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Meet The Provider — Angie Wallace, CRNP

Angie Wallace, Certified Registered Nurse Practitioner at Keystone Pediatrics Waynesboro, knew she wanted to work with children as long as she can remember. She started her career caring for babies as a neonatal intensive care unit nurse for four years before becoming a pediatric CRNP.

“My favorite part of being a healthcare provider is getting to work with babies and children and watching them grow and develop,” she said. “I love getting to know the families and being able to help them adjust to each new change or challenge that parenting provides.”

She has now been working as a CRNP for nine years, and finds fulfillment from helping others.

“I am most proud of being a Nurse Practitioner when I can make life easier for a parent or a struggling or sick child by offering advice, referring them for special services, and/or providing them with the treatments or resources they need,” she said. “I am proud when I see a patient smiling and doing well after being very sick and knowing that I had a part in that.”

When she’s not at work, Angie is a wife and a busy mom of two. In her spare time, she enjoys exploring her interests of nutrition and exercise by trying new healthy recipes and staying active with running and cross training.

 

Employee Spotlight- Annette Lehman

The Keystone Health Employee Spotlight for April shines on Annette Lehman Employee Spotlight Annetteof Keystone’s Human Resources department!

Annette began working at Keystone in April of 2007. She started her Keystone career as a transcriptionist, and later transitioned to splitting her time between being a billing representative and an HR clerk. She now works in Human Resources full-time with the title of HR Assistant/Credentialing Coordinator.

She enjoys her job and the people she works with, and gets a sense of accomplishment from working at Keystone.

“I’m proud of its mission and watching how Keystone has expanded to meet needs from its origin,” she said.

After starting each morning with a cup of coffee, Annette comes to the office and stays busy with a variety of tasks. She keeps providers and staff up-to-date on licenses and certifications, works with new providers to help them get credentialed, assists students on practice rotations, completes paperwork, and helps with new employee orientations, among other things.

Annette has lived in Shady Grove for 35 years in a house that is more than 100 years old.

When she’s not at work, Annette enjoys spending time with her husband, two grown children, and two granddaughters.

“My husband is retired but was in the new home construction field for many years, and my son is a certified aircraft mechanic,” she said. “My daughter is a tumor registrar and her husband is a newly credentialed pilot and also has a home painting business; they have two girls ages six and nine that keep them very busy.”

Annette also enjoys reading, watching old movies from the 40s and 50s, playing hand bells in her church’s choir, and learning about history. Touring the Gettysburg Battlefield is one of the things she enjoys about living in the Franklin County area.

“I’ve never lived anywhere else,” she said. “Except for the growing traffic on I-81, it still has a small-town feel.”

Thank you Annette, for all that you do for Keystone and our patients!

Keystone’s CEO Honored With Award

Joanne 3 editOn April 6 Keystone Health’s founder, President, and CEO Joanne Cochran was honored with this year’s International ATHENA Award by the Greater Chambersburg Chamber of Commerce. The award is given to someone who demonstrates professional, community, and personal leadership and who actively assists women in reaching their full leadership potential.

Joanne founded Keystone Health in 1986 after recognizing the area’s migrant workers were in need of healthcare. She started the company in the basement of her home with the help of three volunteers, and together they provided part-time seasonal care to workers in Franklin County. That season, Keystone served approximately 500 migrant workers.

Thirty-one years later, Keystone Health serves more than 50,000 patients annually and employs over 400 people. While the company still serves migrant patients, it has expanded to serve the community as a whole. Patients from all walks of life can be seen at Keystone, regardless of their ability to pay, and it has become the largest multi-specialty Federally Qualified Healthcare Center in the nation. Through Joanne’s tireless commitment and dedication, Keystone has grown to be the non-profit community pillar it is today.

Joanne has continually been an innovative leader, demonstrating compassion, creativity, fearlessness, and always leading by example. And she has continually spearheaded the efforts to add services to meet the community’s needs.

After founding Keystone Health, she took on the responsibility throughout the years to expand and improve the services offered as she saw different community needs arise. When she found out people with Medical Assistance did not have a place to go for behavioral health treatment, she added those services to Keystone’s scope. As the HIV/AIDS and STD prevalence rose, she not only added programs, but led Keystone to become the area’s leading provider of HIV services for the past twenty-plus years.

