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Economic Impact: Another Way Our Hospital Makes a Difference

Adair County Health System is a good example of something that is a vital part of our immediate environment that it is easy to take for granted.  Yet, its excellence is enormously important to our community and region.

Having a first-rate medical center close at hand is essential to the quality of life of every Adair County resident.  The presence in our community of a superb medical facility also makes Adair County more competitive as it seeks the economic growth that is so important to the future of the city and region.  It’s no secret that two of the factors of critical importance in corporate decision-making about site selection are the quality of a town’s schools and the ready availability of comprehensive, top-quality health care.

Consequently, it is no exaggeration to assert that Adair County Health System’s excellence helps Adair County achieve its dreams for tomorrow.

But there’s more to the story.

A 2013 survey by the Iowa Hospital Association documented that the Hawkeye State’s 118 community hospitals have an enormous economic impact.  According to IHA, Iowa’s hospitals provide more than 71,000 jobs and pay in excess of $4 billion in salaries and benefits annually. This puts hospitals collectively among the largest non-agricultural employers. And that’s only direct employment.

When one adds in the additional jobs in communities across the state that exist because of hospital spending and the dollars spent by their employees, the IHA estimates that almost 130,000 jobs are tied directly or indirectly to the hospital industry. The overall economic impact on the state’s economy is calculated to be approximately $6 billion a year.

Here in Adair County, Adair County Health System generates about 98 jobs and adds nearly $5,128,921 in direct worker income to Adair County’s economy, also according to the IHA report.

But, the impact is even greater than that.  Adair County Health System employees support Adair County businesses to the tune of $1,135,742 in taxable retail sales being spent on Main Street.  Hospital employees pay taxes that support schools, roads, parks and other vital infrastructure.

Adair County Health System is more than jobs, income, retail sales and tax revenue.  And it’s even more than the high quality health care that it provides every hour of every day.

Think of the 98 employees who work at the hospital and what they bring to the community at our schools, churches and volunteer groups.  Think of the many young professionals who come here to start a career at the hospital and stay because in a rural community, hospitals are still one of the best places to grow a career.

Think of how they build homes, start families, strengthen neighborhoods and put down roots.  Think of how important – and challenging – that is for any community in Iowa in this time of rural “brain drain.”

There are many reasons to take pride in Adair County Health System.  It’s no exaggeration to assert that its success contributes mightily to the ability of our town and region to thrive.  Not only is it vital to the health of people who live here and in surrounding counties, but it also contributes to the ability of Adair County and nearby towns to prosper economically.

Angela Mortoza, RN, BSN, MHA
CEO of Adair County Health System

The information provided on the Adair County Health System’s Blog is not a substitute for professional medical advice and care. If you have specific needs, please see a professional health care provider.
Any references to products, services, or health care providers on this web site are not a recommendation or endorsement of products, services or providers. Links to other Web sites from this site are provided for convenience and do not constitute or imply endorsement.
Effort is taken to insure accurate information, however we cannot guarantee completeness or timeliness.

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PCP or Family Doctor

Family Physicians are dedicated to treating the patient as a whole.
Primary Care Physicians or PCP’s treat and follow each organ, all ages, all diseases, and both genders.

Your Family Physician is there to guide you and to coordinate all aspects of care.  They will work with you to achieve the best outcome for each patient.

Obstetrics –gynecology these Physicians and ARNP’s address aspects of women’s health.  They focus on women including pre pubertal, reproductive, and post menopausal years.

Orthopedic physicians focus on musculoskeletal system, Deformities, Injuries, and degenerative diseases.

Cardiovascular/ Cardiologists these Physicians take care of your heart and Vascular System.

