MRHC to Address Topic of Advanced Directives and Long-Term Health Care Decisions at April Lunch & Learn
Advanced medical directives, IPOST decisions, and understanding the definition of a durable power of attorney can all be confusing and difficult. Yet each is important as you look ahead at making long-term health care decisions.
“Advanced medical directives and IPOST documents are both legally binding documents that we, as health care providers, use to ensure your medical wishes are carried out. In situations where you’re unable to communicate your wishes on your own, these documents are referenced to make sure that your medical requests are carried out,” explains Taya Vonnahme, certified IPOST facilitator and LPN at MRHC, “These documents also lift the burden of ‘guessing’ what your wishes might be for loved ones left to answer for you in difficult times.”
During Manning Regional Healthcare Center’s April Lunch & Learn Event, scheduled for Thursday, April 24, Vonnahme and MRHC’s Julie Hodne, RN and education nurse, will discuss each of these long-term health care decisions and the tools used to support them, as well as how they are utilized by your health care team in carrying out your wishes. The duo will go over each of these tools and how they are used individually, as well as how they can each be used in conjunction with another. Resources for drafting these documents will also be shared with the group. In the case of the IPOST, that document is created between a patient and their provider, or a certified IPOST facilitator.
“We’re tackling this topic from the perspective of the health care provider. Our goal is to carry out your wishes,” adds Vonnahme.
The Lunch & Learn Program is titled What Do I Need to Know about Making My Healthcare Decisions Now and will be held at 12:00 noon on Thursday, April 24, in MRHC’s meeting room B. The Lunch & Learn programs are free and open to the public. Those planning to attend should RSVP by calling Sarah Foley, (712) 655-8116.
What Does it Mean When They Ask, “Do You Have Advance Directives?”
When checking in at a hospital or clinic you may be asked, “do you have Advance Directives?”
“Regularly, we like to share some information on advance directives and ask patients and the community to consider whether these documents would be helpful for yourself and your loved ones when the time comes,” explains Julie Hodne, Registered Nurse and Coordinator for Education and Discharge Planning at Manning Regional Healthcare Center.
What are Advance Directives?
Advance directives are documents enabling you to make decisions now about future medical care. They offer guidance to family and doctors when you cannot speak for yourself, and help to assure that your values and wishes are carried out.
There are two advance directive documents recognized legally in Iowa. Either can help free your family of the responsibility and stress of making difficult decisions for you.
- Durable Power of Attorney for Health Care – The Durable Power of Attorney for Health Care is a legal document that allows you to choose someone as your agent to make health care decisions when you can’t. This agent is required to make decisions according to directions you provide either verbally or in writing. The Durable Power of Attorney for Health Care must be filled out and witnessed while you are still capable of making decisions for yourself.
- Living Will – A Living Will is a document directing your physician to withhold or withdraw certain treatments
(life-sustaining procedures) that could prolong the dying process. They explain your wishes for health care in the event you can’t communicate as a result of a terminal condition or irreversible coma.
It is necessary to give copies of advance directives to your doctor, family members and close friends, as appropriate. You can change or cancel the forms at any time, but they are virtually useless if no one knows about them when the need arises.
“If you do not have an advance directive developed, I would encourage all families to look into this and make sure that your loved one has these documents on file,” adds Hodne.
Additional information regarding advance directives and copies of the forms can be found at area health care facilities, or you can contact the Iowa Bar Association. Free forms that can be downloaded off of the Iowa Bar Association web site at www.iabar.org. Click on “Public” and then “Legal Form.” The forms are listed on the bottom of the page.
MRHC Sets May 10 Date for New Facility Open House
Manning Regional Healthcare Center CEO, John O’Brien, has announced that construction of the organization’s new West Campus, located in the southwest corner of Manning, is nearing completion.
“We’ve received word from our general contractor, JE Dunn, that crews expect to wrap-up their work around the end of April. After that, we’ll have an opportunity for employees to orientate at the new facility, host a series
of open house events and move in mid-May,” explains O’Brien.
