Tri Valley Health System
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Current News

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​Tri Valley Medical Foundation purchases four surgical stretchers
Tri Valley Medical Foundation purchased four new electric stretchers for the surgical department in the amount of $75,864. The new electric stretchers will allow for a higher standard of patient safety and comfort while also providing easier use for staff. They are electrical which assists in maneuvering and raising and lowering easily. The patient is able to control the head and knee sections for individualized comfort pre- and post- surgery. The mattresses also provide increased infection prevention by not using velcro on the bed. The new stretchers also feature oxygen tank holders. Tri Valley Health System appreciates the Foundation's donation of these four stretchers that will improve employee and patient satisfaction. Pictured are: Brenda McIntyre, Surgery Director; Jessica Fisher, CEO; Kathy Vacura, RN; Jamie Vontz, Foundation Director; and Clay Jordan, CNO.

​Tri Valley Health System has positive impact on the area economy
Tri Valley Health System does more than provide health care services to the area. Tri Valley Health System also has a positive economic impact on the overall fiscal health of the area.  Through a combination of traditional health care services, fitness and wellness programs, telehealth technology, and community partnerships, Tri Valley Health System’s commitment to health extends far beyond the hospital walls.
A study conducted by Heartland Health Alliance that utilized 2019 Tri Valley Health System data showed that Tri Valley Health System creates 132.4 direct jobs, creates $22,196,379 in direct revenue, and directly generates $256,164 in state or local taxes.  After taking into consideration indirect impact and induced impact, the total impact that Tri Valley Health System creates is 264.2 jobs, $42,972,159 in revenue, and $2,419.984 in state or local taxes.
"Tri Valley Health System is one of the largest employers in the area.  We offer great employment opportunities with benefits.  We also recruit professionals to live, raise families, and spend money in our communities.  Tri Valley Health System is extremely proud to be able to support the area’s economy in such a positive way.  We also recognize the fact that a thriving economy takes an entire effort among individuals and businesses; Tri Valley Health System only thrives with the support of everyone," said Jessica Fisher, Tri Valley Health System CEO. 
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Tri Valley Health System receives NHA Safety Award

 LINCOLN, Neb. — The Nebraska Hospital Association and its subsidiary company NHA Services, in partnership with LMC Insurance and Risk Management recognized several Nebraska hospitals with the 2020 Hospital Safety Awards.
 Hospitals were selected based upon the following criteria:
  • An 12-month loss ratio of 0%;
  • An experience modification factor of .85 or less;
  • No incurred costs for fall related claims; and
  • No incurred costs for lifting and/or muscle strain related claims         
There are three levels of these safety awards: Gold (all 4 criteria are met); Silver (3 out of 4 are met) and Bronze (2 out of 4 are met).
A Gold was awarded to Community Medical Center in Falls City.
A Silver was awarded to Dundy County Hospital in Benkelman.
Bronze award winners included:
  • Annie Jeffrey Memorial County Health Center in Osceola
  • Boone County Health Center in Albion
  • Johnson County Hospital in Tecumseh
  • Memorial Health Care Systems in Seward
  • Pender Community Hospital in Pender
  • Tri Valley Health System in Cambridge
Valley County Health System in Ord was also honored with the Most Improved award in 2020.
“Safety in our hospitals is vital to the health and wellbeing of not only the facility but the patients it serves,” commented Jon Borton, Vice President, NHA Services, Inc.  “The NHA is proud to partner with LMC in honoring these member hospitals’ efforts in making safety a priority.”
The Nebraska Hospital Association is the unified voice for Nebraska’s hospitals and health systems. The association offers collaborative leadership, assisting its members to provide comprehensive care to their communities, improving the health status of those communities. For more information, visit the NHA website at www.NebraskaHospitals.org.
Since 1993, NHA Services, Inc., has been an essential partner to Nebraska Hospital Association (NHA members and health care providers in Nebraska.  Assistance is provided in helping providers across the state strengthen their operational and financial performance, improve quality and outcomes, transform infrastructure, and prepare for the future. For more information visit www.nhaservices.org.
LMC is the 59th largest broker in the United States and has been recognized by Insurance Journal as the 45th largest privately held P&C agency in the country. The company is independently owned by 49 active shareholders and employs over 280 insurance professionals. LMC is licensed in 48 states and offers a full range of insurance and risk management services. Since 2011, they have been recognized as a “Best Practices” company by Reagan Associates.