As a Music Director and conductor direct the Symphony Orchestra, the Family Physician or PCP Coordinates care for the Patient. Everyone needs a PCP to help coordinate their personal care. PCP wants to provide the best possible care for each patient.  Bring and ask your PCP or Family Physician questions and your concerns, which is what they are for.  Each patient needs to be involved with their plan of care. Most PCP set up a 15-20 minute appointment, time for a couple of problems.  If you have several problems you may ask for a longer appointment or set up two.  You need to let the scheduler know you have several things to talk about so they can decide how long appointment should be or if you need two appointments

 

Denise Grandgenett, RN

Health Coach

Adair County Health System

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A message from ACHS CEO…

While the people throughout Adair County continue to be our most valuable asset, we are also focused on transforming our delivery of care through the use of technology.  Many at Adair County Health System are gearing up for the rollout of Cerner, a new electronic patient medical record that is set to go live on June 8th at midnight. The health system began its journey back in July 2013. In order for us to stay compliant with governmental guidelines, we needed to decide on our electronic medical record.  Staff and providers were asked to evaluate several different EMR vendors. Results of demonstrations and surveys were evaluated, and it was decided to implement Cerner. We hope this will be a seamless process that goes unnoticed by our patients. We do know there may be a potential for our patients to experience a slight delay in check-in times and other processes during the transition.

The project has required a tremendous amount of effort and teamwork by nearly every department at ACHS. The Cerner system will allow for improved patient-care coordination and staff engagement and alignment. The new system will allow for an electronic medical record that can be used throughout the health system.  ACHS continues to have a commitment to quality care and customer satisfaction though employee involvement, teamwork and continuous improvement.  We are confident the results will be worth the process.

~ Angela Mortoza, CEO ~

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A Message from ACHS’s CEO, Angela Mortoza

As we leave the cold winter behind and roll into spring there are many exciting things happening at Adair County Health System. We continue to grow and look for new ways of providing convenient access of care throughout Adair County.  Recently, we have expanded our specialty clinic services to include Iowa Ortho.  We are excited to welcome, Michael Gainer, M.D., specializing in hand and upper extremity surgery; John Netrour, M.D., hip and knee surgery; and Anthony Stark, D.O., physical medicine and rehabilitation.
 In October, we completed our 3P project that centered on the renovation of our current operating room, admitting/registration area, and ambulance drop off.  Our next steps will include public tours and community meetings to share the plans for the spaces and invite ideas from the public.
Our growth is expanding beyond the bricks of the hospital walls. We are working to improve the overall health and wellness of the community we serve. For the first time in history, our local Board of Health, the ACHS Foundation Board, and ACMH Board of Trustees gathered in the same room and adopted a Community Needs Action Plan. The Plan has the following three goals:
Decrease the cancer and chronic disease rates through an increase in preventative screens.
Increase the number of community members making lifestyle changes to reduce obesity and reduce cancer risks.
Continue to provide high quality services for prevention, early detection, and treatment of health issues throughout Adair County Health System.
There are numerous community partners that are helping us to achieve our goals.
I thank you for your support for the Adair County Health System.  I invite you to explore our website anytime you need additional information regarding the services we provide, and please feel free to contact me with any questions or concerns you may have.

Respectfully,
Angela Mortoza CEO
641-743-7234

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What is a Health Coach?

1. A method of guiding people through behavior change.
2. Utilizes a strong compelling vision, goal setting, accountability, and support.
3. Focus is on the client.
4. Coaches help to identify strengths, barriers, strategies, and motivators to aid in behavior change.

Clients decide what they want to work on; coaches guide clients through the coaching process. Coaching focuses on helping clients grow and become experts of their own well being.  Coaching has been around about 20 years.  Coaches have been used in a variety of ways.  The coaches work with People who have chronic illness, to make sure they get the care they need.

It is common for Patients to ask for answers or “Quick fixes”. The Health Coach believes you are the expert on you.  However I can give you evidence that shows what other people have done and what has worked.  Patient outcomes improve when they are an active collaborator in their treatment.  Empowering Patients involves exploring their own ideas about how they can make changes to improve their health and drawing on the patient’s personal knowledge about what has worked in the past. 

