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HEALTHLETTER Hospice is about

living with quality of life.

SHIIP Counselors

Save Residents Money DECEMBER 2016

GRMC continues affiliation discussions


Hospice is About

Living At its best, hospice is more than a way to relieve the suffering of dying—it is a way to live. The time spent with a quality hospice program can greatly improve a patient’s quality of life by opening time and space for emotional connection, spiritual growth, or even accomplishing a life goal. Tony Rivera embraces the special moments of life with his family thanks to the help of Grinnell Regional Hospice staff. “I make the best of what God gave me,” says Rivera, who is 34. “I just take each day by day. The hospice team has helped me laugh. Hospice is good and helps you out when


you need it. They help you progress in a way that gets you what you need. I appreciate all they have given me to live comfortably.” Rivera, from Tama, was born with a rare form of eye cancer, and had one eye removed at a young age. A different eye cancer affected him as an adult. Treatment proved evasive. He completed chemotherapy treatments, but it had to be limited because of side effects. He also tried radiation, which had to be terminated because of adverse reactions.

A common mistake made by both patients and doctors is to wait until advanced signs and symptoms begin before seeking hospice care. - James R. Paulson, MD

When specialists said they could not do anything else for Rivera, he sought services from Grinnell Regional Hospice. “Hospice programs can give patients the best services and quality of life when we have time. In Tony’s case, we know he has a life expectancy of many months before the cancer overcomes his body. During this time, hospice can provide pain medications, living assistive devices, social services, spiritual care, and moral support for the patient and family,” says James R. Paulson, MD, Grinnell Regional Hospice medical director. Paulson explains that a common mistake made by both patients and doctors is to wait until advanced signs and symptoms begin before seeking hospice care. By then it is often too late to glean the maximum benefits of both psychological and symptom support and management. It is also more difficult to build the trust and confidence needed to help not only the patient but also their family. Hospice accepts patients with a life expectancy of six months or less, however, some individuals will live longer. They receive the benefits of hospice care longer. Know Your Options It is important to know your options when it comes to choosing a hospice program—not every hospice service is the same, Paulson says. Rivera and his family chose Grinnell Regional’s hospice program after an emergency department visit at GRMC. They were impressed with the caring staff, services, and specialties they experienced. “Although the philosophies are supposed to be the same, patients will realize there is a wide range of services and quality of care depending on which hospice is chosen. I have a general philosophical issue with those hospices that are for profit, wondering how they plan on making money on dying patients,” Paulson says. “Grinnell Regional

Hospice has a 35-year history of providing excellent care to patients and families. It is important that people know Grinnell Regional Hospice is a nonprofit and invests revenues into the patients and not business stakeholders. It’s not just any hospice.” “When a patient is admitted to the hospice program we can build a relationship based on trust so we can help educate and prepare them for the eventual end of life,” says Michelle Rietzler, RN. “We do well at symptom management so they have the best quality of life possible. The trusting relationship allows us to be supportive to the individual and the family and provide comfort as they progress through the end-of-life process.” After Rivera started losing his sight, Grinnell Regional Hospice secured a white cane to assist with his walking. The cane also serves as a visual cue to those around him that he does not see. The program also provided Rivera with an iPad so he could use the Skype application to speak with his children, who live in California. Grinnell Regional Hospice offers massage therapy, music therapy, assistive devices including technology, as well as makes special requests through the Make A Wish® program and other groups to give life-changing experiences and final wishes. Rivera lived with his mother, brother, nieces, nephews, and sister in Tama, when he was admitted to Grinnell Regional Hospice. In October, he moved back to California to be near his children. “Hospice helped him remain in his home with family,” says Sheree Andrews, LBSW, GRMC hospice social worker. “Tony’s time with hospice allowed us to help the family stay in touch with his life. Before the cancer took all of his sight, we worked together to create a photo album for his children. We also help prepare the family for the next stage. It allows all of them to have a meaningful life and helps define what was important in Tony’s life. They shared stories and laughter.” Grinnell Regional Hospice combines the highest level of quality medical care with the emotional and spiritual support that families need most when facing the end of life. Through this specialized quality care, many patients and their families experience more meaningful moments together. Hospice helps them focus on living despite a terminal diagnoses. Rivera passed away in mid-November. For more information about Grinnell Regional Hospice, call 641-236-2418.


A Mammogram Only Takes Half an Hour GRMC patient Susie Sondag has experienced the lifesaving benefits of having an annual mammogram firsthand. “I didn’t have a history of breast cancer in my family,” Sondag says. “But I had this gut feeling something was wrong when the radiology department called me the day after my mammogram and wanted to do additional tests.” Further tests confirmed Sondag had Stage 2 breast cancer with a positive lymph node. She met with her primary care provider to determine the right course of action to treat her breast cancer. Prior to her mammogram, Sondag had not experienced any signs or symptoms of having breast cancer. Early detection of the cancer has helped Sondag keep a positive view of the situation. She credits the advanced technology of GRMC’s 3D mammography machine as one of the reasons her cancer was caught early. GRMC was one of the first rural hospitals in the state to offer 3D mammograms. The procedure is similar to a 2D mammogram, but the results are quite different with a 41 percent improvement in detection and a 40 percent reduction in false positives. This allows for improved early detection. “Those 3D mammograms are amazing at finding things,” Sondag says. “Having the ability to receive that type of mammogram locally is a huge advantage to the community.” Sondag also recognizes how important having an annual mammogram was to catching her breast cancer before it progressed any further. She has encouraged her daughter and other friends and family to start going in for annual mammograms.

