Central Wisconsin

Health News from Central Wisconsin

Cancer patients benefit from the new TrueBeam Linear Accelerator
Care tailored just for you ... Ministry Health Care’s Patient-Centered Medical Home
Reliable, safe and quality care are yours at Ministry Good Samaritan Health Care
Ministry Saint Clare’s Hospital welcomes Two New Hospitalists
  Tyler Laber, PAC
  Tina Schultz, APNP
Meet out new providers in Central Wisconsin
  Tyler Christopherson, DDS
  Gunce Karaman, MD
  Trina Daniels, MD
  Marcie Navratil, MD
  Lori Zurawski, APNP
Urgent Care services are now available to Plover patients
  Christopher Russell, PA-C
  Anna Nummelin, DNP
  Judith Spahn, NP
When should you visit the emergency room?

Cancer patients benefit from the new TrueBeam Linear Accelerator

Ministry Health Care’s new TrueBeam Linear Accelerator is an advanced radiotherapy system with advanced imaging and powerful treatment modes that allow doctors to tailor treatments specific to even the most complex cancers in areas such as the head and neck, lung, breast, abdomen and liver.

TrueBeam’s faster delivery helps protect major organs and healthy tissue located near the tumor.

TrueBeam technology can target tumors within less than a millimeter of the tumor’s location by using synchronized three-dimensional imaging, patient positioning, motion management and beam shaping. The system performs accuracy checks every ten milliseconds throughout the treatment, even compensating for tumor movement as patients breathe. The precise targeting technology and the use of 25 percent less X-ray dose delivery is beneficial for patients.

Patients can also listen to music during their treatment while two-way communication and closed-circuit television systems allow the therapist to communicate and monitor the patient.

In addition to the TrueBeam linear accelerator technology installed at Ministry Saint Michael’s Hospital in Stevens Point, Ministry Health Care plans to install four more TrueBeam Linear Accelerators within the next 3 years at: Mercy Medical Center in Oshkosh, St. Elizabeth Hospital in Appleton, the James Beck Cancer Center at Ministry Saint Mary’s Hospital, in Rhinelander and Ministry Saint Joseph’s Hospital in Marshfield.

To learn more about Ministry Health Care’s comprehensive cancer program click here.


Care tailored just for you ... Ministry Health Care’s Patient-Centered Medical Home

It’s not a place. It’s a team of health care professionals that work together to coordinate care, which makes your health care more efficient and

  • saves you time
  • avoids duplicate testing
  • provides specialist and medication consultation
  • coordinates all your health care visits and results
  • creates a unified health care plan to treat your mind body and spirit

Three Ministry Medical Group clinics receive national medical home recognition

Ministry Medical Group clinics in Tomahawk, Stevens Point and Waupaca have received national recognition for their medical home models by the National Committee for Quality Assurance (NCQA). They have received Level 3 Physician Practice Connections® - Patient-Centered Medical Home Recognition (PPC-PCMH™), the highest level that can be attained.

NCQA recognizes primary care practices that function as patient-centered medical homes, a model of care where each patient is at the center of his or her care and has an ongoing relationship with a personal provider who leads a team that takes collective responsibility for patient care.

Ministry Medical Group launched three medical home pilot sites in 2011. Since then, many of their clinics have begun transitioning to medical homes. Ministry’s medical home teams consist of physicians partnered with advanced practice providers (APNPs or PAs), RN case managers who coordinate chronic disease management, patient service representatives, health care associates (CMAs or LPNs) and a behavioral health specialist.

“This certification is a significant milestone for us,” said Ronald Cortte, MD, Ministry Medical Group Family Practice. “Lots of hard work has been accomplished by our staff at each of our sites. Our common goal is to not only meet the requirements for certification but to exceed them as a part of our ongoing work in making the health care experience the best it can be for our patients.”

Some of the areas PPC-PCMH measure include patient tracking and registry functions; access and communication; care management; patient self-management support; electronic prescribing; test tracking; referral tracking; performance reporting and improvement, and advanced electronic communications.

NCQA is an independent, not-for-profit organization dedicated to assessing and reporting on the quality of managed care plans, managed behavioral health care organizations, preferred provider organizations, new health plans, physician organizations, credentials verification organizations, disease management programs and other health-related programs. There are nine PPC® standards, including 10 must-pass elements, which can result in one of three levels of recognition. Level three represents the highest level of recognition.

