(Chillicothe) – Never smoking or quitting smoking have been proven to reduce the incidence of lung cancer, but the greatest chance to survive lung cancer is by catching it early. This can be accomplished with a simple lung cancer screening.
Adena began offering its free screenings in 2013 and since has become a national model for excellence – and is saving lives. Since the program’s inception, more than 3,200 patients have been screened, with about 130 of those being formally diagnosed with cancer. Because of the early diagnosis, some of those patients were able to have completely curative surgical removals that did not require chemotherapy or radiation treatments.
Many people may not experience symptoms linked to lung cancer, especially in the early stages. This is why a lung cancer screening is so important. The no-cost lung cancer screening is a simple, painless, low dose, non-invasive CT scan that can identify tumors or lesions potentially needing further medical attention.
While several healthcare organizations offer lung cancer CT screenings, the majority bill insurance or, at minimum, require a co-pay. Adena decided at the onset of its program to offer the screenings for free in order to better serve its patient population regardless of insurance status.
Those eligible for the free screening are:
· Between 50-80 years old;
· Have 20 or more “pack years” of smoking in their past (a pack year = 1 pack a day for 20 years, 2 packs a day for 15 years, 3 packs a day for 10 years, etc.); and
· Are a current smoker, or someone who has quit smoking in the past 15 years
If you or a loved one meet these criteria, please consider setting up a free lung cancer screening. People in the above groups are recommended to have a lung screen each year for the greatest chance of survival in the event of a lung cancer diagnosis. In addition to the screenings, the program also provides patients with information on tobacco cessation and a program offered by the Health System through which smoking cessation counseling is offered.
Adena’s free lung cancer screenings are available year round, but the Health System will be holding a special screening event.
Adena Free Lung Cancer Screening Event Saturday, December 4, 2021 8 a.m. – 12 p.m. Adena Regional Medical Center 272 Hospital Road Chillicothe, OH 45601
Patients meeting the screening criteria may schedule an appointment for this specific event, or a future lung cancer screening by calling (740) 542-LUNG (5864).
(Jackson) –– In an effort to alleviate barriers pregnant and new mothers face in accessing health care, The Ohio State University Wexner Medical Center, together with Adena Health System under the Better Starts for All umbrella, is providing women in Southeast Ohio with prenatal and postpartum care and reproductive health services. The effort is in response to limited availability of maternity care services in the region.
The new Mom & Baby Mobile Health Center, a key intervention of Better Starts for All, a partnership between March of Dimes and Reckitt’s Enfa portfolio of brands, will travel throughout the region to give all moms and babies the best start in life.
In the state of Ohio, the rate of uninsured pregnancies is more than twice as high in Ohio’s rural communities as urban areas.
“With 1 in 10 babies in Ohio born preterm, and a high rate of pregnancy-associated deaths for new mothers, we want to ensure that all moms and babies – especially those with the greatest need – get the care they deserve. My role as a primary care doctor is also to promote health after pregnancy. And when you have complex pregnancy and disease in pregnancy, that disease does not go away,” said Dr. Seuli Brill, a physician at Ohio State Wexner Medical Center and associate professor in the Ohio State University College of Medicine who co-leads the mobile health initiative.
“Maternity care deserts expose the serious and sometimes deadly issues that can result from lack of access to care for moms and babies,” said Stacey D. Stewart, March of Dimes President and CEO. “There are several counties in Southeast Ohio that have little or no access to maternity care which highlights the need for us to find real solutions for the women living in these deserts. That’s why the Mom & Baby Mobile Health Center, part of our Better Starts for All initiative, is so critical to address the pressing maternal health disparities in communities where access to obstetric care is either absent or limited.”
“All moms and babies should have the opportunity to have access to the information and care they need. We are proud to stand beside our partners in Ohio and March of Dimes with their legacy of addressing some of the toughest health issues in our country. By partnering to offer the Mom & Baby Mobile Health Center and many digital resources, we are confident that we are providing the best start for our most important person, every baby, at all times,” said Robert Cleveland, Senior Vice President, Nutrition at Reckitt.
The Mom & Baby Mobile Health Center is currently based at the Adena Health Center – Jackson, 1000 Veterans Dr., Jackson, Ohio. Other services offered through Better Starts for All include:
· Community health workers: Trained community members assist new moms to access care and provide education, referrals and resources.
