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December 2019 CEO Report to the Community

I am pleased to share that CCMH has recently started to provide blogs and podcasts on our website on health issues, our services, our providers, and hospital events. These will be done by various staff members ranging from frontline, managers, administration, and providers. Our goal is to keep our community better informed about health and their hospital. I will be providing either a podcast or a blog a month to keep you informed on board meeting information, goals/strategy, and important CCMH information.

Important Events

Our Rural Health Clinics had their recertification survey and passed resoundingly without any deficiencies. During this process, the certifying agency assesses our quality, staff and providers, documentation, medication process, policies and procedures, and assure we are following all the rules, regulations, and laws. You can be assured your clinic is providing high quality healthcare to you and our community. Congratulations to all the clinic staff, providers, and leadership on their great accomplishment.

We also passed our yearly mammography certification. Did you know that we have three board certified staff who provide all our mammograms here at CCMH? These three ladies are rigorously evaluated each year to assure they are skilled, educated and are providing the best test possible for our women. All passed with flying colors! Congratulations to Katie, Etta, and Rachel for the great skill and care you provide!

Our Pharmacy Director attended the Board of Trustees meeting and gave an overview of the new pharmacy regulations and the steps we took to assure CCMH was compliant by the December 1, 2019 deadline. I am grateful to our Maintenance and Pharmacy staff for their outstanding work on this important upgrade to our pharmacy. November 25, 2019

Board of Trustees Meeting Recap

The Board is actively involved in an on-going monthly review of quality of care at CCMH. Heather Rasmussen, Executive Director of Patient Integration, is providing the information for the Board. This month’s topic was “Keep Me Safe,” which reviewed our responsibility to keep our patients safe by preventing medical errors and promoting a culture of safety.

In October, there were several CCMH departments that were exceptionally busy. Total medical clinic visits were up almost 17% for the month and are up almost 9% year-to-date. Also, for the month, physical therapy was up 5%, total radiology was up almost 2%, and mammography procedures were up more than 24%. Even with these increases, total procedures were down just over 3% with decreases noted in admissions, surgeries and ER visits.

Total CCMH operating revenue (gross revenue after contractual adjustments) exceeded last October by just over $7,000, even with current October statistical decreases. We did have a net loss of $49,882.47 due to unbudgeted one-time expenses in general surgery and anesthesia locum coverage and Chief Nursing Officer recruitment. Cash balances increased again, for a total increase of $643,286 due to tax receipts and accounts receivable. We ended October with 111 days cash on hand.

Coming Up

Our next CCMH Board of Trustees meeting will be held on December 16, 2019 at 5:30 pm in Meeting Room D at CCMH. In January, check back for a status review of CCMH. I will share with you some of our primary strategies for future growth and how those strategies will provide for our success going forward. In the meantime, I hope you find our podcasts and blogs helpful and informative. Please share with us anything you would like to see us cover.

I hope each one of you has a safe and healthy holiday!

Erin Muck, CEO

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This week's podcast features Rik Hill, Certified Registered Nurse Anesthetist (CRNA), Ph.D., talking about the need for men over the age of 40 to be aware of Prostate Specific Antigen (PSA) blood test results. If your PSA test results are over 4.0, Hill speaks to the options available for treatment.

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News & Events


(Denison, IA) – Crawford County Memorial Hospital (CCMH) has been notified its Medical Clinics – both Main Campus and City Center -- have been re-accredited as Rural Health Clinics (RHC). The inspection and certification of the clinic was completed by The Compliance Team, Inc. from Spring House, PA. The term of accreditation is three years, expiring in December 2022.

“Achieving re-accreditation for the both clinics as Rural Health Clinics is quite an accomplishment”, said Erin Muck, CCMH CEO. “All of the credit for this success goes to our medical clinic staff who did all of the hard work to meet and exceed the standards set forth for accreditation.”

The Rural Health Clinic (RHC) program is intended to increase access to primary care services for Medicaid and Medicare patients in rural communities. RHCs can be public, nonprofit, or for-profit healthcare facilities, however, they must be located in rural, underserved areas. They are required to use a team approach of physicians working with non-physician practitioners such as nurse practitioners (NP) and physician assistants (PA) to provide services. The clinic must be staffed at least 50% of the time with a NP or PA. RHCs are required to provide outpatient primary care services and basic laboratory services.

Family Medicine providers at the CCMH City Center Medical Clinic are Erin Schechinger, DNP and MacKenzi Smith, PA-C. Child and Family Counselors are Jim Greenwood, LMHC, LMFT, RPT-S; and Jill Wonder, LMHC, RPT. Main Campus Family Medicine providers include Todd Woollen, MD; John Ingram, MD; John Lothrop III, MD; Julie Graeve, ARNP, MS; Jill Kierscht; ARNP, MSN; and Kathy Berens-Brownmiller, PA-C.

The Compliance Team, Inc. accreditation service awarded both the City Center Medical Clinic and Main Campus Medical Clinic its Exemplary Provider RHC Quality Standards status. A copy of the completed survey reports was submitted to the Centers for Medicare and Medicaid Services (CMS) Central Office and Regional Office.

The Compliance Team is a nationally recognized accreditation organization that provides industry leading Exemplary Provider® branded accreditation services to healthcare providers based in all fifty states, Puerto Rico and US Virgin Islands. The firm was formed in 1994 and is the first certified woman-owned healthcare accreditation organization to hold “deeming authority” from the Centers for Medicare and Medicaid Services.

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Our Medical Staff

Attached to the hospital is the CCMH Medical Clinic – Main Campus, which is a provider-based rural health clinic. The Main Campus clinic currently has three family medical physicians, John Ingram, MD; Todd Woollen, MD, FAAFP; and John Lothrop, MD; and Dr. Elizabeth Brandt, a board –certified pediatrician. In addition, three advanced practitioners, Kathy Berens-Brownmiller, PA-C; Julie Graeve, ARNP; and Jill Kierscht, ARNP, are available to ensure the best care for patients of all ages. Drs. Ingram and Woollen also provide obstetrics services for their patients.

The CCMH Medical Clinic – City Center is located at 115 North 14th Street in uptown Denison. The City Center clinic is staffed by two advanced practitioners, Erin Schechinger, DNP and MacKenzi Smith, PA-C. The City Center clinic also houses Jim Greenwood and Jill Wonder. Both are licensed mental health counselors who provide child, family and adult counseling services. The CCMH Emergency Department is headed up by Craig Simons, DO. Dr. Simons is the Medical Director of CCMH Emergency Services.

Our Specialty Staff

CCMH Medical Clinic – Main Campus provides 24-hour coverage for community-based services for orthopaedics, obstetrics/gynecology and general surgery. A recent 6,000 square foot addition provides ample space to accommodate the needs of patients requiring these specialty services. Bradley Lister, MD, orthopaedic surgeon; Lori Johannsen, PA-C, orthopaedics; Douglas Bolda, MD, orthopaedic surgeon; Karl Hasik, MD, OB-GYN; Sarah Lundin, DO, OB-GYN; David Wright, DO, general surgeon; and Michael Thorstenson, MD, general surgeon, staff these services for CCMH.