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Spring 20<strong>13</strong><br />

<strong>Caring</strong> <strong>Partners</strong><br />

Your gifts | Your impact | Our thanks<br />

Intensive care<br />

requires<br />

intensive<br />

training<br />

PAGE 2<br />

Why hospice<br />

nurses<br />

think you’re<br />

wonderful<br />

PAGE 6<br />

Introducing<br />

the DAISY<br />

Award<br />

PAGE 8<br />

How you help 889 nurses<br />

to provide high quality,<br />

compassionate care<br />

mayoclinichealthsystem.org/giving<br />

Franciscan Healthcare Foundation


Your gifts at work<br />

Intensive care requires intensive training<br />

How your gifts help prepare critical care nurses<br />

On the cover:<br />

These nurses from<br />

the Family Birthplace<br />

are just a few of<br />

the 889 caring and<br />

capable nurses<br />

impacted by your<br />

generosity.<br />

New critical care nurses<br />

like Hanna Schank,<br />

right, receive intensive<br />

training thanks to<br />

your support. Hanna<br />

reviews an Essentials of<br />

Critical Care Orientation<br />

education module with<br />

input from veteran<br />

nurses Rose Peterson<br />

and Carrie Apuan.<br />

Clinical nurse specialist Rose Peterson has<br />

nearly 40 years’ experience in the intensive<br />

care unit (ICU) at Mayo Clinic Health<br />

System in La Crosse.<br />

Peterson says there was a time when<br />

the measure of a critical care nurse was<br />

his or her ability to respond to patient<br />

emergencies — something nurses call<br />

“running codes.”<br />

“But we don’t have many codes<br />

anymore,” says Peterson. “Today, it’s really<br />

about the critical care nurse preventing<br />

codes. Our training is to pick up on obvious<br />

and subtle clues; to carefully monitor<br />

patients to avoid complications.”<br />

Because that training is so important,<br />

new ICU nurses can expect to spend several<br />

months expanding their knowledge and<br />

honing their critical thinking skills before<br />

going it alone.<br />

Your contributions help provide a crucial<br />

component of their training.<br />

Essentials of Critical Care Orientation, or<br />

ECCO, is an online, interactive educational<br />

tool offered by the American Association<br />

of Critical Care Nurses. It provides new<br />

nurses with a comprehensive introduction<br />

to caring for critically ill patients. A<br />

series of modules guides nurses through<br />

increasingly complex material followed by<br />

knowledge tests.<br />

Thanks to your support, ECCO is a part<br />

of a blended approach to the orientation<br />

of new ICU nurses that also includes<br />

classroom time and caring for patients<br />

alongside experienced nurses known as<br />

preceptors.<br />

First piloted in the ICU in 2006,<br />

ECCO’s value was quickly apparent. The<br />

department requested Foundation funding<br />

so more nurses could access the program.<br />

Your gifts have helped support ECCO<br />

training since 2008.<br />

“Before ECCO, we made some<br />

assumptions about what nurses knew,”<br />

recalls Peterson. “We provided additional<br />

information as needed or requested, but<br />

their orientation wasn’t as complete as it<br />

is today. ECCO created an opportunity to<br />

standardize our approach.”<br />

Carrie Apuan is a<br />

registered nurse<br />

2 | mayoclinichealthsystem.org/giving | Learn more | Donate


Quality care in the ICU is a team effort. Nurses<br />

Rose Peterson and Carrie Apuan educate and<br />

nurture new critical care nurses, with your help.<br />

and the ICU patient care supervisor. She<br />

adds, “The goal with ECCO is to put all our<br />

nurses on the same page at the beginning<br />

of their ICU work experience so we<br />

know that, at a minimum, they have this<br />

foundational level of knowledge.”<br />

Apuan appreciates that ECCO helps<br />

account for the various ways people learn.<br />

“Some learn better by reading or watching<br />

a video; others through a more hands-on<br />

approach. By looking at ECCO test scores,<br />

we’re able to identify where nurses need<br />

more help and tie that into the classroom<br />

and into their clinical work with their<br />

preceptor.”<br />

ECCO also provides flexibility for nurses<br />

who come to the ICU with prior critical<br />

care experience. According to Peterson,<br />

“Our ultimate goal is to have new nurses<br />

complete 80 hours of ECCO education and<br />

pass the assessment test. If an experienced<br />

nurse joins the ICU and can pass the test,<br />

we forego the training, or we’ll tailor ECCO<br />

to include only areas where a nurse needs<br />

additional knowledge.”<br />

An essential skill of critical care nurses<br />

is the ability to build trusting relationships,<br />