· Virtual education: Online prenatal education available for individuals and groups.
· Community coalition: A coalition of community providers who develop and implement innovative strategies to increase access to care in maternity care deserts.
“With the Mom & Baby Mobile Health Center moms and moms-to-be can receive the vital care they need closer to home, which is particularly beneficial to women living in maternity care deserts in Southeast Ohio,” said Natasha McCoy, a certified nurse midwife with Adena. Adena’s team of certified nurse midwives provide weekly coverage on the Mom & Baby Mobile Health Center.
Call 740-779-7201 to schedule an appointment at the Mom & Baby Mobile Health Center. Services are billed to the women’s insurance; if they don’t have insurance, they’re deferred to financial counselors. To learn more about Better Starts for All, visitbetterstartsforall.com/ohio.
(Chillicothe) – The Carlisle Building stands at the corner of Paint and Main streets in Chillicothe like a sentinel, the nightly light emanating from its tower casting its glow over the results of a downtown resurgence its restoration helped launch.
Now, six years since Adena’s involvement in the restoration project helped reopen the building’s doors in 2015, the Health System has completed the purchase of the Carlisle to put ownership of the building in local hands and marking just its latest commitment to improving the overall health of the communities Adena serves.
For more than a decade, the Carlisle Building sat vacant, a burned-out shell of its former glory following a fire that gutted the structure in April of 2003. Identified in a 2007 economic development study as one of the key catalyst projects needed to revitalize downtown Chillicothe, Adena’s commitment to becoming the main tenant in a restored Carlisle after several failed starts and stops to renovate the building by other organizations was the crucial step needed to obtain the necessary state and federal tax credits to push the project forward.
In October of 2015, the building was officially reopened. Adena, utilizing the main floor as office and community room space and apartments on the upper floors as housing for its medical education students, was granted a 15-year lease with the right to purchase the building outright after the first five years. Ty McBee, Adena’s Vice President of Business Strategy, said conditions were right this summer to purchase the building and live up to the original intent to provide it with local ownership.
While the restored Carlisle created a fresh look at the corner of Paint and Main and provided downtown business owners with a new customer base from among those living in the building, it has been credited with doing far more for the health of the community.
“It created a different mindset,” said McBee. “Before the restoration, you’d drive past and see an ‘X’ on the building (to keep firefighters from entering an unsafe structure) which almost gave an impression saying we’d given up, we can’t fix our problems. The Carlisle restoration created a mindset that if this community is able to partner and create a dialogue with each other, as well as pull in the right expertise and get people engaged, that we can fix problems. I think that mindset has continued to today.”
Working from that mindset has made a considerable difference in the downtown landscape.
“Since the Carlisle reopened, the Chillicothe-Ross Chamber of Commerce has welcomed more than 70 new businesses, including 13 different restaurants, two breweries, 27 salons and shops and 10 things to do,” said Chamber President and CEO Mike Throne, adding that he believes the Carlisle served as a catalyst for the downtown revitalization movement.
Adena has long recognized that the overall health of the communities it serves goes beyond providing quality care in its clinics and surgical suites, it also means creating an overall environment for healthier living. That takes partnering with other key members of the community, the possibilities of which emerged during the Carlisle project and continue to be built upon today in a growing number of partnerships Adena has helped forge.
“We take care of our friends and neighbors and while we will be there for them in their time of greatest need, we also want them to enjoy their greatest health so they can fully participate in the life that they have,” said Dr. John Gabis, Adena’s Medical Director of Community Partnerships. “In addition, when you look at places that have a healthy population, they have a healthy workforce. As we look at economic development, if we’re able to have a healthy community, that, by itself, can help attract employers.”
Adena’s involvement in partnerships continues to grow as new initiatives are developed and rolled out. Some, but not all, of those include:
· Involvement with city and county school districts to develop a school-based wellness initiative that will coordinate health and wellness services for students and staff. This expands dramatically on original partnerships that provided athletic trainers to care for student-athletes.
· Work with the Hope Partnership Project to combat opioid abuse. Adena is also a major sponsor of The Buck Fifty, an annual 24-hour team running event to raise money for the county schools’ Drug Free Clubs of America.