Ministry Health Care plans to have all of its primary care clinics recognized as Level 3 PPC-PCMH by October.

Please visit www.ministryhealth.org/medicalhome to learn more about patient-centered medical home.


Ministry Saint Clare’s Hospital offers more cardiac care

Ministry Saint Clare’s Hospital in Weston opened a new 24-bed cardiac and pulmonary care patient unit on its first floor in October 2012.

“This is exciting news for our facility and community,” said Ministry Saint Clare’s President Mary Krueger. “As we continue to grow the Marshfield Clinic and Ministry Health Care Heart Care Team on the Weston campus, we need the additional rooms for patients with chest pain, heart failure and Chronic Obstructive Pulmonary Disease (COPD) as well as other cardiac and pulmonary issues.”

The five-million dollar project utilizes space designed and previously constructed for future development of services and is located on the first floor of the existing patient tower. During the summer and fall of 2012, the project took final shape with focus on the ordering and installation of necessary equipment and staff recruitment for new positions. The new unit will be opened in phases and when fully operational, will add 50-60 new jobs in patient care and support services.

The area will also include a Clinical Decision Unit for clinical decision support. This unit is designed to provide rapid evaluation and testing in the process of establishing medical necessity of admission for Medicare patients. Prior to the addition, Ministry Saint Clare’s staff used existing patient rooms in a number of units for this purpose.

“We think this new Clinical Decision Unit provides the opportunity to improve patient care along with additional flexibility for existing patient units in the management of our daily census,” said Julie Beeney, RN, director of Patient Care Services at Ministry Saint Clare’s.

Krueger adds, “The Clinical Decision Unit is designed to meet changing patient needs. It is important to carefully determine the medical need for patient admissions. This unit satisfies patient demand as well as provides a dedicated space for process improvement measures to ensure that only medically necessary admissions occur.”


Reliable, safe and quality care are yours at Ministry Good Samaritan Health Care

Ministry Good Samaritan Health Center is one of 12 Wisconsin Hospitals and 620 hospitals nationwide earning the top performer distinction for surgical care for attaining and sustaining excellence in accountability measure performance.

This is the second year in a row that Ministry Good Samaritan is being recognized as a top performer, one of only 244 hospitals in the country that achieved the distinction 2 years in a row.

This honor is the result of data reported to The Joint Commission about evidence-based clinical processes that are shown to improve care for certain conditions including heart attack, heart failure, pneumonia, surgical care and children’s asthma.

Each of the hospitals that were named as a Top Performer on Key Quality Measures met two 95 percent performance thresholds on 2011 accountability measure data.

“When we raise the bar and provide the proper guidance and tools, hospitals have responded with excellent results,” says Mark R. Chassin, MD, FACP, MPP, MPH, president, The Joint Commission. “This capacity for continual improvement points toward a future in which quality and safety defects are dramatically reduced and high reliability is sought and achieved with regularity. Such day-to-day progress will slowly but surely transform today’s health care system into one that achieves unprecedented performance outcomes for the benefit of the patients.”

“We understand that what matters most to our patients is safe, effective care,” said Ministry Good Samaritan President Mary Krueger. “That’s why Ministry Good Samaritan has made a commitment to accreditation and to positive patient outcomes through evidence-based care processes.”

In addition to being included in the release of The Joint Commission’s “Improving America’s Hospitals” annual report, Ministry Good Samaritan will be recognized on The Joint Commission’s Quality Check website (www.qualitycheck.org). The Top Performer program is featured in the November 2012 issue of The Joint Commission Perspectives and the October 2012 issue of The Joint Commission: The Source.

A member of Ministry Health Care, Ministry Good Samaritan Health Center provides health care services to Merrill and the surrounding region and is sponsored by the Sisters of the Sorrowful Mother. It is a 25-bed critical access hospital that offers a range of primary and specialty care services. The mission of Ministry Health Care is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor.


Ministry Saint Clare’s Hospital welcomes Two New Hospitalists

Ministry Health Care is pleased to welcome Physician Assistant Tyler Laber and Family Nurse Practitioner Tina Schultz who recently joined the Hospitalist Department at Ministry Saint Clare’s Hospital in Weston.

Hospitalists are a team of specially trained physicians and advanced practice clinicians who specialize in caring for patients who have been hospitalized. In many areas of the country, personal physicians are referring their patients to a hospitalist when their patients become too ill to be cared for in the outpatient setting.