particularly with patients’ families.<br />

Peterson and Apuan say it can be one of<br />

the most difficult skills for a new nurse to<br />

master.<br />

“ECCO actually includes a module<br />

on relating to families, building trust,<br />

managing difficult situations,” says Apuan,<br />

“but every nurse has to develop their own<br />

way of handling things. Building trust is<br />

According to<br />

the American<br />

Association<br />

of Critical<br />

Care Nurses:<br />

crucial, because<br />

while I may be a<br />

patient’s nurse<br />

today, tomorrow it<br />

may be someone<br />

else. If I’ve<br />

established a solid<br />

foundation of trust<br />

with a family, it<br />

carries over to the<br />

next person.”<br />

Equally vital to<br />

critical care nursing<br />

is a willingness<br />

to advocate for<br />

patients.<br />

Peterson says,<br />

“Educated nurses<br />

feel confident and<br />

it shows in the care<br />

they provide. It<br />

allows them to better<br />

advocate for patients because they’re not<br />

afraid to ask questions.”<br />

Peterson emphasizes, “In nursing,<br />

education plus experience equals critical<br />

thinking. So we start with education,<br />

nurture their experience — and from that,<br />

we have some really good nurses develop.”<br />

Asked what she would like to say to<br />

Foundation donors, Apuan says, “Your<br />

support is greatly appreciated. Your<br />

generosity ensures our nurses are well<br />

trained and thoroughly prepared to care<br />

for critically ill patients.”•<br />

Critically ill patients are those at high risk for life-threatening<br />

health problems. The more critically ill, the more likely a patient is<br />

to be highly vulnerable, unstable and complex, requiring intense<br />

and vigilant nursing care.<br />

Critical care nurses practice in settings where patients require<br />

complex assessment, high-intensity therapies and continuous<br />

nursing vigilance. Critical care nurses rely upon a specialized<br />

body of knowledge, skills and experience to care for patients and<br />

families and create a healing, humane and caring environment.<br />

Foremost, the critical care nurse is a patient advocate.<br />

Thanks<br />

to your support,<br />

ECCO is a part of a<br />

blended approach<br />

to the orientation<br />

of new ICU nurses<br />

that also includes<br />

classroom time<br />

and caring for<br />

patients alongside<br />

experienced<br />

nurses known as<br />

preceptors.<br />

| 3


Your gifts at work<br />

Novice nurses gain<br />

skills, confidence<br />

via simulator training<br />

Your support makes unique<br />

learning experience possible<br />

Student nurses care for “Noelle” in<br />

the Clinical Simulation Learning<br />

Center at Viterbo University.<br />

Thanks to your generosity,<br />

novice nurses in The Family Birthplace<br />

had the opportunity to experience an<br />

obstetric emergency, without a patient<br />

ever being in danger.<br />

Your support allowed 10 Family<br />

Birthplace nurses, each with less than<br />

two years of experience in labor and<br />

delivery, to participate in high-fidelity<br />

simulation training. The training<br />

took place at the Clinical Simulation<br />

Learning Center at Viterbo University<br />

in La Crosse.<br />

According to Kristin<br />

Schams, a registered<br />

nurse and certified<br />

nurse educator who<br />

coordinated the project,<br />

“This type of training is<br />

very different from what<br />

nurses typically receive on the job. It<br />

allows them to care for a patient in an<br />

emergency from start to finish, then<br />

debrief with educators to learn from<br />

the experience.”<br />

The “patient” in the simulation is<br />

named Noelle. Her fluctuating vital<br />

signs are displayed on a bedside<br />

monitor and she responds to the<br />

nurse’s questions as they perform their<br />

obstetric assessments.<br />

The nurses began their<br />

training at Noelle’s<br />

bedside with a briefing<br />

from registered nurse<br />

and obstetrics nursing<br />

educator Rachel Genz.<br />

“I worked with Kristen<br />

to develop the simulation scenario,<br />

which was a post-partum hemorrhage<br />

following a cesarean section,” says<br />

Genz. “It’s an obstetric complication<br />

that we had worked on in labor and<br />

delivery.”<br />

“Nurses who participate in this type<br />

of training will tell you the situation<br />

feels overwhelmingly real,” adds<br />

Schams. “It’s an intense and focused<br />

learning experience.”<br />

Simulation participant,<br />

registered nurse Chanda<br />

Humpal, agrees. “I was<br />

almost shocked by how<br />

realistic it was,” she says.<br />

“Noelle would say things<br />