“I can’t encourage yearly exams enough,” she says. “There is so much more hope for treating breast cancer if it’s caught early. I really think having a yearly mammogram is crucial to a woman’s overall health. I’m a perfect example of how an annual mammogram can save your life.”

Regular mammogram screenings are often the difference between catching breast cancer in its early stages instead of after it is too late.

There is so much more hope for treating breast cancer if it’s caught early. - Susie Sondag

Guidelines vary for when a woman should receive a mammogram. The American College of Obstetricians and Gynecologists says that starting at 40 is best. The American Cancer Society suggests starting at either 40 or 45. And the U.S. Preventive Task Force Services says that women can wait until 50. There is also the related issue of how often to get tested. ACOG says to go annually. USPTFS says every two years. And the most recent ACS guidelines suggest getting annual mammograms between ages 45 and 54; after that, they say it is OK to wait two years between screenings. The main expert to check with is your primary healthcare provider. He or she will consider your particular case, including your age and family history. Sondag, who is being treated for her cancer, has had a mammogram every year and was still caught off guard with the diagnosis of cancer. “Taking a half an hour out of your life once a year is inconsequential to the overall picture,” she says. “Skipping even just one year can make a world of difference.” To schedule a mammogram, contact the GRMC radiology department at 641-236-2355.


Babies Room The

Q: What is the Grinnell Regional Babies Room? A: The Grinnell Regional Babies Room is a program that promotes healthy behaviors to parents by encouraging wellness activities that benefit both parents and children. Open Monday through Friday from 8 a.m. to noon and 1 to 4 p.m., the Babies Room helps build healthy behaviors by providing support to parents. By caring for themselves through educational programs, parents are given the tools to raise healthy children.

The Babies Room Parents Group, which meets the third Tuesday and Thursday of every month in the Light Center for Community Health from 4 to 5 p.m. The parenting classes are open to all parents. This is a group that equips parents who have children under the age of 3 with the resources to successfully raise a child in a nurturing and healthy environment. The group covers a variety of parenting-related subjects, provides resources and advice for parenting situations, and gives parents fun activities to do with their children at home. The Babies Room Parents Group is funded by the Community Based Child Abuse Prevention Program and follows The Incredible Years® curriculum for babies and toddlers. All families are welcome to come to the parents’ group, and will receive one free package of diapers per family each time they attend. Q: Who does The Babies Room help? A: The Babies Room program helps parents earn free, essential goods for their children by practicing good parenting and providing necessary care for their children. Low-income parents are eligible to earn points in The Babies Room program by completing activities; some activities are as simple as attending prenatal doctor visits, getting an annual car seat safety check, going to well child exams, and participating in the Drake Community Library Reading Program. Other point-earning opportunities include breastfeeding, getting your child’s immunizations, and attending pre-approved classes.

Q: What do points earn? A: Points may be spent in The Babies Room for items that are necessary for children under the age of 3. Items include but are not limited to: • Diapers • Bottles • Clothes • Cribs • Car seats Blankets are also available for parents to get for their children, but parents are not charged points earned through the program. Why are the blankets distributed point-free? Because the blankets are donated by the Piecemakers Quilt Guild with the same goal—that no child goes without a blanket. Q: How do parents earn points? A: To earn points, parents must participate in programs that promote healthy behaviors, such as: • Prenatal visits • WIC appointments • Well baby visits • Immunizations • Library reading program • Earning high school diploma or college credits • Breastfeeding • Attending Babies Room Parents Group Q: Who funds this public service? A: Formerly known as the Stork’s Nest, the parenting program was established with funding and support from March of Dimes. After support from March of Dimes ended, GRMC continued the program, changing the name but not its goals. The Babies Room is now supported by donations from the community. If you would like to support healthy babies in our county, you may make a donation to The Grinnell Regional Babies Room at GRMC. Donations may be sent in care of Denise Lamphier, GRMC Office of Communications and Development, 210 4th Avenue, Grinnell, Iowa 50112 or at www. grmc.us/donate.


Grinnell Regional Medical Center, UnityPoint Health – Des Moines and University of Iowa Health Care

have begun exclusive negotiations about forming a new relationship.

collaboration

forward-thinking

relationships excellence

healthcare patients

local progress

options

“GRMC has a long history of identifying innovative solutions to provide exceptional healthcare services. Given the economic realities of today and the unknowns of the future of health care, we think this new relationship with UnityPoint Health – Des Moines and UI Health Care represents a valuable opportunity to ensure GRMC will continue to serve our communities,” says Todd L. Reding, chair of the GRMC board. “Thanks to the hard work of so many GRMC health care providers, staff and community board members, we have an exciting partnership that will allow us to thrive, and not just survive, going forward.” After an exhaustive process in 2015 of exploring a tighter relationship with Mercy Health Network, an organization

with which GRMC has enjoyed a seven-year affiliation, the GRMC board chose to look more broadly at all the health systems in Iowa. GRMC is not alone in this endeavor. According to national experts, one out of five of the nation’s 5,000 hospitals will merge or become affiliated within the next five years. More than half of Iowa hospitals already belong to one of the healthcare systems in the state.

While details of the proposed relationship remain to be determined, the vision for Grinnell is clear. The goal is to bring the best of UnityPoint Health – Des Moines and University of Iowa Health Care to Grinnell to enhance the care that is offered to the greater Poweshiek community. Examples include enhancing specialty services, telemedicine, research, and educational opportunities, as well as introducing insurance products and direct-to-employer programs. Additionally, the anticipated partnership will allow the three organizations to share quality data and standardized best-practice treatment protocols across the continuum of care.

innovative

With the changing direction of healthcare it is increasingly important for organizations and systems to collaborate and partner in order to continue to provide quality affordable healthcare.