Tri Valley Health System Arapahoe and Indianola Medical Clinics now open five days a week for medical care
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Tri Valley Health System is pleased to announce that clinics in Arapahoe and Indianola will be open and available for medical care five days a week. Effective July 1, 2020 the Arapahoe Medical Clinic will be open and staffed by a medical provider Monday through Friday. Effective August 1, 2020, the Indianola Medical Clinic will also be open and staffed by a medical provider Monday through Friday.
Tri Valley Health System CEO Jessica Fisher stated, “We have received valuable feedback from patients, communities, and the Board of Trustees regarding the need for accessible care Monday-Friday due to the growing demand for services. Tri Valley Health System has been committed to the goal of having Arapahoe and Indianola Medical clinics open for medical care five days a week.  Hiring an additional provider has allowed us this opportunity to be able to meet the needs of our patients and communities in all of our service areas.” 
Providing medical services at the Arapahoe Medical Clinic are: Dr. Rachelle Kaspar-Cope, Dr. Michael Powell, Karinne Kulwicki, PA-C, and Cherl Mues, APRN.  Providing medical services at the Indianola Medical Clinic are:  Dr. Lennie Deaver, Dr. Shiuvaun Jaeger, Kyleen Klinkebiel, PA-C and Candice Haddon, APRN.  Cambridge Medical Clinic will continue to be open Monday through Friday and offer a Saturday walk-in clinic from 10am-12pm.  Providing medical services at the Cambridge Medical Clinic are: Dr. Lennie Deaver, Dr. Rachelle Kaspar-Cope, Dr. Shiuvaun Jaeger, Dr. Michael Powell, Karinne Kulwicki, PA-C, Kyleen Klinkebiel, PA-C, Sarah Norton, PA-C, Candice Haddon, APRN, and Angie Howard, APRN.
Same day appointments are available at all three clinics by calling for an appointment the day of.  There are a limited number of these visits each day so if you need to be seen, call early as appointments fill up fast. 
All Tri Valley Health System medical providers are accepting new patients.  To schedule an appointment, call 308-697-3317 or for more information please visit www.trivalleyhealth.com.  
Tri Valley Health System offers a new approach to hip replacement with Dr. Chris Wilkinson
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The Conformis Hip System, introduced in July 2018, is the only primary total hip replacement system on the market designed with 3D imaging technology to provide a stem and acetabular cup size that matches each patient’s specific anatomy. The implant system includes a single-piece stem with patient-specific neck, acetabular cup, iPoly XE® (highly crosslinked vitamin-e infused UHMWPE) polyethylene liner, and a choice of ceramic or cobalt chrome femoral head. 3D imaging technology is also used to create a pre-surgical plan, which accompanies a set of disposable patient-specific 3D printed jigs, to aid in implant positioning.  Dr. Chris Wilkinson is able to perform this revolutionary hip replacement procedure at Tri Valley Health System.  This system is also available for knee replacements as well.  For more information on Conformis joint replacements at Tri Valley Health System call 308-697-1172.
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APRN Cherl Mues to join Tri Valley Health System staff in June
Tri Valley Health System in Cambridge is pleased to announce the addition of Family Nurse Practitioner Cherl Mues, to their team of dedicated professionals.
Cherl grew up and graduated from Cambridge High School. She received her Bachelor’s degree in Nursing and completed her Master of Science, Family Nurse Practitioner from the University of Nebraska Medical Center in 2011.
Cherl brings 17 years of medical experience to Tri Valley Health System. She began her career as a registered nurse at Fremont Area Medical Center and has continued to serve the Fremont area practicing as a nurse practitioner at the Methodist Fremont Health and Fremont Area Medical Center since July 2011.
Cherl is married to Brandon Mues of Arapahoe who has been teaching and coaching wrestling in Fremont.  They have three children, Taylor, Lauren, and Talon.
“We are excited to be able to come back home and be closer to our parents and family.  We knew it was time,” Cherl said.
Cherl’s tentative start date at Tri Valley Health System is June 30, 2020.  



