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HEALTHLETTER

Cu29: SAVES LIVES at GRMC

Taking on the

OPIOID EPIDEMIC AUGUST 2016

Book worthy!

Photography by Justin Hayworth/Grinnell College Cover image: Microorganisms magnified at Grinnell College laboratory.


Cu 29: Nature at its Best After 18 months of testing and analysis, copper proves its value. Taking bacteria samples at GRMC were (from left) Terri Kelling, RN, GRMC infection prevention; Shannon Hinsa-Leasure, Grinnell College associate professor of biology; and Queenster Nartey, Grinnell College ’16 graduate.

Think of copper – pennies, Moscow mule mugs, copper wires – and you may not think improved safety in a hospital. A Grinnell College scientist has found that element Cu29 has the potential to save lives by reducing risks of acquiring an infection while admitted at the hospital. Many patient rooms at GRMC feature copper alloy and its germ-killing properties on high-touch surfaces. Because of the research findings, additional rooms will soon have the same life-saving features to reduce risks of acquiring an infection while admitted at the hospital. Copper, found as a pure metal in nature, has natural germ-destroying capabilities along with its conduction and durability qualities. Copper compounds have been used for medicinal purposes for thousands of years, yet copper alloys were just recently recognized by the Environmental Protection Agency as having antimicrobial effectiveness. GRMC’s move to copper surfaces was initiated in the name of patient safety and reducing risks of healthcare-associated infections.The research that confirmed the science behind this decision was completed with Grinnell College at GRMC. Shannon Hinsa-Leasure, PhD, associate professor of biology at Grinnell College, and a research team with undergraduate students Queenster Nartey and Justin Vaverka, had the research accepted for publication this summer in the American Journal of Infection Control. 01 • Healthletter

The study demonstrated that copper alloy materials in a hospital setting substantially decreased the hospital’s bacterial burden. Lower bacterial burdens have been shown to decrease healthcare-associated infections. Hinsa-Leasure’s study found significantly fewer bacteria on copper alloy products such as grab bars, toilet flush valves, IV poles, switches, key boards, sinks, and dispensers compared to the control counterparts. High-touch surfaces throughout a hospital, especially larger institutions, can serve as reservoirs for pathogenic microorganisms, including Staphylococcus aureus, Clostridium difficile, and vancomycin-resistant enterococci. Although several different cleaning regimens have been tested for their effectiveness, bacteria often repopulate on hospital surfaces, making it difficult to maintain the current suggested standard for surface-level cleanliness. “This study is the first to demonstrate that copper alloy surfaces maintain reduced bacterial numbers in unoccupied and occupied patient rooms,” Hinsa-Leasure says. “This is in contrast to control rooms, where bacterial numbers rebound following terminal cleaning to levels comparable to those found in occupied control rooms. This is key to protecting newly admitted patients from contracting infections through commonly touched surfaces, even when they are considered clean, and is integral to an effective infection-control strategy.”


Hinsa-Leasure’s team conducted research over 18 months at Grinnell College and GRMC with more than 1,500 samples. During the study, patient rooms were cleaned daily and subjected to a final, or terminal, cleaning upon patient discharge. High-touch areas were swabbed in occupied and unoccupied rooms and aerobic bacterial counts were determined for comparison purposes. “I want to strongly emphasize that GRMC’s environmental services staff do an excellent job cleaning the surfaces at GRMC. The research results illustrate that no matter how well the institution cleans, bacteria can recolonize on surfaces. Copper addresses the recolonization that occurs,” Hinsa-Leasure says.

We have to remember that copper alloy surfaces not only kill bacteria on the surfaces but also damage their DNA, which decreases the spread of antibiotic resistance. Shannon Hinsa-Leasure, PhD

Healthcare-associated infections are a serious concern in the medical industry. Of the 35.1 million discharges of inpatients in the U.S. each year, an estimated one in 25 patients admitted to a hospital contracts a healthcareassociated infection. Aside from a few urinary tract infections, GRMC has not had any healthcare-associated infections over the past 12 months. Copper’s presence in GRMC’s patient rooms will help ensure that patients admitted to GRMC do not acquire infections from germs such as (C. diff) and Staphylococcus (MRSA). These can cause severe complications for patients if contracted. GRMC, like all hospitals, wants to eliminate them from the hospital setting.

Practical Application

The copper installations at GRMC serves as another safeguard to reduce a patient’s risk of becoming infected with a hospital-acquired germ. “GRMC has methodically and aggressively implemented patient care practices, cleaning processes, and employee education programs to stop the spread of infections within the medical center,” says Terri Kelling, RN, infection prevention specialist. “This study provided excellent thirdparty research to show our exposure to healthcare-

