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HEALTHLETTER New Docs SPRING 2016

on the Block

Home Health

stars

Marjorie M. Renfrow, MD Grinnell Family Care

รก To Grinnell Family Care

4th Avenue Physician Parking

Surgical Associates

Robert Koller, DO Grinnell Regional Family Practice

Ahrens Medical Arts Building (AMAB)

Volunteer Office

Grinnell Regional Medical Center

Elizabeth Tigges, DO

Surgical Associates OB/GYN

The Glass Gift Box

Valet Parking Visitor Parking

Emergency Entrance

Jennifer R. Paisley, MD Grinnell Regional Internal Medicine

Healing Garden

3rd Avenue

GRMC

Legacy Volunteers

Family Medicine

Light Center for Community Health


New Docs on the Block!

Four new physicians made their way to the Grinnell medical scene this spring, bringing with them distinctive skillsets that expand patient care. Jennifer R. Paisley, MD; and Elizabeth Tigges, DO; Majorie Renfrow, MD; and Robert Koller, DO, are the newest docs on the block.

Paisley Treats Complex Pediatric and Internal Medicine Paisley is an internal medicine and pediatric specialist. She spent two years practicing at NewCare Health Service in Newton, where she specialized in internal medicine and pediatrics. Paisley is board certified with the American Board of Internal Medicine and the American Board of Pediatrics, and plans to become board certified in obesity medicine. At GRMC, Paisley’s primary focal areas are internal medicine, pediatric behavioral and developmental delays, and medical weight management. “I am comfortable accepting complex pediatric cases with a referral from the patient’s primary care physician,” says Paisley, who joined Grinnell Regional Internal Medicine. “Typically that would cover children under the behavioral and developmental delay umbrella. I will conduct basic evaluations and do medication management for children who have already had a confirmed diagnosis through psychological testing.” Paisley plans to bring this benevolent mindset to her practice in Grinnell. Her interest in obesity medicine and management complements services already offered at GRMC, and was a guiding factor in her choice to practice at GRMC. Knowing the results of the community health needs assessment, which ranked obesity as a top priority for change, and pairing it with her interest in obesity medicine and management, Paisley is enthusiastic about developing a community-wide program to address the obesity issue. 01 • Healthletter

As a native of Grinnell, I have been aware of GRMC’s reputation for excellence in the area of bariatric medicine,” Paisley says. “I would love to help develop family-centered programs that target the root causes: poor understanding of nutrition, a loss of traditional cooking skills from prior generations, and an overall decrease in our activity. Teaching children to eat healthy from a young age is the single most important way to help combat this epidemic.” “Dr. Paisley’s unique skillset is a valuable asset to Grinnell Regional Internal Medicine,” says Ronald Collins, Jr., MD. “Her multi-specialty prowess lends a distinctive edge that enables her to better serve residents.” Paisley and her family moved back to Grinnell to be closer to her family. She delights in spending time with her husband and two young children, Emma and Marcus. For an appointment with Paisley, please contact your primary care physician for a referral.

Tigges Focuses on Women’s Health Issues Tigges is an obstetrics and gynecology specialist. She has practiced obstetrics and gynecology, performed pelvic surgeries, and specialized in women’s sexual health—a niche area—for the last four years. Tigges is board certified with the American Board of Obstetrics and Gynecology, and desires to cover the full spectrum of women’s health needs in the GRMC service area, with her focus primarily on gynecology and high-risk obstetrics patients. “I address the full array of women’s needs, from chronic pelvic pain and infertility to obstetrics and gynecology,” says Tigges, who works for Surgical Associates of Grinnell. “I will see any female patient, and I hope to see patients of all ages, from 11 to 90 more or less, for obstetrics and gynecology.”


Much like Paisley, Tigges’ varied abilities open up possibilities to Grinnell area residents unlike anything that has ever been offered. Tigges’s multi-faceted practice bolsters the community’s access to full-scale women’s healthcare.

“We are very happy with Grinnell as a place for us to settle down, have a family, and grow roots…forever,” Tigges says. “We are happy to start this awesome new experience together in Grinnell.”

“Surgical Associates recognized a large community need for women’s health and OB/GYN care,” says Nicholas Kuiper, DO, of Surgical Associates. “We met with Dr. Tigges, and her personality, surgical ability, and patient care are exactly what we want and what we think this community needs. Our expectations were high and she meets all of them.”

For an appointment with Tigges, please call Surgical Associates at 641-236-4323.

Tigges sees patients at Surgical Associates on Mondays and Wednesdays from 8 a.m. to 3:30 p.m.; she spends Tuesdays and Thursdays in the operating room at GRMC. Tigges will accept any female patient. Patients may make selfreferrals by calling for their own appointment. Physicians may also make referrals. She plans to see patients at Deer Creek Health Center, later this summer. “I hope sincerely to work as a team with the area primary care providers,” Tigges says. “I truly believe medicine is best delivered with a respectful team approach.”

New Physicians Coming to Grinnell this Summer Grinnell Family Care will welcome Marjorie M. Renfrow, MD, to its practice in May. Renfrow is a primary care physician and focuses her practice on geriatrics. She has dedicated her life to caring for patients in their senior years. She joins James R. Paulson, MD; Jeff Knobloch, DO; and Lisa James, PA-C. For more information or to schedule an appointment with Renfrow, call 641-236-7524.