Tyler Laber

Laber a recent graduate of the Physician Assistant program at University of Wisconsin School of Medicine and Public Health, in Madison completed a double major in biology and business administration at the University of Wisconsin in Eau Claire.

He spent 7 years as a combat engineer in the United States Army National Guard with a tour in Operation Iraqi Freedom. For the past 4 years, he served as a combat medic with the United States Army National Guard. As a part of his military service, Laber received a bronze star for leadership, an Army Commendation Medal with Valor for actions in combat and has been involved in restructuring the Wisconsin Army National Guard’s reintegration program for returning troops in order to better address medical and mental health needs.

The Rhinelander native enjoys the outdoors, especially hunting. His wife, Tessa, is a dentist.

“I believe that an open line of communication with my patients and family is critical in the development of a treatment plan to meet their needs,” said Laber.

Tina Schultz

Tina Schultz received her Master’s Degree in Nursing by completing the Family Nurse Practitioner Program at Concordia University in Mequon, Wisconsin. She received a Bachelor’s Degree in Nursing from University of Wisconsin in Green Bay and also holds an associate degree in nursing from Western Technical College in La Crosse, Wisconsin. She is certified in advanced cardiac life support, pediatric advanced life support, trauma nursing core course and neonatal resuscitation. Schultz also holds certification as an emergency pediatric nurse.

Schultz has 17 years of experience in a variety of nursing settings. Since 2003, she has been part of the nursing staff at Flambeau Hospital, a Ministry Health Care co-owned facility in Park Falls.

“In my role as a hospitalist, I provide care around the clock to patients who have been admitted into the hospital. I monitor their care and treatment and answer their questions. I also coordinate care in conjunction with the patient’s primary care physician,” said Schultz.

In her spare time, Schultz enjoys spending time outdoors with husband and two children. She also has an interest in promoting children’s health through volunteer activities in the community.


Meet our new providers in central Wisconsin

Tyler Christopherson, DDS

Tyler Christopherson, DDS,joined Ministry Dental Center and will be seeing patients at 3504 East Maria Drive in Stevens Point.

Dr. Christopherson completed his dentistry degree at University of Southern California, Herman Ostrow School Dentistry and his undergraduate degree at University of Wisconsin in Stevens Point.

“My goal is to provide caring, comfortable and comprehensive dental care,” said Dr. Christopherson. “I believe oral health is an important contributing factor to overall health.”

Dr. Christopherson is a Stevens Point native and enjoys spending time with his wife and children, cycling on Wisconsin county roads or training for his next Ironman Triathlon.

Günce Karaman, MD

Günce Karaman, MD, joined the Ministry Medical Group pediatric department. Dr. Karaman will be providing care to children and adolescents at 824 Illinois Avenue in Stevens Point.

Dr. Karaman earned her Medical Degree at Dokuz Eylul University School of Medicine in Turkey. She completed a residency in pediatrics at the Albert Einstein Medical Center in Philadelphia, Pennsylvania, and a residency in pediatric surgery at the Ankara University School of Medicine in Turkey.

Dr. Karaman specializes in diseases specific to young and growing bodies and managing the physical, mental and emotional well-being of children in every stage of development.

“I believe that being passionate about what you do brings success,” said Dr. Karaman. “I treat my patients with compassion and pay strong attention to detail.”

Dr. Karaman enjoys traveling, the outdoors and animals.

Trina Daniels, MD

Trina Daniels, MD, was recently welcomed to Ministry Saint Michael’s Hospital Emergency Department located at 900 Illinois Avenue in Stevens Point.

Dr. Daniels completed her residency at Medical College of Wisconsin Affiliated Hospitals in Milwaukee. She earned her Medical Degree from the University of Wisconsin School of Medicine & Public Health.

Dr. Daniels enjoys gardening, camping, hiking, boating, mission work and has military experience.



Marcie Navratil, MD

Marcie Navratil, MD, also recently joined the staff of Ministry Saint Michael’s Hospital Emergency Department and will see patients at 900 Illinois Avenue in Stevens Point.

Dr. Navratil completed her residency at Medical College of Wisconsin Affiliated Hospitals in Milwaukee. She earned her medical degree from the University of Wisconsin School of Medicine & Public Health.