associated infections. GRMC’s quality data has shown a very low rate of healthcare-associated infection for years. We have solid data to support a decision to transition specific high-touch surfaces to copper in all rooms.” “Although there is an increased cost for installing copper alloy products compared to stainless steel or porcelain, the lives saved and costs reduced by decreasing the number of healthcare-associated infections far exceed the initial input,” Hinsa-Leasure says. “We have to remember that copper alloy surfaces not only kill bacteria on the surfaces but also damage their DNA, which decreases the spread of antibiotic resistance.” “I am so very proud of the innovative spirit at GRMC that constantly looks to not only improve the care of patients at our institution, and also adds to the body of knowledge so lives might be improved across the nation and beyond,” says Todd Linden, GRMC president and CEO. “The opportunity to team up with Professor Hinsa-Leasure and engage students in this kind of real world research is equally impressive and greatly appreciated.” CuVerro®, by Olin Brass, is a class of solid copper alloys that can be used in high-touch surfaces throughout the healthcare environment. CuVerro and its affiliate manufacturers worked with GRMC to produce and install products for this research, including sinks, faucets, overbed tables, and IV poles. “GRMC is known for its innovative approach to delivering the highest-quality patient care,” says Tony Kulik, director of CuVerro at Olin Brass. “Participating in Dr. Hinsa-Leasure’s important research at the hospital presented an opportunity to validate the power of copper in a clinical setting. The results speak for themselves.” As part of the study, the GRMC environmental services team provided valuable insights to CuVerro and its manufacturing partners regarding the cleaning, use, and alloy selection for specific healthcare products. The team’s insights helped optimize the CuVerro portfolio and contributed to the successful roll-out of bactericidal copper to the broader healthcare market. Copper does not reduce the need for cleaning at a hospital, Kelling says. “The copper gives an invisible defense to protect our patients from infections once they are admitted to GRMC. We’re excited to be one of the first hospitals in the nation with copper installations to fight infections. It says a lot about our commitment to quality care.” For more information about Hinsa-Leasure’s research will be published in the American Journal of Infection Control and a link will be featured on www.grmc.us


Fighting America’s Opioid Epidemic Every 19 minutes, someone in America dies from an opioid overdose. That’s 78 people every single day. National experts are calling it a public health epidemic and its best cure is prevention. How can you protect yourself and your loved ones from opioid addiction? Read on to learn more.

What are opioids?

Opioids are a class of medicines prescribed to treat moderate-to-severe pain. Common opioids include hydrocodone (Vicodin), oxycodone (OxyContin, Percocet), morphine, and codeine. These opioids help reduce the intensity of pain signals that reach the brain in order to lessen the psychological effects of a pain.

acceptance socially and in the medical community. With this movement toward treating pain as the ‘fifth vital sign’ and increasing efforts to relieve pain, opiate prescribing has become more commonplace. As the drugs have been more widespread, dependence, addiction, and diversion have increasingly become a problem leading to an ‘epidemic’ of persons misusing and abusing opiate pain medications,” Graham says. Generally, people who are the most at risk to abuse prescription opioids are those who do not take the prescription as directed or have a history of substance abuse. As the CDC reports, as many as one in four people who receive prescription opioids long term for non-cancer pain in primary care settings struggles with addiction.

Why is there an opioid epidemic?

Once known as “wonder” drugs, opioids are now associated with abuse, overdose, and even death. While opioids are used for moderate-to-severe pain in order to give a patient better quality of life, in the last 30 or 40 years prescription opioid use has increased significantly. Since 1999, the amount of prescription opioids sold in the United States has almost quadrupled, but little change in the amount of pain reported by Americans has taken place, according to the Centers for Disease Control and Prevention. “Opiate pain medications are helpful for many people to alleviate pain and suffering,” says Lauren Graham, MD, MPH, internal medicine specialist with Grinnell Regional Internal Medicine. “However, it has to be noted that as access to and frequency of opiate pain medication prescriptions have increased so have problems with addiction and abuse.” As prescription opioids have become more common for treating pain in America, news stories regarding prescription opioid-related deaths have become all too common. According to the CDC, overdoses from prescription opioid pain relievers are a driving factor in the increase of opioid-related deaths. This spring, singer-songwriter Prince was found unresponsive in his home. Later an autopsy by the Midwest Medical Examiner’s Office concluded that Prince had died from an accidental overdose of fentanyl, an opioid that is approximately 80 to 100 times more potent than morphine. “Chronic pain disorders have become widely recognized and treatment with long-term opiate therapy has gained 03 • Healthletter

... as access to and frequency of opiate pain medication prescriptions have increased so have problems with addiction and abuse. Lauren Graham, MD

Jennifer Paisley, MD, internal medicine/pediatric specialist at Grinnell Regional Internal Medicine, explains some of the reasons for the high number of opioid related overdoses. “A combination of decreased patient awareness about how to appropriately take medications, failure of physicians to identify at-risk individuals such as those with prior substance abuse or history of depression, and lack of national prescription monitoring programs for high-risk medication have aided in opioid-related overdoses,” she says.

Should I take an opioid if it is prescribed?

According to Graham, the decision to use chronic opiate therapy is a complex one. And, it requires conversations between patients and providers about the potentially dangerous nature of the medications as well as the goals of treatment. “I advise patients that the possibility for addiction and tolerance is very high and requires frequent monitoring and checking in,” Graham says. “For my patients on chronic opiate therapy, I require regular monitoring for signs of addiction and abuse. In general, the goal of any pain


management is not complete alleviation of pain, as this is often unachievable for most patients with chronic pain. Rather, the goal is increasing function. From my experience, discontinuing chronic opiate therapy is a process that can be done but is often difficult for patients and providers.”

Are there alternatives to help reduce pain?

