May 2019

News from Regional Medical Center

THE RIGHT HOSPITALTHE RIGHT SURGERY TEAMCLOSE TO HOMEPages: 3-4

Mindi Jackson: DAISY Award Winner & Iowa’s 100 Great Nurses NomineePage: 2

Urgent Care vs. Primary CareBack Cover

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Governing Board of Trustees At RMC, we depend on our Governing Board of Trustees’ leadership and commitment. As a public, not-for-profit, 501(c)(3) hospital and the largest employer in Delaware County, the volunteer role each of these elected officials serve is crucial. They contribute to ensuring the mission and strategy of RMC are in-line with what the communities we serve need and deserve. We hold them in the highest regard and would like to thank each of them for giving back.

Pictured: Ruth Hoekstra, Member; Bev Preussner, Member; Chris Tegeler, Chairperson; Joe Keith, Secretary; Cathy Lilienthal, Member; Steve Palmer, Treasurer;Jane Hanson, Vice-Chairperson

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Greetings from Charlie I am excited to share with you some of the initiatives we are undertaking at Regional Medical Center to remain a strong healthcare system. As we see the many challenges facing rural healthcare in Iowa and the rest of the country, we can safely say that RMC is up for the challenge. Above all else, our success is based on quality patient care and exceptional patient experiences. I have been amazed in the last few months on how many positive conversations, emails, and cards I have received from patients and families showing appreciation for their care at RMC. The credit goes to our talented and caring group of providers and staff who truly put patients first.

There are several strategic goals in fiscal year 2019 (which ends in June) that have been accomplished, all while remaining financially stable. (1) We are proud to have our new in-house MRI to provide a better patient experience and improved technology. (2) We have successfully recruited several providers to keep your healthcare needs local. (3) Regional Family Health Urgent

Care expanded to include Sunday coverage. (4) We have secured a future location in Dyersville for a primary care clinic to more conveniently serve the east side of Delaware County.

With input from our providers, staff, leadership team, and Board of Trustees, we are finalizing our strategic plan and goals for fiscal year 2020. Our top priorities are to expand behavioral health services, improve community wellness, replace our electronic medical record system, increase surgery coverage, and remodel our OB space. New to our process this year in tackling these goals, we will be asking staff and community members to participate on task forces to help shape RMC’s future.

I would like to close by introducing RMC’s new values. These values were developed by a group of 25 employees called “IGNITE” who are devoted to providing a more positive culture at RMC.

RMC’s New Values Be Present Show Compassion Respect Others Ignite Kindness

I hope that you find this edition of RMConnection insightful and helpful. If you have anything on your mind concerning RMC, please feel free to reach out to me. My office number is 563-927-7701 and my email is cbutton@regmedctr.org. I look forward to hearing from you.

Charlie ButtonChief Executive Officer

Community Health Needs Assessment

Together...we’ll make a difference!

Visit regmedctr.org/chna to see the results of our Community Health Needs Assessment and the strategies we are putting in place to help improve the health and wellness of Delaware County. We appreciate the time you took to help us out with this survey.

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Mindi Jackson: DAISY Award Winner & Iowa’s 100 Great Nurses Nominee

When someone in our community has an emergent medical event, it is important we have the right team and equipment ready.

With this as our priority, RMC recently purchased a new ambulance and made changes to how paramedic shifts are scheduled. A simplified scheduling model where a paramedic works 24 hours, then has 48 hours off will provide several benefits. During the 24-hour shift, there are built-in rotating “downtimes” for three scheduled paramedics, allowing two paramedics to be available for the hospital and main ambulance calls while one paramedic is resting but available for back-up ambulance calls.

According to Spenser VandeVoorde, EMS Coordinator, this scheduling update has been very well-received.

Every day, nurses make a difference in the lives of their patients. This year, Mindi Jackson, OR/ASC nurse, was honored not once, but twice, for going above and beyond.

DAISY Award regmedctr.org/daisy

On January 30, 2019, Mindi was surprised by her colleagues with an award ceremony. Mindi was nominated for a DAISY Award by Teresa Conrad, a fellow nurse at RMC. “When I hear the term ‘extraordinary nurse’, one nurse comes to mind,” shared Teresa. “Her name is Mindi Jackson.”

Teresa went on to share how Mindi has impacted her life in many ways, one being during the birth of her daughter, when Mindi was her OB nurse. “Labor didn’t go smoothly and we ended up in a complicated emergency C-section. Mindi was calm and collected the whole time, and made sure to keep us informed with what all was going on. While all of this exceeded our expectations, this was only the beginning of Mindi’s strong influence in my life. Mindi is the most extraordinary nurse that I have ever met because of her compassion, attention to detail in those surrounding her, and empathy.”