like ‘I’m feeling light<br />

headed’ or, ‘my heart is racing.’ You<br />

just go into high alert and do what’s<br />

supposed to be done.”<br />

What did Humpal gain from the<br />

experience? “The most important<br />

thing was confidence. Overall, I felt<br />

we did really well, but there were<br />

a few things we could have done<br />

better.”<br />

Humpal appreciates that, “With<br />

the simulation, there’s no harm, so<br />

you don’t have to go home and beat<br />

yourself up. Instead, I know when<br />

I’m in that situation for real, I’ll be<br />

prepared.”<br />

This was the first time that hospital<br />

staff collaborated with Viterbo to<br />

do simulation training. Genz looks<br />

forward to other opportunities.<br />

“Anytime we can practice these types<br />

of critical thinking scenarios without a<br />

patient being at risk, it’s beneficial.”<br />

Schams sees future potential as<br />

well. “The simulation center can<br />

accommodate all types of nursing. The<br />

challenge is the personnel it takes to<br />

facilitate the experience. That’s where<br />

collaboration is essential.”<br />

Your collaboration was also vital<br />

to providing this exceptional learning<br />

experience for 10 novice nurses.<br />

Thank you for supporting nurses and<br />

nursing care at Mayo Clinic Health<br />

System — Franciscan<br />

Healthcare.•<br />

4 | mayoclinichealthsystem.org/giving | Learn more | Donate


Moms-to-be benefit from care options<br />

How you teamed with nurses to bring about new program<br />

Centering Pregnancy is<br />

a patient care option for<br />

moms-to-be. Here’s what<br />

they’re saying about the<br />

program you helped make<br />

possible:<br />

Research shows greater satisfaction<br />

among patients and health care providers<br />

who participate in “centering,” a model<br />

of care where patients see providers and<br />

receive education as part of a group.<br />

That’s been the experience<br />

of Kandi Holt, a registered<br />

nurse working in obstetrics.<br />

She says, “The Centering<br />

Pregnancy program has<br />

brought a new aspect to<br />

my work.”<br />

Your support allowed Holt and six<br />

colleagues to receive special training to<br />

bring Centering Pregnancy to La Crosse.<br />

Patients opting for the program have<br />

the same number of prenatal visits as<br />

those in traditional care, but rather than a<br />

15 to 20 minute appointment, they attend<br />

a 90-minute group session. Groups consist<br />

of eight to <strong>12</strong> women with a similar due<br />

dates. Sessions are facilitated by a nurse/<br />

midwife team who support the women<br />

throughout their pregnancies. Dads-to-be<br />

can also participate.<br />

With Centering Pregnancy’s set<br />

schedule of evening sessions, Holt says,<br />

“Patients don’t have to worry about<br />

making multiple appointments or fitting<br />

them into their workdays.”<br />

Sessions begin with members<br />

socializing and enjoying refreshments<br />

while visiting various stations. They<br />

weigh themselves, have their blood<br />

pressure checked and complete a selfassessment.<br />

They also have a private<br />

check up with the midwife.<br />

Later, there’s an educational<br />

presentation. “Providers appreciate<br />

Centering Pregnancy because they’re able<br />

to explain things in greater detail, then<br />

answer questions and gather feedback,”<br />

Holt says.<br />

Expectant moms like the extra support<br />

they receive. “They form friendships<br />

and share experiences,” says Holt. “And<br />

they develop strong relationships with<br />

us because we spend a lot of time with<br />

them.”<br />

Holt notes that the centering care model<br />

isn’t just for pregnancy. “Diabetes, for<br />

instance, can be treated in a group setting.<br />

It can also be an effective way to provide<br />

well-baby care.”<br />

With no additional cost to participate,<br />

Holt says, “I think Centering Pregnancy<br />

offers our patients a lot of bang for their<br />

healthcare dollar.”<br />

She adds, “Our nurses had been<br />

interested in offering Centering Pregnancy<br />

for some time before we were able to<br />

attend the training. We’re very grateful<br />

to Foundation donors for making that<br />

possible.”•<br />

“We received tons of<br />

information, and I liked<br />

sharing the experience<br />

with other women.”<br />

“I learned more because<br />

other people asked<br />

questions I wouldn’t have.”<br />

“I enjoyed the personal<br />

care and greater<br />

face-to-face contact.”<br />

“Meeting after work was<br />

great. It didn’t interfere<br />

with my schedule.”<br />

| 5


Nurses Jennifer Meyers,<br />

left, and Lisa Wick hold<br />

laptop computers that<br />