Grinnell Regional Family Practice has recruited Robert Koller, DO, to the practice to start on July 14 as a Tigges’ wide-ranging medical expertise is rivaled only by primary care physician. Koller will her diverse interests and cultural experiences that blossomed accept all patients, including obstetrics. from a love of travel. He joins Roy Doorenbos, MD; Michelle Rebelsky, MD; Jacob Boyer, PA; and Kristen Phelps, PA. “I love to travel,” Tigges says. “I have been to Peru, Italy, Indonesia, and Thailand. I am very blessed to see and For more information or to schedule an appointment with experience the world and its beautiful people.” Koller, call 641-236-2500. Tigges and her husband, Cody, a pediatric intensivist at the University of Iowa Hospital and Clinics, decided to take the plunge and move to Grinnell.


Heroes Don’t Always Have Capes by Kennedy Harms, guest writer

Each year, students in the Extended Learning Program at

Davis School in Grinnell participate in an independent study. Students begin this process by selecting a topic that interests

I was born at GRMC. This hospital is important to me, my family, and other families in the Grinnell area.

them to research and learn more about. When the research

There are 49 beds for patients. Usually there are not enough

learning. Projects can include websites, reports, digital

rooms and one other room for additional procedures. There

is completed, students complete a project to demonstrate their storytelling, glogs, Google presentations, speeches, models, iMovies, simulations, and more.

Kennedy Harms, a third grade ELP student, chose to do her

patients to fill all of the rooms. There are also four operating are about 50 doctors working there and about 160 nurses.

There are different types of doctors and nurses like specialists, surgeons, pathologists, x-ray techs, and radiologists.

independent study on GRMC. She wants to become a nurse

I visited the hospital and got to meet several employees. I

Kennedy toured GRMC as part of her project. During the tour,

I also got to meet an x-ray tech and a radiologist, and I

when she grows up. In addition to general hospital research,

Kennedy had the chance to meet several hospital staff, observe the facility, and learn about various medical machinery and

met a phlebotomist and learned how they work with blood. looked at the CAT scan, the MRI, and the x-ray machines.

The first hospital in Grinnell was Dr. Somers’ house in

“ Doctors and nurses affect our health by being there when we need them.

hospital was called Grinnell Hospital. It was located on

dectomies and tonsillectomies. The emergency department

Heroes don’t always have capes. In my opinion, doctors and nurses are heroes. They are heroes because they help you if you are sick and/or hurt. I have been researching Grinnell Regional Medical Center (GRMC) and the doctors and nurses that work there.

processes. What follows is Kennedy’s final project report.

1901. It was located on 1127 Park Street. The second

The most common surgeries the hospital does are appen-

1030 Elm Street (on the corner of Elm Street and Sixth

has about 10,000 patients a year. If there is a condition the

Avenue). The third hospital was located on the corner of Reed Street and Fourth Avenue. It lasted from 1919 to

1967. The fourth hospital was the St. Francis Hospital. It was located on the corner of Penrose Street and Fourth Avenue. It lasted from 1919 to 1967.

The reason the third hospital and the fourth hospital have the same dates of service is because the two combined to

save money. The fifth hospital was located on 210 Fourth Avenue and is where the current hospital is today. The

hospital that stands today is Grinnell Regional Medical Center and they built on from the original hospital. 03 • Healthletter

hospital can’t treat, or the patient needs special care, they will send them to Iowa City or Des Moines.

They have an isolation room for patients that are very

sick. The most common illnesses seen here are the flu and

pneumonia. If a patient has an injury that needs immediate care, they will go to the ER. The hospital is going to add

a hazmat area to the ER. The hazmat area will help treat

people if they get bad chemicals on their body. They can go to the hazmat area to take a special shower that will help wash the chemicals off.


When I went to the hospital for my tour, I got to look

around the whole hospital. Denise Lamphier (director of communications and development) took me on the tour.

She showed me the MRI room, the x-ray room, the CAT

scan, the ultrasound room, the place where newborn babies go, the ICU, and the radiology department. It was a lot of fun to see those places!

It’s important to have doctors and nurses in the community because they help you and give you assistance when you are

sick and/or injured. Doctors and nurses affect our health by being there when we need them and giving us medications

we need. If we did not have doctors and nurses our popula-

tion would be very low because people would be getting sick and injured and dying. Doctors and nurses help save lives!

Now do you believe that heroes don’t always have capes? If

you don’t, I don’t know what I’d do with you. But if you do, have you noticed that doctors and nurses save lives? That’s what makes them heroes to me.