Committed to Providing Quality Emergency Services for You

Mindi Jackson (left) and Teresa Conrad (right)

RMC Emergency Services Department and new ambulance (right)

100 Great Iowa Nurses Mindi was named to the 100 Great Iowa Nurses list for 2019. The 100 Great Iowa Nurses program “identifies 100 outstanding nurses every year whose courage, competence, and commitments to patients and the nursing profession stand out above all others.”

Mindi will be honored at the 100 Great Iowa Nurses Celebration in May.

He’s found morale is much higher when everyone is less tired.

“The new schedule should decrease staff fatigue, increase patient and paramedic safety, and improve staff retention,” said VandeVoorde.

With this new schedule, two new paramedics were hired. Overall, the

scheduling system implementation cost was over $150,000 and the new ambulance cost about $190,000, but VandeVoorde says this proves how committed RMC is to excellent emergency medical care.

“EMS is not a moneymaker, it is a vital community service,” VandeVoorde said.

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THE RIGHT HOSPITALTHE RIGHT SURGERY TEAMCLOSE TO HOMEWhen having surgery, the right hospital and the right surgery team can make all the difference. With a strong staff, advanced surgical suites, and equipment including robotic surgery, RMC is that very place.

“Our staff works so well with each other and each surgeon, making surgeries seamless and successful, leaving our patients happy with their outcomes,” said Kaleena Bettmeng, Surgical Services Manager.

Dr. Randall Messerly, General Surgeon; Dr. Grace Wang, OB/GYN; and many providers from RMC’s Specialty Clinic performed 1,898 surgeries last year, with the assistance of our top-notch surgery team.

Check out the list of some of the surgeries we perform at RMC below. Talk with your primary care provider today about scheduling your next surgery close to home.

ACL Reconstruction AppendectomyBunionectomy Carpal Tunnel Release

Cataract ExtractionColonoscopyFracture RepairGallbladder Removal

Hernia RepairKidney Stones Knee ArthroscopyRobotic Hysterectomy

Rotator Cuff RepairTonsillectomyTooth ExtractionTotal Hip Replacement

Total Knee ReplacementTotal Shoulder ReplacementMastectomy ...And more

Dr. Ryan Dempewolf, ENTMeshell Ellison, MomVickie Olson, Patient

“My daughter took to Dr. Dempewolf right away. She didn’t even cry when he looked into her ears! She put her trust in him, so I figured I should too. I am glad I did. Things went so smoothly with her surgery to have tubes put in. He was recommended to me by a friend and now I would recommend him to anyone who needs an ENT.”

- Meshell Ellison, Patient’s Mom

WELCOME TO RMC DR. DEMPEWOLF!Dr. Dempewolf, ENT, bases his recommendations on evidence. He believes in fostering relationships with honesty and compassion. He treats each patient as a unique person. His special interests include Pediatric Otolaryngology, Endoscopic Sinus Surgery, Endocrine Surgery, Thyroid and Parathyroid Conditions, and Laser and Minimally Invasive Techniques.

SURGERIES PERFORMED AT RMC

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“I had such a positive experience, I just had to share! I had trigger finger surgery with Dr. Mark Gorsche. He was wonderful! He explained everything as he went, making me feel very comfortable. I am so glad I had the surgery here in Manchester, there are so many options here now. It’s great!”

- Denise White, Patient

ORTHOPEDICS AT RMC:- Total Hip Replacement- Total Knee Replacement- Carpal Tunnel Release- Arthroscopy (knee scope)- Rotator Cuff Repair- Plus many procedures

“My daughter, Tara Goedken, saw Dr. Bhurtel recently. He is wonderful - kind and caring. He is very patient. He took just the right amount of time to explain what he found and the next steps - and he did this at Tara’s teenage level, which Tara and I both appreciated. I am so happy he comes to Manchester.”

- Joan Goedken, Patient’s Mother

WELCOME TO RMC DR. BHURTEL!Dr. Bhurtel, Pediatric Cardiologist, became a physician to help others and strives for excellence. He had an experience during medical school where he was taking care of an 11-year-old girl with un-repaired congenital heart disease. With a prompt diagnosis and surgery, she received a new beginning. This experience played a role in his decision to go into pediatric cardiology. His special interests include Neonatal and Pediatric Echocardiography.