​Tri Valley Health System reopens Wellness Center and Auxiliary Thrift Shop, resumes massage therapy
Tri Valley Health System will reopen the Tri Valley Health System Wellness Center, Auxiliary Thrift Store and resume massage therapy with Rhonda Banzhaf starting  June 1.
However, there will be restrictions that must be followed and Tri Valley Health System requests your cooperation in order to keep these services open. 

The Wellness Center will open on June 1 at 8:00 a.m. and be accessible 24 hours a day 7 days a week by utilizing the Wellness Center doors. Members will need to screen themselves at the Wellness Center Entrance.  Tri Valley Health System is requesting members’ cooperation with the following requirements: a maximum of 25 people will be allowed in the Wellness Center at one time; a maximum of two people will be allowed in the weights area; maintain a six-foot distance between others at all times; and clean machines before and after use.  The Center for Disease Control recommends wearing a face covering. Bootcamp classes have resumed and yoga classes are being held via zoom.   A zoom link is sent out on Facebook every Monday and Wednesday for yoga class.

There will be a 25 person limit in the Thrift store and no one under 15 will be allowed.  Shoppers will be required to wear a mask while shopping, retain a six-foot distance from others, and practice hand hygiene while at the store.  

Massage Therapy clients will also have to self-screen at the Wellness Center entrance.  Please contact Massage Therapy Student Rhonda Banzhaf for any questions or to schedule an appointment at 308-367-6876.


Tri Valley Health System CEO Jessica Fisher said, “We believe that with these measures in place and at this time it is safe to reopen these services.”
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​Foundation purchases equipment totalling nearly $300,000
The Tri Valley Medical Foundation recently purchased nearly $300,000 worth of needed equipment for Tri Valley Health System.  
New servers were purchased for a total of $56,580.  These servers host Tri Valley Health System’s virtual environment and all major applications which ran nearly every service or application for the entirety of Tri Valley Health System.  The current servers were over five years old, were out of warranty, and had run out of resources and room for growth.  The new servers saw application response times that were on average up to 20 times faster than the old servers and also went from greater than 90% resource usage to roughly 30% resource, which will allow for large amounts of growth to support systems to improve patient care.  Tri Valley Health System will now be capable of hosting new programs, including the new Responder 5 Nurse Call Light System.
The Foundation also purchased a Rauland Responder 5 Nurse Call Light System for $154,031.  This new system will provide more efficient workflows for the nursing staff and improve communication between the entire care team.  The intelligent call routing allows staff to provide quicker responses to patients by routing patient requests for help to the appropriate staff members. This new call light system will also increase patient satisfaction and improve safety and prevent patient falls.  
An operating room printer and surgery equipment were also purchased by the Foundation in the amount of  $87,828.  The operating room printer allows pictures to be printed from all types of urology scopes and can be added directly into the patient’s charts.  An instrument called a “Thunderbeat” was purchased which provides state of the art vessel sealing and cutting.  This unit is used in the operating room for all specialties, including urology along with the cystoscopes that were purchased.  These with the “Thunderbeat” allow us to perform transurethral procedures which can be used to treat many common urological conditions such as frequent urinary tract infections, urinary incontinence, enlarged prostate, and bladder cancer.  
  These purchases were made possible from funds raised at the 2018 Pro Am Golf Tournament combined with generous donors from the communities we serve.  If you are interested in making a donation to the Tri Valley Medical Foundation please contact Jamie Vontz at 308-697-1176.