Healthletter • 04


Following in Their Footsteps: GRMC Legacy Volunteers When Frances Davis, fondly known as Fran, started volunteering at GRMC in 2002, she imagined making an impact in the lives of her community members. What she did not expect was creating a legacy of benevolence for her family. Davis has spent many hours over the past 14 years volunteering at GRMC. Six months after she started volunteering at GRMC, she was approached about joining the auxiliary, a charitable volunteer organization that promotes and assists the medical center in providing healthcare services to the area. Shortly after joining the auxiliary, Davis was asked to serve as treasurer on the auxiliary board, due to 43 years of accounting experience at Grinnell Mutual Reinsurance Company. She served as the board’s treasurer for 11 years and continues to volunteer at the hospital today. “When I got off the board, I asked Kerri [Olson, former GRMC volunteer coordinator] if any department needed help,” Davis says. “She connected me with human resources, where I volunteer one morning a week.” In addition to volunteering in HR, Davis is available three afternoons a week to volunteer in the surgery waiting area when needed and spends Fridays completing data entry in The Glass Gift Box, GRMC’s Auxiliary-run gift shop. “I enjoy working in the different departments because all the people are really great,” Davis says. “I just love all the people I have worked with; they make me feel very special.” Davis’s daughter, Donnette Ellis, started volunteering at GRMC in 2010 after Davis volunteered her to help during the holidays. Since then, Ellis has spent the last six years volunteering in The Glass Gift Box on Thursday evenings from 5 to 8 p.m. and on the occasional Saturday. Ellis began serving on the auxiliary board in January 2015 and is currently its vice-president. 05 • Healthletter

“The auxiliary board has allowed me to interact with a wide group of fabulous women and work toward a common goal—helping to support GRMC,” Ellis says. Ellis was asked to be on the board after her mother had already retired from the auxiliary, so Davis was unaware her daughter had been asked. “I did not know she was asked until she was already on the board. I’m glad she is because she has great ideas and is a very good worker,” Davis says. “She always sees to it that things get done.” Out of all the volunteering she has done, Ellis most enjoys volunteering where she first started back in 2010 – The Glass Gift Box gift shop. “Working in The Glass Gift Box is my favorite,” Ellis says. “I love being able to keep the store open outside of normal hours so those who work evenings and weekends get a chance to shop. Cara does a great job bringing in a variety of items, and I love being a ‘walking advertisement’ for the gift shop.” For Ellis, one thing is certain: Her mother’s character spurs her to be her best self. “My mother is an inspiration to me every day,” Ellis says. “She has continued to amaze me with her drive and willingness to help wherever she can. I could only hope to one day be half the woman she is.” Davis and Ellis are not the only mother/daughter combination to work their way through GRMC’s volunteer program. Leigh Ann Meacham is a self-described “newcomer” to the GRMC volunteer program. Since starting nearly two years ago, Meacham has mainly volunteered in The Glass Gift Box. She recently became a member of the auxiliary board.


Like Ellis, Meacham follows in her mother’s footsteps. Betty Ann Battey, Meacham’s mother, spent many hours volunteering at GRMC before her death.

“Whether it is the other volunteers, the GRMC family, or the daily contact with the public, I love interacting with people,” Meacham says.

“When my mother was a volunteer, I was a 9-to-5 working gal,” Meacham says. “So, her involvement—at that time— was not my motivating factor to become a volunteer.” Once Meacham retired from her job, however, her desire to fill her time with an activity that may impact others brought her circling back to her mother’s days of volunteering.

Regardless of why they started volunteering or what motivates them to remain active in their volunteerism, Davis, Ellis, and Meacham all endorse donating time for the greater good.

“Remembering how much Mom enjoyed her donated time, I decided to ‘jump in’ and find out why she so enjoyed GRMC,” Meacham says. “Now I know why and how she so enjoyed her involvement with GRMC. So, I can say that— at this time—she keeps inspiring me to stay involved.” Aside from the volunteering itself, both Meacham and Battey’s favorite aspect of volunteering at GRMC is and has been the people. “Mom was the definition of a ‘people person,’” Meacham says. “She loved all aspects of her time spent volunteering, from surgery waiting to playing the piano for functions, she did it always to be around people.” The same applies for Meacham.

“I would definitely recommend others to volunteer at GRMC, or really any organization that is important to them,” Ellis says. “We are always looking for more volunteers, so if you or anyone in your family or circle of friends wants to make life more fulfilling, become a volunteer!” Echoing Ellis’s sentiments, Meacham adds, “It is very fulfilling and rewarding; I believe my time here is appreciated.” Feeling inspired to volunteer? We would love to have you! If you are interested in volunteering at GRMC or working with the GRMC Auxiliary, please contact Cara Kenkel at 641-236-2043 or ckenkel@grmc.us.

We Love Our Volunteers!

GRMC and the GRMC Auxiliary hosted a volunteer appreciation event in April to celebrate National Volunteer Week. More than 75 guests attended the celebratory event, and enjoyed a photo booth, dinner, and a program delivered by Todd Linden, GRMC president and CEO; Jen Collins, GRMC Auxiliary co-president; and Cara Kenkel, GRMC volunteer coordinator and auxiliary liaison. GRMC and the GRMC Auxiliary have more than 150 active volunteers. Volunteers serve on advisory boards, committees, and within departments that serve patients and staff. The auxiliary volunteers run the auxiliary and its many educational, service, and fundraising events that support its mission and GRMC. “Volunteers are valuable members of our team,” Kenkel says.“They are the smiling faces that greet family members and patients as they enter our doors. They are the assuring voices when a loved one is in surgery. They are the leaders who provide guidance to our many boards and committees. They help deliver mail and supplies to our outreach clinics. They are extremely important to GRMC and we want to thank all of them.” Healthletter • 06


Chris and Barb Nagel surrounded by some of their GRMC caregivers: from left Jentri Haworth, RN; Chris; Barb; Kim Wemer, RN; and Stephanie Haworth, RN.

