic Nurses’ Association Annual Conference; June 2007; Tahoe City, CA.

Weiss-Farnan P. Acupuncture and traditional Chinese medicine. Presented at: Twin Cities Orthopedic Nurses Association; October 2008; Minneapolis, MN.

Weiss-Farnan P. Exploring healing choices: 21st century medicine. Presented at: Blue Cross Blue Shield of Minnesota; May 2008; Minneapolis, MN.

Weiss-Farnan P. Integrative therapies for respiratory concerns. Presented at: Minnesota Association of Cardiovascular and Pulmonary Rehabilitation; May 6, 2008; Minneapolis, MN.

Weiss-Farnan P. Traditional Chinese medicine assessment. Presented at: Harmonizing World Medicine; October 2007; Minneapolis, MN.

24 O U T c O m E S R E P O RT 2 0 1 0

LeadershipLori Knutson, rn, Bsn, HnB-Bcexecutive director

Jeffery a. dusek, phdresearch director

susan masemer, msexercise physiologist, manager

scott nyquistbusiness systems and operations manager

patricia vitale, Licswpatient care manager

About Our StaffThe staff of the Penny George Institute includes integrative health professionals with extensive experience and the highest credentials in healing therapies. Our practitioners bring a balance of conventional and complementary experience and are certified or licensed in the therapies they provide.