Healthcare providers wrote 259 million prescriptions for painkillers in 2012, which is enough for every American adult to have their own prescription. With this overwhelming number, patients should be aware there are other ways to treat chronic pain. Alternative treatments for moderate-to-severe pain include physical therapy, massage, heating and icing, exercise, and stretching. Alternative medications such as muscle relaxers, antidepressants, acupuncture, anti-seizure medications, NSAIDS, topical medications, steroid injections, and epidural injections are also available. Surgery and time can also help heal pain. While primary care providers have some ability to prevent opioid addiction through their prescribing practices, the patients’ understanding of their treatment options and willingness to keep an open line of communication is crucial. “Be understanding and open to discussing alternative ways to treat your pain with your provider. Your medical provider is doing their best to try and balance your pain with the risk of overmedicating you,” Paisley says. “Be honest and open to trying alternative treatments for chronic pain such as bio-feedback, therapy to help treat underlying depression, physical therapy to improve your functioning, or referral to a pain medicine specialist such as Dr. Gessner at GRMC. Understand that your physician’s goals and your goals are the same—to try and improve your health in the safest way possible.”

What is being done to reduce opioid deaths?

To address the epidemic taking place throughout the country, the CDC has issued recommended guidelines to healthcare providers in order to prescribe painkillers safely and effectively. Included in the CDC’s guidelines are these three important recommendations for healthcare providers regarding their patients: • Non-opioid therapy is preferred for chronic pain outside of active cancer, palliative, and end-of-life care. • When opioids are used, the lowest possible effective dosage should be prescribed to reduce risks of opioid use disorder and overdose. • Providers should always exercise caution when prescribing opioids and monitor all patients closely. In summary, the CDC recommends against doctors prescribing opioids for most chronic pain situations. When a prescription is written, the CDC recommends it should be for the lowest effective dose and the shortest amount of time: usually just a few days.

Healthletter • 04


DAISY

Diaries

Receiving the 2016 DAISY award at GRMC is Sheryl Baarda, RNC, (second from left). Recognizing her was the administrative team from left Kyle Wilcox, vice president; Baarda; Doris Rindels, vice president; and Todd Linden, CEO and president.

The young teen’s smile faded when she spotted a nurse and a nun—the instructors of her nurse’s aide class—rush into the medical/surgical unit at Grinnell General Hospital. “You young girls are too loud!” Sister De Borgia admonished. In that moment, smothering a residual giggle, 17-year-old Sheryl Baarda had no inkling of what the next 41 years would hold.

Fast forward to present day: Baarda is sitting in her office at GRMC, formerly Grinnell General Hospital. She is now the obstetrics nurse manager in GRMC’s Kintzinger Women’s Health Center. Throughout her career, Baarda has had experience in several departments at GRMC, including med/surg, intensive care unit, skilled care, and obstetrics.

I know,” says Janet Lacey, RN, GRMC director of patient experience and quality. “She focuses on her patients and what the individual needs of each family unit are. She wants to make each birth experience as special as possible.” The Kintzinger Women’s Health Center has implemented a slew of programs and practices that keep them at the forefront of the obstetrics field. With Baarda at the helm and a skilled crew of nurses on hand, the Kintzinger Women’s Health Center: • Is now a Blue Cross and Blue Shield Blue Distinction® Center+ for Maternity Care. • Received a “distinguished” rating from the Iowa Early Hearing Detection and Intervention Program. • Was recognized by the Iowa Healthcare Collaborative for diligence in reducing the number of elective births before 39 weeks gestation.

“Witnessing the miracle of new life entering into the world never loses its luster,” says Baarda, RNC. “I’ve had the honor “Sheryl is always doing research to keep the OB departof experiencing these beautiful, precious moments for 37 ment on the leading edge of change,” says Merna Nelson, years and it is still a magnificent privilege!” RN, GRMC OB nurse. “Her support and leadership has the staff implementing best practices and giving exceptional This year Baarda was selected for the DAISY Award. She patient care.” was nominated not one, not two, but three times by Janet Lacey, RN; Merna Nelson, RN; and Peggy Weisskopf, RN. Thanks to the diligence within the Kintzinger Women’s Health Center under Baarda’s leadership, GRMC has an DAISY stands for Diseases Attacking the Immune System early elective delivery process and a car seat safety program. and was created in memory of J. Patrick Barnes, who died Baarda also led GRMC’s efforts to offer the option of skinat age 33 after complications of an aggressive auto-immune to-skin therapy, which places the newly delivered infant disease. His family wanted to do something special in his directly on the mother’s chest after birth—in both the labor, memory, which resulted in the birth of the DAISY Award. delivery, and recovery rooms and in the surgical suite for The DAISY Award honors nurses for their outstanding Cesarean sections. leadership, patient care, excellent nursing skills, and dedication to his or her organization. This is the fifth year that “Patient satisfaction scores are always high in the OB GRMC has participated in this program with the other department—always above the 90th percentile,” says hospitals of the Mercy Health Network. Peggy Weisskopf, RN, GRMC nursing supervisor. “Sheryl demonstrates knowledge and compassion to those she cares “I nominated Sheryl for the DAISY Award, because she for. Her attitude of gratitude carries over in her actions.” is one of the most compassionate, tender-hearted people 05 • Healthletter