- Eric Crowell, president and CEO of Unity Point Health - Des Moines

In March 2016, GRMC released a “request for proposal” and received four responses, one each from Mercy Health Network, UnityPoint Health, and UI Health Care, and a joint proposal from UnityPoint Health – Des Moines and UI Health Care. The GRMC board, led by a six-person affiliation task force, carefully reviewed each proposal in detail. The GRMC task force found the joint proposal from UnityPoint Health – Des Moines and UI Health Care to be the best fit.


The proposal from UnityPoint Health – Des Moines and UI Health Care outlines a new, collaborative vision for the three organizations to work together to improve access to care in the greater Poweshiek County area. “UI Health Care values our relationships with physicians and staff of GRMC,” says Jean Robillard, MD, vice president for medical affairs with UI Health Care. “Our goals of providing the best possible care close to home are perfectly aligned, and we look forward to discussing the best approaches to continuing and expanding our healthcare services to GRMC patients and families.” “We are excited to partner with Grinnell Regional Medical Center and have a great deal of respect for the long tradition of care they have in the community,” says Eric Crowell, president and CEO of UnityPoint Health – Des Moines. “With the changing direction of healthcare it is increasingly important for organizations and systems to collaborate and partner in order to continue to provide quality affordable healthcare.” “One important aspect of all of this will be to maintain a strong local voice and engagement by the local board,” says Wendy Kadner, chair-elect of the GRMC board. “We have had a great community board for many decades that has put GRMC in the position to be a highly-desired organization by all the healthcare systems in Iowa.” “Healthcare providers at GRMC know their community the best. That’s why it is important for them to continue leading the process of caring for their patients, with our specialists assisting when a higher level of care is needed,” Robillard says. During the due diligence process, the three organizations will review and evaluate opportunities to enhance GRMC services and relationships with regional providers and employers through initiatives like health plan offerings, mental health services, home care services, and workplace services. In addition, leaders plan to explore opportunities to expand pediatric and obstetrics services at GRMC. One area of particular importance to all parties is maintaining the quality and breadth of the GRMC medical staff.

“We have so many extraordinary clinicians at GRMC who are committed to providing safe and effective care,” says Nicholas Kuiper, DO, GRMC general surgeon and member of both the GRMC board and the affiliation task force. “We have been very focused on making sure any affiliation will embrace what we already have here and look to build upon it. The leaders from UnityPoint Health – Des Moines and UI Health Care made it clear that this was their goal.” Ron Collins, MD, GRMC internal medicine physician, as well as a member of the GRMC board and affiliation task force, agrees. “I was impressed with the commitment and enthusiasm shown by the leaders from both Unity Point Health – Des Moines and UI Health Care for an affiliation with us. All of us are excited about what we can create together by joining forces.” Formal discussions started in November. All parties will work to complete due diligence and receive the appropriate approvals from their respective governing boards. During due diligence, representatives from all three organizations will work closely to explore options. The agreement will preserve a key role for the local board in the leadership and governance of GRMC. The organizations expect to complete the affiliation discussions within the next several months, depending on regulatory and board approvals. “This novel approach is appealing because it retains each organization’s strengths, while at the same time increases our ability to improve outcomes and value for patients in the hospital as well as at our affiliated clinics,” says Cori Fogle, PA-C, a member of the affiliation task force and a physician assistant at Victor Health Center, a GRMC affiliate clinic.

Our goals of providing the best possible care close to home are perfectly aligned, and we look forward to discussing the best approaches to continuing and expanding our health care services to GRMC patients and families.

“As a regional hospital, we are in the quality of life business,” says Todd Linden, GRMC president and CEO. “The opinion of the GRMC board is that the joint proposal has the best potential to ensure the quality of life of the residents of the greater Grinnell service area. Both UnityPoint Health – Des Moines and UI Health Care are excellent organizations with outstanding brand recognition and an array of support services that will enhance what we do locally.”

- Jean Robillard, MD, vice president for medical affairs UI Health Care

Through this process, the goal of the GRMC board has been to find a partner who can help with information technology investments, physician recruitment, and longterm viability, among other things. “Not every independent community hospital in Iowa is so fortunate to be so strongly desired by all three healthcare systems in Iowa,” Reding says. “We are indebted to the wonderful support we have received from the communities we are privileged to serve. It most certainly put us in this