When she realized how many community members could not afford their medications, she led the way to open a pharmacy and its accompanying prescription discount program. When marketplace health insurance took effect under President Obama, Joanne helped the community yet again, overseeing the addition of Keystone’s Outreach Enrollment department, which employs navigators to help people sign up for the plan that would be best for them, and/or connect them with Keystone’s sliding fee program, all for no charge.

When the area’s leading provider of pediatric therapy services was going to be forced close its door last year, Joanne realized this would be the end of care for many children who are in desperate need of speech and occupational therapy. These services were not otherwise readily available in the community, especially for children in low-income households. She led the effort for Keystone to take over this company, and less than a year later, Keystone Pediatric Therapies has doubled in size. In 2016 Joanne also oversaw the addition of a health clinic in the Chambersburg Area Senior High School, a partnership with Over the Rainbow to provide services to children who are victims of abuse, led the effort for patient drug and alcohol interventions, and significantly expanded Keystone’s dental practice, including the addition of pediatric dental services.

These are just a few highlights of the numerous undertakings Joanne has accomplished over the company’s history. And she never forgot the company’s original mission, as the migrant program now serves patients in 141 camps throughout 37 counties.

During her acceptance speech Joanne said, “I am accepting this award in honor of the many women, and men too, who have given so much of their time, energy, and themselves over these past 31 years…I am grateful from the bottom of my heart for each and every one of you. I believe women can change the world if we use our God-given virtues of loving, caring, nurturing, giving, and protecting and compassionately standing our ground when it comes to issues of family and social justice.

“It’s not about how much we do, but more about how much love we put into what we do. Love can change the world.”

Employee Spotlight- Dr. Ira Listijani

The Keystone Health Employee Spotlight for March shines on Dr. Ira Listijani employee spotlight dr. listijaniof Keystone Pediatrics – Chambersburg!

Dr. Listijani began working at Keystone in 2007. She was drawn to the company’s strong mission to improve the health and quality of life of its patients, and is proud to work for an organization that makes such a big difference in the community.

“Keystone always commits to providing high quality of care to everybody in the community,” she said. “Keystone never turns away a patient due to inability to pay, and I can rely on trustworthy leadership here.”

One of the parts she likes best about being a pediatrician is sharing in the life milestones of her patients. “It’s very rewarding to be able to see them grow from the time they are infants,” she said. “I get to see them growing up, from walking, going to school, playing sports, and graduating.

“I am grateful that I can help children feel better when they are sick and help parents feel comfortable when their child is sick. I am a parent myself and can understand how worried parents are. I am proud that I have the ability to share my knowledge to positively impact children’s health and well-being.”

Dr. Listijani starts her work day at 8 a.m. by checking her schedule and emails before starting to see patients, filling out school and sport physical forms, and giving nursing orders for the remainder of her shift. And when she is on call, she starts and ends her days at the hospital making rounds.

“I feel so fortunate to have such a nice working environment,” she said. “And I am thankful that I have a great group of nurses in the office who always work hard and try to make things run smoothly.”

When she’s not at work, Dr. Listijani enjoys playing the piano, traveling with her husband and two sons, and taking her boys to their after school sports and activities.

“Chambersburg is a good place to raise children,” she said. “It offers many services to the community and provides easy access to big cities. It is nice to see how Chambersburg has grown over the past years.”

Thank you Dr. Listijani, for all that you do for Keystone and our patients!

Hepatitis C Facts

While Hepatitis C awareness is growing, many people are still unfamiliar with mcafeewhat the infection is and who should be tested. Cathy McAffee, Certified Registered Nurse Practitioner at Keystone Community Outreach, reviews some facts and statistics about Hepatitis C.

What is Hepatitis C?

In short, it is an inflammation of the liver. The liver processes nutrients, filters blood and prevents infections. When inflamed, these functions can be affected. Thanks to modern medicine, treatments are available that can cure Hep C for many infected people.

How does someone get Hepatitis C?

Hep C is most often considered a virus. Medical equipment and procedures used before universal infection control was adopted could have infected patients, as well as blood and blood products. As awareness grew and screenings became more frequent, the virus was nearly eliminated from the medical blood supply by 1992. Currently, most people become infected by sharing needles, syringes, or any other equipment used to inject drugs. Although very rare, it can also be transmitted sexually, and about 6% of infants born to an infected mother will contract the virus.

What are the symptoms?

Most people with Hep C do not know they are infected as many times symptoms do not occur. If symptoms do happen, they can include fever, tiredness, dark urine, yellow skin and eyes and lack of appetite.

How can you find out if you are infected?