Q&A with Jennifer Paisley, MD Jennifer Paisley, MD, is a recent arrival to the GRMC medical staff. She brings a new specialty with her: pediatrics. Her practice is located in the Grinnell Regional Internal Medicine clinic. Q: Tell us about your work with pediatric patients. A: I look after pediatric patients’ physical and mental health, covering normal checkups, developmental concerns, weight issues, child behavior for children with ADHD, and mild to moderate depression and anxiety in both children and adults. I really believe that treating local children for ADHD in Grinnell instead of Iowa City or Des Moines is more effective and hands on, and results in higher compliance. For very young children, behavioral modification is the best solution and I work to refer families to a counselor. For first graders and older, I prescribe medication if that is what is best for the child. A variety of medication options are available for ADHD, from stimulants to antidepressants, and I work to determine which, if any, is the best fit. Q: Why do you treat both pediatric and adult internal medicine patients? A: I chose to combine internal medicine and pediatrics by completing a Medpeds combined program. As more children are developing traditionally “adult” health issues and children with severe health issues are living longer, I felt that the combination would increasingly overlap. I specialize in respiratory issues, chronic disease management with a focus on diabetes, and non-surgical weight loss. I can also assist with pre- and post-surgery weight loss. I enjoy working with people of all ages and backgrounds, with a strong focus on sleep, nutrition, and other lifestyle choices to help manage chronic conditions. Medication can be costly and have detrimental side effects, so I prefer to use lifestyle intervention first.

help for irritable bowel syndrome and weight-loss management. “Whole 30” is not a diet, but a lifestyle change. Many of the benefits come from changing your relationship with food. Food is fuel and directly impacts how we feel. The closer to the farm you can get your food, in general, the better you will start to feel. Rather than stress-eating, or eating food simply because it’s there, people should treat cooking and eating as a shared experience with other people, and think of it as “energy in, energy out” rather than a coping mechanism. Q: How can I become your patient? A: I accept patients for internal medicine by referral from their primary care physician. New pediatric patients may either be referred from their primary care provider or by self-referral. What should spark you to self-refer? As a parent, watch for red flags that signal a medical concern in your child such as loss of milestones (sitting, rolling, walking, talking), significant changes in behavior, or concerns over chronic health conditions such as diabetes or asthma. Q: How long does an appointment with you take? A: I take all insurances and the first consultation appointment could last up to an hour. While that may seem a long time, it is because I want to get a truly in-depth picture of the health issue so that I can find the solution that best fits the patient. To make an appointment with Paisley, please contact your primary care physician for a referral or call Grinnell Regional Internal Medicine at 641-236-2382.

Q: What are some things that we can all do to stay healthy? A: Sleep hygiene – the healthiness of your bedtime habits – can have a huge impact on your sleep quality and your health in general. There is a huge difference between watching TV or being on the computer right before bed compared to reading, taking a bath, or drinking some caffeine-free tea. In addition to sleep, I believe focusing on nutrition is important for everyone, from small children to adults. I recommend the “Whole 30” program to people with a wide range of health issues, especially those seeking

Jennifer Paisley, MD

Healthletter • 06


It’s a Fact: GRMC Saves Lives…Even in Fiction! GRMC has the privilege of being featured in the crime fiction book “Extreme Prey.” The novel is the 26th installment in the Prey series written by John Sandford. The series follows main character and protagonist, Lucas Davenport, throughout his career as the lone member of the Office of Special Intelligence within the Minnesota Bureau of Criminal Apprehension. “Extreme Prey” finds Davenport unemployed and in Iowa as he helps his friend, a Minnesota Congressman, on his presidential campaign trail. Fans of the “Prey” series from the GRMC service area were excited to see the hospital in Grinnell featured within the pages of “Extreme Prey”. “I was surprised to see the hospital mentioned in the book,” says Charles Clements, a Sandford fan from Grinnell. “It made it feel that much more thrilling; I could picture the events and know exactly where they were happening.” In the novel, Davenport’s friend is gunned down on a farm between Brooklyn and Grinnell. His companion’s wounds are severe. Davenport has glass lodged above his eye from the shattered glass of a bullet-blown rearview mirror.

To locals, it may come as no surprise that the GRMC emergency department, med/surg team, and intensive care unit could give this kind of intentional, life-saving care. A pleasant revelation, however, is that those skilled individuals were merited the same capabilities in fiction as they wield in reality. “Being closely linked to GRMC through the board and foundation board gives me the rare opportunity to be extremely familiar with GRMC’s service lines and the skill levels of the employees that fill those roles,” says Sally Lang, GRMC foundation board chair. “Because of this, I know how accurate the description of skill in the novel is and am impressed that Sandford had an insider’s perspective on emergency patient care.” Which begs the question, why did Sandford choose GRMC as the hospital for this book? Since the author could not be reached for comment, what follows are a few speculations.