· Several programs in connection with the YMCA of Ross County. These include an optimization program for those about to have orthopedic surgery, a Live Strong program to help those with a cancer diagnosis stay physically fit and active, a pre-diabetes program that can help keep participants from developing full-blown diabetes and a pending program to help people self-manage high blood pressure. Adena also partners with the YMCA in Walk With a Doc, a program in which participants can take part in a planned physical activity with an Adena physician while also asking questions about the health care topic of the day.
· Work with the City of Chillicothe on various initiatives impacting community health. This includes service on the Mayor’s COVID Response Team, promoting the use of bicycle commutes and walking as part of the city’s Active Transportation program and working with public transit to improve transportation services to local health care facilities.
· Work with the Ross County Health District and several other organizations as a member of Partners for a Healthier Ross County and Ross Safe Communities initiatives. A community health needs assessment conducted every three years through these partnerships helps identify health trends in the community and spark discussions on how to address them.
· Involvement with initiatives of the United Way of Ross County, including an annual corporate donation, service on the Board of Trustees and volunteering to pack Mighty Active Pack weekend food supply kits.
A successful approach to community health involves the entire community. Since its inception, Adena has recognized and embraced that fact and will continue to do so in the weeks, months, years and decades to come, just as it has for more than 125 years.
(Greenfield) – Calling it a project Greenfield-area residents need and deserve, Adena Health System officials broke ground Thursday on a new 8,500-square-foot Medical Office Building at Adena Greenfield Medical Center (AGMC) that will allow for future growth in providers and services for patients in Highland County and surrounding areas.
The $3 million project will be attached to Adena Greenfield Medical Center, marking the first expansion to the hospital building itself in the last 30 years. It offers several benefits, including new technology and equipment, spacious exam rooms, improved access to sub-specialty services, enhanced patient privacy and convenience, additional patient parking, a more efficient layout that decreases patient wait times, a pharmacy and the type of flexibility inside the hospital that will allow for future growth in providers and services. A new mobile pad for imaging services is already in place.
The new space and technology will enhance existing services in cardiology, general surgery, neurology, OB/GYN, pain management, podiatry, sports medicine, urology and wound care. They also will allow the Health System to explore adding new services in the future in areas such as ear, nose and throat, gastroenterology, pulmonology, psych services and others.
“We plan to open this up in the summer of 2022,” said Josh McCoy, AGMC Senior Operations Executive Officer and Vice President for Adena’s Western Region. “I’ve had the opportunity to talk with a lot of our providers and caregivers in the last couple weeks and you can see the excitement in their faces.”
McCoy said the project, once completed, will increase patient access dramatically, with the ability to handle three times the current number of visits.
Several of the presenters at Thursday’s ceremony noted the special role Greenfield’s hospital has played in Health System’s growth and its ever-increasing ability to provide specialty care close to home in the nine counties it serves.
“Greenfield became the very first hospital to join us in that journey,” said Adena President and CEO Jeff Graham. “It was Greenfield, along with Adena Regional Medical Center, that really brought the culture together and the strategy together and then executing what it means to not have people travel for care, as well as the importance of these hospitals in our communities.”
Adena now serves more than 400,000 people across nine counties with four hospitals and six ambulatory care centers. Graham said Greenfield’s new Medical Office Building will provide yet another tool in making sure patients and their families in Highland County will not have to travel for the specialty care they need and deserve.
Adena’s investment in the project will not only create and support the jobs needed to construct the new facility, but the expected growth in patient visits will generate increased commerce opportunities for the community and support additional job creation tied to clinical program growth and development.
The Health System’s critical access hospitals in Greenfield, Washington Court House and Waverly have played crucial roles in Adena’s response to the COVID-19 pandemic, helping handle larger-than-normal patient volumes to ensure the Health System could safely care for COVID positive patients and maintain the ability to continue offering its extensive array of essential, non-pandemic related services.
“That is why I am so excited to see facilities like this growing and getting the added resources they need to continue meeting all those local care needs,” said Adena Chief Operating Officer Kathi Edrington.
Dr. Richard Mizer, a longtime Greenfield physician who serves as Chief of Staff at AGMC and Physician Executive Vice President of Adena Medical Group, said the expansion project reaffirms Adena’s commitment to expanding specialty health services in Highland County as the county continues to grow.