​Tri Valley Health System implements electronic vendor management
CALLING ALL TRI VALLEY HEALTH SYSTEM VENDORS!
Tri Valley Health System has partnered with Intellicentrics to implement electronic vendor management for all vendors who provide service to a Tri Valley Health System location. Tri Valley Health System will be going live with their Sec3ure program on August 10th, 2020. All vendors will need to complete proper documentation in the Sec3ure program by September 4th, 2020. Vendors can access the Sec3ure program at 
SEC3URE.com to begin the registration process. This software ensures that vendors have completed the requirements needed for credentialing, have appropriate vaccinations, and are committed to Tri Valley Health System’s policies and procedures. Kiosks will be located at the Arapahoe Clinic, Indianola Clinic, and Tri Valley Health System freight entrance. Vendors to the Assisted Living Facility and the Plaza will need to check in at the Tri Valley Health System freight entrance prior to entering either building. If you have any questions about this program or would like more information please contact Tri Valley Health System Quality Director Barb Helberg or Safety Coordinator Carrie Magorian at 308-697-3329.
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​Tri Valley Health System invests in smart infusion pumps
Tri Valley Health System is now utilizing smart infusion pumps to help eliminate medication dosing errors and ensure that correct medication is consistently given to patients.  The Spectrum IQ Infusion System provides a drug library to nurses and providers to save them time by providing a knowledge base of suggested dose limits, concentrations, and durations.  The smart pumps will automatically default to system presets to deliver medication within safe limits for patients and help eliminate any human programming errors.  
Tri Valley Health System CEO Jessica Fisher said, “Tri Valley Health System is always focused on providing high standards of care for our patients’ safety.  The investment of these smart pumps will help our medical team deliver safe and consistent levels of medication with the help of this technology.”



​Public Transportation expands fleet, now serving other states
Tri Valley Public Transportation is expanding its fleet of vehicles and its service area. 
Tri Valley Health System received two new lowered floor mini-vans in March from the State of Nebraska.  One of the mini-vans will replace an older current mini-van and the second mini-van will be an additional vehicle.  The volume over the past two years has increased tremendously and to meet the needs of the population in our area, Tri Valley Health System needed to add an additional vehicle.
Tri Valley Health System Public Transportation also recently became certified with the DOT, which will now allow Tri Valley Health System to transport riders from other states.  
We currently have four drivers who are happy to assist you.  All of our vehicles have a ramp or lift accessibility for wheelchairs and walkers.  
Public transportation is a vital need in our communities and we are happy to assist anyone with a ride to the grocery store, banking, shopping, out to eat and medical appointments.  We transport mainly in our service area of Red Willow and Furnas County, but are able to transport riders anywhere, including other states now.   We transport any age of individuals from school children to elderly.  
In 2019, Tri Valley Public Transportation assisted 4,905 riders and traveled 79,291 miles.  
We are a demand response system which offers door-to-door service i.e. a mode of service in which passengers call the agency to schedule being picked up and dropped off at their desired destination.  We can place the trip on our schedule if we have availability.  We are available Monday – Friday from 7am – 5pm.  We can run after 5pm for occasional circumstances.  To schedule a ride, please call 308-697-1164.  Rates and fees can be viewed at www.trivalleyhealth.com.
To learn more about public transportation log onto nebraskatransit.com and navigate to “transit directory of map.”

Auxiliary donates $40,000 towards purchase of Mindray telemetry monitoring system
Tri Valley Health System received a donation of $40,000 from the Tri Valley Auxiliary to help purchase a new Mindray telemetry monitoring system which includes portable patient transmitters, portable monitors for the trauma bays, and monitors in the two emergency rooms and observation rooms.   
The portable transmitters allow Tri Valley Health System caregivers to analyze the heart rhythm of a patient ambulating throughout the facility.  Traditional telemetry could only be monitored at the nurses station.   This system allows nurses to identify critical rhythm changes immediately and in real time and alarm notifications aid in the early detection of clinical deterioration regardless of patient location.   The telemetry transmitter provides the critical monitoring technology in an efficient, compact design while also being durable and reliable.  The telepacks are waterproof and certified for 1.5 meter drops.  They are also made from chemically-resistant plastic that are compatible with the broadest range of commercially available cleaning and disinfecting solutions.  
The monitors for the trauma bays offer many advanced parameters to support the most critically-ill patients.  These monitors enable a complete patient record and easily transfer with the patient.  
The monitors in the two emergency rooms and observation rooms use familiar touch gestures to conveniently access applications, reports, or other patient data quickly.  The monitors will perform 90% of common monitor functions in just two steps and will reduce time spent searching for data and functionality which allows providers to maximize their time spent caring for patients.  These monitors perform the critical measurement and analysis to provide a clear picture of the patient’s condition.  The monitor can perform 20 reports allowing the clinician to remain at the patient’s side and save valuable time in the process.  
This new system will also communicate all the patient information into their electronic medical record for permanent storage.  


