Billings, MT, United States
Billings, MT, United States

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LOUISVILLE, Ky. & BILLINGS, Mont.--(BUSINESS WIRE)--Kindred Healthcare, Inc. (“Kindred”) (NYSE:KND), Billings Clinic and St. Vincent Healthcare today announced the signing of a definitive agreement to create a partnership to construct and operate a 34-bed inpatient rehabilitation hospital in Billings, Montana. The new inpatient rehabilitation hospital, The Rehabilitation Hospital of Montana, will offer all private rooms and treat patients who are recovering from conditions such as stroke, traumatic brain injury and spinal cord injury. The hospital will meet the growing clinical needs of Billings, the state and region. Kindred will manage the day-to-day operations of the hospital, which is expected to employ more than 100 caregivers and staff. Subject to several regulatory and other approvals, the partners expect the inpatient rehabilitation hospital to open by the first quarter of 2019. Kindred and St. Vincent Healthcare have an existing relationship as Kindred manages New Hope, the inpatient rehabilitation unit at St. Vincent Healthcare. Kindred and St. Vincent Healthcare plan to transfer the operations of this unit to the new rehabilitation hospital once it is open. “We are pleased to work with the two premier healthcare providers in Billings to offer this high-quality post-acute care resource for the benefit of the community,” said Jason Zachariah, President of Kindred Rehabilitation Services, a division of Kindred. “St. Vincent Healthcare has been a great partner and we look forward to working with Billings Clinic on this quality-focused collaboration.” “This collaboration will provide our community and the region greater access to new, high-quality rehabilitation services close to home,” said Randall Gibb, M.D., Billings Clinic Interim Chief Executive Officer. “We are bringing together the resources and knowledge of two of the strongest healthcare organizations in the region with Kindred’s nationally-recognized expertise in post-acute care to build and operate this facility, the first of its kind in Montana. This will strengthen the system of providing rehabilitation services already integrated within our organizations and we know this new partnership will benefit people across the region.” “We are pleased to be part of this unique collaboration to continue to provide specialized inpatient rehabilitation services to patients across Montana,” said Steve Loveless, St. Vincent Healthcare and SCL Health Montana President. St. Vincent Healthcare is part of SCL Health, based out of Denver, Colorado. “All three organizations have worked together to ensure patients will receive high-quality services and team-based care so they are able to return to the life they want to live.” Kindred Healthcare, Inc., a top-90 private employer in the United States, is a FORTUNE 500 healthcare services company based in Louisville, Kentucky with annual revenues of approximately $7.2 billion(1). At March 31, 2017, Kindred through its subsidiaries had approximately 100,100 employees providing healthcare services in 2,624 locations in 46 states, including 82 long-term acute care hospitals, 19 inpatient rehabilitation hospitals, 91 nursing centers, 19 sub-acute units, 619 Kindred at Home home health, hospice and non-medical home care sites of service, 101 inpatient rehabilitation units (hospital-based) and contract rehabilitation service businesses which served 1,693 non-affiliated sites of service. Ranked as one of Fortune magazine’s Most Admired Healthcare Companies for eight years, Kindred’s mission is to promote healing, provide hope, preserve dignity and produce value for each patient, resident, family member, customer, employee and shareholder we serve. For more information, go to www.kindredhealthcare.com. You can also follow us on Twitter and Facebook. Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, Billings Clinic is governed by a board of community members, nurses and physicians. At its core, Billings Clinic is a physician-led, integrated multispecialty group practice with a 304-bed hospital and Level II trauma center. Billings Clinic has more than 4,200 employees, including more than 450 physicians and advanced practitioners offering more than 50 specialties. More information can be found at www.billingsclinic.com. St. Vincent Healthcare in Billings, Montana was founded in 1898 and is one of the largest tertiary care hospitals in Montana. With 286 licensed and 201 staffed beds, St. Vincent Healthcare provides inpatient, outpatient and diagnostic services to over 400,000 patients throughout eastern and south central Montana, as well as northern Wyoming. St. Vincent Healthcare’s comprehensive, quality-driven and innovative services include: cardiology, orthopedics, oncology, neurosciences, general surgery and primary care. St. Vincent Children’s Healthcare is the state’s only medical center providing a complete spectrum of care for mothers and babies, including the Pediatric Intensive Care Unit, newly renovated Labor and Delivery area and Level III-B Neonatal Intensive Care Unit. St. Vincent Healthcare supports 31 outpatient clinics, a Hybrid Operating suite, CyberKnife Radiosurgery System, da Vinci Surgical System and operates its HELP Flight program (fixed-wing and helicopter) with over 800 flights per year. The hospital employs approximately 2,100 staff and has nearly 500 members on its medical staff. To learn more, visit www.svh.org.