Sandford was born in Cedar Rapids, Iowa, in 1944 as John Roswell Camp. He attended the University of Iowa, so he was likely familiar with the area. GRMC’s rural status and its convenient proximity to I-80 is perhaps more than With the help of the farm owner, Davenport races to GRMC seeking medical attention for his colleague, calling happenstance in its selection, especially given the large ahead so the emergency team is ready to receive them. Once number of presidential candidates who come to Grinnell they arrive, GRMC surgeons save the friend’s life, of course. during the caucus season. He is later transferred to Mercy Health Center in Des Regardless of the reason, one thing remains abundantly Moines, where he fully recovers. clear: GRMC saves lives…even in fiction. In the meantime, Davenport also receives care, getting several stitches from an ER physicians. 07 • Healthletter


Protect Your Family from Rabies Don’t gamble on rabies; the buy-in is life. Rabies is a dangerous virus that anyone can get if they handle or get bitten by an animal that has the disease.

The rabies virus spreads from mammal to mammal, attacking the central nervous system of its host. It is almost always If you are able to capture the bat, call GRMC or the Poweshiek County sanitarian to determine an immediate fatal if left untreated. plan of action for potential vaccination and rabies testing. The bat will need to promptly be sent in to the State Rabies is transmitted through rabid animal bites or when Hygienic Laboratory at the University of Iowa or the Iowa saliva from a rabid animal comes into direct contact with State University Veterinary Diagnostic Lab for testing. eyes, mouth, nose, or open wounds of a victim. Bats’ bites are the most common vehicle for transmitting rabies to humans in the United States. Fortunately, the vast majority of bats are rabies-free according to the Centers for Disease Control and Prevention, with only around six percent of suspected carriers testing positive for the virus.

“In 2015, 449 bats were tested for rabies in Iowa and only seven tested positive, significantly lower than the national average of 6 percent,” Griffith says.

Initial symptoms of rabies are similar to those of the common flu including fever, headache, and nausea. As the virus progresses through the body, individuals may experience hallucinations, excessive salivating, fear of water, and partial paralysis, almost always followed by death.

If the bite occurs below the shoulders, the rabies vaccine can be postponed up to three days, according to the Iowa Department of Public Health. Victims should consult with their family physician during this period regarding vaccination. Results from the bat’s testing should become available within the three-day window. If the results are positive for the rabies virus, then the patient can proceed with the rabies vaccination series.

“Victims bit above the shoulders by a bat should begin post exposure rabies vaccination immediately because bites above the shoulders are dangerously close to the virus’ final desti“If bitten by a bat don’t play the odds; play it safe,” says Patty Hinrichs, director of Grinnell Regional Public Health. nation, the brain,” Hinrichs says.

Bat bites can disappear quickly due to the nature of the bat’s petite, razor-like teeth. Individuals are typically aware if they have been bitten, but certain circumstances occur in which a victim is unable to communicate or not aware a bite The series consists of one immune globulin shot to provide immediate rabies antibodies, followed by four doses of the has occurred. rabies vaccine administered over the following 14 days. If the victim has previously been vaccinated for rabies, he or “If a bat is found in a room with a child under three years she will only need to receive two booster rabies vaccine old, someone with a disability, or an inebriated individual, shots. proceed as if a bat bite has occurred,” Hinrichs advises. If a bite has occurred or evidence suggests a bite potentially occurred and the bat is still present, make all possible efforts to apprehend the bat or contact your local animal control to capture it.

GRMC keeps a steady supply of immune globulin and rabies vaccines in house for rabies exposure incidents. In 2015, GRMC treated eight individuals for potential rabies exposure ranging in age from 1 to 83.

“When capturing a bat it is important to be gentle to the brain because blunt force to the head of a bat can make testing unreliable,” says JD Griffith, Poweshiek County sanitarian.

For rabies questions or concerns contact Grinnell Regional Public Health at 641-236-2385, or the Poweshiek County sanitarian at 641-623-3762. In the event of rabies emergency, immediately go to GRMC’s Brownell Emergency and Trauma Center, which is fully staffed 24/7.

If capturing the bat is not a viable option, the safest option is to assume the bat is carrying the rabies virus, and the victim should begin the rabies vaccination process, Hinrichs says.

To learn more about rabies, visit idph.iowa.gov/rabies. Healthletter • 08


Knowledge is Half Your Health Roger Vetter, Grinnell College professor of music, presented a program about music in the 1800s and early 1900s at a SEED program.

Challenging our brain cells is important at any age. That’s why in 1997, now retired GRMC employee Joanne Bunge started the medical center’s Senior Education Program. Bunge had a vision for how GRMC could do more to help senior citizens in the local community.

Hotchkin, SE*ED steering committee member. “It amazes me the diversity of speakers we can bring in to fill up more than 30 programs every year.”

Bunge and Barbara Hansen, communications and development secretary, developed a way for the medical center to do more in the community by offering educational presentations on a variety of issues of interest to mature adults.

“I’ve been here since the beginning,” she says. “These programs are filled with so much educational material, but they also provide a social component for our local seniors. This provides them with the opportunity to get out and be among friends.”

Fast forward almost 20 years and the GRMC SE*ED program is still going strong, fulfilling its mission of educating seniors on a variety of topics, primarily of interest to those aged 55 and older. The focus of the presentations is usually about health, wellness, and medicine, but also includes local interests, the arts, culture, history, science, and more.

The SE*ED program provides a little something for everyone. Past presentations have included topics ranging from “Japanese-American Confinement during World War II” to “Effective Communication: Getting the Most Out of Your Doctor Visit.”

Hansen has helped with the Monday presentations for the program’s entire history.