Dr. Mark Gorsche, OrthopedistDenise White, Patient

AllergyAudiology & Hearing AidsCardiology

RMC SPECIALTY CLINIC SERVICESDermatologyEndocrinologyENT

General SurgeryNephrologyNeurology

OncologyOphthalmologyOral Surgery

OrthopedicPodiatryPulmonology

RheumatologyUrology

See contact information on page 6.

Dr. Dilli Bhurtel, Pediatric CardiologistTara Goedken, Patient

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RMC Auxiliary Donates to Three Departments The RMC Auxiliary’s mission is to promote wellness in the community, serve as a bridge between RMC and the community, and assist RMC in meeting its goals by fundraising. In 2019, the Auxiliary was able to fund three special items, totalling almost $15,000. Dollars for these donations stem from fundraisers and HILLTOP Gift Shop sales.

FY2019 Fundraising was a Success!The Sheppard MRI Suite is officially ready for patients. Thank you to Siemens, Cassling, the construction crews, and donors who made this a reality for our community.

Our fundraising goal was $60,000. With your support, this was surpassed with $94,322.26 raised to date for MRI (helping offset the $919,999 cost of this new equipment). We are very excited to offer this state-of-the-art imaging to our patients! THANK YOU!

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If you have questions or no longer wish to receive RMC fundraising communication, call 563-927-7534 or email donations@regmedctr.org.

Plasma Thawer: $5,394

The Lab Department purchased anew Plasma Thawer, which is highly

needed during trauma cases.

MRI Suite Decor & Music: $8,232

The new Sheppard MRI Suite receiveda beautiful feature wall and

MRI-compatible headphones, making the new space more comfortable.

TV Enclosure: $1,359

The Emergency Department installeda shatter-resistant TV enclosure,

keeping patients safe and entertained during their stay.

Become a Sponsor for our 3 fundraising eventsSponsorship Levels Platinum $5,000 Gold $2,500Silver $1,000Let us know the sponsorship level you want by June 30:- regmedctr.org/fy2020sponsor - Call Valerie Lindsay @ 563-927-7534- Email donations@regmedctr.org

Bronze $500Supporter $250Friend $100

Participate in 3 fun fundraising eventsMoving for Life 5K/10K/Fun RunSaturday, September 21, 2019Beckman Sport Complex901 E Acers St, Manchester

5K 8AM $25 ($30 after 7/31)10K 8AM $30 ($35 after 7/31)Fun Run 7:30AM Free (ages 4-10)

REGISTER online at regmedctr.org/movingforlife; pick up a form at RMC’s Welcome Desk, HILLTOP Gift Shop, Bob Holtz Wellness Center, or Regional Family Health clinics; fill out a form on race day.

FY2020 Fundraising. Want to Get Involved?

Comedy for a CauseFebruary 2020Watch for more information.

Saturday, June 13, 2020Same day as Manchester’sRhubarb on the River.Watch for more information.

FY2020 Fundraising BreakoutOur focus will be on CURRENT needs (OB remodel $1.4 million) and saving for the FUTURE (endowment investment fund). With each gift within specified campaigns, 90% will go toward CURRENT needs and 10% toward saving for our FUTURE. Example: $100 Gift OB Remodel $90 Endowment Fund $10Other donations, as always, will be allocated to the area as requested by the donor.

for a cause

Rubber Duck RACE

ENT (EAR, NOSE, THROAT) Dubuque ENT, Head & Neck Surgery, PC800-848-7507 Dr. Greg WhitePhysicians’ Clinic of Iowa, PC319-247-3627 Dr. Ryan Dempewolf

GENERAL SURGERYMesserly Surgical Care563-927-7301 Dr. Randall Messerly

NEPHROLOGYGrand River Medical Group563-589-4033 Dr. John Whalen UnityPoint Clinic Diabetes & Kidney Center319-298-2200Dr. Abha Saxena

NEUROLOGYPhysicians’ Clinic of Iowa, PC563-927-7301 Dr. Robert Struthers

ONCOLOGYHall-Perrine Cancer Center563-927-7301 Dr. Deborah WilburDr. Samuel Wood

OPHTHALMOLOGY* may need referral

Fox Eye Laser & Cosmetic Institute, PC319-362-9855 Dr. Lee Birchansky Fuerste Eye Clinic, PC563-927-7301 Dr. F. Hunter Fuerste

ORAL SURGERYGreat River Oral & Maxillofacial Surgery, PC563-927-7301 Dr. Michael Dalton