Guyse L.A.,St Vincent Healthcare | McHugh B.R.,St Vincent Healthcare | Meszaros J.F.,St Vincent Healthcare
Diabetes Spectrum | Year: 2011

This study evaluated weight loss and cardiometabolic risk reduction achieved through an adapted Diabetes Prevention Program lifestyle intervention among adults at high risk for cardiovascular disease (CVD) and diabetes. A 16-session lifestyle intervention was delivered through a partnership between a diabetes self-management education (DSME) program and the Young Men's Christian Association (YMCA). Overweight adults with ≥ 1 additional risk factors for CVD or diabetes were enrolled (n = 265). Lifestyle coaches from the DSME program coordinated intervention delivery and taught the curriculum. YMCA staff delivered the physical activity component of the intervention. Two-hundred and nineteen participants (83%) completed the program. Seventy-five percent of participants achieved the physical activity goal (≥ 150 minutes/week), 34% achieved the 7% weight loss goal, and 60% achieved weight loss ≥ 5%. There were significant improvements in cardiometabolic risk factors among participants completing the intervention. Our findings suggest that an adapted lifestyle intervention can be successfully implemented through collaboration between a DSME program and a YMCA. Implementation of effective prevention programs in multiple settings throughout the United States will be needed to ensure that the large subpopulation of adults at high risk for CVD and diabetes have access to this prevention service.


Morgan C.E.,Northwestern University | Lee C.J.,Medical College of Wisconsin | Chin J.A.,Yale University | Eskandari M.K.,Northwestern University | And 5 more authors.
Vascular and Endovascular Surgery | Year: 2014

Objectives: To determine anatomic and plaque-related risk factors for patients undergoing carotid artery stenting. Methods: A retrospective review of patients from a prospectively maintained database undergoing carotid artery stenting at our institution between 2001 and 2010 was performed. Preoperative imaging studies (ie, ultrasound, computed tomography angiography, magnetic resonance angiography, and angiograms) were reviewed for specific anatomic criteria and plaque characteristics. Primary outcomes included 30-day stroke or transient ischemic attack (TIA). Secondary outcomes included 30-day death and myocardial infarction (MI). Statistical significance was assumed for P = .05. Results: Imaging was reviewed for 381 carotid arteries in 375 patients. There were 14 (3.7%) perioperative neurologic events, which included 8 TIA and 6 strokes. Thirty-day mortality and MI were 0.5% and 0.75%, respectively. Degree of internal carotid artery stenosis was associated with primary outcomes (P = .03), and the presence of arch calcification trended toward an increase in primary outcomes (P = .07). However, arch type, ostial involvement, tandem lesions, and plaque calcification did not correlate with primary outcomes. Differences were noted between the sexes, with females having more common carotid artery tortuosity than males (34% vs 27%, P = .04). Females also had a trend toward more plaque calcification and more severe arch calcification than males. These differences did not translate to differences in perioperative neurologic events. Conclusion: Our data suggest that degree of internal carotid artery stenosis and aortic arch calcification may be associated with increased perioperative neurologic risk during carotid stenting, but arch type is not. © 2014 The Author(s).