“Next year, we’ll have a brand new, bigger space with bigger efficiencies,” Dr. Mizer said. “It’s going to make it easier to recruit doctors into the facility. The staff that works here deserves that space and a better facility to work in and, most important of all, the community and patients – many of whom have come here for years and years – deserve that as well.”
As with any large project, several entities come together to make it happen, and this is no exception. AGMC Board Chair Ron Coffey recognized the numerous donors who have contributed to an Adena Health Foundation fundraising drive in support of the project, as well as the Community Foundation Council, AGMC Employee Committee, Adena leadership team, the village of Greenfield, community and business partners and the providers and caregivers at AGMC.
“When this project was discussed by the board, we immediately knew it was the right thing to do because we had kind of outgrown our facility somewhat,” Coffey said. “We want to meet the healthcare needs of the people of Greenfield and the surrounding area because we do have growing demands here, and they deserve the best healthcare available.”
A collaborative event called Community Connection: Confronting COVID, will take place at Ohio University-Chillicothe on Thursday, October 14th.
The 6pm event will be held in the Auditorium at Bennett Hall, and will also be live-streamed.
The panel for this event will be Ross County Health Commissioner, Garrett Guillozet, Dr. Michael E. Jones, D.O. Orthopedic & Neurologist @ Adena, Dr. John Gabis, Medical Director of Community Partnerships @ Adena, & Ross County NAACP Health Chair, Nurse Practitioner, Robin Jones.
The panelist will share information & answer questions.
(Chillicothe) – Avoiding the flu this season takes one simple step, getting an influenza vaccine. Adena Health System offers many flu shot clinics, making it easy for you and your family to get vaccinated.
Adena is offering flu shots by appointment at any of its Family Medicine, Primary Care and Pediatric locations. Flu vaccinations are also available at all Adena Urgent Care locations in Chillicothe, Circleville, Hillsboro, Jackson and Waverly.
Adena is also offering curbside flu shots at a number of its clinics on selected dates. For curbside services, credit/debit cards will be accepted for self-pay and insurance cards taken for others. No scheduling is required.
Individuals 18 years of age and older wishing to receive a free COVID-19 vaccination as well may do so safely during the same primary care or pediatric visit as their flu shot.
Due to the impact of COVID-19 and the Delta variant, it’s more important than ever for people to get their flu shot. Adena experts recommend getting flu shots as soon as possible in order to prevent contracting the flu which could leave people more susceptible to additional Coronavirus infection and serious illness. A flu shot not only protects the individual, but it protects others by limiting the chances of flu virus contraction and spread.
For children older than six months and adults, the flu shot can prevent them from getting sick, prevent flu-related hospitalizations and potentially lessen symptoms or length of illness should they get a strain of the flu. The Centers for Disease Control and Prevention (CDC) recommends that everyone six months of age and older, including the elderly and pregnant women, receive an annual flu shot. Flu shots taken by pregnant women can protect their babies from the flu after birth.
Most insurance companies cover the cost of a flu shot, but patients may want to check with their insurance provider if they are unsure.
Together, we can protect ourselves and each other against the flu by getting a flu shot today. To learn more, visit Adena.org/flushot.
(Chillicothe) – Adena Health System will be offering a drive-thru option for people seeking to be tested for COVID-19 starting Monday, September 27.
Adena’s PACCAR Medical Education Center, located at 446 Hospital Road, Chillicothe, opens next week to best serve patients in need of a COVID-19 test. Hours of operation are Monday through Friday from 8:30 a.m. to 4:30 p.m.
“Our Emergency Departments and Urgent Cares continue to see record volumes,” said Adena President and CEO Jeff Graham. “By opening this drive-thru COVID testing site, this will help decrease the influx of those individuals seeking only testing services at those locations and be a more convenient option for them. At the same time, this will decrease wait times for patients with other care needs in our ERs and Urgent Cares and provide much needed relief and support for our providers and caregivers.”
No appointments are needed.
The drive-thru testing site will offer the rapid testing platform as well as the polymerase chain reaction (PCR) nasal swab test for asymptomatic patients. Patients will be called with their test results and results will also be available through their Adena online Patient Portal. COVID-19 tests will be billed to a patient’s insurance.
Those coming to the drive-thru site are reminded to please be sure to have a mask or face covering on before pulling up for testing.
Anyone experiencing COVID-19 symptoms should first contact Adena’s dedicated Hotline at 740-542-SAFE (7233) prior to visiting any healthcare facility to receive instructions regarding their care.