The biggest payoff is the creation of healthier communities. 

Credits: David Swieskowski, Kate Hall, Tania Gibbie, Katie Ingle, and Bill Preist.

Denise Nelson, RN
Health Coach, Adair County Health System
641-743-6189 EXT 299

The information provided on the Adair County Health System’s Blog is not a substitute for professional medical advice and care. If you have specific needs, please see a professional health care provider.
Any references to products, services, or health care providers on this web site are not a recommendation or endorsement of products, services or providers. Links to other Web sites from this site are provided for convenience and do not constitute or imply endorsement.
Effort is taken to insure accurate information, however we cannot guarantee completeness or timeliness.

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Winter Weather Information You Need to Know

Each year, exposure to cold, vehicle accidents caused by wintery roads, and fires caused by the improper use of heaters injure and kill hundreds of people.  These and other winter weather hazards have a significant threat to human health and safety.  Major winter storms can include high winds, freezing rain or sleet, heavy snowfall, and dangerously cold temperatures. The aftermath of a winter storm can last for days, weeks, or even months.  To know what you should prepared for, it is important to know what different types of advisories, watches and warnings that are issued during winter weather:

Winter Weather Advisory:
Accumulations of snow, freezing rain and/or sleet may cause significant inconveniences and could lead to life-threatening situations.
Winter Storm Watch:
Winter storm conditions are possible in the next 12 to 48 hours.
Winter Storm Warning:
Issued when hazardous weather in the form of heavy snow, heavy freezing rain and/or heavy sleet is occurring or expected to occur within the next 36 hours.
Wind Chill Advisory:
Wind chill values between -20°F and -29°F are expected to occur within the next 36 hours.
Wind Chill Watch:
Wind chill values of -30°F or lower are possible within the next 12 to 48 hours.
Wind Chill Warning:
Wind chill values of -30°F or lower are expected to occur within the next 36 hours.
Freezing Rain Advisory:
Accrual of less than ÂĽ inch of ice is expected due to freezing rain within the next 36 hours.
Ice Storm Warning:
Accrual of ÂĽ to one inch or more of ice is expected due to freezing rain within the next 36 hours.

Be prepared for winter weather before it arrives.
• At home, make sure you have an emergency kit with winter items such as snow shovels, sand or rock salt, adequate blankets and clothing, food and water. Make sure you have sufficient heating and install carbon monoxide detectors.

• Be sure to have your vehicle winterized before the winter storm season. If you must travel, have a predetermined route and let someone know when you plan to leave and arrive. Keep the gas tank full, take a charged cell phone and travel in the daylight, if possible.  Keep a disaster supply kit in your vehicle in case you are stranded. 

• Review your family’s emergency plan.  Know where and how to get in contact with each other in case you are separated.  Listen to the radio or watch the local news for weather updates and important alerts.  Make sure all your cell phones or laptops are fully charged.  Bring your pets and animals inside and move livestock to sheltered areas.

• Businesses and employers should also consider winter weather preparedness for a safe and successful operation.  Talk with your employees about winter safety, and discuss emergency and winter weather policies.

• Sign up for the Adair/Guthrie Emergency Notification System

For questions contact Stephanie Claussen, Community Preparedness Coordinator at 641-743-6173 or Amy O’Rourke, Disaster Coordinator with Adair County Health System at 641-743-2123 or Robert Kempf with Adair County Emergency Management at 641-332-3030.

Stay safe and keep warm this season. 

The information provided on the Adair County Health System’s Blog is not a substitute for professional medical advice and care. If you have specific needs, please see a professional health care provider.
Any references to products, services, or health care providers on this web site are not a recommendation or endorsement of products, services or providers. Links to other Web sites from this site are provided for convenience and do not constitute or imply endorsement.
Effort is taken to insure accurate information, however we cannot guarantee completeness or timeliness.