Plans are underway now for a Saturday, May 10, public open house event, tentatively set for 1:00 – 4:00 p.m. This will be an opportunity for the public to tour and view the new hospital and talk with hospital staff and board of directors.
“The new MRHC facility is truly something we, as a community, can all be proud of. We are a community oriented organization and certainly hope our business partners, friends and neighbors will join us as we celebrate this milestone,” added O’Brien.
Additional open house details will be announced in coming weeks.
West Central Iowa Healthcare Foundation Seeks Scholarship Applicants
Foundation Announces Four Scholarships Available for Coming School Year
The West Central Iowa Healthcare Foundation (WCIHF) has announced it is currently seeking applicants for four student scholarships for the 2014-2015 academic year. Applicants must be pursuing a degree in a health care related field. Scholarship amounts vary.
“The West Central Iowa Healthcare Foundation recognizes the importance of a good education for those students interested in careers in the health care industry and we’re proud to support local students as they pursue their educational goals,” commented Sherry Huehn, WCIHF’s executive director.
The four scholarships being offered this year are:
- The Mary Meiners Scholarship. In honor of Mary Meiners, assistant director of nursing at Manning Regional Healthcare Center (MRHC) for over 24 years, this scholarship recognizes and awards the efforts of those planning to pursue a career in the field of nursing or to further their education in nursing. Applicants for this scholarship, must reside within 15 miles of MRHC or be currently employed or have a family member currently employed by MRHC. Two scholarships will be awarded, each scholarship worth $1000.
- The Mary Jo Farr Memorial Scholarship. Mary Jo Farr was a long-time resident of the MRHC – Plaza, and this scholarship is awarded in her memory. This scholarship is available to MRHC – Plaza employees and their family members. Applicants must be pursuing a degree in a health care related field. One scholarship will be awarded in the amount of $500.
Manning Regional Healthcare Center Creates $9 Million Impact on Local Economy
According to a recent study release by the Iowa Hospital Association (IHA), Manning Regional Healthcare Center generates nearly 200 jobs that add $9,693,766 to Manning and surrounding communities economies. In addition, employees themselves spend $2,930,128 annually in retail sales and contribute $175,808 in state sales tax revenue.
“We’re proud that our organization and our employees can have such a positive impact on the communities we partner with and serve,” commented John O’Brien, MRHC’s CEO.
The 2014 Economic Impact of the Health Sector on Employment, Income, Retail Sales and Sales Tax study, conducted by the IHA, reviewed all of Iowa’s hospitals and the impact they each had on their local economies. The study was compiled from hospital-submitted data on the American Hospital Association’s 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 71,437 people and create another 57,792 jobs outside the hospital sector. As an income source, hospitals provide $4.2 billion in salaries and benefits and generate another $1.8 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 307,402 Iowa jobs, or about one-fifth of the state’s total non-farm employment.
The Iowa Hospital Association is a voluntary membership organization representing hospital and health system interests to business, government and consumer audiences. All of Iowa’s 118 community hospitals, including Manning Regional Healthcare Center, are IHA members.
MRHC’s Lunch & Learn Program Recognized by the American Hospital Association
The American Hospital Association (AHA) has chosen Manning Regional Healthcare Center’s Lunch & Learn Program for inclusion in its 2014 edition of “Community Connections: Ideas & Innovations for Hospital Leaders.” The annual publication features case examples from across the country and is distributed nationwide to hospital CEOs as a way to inspire initiatives and spark dialogue. Only two programs from each state and Washington, D.C., are selected every year, qualifying for one of four categories: Social and Basic Needs, Health Promotion, Access and Coverage, or Quality of Life.
“We’re very honored to be recognized for our Lunch & Learn Program and included in this year’s AHA Community Connections publication. The goal of our Lunch & Learn program is just that, to connect the health and wellness knowledge we have here at MRHC with those individuals within our local communities,” explains John O’Brien, MRHC CEO. The Lunch & Learn Program was included in the Quality of Life section, noting that education can improve and expand an individuals’ quality of life.