07 • Healthletter


2 People + 3 Months + 4 Surgeries = 1 Big Life Upheaval + Lots of Great Care Thanksgiving 2015 gave Chris and Barb Nagel quite a lot

He was diagnosed with blood clots in both lungs—a not

health.

the ICU for three days. He then reacted to pain medica-

to be thankful for—the most obvious being their restored

September 2015 was the start of three months of traumatic health episodes for the couple.

It began when Barb came to the GRMC ER battling

uncommon complication from surgery—and admitted into tions and his care team collaborated to find a unique solution. Internal medicine doctors, surgeons, nurses, pharma-

cists, Mercy physicians, and the facilities management staff all played a role in securing a pain relief solution.

a pancreatic and gallbladder attack. After a brief visit to

“I was inspired and thankful to see how hard they worked

is the removal of the gallbladder. She stayed at GRMC for

er I should go to another hospital. I realized that a larger

GRMC’s ICU, Barb underwent a cholecystectomy, which four days while she recovered from having more than 50 stones removed from her system.

“Barb’s health crisis was not only extremely painful, but

exceedingly stressful for us both,” says Chris Nagel, who

together,” Chris says. “Our children questioned wheth-

hospital would have faced the same problems with my body reacting the way it did. These complications would not have been prevented or treated differently in a larger hospital. I felt better here.”

has worked in the facilities management department at

“After all he has gone through, Chris is now healing great

Little did he know, Barb’s health scare was only the

Chris and Barb adamantly expressed their gratitude for the

GRMC for 10 years.

beginning of their tumultuous journey.

October 1, 2015, saw the continuation of health-related

drama for the couple when Chris presented at the GRMC ER with stomach pain—just five days after Barb’s surgery. Chris needed bowel resection surgery the following day.

His health crises were not over yet. Due to complications in his body with healing, Chris had surgery for a second time, less than a week after his first surgery. This time,

surgeons removed another 12 inches of his bowel. Chris

and feeling even better,” Barb says.

staff at GRMC and Surgical Associates, suggesting they became like family during their time of duress.

“There is no way we could have gotten through this as well as we did without the excellent care we received from the staff at GRMC and Surgical Associates,” Barb says.

“We were touched by every department: medical staff;

nursing and surgery; ER; radiology; lab; pharmacy; ICU;

maintenance; housekeeping; nutrition services; and human resources.”

was still an inpatient recovering from his second procedure

“We were treated with not only the utmost in professional-

flush the surgical area and replace his stitches with staples

a family member,” Chris says. “When things were the very

a week later when he was taken back for a third surgery to and tension sutures.

On November 1, 2015, Chris was discharged—only to return to the ER several days later with back pain.

ism, but with that caring touch given by a family member to worst for us, we were cared for by the very best, and they all became extended members of our family.”

High praise—from someone who usually sees the hospital from a different vantage point. Healthletter • 08


Retail Therapy @ GRMC Can Make You Happier

See it. Like it. Buy it. This mantra is something that Tricia Kilmer often thinks when she is shopping at The Glass Gift Box at GRMC.

• Gourmet coffee and gift foods, including Storybook Chocolates. • And more!

“There are always new and different things in the gift shop that appeal to everyone’s tastes,” says Kilmer, who has worked in GRMC’s human resources department for 14 years. “You can find things that are new and unusual that you won’t find in other stores. And when you are looking for gifts, you can always get something wrapped in a pretty bag with ribbons.”

“We work hard to cater to a broad selection of people,” says Cara Kenkel, GRMC gift shop and volunteer coordinator. “You can shop at The Glass Gift Box any time, not just when you are receiving care at GRMC.”

Kilmer’s son has recently joined the military. As a result, Kilmer jokes, “I need more retail therapy now than I ever have before.” Turns out, she’s probably right. A recent study published in the journal Psychology and Marketing has revealed that shopping can improve a bad mood. Another study from the Journal of Consumer Psychology found that retail therapy not only makes people happier immediately, but it can also fight lingering sadness or stress (as long as you shop within your means). This year, The Glass Gift Box celebrates its 10-year anniversary of helping people with their retail therapy needs. Operated by the GRMC Auxiliary, The Glass Gift Box has been a staple at GRMC since 2006 with its roots in the deep history of GRMC. The Auxiliary has operated a gift shop for nearly five decades. The multitude of services offered by a slew of cheerful volunteers keeps the gift shop freshly stocked and efficiently run for patients, visitors, employees, and community members. All proceeds from The Glass Gift Box benefit patients of the medical center.

Taking a step into The Glass Gift Box is like taking a step into a chic boutique. However, The Glass Gift Box has something special a typical retail store does not—volunteers who are just as excited about new merchandise as the customers. “I love to volunteer at The Glass Gift Box,” says volunteer Mary Emge. “My favorite part is seeing the reactions to new merchandise. Seasonal merchandise changes keep employees engaged and visitors excited. Witnessing their uplifting feedback brings me joy.” Volunteers in the gift shop get the opportunity to serve as the cashier, unpack new merchandise and price it, stage the displays, and act as stylists during Thursday night Clothing, Cupcakes, and Cocktails personal shopping parties. (See opposite page for more information).