The American Heart Association announces Mission: Lifeline stroke grant funds to be distributed to Tri Valley Health System
The American Heart Association has awarded Tri Valley Health System with a $17,000 grant, that will allow for enhanced outreach to stroke survivors throughout rural Nebraska. Mission: Lifeline Stroke is the American Heart Association’s community-based initiative to develop systems of care to improve outcomes for stroke patients. Mission: Lifeline Stroke was launched in Nebraska with the support of a $5.3 million grant from The Leona M. and Harry B. Helmsley Charitable Trust. 
The goal of Mission: Lifeline Stroke is to bring together hospitals, emergency medical services and first responders, communications and regulatory agencies, state and local government, and payors to provide a seamless plan of action to treat patients from the time of symptom onset through their rehabilitation and recovery process.
Tri Valley Health System will utilize the grant funding to help prevent, educate and bring awareness to the signs and symptoms of a stroke.  Tri Valley Health System will also be purchasing training aides to help in the diagnosis and treatment of stroke patients.  Tri Valley Health Chief Nursing Officer Clay Jordan said, “These stroke grant funds will allow Tri Valley Health System and in conjuction with the State to improve our care and response time to stroke patients when time is of the essence for these patients.  We are continually working to provide the best outcomes for all of our patients.”
Cardiovascular disease, including heart and stroke conditions, is the leading cause of death in the United States. The acute nature of strokes is particularly deadly and requires time-sensitive treatment to save lives and reduce lasting disability. Stroke is the fourth most prevalent cause of death in Nebraska, with more than 3,400 strokes annually accounting for nearly 800 deaths. Approximately 37,000 Nebraskans (3 percent) are living with stroke-related disabilities.
Mission: Lifeline Stroke specifically focuses on connecting all the components of acute stroke care into a smoothly integrated system that reinforces the use of evidence-based guidelines to timely and effectively treat stroke patients.
Every minute saved in stroke treatment can directly improve survival and recovery rates. Streamlining care requires a system-wide quality improvement approach to address many similar triaging, transfer, and treatment challenges in time-sensitive stroke care.
The Helmsley Charitable Trust and the American Heart Association launched Mission: Lifeline in South Dakota in July 2010 with a commitment of $5.3 million from Helmsley. From 2010 through 2016, Helmsley has committed nearly $37 million in funding for Mission: Lifeline STEMI projects in North Dakota, Wyoming, Minnesota, Nebraska, Iowa, Montana, and South Dakota. In 2017, the first Mission: Lifeline Stroke project was awarded in North Dakota. With the recent award for the Mission: Lifeline Stroke project in Nebraska, the total Helmsley commitment to Mission: Lifeline projects through their Rural Healthcare Program is more than $46 million. 


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​Tri Valley Health System resumes elective surgeries May 18
Tri Valley Health System will be resuming elective surgeries beginning Monday, May 18, 2020 after Nebraska Governor Pete Ricketts announced that the State of Nebraska relaxed existing Directed Health Measure requirements in order to allow elective surgical procedures to resume.  Elective surgeries were initially suspended by the federal government to prioritize the use of personal protective equipment, ventilators, and other equipment for COVID-19.
 According to the Directed Health Measures, elective procedures will be allowed to resume in hospitals and ambulatory surgical centers that meet the following criteria: 30 percent of bed capacity available, 30 percent of intensive care bed capacity available, 30 percent of ventilators available, and to maintain a two-week supply of necessary PPE to sustain hospital operations at 100% capacity. 
 Tri Valley Health System has been working on ensuring that they have the required amount of personal protective equipment and other supplies.  Tri Valley Health System CEO Jessica Fisher said “We will continually monitor our levels of supplies once surgical procedures resume to keep patients and employees safe.  Safety of our employees and patients always has been and always will be our number one priority.”
 Tri Valley Health System is currently prioritizing scheduling of patients and is committed to rescheduling all procedures.  New measures have been implemented for each surgery patient to ensure the safety of all employees and patients.  Each patient will be receiving a call from the Tri Valley Health System surgery team to discuss and prepare a plan for each specific surgery.  If you have any questions about being scheduled for a surgical procedure, please call Tri Valley Health System at 308-697-3329.