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Why Is a Healthy Weight Important

Reaching and maintaining a healthy weight is important for overall health and can help you prevent and control many diseases and conditions. If you are overweight or obese, you are at higher risk of developing serious health problems, including heart disease, high blood pressure, type 2 diabetes, gallstones, breathing problems, and certain cancers. That is why maintaining a healthy weight is so important: It helps you lower your risk for developing these problems, helps you feel good about yourself, and gives you more energy to enjoy life.

What Is Overweight and Obesity?
Overweight is having extra body weight from muscle, bone, fat, and/or water. Obesity is having a high amount of extra body fat. Body mass index (BMI) is a useful measure of overweight and obesity. Talk to your health care provider if you are concerned about your BMI.
What Factors Contribute To a Healthy Weight?
Many factors can contribute to a person’s weight. These factors include environment, family history and genetics, metabolism (the way your body changes food and oxygen into energy), and behavior or habits.

Energy Balance
Energy balance is important for maintaining a healthy weight. The amount of energy or calories you get from food and drinks (energy IN) is balanced with the energy your body uses for things like breathing, digesting, and being physically active (energy OUT):
• The same amount of energy IN and energy OUT over time = weight stays the same (energy balance)
• More energy IN than OUT over time = weight gain
• More energy OUT than IN over time = weight loss
To maintain a healthy weight, your energy IN and OUT don’t have to balance exactly every day. It’s the balance over time that helps you maintain a healthy weight.

You can reach and maintain a healthy weight if you:
• Follow a healthy diet, and if you are overweight or obese, reduce your daily intake by 500 calories for weight loss
• Are physically active
• Limit the time you spend being physically inactive

Summary
Maintaining a healthy weight is an ongoing lifestyle instead of a passing resolution. Our community has many resources, facilities, and individuals to assist you with a life change. Contact your healthcare provider for insight and references for a program best suited for you! Good luck and good health!
Reference: U.S. Department of Health and Human Services

By: Lori Schwartz, RN – Adair County Memorial Hospital

The information provided on the Adair County Health System’s Blog is not a substitute for professional medical advice and care. If you have specific needs, please see a professional health care provider.
Any references to products, services, or health care providers on this web site are not a recommendation or endorsement of products, services or providers. Links to other Web sites from this site are provided for convenience and do not constitute or imply endorsement.
Effort is taken to insure accurate information, however we cannot guarantee completeness or timeliness.

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Metabolic Syndrome

Metabolic syndrome is a cluster of conditions- Increased blood pressure, a high blood sugar level, excess body fat around the waist and abnormal cholesterol levels-that occur together, increasing your risk of heart disease, stroke and diabetes.
Having just one of these conditions doesn’t mean you have metabolic syndrome. However, any of these conditions increase your risk of serious disease. If more than one of these conditions occur in combination, your risk is even greater.
Getting more physical activity, losing weight and quitting smoking help reduce blood pressure and improve cholesterol and blood sugar levels.  These changes are key to decreasing your risk for chronic long term illness.
1. Exercise  Doctors recommend getting 30 or more minutes of moderate-intensity exercise, such as a brisk walking, every day.
2. Lose weight  Losing as little as 5 to 10 percent of your body weight can reduce insulin levels and blood pressure and decrease your risk of diabetes.
3. Eat healthy  The dietary approaches to stop high blood pressure (DASH) diet and the Mediterranean diet, like many healthy-eating plans, limit unhealthy fats and emphasize fruits, vegetables, fish, and whole grains.  Both of these dietary approaches have been found to off health benefits- in addition to weight loss.  Do you know all the ingredients in the things you eat? Read the labels on all foods you buy.  A  Few things you want to avoid: Parabens, Hydrolyzed vegetable protein. For people who have components of metabolic syndrome, ask your doctor for guidance before starting a new eating plan.
4. Stop smoking  Smoking cigarettes increases insulin resistance and worsens the health consequences of metabolic syndrome. Talk to your doctor if you need help kicking the cigarette habit.
Credits: Mayo Clinic
Denise Nelson, RN
Adair County Health System
641-743-6189  ext: 299

The information provided on the Adair County Health System’s Blog is not a substitute for professional medical advice and care. If you have specific needs, please see a professional health care provider.
Any references to products, services, or health care providers on this web site are not a recommendation or endorsement of products, services or providers. Links to other Web sites from this site are provided for convenience and do not constitute or imply endorsement.
Effort is taken to insure accurate information, however we cannot guarantee completeness or timeliness.

