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News Releases news
February is Healthy
Heart Month
CCMH Radiology
Manager Thanks Area Citizens
Hospital Creates $
9,179,089 Impact on Local Economy
CCMH Acquires
Omnicell System
Kathy
Berens-Brownmiller to join Family Practice & Surgical
Specialists
Dr. Steven Lapke
Recently Named ER Medical Director
Local
Volunteers Recognized During 25th Annual Awards Program
Alejandro Tobon M.D.
Joins Outpatient service physicians
at C.C.M.H.
Crisis
Drill Practiced by Local Officials
James Meyer, D.O
has joined the outpatient service physicians at CCMH
Crawford County Memorial Hospital Press Release
James Meyer, D.O
has recently joined the list of outpatient service
physicians at Crawford County Memorial Hospital.

Dr. Meyer is Board Certified in Internal Medicine
Pulmonology. Dr. Meyer will be traveling from the Trimark
Physicians Group from Fort Dodge, IA. Dr. Meyer completed
his Pulmonology Fellowship in 1994. Dr. Meyer graduated from
Osteopathic Medicine of Kirksville College in 1998. Dr.
Meyer will be at the Crawford County Memorial hospital the
3rd Monday of every month. To schedule an appointment to see
Dr. James Meyer for your Pulmonology needs call
712-263-1608.
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Crisis Drill Practiced by Local Officials
On Thursday, August 9th a group of local emergency
management officials gathered to conduct a drill on how to
deal with a county-wide crisis under the HEICS or otherwise
known as Hospital Emergency Incident Command System. The
practice drill that was conducted was in response to an
Avian Influenza A (H5N1) outbreak in the state of Iowa which
spread to Crawford County. Members from Crawford County
Memorial Hospital, Crawford County Home Health and Hospice,
Denison Fire Department, Crawford County BOS, Crawford
County Environmental Health, Crawford County Board of
Health, Denison Community Schools, and Crawford County’s
Emergency Management Coordinator took part in the drill.
During the simulated drill the group practiced on how to
respond to large scale medical needs, media and public
informational demands and public order during a societal
shutdown.

HEICS was created under the National Incident Management
System. The system was created to prevent, prepare for,
respond to, and recover from terrorist attacks, major
disasters, and other emergencies. The United States
Government established the command system to respond to
disasters consistently through Federal, state, tribal and
local governments.
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Alejandro
Tobon M.D. Joins Outpatient service physicians
at C.C.M.H.
Read More
about Alejandro Tobon M.D.
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Crawford County Memorial
Hospital Press Release
November 8, 2007
Local Volunteers Recognized During 25th Annual Awards
Program
Maxine Pithan and Lyle Fleshner of Denison received a
Governor’s Volunteer Award from LT. Governor Patty Judge
during a special ceremony held October 31st in Storm Lake.
The Governor’s Volunteer Award program was established in
1982 to honor and recognize volunteers for the commitment,
service and time that they contribute to Iowa’s government
agencies and nonprofit organizations. More than 600
volunteers were selected for awards in 2007. Volunteers may
be nominated for an award in one the three categories:
Individual, Group, or Length of Service.
Maxine Pithan and Lyle Fleshner were selected for the
Group award by the state of Iowa’s Senior Health Insurance
Information Program (SHIIP).
“All volunteers are helping to build One Iowa by freely
giving their time and talents to serve the public good,”
said Governor Culver. “Lt. Governor Judge and I are honored
to have this opportunity to personally thank this year’s
award recipients for donating their time in countless ways
to improve communities across the state. And together, we
are building an unlimited future for all.”
Iowa consistently ranks in the top 10 states in the
nation for the percentage of adults (age 16 and above)
engaged in volunteering. Recent studies show that volunteers
in Iowa collectively contribute 99 million hours of service
and have an economic impact of more than $1.78 billion
annually.
The Governor’s Volunteer Award program is coordinated by the
Iowa Commission on Volunteer Service and the Governor’s
office. For more information, visit www.volunteeriowa.org or
call 515/242-4764.
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Crawford
County Memorial Hospital Press Release
Dr. Steven Lapke
Recently Named ER Medical Director