PubMed | Medical College of Wisconsin, St Vincent Healthcare, Yale University and Northwestern University
Type: Comparative Study | Journal: Vascular and endovascular surgery | Year: 2015

To determine anatomic and plaque-related risk factors for patients undergoing carotid artery stenting.A retrospective review of patients from a prospectively maintained database undergoing carotid artery stenting at our institution between 2001 and 2010 was performed. Preoperative imaging studies (ie, ultrasound, computed tomography angiography, magnetic resonance angiography, and angiograms) were reviewed for specific anatomic criteria and plaque characteristics. Primary outcomes included 30-day stroke or transient ischemic attack (TIA). Secondary outcomes included 30-day death and myocardial infarction (MI). Statistical significance was assumed for P = .05.Imaging was reviewed for 381 carotid arteries in 375 patients. There were 14 (3.7%) perioperative neurologic events, which included 8 TIA and 6 strokes. Thirty-day mortality and MI were 0.5% and 0.75%, respectively. Degree of internal carotid artery stenosis was associated with primary outcomes (P = .03), and the presence of arch calcification trended toward an increase in primary outcomes (P = .07). However, arch type, ostial involvement, tandem lesions, and plaque calcification did not correlate with primary outcomes. Differences were noted between the sexes, with females having more common carotid artery tortuosity than males (34% vs 27%, P = .04). Females also had a trend toward more plaque calcification and more severe arch calcification than males. These differences did not translate to differences in perioperative neurologic events.Our data suggest that degree of internal carotid artery stenosis and aortic arch calcification may be associated with increased perioperative neurologic risk during carotid stenting, but arch type is not.


Radabaugh C.L.,American Academy of Pediatrics | Ross H.S.R.,American Academy of Pediatrics | Riley C.L.,Yale University | Stockwell J.A.,Emory University | And 6 more authors.
Pediatric Critical Care Medicine | Year: 2015

Objective: To obtain current data on practice patterns of the U.S. pediatric critical care medicine workforce. Data Sources: Membership of the American Academy of Pediatrics Section on Critical Care and individuals certified by the American Board of Pediatrics in pediatric critical care medicine. Study Selection: All active members of the American Academy of Pediatrics Section on Critical Care, and nonduplicative individuals certified by the American Board of Pediatrics in pediatric critical care medicine, were classified as eligible to participate in this electronically administered workforce survey. Data Extraction: Data were extracted by a doctorate-level research professional. Extracted data included demographic information, work environment, number of hours worked, training, clinical responsibilities, work satisfaction and burnout, and plans to leave the practice of pediatric critical care medicine. Data Synthesis: Of 1,857 individuals contacted, 923 completed the survey (49.7%). The majority of respondents were white, male, non-Hispanic, university-employed, and taught residents. Respondents who worked full time were on clinical intensive care service for a median of 15 wk/yr and responsible for a median of 13 ICU beds, working a median of 60 hr/wk. Total night call responsibility was a median of 60 nights/yr; about half of respondents indicated night call was in-hospital. Fewer than half were engaged in basic science or clinical research. Compared with earlier data, there was minimal change in work hours and proportion of time devoted to research, but there was an increase in the proportion of female pediatric critical care medicine physicians. Conclusions: These data provide a description of the typical intensivist and a snapshot of the current pediatric critical care medicine workforce, which may be experiencing a mild-To-moderate undersupply. The results are useful for assessing the current workforce and valuable for future planning. Copyright © 2015 by the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.


Glassing A.,Montana State University Billings | Dowd S.E.,Molecular Research Laboratory Mr Dna | Galandiuk S.,University of Louisville | Davis B.,Texas Tech University Health Sciences Center | And 2 more authors.
Gut Pathogens | Year: 2016