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WHY SHOULD DIABETES BE TREATED?

Over time high blood sugars cause damage to large and small blood vessels.  This damage increases the risk of problems with the heart, eyes, kidneys, feet, and legs.  High blood sugars also damage nerves throughout the body.  The purpose of treating diabetes is to keep the blood sugar as close to normal as possible.  When the blood sugar is kept close to normal you can prevent these problems.  A normal blood sugar is fasting under 100 and random (non fasting anytime of the day is under 140). 
People with diabetes are 10 times more likely to have a lower limb amputated than those without diabetes.  Diabetes can cause or contribute to a number of eye diseases, from retinal bleeding and swelling to cataracts and glaucoma.
Patients with leg pain should report it to their Physicians.  People with risk factors such as Hypertension or Diabetes should take care of the medical conditions that may lead to or complicate vascular disease.
Over time, diabetes, if not managed effectively, can increase the risk of complications such as cardiovascular disease, cancer, bacterial and fungal infections as well as damage to nerves, kidneys, and eyes.  For all people who are diabetic yearly eye and dental exams are a must.  Diabetics also need to follow up with their doctor as per his or her directions.

Credits
McGregor Lott, MD
Nosheen Azam, MD
Mayo Clinic

Denise Nelson, RN  641-743-6189 ext 299
Health Coach
Adair County Health System

The information provided on the Adair County Health System’s Blog is not a substitute for professional medical advice and care. If you have specific needs, please see a professional health care provider.
Any references to products, services, or health care providers on this web site are not a recommendation or endorsement of products, services or providers. Links to other Web sites from this site are provided for convenience and do not constitute or imply endorsement.
Effort is taken to insure accurate information, however we cannot guarantee completeness or timeliness.

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CHF (Congestive Heart Failure)

Heart failure also known as congestive heart failure occurs when your heart muscle doesn’t pump blood as well as it should.  Conditions such as narrowed arteries in your heart (coronary artery disease) or  high blood pressure untreated over a period of time gradually leave your heart to weak or stiff to fill and pump well or as normal.
Signs of CHF Shortness of breath, Fatigue and weakness, Swelling of your legs or feet, Rapid or irregular heartbeat, Reduced ability to exercise, persistent cough or wheezing, increased need to urinate at night, swelling of your abdomen, sudden weight gain for no reason no change in diet habits, Lack of appetite and nausea, elevated blood pressure, and even chest pain.
When to see a doctor
See your doctor if you think you might be experiencing signs or symptoms of heart failure. Seek emergency treatment if you experience any of the following:
Chest Pain
Fainting or severe weakness
Rapid or irregular heartbeat associated with Shortness of breath, chest pain or fainting.
Sudden, severe shortness of breath and coughing up pink, foamy mucus.
Although these signs and symptoms may be due to heart failure, there are many other possible causes, including other life threatening heart and lung conditions.  Don’t try to diagnose yourself Call 911 for immediate help.  Emergency Department health care provider will try to stabilize your condition and determine if your symptoms are due to heart failure of something else.
When should you call EMS or 911:
When you think someone’s life is threatened.  When someone faints or collapses.  When someone has persistent chest pains of difficulty breathing.   When someone is badly injured.  When in doubt.

Credits Mayo Clinic Staff

Denise Nelson, RN
Health Coach, Adair County Health System
641-743-6189 Ext 299

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