“I have really enjoyed my time on the steering committee and at the programs,” Hotchkin says. “It’s given me the opportunity to be more involved in what’s going “I think the program does a great job of balancing interesting topics about what’s going on in the medical on at the hospital and get out to meet friends on the committee and at the presentations, too.” field today with other non-medical programs about local community groups or art exhibits,” says Mike 09 • Healthletter


SE*ED programs are scheduled every Monday from April through mid-November and then monthly during December, January, February, and March. The programs are free and open to the public. They are held at 10 a.m. in the Drake Community Library, with refreshments beginning at 9:30 a.m. Parking is available at the Drake Community Library, along Park Street, on Fifth Avenue, and in the First

Presbyterian Church parking lot. Seniors needing transportation may call GRMC Communications and Development at 641-236-2593 by the Thursday before the program. For more information on the SE*ED program or to volunteer on the SE*ED steering committee, call 641-236-2590.

GRMC’s Senior Education Program provides programs designed for adults–of any age–to extend their knowledge on healthcare issues, diseases, nutrition, community resources, current and cultural events, as well as art, biology, history, or religion.

Mondays, 10 to 11 a.m. • Drake Community Library • 930 Park Street, Grinnell August 29 – “Senior Health Insurance,” with SHIIP counselors Montie Redenius, Maralee Kruse, Dennis Day, and Kathy Szary

October 10 –“Healthy Aging,” with Margaret Christenson, ME and EdD, retired nurse and counselor October 17 – “GNSD update” with Janet Stutz, September 5 – No program. Labor Day holiday EdD, Grinnell school district superintendent September 12 – “Updates from the Physical October 24 – “Graphic Novel & Comic Art” Therapy Profession,” with Rebecca Dubberke, with Dale Fisher, University of Iowa Museum of DPT, GRMC physical therapy Art September 19 – “Complexities of College October 31 –“Looking into GRMC’s future,” Admission,” with Mike Latham, Grinnell College with Todd Linden, GRMC president and CEO Dean of Admissions September 26 – “Top 10 Estate Planning November 7 – Hospice – Dr. JR Paulson, Mistakes,” with Melissa O’Rourke, Iowa State Grinnell Family Care University Extension November 14 – Gratitude, Rev. Dave Crow October 3 – “Don’t Get Scammed,” with Sargent December12 – Holiday celebration Chris Wray, Grinnell Police Department If you see a program that interests you, please feel welcome to join our audience. If you have a question, please call 641-236-2593 or visit www.grmc.us. Healthletter • 10


Vital Signs GRMC Earns LeapFrog Recognition

Safety is important, and GRMC takes it seriously. This spring, GRMC received an “A” quality safety rating from the Leapfrog Group®, a national patient safety initiative comprised of employers and other large consumers of healthcare. The name, Leapfrog Group, sets the intent that it will help hospitals show “leaps of improvement.” As shown by the “A” rating, some of those leaps of improvement happened at GRMC. Each year, the hospital completes a voluntary safety survey, providing statistics on patient safety and hospital performance. The safest hospitals – those who score at least .6 standard deviations above the mean – are given an “A” rating, which less than a third of all hospitals that complete the survey receive. According to the Armstrong Institute for Patient Safety and Quality, 33,459 lives could be saved every year if B, C, D, and F ranked hospitals had the same safety performance as A hospitals. This is an exciting designation; it shows that the processes and procedures put in place here at GRMC meet or exceed national standards. According to Erica Mobley at the Leapfrog group, “‘A’ hospitals maintain a laser focus on safety that permeates from executive leadership down through all levels of staff.” For more information about hospital safety ratings, and to see how GRMC compares to other hospitals, check out http://www.hospitalsafetyscore.org/h/grinnell-regional-medical-center?.

Oh Deer, We’re Here! Deer Creek Family Care welcomed two new primary care providers to the clinic this summer. Longtime Deer Creek provider Sherry Parks, PA-C, was joined by Daryl C. Allison, PA-C, and Polly J. Hineman, DO. Both 11 • Healthletter

providers have served the Tama and Toledo area for more than 25 years. Hineman originally began practicing in Toledo and Marshalltown in 1991. She earned her medical degree from the University of Osteopathic Medicine and Health Sciences (now called Des Moines University), and a bachelor’s degree from Iowa State University. She is board certified in internal medicine and general practice and is an FAA certified aviation medical examiner.

Polly Heneman, DO

Allison began practicing in 1977 after earning his physician assistant degree from the University of Iowa. He is a longstanding member of the Iowa Physician Assistant Society, the American Academy of Physician Assistants, and the National Commission for Certification of Daryl C. Allison, PA-C Physician Assistants. For more information and appointments with Hineman and Allison, call Deer Creek Family Care at 641-4842602.

Double the Help in Physical Therapy GRMC welcomed two physical therapists to the group of rehabilitation therapists in the F.A. Jones Physical and Occupational Therapy Center in June. Katelyn Fischer, DPT, joins the GRMC team after graduating from the doctor of physical therapy program at the University of Wisconsin – Oshkosh. Fischer will provide inpatient rehabilitation services.

Katelyn Fischer, DPT


Rebecca Dubberke, DPT, joins the GRMC team after graduating from Des Moines University with a doctorate in physical therapy. She completed her bachelor’s of science degree at Iowa State University. Dubberke will provide outpatient care.