(Chillicothe) – Effective Wednesday, September 15, Adena Health System is rescheduling its elective surgical procedures for a later date that require an overnight stay in the hospital through next week. This temporary change is being made out of an abundance of caution due to a significant increase in COVID-19 hospitalizations and record-high patient volumes.
Adena leadership is making this decision in order to continue providing safe, high-quality care to the influx of patients requiring hospitalization due to both COVID-19 and unrelated serious medical issues.
“We have carefully evaluated different avenues where we can make operational adjustments that will be best for the short term to relieve some of the pressure off of our hospital inpatient census, provide needed beds and give support to providers and caregivers,” said Adena President and CEO Jeff Graham. “Taking these steps will allow us to care for our patients and staff in the optimal way. This is a thoughtful approach to make sure those patients who don’t need to be in the hospital right away are not.”
The number of community members hospitalized at Adena’s four hospitals as a result of COVID-19 has continued to rise. COVID hospitalizations for Adena stood at a high mark of 74 this morning, with 55 of those patients being unvaccinated. In addition, inpatient census for Adena Regional Medical Center today was over 200 hospitalizations across all medical conditions, which strains hospital capacity.
“These adjustments and what is going on with high patient volumes is not just with Adena,” Graham added. “Similar operational adjustments in order to provide the best care possible are happening all over. What has been great about our organization is being able to handle situations as we’ve done so well over the past 19 months and this is just another situation that we need to address.”
Adena will continually monitor this fluid surge and will resume elective surgeries requiring a hospital stay as the situation improves. Adena is working closely with its medical group to ensure that patient care is prioritized as best as possible. Affected patients will be contacted by Adena to work through rescheduling and help answer any questions.
Adena, and other health care organizations across the region and beyond, continue to strongly urge everyone to get vaccinated. The COVID-19 vaccine is free and readily available. The vaccines are our best defense against further spread of the virus and effective in preventing serious illness and death. The Delta variant spreads faster than earlier forms of the virus that causes COVID-19, so getting vaccinated is the most important thing you can do to protect yourself and others.
(Chillicothe) – The Ross County Health District and Adena Health System are urging for more caution concerning the recent spread of the COVID-19 virus.
Since the original letter, area medical systems have added their names to the community plea. It now includes: Adena Health System, Fairfield Medical Center, Hocking Valley Community Hospital, Holzer Health System, Madison Health, Memorial Health System, OhioHealth and Southern Ohio Medical Center
The following is a letter to the community, sent out by the Ross County Health District on September 10th:
Take a moment and think back to what life in Ross County was like a year ago. What you’ll probably remember is school children doing much of their learning online. You’ll recall cancelations of events that normally add to the quality of life in this community. You may even remember when the Ross County case count of COVID-19 first reached 100 cases in one day. Now, look at the current state of the county. More children are being required to quarantine due to a lack of universal COVID-19 precautions in schools even in light of modified quarantine procedures for schools. More children are testing positive for COVID-19. The vaccine is readily available yet only 47.3% of the county is fully vaccinated.
There’s a new variant, Delta, which is more transmissible and impacting those who are unvaccinated at an uncontrollable rate. All of this is putting a strain on healthcare facilities across the region. If you need medical attention, you may find yourself waiting longer than before for a room or a bed due to high patient volumes.
After a lull that as recently as July saw the number of pandemic-related hospitalizations within Adena Health System dropped to zero, the pandemic is spiking again. Ross County saw more than 800 cases of COVID-19 in August and presently sits at 713 cases at this point in September. There are more hospital admissions and beds being used for COVID-19 patients than at any previous point since the pandemic began. That means less bed availability to treat other serious conditions and strains on staffing and other valuable resources that are needed to provide both critical and routine care to yourself, your family and your friends. As of this morning, Adena had 64 COVID inpatients – 55 of those are unvaccinated, while only nine are vaccinated. The hospital is also caring for eight COVID ICU patients – six unvaccinated/two vaccinated – and six COVID patients on a ventilator – four unvaccinated/two vaccinated.
It doesn’t have to be that way. The Ross County Health District and Adena Health System are counting on each member of the community to join the effort to defeat the virus, taking action to both stay safe themselves and protect their loved ones, friends and neighbors. That includes getting vaccinated and staying home if you feel sick – even if you think you have allergies.