With a broad range of services and a handful of helpful volunteers, The Glass Gift Box makes a difference to those who shop there as well as to those who benefit from the sale of its merchandise. The GRMC Auxiliary uses proceeds from the gift shop to help fund: • A $100,000 pledge for the medical center’s new The Glass Gift Box features a sundry of gifts and services chemotherapy and infusion suite. including, but not limited to: • Annual scholarships for area students who are pursuing • Gorgeous, fresh flower arrangements from local florists. a healthcare career. • Festive balloons. • Books for babies born at the Kintzinger Women’s • An extensive card collection for various sentiments like Health Center. birth, birthday, and sympathy. • The Babies Room, a program that provides incentives • Baby clothes, children’s books, and toys, and education programs to women who are pregnant • Soft slippers, specialty lotions, and toiletries. or who have a child less than 18 months of age. • Trendy clothes and shoes (mostly for women). • And more! • Stylish home décor and picture frames. • Popular jewelry and handbags. “If you haven’t been to The Glass Gift Box in a while, it’s a • Houseware gifts like bowls, mugs, cutting boards, and great place to visit,” Kilmer says. hand-knitted dishcloths. 09 • Healthletter


Clothing, Cupcakes, and Cocktails WHO: You and your closest gal pals WHAT: A private, personal shopping party at The Glass Gift Box WHEN: Any Thursday evening * Reserve your party a minimum of two weeks prior to the desired event date to have invitations sent to your guests. Reservations made two weeks or more prior to the event will result in the provision of cupcakes and wine, as well as a 20 percent discount that evening for all party-goers. WHERE: The Glass Gift Box at Grinnell Regional Medical Center 210 Fourth Avenue Grinnell, Iowa 50112 WHY: The opportunity to have a fun, personalized Ladies’ Night Out close to home. Clothing, Cupcakes, and Cocktails will fill your evening with the company of your closest friends, and will fill your closet with the latest fashions, courtesy of a personal stylist. BONUS: The hostess—whoever books the party—will receive special perks the evening of the event. For more information on Clothing, Cupcakes, and Cocktails, or to book your party, please contact Cara Kenkel at 641-236-2043 or ckenkel@grmc.us. Dates are not guaranteed unless booked with Cara. Reserve your party date today. Glass Gift Box Hours 9 a.m. to 5 p.m. Monday, Tuesday, Wednesday, and Friday 9 a.m. to 8 p.m. Thursday

Healthletter • 10


Counting Stars It is in the stars for Grinnell Regional Home Care. In the newly released Home Health Compare performance ranking, GRMC’s home health service received five out of five stars for patient experience. Those stars came from you – our patients. Of the four home health agencies identified as serving the greater Poweshiek County area, Grinnell Regional Home Care was the only agency with a five star rating. “I don’t know what I’d do without them,” Belulah “Boots” Bouma says. According to her, GRHC is the reason she is able to remain an active 92-year-young woman. “They [home care aides] take such good care of me. They are the reason I’m doing so well.” Home Health Compare is a web-based program for the Centers for Medicare and Medicaid so consumers can compare home health agency performance. The ratings compare nursing care, medical social services, home health aide services, and therapy care such as physical, occupational, and speech. It uses four performance measures to compare all providers in the area. Home Health Compare gives a snapshot of the patient experience and quality of care, based on patient satisfaction surveys and patient assessments from claims. When Bouma had a series of medical setbacks in 2014, she determined to get home. A procedure to repair a cracked hip led to the discovery Bouma had cancer—for the second time. After surgery to remove the cancer, Bouma spent a month recovering in the hospital. From there, she was transferred to a long-term care facility for six weeks of rehabilitative therapy. Finally, the day came when Bouma was able to return home. “I’m sure glad I have home health,” she says. “I look forward to the days those girls come to take care of me. They sweep the floors and scrub the kitchen for me. They check my vitals, and have me do my exercises to make sure I stay strong. They make sure I have all my refills every month and my flu shot every fall.” The Home Health Compare performance star ratings compare home health agencies to one another. Having a

Kory Proboasco, RN (left) works with “Boots” Bouma to remain independent at home. two star rating does not mean patients will receive poor care from a home health agency. It means home health agencies with three or more stars performed better on this particular measure of patient’s experience of care. Bouma receives homemaker care services, help with her showers, and assistance with setting out her medications for the week. “Boots is very protective of her independence and we want to do everything we can to help her maintain it,” says Kory Probasco, home health aide. “With most of my patients, they give me their medications and have me fill out the pill box for the week. With her, we have a number system and worksheet to go along with it so she can do it by herself under our supervision.” For Bouma, there is no agency that compares to GRHC. The healthcare and homemaker services she receives have made a tremendous difference in her quality of life. “I’m very, very happy with the home healthcare I get,” she says. “I have someone to talk to and they go above and beyond their regular duties to help me. When I have something come in the mail about my insurance that I don’t quite understand, I put the date on it so I can remember when it came and save it to have Kory look at when she comes. If there’s anything I need to do after we read it together, she makes sure it’s handled. I’d be lost without my Kory.” To learn more about the Home Health Compare program or compare different home health agencies, visit www.medicare.gov/homehealthcompare. To learn more about Grinnell Regional Home Care, call 641-236-2385.