A blood test, as simple as a fingerstick, can test for the virus, and results can be available in minutes.

Who should be tested?

People born between 1945-1965, the group often referred to as “Baby Boomers,” should be tested for the infection at least once. Infection rates were highest from the 1960s-1980s, and three out of four people with Hep C are from this generation. In addition, people who received blood or organs before 1992, ever used injected drugs or shared needles (even if only once), were exposed to blood from an infected person, have certain chronic medical conditions, abnormal liver tests or liver disease, and those on hemodialysis should also be tested.

How can I avoid getting Hep C?

There is no vaccine to prevent Hep C, but you can take certain steps to help reduce the risk of contracting it such as: not sharing personal items that could be contaminated with blood such as needles and syringes, glucose monitors, razors, nail clippers and toothbrushes, and only getting tattoos and body piercings from a licensed professional in an authorized location.

 

This article contains general information only and should not be used as a substitute for professional diagnosis, treatment or care by a qualified health care provider.

What is RSV?

During the cold weather months, viruses including RSV occur frequently and spread easily.Konanki-1 Dr. Venkata Konanki, Pediatrician at Keystone Pediatrics’ Chambersburg office answers some frequently asked questions about RSV:

What is RSV?

RSV stands for Respiratory Syncytial Virus, and is very common during the late fall and winter months. It typically causes an upper respiratory infection (commonly referred to as a cold), and in children under two years of age it may cause an infection in the lungs, which is called Acute Bronchiolitis. RSV is responsible for about 50% of cases of Bronchiolitis.

Who is most at risk?

Although RSV infections are common, the symptoms will likely be more severe to: infants under six months of age, children born prematurely, those with conditions affecting their lungs such as asthma, children with congenital heart conditions, those exposed to second-hand smoke, and people with decreased immunity.

What are the symptoms?

Children who develop Bronchiolitis typically display symptoms such as a runny nose, nasal congestion, fever, cough, wheezing, and decreased appetite. Some children may also develop labored or difficult breathing. Very young infants may sometimes take a long pause (20 seconds or longer) when breathing, which is called apnea.

What are the treatments?

Antibiotics do not help unless the patient has developed an associated bacterial infection as well. Treatment of RSV involves taking care of the symptoms. It includes controlling fevers with fever reducers, clearing the nose with nasal saline and bulb suction, encouraging fluid intake, running a cool mist humidifier, etc. However, children who are having difficulty breathing, apnea, or poor feeding should be seen by a medical professional. They may need to be hospitalized for further care.

How can you protect yourself or your children from getting RSV?

The infection is spread between people through secretions that are released into the air when affected individuals cough or sneeze. Practicing good hygiene by washing your hands with soap and water for at least 15 seconds and avoiding contact with those that have the infection are likely to help prevent the spread.

 

This article contains general information only and should not be used as a substitute for professional diagnosis, treatment or care by a qualified health care provider.

Employee Spotlight- Joyce Hockensmith

The Keystone Health Employee Spotlight for February shines on Joyce Hockensmithemployee spotlight - joyce hockensmith of Keystone Women’s Care!

Joyce has been employed at Keystone for 14 years. She started as a Licensed Practical Nurse at Family Medicine, but moved to Women’s Care after her first year and has been there ever since.

“I like working in OB/GYN,” Joyce said. “People and situations are different every day. I love seeing the new babies and the end result of our job which is keeping mommies happy and healthy.”

During her daily duties, Joyce prepares patients to see their providers, assists with procedures, schedules tests for her patients, gives patients instructions from their doctors, and walks, walks, and walks some more. While she says the halls can get pretty long after a ten hour day, she wouldn’t have it any other way. She knew from an early age that nursing was the right career choice for her.

“I’ve only ever wanted to be a nurse and can’t think of anything else that would make me happy,” she said. “I’ve been a nurse for over 45 years and am looking forward to retirement in a couple of years. Times have changed with nursing over the years, especially with computers; they are my biggest challenge. I’d rather just have the patient and a chart. But I enjoy the environment here and the people I work with, who end up being your family away from home.”

Joyce has resided in Newville since she was 15, and has been married to Richard for 44 years.

“We have three lovely daughters, Ellen, Ann, and Sarah, and five grandchildren to love and brag about,” she said. “I love living in a small town. When you go to the store, you know everybody and it takes you an hour to get groceries because you stop and talk to everyone.”

When she’s not at work, Joyce enjoys reading historical Scottish-Irish romance books, visiting the beach, and she also likes to color.