allow hospice nurses to<br />

access and document<br />

patient data wherever<br />

they provide care. You<br />

came to the rescue<br />

when older laptops<br />

proved troublesome.<br />

Your gifts at work<br />

Why hospice nurses think you’re wonderful<br />

Vexing technology glitch resolved, thanks to your generosity<br />

New technology can help streamline<br />

processes and make health care efficient.<br />

But sometimes, implementing new<br />

technology creates new headaches.<br />

Such was the case when the hospice team<br />

at Mayo Clinic Health System in La Crosse<br />

replaced its paper-based medical record<br />

system with an electronic, computer-based<br />

system, then extended “mobile access” to<br />

nurses in the field.<br />

You may be one of the many Franciscan<br />

Healthcare Foundation benefactors for<br />

whom hospice holds a special place. If so,<br />

you know that hospice provides medical<br />

care, emotional support and spiritual<br />

resources for persons in the final months of<br />

life. The program allows patients to receive<br />

care in the setting of their choice — at<br />

home, in a nursing home, or in a hospital.<br />

A Foundation grant, made possible<br />

through your support, helped purchase the<br />

software that gives hospice nurses secure<br />

access to medical records, regardless of<br />

where they are providing care.<br />

6 | mayoclinichealthsystem.org/giving | Learn more | Donate


Mobile access frees nurses from having<br />

to travel to the hospice office to review and<br />

update patient files. The new system also<br />

provides for more timely and thorough<br />

documentation of patient visits.<br />

And that’s a good thing,<br />

says registered nurse<br />

Jennifer Meyers, supervisor<br />

for hospice and home health<br />

services. “Patient care and<br />

safety are enhanced when<br />

everyone has access to the<br />

same information.”<br />

The headache came when, in an effort to<br />

keep costs down, the software was installed<br />

on existing laptop computers. It seemed a<br />

prudent plan until nurses discovered the<br />

laptops would often freeze up, requiring<br />

them to repeatedly reenter data. Frustration<br />

grew as attempts to resolve the problem<br />

proved unsuccessful.<br />

Meyers will tell you that hospice nurses<br />

are a special breed. “What we look for<br />

in a hospice nurse is compassion and<br />

empathy, but all of our nurses also have<br />

strong personalities. In the field you’re very<br />

autonomous and you can’t be afraid to make<br />

decisions. No one is standing over your<br />

shoulder telling you what to do.”<br />

Good listening skills are also essential.<br />

“Patients and family members may not be<br />

comfortable sharing their concerns with each<br />

other or with doctors,” says Meyers, “but<br />

they feel comfortable talking to that nurse.<br />

Sometimes people just need to vent a little,<br />

or they may need a shoulder to cry on.”<br />

Because the goal of hospice is comfort<br />

rather than cure, Meyers says nurses go into<br />

hospice with a different mindset. “Their role<br />

is to empower each patient to live the best<br />

life possible in whatever time they have left,”<br />

she says. “You either love being a hospice<br />

nurse or you don’t. Everyone is here because<br />

they want to be.”<br />

In 20<strong>12</strong>, nine hospice nurses and three<br />

home health aides made an astounding<br />

7,956 visits to hospice patients. “When you<br />

consider the documentation that must be<br />

done for each of those visits, there’s a lot of<br />

time involved,” says Meyers.<br />

With no apparent remedy for the freezing<br />

laptops and no money budgeted to replace<br />

them, the hospice department sought help<br />

from the Foundation.<br />

Thankfully, you came to the rescue — and<br />

hospice nurses couldn’t be more grateful.<br />

Your generosity provided a follow-up<br />

grant to purchase new, specially configured<br />

laptops that have made the nurses’ work<br />

much easier.<br />

“The original laptops caused a lot of<br />

frustration,” recalls Meyers. “Funding from<br />

the Foundation to replace them was huge.<br />

It affected morale — I can’t even tell you<br />

how much. We’re so grateful that people<br />

support hospice and helped us resolve this<br />

issue so our nurses can focus on providing<br />

compassionate care for patients and their<br />

families.”•<br />

<strong>Caring</strong> advice from a hospice nurse<br />

Lisa Wick,<br />

registered nurse<br />

and hospice<br />

coordinator<br />

In 20<strong>12</strong>, nine<br />

hospice nurses<br />

and three<br />

home health<br />

aides made<br />

an astounding<br />

7,956 visits to<br />

hospice patients.<br />