Rebecca Dubberke, DPT

Call the F.A. Jones Physical and Occupational Therapy Center for appointments at 641-236-2364.

Vacation is Over and it’s Vaccination Time! Summer is almost over which means it is time to get an annual checkup! Getting regularly scheduled checkups can help you be more aware of your body and can help to identify any potential issues early. Most schools have vaccination requirements; contact your institution for more information about their vaccination requirements. Grinnell Regional Public Health also has weekly immunization clinics, which are offered by appointment only. Adult and children immunizations are available. Please call 641-236-2385 for more information or to schedule an immunization appointment.

Help Beef Up Healthcare

Make a difference and fill your freezer full of beef ! A heifer has been donated to GRMC for silent auction with all the proceeds going to the emergency department renovation. It will be divided into quarters; we will accept four winning bids, one for each individual quarter. On Friday, August 26, go to go.rallyup.com/feea5b to place your bid and keep checking in until the auction ends at 3 p.m. on Friday, September 9. If you have the winning bid, you will walk away with approximately 100 to 120 pounds of high quality, locally raised beef. (Average fair market value $650-$700.) A special thank you to the emergency department at GRMC for this generous donation to help support our fundraising efforts for the renovation project. Questions? Call Heidi Ramaeker Pearson at 641-236-2961.

Influenza Vaccine Updates The annual influenza vaccination clinics hosted by Grinnell Regional Public Health will begin on Thursday, Sept. 29, at the Grinnell Area Recreation Center, on Penrose. The CDC’s Advisory Committee on Immunization Practices has recommended against the use of the nasal spray flu vaccine this year because this year’s version is ineffective at preventing the flu. “It’s important for people of all ages to get a flu vaccine even with the nasal spray no longer available,” says Patty Hinrichs, director of Grinnell Regional Public Health. Confirmed clinics September 29 - Grinnell Athletic & Recreational Center, Grinnell from 2 until 5:30 p.m. October 3 - BGM School, Brooklyn from 3:30 until 6 p.m. October 6 - Seeland Park, Grinnell from 10 until 11 a.m. October 27 - Montezuma School, Montezuma from 3:30 until 6 p.m. Injectable flu vaccines will be available to the public. Check www.grmc.us for updates on additional influenza vaccination clinics. Healthletter • 12


Calendar of Events Adult Foot Care Clinic

Caregivers Support Group

Call Grinnell Regional Home Care at 641-236-2385 for an appointment.

The Caregiver Support Group is for anyone caring for an adult loved one. The group provides caregivers with the opportunity to gain support, strength, and encouragement from each other.

Light Center for Community Health 2nd and 4th Thursday of the month, 9 a.m. to noon

Advance Directive Educational Program

Tuesday, Oct. 11, 6 p.m. East Tomasek Conference Room, GRMC RSVP to 641-236-2418. Free and open to public.

Babies Room Parenting Classes

Grinnell - Light Center for Community Health 3rd Tuesday and 3rd Thursday of the month, 4 to 5 p.m.

First Presbyterian Church, 1025 5th Ave., Grinnell 4th Tuesday of the month, 10 to 11 a.m.

For more information, call 641-236-2418 or email shuls@grmc.us.

Diabetes Living Support Group

East Tomasek Room, GRMC September 12 and November 14, 7 to 8 p.m.

For information on this program, call 641-236-2385 or email mcwp@grmc.us.

This comprehensive diabetes support group meets quarterly, and includes a visit with the dietitian and diabetes educator. Speakers and topics vary.

Breastfeeding Education

For more information, call 641-236-2488.

Tomasek Room, GRMC September 27 and November 29, 6:30 to 8:30 p.m. For more information, call the Kintzinger Women’s Health Center at 641-236-2324 or email sbaarda@grmc.us.

Breastfeeding Support Group

Light Center, GRMC 1st Tuesday of the month, 10:30 a.m. Infant weight checks are done at 11:30 and open to anyone, or may be scheduled. For information on this program, call 641-236-2385 or email mcwp@grmc.us.

Blood Pressure Clinic

Light Center for Community Health Thursdays, 1 to 2 p.m. Free, no appointment needed. For information, call 641-236-2385.

Cancer Support Group

Room 204, GRMC Every Tuesday, 9:30 to 10:30 a.m. This group provides an informational time of sharing and support for anyone with a cancer diagnosis. For more information, call 641-236-2568 or email lromero@grmc.us. 17 • Healthletter

Grief Support Group

Drake Community Library, 930 Park St., Grinnell 2nd Wednesday of the month, 10 to 11 a.m. The Grief Support Group is for adults who have experienced the loss of a loved one or friend. The group supports participants through the emotions, reactions, and experiences that follow the death of someone close. For more information, call 641-236-2418 or email shuls@grmc.us.

GRMC Auxiliary

Masquerade $5 Jewelry Sale Tomasek Room - Friday, September 23, 9 a.m. to 3 p.m. Linen Sale Tomasek Room - Wednesday, September 29 Books are Fun Tomasek Room - Friday, October 7 Scrubs and Beyond - Friday, October 21, 7 a.m. to 2 p.m. Masquerade $5 Jewelry Sale Tomasek Room - December 16, 9 a.m. to 3 p.m. Watch for more information on all of our holiday specials that will be coming up featuring our holiday wreath raffle, angel tree ornaments and frozen cookies and puffins.