“Coloring is fun and relaxing, and I enjoy giving them away,” she said. “One of my granddaughters lives in Missouri, and this is one of our ways of keeping in touch. We color pictures for each other. And I enjoy the beach, especially Myrtle Beach. When our husbands won’t go with us, my friend and I stake out our little piece of heaven on earth and people watch. Fun, fun, fun!”

Thank you Joyce, for all that you do for Keystone and our patients!

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Breastfeeding FAQ’s

Pregnant women and new mothers often have many questions about breastfeeding. beverly-curtisBeverly Curtis, DNP, Pediatric Nurse Practitioner, International Board Certified Lactation Consultant and Breastfeeding Medicine Specialist at Keystone Health’s Breastfeeding Center, answers some Frequently Asked Questions in today’s article.

Should I breastfeed?

Deciding how to feed a newborn is an important decision for mother, baby and family. As with all important decisions, it should be based on the latest science and the best information. Science makes it clear that breastfeeding changes the wellbeing of individuals and communities by promoting physical health and wellbeing for both the mother and baby.

What are the benefits for my baby?

Our understanding of the advantages of breastfeeding, especially for the baby, is growing. But already the list is clear and overwhelming. Human milk is the ideal nutrition, providing just the right mix, at the right stage of growth, of vitamins, proteins, sugars, antibodies, live cells and fats – just what the baby needs to develop and thrive. Breastmilk is easy to absorb and digest, avoiding the difficult digestive issues often associated with artificial formula feeding. Breastmilk provides antibodies to fight infections and disease, while inhibiting the development of allergies and asthma. Studies are now revealing the connection between breastfeeding and higher IQs, prevention of obesity, SIDS (Sudden Infant Death Syndrome) and even a lower incidence of childhood diabetes and cancers.

Are there benefits for the mother?

Recently the advantages for the breastfeeding mother have become clearer and more compelling. By choosing to breastfeed, the mother is more likely to have a lower incidence of premenopausal breast and ovarian cancer and protection from heart disease. Breastfeeding helps mothers to lose weight and lose it faster after pregnancy. It reduces uterine bleeding and helps delay ovulation. Data in new studies indicate lower incidence of osteoporosis for breastfeeding mothers. Mothers who have breastfed are generally healthier women with fewer hospitalizations and doctor visits for both baby and mother.

Are there reasons not to breastfeed?

Breastfeeding is not the right choice in every case. Certain conditions such as drug use, disease and rare health conditions make breastfeeding inadvisable. But, as we learn more about it, attitudes about breastfeeding are changing. Family and friends are finding breastfeeding as more convenient than formula preparation with no bottles to wash and milk always at the right temperature and easily accessible. Employers are providing space for lactating mothers to express milk at work so that their employee’s babies will remain healthier in the first year of life. Professional medical organizations have published strong statements supporting and promoting breastfeeding for mothers and babies.

What if I have difficulty breastfeeding?

Mothers sometimes find breastfeeding can be challenging as she and baby adjust in the early days and weeks to baby care. The best way to receive help in your community is through a knowledgeable lactation care provider, such as a Lactation Consultant, a Breastfeeding Medicine Specialist or a peer Lactation Counselor. Backed by these professionals, and armed with the best information, more and more mothers are meeting their breastfeeding goals.

Employee Spotlight – Steve Horton

The Keystone Health Employee Spotlight for January shines on Steve Horton of Keystone’s Billing Department!employee-spotlight-steve

Steve has been working as a Keystone Billing Representative since 2008 where he enjoys helping patients on a daily basis. He spends his workday investigating insurance denials, calling insurance companies in regards to medical claims, and helping patients with payments or when they have a billing problem.

“I work with a great group of people,” he said. “I like to help our patients whether it be in person, on the phone, or going to bat on their behalf with the insurance company.”

He is glad to work somewhere that makes a difference in people’s lives.

“We have a fearless leader in Joanne Cochran,” he said. “Keystone is a community working within the community to give more people quality healthcare and access to it.”

When not at work, Steve enjoys writing short stories, being involved in the Chambersburg Community Theater, playing keyboard in his church’s worship team, and spending time with his family.

“I recently married a beautiful lady named Rita and became stepfather to a son and daughter and to five grandchildren ranging from ages 5-18,” he said. “I enjoy living in the Chambersburg area because you can have a big town atmosphere and a rural country atmosphere all in a matter of minutes.”

Thank you Steve, for all that you do for Keystone and our patients!