Background: The advent and use of highly sensitive molecular biology techniques to explore the microbiota and microbiome in environmental and tissue samples have detected the presence of contaminating microbial DNA within reagents. These microbial DNA contaminants may distort taxonomic distributions and relative frequencies in microbial datasets, as well as contribute to erroneous interpretations and identifications. Results: We herein report on the occurrence of bacterial DNA contamination within commonly used DNA extraction kits and PCR reagents and the effect of these contaminates on data interpretation. When compared to previous reports, we identified an additional 88 bacterial genera as potential contaminants of molecular biology grade reagents, bringing the total number of known contaminating microbes to 181 genera. Many of the contaminants detected are considered normal inhabitants of the human gastrointestinal tract and the environment and are often indistinguishable from those genuinely present in the sample. Conclusions: Laboratories working on bacterial populations need to define contaminants present in all extraction kits and reagents used in the processing of DNA. Any unusual and/or unexpected findings need to be viewed as possible contamination as opposed to unique findings. © 2016 The Author(s).


Morasch M.D.,St Vincent Healthcare | Phade S.V.,University of Tennessee at Chattanooga | Naughton P.,Beaumont Hospital | Garcia-Toca M.,Brown University | And 2 more authors.
Annals of Vascular Surgery | Year: 2013

Background: Extracranial vertebral artery aneurysms are uncommon and are usually associated with trauma or dissection. Primary cervical vertebral aneurysms are even rarer and are not well described. The presentation and natural history are unknown and operative management can be difficult. Accessing aneurysms at the skull base can be difficult and, because the frail arteries are often afflicted with connective tissue abnormalities, direct repair can be particularly challenging. We describe the presentation and surgical management of patients with primary extracranial vertebral artery aneurysms. Methods: In this study we performed a retrospective, multi-institutional review of patients with primary aneurysms within the extracranial vertebral artery. Results: Between January 2000 and January 2011, 7 patients, aged 12-56 years, were noted to have 9 primary extracranial vertebral artery aneurysms. All had underlying connective tissue or another hereditary disorder, including Ehler-Danlos syndrome (n = 3), Marfan's disease (n = 2), neurofibromatosis (n = 1), and an unspecified connective tissue abnormality (n = 1). Eight of 9 aneurysms were managed operatively, including an attempted bypass that ultimately required vertebral ligation; the contralateral aneurysm on this patient has not been treated. Open interventions included vertebral bypass with vein, external carotid autograft, and vertebral transposition to the internal carotid artery. Special techniques were used for handling the anastomoses in patients with Ehler-Danlos syndrome. Although endovascular exclusion was not performed in isolation, 2 hybrid procedures were performed. There were no instances of perioperative stroke or death. Conclusions: Primary extracranial vertebral artery aneurysms are rare and occur in patients with hereditary disorders. Operative intervention is warranted in symptomatic patients. Exclusion and reconstruction may be performed with open and hybrid techniques with low morbidity and mortality. © 2013 Elsevier Inc. All rights reserved.


Chiodini R.J.,St Vincent Healthcare | Chiodini R.J.,Montana State University Billings | Dowd S.E.,Mr Dna Molecular Research Laboratory | Chamberlin W.M.,St Vincent Healthcare | And 3 more authors.
PLoS ONE | Year: 2015

Since Crohn's disease is a transmural disease, we hypothesized that examination of deep submucosal tissues directly involved in the inflammatory disease process may provide unique insights into bacterial populations transgressing intestinal barriers and bacterial populations more representative of the causes and agents of the disease. We performed deep 16s microbiota sequencing on isolated ilea mucosal and submucosal tissues on 20 patients with Crohn's disease and 15 non-inflammatory bowel disease controls with a depth of coverage averaging 81,500 sequences in each of the 70 DNA samples yielding an overall resolution down to 0.0001% of the bacterial population. Of the 4,802,328 total sequences generated, 98.9% or 4,749,183 sequences aligned with the Kingdom Bacteria that clustered into 8545 unique sequences with <3% divergence or operational taxonomic units enabling the identification of 401 genera and 698 tentative bacterial species. There were significant differences in all taxonomic levels between the submucosal microbiota in Crohn's disease compared to controls, including organisms of the Order Desulfovibrionales that were present within the submucosal tissues of most Crohn's disease patients but absent in the control group. A variety of organisms of the Phylum Firmicutes were increased in the subjacent submucosa as compared to the parallel mucosal tissue including Ruminococcus spp., Oscillospira spp., Pseudobutyrivibrio spp., and Tumebacillus spp. In addition, Propionibacterium spp. and Cloacibacterium spp. were increased as well as large increases in Proteobacteria including Parasutterella spp. and Methylobacterium spp. This is the first study to examine the microbial populations within submucosal tissues of patients with Crohn's disease and to compare microbial communities found deep within the submucosal tissues with those present on mucosal surfaces. Our data demonstrate the existence of a distinct submucosal microbiome and ecosystem that is not well reflected in the mucosa and/or downstream fecal material. Copyright: © 2015 Chiodini et al.