staff Listing


Inpatient susan arnold, rn, Ba, cHtpintegrative health nurse clinician

tony Balluff, arcBcertified reflexologist

Jennifer Blair, Lac, maOmlicensed acupuncturist

Jan Boettcher, rn, nctmBmassage therapist

mary corlettexecutive administrative assistant

Kimberly donley, mt-Bc, msboard-certified music therapist

wendy Farrar, Ba, nctmBmassage therapist

vicky Grossman, Bs, nctmBmassage therapist

christian m. Hanson, Lac, maOm, dipl aclicensed acupuncturist

Barbara Hopperstad, madata systems

Kathryn Kerber, rn, msn, ma, cHtp,aHn-Bcintegrative health nurse clinician

Jayson King, rn, Bs, nctmB, HnB-Bcintegrative health nurse clinician

mary ellen Kinney, rn, Ba, Hn-Bc, cpcaintegrative health nurse clinician

Zena Kocher, Lac, maOmlicensed acupuncturist

mimi Lindell, rn, man, Bsn, Ocn, HnB-Bc, cHtpintegrative health nurse clinician

cynthia miller, rn, Lac, mtOmlicensed acupuncturist

Jeremy e. miller, Lmt, wv, nctmB, Bsmassage therapist

mollie O’Brien, ma, nctmBmassage therapist

pauli payne, Ba, nctmBmassage therapist

Judy riggs, Lmtmassage therapist

debbie smith, rn, Bsn, ma, HnB-Bc, cHtpintegrative health nurse clinician

Bobbee Bee vang, Lac, maOmlicensed acupuncturist

pam weiss, phd, mpH, Bsn, rn, dipl ac, Laclicensed acupuncturist

Outpatient ClinicJennifer Blair, Lac, maOmlicensed acupuncturist

mary Boldtadministrative assistant

Gary carlson, md, daBFm, daBmaintegrative medicine physician

nancy cox, rnhealing coach, integrative health nurse clinician

douglas dandurand, phd, mdiv, maspiritual coach

Kate darkstar, nctmBmassage therapist

26 O U T c O m E S R E P O RT 2 0 1 0

Pre-Hospital Programmolly ellefson, ms, nccmind-body coach

Barbara Hopperstad, mamind-body coach

LiveWell Fitness Centersusan masemer, msexercise physiologist, manager

rick Bjorkereceptionist

patty declercq, Bsexercise physiologist

molly ellefson, ms, nccmind/body coach

Gail ericson, ms, ptphysical therapist

Jennifer Halvorson, rd, Ldcoordinator

Jeannie paris, rd, Lddietitian

ResearchJeffery a. dusek, phdresearch director

shaina Bironclinical research technician

amber Fyfe-Johnson, ndresearch scientist

marcia meredith, rn, cnpresearch nurse practitioner

Gregory a. plotnikoff, md, mts, Facpintegrative medicine physician

desiree tresbach, maresearch coordinator

robert decker, rph, Laclicensed acupuncturist

carolyn denton, ma, Lnnutritionist

Henry emmons, mdintegrative psychiatrist

melanie ewaldadministrative assistant

John Falls, Lac, maOmlicensed acupuncturist

cindy Fredricksonadministrative assistant

megan Hatch, cYt, erYtprogram coordinator, yoga therapist

marcia meredith rn, cnpcertified Ayurvedic practitioner

peggy miller, Lac, maOmlicensed acupuncturist

cary marie pizzo-O’connelladministrative assistant

Gregory a. plotnikoff, md, mts, Facpintegrative medicine physician

mark L. roa, ma, Lplicensed psychologist and certifiedbiofeedback therapist

ann stocker, nctmB, Bsmassage therapist

Bobbee Bee vang, Lac, maOmlicensed acupuncturist

PENNY GEORGE INSTITUTE cONTAcT

INFORmATION

INPATIENT SERvICES AND GENERAL INFORMATION

612-863-6122

OUTPATIENT CLINIC612-863-3333

LIvEWELL FITNESS CENTER612-863-5178

INTEGRATIvE HEALTH RESEARCH CENTER

612-863-9862

LOcATIONAbbott Northwestern Hospital

800 E. 28th St.Minneapolis, MN 55407


About Abbott Northwestern

Abbott Northwestern Hospital is the largest not-for-profit hospital in the Twin cities area, with 633 available beds and 65 bassinets. Each year, the hospital provides comprehensive health care for more than 200,000 patients and their families from the Twin cities area and throughout the Upper midwest. more than 5,000 employees, 1,600 physicians and 550 volunteers work as a team for the benefit of each patient served.

Abbott Northwestern Hospital is a part of Allina Hospitals & clinics, a family of hospitals, clinics and care services in minnesota and Western Wisconsin.

For more than 125 years, Abbott Northwestern has had a reputation for quality services. The hospital is well known for its centers of excellence:

• cardiovascularservicesinpartnership with the minneapolis Heart Institute®

• MentalHealthServices

• medical/surgicalservices

• NeuroscienceInstitute

• OrthopaedicInstitute

• physicalrehabilitationthroughthe Sister Kenny Rehabilitation Institute

• SpineInstitute

• VirginiaPiperCancerInstitute™

• perinatology,obstetricsandgynecologythrough Womencare.

Abbott Northwestern and its medical Staff are dedicated to providing outstanding care and service to patients and their families. We’re proud of what we offer the community: exceptional physicians, nurses and support staff; a commitment to research, education and outcomes; a foundation of clinical partnerships that span the region; and a cultural enthusiasm for growth and improvement. Brought together in one institution, these factors create an energetic and sophisticated environment that inspires caregivers to collaborate in new ways for the benefit of patients.

Our passion for finding new and better approaches to care drives extensive research efforts in clinical areas across the hospital. This ensures that new treatment advances benefit patients as quickly as possible, supports a dynamic environment for medical and nursing education, and is the catalyst for our outcomes measurement program.

Abbott Northwestern and its Medical Staff are dedicated to providing outstanding care and service to patients and their families.

28 O U T c O m E S R E P O RT 2 0 1 0

24/7 Physician-to-Physician® LinE

MinnEaPoLis hEart institutE® at abbott northwEstErn

1-800-828-8900 Hospital admissions

Hospitalist service

Specialist appointments

Specialist/subspecialistconsultations

Van service to Abbott Northwestern and affiliated physician clinics

EMErgEncy DEPartMEnt-to-EMErgEncy DEPartMEnt (ED to ED)

FinD a ProviDEr onLinE

Search online for a physician at allina.com/doctors (choose Abbott Northwestern Hospital in the Hospital Affiliations field)

1-800-863-4233 ED to ED transfers

ED-facilitated direct transfer admissions

ED physicians triage and consultation

Urgent stroke neurologist telephone consultation

612-863-39001-800-582-5175

Refer a patient to the minneapolis Heart Institute®

make an appointment for a patient at the minneapolis Heart Institute®

accessing abbott northwestern Hospital


In Appreciation

Our sincere thanks go to the Abbott Northwestern Hospital Foundation

for its support of Abbott Northwestern’s Outcomes Institute and the

production of this Overview and Outcomes Report. The commitment of

the Foundation and Abbott Northwestern’s generous donors to improving

patient care through these efforts is greatly appreciated.

Allina, the Allina logo, Sister Kenny and Virginia Piper Cancer Institute are registered trademarks and Penny George is a trademark of Allina Health System.

Penny George Institute for Health and Healing800 East 28th Streetminneapolis, mN 55407-3799

abbottnorthwestern.com

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Penny George Institute for Health and Healing Outcomes Report

Health & Medicine