“The emergency room can be a scary place for patients,” said Dr. Navratil. “I believe in addressing the needs of the whole person. I also firmly believe in finding appropriate outpatient follow-up care.”

Dr. Navratil enjoys canoeing, backpacking and fishing.

Lori Zurawski, APNP

Lori Zurawski, APNP, (Advanced Practice Nurse Practitioner) provides family medicine care to patients at Ministry Medical Group Department of Family Practice located at 824 Illinois Avenue in Stevens Point.

Zurawski completed her Master of Science in Nursing from Concordia University in Mequon, Wisconsin and her Bachelor of Science in Nursing from Viterbo University in LaCrosse, Wisconsin.

“My guiding philosophy of practice is seeing every patient as someone’s loved family member,” said Zurawski. “I believe in listening, educating and treating all people with the same respect and care I expect for myself and my family.”

In her spare time, Zurawski likes to be outdoors and enjoys spending time with her family.


Urgent Care services are now available to Plover patients

Ministry Medical Group is pleased to announce that its Urgent Care department located at 2401 Plover Road in Plover, Wisconsin is now open to serve patients.

The department will be staffed by Christopher Russell, PA-C, Anna Nummelin, DNP, and Judith Spahn, NP. This team will be able to treat minor injuries and illnesses such as:

  • Minor cuts with mild bleeding
  • Sinus infections, sore throat or fever
  • Cough and cold symptoms including ear aches
  • Rashes
  • Pink eye or mild eye symptoms
  • Urinary tract infection
  • Back pain
  • Injuries to foot, ankle, knee, hand, wrist or elbow
  • Minor burns
  • Insect or minor animal bites
  • Diarrhea
  • Vaginal bleeding or discharge unrelated to pregnancy

The facility is open to see patients of all ages, Monday through Friday 9:30 a.m. to 9 p.m., and Saturdays, Sundays and holidays 9 a.m. to 5 p.m.

Christopher Russell, PA-C

Christopher Russell, PA-C, is on staff at Ministry Medical Group’s Urgent Care department located at 2401 Plover Road in Plover.

Russell completed the Physician Assistant Program from the University of North Dakota in Grand Forks, North Dakota and his Associate Degree in Nursing, from Indiana University - Purdue University. He comes to Ministry Medical Group with 24 years of experience providing emergency room and urgent care services.

Russell enjoys volunteering at his church especially through serving on missions trips. He also enjoys spending time with his wife and their two daughters.

Anna Nummelin, DNP

Anna Nummelin, DNP, (Doctor of Nursing Practice), will also see patients at Ministry Medical Group’s Urgent Care facility at the 2401 Plover Road address.

Nummelin completed her Doctor of Nursing Degree and Masters of Nursing Degree at University of Miami in Coral Cables, Florida and her Bachelor of Science in Nursing from University of Wisconsin in Eau Claire.

“I believe in a working partnership with my patients to achieve optimal well-being,” said Nummelin. “I value a compassionate, holistic and individual approach to my patient care.”

Nummelin grew up in Stevens Point and is a national competitive endurance athlete. She has competed in multi-day, off-road adventure races throughout the country.

Judith Spahn, NP

Judith Spahn, NP, is the third member of the Ministry Medical Group Urgent Care team in Plover.

Spahn completed her Master’s and Bachelor’s in Science degrees at the University of Illinois at Chicago.

“I believe in a working hard for my patients to provide quality care in a timely manner,” shared Spahn.

Spahn enjoys gardening, walking and reading.


When should you visit the emergency room?

More serious illnesses or injuries may require a visit to the emergency department. Please go directly to the emergency room at your local hospital if you experience any of the injuries or illnesses below.

  • Severe bleeding that will not stop
  • Serious difficulty breathing
  • Change in mental status (such as unusual behavior, confusion, difficulty waking)
  • Chest pain, choking, coughing or vomiting blood
  • Fainting or loss of consciousness
  • Feelings of wanting to harm yourself or someone else
  • Head or spine injury
  • Severe or persistent vomiting
  • Sudden injury due to a motor vehicle accident
  • Major burns or smoke inhalation
  • Near drowning
  • A deep or large wound
  • Sudden dizziness, weakness or change in vision
  • Swallowing a poisonous substance
  • Severe abdominal pain
  • Carbon monoxide exposure
  • Sudden blindness or severe eye injury
  • Partial or full paralysis
  • Sexual assault
  • Pregnancy-related concerns


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