enviable position. We are also fortunate for the ongoing dedication of the extraordinary volunteers, employees, and medical staff we have here in Grinnell.” “We get what each organization does best, while building on the strengths of GRMC,” Fogle says. About Grinnell Regional Medical Center GRMC is a private, nonprofit and non-tax supported medical center, serving more than 40,000 residents in a six-county rural area of east central Iowa. A 49-bed hospital with 50 physicians and allied healthcare professionals, 350 employees, and more than 200 volunteers, GRMC provides an array of services from birth to end-of-life. Specialties include anesthesiology; ear, nose and throat; emergency medicine; family medicine; general surgery; internal medicine; obstetrics; pain management; pathology; podiatry; radiology; rheumatology; and urology. Visiting specialists in 11 areas provide additional specialty care. About UnityPoint Health UnityPoint Health – Des Moines provides comprehensive, coordinated care to patients throughout the Greater Des Moines area through our clinics, hospitals and home care services. UnityPoint Health – Des Moines includes Iowa Methodist Medical Center; Iowa Lutheran Hospital; Methodist West Hospital; Blank Children’s Hospital including pediatric sub-specialty clinics; John Stoddard Cancer Center; UnityPoint Clinic; UnityPoint at Home and UnityPoint Hospice. UnityPoint Health – Des Moines has more than 7,500 employees and 1,000 physicians providing care to patients throughout central Iowa. In 2015, UnityPoint Health hospitals admitted more than 33,000 patients, 96,000 emergency room visits, and delivered 4,900 babies. UnityPoint Clinic – Central Iowa provides care in a number of areas including 290 family medicine, internal medicine, pediatrics, OB/GYN, sports medicine, cardiology, pediatric sub-specialties, liver disease, surgery, and psychiatry providers. UnityPoint at Home serves the critical role of coordinating with UnityPoint Clinic and UnityPoint Health hospitals to surround the patient with all the resources and care necessary to achieve wellness at home. About University of Iowa Health Care University of Iowa Health Care is the state’s only comprehensive academic medical center, dedicated to providing world-class health care and health-related outreach services to all Iowans. Based in Iowa City, UI Health Care includes University of Iowa Hospitals and Clinics, consistently ranked by U.S. News & World Report as one of “America’s Best Hospitals,” recognized by Forbes on its “best employers” list, and winner of the 2014 Magnet Prize® for Nursing. University of Iowa Stead Family Children’s Hospital is the only hospital in Iowa nationally ranked by U.S. News & World Report as one of the country’s “Best Children’s Hospitals.” UI Health Care also includes the University of Iowa Roy J. and Lucille A. Carver College of Medicine, known for curricular innovation and breakthrough research, and University of Iowa Physicians, the state’s largest multi-specialty physician group practice, with more than 1,400 physicians, residents, and fellows. UI Health Care is a founding member of the UI Health Alliance, formed in 2012 to advance highquality health care with hospitals and clinics throughout Iowa and contiguous communities.

Healthy Economical Gift Ideas

Do you find holiday shopping to be too expensive and stressful? Stress no more! We asked our employees for

their best healthy, economical gift ideas to pass along to you. We have compiled a list of our favorite ideas below $60, so you can spend less time worrying about finding

the perfect gift, and spend more time creating memories

that will last a lifetime. Happy holidays from the GRMC family to yours!

Activity Trackers: Wearable tech is trending, specifically activity trackers. Some devices can cost upwards of $800, however, there are plenty of great affordable options.

Activity trackers are as unique as their owner, ranging widely from how they are worn to what they track. In

our price range, devices are capable of tracking your daily steps, distance covered, calories burned, and a few can

even track sleep quality. A few notable trackers that hit

our price range include the Fitbit Zip, Garmin Vivofit, Jawbone Up2, Misfit Flash, Moov, and the Nike Fuel Band. Price: $25 - $50.

Coloring Books: That’s right, coloring isn’t just for

kids. Do you know someone who needs to unplug and

unwind for a minute? Adult coloring books are quickly gaining popularity in a world dominated by electronic

media. Scribbling in a book with pencils and pens of every

imaginable hue can be soothing for the mind and soul. An assortment of coloring books, pens, pencils, and markers

can be picked up in the Glass Gift Box at GRMC. Price: $5 - $20

Essential Oils: Is someone on your gift list constantly battling an ailment or two? Different essential oil fra-

grances can help with a good night’s sleep, hot flash relief, boosting energy, relieving stress, and countless other


benefits. Essential oils can be purchased locally at the Glass

that fits their personal style. You could even consider giving

oils come in a variety of roll-ons, creams, and mists and are

Center. Price: $10 - $40

Gift Box or Postels Community Health Park. Our essential sure to be a great stocking stuffer. Price: $9 - $20

this gift in tandem with a membership to the PWA Fitness

Additional economical and healthy gifts suggested

Homemade Soup Mix: Do you have a soup your friends

by GRMC staff include: low decibel-hearing protection

great inexpensive and thoughtful gifts. Assemble all of the

magazine, a do-it-yourself herb garden kit, UV sunlight

and family can’t get enough of ? Homemade soup mixes are necessary ingredients for your famous soup into a sealable

container such as a mason jar, plastic tote, or sandwich bag, accompanied by easy to follow instructions. These are a

headphones, a one-year subscription to a health related

desk lamp, insulated water bottle, an assortment of teas, or a diffuser for essential oils.

great gift for someone who is homesick, feeling under the

For additional gift ideas or to learn more about items offered

selves. Price: cost of the ingredients

The Glass Gift Box is open from 9 a.m. to 5 p.m. on Mondays,

weather, or just doesn’t have the time to cook for them-

IOU Coupons: This gift won’t over-burden any wallet.

IOU—“I owe you” coupons can cost you nothing, and be priceless at the same time. Gift your partner a half-hour foot massage. Give your friends who desperately need a

night out a free night of babysitting. Additional coupon

ideas could include making a homemade dinner, free car

wash and vacuum, or mowing the lawn. For bonus points,

make multiple coupons into a booklet for a gift that keeps on giving! Price: FREE

PWA Fitness Center Membership: The Paul W. Ahrens

Fitness Center is not your run-of-the-mill gym. The center is staffed by wellness experts who are available to pro-

vide instruction in the correct use of all of the equipment

during regular business hours. The state-of-the-art center is open to members 24/7, 365 days a year. Additionally,

a plethora of group fitness classes and unlimited used of

the AquaMed Hydrotherapy bed are all included with the monthly membership fee. Member fees are on a month to

month basis, so you don’t have to worry about an inconvenient gym contract. Price: $40/month

Yoga Mat: Introduce family and friends to the wonderful

world of downward dogs, bridges, and tree poses, and pick them up a yoga mat. This gift is bound to bring you good

karma. Yoga is a great exercise to increase strength, improve flexibility, and expel stress. Yoga mats come in an abun-

dance of colors, materials, and thicknesses. Try to pick one

at the Glass Gift Box, call 641-236-2522 or come to shop.

