Sumner Community Club

COMMUNITY MEMORIAL HOSPITAL SERVES THE AREA THROUGH ITS HEALTHCARE AND EDUCATIONAL SERVICES. WE EMPHASIZE CONCERN FOR THE QUALITY OF A PERSON'S LIFE, THROUGH EVERY MEASURE INTENDED TO PRESERVE LIFE WITH DIGNITY AND RESPECT. WE ARE DEDICATED TO CREATING AND MAINTAINING AN ENVIRONMENT SUPPORTING EXCELLENCE IN HEALTHCARE. WE PROVIDE QUALIFIED AND PROPERLY TRAINED PERSONNEL AND MEDICAL STAFF IN AN ATMOSPHERE WHICH INSPIRES A CREATIVE APPROACH TO THE COMPLEX HEALTHCARE CHALLENGES OF TODAY AND TOMORROW.

REVENUE AND EXPENSES RELATING TO OUTPATIENT DEPARTMENTS THAT OPERATE WITHIN COMMUNITY MEMORIAL HOSPITAL. THESE DEPARTMENTS INCLUDE, BUT ARE NOT LIMITED TO, LABORATORY, RADIOLOGY, OPERATING AND RECOVERY ROOM, AND PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES. EACH OF THESE OUTPATIENT DEPARTMENTS PROVIDES STATISTICAL INFORMATION BASED ON VOLUME RELATED TO THE SPECIFIC SERVICE AREA AND WORKS IN CONJUNCTION WITH SERVICES PROVIDED IN THE CMH MEDICAL CLINIC, EMERGENCY DEPARTMENT AND ACUTE NURSING SERVICES.

COMMUNITY MEMORIAL HOSPITAL (CMH) MEDICAL CLINIC CONTINUED TO SERVE SUMNER, IA AND THE SURROUNDING AREA IN THE YEAR 2021. CMH CLINIC WAS STAFFED WITH 4 PROVIDERS. THE CMH CLINIC HAS TWO NURSE PRACTITIONERS AND TWO PHYSICIANS. PATIENTS WERE SERVED IN MANY CAPACITIES INCLUDING, BUT NOT LIMITED TO, WELL CHILD VISITS, ANNUAL WELLNESS VISITS, IMMUNIZATIONS, ROUTINE PEDIATRIC CARE, SHARED MATERNITY CARE, WOUND CARE, THERAPEUTIC INJECTIONS AND MANIPULATION TREATMENTS. PATIENTS RANGED FROM NEWBORN TO GERIATRIC. A 50-MILE RADIUS OF SUMNER WAS SERVED WITH A TOTAL PATIENT VOLUME OF 14,241 FOR 2021. IN ADDITION TO CLINIC VISITS, OUR PROVIDERS CONTINUE THEIR SERVICE TO SURROUNDING NURSING HOMES AND ASSISTED LIVING FACILITIES WITH PATIENTS SEEN MONTHLY AT HILLCREST HOME IN SUMNER, MAPLECREST MANOR IN FAYETTE, TRIPOLI NURSING & REHAB IN TRIPOLI, AND COBBLESTONE ASSISTED LIVING IN SUMNER. OTHER SERVICES TO THE COMMUNITY WERE PHYSICALS FOR AREA FIREFIGHTERS AND EMS AGENCIES AND POST-JOB OFFER PHYSICALS FOR FIVE LOCAL BUSINESSES. PROVIDERS CONTINUE TO TAKE CALL FOR THE EMERGENCY DEPARTMENT ON A REGULAR SCHEDULED BASIS IN THE EVENING AND ON WEEKENDS THROUGHOUT EACH MONTH. INDIVIDUALS FROM THE COMMUNITY ARE ALLOWED TO WALK INTO THE CLINIC FOR FREE BLOOD PRESSURE CHECKS WHENEVER NEEDED. PROVIDERS AVIDLY PRECEPT FOR STUDENT'S VARIOUS PROGRAMS WITH DES MOINES UNIVERSITY IN DES MOINES, IA, ALLEN COLLEGE IN WATERLOO, IA, UNIVERSITY OF IOWA, IOWA CITY AND UPPER IOWA UNIVERSITY, FAYETTE, IA TAKING ADVANTAGE OF THIS IN 2021. THE CLINIC HOURS CONTINUE TO BE MONDAY THROUGH THURSDAY 7 AM TO 8 PM AND FRIDAY ARE 7 AM TO 5 PM THROUGH 10/31/21. EFFECTIVE 11/1/21 CLINIC HOURS WERE CHANGED TO MONDAY THROUGH FRIDAY 7 AM TO 5 PM. DURING HEIGHTENED COVID-19 PRECAUTIONS AND CLOSURES, THE EVENING CLINIC WAS CLOSED.