Crawford County Memorial Hospital has recently named Dr.
Steven Lapke as the Emergency Department Medical Director.
The Hospital’s ER currently averages about 400 visits per
month. Dr. Lapke graduated from the University of Nebraska
College of Medicine and completed a Family Practice
residency at Clarkson Hospital in Omaha where he served as
chief resident for one year. After working as an Emergency
Room Physician Dr. Lapke began clinical practice and
established a private family practice in Bellevue, Nebraska.
He recently closed that to return working as an Emergency
Room Physician. Dr. Lapke is board certified by the American
Board of Family Practice and also a member of the American
Academy of Family Physicians and the Nebraska Academy of
Family Physicians.
Dr. Lapke was raised in the Dunlap community by his parents,
Kenneth and Jenene Lapke. He and his wife, Jenni currently
reside with their 5 children in Papillion, Nebraska.
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Kathy Berens-Brownmiller to join Family Practice &
Surgical Specialists
Read more about Kathy Berens-Brownmiller joining Family
Practice & Surgical Specialists
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Crawford
County Memorial Hospital Press Release
CCMH Acquires Omnicell System
Crawford County Memorial Hospital recently installed a state
of the art automated medication dispensing system for
managing medications in patient care areas of the hospital.
Omnicell cabinets are located in the Emergency Room,
Obstetrics and Medical-Surgical floor.
Medications for patients are stored in separate compartments
that open automatically when properly accessed.
Access into the Omnicell cabinet is limited to qualified
personnel based on their licensure and certifications and is
gained either by fingerprint recognition or passwords. When
a particular medication is needed for a patient, a
sequential process leads the nurse or other user to the
correct medication. The process also gives safety prompts
which help prevent medication errors.

“The safety of our patients has always been our first
concern here at CCMH,” says Diane Arkfeld, Director of
Nurses. “This new technology allows the staff to obtain
medications in the patient care areas and assists us in
meeting nationally recognized standards for patient safety
and medication security.”
Reports generated by the system assist the pharmacy staff in
restocking the dispensing cabinet, maintaining medication
inventory, and monitoring each medication for its expiration
date. One of the features of this system utilizes the
technology of “Bar Coding”. The medications in the Pharmacy
are bar coded to assist in medication error prevention.
“Improving patient safety by reducing medications errors was
our primary motivation for purchasing the Omnicell
medication dispensing system,” said Marla Franck, RPh,
Director of Pharmacy at CCMH. “Small rural hospitals do not
have 24 hour in-house pharmacy staff. State laws require
facilities to limit entry into the pharmacy by
non-pharmacy personnel. This automated system provides
secure medication storage in patient care areas and allows
nursing staff to obtain needed medications for patients in a
safe and timely manner.”
The Omnicell also assists in information management by
recording the date, time, patient name, medication and the
name of the hospital staff member using the system. Any
discrepancies can be identified and corrected in a timely
manner by using the information maintained in the system.
The staff at CCMH would like to thank the Governing Board
for their support in obtaining this state of the art system
for our facility and the safety of our patients.
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Crawford
County Memorial Hospital Press Release
Hospital Creates $ 9,179,089 Impact on Local
Economy
One in Five Iowa Jobs
Linked to Health Care, Study Shows
Crawford County Memorial Hospital generates 170 jobs that
add $ 6,965,549 to not only Crawford County’s economy but to
adjoining counties as well, according to the latest study by
the Iowa Hospital Association. In addition, Crawford County
Memorial Hospital employees by themselves spend
approximately $ 2,089,759 on retail sales and contribute $
104,488 in state sales tax revenue. The Iowa Hospital
Association utilizes an employment and income multiplier
model developed by the U.S. Forest Service to calculate the
total impact upon a county/region’s economy. Using this
model brings the total Hospital income impact to $9,179,089.
Mark Rinehardt, Administrator & CEO, states, “The economic
impact of the health care sector upon the economy of
Crawford County is substantial, and is projected to be
$24,395,091 for the year 2008. The bottom line is that the
health care sector not only contributes greatly to the
medical health of the county, but also to the economic
health of the county.”
The IHA study examined the jobs, income, retail sales and
sales tax produced by hospitals and the rest of the state’s
health care sector. The study was compiled from
hospital-submitted data on the American Hospital Association
Annual Survey of Hospitals and with software that other
industries have used to determine their economic impact.
The study found that Iowa hospitals directly employ 71,446
people and create another 83,082 jobs outside the hospital
care sector. As an income source, hospitals provide $3.2
billion in salaries and benefits and generate another $2.5
billion through other jobs that depend on hospitals.
In all, Iowa’s health care sector, which includes employed
clinicians, long-term care services and assisted living
centers, pharmacies and other medical and health services,
directly and indirectly, provides 375,470 Iowa jobs, or more
than one-fifth of the state’s total employment.
“Iowa hospitals are major employers and business partners
throughout the state,” said Kirk Norris, IHA President/CEO.
“As Iowa continues to look for opportunities to grow its
economy and stabilize its population, a strong health care
system, anchored by well-supported community hospitals, is
essential.”
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CCMH Radiology Manager, Kari Boyens
thanks area citizens.
A letter of thanks from Radiology
Manager, Kari Boyens
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February is Healthy Heart Month
Cardiac Rehab has Been Part of a Patient’s
Life 9 Years Voluntarily
Michael Shelp has been a voluntary patient in the
Cardiac Rehab department at Crawford County Memorial
Hospital for 9 years. Michael began coming to Cardiac Rehab
shortly after his heart attack in 1999 when he was only 46.
He decided to continue his Cardiac Rehab routine because of
the support he has received from the nursing staff and other
patients in Cardiac Rehab. Michael describes his time
exercising at Cardiac Rehab as his “coffee club”.