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​Tri Valley Health System opens new walk in/same day appointment clinic in north entrance

Effective Thursday, March 26 Tri Valley Health System is opening a new walk in\same day appointment clinic at the north entrance (formerly known as The Manor) for use of all SICK patients in order to protect patients, staff, and the community. This clinic will be open Monday-Friday from 8am to 4pm.
The main TVHS entrance will continue to be utilized for all WELL visits and SPECIALTY clinic visits at the Cambridge Clinic.
The Saturday Clinic located at Cambridge clinic will be open for all patients from 10am to 12pm. Please use the main TVHS entrance.
Patients at the Arapahoe and Indianola Clinic will be scheduled with WELL visits in the morning and SICK patients in the afternoon.
We ask ALL patients to call prior to arrival for directions to the correct clinic and time based upon reason for visit. Please call 308-697-3317.
All measures TVHS are taking is to protect and ensure the safety of our patients, employees, and communities. Your health, safety, and well being is our top priority.
TVHS COVID-19 Hotline remains open Monday thru Friday 8am-5pm. Please call 308-697-1000 to speak with our team for any questions you have regarding COVID-19
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Tri Valley Medical Foundation purchases lab equipment with Pro Am Golf Tournament proceeds
The Tri Valley Medical Foundation recently purchased a new medical grade ultra-low lab freezer and double door refrigerator for the lab department at Tri Valley Health System. These purchases were made possible by funds raised at the 2019 Pro Am Golf Tournament.
The previous lab freezer and refrigerator had reached their maximum lifespan as they were 10 and 20 years old, respectively.    MORE


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Tri Valley Health System offers cataract surgery with Dr. Thomas Clinch
Beginning in February, Dr. Thomas Clinch will begin offering cataract surgery at Tri Valley Health System.  Tri Valley Health System CEO Jessica Fisher said, "We are extremely excited to be offering this line of service to our patients are are looking forward to partnering with Dr. Clinch and his team."  Patients can schedule an appointment at 308-865-2760.

Tri Valley Health System Advanced Wound Care Center Receives Clinical Distinction Award
Biannual award acknowledges exceptional success in wound healing rates, safety goals
 Tri Valley Health System is pleased to announce their Advanced Wound Care Center is a recipient of RestorixHealth’s Clinical Distinction Award. Recipients of this award meet or exceed national quality benchmarks over a six-month period.
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Tri Valley Health System Senior Life Solutions named top ten finalist for program of the year. 
Tri Valley Health System is pleased to announce that their Senior Life Solutions program has been named a finalist for Program of the Year.  MORE
​EKG Services added to Indianola and Arapahoe Clinic
New electrocardiogram services were added to the Tri Valley Health System Indianola and Arapahoe Clinics with the purchase of two EKG machines.  EKG machines are used to record the electrical activity of the heart through small electrode patches that are applied to the chest, arms, and legs.  EKGs are quick, safe, and painless.  With the addition of these EKG units, all three clinics will be able to check heart rhythms, check blood flow to the heart, diagnose a heart attack, and check on any abnormalities.  Tri Valley Health System CEO Jessica Fisher said “We believe the addition of these EKG machines improves patient care by providing access to this technology as well as provide greater convenience to all of our patients.  Tri Valley Health System continues to strive to provide great patient care.”   Appointments can be made at any of Tri Valley Health Systems Medical Clinics by calling 308-697-3329.  Same day appointments are available at Cambridge, Indianola, and Arapahoe.  Tri Valley Health System offers a walk-in clinic available at Cambridge.    
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Tri Valley Health System provides non-invasive treatment for kidney stones
Tri Valley Health System Specialist Dr. Kenneth McCalla is providing lithotripsy, a non-invasive treatment for kidney stones.  The non-invasive procedure, called shockwave lithotripsy, utilizes a special device called a lithotripter that generates controlled pressure waves or “shockwaves” outside of the body. Patients are carefully positioned on the lithotripter’s table so the shockwaves can be precisely directed at the patient’s kidney stones. Over the course of treatment the stones crumble to sand size pieces and these are eliminated naturally through the urine. A shockwave lithotripsy procedure for a single stone may take up to an hour and is performed by a urologist in the operating room under anesthesia. For most patients the procedure is done as an outpatient.
 Tri Valley Health System CEO Jessica Fisher says that “Tri Valley is very excited to be able to offer this innovative procedure for our patients for what can be one of the most painful conditions a person may experience. In the past patients have had to travel to larger medical centers if they wanted to have the lithotripsy treatment. This offers a new level of convenience and service to our community. This became possible with the recent addition of urologist Dr. Kenneth McCalla to our staff.”
This modern medical procedure comes to Tri Valley through the services of Roseville, Minnesota based Midwest Stone Management. The company brings a portable lithotripter and a highly skilled technologist to assist the doctor on a regular schedule to the hospital. Patients are evaluated for their kidney stones by their urologist and if they are appropriate candidates for the procedure they are scheduled to be treated on the next available visit.
Midwest Stone Management’s medical director, Dr. Roland R. Ugarte, says this treatment has been available in the United States since 1984. The company began in 1986 and since then has treated over 120,000 patients at hospitals and surgery centers in seven upper Midwestern states. He says this procedure is very well tolerated by most patients and is a standard procedure offered to appropriate candidates. Other procedures are available but have a greater level of invasiveness making lithotripsy one of the first choices for treating kidney stones. 
 Kidney stones are one of the most common urologic ailments, affecting 1 out of every 20 people in the United States, according to the National Institute of Health. There are different types of stones and the causes can vary from patient to patient. For this reason a kidney stone patient may need to have an evaluation as to why they are forming stones, particularly if it is a recurrent problem. Dietary changes and other treatment recommendations may be suggested for the prevention of future kidney stones. Urologists specialize in this type of analysis and now this is available in the Tri Valley Health System service area adding a new level of convenience for local residents.
For more information about shockwave lithotripsy and other urologic services available at Tri Valley Health System please contact us at 308-697-3329.