Tuesdays, Wednesdays, and Fridays, from 9 a.m. to 8 p.m.

Thursdays, and 10 a.m. to 3 p.m. on Saturdays, depending on volunteer availability.


?

How Healthy is

Poweshiek County? “Overall we have much to be thankful in terms of the health status in the county,” says Patty Hinrichs, GRMC director of public health. “We definitely have needs that are not being addressed and those will be top priorities in the next few years.” After a three-phase evaluation of the health status and areas of concern, GRMC and Grinnell Regional Public Health have released the results of the 2017-2019 Community Health Needs Assessment and Health Improvement Plan. The needs assessment found that: • 82.5 percent of those surveyed would rate the overall quality of healthcare delivery in their community as either “very good” or “good,” with “very good” being the highest ranking. • Stakeholders are satisfied with the following services in Poweshiek County: ambulance services, chiropractors, dentists, eye doctor/optometrist, home health, hospice, inpatient services, outpatient servic pharmacy, primary care, and public health services. • Participants are not satisfied with the following services: mental health services and visiting specialists. • 78.8 percent of those surveyed have received healthcare services outside of their community at least once during the past two years. • Participants perceive the following causes of disease or disability a problem in their community: drugs/ substance abuse, mental illness, obesity, physical exercise, poverty, and suicide. The community health needs assessment also identified nine health concerns for Poweshiek County: 1. Access to mental health services (providers and placement) 2. Health education programs in schools 3. Water and air quality 4. Affordable healthcare transportation

5. The need for additional visiting specialists in orthopedics, dermatology, and pain management 6. Pharmaceutical costs 7. Poverty 8. Fighting obesity 9. Insurance coverage (Medicare, uninsured/ underinsured) During a health improvement planning meeting, each of these key indicators was discussed along with ways to resolve the issue. Education and preparation surfaced many times as the way to resolve many of the health-related concerns. “When addressing community health needs, everyone can and should play a role,” Hinrichs says. “As a population, we all must take responsibility for our own health and for the community as a whole. This takes collaboration between the medical center, the school systems, county government, the local city offices, the colleges, human services providers, churches, and the libraries.” Every county and hospital in the nation is required to develop health improvement plans every three to five years. Grinnell Regional Public Health and GRMC decided to conduct the survey and improvement plan together. A third-party firm, VVV Consultants, conducted the survey, interpretation, and market analysis. The 349 stakeholders provided the community feedback. This new health implementation plan will be in effect from January 1, 2017, to December 31, 2019. To view the entire implementation plan for the top nine health issues and assessment report in Poweshiek County, go to www.grmc.us/quality/community-health-needs-assessment.


Try Exercise Start your new year off right by participating in the Paul W. Ahrens Fitness Center’s Fitness Jam on Saturday, January 14, from 8 a.m. to noon. Mark your calendar to come try any of the group classes, test drive the cardio and weight equipment, and enjoy a chair massage complete with essential oils. The fitness jam is free to PWA Fitness Center members and to the public. Bring a friend and experience why a membership at PWA Fitness Center is more than just a membership. It’s a community focused on you and your health. Below is a list of classes that will be offered during the fitness jam. The final schedule of specific class times will be announced closer to the event. Refreshments will be provided. Body Blast: This high intensity class combines weights, body resistance training, and high intensity intervals for a burst of training. Gentle Yoga: A slow flowing yoga class that is welcoming to all. This class uses props and modifications to ensure a safe and comfortable practice. Chair modifications are available. No previous yoga experience necessary. Hip Hop Dance: Hip Hop Dance: Step out of your normal routine with a high intensity cardio class showcasing the latest dance moves to hip hop music. H.I.I.T. Fusion: This class utilizes the Spider X Lab to the fullest by combining circuit training and high intensity interval training components with the latest in strength training equipment. Kickboxing: Ready to release some of your pent up frustration? Come put your gloves on and challenge yourself on our heavy bag. This class will have you feeling like a prize fighter as you punch, jab, and uppercut your way to an adrenaline high. You will leave this class feeling pumped. Ripped: Weights without the gym! Get visible results quickly with this total body workout set to energizing music using free weights to increase strength, burn fat, and improve overall health. This is a high-energy class that combines strength and stabilization exercises. Spinning®: This indoor cycling workout is a great cardio builder for all fitness levels. Each rider is allowed to adjust their bike tension to make it “their ride.”


Volunteers: Over the past five years, Jerry Henschen has become a key member of the Grinnell Regional Auxiliary volunteer program. During that time he has become a familiar, friendly face to patients, staff, and visitors. Ask any GRMC employee if they know him and the answer will undoubtedly be “Yes!” “I can always count on Jerry,” says Cara Kenkel, GRMC volunteer coordinator. “He is here three days a week and he is great about picking up extra volunteer hours if we need help.” Volunteering gives individuals the opportunity to maintain a healthy, active, and social lifestyle. Henschen primarily volunteers as a mail courier. He enjoys chatting with employees as he makes his rounds to the different departments. “Helping as a volunteer is a great way to utilize your time and help the hospital at the same time; it sure beats sitting at home all day,” Henschen says. Not only is he helping others by delivering the mail, but he sees it as helping himself stay active. Walking all three floors of the medical center with the mail cart in tow provides Henschen with an excellent regular exercise opportunity. Henschen donates more than just his time to GRMC. He also makes charitable contributions to various medical center projects he is passionate about. “Whenever I can, I like to help out in any way I can with projects and programs I am passionate about. The new chemotherapy wing was a project I was particularly fond of supporting,” he says. “If individuals have a little spare time and aren’t sure what to do with it, they should look into volunteering at GRMC. By volunteering, individuals can contribute to the local community by helping the hospital and benefit themselves by staying active and social,” he adds. To learn about more volunteer opportunities at GRMC, call Cara Kenkel at 641-236-2043, email her at ckenkel@grmc. us, or visit her in The Glass Gift Box, located on the first floor of the medical center. To make a donation to GRMC, contact Heidi Ramaeker Pearson at 641-236-2961 or hpearson@ grmc.us.