Grinnell Regional Community Care Clinic Light Center for Community Health 1st Thursday of the month, 2 to 4 p.m. Clinic for those with no insurance

To schedule an appointment or for more information about eligibility, call the clinic at 641-236-2385.

Immunization Clinics

Light Center for Community Health Grinnell Regional Public Health (By Appointment Only) 4th Monday of every month 1 to 4 p.m. 1st Tuesday of the month 9 to 11 a.m. and 1 to 4 p.m. 2nd Tuesday of the month 2 to 6:30 p.m. 3rd Tuesday of the month 8:30 to 11:30 a.m. 4th Tuesday of the month 2 to 5:30 p.m. Every Wednesday of the month 1 to 4 p.m. 3rd Friday of the month 9 to 11 p.m. For information, call 641-236-2385.

Meet and Eat Bereavement Support Tomasek Conference Center, GRMC 1st Sunday of the month, 5:30 p.m. Cost of meal: $6

This is not your typical bereavement support group. Meet and Eat is a monthly dinner gathering for those who have lost a loved one. It is a time to remember that even though you may have lost a loved one, you can still be social and enjoy a meal out with others who share similar experiences. For more information, call 641-236-2418 or email shuls@grmc.us.

Prenatal/Childbirth Classes

Tomasek Room, GRMC Evening Sessions, October 4, 11, 18, 6:30 to 8:30 p.m. Must attend all three evening sessions during that month. Saturday All-Day Sessions, September 17 and December 10; 8:30 a.m. to 3:00 p.m.

Perinatal Loss Support Group East Tomasek Room, GRMC October 27, 6:30 to 8 p.m.

For more information, call the Kintzinger Women’s Health Center at 641-236-2324 or email sbaarda@grmc.us.

The Glass Gift Box

Fall Preview Sale - 20% off storewide* Thursday, September 8, 9 a.m. to 8 p.m. and Friday, September 9, 9 a.m. to 5 p.m. Hobo Trunk Show - 40% off new Fall Hobo Handbags* Thursday, September 15, 9 a.m. to 8 p.m. and Friday, September 16, 9 a.m. to 5 p.m. Apple Days Wednesday, October 12 through Friday, October 14 Normal store hours Holiday Open House - 40% off one item* Thursday, November 10, 9 a.m. to 8 p.m. and Friday, November 11, 9 a.m. to 5 p.m. Happy Holiday Extravaganza - 25% off entire purchase* Thursday, December 8, 9 a.m. to 8 p.m. and Friday, December 9, 9 a.m. to 5 p.m. * Coupon for The Glass Gift Box promotional offer or sale must be presented at time of purchase and is not valid with any other offers, promotions, coupons, or discounts (sale items). Excludes Chocolate Storybook, See’s Candy, Medela, essential oils, diffusers, and fresh flowers.

Top 10 Estate Planning Mistakes

Monday, Sept. 26, 10 a.m. Drake Community Library Melissa O’Rourke, Iowa State University Extension Free. Open to public. Special Senior Education program.

WIC Clinics (or Well Child)

Brooklyn, Brooklyn United Methodist Church 3rd Monday of the month 9 a.m. to 1 p.m. Grinnell, Light Center for Community Health 3rd Tuesday of the month, 4th Tuesday of the month For more information, call Mid-Iowa Community Action (MICA) at 641-752-7162 or 800-390-5293.

Welcome to Medicare Educational Program

Drake Community Library Thursday, Sept. 29, 6:30 p.m. Judy Brannon, speaker, and local SHIIP Counselors Free. Open to public, especially individuals 60 to 65.

For more information, call the Kintzinger Women’s Health Center at 641-236-2324 or email sbaarda@grmc.us.

Healthletter • 18


GRMC Healthletter is published as a service for the residents of the Grinnell Regional Medical Center service area. Chair, Board of Directors Todd Reding President, Medical Staff Kevin R. Emge, DO President and CEO Todd C. Linden Editorial and Design Staff Jeanette Budding • Jennifer Hawkins Miranda Jones • Denise Lamphier Nick Moorehead • Heidi Ramaeker Pearson Anya Silva • Cyvannah Vecchio

210 Fourth Avenue • Grinnell, Iowa 50112

Nonprofit Organization U.S. Postage PAID Cedar Rapids, IA Permit 174

Contact us 210 Fourth Avenue Grinnell, Iowa 50112 641-236-7511 • www.grmc.us The health information in this newsletter is not intended to provide diagnosis. If you have questions about your health, please consult your physician. 2016 GRMC Event Headline Sponsors

Brent Nickel CLU, ChFC, CASL, Agent

Essential Oils You Should Try…

Lavender: To melt away stress. Eucalyptus: To stop the sniffles. Peppermint: To feel more alert. Skeeter Away: To repel mosquitos. These essential oils and essential oils blends—along with dozens of others —are available at Postels Community Health Park and The Glass Gift

Massage Therapy

Box at GRMC. Stop in to purchase or call 641-236-2953 learn more about essential oils or to schedule a massage.

GRMC Healthlettter - August 2016  
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