“Hospitalizations locally and across the state are increasing at an alarming rate putting strain on healthcare infrastructure and a workforce that has been fighting this virus on the frontlines for over 18 months,” said Adena Chief Clinical Officer Dr. Kirk Tucker. “About 98% of the COVID-19 hospitalizations in Ohio this year have been among those not fully vaccinated. COVID-19 vaccines continue to be our safest and most reliable means of alleviating pressure on our hospitals and healthcare providers. Vaccination is without any doubt your best bet, regardless of your age, to avoid getting severely ill with COVID-19 and avoid lasting complications. So we urge you to get the vaccine if you have not done so already. The COVID-19 vaccines were thoroughly researched and properly developed. They are safe. They are effective. And they save lives.”
The Delta variant has proven particularly challenging for Ross County schools, which are seeing increases in cases resulting from both classroom and extracurricular activities. There were 206 positive cases among Ross County students and staff as of September 8. Last school year, there were 211 total student cases.
The spread of the Delta variant is also troublesome as it has shown the ability to infect more individuals in less time than the original strain of COVID-19. As a result, the Ross County Health District is seeing more close contacts becoming positive cases now than in any previous month.
“We are gravely concerned about the ongoing surge of cases within our community,” said Health Commissioner Garrett Guillozet. “Our community must come together to help ease the burden on our local health system and to ensure that we are working to protect each other from COVID-19. We know that public health mitigation strategies work, and the vaccines remain effective against the Delta variant.”
Positive cases will be contacted by the Ohio Department of Health (ODH) or the Ross County Health District (RCHD) to complete a contact tracing interview. It is important for those in our community to answer these calls and complete the interview so those who may have been exposed to the virus can be notified.
There are several ways you can take action to reduce exposure of COVID-19, including:
– Getting vaccinated.
– Wearing a mask, regardless of vaccination status.
– Social distancing when possible.
– Staying home if you are sick.
– Completing contact tracing interviews.
We understand that everyone is tired and is looking forward to getting back to a “normal” life, one with safe attendance at ballgames and birthday parties, festivals and family gatherings. That power rests with each of you.
For the nurses, respiratory therapists, doctors, and other healthcare providers caring for our community, and on behalf of our public health nurses, health educators, environmental health professionals, and other staff working every day in response to the pandemic, we appreciate each one of you. We’re all tired, but we need to continue to support each other in an effort to end this pandemic.
If you have questions on isolation and quarantine guidelines, testing, contact tracing, or vaccines, please reach out to RCHD or your healthcare provider.
(Greenfield) – They say a bad day on the golf course is better than a good day in the office.
You can put that theory to the test, make some new friends and, most importantly, help Adena Health System further enhance care to the communities it serves by forming a team to play in or becoming a sponsor of Adena Health Foundation’s 2021 Scioto Valley Golf Classic.
The classic, taking place Friday, September 24, at Crown Hill Golf Club in Williamsport, Ohio, will be an 18-hole scrambles format with a 10 a.m. shotgun start. Proceeds from this year’s classic will benefit the Adena Greenfield Expansion Project supporting construction of a new 8,500-square-foot medical office building attached to Adena Greenfield Medical Center.
The tournament entry fee is $125 per player or $500 per four-person team, which will include greens fees, cart, a light breakfast, lunch, two drink tickets and a raffle ticket per golfer and some swag.
For those who may wish to support the event and Adena Greenfield Medical Center expansion in another way, several sponsorship levels are available to consider. Depending on sponsorship level, available benefits include such things as listings of company information on sponsorship banners, complimentary entries into the event, raffle tickets and/or company name on a hole or tee sign.
For more information about the event, to register a team or inquire about sponsorships, contact the Adena Health Foundation at 740-542-4483, email rberno@adena.org or visit Adena.org/golf2021.
Over the next five years, the new medical office building is expected to bolster patient access to specialty care, increase available healthcare provider days and allow for future service growth within the hospital through the repurposing of space. Other benefits include bringing all AGMC hospital services under one roof, improving patient and visitor parking options, providing a more efficient layout for patients that decreases wait times and several others.
The project also will allow for an expansion of patient specialty services for residents of Greenfield and surrounding areas, enhancing Adena’s ability to provide quality care and a heightened patient experience closer to home.