PubMed | St Vincent Healthcare, University of Louisville, Mr Dna Molecular Research Laboratory, Texas Tech University Health Sciences Center and Montana State University Billings
Type: Journal Article | Journal: PloS one | Year: 2015

Since Crohns disease is a transmural disease, we hypothesized that examination of deep submucosal tissues directly involved in the inflammatory disease process may provide unique insights into bacterial populations transgressing intestinal barriers and bacterial populations more representative of the causes and agents of the disease. We performed deep 16s microbiota sequencing on isolated ilea mucosal and submucosal tissues on 20 patients with Crohns disease and 15 non-inflammatory bowel disease controls with a depth of coverage averaging 81,500 sequences in each of the 70 DNA samples yielding an overall resolution down to 0.0001% of the bacterial population. Of the 4,802,328 total sequences generated, 98.9% or 4,749,183 sequences aligned with the Kingdom Bacteria that clustered into 8545 unique sequences with <3% divergence or operational taxonomic units enabling the identification of 401 genera and 698 tentative bacterial species. There were significant differences in all taxonomic levels between the submucosal microbiota in Crohns disease compared to controls, including organisms of the Order Desulfovibrionales that were present within the submucosal tissues of most Crohns disease patients but absent in the control group. A variety of organisms of the Phylum Firmicutes were increased in the subjacent submucosa as compared to the parallel mucosal tissue including Ruminococcus spp., Oscillospira spp., Pseudobutyrivibrio spp., and Tumebacillus spp. In addition, Propionibacterium spp. and Cloacibacterium spp. were increased as well as large increases in Proteobacteria including Parasutterella spp. and Methylobacterium spp. This is the first study to examine the microbial populations within submucosal tissues of patients with Crohns disease and to compare microbial communities found deep within the submucosal tissues with those present on mucosal surfaces. Our data demonstrate the existence of a distinct submucosal microbiome and ecosystem that is not well reflected in the mucosa and/or downstream fecal material.


Glassing A.,Montana State University Billings | Dowd S.E.,Molecular Research Mr Dna | Galandiuk S.,University of Louisville | Davis B.,Texas Tech University Health Sciences Center | And 3 more authors.
Journal of Microbiological Methods | Year: 2015

Microbial metagenomics are hindered in clinical tissue samples as a result of the large relative amount of human DNA in relation to microbial DNA acting as competitive inhibitors of downstream applications. We evaluated the LOOXSTER® Enrichment Kit to separate eukaryotic and prokaryotic DNA in submucosal intestinal tissue samples having a low microbial biomass and to determine the effects of enrichment on 16s rRNA microbiota sequencing. The enrichment kit reduced the amount of human DNA in the samples 40-70% resulting in a 3.5-fold increase in the number of 16s bacterial gene sequences detected on the Illumina MiSeq platform. This increase was accompanied by the detection of 41 additional bacterial genera and 94 tentative species. The additional bacterial taxa detected accounted for as much as 25% of the total bacterial population that significantly altered the relative prevalence and composition of the intestinal microbiota. The ability to reduce the competitive inhibition created by human DNA and the concentration of bacterial DNA may allow metagenomics to be performed on complex tissues containing a low bacterial biomass. © 2015 Elsevier B.V.

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