Headlin MC R G e Sponsor t a s e c s Support Crucial Health Servi

Ahrens

P ark

F O U N D AT I O N Embracing Generations to Come

Brent Nickel CLU, ChFC, CASL, Agent

GRMC is thrilled to announce the Ahrens Park Foundation and State Farm Insurance –Brent Nickel as 2016 Headline Sponsors. They join Grinnell College in this endeavor. The involvement of these organizations as Headline Sponsors supports the following: • Eagle Sponsor for the GRMC Golf Tournament • Bike helmets for all area third graders • Business membership support of the GRMC Auxiliary “The investment our sponsors make to the hospital community continues to be critical to the success of our mission to provide excellent health services,” says Denise Lamphier, GRMC director of communications and development. “Their ongoing support allows GRMC to provide the quality care and services our patients and their families have come to expect.” Ahrens Park Foundation The Ahrens Park Foundation is an important partner in progress for the people of Grinnell. The foundation is dedicated to providing first class recreational and athletic facilities while collaborating with wellness, educational and recreational programs, and organizations for the greater good of the community. Collaboration with community organizations has always been an important part of the foundation’s mission. The foundation partners with several other community groups to promote the benefits of recreation and wellness through their extensive athletic complexes, parks, and walking paths. As a generous supporter of our bikes helmets program for several years, the Ahrens Park Foundation continues their commitment to the health of our community. State Farm Insurance Like any good neighbor, State Farm Insurance –Brent Nickel has been a fixture in the Grinnell community for years. State Farm Insurance is committed to supporting the neighborhoods it serves and the neighborhoods its associates call home by helping to build safer, stronger, and better educated communities. With a long tradition of helping others in their time of need, the organization understands the importance of having strong healthcare services available in our region. As a contributor to GRMC, State Farm Insurance –Brent Nickel affirms its partnership with the medical center to help our organization carry out its mission to provide healthcare for life. When area residents are recovering from the unexpected, support like this gives everyone peace of mind knowing GRMC will be there when they need it most. “GRMC could not do all that it does without the support of a caring community. We are so thankful for this leadership from the Ahrens Park Foundation and State Farm. Our entire community benefits from their generosity,” Lamphier says.


Capstone to

EXPAND into Poweshiek County

A collaboration among four Iowa organizations promises to improve access to mental health services in Poweshiek County. Beginning later this year, Capstone Behavioral Healthcare —a Newton-based service—will begin offering mental health services in the former Poweshiek County Mental Health Center offices on Fourth Avenue in Grinnell. The four partners working to make this arrangement possible are Capstone Behavioral Healthcare, Central Iowa Community Services, Poweshiek County Board of Supervisors, and GRMC. Each organization brings critical resources to the table to ensure that mental health services remain in the area. “We believe this partnership will provide excellent services to patients, preserve local employment, and enhance financial sustainability for all the organizations involved,” says Todd Reding, chair of GRMC’s board of directors. GRMC began operating a mental health clinic in 2013 when the 40-year-old Poweshiek County Mental Health Center closed due to financial difficulties. Over the past three years, the same issues that plagued PCMHC—a shortage of providers and poor reimbursement from

13 • Healthletter


insurers—stressed GRMC as well, making it difficult to sustain the service. A transition to Capstone will improve access for patients. Capstone’s mission is to promote mental health, and reduce the impairments associated with mental disorders, substance abuse, and chemical dependency by providing education, support, and treatment services. Capstone’s board of directors voted unanimously to approve the proposal by GRMC and Poweshiek County to operate the mental health clinic. The goal is to complete the transition by fall of 2016. Central to this transition are the expansion of provider availability and cost savings. Capstone is considered a “community mental health center” by the state—a designation that GRMC is not eligible for due to a state moratorium on making this designation. The designation allows Capstone to receive a higher rate of reimbursement from Medicaid—approximately 30 percent more—than GRMC could for the exact same service. In addition, Capstone is able to receive additional types of funding that helps it recruit providers.

Providing high-quality and sustainable mental health services to serve the residents of our community is our first priority.

“We appreciate all that GRMC has done to keep mental health services local over the past three years,” says Jody Eaton, chief executive officer of Central Iowa Community Services. The agency is charged with coordinating mental health services for the State of Iowa in 10 Iowa counties, including Jasper and Poweshiek counties. “We understand the inconsistent financial reimbursement at GRMC has made for many challenges. This partnership with the county and Capstone will achieve mutual goals to keep mental health services local and expand care options,” Eaton adds. CICS will consider assisting in start-up costs to bring Capstone to Grinnell. The county supervisors have agreed to provide affordable rental fees to Capstone to entice them to Grinnell. “We are pleased to provide an affordable clinic space for this much needed service. We are committed to this