If registered nurse and hospice coordinator Lisa Wick<br />

could offer a bit of advice to people considering hospice<br />

care, it would be, “Don’t wait too long. We’re often called<br />

too late to provide patients and families the support they<br />

really need.”<br />

She recommends calling hospice when someone with<br />

a life-limiting illness has a change in appetite or is<br />

experiencing pain. “We can discuss their situation and<br />

help determine if hospice care is appropriate,” says Wick.<br />

The benefits are many. “A hospice nurse is a sounding<br />

board and an advocate for the patient. We’re there to listen and to<br />

help,” says Wick. She adds that the program also includes a chaplain,<br />

a medical social worker, counseling services and support groups.<br />

While cost is a frequent concern for families, Wick notes that Medicare<br />

and many private insurers cover hospice care.<br />

“When people don’t know what to expect, it creates a lot of anxiety,”<br />

she says. “Our team supports the patient and family throughout the<br />

process, and we stay connected with families for a year after their<br />

loved one passes.”<br />

| 7


Your gifts at work<br />

St. Clare Health Mission marks 20th anniversary<br />

Thanks to a generous and caring community<br />

When St. Clare Health Mission<br />

began caring for poor and uninsured<br />

members of the community in 1993,<br />

organizers hoped its doors would be<br />

closed in a few years.<br />

Two decades later,<br />

clinic director and<br />

registered nurse Sandy<br />

Brekke says that’s still<br />

the hope. “Ultimately,<br />

we want to go out of<br />

business because there’s<br />

no longer a need for our services.”<br />

Meanwhile, the Mission has<br />

provided more than 16,000 people<br />

with free medical care and medications<br />

during 64,000 clinic visits. Qualifying<br />

patients are ineligible for private or<br />

government health insurance and<br />

have incomes at or below 150% of the<br />

federal poverty guideline.<br />

Many see St. Clare Health Mission<br />

as a shining example of community<br />

collaboration.<br />

The unpaid, volunteer staff includes<br />

physicians, nurses, pharmacists,<br />

technicians, social workers and others.<br />

A number of the 350 volunteers have<br />

been with the Mission since it opened.<br />

Mayo Clinic Health System and<br />

Gundersen Lutheran continue to jointly<br />

sponsor St. Clare Health Mission,<br />

accepting referrals — at no cost —<br />

when patients need care beyond what<br />

the Mission can provide. Other local<br />

agencies, including La Crosse County,<br />

have also been closely involved.<br />

The Mission relies solely on<br />

charitable gifts and grants to fund<br />

operations. To date, more than 4,000<br />

individuals and organizations have<br />

provided financial support.<br />

Brekke began working at the Mission<br />

in 1994 under founding director,<br />

Sr. Leclare Beres. Asked why St. Clare<br />

Health Mission has survived — even<br />

expanded to include a Wednesday<br />

clinic for patients with chronic health<br />

conditions — while other free clinics<br />

have struggled, Brekke doesn’t hesitate.<br />

“It’s because of the support we<br />

receive from the community. People<br />

understand what we do here — that we<br />

care for people who otherwise could<br />

not see a doctor — and they have been<br />

very generous to us.”•<br />

Recognizing the super-human work of nurses<br />

Introducing the DAISY Award<br />

The La Crosse region has joined the other Mayo<br />

Clinic Health System locations as a participant<br />

in a national nursing recognition program —<br />

the DAISY Award for Extraordinary Nurses<br />

— designed to honor nurses who demonstrate<br />

exceptional skill and compassion at the bedside.<br />

The DAISY Award program is supported by<br />

a grant from the Sister Joyce Bantle Endowment<br />

within Franciscan Healthcare Foundation. Joyce<br />

Bantle was a nurse at Mayo Clinic Health System<br />

for more than 50 years. A 2004 gift in her honor,<br />

from the estate of Dorothy Jiracek, established the<br />

endowment.<br />

Each month an extraordinary nurse from<br />

Franciscan Healthcare is recognized. Nominations<br />

can be made by patients, visitors, employees and<br />

volunteers. DAISY Award recognition will also be<br />

part of the annual Nurses’ Day celebration, held the<br />

first week in May. •<br />

Nomination forms can be found at all Mayo Clinic Health System locations in the La Crosse<br />

region and are also available online at mayoclinichealthsystem.org/locations/la-crosse, search<br />

“daisy award.” They may be submitted via mail, web, or by calling (855) 392-4940 (toll free).<br />