Tri Valley Health System utilizes new mobile fluoroscopy c-arm
CAMBRIDGE – Tri Valley Health System recently purchased a state of the art Cios Fusion by Siemens mobile fluoroscopy c-arm for the imaging department that will provide continuous x-ray guidance during diagnostic and therapeutic procedures at Tri Valley Health System.  The image is displayed on a video monitor so that the body part and its motion can be seen in detail by the physician.
The c-arm will provide imaging guidance for several of the Tri Valley’s visiting specialists, such as general surgery, orthopedics, podiatrists, and pain management. Tri Valley will use the c-arm for many surgeries as well as swallowing function studies (Modified barium swallows), shoulder arthrograms, pain injections, and migraine headache blocks. 
The new c-arm uses a digital flat panel detector, which has the ability to produce a more consistent high-quality digital image while reducing the x-ray dose to the patient and staff.  Some of the new features also allow easier patient positioning and processing capabilities of the images.  Read More...
Tri Valley Health System Receives 2018 Hospital Safety Awards
Tri Valley Health System was recognized at the Nebraska Hospital Association annual convention on October 24th for two Hospital Safety Awards for 2018. These awards are given to hospitals who perform at the highest levels when it comes to patient safety in their facilities. 
Read more.
New Physician joins Tri Valley Health System
Tri Valley Health System is pleased to announce that Michael Powell, M.D. will be joining the health system upon completion of his residency program as a Family Practice primary care provider.  Read more.
Tri Valley Health System Receives $186,330 Grant
Funding connects rural patients to emergency specialists. Read more.
Tri Valley Health System Senior Life Solutions Program Raising Awareness During National Suicide Prevention and Awareness Month
September is National Suicide Prevention and Awareness month.  Not only is the Tri Valley Health System Senior Life Solutions program working to raise awareness during the month of September, but they work hard to engage and educate the community on the importance of emotional well-being every day. Read more.
Orthopedic Surgeon Dr. Eric Verploeg Seeing Patients at Tri Valley Health System
Eriv Verploeg, MD, an orthopedic surgeon, is now seeing patients at Tri Valley Health System in Cambridge. Dr. Verploeg is a highly-skilled and experienced specialist in the practice of orthopedics and sports medicine. Read more.
Podiatrist Dr. Russell Carlston Seeing Patients at Tri Valley Health System
Dr. Russell Carlston, a podiatrist, is now seeing patients at Tri Valley Health System in Cambridge. Dr. Carlston is a highly-skilled specialist in the treatment of foot and ankle disorders. Read more.
Tri Valley Health System Announces Extended Walk-In Clinic Hours, Improved Arapahoe Hours
Tri Valley Health System has listened to its customers and is making primary care more accessible. Tri Valley Health System is pleased to announce new extended hours. Read more.
Nebraska Named One of the Top States to Achieve Highest Reporting Rate
Nebraska was recently named one of the top states to achieve the highest reporting rates and levels of improvement over the past year. Read more. 
Nebraska Hospital Association Foundation Announces Health Care Career Scholarship Recipients
Jordin Wasson, Tri Valley Health System, was recently selected as a recipient of the 2018 Undergraduate Health Care Career Scholarship Program. Read more. 