In 1999 Michael was working at his local manufacturing job
when he stated he just didn’t feel right. He said he didn’t
feel any pain in any particular area but the “feeling” led
him to his employer’s nurse’s office. Once the nurse looked
at him he was taken directly to his doctor’s office where an
ambulance was called. Shortly after arriving at the hospital
he was loaded onto Life Flight where he recalled his last
thought that all this “hoopla” wasn’t necessary. He woke up
10 days later in a Lincoln, Nebraska hospital.
Prior to his heart attack Michael felt he was more active
than the average person. He was on his feet walking all day
at work, and after work would spend a lot of time working
outside scooping snow during winter months or mowing lawns
during the warmer months. However he never officially
exercised and smoked a pack of cigarettes a day. Michael
also had a family history of heart related issues. He had a
brother that had died of a heart attack at the age of 46,
another brother who had a heart attack before the age of 30
and another brother who had a stent put in. One other thing
Michael had in common with these three siblings was that
they all smoked. Their parents had smoked also.
Since his heart attack 9 years ago Michael has stopped
smoking, given up large portions of French fries and has
exercised routinely with other patients and nursing staff at
Crawford County Memorial Hospital. Michael states, “I really
enjoy my workouts at the Cardiac Rehab department. I drive
30 minutes to get here and while you work out it is like
having a support team around you. We share our problems,
stories and have an opportunity to ask
questions to each other and the nursing staff
which is really supportive and has helped me get through
this.”
Coronary heart disease is the number one killer of
Americans. One reason is undeniably a lack of commitment to
a heart-healthy lifestyle. By stopping smoking, reducing
your blood cholesterol, choosing good nutrition and becoming
more active you can greatly reduce your chances of heart
disease. Michael Shelp has been given a second chance. Will
you be given a second chance?
For more information about Crawford County Memorial
Hospital’s cardiac rehab program please call 712-263-1729,
it might just be the support you need to get you on the
right track to avoiding heart disease.
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