THE CMH EMERGENCY DEPARTMENT SERVED 1,566 PATIENTS IN 2021. THIS IS AN INCREASE OF 195 PATIENT VISITS FROM 1,371 VISITS IN 2020. THE NUMBER OF PHYSICIAN HOURS SPENT IN THE EMERGENCY DEPARTMENT INCREASED FROM 3,463 IN 2020 TO 4,146 IN 2021.THE EDUCATIONAL FOCUS FOR 2021 CENTERED AROUND MOCK CODES COMPLETED BY THE EMERGENCY DEPARTMENT LEAD. THE SUBJECTS EDUCATED ON WERE THE DELIVERY AND CARE OF A BABY, COVID PATIENT PRIORITIZATION, ACUTE MYOCARDIAL INFARCTION (CHEST PAIN AND SHORTNESS OF BREATH), ANHYDROUS AMMONIA EXPOSURE, ANAPHYLAXIS, HEAT STROKE, STROKES AND STROKE ALERTS, CODE BLUE, AND NECK INJURIES ON A FOOTBALL PLAYER WEARING A HELMET ON PRESENTATION.EDUCATION PRESENTED AT THE NURSES' MEETINGS IN 2021 INCLUDE: EMERGENCY DEPARTMENT DOCUMENTATION, VAPOTHERM, TRANSFERS VIA AIR (HELICOPTERS), HOW/WHEN TO OVERRIDE MEDICATIONS FROM THE PYXIS, DYSPHAGIA DIETS, CRITICAL DRIPS (EXAMPLES INCLUDE PROPOFOL AND VERSED), BI-PAP, INTEROSSEOUS INSERTION, PEDIATRIC ASSESSMENTS, EMAIL PHISHING, RAPID SEQUENCE INTUBATION KITS, TRACTION SPLINTS, AND MALIGNANT HYPERTHERMIA. A GUEST SPEAKER FROM IOWA DONOR NETWORK PRESENTED INFORMATION AS WELL.COMMUNITY MEMORIAL HOSPITAL HAS A WEEK IN MARCH WHERE THERE ARE MANY EDUCATION TOPICS PRESENTED, KNOWN TO THE STAFF AS MARCH MADNESS. IN 2021 THE TOPICS WERE ENCOURAGE/COUGH ASSIST, VAPOTHERM, CARE PLANS AND EDUCATION, CAPNOGRAPHY, BI-PAP, NASAL ATOMIZER, THE PHYSICAL IMPACT OF COVID, COVID THERAPIES, HOW TO CARE FOR INPATIENT SURGICAL PATIENTS, POST PROCEDURE SEDATION, AND CHEST TUBES.2021 CONTINUOUS IMPROVEMENT PROGRAM PROJECTS IN THE EMERGENCY DEPARTMENT WERE HAVING ALL VITAL SIGNS OBTAINED IN THE FIRST 15 MINUTES UPON ARRIVAL IN THE EMERGENCY DEPARTMENT, PLACING A URINARY CATHETER WHEN A PATIENT HAS A PELVIC FRACTURE, AND HAVING TWO IV'S IN PLACE WHEN THERE IS A CODE THREE TRANSFER.NURSING INITIAL OR RECERTIFICATIONS INCLUDED: CPI, HAZMAT, ACLS, BLS, TNCC, NRP, AND PALS.

ACUTE NURSING HAD 73 ADMISSIONS IN 2021. CMH UTILIZES A COMPANY CALLED MCKESSON'S CHANGE HEALTHCARE FOR QUALIFYING PATIENTS TO DETERMINE IF THEY MEET INPATIENT ADMISSION CRITERIA. THE AVERAGE LENGTH OF STAY FOR ACUTE WAS 66.42 HOURS. THIS IS WELL BELOW THE 96 HOURS THRESHOLD FOR CRITICAL ACCESS. THERE WAS A TOTAL OF 238 ACUTE PATIENT DAYS AND 412 SWING BED DAYS IN 2021.