Making a Difference, Right Here, Right Now Check out this list of 25 Different Ways to Support GRMC. 1. Log on to the GRMC website at www.grmc.us to learn more about the services we offer. 2. Make an online donation at www.grmc.us/donate. 3. Make a wreath for the annual GRMC Auxiliary Wreath Raffle. 4. Support the Annual Fund Drive. 5. Take a class at the Paul W. Ahrens Fitness Center. 6. Direct memorial or honorarium gifts to the medical center. 7. Volunteer at the information desk. 8. Consider making a gift of securities or appreciated assets. 9. Nominate a nurse for the 100 Great Iowa Nurses Award. 10. Honor GRMC staff and providers with support to our tribute program. 11. Play in a foursome at the annual golf outing. 12. Share your story in the GRMC Healthletter. 13. If you are over 70 ½, distribute funds from your charitable IRA rollover directly to your favorite charity. 14. Spend time with area first graders by volunteering with the GRMC Auxiliary’s pediatric orientation program. 15. Share your harvest by giving a gift of grain. 16. Give a presentation at the Senior Education Program. 17. Plan for the future with an endowment or planned gift. 18. Volunteer in GRMC’s Auxiliary gift shop, The Glass Gift Box. 19. Get your hands dirty volunteering in the Giving Gardens or the Healing Garden. 20. Get marketing exposure by becoming a GRMC Headline Sponsor. 21. Join our monthly giving program. 22. Give blood at the GRMC Auxiliary blood drive. 23. Join the Patient and Family Care Council. 24. Serve on the board of directors or foundation board. 25. Choose GRMC for your healthcare needs.


Welcoming faces at GRMC include Gene Ellio

tt and Jerry Henschen.


Welcome to Medicare Healthcare can be confusing at the best of times. Enrolling in Medicare is even more so. The Senior Health Insurance Information Program helps you make the best of it. SHIIP, for short, is a 26-year-old program that assists consumers with Medicare decisions through counseling and community education. SHIIP services are confidential, unbiased, and free. SHIIP counselors will be happy to help answer your Medicare questions and provide a comparison of Medicare plan options. They do not sell insurance and won’t tell you which one to select. They’ve been where you are. GRMC SHIIP volunteer Montie Redenius joined after making a mistake with his wife’s Medicare part B plan. He wanted to figure out where he’d gone wrong – and how to help others avoid making mistakes with their Medicare. The program is aimed at those about to turn, and over, 65 to select plans and/or evaluate the plans they already have. They can also help people under 65 if they have disabilities and are on Medicare. Volunteers suggest that people come in about three months before turning 65 so that they have time to think about all of their options. There are four parts to Medicare: Part A, Part B, supplement, and a drug plan to cover the cost of prescriptions. While you have the option of not selecting a plan, you will incur higher costs in the long run. If you do not buy into Medicare within three months after your 65th birthday or when you stop working (whichever comes later), and choose to buy a plan later, you will pay a penalty. The plans will become more expensive. If you choose to never buy them, then you will lack coverage that you will almost certainly someday need. This is an important lesson that SHIIP client Carol B. recently learned. She says she would not have gotten a drug plan because all she takes is aspirin, but now that she knows that her choice is between paying now or paying later, she will pay now. She sought SHIIP services because of the sheer amount of paperwork she faced. She says that she learned a lot, and now knows more about what is covered and not covered. She says she’ll have to take care of the basics first – learning what is and isn’t covered with her particular doctor and hospital – before she returns for another appointment for more specific help. When asked whether she’d recommend SHIIP services to others, she said, “Oh, definitely. This is so, so helpful.”


You have three months before the month of, and three months after you either turn 65 or stop working to purchase your plans with no penalty. You also have a guaranteed right to a supplement during those months, and can pick any plan you like regardless of pre-existing health conditions. A company cannot reject you or charge you more than they charge anyone else your age. This guarantee does not last, so you should pick a supplement that you think you are going to keep. GRMC SHIIP counselor Maralee Kruse suggests talking with friends to see if they like their plans to get a feel for the market, as well as making an appointment with a SHIIP counselor. If you decide to switch plans, make sure that you have secured your second plan before dropping the first one. Since you might be rejected by the second plan, dropping the first one prematurely could mean that you end up with no supplement insurance. SHIIP counselors provide comparisons and help with paperwork. To sign up for a supplement, contact an insurance agent or an insurance company. Drug plans, on the other hand, are designed to be easily switched if necessary. There is open enrollment for drug plans each fall; so that consumers can pick plans that best meet their needs. This year, the period runs from October 15 through December 7. People with disabilities can switch drug plans at any time, not just the fall. Unlike supplements, there’s no need to contact an agent; a SHIIP volunteer can help you sign up. Individuals may sign up online. SHIIP counselors can help you run a drug comparison based on which prescriptions you take and which pharmacies you prefer to help you find which plan is best for you.