Tri Valley Health System Staff Completes Postpartum Hemorrhage Training
22 Tri Valley Health System staff completed a two and a half hour obstetric postpartum hemorrhage training conducted by Bryan LGH staff through the Heartland Health Alliance. Read more. 
Tri Valley Health System Receives Trauma Re-designation
After a recent on-site review by the Nebraska Department of Health and Human Services, EMS/Trauma Program, Tri Valley Health System was awarded a trauma re-designation in the statewide trauma system. Read more.
Tri Valley Medical Foundation Awards Scholarships to Area Medical Students
Tri Valley Medical Foundation celebrated Medicine Creek Days by presenting 23 scholarship totaling $10,800 to 16 area students who are pursuing careers in nursing and other medical fields. Read more.
New Physician’s Assistant Joins Tri Valley Health System
Tri Valley Health System in Cambridge is pleased to welcome Sarah Norton, Physician’s Assistant, to their team of dedicated professionals. ​Read more.
Nebraskans with Medicare Are Getting New, More Secure Cards 
On June 25, wave three of mailings began to thousands of Nebraskans with Medicare who will receive new, more secure Medicare cards. Read more.
Summer Safety – We’re Here If You Need Us
​Sometimes we tend to remember a bit too late that with the return of sunny days comes a greater risk of sun damage to our skin, heat-related illness and the unexpected injuries that can happen when we become more active. Read more.
Tri Valley Health System Trustees Earn Education Certification
Randy Heitmann, Patrick Horwart, Kristy Witte, Clark Andrews, Reginald Warner and Cathy Kubik, trustees from Tri Valley Health System in Cambridge, have dedicated the time and effort to governance practices to earn NHA member hospital trustee education certification. Read more.
Tri Valley Medical Foundation Hires New Director
Tri Valley Medical Foundation is pleased to announce the hiring of Jamie Mickelsen as Foundation Director. Mickelsen relocated to Cambridge in April and assumed her role May 10, 2018. Read more.
Tri Valley Health System’s Senior Life Solutions Program Raises Awareness During Mental Health Month
When you or someone you love is dealing with a mental health concern, sometimes it’s a lot to handle. It’s important to remember that mental health is essential to everyone’s overall health and well-being, and mental illnesses are common and treatable. Read more.
​Local Medical Facilities Collaborate To Ensure Rural Healthcare Sustainability
Local medical groups including Tri Valley Health System (Cambridge, Arapahoe, Indianola), Phelps Memorial Health Center (Holdrege), Harlan County Health System (Alma), Phelps Medical Group (Holdrege) and Family Medical Specialties (Holdrege), have been in collaboration to enhance the delivery of care in their south central Nebraska communities. Read more.
Tri Valley Health System Now Offers 3D Mammography
Tri Valle3d_mammo_release.pdfy Health System now proudly offers Genius(TM) 3D Mammography(TM) exams which provide better, earlier breast cancer detection compared to 2D alone. Read more.
​Volunteers are Vital to Tri Valley Health System
In honor of National Volunteer Week April 15-21, Tri Valley Health System is celebrating their volunteer program. ​Read more.
Tri Valley Health System Earns Nuclear Cardiology Reaccreditation by IAC
Tri Valley Health System was recently granted an additional three-year term of accreditation by the Intersocietal Accreditation Commission (IAC) in Nuclear Cardiology. Read more.

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