8 | mayoclinichealthsystem.org/giving | Learn more | Donate


Gift planning<br />

A win-win: Tax incentives for charitable giving<br />

It can be challenging to keep track of<br />

all the proposals under consideration<br />

in Washington these days. Many issues<br />

turn into lengthy debates, and it can<br />

seem there’s no consensus in sight.<br />

Fortunately, the importance of<br />

charitable giving continues to be a<br />

rare point of agreement on both sides<br />

of the political aisle. There may be<br />

arguments over specifics, yet there is<br />

rarely disagreement with the notion<br />

that charitable giving should continue<br />

to be encouraged through favorable<br />

treatment in the tax code.<br />

While charitable intent — not tax<br />

incentives — should be the motivation<br />

to make a gift, it is also important to<br />

be aware of the rules established by<br />

Congress to encourage our giving.<br />

Little-known tax savings<br />

Most likely, you know that you can<br />

often receive an income tax deduction<br />

for your charitable contributions.<br />

But you can achieve substantial<br />

tax savings in other ways as well,<br />

depending on how a gift is structured.<br />

You may even be able to give away<br />

more, at a reduced cost, simply by<br />

taking advantage of the rules.<br />

For example, gifts of appreciated<br />

property — such as common stock that<br />

has been held for more than one<br />

year — may qualify for an income<br />

tax deduction and a reduction<br />

or avoidance of capital gains<br />

tax. Likewise, charitable<br />

gifts included in your will<br />

could reduce your estate<br />

tax liability. Gifts can<br />

take many forms, from<br />

cash to securities, real<br />

estate, grain, machinery,<br />

artwork, china, jewelry<br />

and much more.<br />

Gift in the future,<br />

benefit in the present<br />

Many benefactors are surprised to learn<br />

that they can commit to complete a<br />

gift in the future, yet enjoy tax benefits<br />

today. For instance, when giving a gift<br />

of real estate, you may continue to live<br />

in your home, or to enjoy your cabin,<br />

farm or other recreational property,<br />

while receiving an immediate tax<br />

benefit. You can enjoy these assets<br />

now with the knowledge that you are<br />

making a substantial future gift to<br />

enhance the health and well-being of<br />

your friends and neighbors.<br />

In addition, the law creates<br />

opportunities that may allow your<br />

gift to Mayo Clinic Health System to<br />

generate greater income for you or a<br />

loved one, while also benefiting the<br />

entire community through enhanced<br />

health care.<br />

If you’d like to learn more about the<br />

various ways the tax laws encourage<br />

charitable giving, please contact<br />

Peter Grabow at 608-392-9394 or<br />

grabow.peter@mayo.edu.<br />

Gifts can take many<br />

forms, from cash to<br />

securities, real estate,<br />

grain, machinery,<br />

artwork, china, jewelry<br />

and much more.<br />

Stock Certificate<br />

| 9


Your gifts at work<br />

The value of your gifts,<br />

from a nursing perspective<br />

An interview with Franciscan Healthcare Foundation<br />

board member and registered nurse, LuAnne Kratt<br />

“Your support is critical to our<br />

ability to provide high quality,<br />

compassionate health care.<br />

Be assured that your gifts are<br />

used wisely, for the greatest<br />

good, and for the benefit of<br />

many.”<br />

LuAnne Kratt<br />

What inspired you to<br />

become a nurse?<br />

After earning a degree in<br />

recreation leadership, I moved<br />

to Sheboygan to accept a job<br />

at a YMCA. I’d been there<br />

just a few months when I fell<br />

and broke my leg, requiring<br />

a lengthy hospital stay. Being<br />

new to the community and not<br />

wanting my family traveling<br />

across the state to sit with me,<br />

I was alone much of the time.<br />

Realizing this, one of the<br />