collaboration and to making the available resources go as far as possible,” says Larry Wilson, Poweshiek County supervisor. “Our primary concern has been, and will continue to be, providing quality healthcare for area residents,” says Todd C. Linden, GRMC president and CEO. “We continue to read daily about the serious shortage of mental health providers and funding for services. Iowa ranks 47th out of 50 states for psychiatrists per capita and 46th in per capita for number of psychologists. We will face this challenge until state and federal funding and policy changes occur.” “Our goal has always been to ensure that individuals with mental health needs receive treatment. We’re excited to be partnering with Capstone and to include many of their providers on our medical staff,” Linden says. “We want to be here and provide the service,” says Julie Smith, director of Capstone. “Our focus is to keep people in the community for services. It is imperative that everyone work together in this transition.” “The purpose of this collaboration is to ensure that individuals with mental health issues do not go untreated. Providing high-quality and sustainable mental health services to serve the residents of our community is our first priority,” Smith adds. Once the relocation takes place, Capstone’s office hours in Grinnell will be 8 a.m. to 5 p.m. Monday to Thursday and 8 a.m. to 3 p.m. Friday. Capstone intends to bring additional mental health professionals to practice in Grinnell. Services will include psychiatric medication management, individual counseling, and group therapy. Capstone will also continue to operate the Station Clubhouse, which specializes in group therapy and activities for clients, as well as their integrated health home. GRMC and the medical staff will continue caring for patients with mental health concerns in clinics and the emergency department. GRMC will continue to operate its mental health program until the transition to Capstone is complete in the fall of this year. Patients can begin inquiring about fall appointments with Capstone by calling 641-236-2347. Healthletter • 14


Vital Signs

and individuals teamed up to prevent head-injuries by giving new bicycle helmets to third graders in the GRMC service area. This year, 542 young people learned the basic rule this program seeks to teach: “If you have wheels under your feet, have a helmet on your head.”

Topliff and Reding

GRMC Welcomes New Director of Surgery

Paul Topliff, RN, CNOR, is the new director of surgical services at GRMC. Topliff joins the surgical team in response to the retirement of Deb Reding, RN, who has been with GRMC for nearly 35 years. Topliff comes back to GRMC after working in Oskaloosa for six years, most recently as the director of surgical services. He served as a peri-operative nurse at GRMC from 2005 to 2009. Topliff also served eight years active duty in the United States Air Force from 1988 to 1994. Topliff earned an associate’s degree of nursing from Indian Hills Community College. He completed a bachelor’s degree of nursing from Chamberlain College of Nursing in Illinois.

Helmets were given to students in 12 schools this year: Brooklyn (BGM), Central Iowa Christian Academy, East Marshall, Green Mountain Garwin (GMG), Grinnell/ Newburg, Lynnville/Sully, Meskwaki Settlement, Montezuma, North Mahaska, Sully Christian, South Tama, and Victor (HLV). Financial supporters of the program this year are GRMC and its medical staff; Ahrens Park Foundation; Bess Spiva Timmons Foundation; Cirks Financial Services; First State Bank; Grinnell College; Grinnell Elks Lodge; Grinnell Mutual Reinsurance Company; Grinnell State Bank; Rosemary K. Jobes; Kiwanis Club of Grinnell; Janice Logan; Lions Club of Sully; Love Our Kids; Lynnville Women’s Club; Medicap Pharmacy – Kevin and Jennifer Stallman; Montezuma State Bank; Warren Reinecke; State Bank of Toledo; State Farm Insurance – Brent Nickel; University of Iowa Community Credit Union; and Vannoy Chevrolet –Doug and Debra VerMeer.

“We’re thrilled to welcome Paul back to GRMC. He has a big responsibility ahead of him taking over the role of Deb Reding in running our busy surgery department,” says Doris Rindels, RN, vice-president of operations. “Paul brings many years of experience and management to this position. I believe he will move the organization forward and continue the excellent care implemented by Deb and her team.”

GRMC Celebrates 20th Year of Bike Helmet Program Spring time brings out the bicycles.

For the 20th consecutive year, GRMC, the Grinnell Regional medical staff, Bikes to You, and area businesses

15 • Healthletter

Craig Cooper, Bikes to You, fits a helmet.


Surgical Associates Takes Grinnell Mutual Challenge with $25,000 Donation

Surgical Associates, LLP, has made a donation of $25,000 to help renovate the emergency department at GRMC in response to a $250,000 challenge from Grinnell Mutual Reinsurance. “We are grateful to Surgical Associates for helping us unlock the challenge from Grinnell Mutual,” says Dan Agnew, volunteer co-chair of the Moving at the Speed of Life campaign. “We are well underway to reaching our goal.” Jones and Lacey

Jones and Lacey Named as 100 Great Iowa Nurses GRMC nurses Kim Jones, RN, obstetrics, and Janet Lacey, RN, director of patient experience and quality, each received a 100 Great Iowa Nurses award. This program, supported by the Iowa Nurses Foundation, recognizes 100 outstanding nurses every year in Iowa for their courage, competence, and commitment to patients and the nursing profession as well as their community. Jones is an integral member of the obstetrics team at GRMC. She has demonstrated her dedication to educating staff and patients by acting as a prenatal class instructor, a neonatal resuscitation and fetal monitoring instructor, and an approachable mentor to new employees. Each spring Jones actively participates in the bike helmet program, which gives a free bike helmet to every third grader in the GRMC service area. “Kim is tenacious and generous, expending much time and energy serving patients, coworkers, and the community,” says Sheryl Baarda, RNC, obstetrics nurse manager. Lacey has served patients at GRMC through the years in a myriad of leadership roles. As a gracious mentor to new departmental directors and employees, Janet has instilled a passion for extraordinary patient care in the lives of her fellow GRMC employees. “Janet’s resolute stance on exceptional care has led to her involvement in the development of many programs aimed toward improving patient care and satisfaction,” says Natalie Cline, RN, director of care coordination. In addition to her leadership and innovation, Lacey’s commitment to her community is also showcased in her benevolent volunteerism within her hometown of New Sharon.