Many people want to pick their spouse’s drug plan, but if the drugs you take and the pharmacies that you use are different, the best plan for you could be totally different, too. Do not assume that you know what will work best. Come talk to a counselor and see for sure. If you’ve already done so, but your drugs have changed during the year, come by again to see if you should use a different plan. New SHIIP counselor Kathy Szary says she became a SHIIP counselor because she wanted to give back to the community. “I discovered how valuable the program was when they helped my mother with her drug plan…I just retired and want to do something educational and rewarding.” To become a SHIIP counselor, she completed online training modules with a review test, three days of in-person training in Des Moines, and shadowed an experienced SHIIP counselor. She began making appointments in July. If you do not think you can afford any or all of the plans described above, ask a SHIIP volunteer for help filling out an application for relief from the Iowa Department of Human Services. The Medicare Savings Program can help you pay for Medicare Parts A and B out of Medicaid. Remember, SHIIP counseling is completely free, and could save you a lot of money on your prescriptions and healthcare. You have nothing to lose and everything to gain. Make an appointment today! For more information about getting help from SHIIP or volunteering with it, go to the state website at www.therightcalliowa.gov or call locally at 641-236-2588.

Medicare Open Enrollment Medicare subscribers have until December 7 to change Medicare Part D, prescription plans. If you need assistance with evaluating the options, a Senior Health Insurance Information Program counselor is available. They can work with you to determine how the different providers have changed for the 2017 year. The prescription options by insurers do change each year. What works for you one year may not make sense in 2017. If you’re not doing an annual check of your Part D coverage, you could be missing big savings. To schedule a SHIIP appointment, call 641-236-2588. This is a free service to any Medicare subscriber in the area, sponsored by Grinnell Regional Medical Center.

Current volunteers: Montie Redenius volunteer for 10 years. Maralee Kruse volunteer for five years.

Kathy Szary began taking appointments this summer. Dennis Day began taking appointments this fall.


Vital Signs New Faces @ GRMC to Take Care of You Kate Van Wyk, MSPA, PA-C, joined the medical team at Grinnell Regional Family Practice. She practices with Drs. Doorenbos and Rebelsky as well as fellow physician assistants Jake Boyer and Kristin Phelps. This clinic is located on the third floor of the Ahrens Medical Arts Building.

Luke Perrin, MD, brings 10 years of experience to the Manatt Family Urgent Care. Kate Van Wyk, MSPA, PA-C

Van Wyk recently graduated from Des Moines University with a master of science in physician assistant studies. She is familiar with GRMC after completing two rotations in the master’s program with Surgical Associates and Grinnell Regional Family Practice. She also completed family medicine rotations at a Pella primary care clinic and a family health clinic in Alaska. She gained experience at the hospitals in Marshalltown, Urbandale, and West Des Moines, during internal medicine rotations. Having grown up in the Lynnville Sully area and graduating from the Lynnville-Sully High School, Van Wyk was drawn to the home-town feel of Grinnell. Grinnell Regional Family Practice, located at 210 Fourth Ave., Grinnell, is accepting new patients. The clinic hours are 7:30 a.m. to 6 p.m. Monday through Friday. For appointments, call 641-236-2500. Stephanie R. Koos, DO, family and emergency medicine physician, joined the GRMC emergency department in September. Koos rotates shifts with Patrick Cogley, MD; Clayton Francis, MD; and Stephen Ellestad, MD. This team provides 24/7 physician coverage in the GRMC emergency department.

of Osteopathic Medicine. Prior to entering medical school, Koos earned a BS in microbiology from the University of Iowa. She is board certified in family medicine.

Perrin will focus on urgent care services and occupational health. Luke Perrin, MD Perrin completed his residency at Mercy/Mayo Family Medicine in Des Moines. He earned his medical degree from Saba University School of Medicine, Saba, Dutch Caribbean. Prior to entering medical school, Perrin served in the United States Air Force then got involved in pediatric phlebotomy.

Perrin has been providing care in family medicine since 2005; his first three years of practice were at Ellsworth AFB in South Dakota, followed by a six-year stint at the UnityPoint Health VA Clinic in Fort Dodge. His time at UnityPoint Health overlapped with a weekend PRN position at Doctors Now, where he practiced the fullspectrum of family medicine in an urgent care setting, from 2008 to 2016. Perrin finds the urgent care environment exciting due to the clinical challenges it presents. No appointments are needed at the Manatt Family Urgent Care, which is open from 8 a.m. to 7 p.m. Monday through Friday and from 8 a.m. to 2 p.m. on Saturdays.

Cu29

Stephanie R. Koos, DO

Prior to joining GRMC’s ED team, she worked at the Waverly Health Center and Rohlf Memorial Clinic in Waverly.Koos completed her residency at Siouxland Medical Education Foundations in Sioux City. She earned her medical degree from Des Moines University College

Copper alloy greatly reduces bacteria on surfaces in the hospital. The research paper that proves this was published in the American Journal of Infection Control in late September. Grinnell College’s lead investigator, Shannon Hinsa-Leasure, PhD, and Todd Linden, GRMC president and CEO, have been quoted across the country following the release of the research. To view the published journal article, click here http://dx. doi.org/10.1016/j.ajic.2016.06.033.


1,000th Robotic Surgery Completed

Fast, minimally invasive surgeries reached a milestone on Monday, Sept. 12, when Nicholas Kuiper, DO; Jared Phelps, PA-C; and the GRMC robotics surgical team completed their 1,000th robotic surgery. “This milestone is a testament to the commitment by GRMC’s administration and the excellent surgeons and staff we have here at GRMC,” says Paul Topliff, GRMC director of surgical services. “Using the latest technology helps ensure we are providing quality outcomes for our patients.”