nurses spent a lot of time with<br />

me. She kept me company and<br />

provided wonderful care. Later,<br />

when I decided to make a career<br />

change, I chose nursing because<br />

of the wonderful experience I had<br />

and also because my mom is a<br />

nurse. It felt like a good fit.<br />

Why have you chosen to<br />

spend your nursing career<br />

at Mayo Clinic Health<br />

System in La Crosse?<br />

I was lucky to be offered a<br />

job here while still in nursing<br />

school. It’s been a great place to<br />

work. I believe in the mission,<br />

vision and values of the<br />

organization; in providing the<br />

best care for every patient. I’ve<br />

been here 16 years and spent<br />

the last 14 in the emergency<br />

department where I’m currently<br />

the director of patient care.<br />

What are some of the<br />

challenges facing nurses<br />

today?<br />

We’re challenged daily to find the<br />

most efficient ways to provide<br />

the best patient care. We focus<br />

a lot on eliminating waste. As a<br />

director, I can’t do that myself. It’s<br />

critical that staff be involved in<br />

generating ideas and streamlining<br />

processes.<br />

Another challenge is that the<br />

patients we see are sicker than<br />

in the past. Many are living with<br />

chronic conditions that would<br />

have been life-ending years<br />

ago. Emergency department<br />

nurses have to be at the top of<br />

their games. They may care for a<br />

week-old infant one minute and<br />

an elderly person the next. That<br />

requires broad knowledge and the<br />

ability to act decisively.<br />

What are the greatest<br />

opportunities for nurses<br />

today?<br />

The opportunity to share in<br />

decision-making has been<br />

part of our nursing culture at<br />

Mayo Clinic Health System for<br />

many years. Even as an entry<br />

level nurse, you can serve on<br />

councils in the department.<br />

And there are opportunities to<br />

be involved in practice issues<br />

at the system level as well.<br />

10 | mayoclinichealthsystem.org/giving | Learn more | Donateearn more | Donate


How does the Foundation<br />

support nurses in their<br />

work?<br />

I’ve seen a lot of support for<br />

nursing education. Those<br />

opportunities keep nurses engaged<br />

and bring best practices to our<br />

organization. In our area, we’ve<br />

received funding for training<br />

equipment and supplies. The<br />

Foundation also supported our<br />

pediatric cart, which is stocked with<br />

items to comfort kids being treated<br />

in the emergency department.<br />

What do you know about<br />

the Foundation now, that<br />

you didn’t know when you<br />

joined the board?<br />

My first involvement with the<br />

Foundation was co-chairing the<br />

employee division of the Through<br />

These Doors campaign in 2007. At<br />

the time, for me, it was about the<br />

Foundation helping us establish<br />

a beautiful, state-of-the art<br />

emergency and urgent care center.<br />

Now, I know there’s so much more<br />

the Foundation does. It’s very<br />

instrumental to the strength of the<br />

organization. For instance, without<br />

Foundation support of process<br />

improvement initiatives, I doubt we<br />

could have progressed so quickly.<br />

I’ve served on other boards<br />

where members are largely figure<br />

heads. This board is passionate.<br />

They help raise money and they<br />

know how it’s being spent. I enjoy<br />

hearing input from fellow board<br />

members as we consider<br />

funding requests.<br />

What do you find most<br />

rewarding about your board<br />

service?<br />

I like knowing that we’re making<br />

good decisions in supporting<br />

our local healthcare programs<br />

and services. And it’s rewarding<br />

to know how many people we<br />

touch, in one way or another,<br />

through that support.<br />

As a nurse, I’ve been able to<br />

share with other board members<br />

how Foundation funding has<br />

affected me and the patients I<br />