When successful, this final push will help GRMC secure the funding needed for the $2 million emergency department renovation and expansion. “Like Grinnell Mutual, Surgical Associates is committed to promoting a dynamic and thriving community. The emergency department is at the heart of healthcare in our community. GRMC has a wonderful ER team in place. We are pleased to show our support for the emergency department project and its incredible team of physicians and clinical staff,” says Nicholas Kuiper, DO, a Surgical Associates partner and co-chair of the Moving at the Speed of Life campaign. “I am humbled and honored that donors such as Surgical Associates continue to support our efforts to provide the best possible care for our patients by investing in this project,” says Todd Linden, GRMC president and CEO. “GRMC works closely with Surgical Associates, and having their support is crucial. This leadership gift demonstrates the commitment of our surgeons to not only the medical center, but also the entire community. We are blessed by both their surgical talents and their generous philanthropic support.” To date, GRMC has raised more than $1.8 million in gifts restricted to the emergency department renovation. Once fundraising efforts are completed, the project is scheduled to begin, ideally this summer. The project will take approximately six months to complete. There will be no interruption in emergency department services during construction. For additional information about GRMC’s Moving at the Speed of Life comprehensive campaign or to discuss making a gift, contact Denise Lamphier at 641-236-2589 or dlamphier@grmc.us. Gifts can also be made online by going to www.grmc.us/donate.

Healthletter • 16


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

Babies Room Parenting Classes

Brooklyn - Brooklyn Library 4th Thursday of the month, 4 to 5 p.m. Grinnell - Light Center for Community Health 3rd Tuesday and 3rd Thursday of the month, 4 to 5 p.m. For information on this program, call 641-236-2385 or email mcwp@grmc.us.

Breastfeeding Education

Tomasek Room, GRMC July 26, September 27, 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.

Community Health Needs Assessment - Health Improvement Plan Monday, July 25, 5:30 - 8 p.m. 17 • Healthletter

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 July 11, September 12, and November 14, 7 to 8 p.m. This comprehensive diabetes support group meets quarterly, and includes a visit with the dietitian and diabetes education nurse. Speakers and topics vary. For more information, call 641-236-2488.

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

Summer Sizzle The Glass Gift Box, GRMC Thursday, June 9, 9 a.m. to 8 p.m. and Friday, June 10, 9 a.m. to 5 p.m. Inventory Reduction Sale Monday, June 20 through Friday, June 24 Pella Scrub Sale Tomasek Room, GRMC Friday, June 24, 7 a.m. to 3 p.m. Christmas in July The Glass Gift Box, GRMC Friday, July 1 through Friday, July 29


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

Prenatal/Childbirth Classes

Tomasek Room, GRMC Evening Sessions, July 5, 12, 19; October 4, 11, 18; 6:30 to 8:30 p.m. Must attend all three evening sessions during that month. Saturday All-Day Sessions, June 18, September 17, and December 10; 8:30 a.m. to 3:00 p.m.

Light Center for Community Health Grinnell Regional Public Health (By Appointment Only)

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

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.

East Tomasek Room, GRMC July 28, October 27, 6:30 to 8 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.

Coupon must be presented at time of purchase and is not valid with any other offers, promotions, coupons, discounts, or previously held merchandise. Limit one coupon per person. Excludes Baggallini, Modela, Mrs. Meyers, Chocolate Storybook, See’s Candy, Isabel Bloom, Rack-N-Roll bags and fresh flowers. (Expires August 12, 2016)

Perinatal Loss Support Group

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

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.

Mondays, 10 to 11 a.m. Drake Community Library 930 Park Street, Grinnell

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. • June 13 – “A History Rich in Patriotism,” with Linda Hatch, Daughters of the American Revolution • June 20 – “Looking at the Science and Safety of GMOs,” by Mike Pearson • June 27 – “The Why’s and How’s of Geriatrics Medicine,” with Marjorie Renfrew, MD, Grinnell Family Care • July 4 – No program. Happy 4th of July!!! • June 6 – “Iowa’s Healthcare Team for Government Relations,” with Erika Eckley, Iowa Hospital Association’s Government Relations 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 • 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 Denise Lamphier Heidi Ramaeker Pearson 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

Ahrens

P ar k

F O U N D AT I O N Embracing Generations to Come

Brent Nickel CLU, ChFC, CASL, Agent

27th Annual GRMC Golf Outing

Friday, June 17, 2016, Grinnell College Golf Course Tee times: 7:30 a.m. and 12:45 p.m. Registration begins at 6:45 a.m. and noon Enjoy 18-holes of fun in this four-person best-shot tournament. GRMC brings together our friends for a great day of golf. We have four flights of team prizes, hole/pin contests, and raffle prizes. A light breakfast will be provided in the morning and sack lunches provided between morning and afternoon rounds. Snacks will be available following the afternoon round. To secure your tee time, call Jan Veach at 641-236-2946 or email jveach@grmc.us to inquire about availability. $85 per person.

GRMC Healthlettter - June 2016  
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