• Elizabeth Tigges, DO, obstetrics and gynecology specialist, Surgical Associates. For more information or to schedule an appointment, call Surgical Associates at 641-236-4323. • Mathew Severidt, DO, general surgeon, Surgical Associates. For more information or to schedule an appointment, call Surgical Associates at 641-236-4323. • Gene S. Gessner, MD, pain management specialist, Grinnell Regional Pain Clinic. To schedule an appointment call 641-2362338. Physical Therapy and Occupational Therapy are Back: Grinnell Regional Physical and Occupational Therapy staff also see clients regularly. For information or to schedule an appointment, call the Deer Creek Physical and Occupational Therapy office at 641-484-7149.

GRMC acquired its first daVinci® robotic unit in 2013. Currently, the Surgical Associates surgeons are working on the daVinci XI unit. Each surgeon can complete four robotic surgeries a day, and combined, perform about 12 robotic surgeries each week at GRMC. The 1,000th surgery took 36 minutes, an excellent surgery completed flawlessly and efficiently. Surgeons who are trained to perform robotic surgeries at GRMC are David Coster, MD; Kuiper; Mathew Severidt, DO; Aaron Smith, DO; and Elizabeth Tigges, DO. For more information, go to http://www.grmc.us/services/ surgery/robotic-surgery.

More of Us, Means More for You at Deer Creek Health Center

Change is underway at Deer Creek Health Center in Tama/Toledo to better serve area patients. Check it out. Expanded Hours: Deer Creek Family Practice has expanded its hours. The clinic is now open from 7:30 a.m. to 4:30 p.m. Monday through Friday. For information about scheduling, call the Deer Creek Family Practice office at 641-484-2602. More Visiting Specialists: Specialists at the clinic now include: • Matthew McKnight, DPM, podiatrist, Foot & Ankle of Iowa. To schedule an appointment call 641-236-2008.

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 December 12 – “Voices from the Past: Lower Blue Point Church,” with Poweshiek County Heritage Park members January 9 – “Portraits of Nature in Iowa” with Ken Saunders, II, nature photographer February 13 – Mental Health Update with Julie Smith, Capstone Behavioral Health center director March 13 – Unique Performance and discussion about harp music, Kristin Maahs, harpist and instructor of harp at Grinnell College 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.


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.

Calendar of Events Adult Foot Care Clinic

Light Center for Community Health 2nd and 4th Thursday of the month, 9 a.m. to noon Call Grinnell Regional Home Care at 641-236-2385 for an appointment.

Babies Room Parenting Classes

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 January 26, March 29, May 31, July 26, 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 for Community Health 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.

For more information, call 641-236-2568 or email lromero@grmc.us.

Caregivers Support Group

First Presbyterian Church, 1025 5th Ave., Grinnell 4th Tuesday of the month, 10 to 11 a.m. 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. For more information, call 641-236-2418 or email shuls@grmc.us.

Diabetes Living Support Group

East Tomasek Room, GRMC January 9, March 13, May 8, July 10, September 11, and November 13, 7 to 8 p.m. This comprehensive diabetes support group meets quarterly, and includes a visit with the dietitian and diabetes educator. 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

Masquerade $5 Jewelry Sale Tomasek Room - December 16, 9 a.m. to 3 p.m. Auxiliary Homemade Goods Market February - Watch for more information on the Auxiliary Homemade goods market.


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.

Wellness Jam Session Saturday, Jan. 14 8 a.m. to noon PWA Fitness Center

Medicare Open Enrollment Period

Until December 7 Senior Health Insurance Information Program counselors Schedule a consultation with a SHIIP volunteer before December 7.

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.

Perfect for the Holidays

Make a unique Christmas gift for your friends and family at the essential oils Mix ‘n Go Party. Mix ‘n Go Class Wednesday, Dec. 14, 6 to 8 p.m. Postels Community Health Park Participate in a class to learn how to make the perfect blend of essential oils. Everyone takes home a personalize blend, created in class. $25. For more information, call 641-236-2953.

Prenatal/Childbirth Classes

Tomasek Room, GRMC January 5, 12, 19; April 5, 12, 18; July 5, 12, 19; and October 4, 11, and 17, 6:30 - 8:30 p.m. (Must attend all three evening sessions during that month.) March 19, June 18, September 17, and December 10 from 8:30 a.m. to 3:00 p.m. Saturday All-Day Sessions For more information, call the Kintzinger Women’s Health Center at 641-236-2324 or email sbaarda@grmc.us.

Perinatal Loss Support Group

East Tomasek Room, GRMC January 28, April 29, July 28, and October 27, 6:30 8:00 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

Happy Holiday Extravaganza - 25% off entire purchase* Thursday, Dec. 8, 9 a.m. to 8 p.m. and Friday, Dec. 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.

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.

Santa’s Oil Shop

Tomasek Conference Room Friday, Dec. 2, 10 a.m. to 2 p.m. Sale of essential oils, roll on tubes, diffusers, diffuser blends, and creams. For more information, call 641-236-2953.


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

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

Did you miss out on

Christmas in July?

Whether you did or not, we have you covered this holiday season! This gift certificate is good for $10 off any item of $25 or more. And it’s good until the end of 2016! Simply present the coupon upon checkout at The Glass Gift Box to receive this exclusive offer. Coupons are one-time use only. Customers may only use one of these specialty gift coupons per transaction, per day. Normal restrictions apply. * 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.

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

GRMC Healthletter - November 2016  
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