care for. I also appreciate the<br />

opportunity to hear from groups<br />

seeking Foundation support. It’s<br />

given me a deeper appreciation for<br />

the work of my colleagues across<br />

the organization.<br />

If you could speak directly<br />

to a Foundation donor,<br />

what would you say?<br />

I don’t think it’s possible to<br />

measure the importance of your<br />

gifts. Your support is critical to<br />

our ability to provide high quality,<br />

compassionate health care. Be<br />

assured that your gifts are used<br />

wisely, for the greatest good, and<br />

for the benefit of many.•<br />

Nurses in the emergency department are among the 889 nurses who<br />

benefit from your generosity. “Emergency department nurses have to<br />

be at the top of their games,” says Kratt.<br />

| 11


Franciscan Healthcare Foundation<br />

700 West Ave S<br />

La Crosse, WI 54601-4796<br />

NON-PROFIT ORG.<br />

U.S. Postage<br />

PAID<br />

Mayo Clinic<br />

Miceks<br />

recognized<br />

with Spheres<br />

of Influence<br />

Award<br />

Award recipients Ernest and Sally Micek at<br />

center, with Franciscan Healthcare president and<br />

CEO Tim Johnson, M.D., left, and Foundation<br />

executive director Peter Grabow, right.<br />

Ernest and Sally Micek were honored with Franciscan Healthcare Foundation’s<br />

Spheres of Influence Award at a gathering of Mayo Clinic Health System leaders and<br />

special guests.<br />

The Foundation has presented the Spheres of Influence Award annually since 1983 in<br />

recognition of those who generously support the organization’s healing mission.<br />

The Miceks are natives of Arcadia, Wis. Sally is a graduate of the St. Francis School<br />

of Nursing. Ernest served as president and CEO of the Cargill Corporation. Following<br />

his retirement, the couple settled in Dresbach, Minn. Since then, their generosity has<br />

benefited numerous organizations across the region.<br />

According to Foundation executive director Peter Grabow, “The Miceks<br />

have been very generous to the Cancer Center and to St. Clare Health Mission.<br />

And, it was Ernie and Sally who provided the gift that put the Foundation<br />

over goal in both the $8.3 million fund drive for the Center for Advanced<br />

Medicine and Surgery, and the $4.4 million campaign for the Emergency and<br />

Urgent Care Center.”<br />

“Philanthropy has played a key role throughout the history of Franciscan<br />

Healthcare,” Grabow notes. “In 1883, generous community support allowed<br />

the Franciscan Sisters of Perpetual Adoration to equip and furnish the original<br />

St. Francis Hospital so they could begin receiving patients. Philanthropy<br />

remains an equally vital part of our healing mission today.”<br />

In presenting The Miceks with the Spheres of Influence Award, the<br />

Foundation recognizes their philanthropic leadership in the community and<br />

extends its heartfelt appreciation for their generous support.•<br />

<strong>Caring</strong> <strong>Partners</strong><br />

<strong>Caring</strong> <strong>Partners</strong> is published twice yearly for the friends and<br />

benefactors of Mayo Clinic Health System.<br />

Information for <strong>Caring</strong> Partner stories is provided by Mayo Clinic Health<br />

System medical professionals. If you have medical questions about these<br />

stories and how they affect your health, please contact your physician.<br />

Mayo Clinic Health System - Franciscan<br />

Healthcare Foundation is a 501(c)3<br />

not-for-profit corporation. Gifts to the<br />

Foundation are tax deductible to the full<br />

extent allowed by law.<br />

mayoclinichealthsystem.org/giving<br />

• Learn more about the Foundation<br />

• Make a donation<br />

• News & Events, FAQs and more<br />

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©20<strong>13</strong> Mayo Foundation for Medical Education and Research. All rights reserved. MAYO, MAYO CLINIC, Mayo Clinic Health<br />

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