ALLERGY* may need referral

Medical Associates Clinic, PC800-648-6868Dr. Brad McClimon

AUDIOLOGY & HEARING AIDSDubuque ENT, Head & Neck Surgery, PC800-848-7507 Rosemary Bauchiero, AuD Physicians’ Clinic of Iowa, PC319-399-2022 Cheryl Koester, MA, CCC-A

CARDIOLOGY Mercy Cardiology Clinic319-832-2328Dr. Cam CampbellUnityPoint Health Cardiology Clinic563-927-2855Dr. Fahed Al DaraziDr. A. Ersin AtayDr. Ojas BansalDr. Mohit ChawlaDr. Georges HajjDr. Subhi HalawaDiane Hoover, ARNPDr. Richard KettelkampDr. Keith KopecDr. Matthew McMahonDr. Boothapuri VenkateshDr. Hisham Wagdy

CARDIOLOGY - PEDIATRIC UnityPoint Health Cardiology Clinic319-558-4951Dr. Dilli Bhurtel

DERMATOLOGY* may need referral

Dermatology Clinic of Iowa, PC319-363-0474 Stacy Kirby, PA-C

ENDOCRINOLOGYGrand River Medical Group563-927-7301 Dr. Darcy Putz

RMC SPECIALTY CLINIC SERVICESRMC’s Specialty Clinic extends the scope of care beyond regular check-ups and screenings. Specialists work closely with your primary care provider to coordinate the specialty care you need.

ORTHOPEDICCedar Valley Medical Specialists, PC319-833-5381Dr. Mark GorscheDr. Thomas GorschePhysicians’ Clinic of Iowa, PC563-927-7301 Dr. Kyle Switzer

PODIATRY* may need referral

Northeast Iowa Podiatry, PC563-927-7301 Dr. Kelsey HarveyFoot & Ankle Specialists of Iowa563-927-7301 Dr. Eugene NassifDr. Chelsie Snyder

PULMONOLOGYUnityPoint Clinic Multi-Specialty319-363-3565 Dr. Hamad AzamDr. Vijaya Gogineni

RHEUMATOLOGYPhysicians’ Clinic of Iowa, PC563-927-7301 Dr. Michael Brooks

UROLOGYPhysicians’ Clinic of Iowa, PC563-927-7301 Dr. Logan HoxieDr. Gregory JandaDr. Steven Wahle

* Referral needed unless otherwise noted.

Call today to schedule an appointment with a specialist at RMC.

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Comedy for a CauseFebruary 2020Watch for more information.

Saturday, June 13, 2020Same day as Manchester’sRhubarb on the River.Watch for more information.

709 W Main StPO Box 359Manchester, IA 52057

RFH Expandingto DyersvilleWe are excited to announce that Regional Family Health will be expanding to a location in Dyersville, with an opening in mid-2020. The clinic will be located next to Highway 20, within the boundaries of Delaware County. We are looking forward to this exciting development! More information to come soon.

Urgent Care vs. Primary CareRegional Family Health is proud to offer services for your overall health as well as your family’s urgent healthcare needs.

Let’s talk about the difference between the two and the best way for your family to utilize both options.

What is the difference between Urgent Care and Primary Care?While urgent care is a great option for non-emergent injuries or illnesses after hours, it does not replace your primary care. Urgent care should only be used alongside primary care.

How should you use Urgent Care?Urgent care should only be used when medical attention is required for acute, but non-life threatening illnesses or injuries after clinic hours. One common misconception about urgent care is that it’s the same as seeing your primary care provider for a routine checkup, when in fact the care you receive at urgent care is specific to your illness at the time of the visit. For example, if you go to urgent care with a sore throat, the provider will treat only that symptom.

What are the benefits of seeing your Primary Care Provider vs. Urgent Care?Because your primary care provider sees you regularly for wellness checkups and has had time to get to know you and your medical history, they have a better overall picture of your health. They have the background to support you regarding your health long-term, including possible chronic health concerns, nutrition, stress management, and mental health.

Primary care is also important for preventative care. Our providers talk with you and help guide you so you can work together to catch things before they become larger healthcare concerns. This may include important screenings like mammograms, colonoscopies, prostate cancer, lung cancer, and more. See your primary

care provider annually so you can be proactive with your healthcare.

Overall, primary care enables patients and providers to maintain a consistent and important relationship. This relationship develops trust, allows more efficient appointments, and improves outcomes. Our goal is to care for you in the best way possible.

Are flexible appointments still available during the day?Yes. One of the things that sets Regional Family Health apart is our team approach and how closely all of our providers work together. This means that even if you cannot see your regular provider, another qualified team member is almost always available to you and your family for a same-day appointment.

For more information, visit regmedctr.org/rfh.