The Lunch & Learn Program started in August 2013 at MRHC. The one-hour program is traditionally held on the third Thursday of each month and features a different speaker and health or wellness related topic each month. Past topics have included: summer sun and skin cancer, what to look for; talking to a loved one about long-term care options; healthy eating and nutrition; and joint pain.
Monthly topics are advertised in advance on MRHC’s website, www.mrhcia.com. Attendees are asked to RSVP if they plan to attend by contacting Sarah Foley at (712) 655-8121.
To view the 2014 AHA case example booklet and read the MRHC Lunch & Learn case study, click here.
The New Face of Substance Abuse in the United States
There’s a new face of substance abuse emerging in the U.S., and an alarming trend among older populations. A recent National Survey on Drug Use and Health shows that substance abuse among the baby boomer population, adults aged 50 to 64, has grown substantially.
“We’re seeing a definite uptick in the number of older patients we’re seeing. In the past, we’d very seldom see treatment patients over the age of 50, but today it’s more commonplace,” says Shannon Mahannah, director of the Manning Family Recovery Center in Manning, Iowa.
According to a report from the Substance Abuse and Mental Health Services Administration (SAMHSA), an estimated 4.3 million adults aged 50 and older used an illicit drug in the past year, and among those aged 65 or older, nonmedical use of prescription-type drugs was the number one choice. Alcohol, however, is still the leading substance abuse cause of hospital admissions for people in this age range.
“As baby boomers enter a transitional stage in their lives, new stressors, such as financial strain, grieving the loss of a parent or age-related health issues, make them more prone to depression and anxiety,” adds Mahannah. “When you find older adults in these situations, there are often other issues too, from stigmas to a reluctance of family members to realize or deal with the situations.”
Mahannah also points out that baby boomers grew up in a time when recreational drug use was commonly accepted and many are reverting to substance abuse as a way to cope with stress and change.
Dr. Woods Brings New Subspecialty Medical Practice to Manning
Dr. Michael Woods, Manning Regional Healthcare Center’s specialty clinic physician, has been certified by the American Board of Medical Specialties in the area of Female Pelvic Medicine and Reconstructive Surgery (FPMRS). He is also board-certified in Obstetrics and Gynecology.
“It’s a whole new field of medicine and it’s something I’ve had a strong interest in for a lot of years. It’s a combination of gynecology, urology and some colorectal practices. I’ve actually been teaching these procedures both nationally and internationally for many years, and over time the American Board of Obstetrics and Gynecology and Urology has recognized a need for physicians with these specialized skills. We started creating fellowships in this area in the late 1990’s and for those of us that have been doing this since before then, we were in line to take these certifications first,” explains Dr. Woods.
For patients in the Manning area, Dr. Woods’ new certification in Female Pelvic Medicine and Reconstructive Surgery means new opportunity. Within this subspecialty, Dr. Woods is able to offer patients treatment for bladder control issues, pelvic relaxation and pelvic pain rehabilitation through traditional and minimally invasive vaginal surgeries.
“These are very common problems and women need to know there is something that can be done, and we can do it right here in Manning,” adds Woods. “If you look at urinary incontinence, at age 65, 35% of women are affected, and by age 80 it’s 50%. Now, we have procedures that are minimally invasive that work very well. Patients can come in and have a procedure done and go home the same day. We can help over 95% of women with bladder control issues.”
In addition to being a pioneer in this field, Dr. Woods currently sits on the American Urogynecologic Society’s Committee for Quality, continually reviewing practices and standards in this area. 2013 was the first year for physicians to set for the board examination in Female Pelvic Medicine and Reconstructive Surgery to become board-certified. Dr. Woods is the only physician who lives and practices in Western Iowa that is board-certified in Female Pelvic Medicine and Reconstructive Surgery, and Obstetrics and Gynecology. Female Pelvic Medicine and Reconstructive Surgery is the first subspecialty practice in the field of OB-GYN since 1973.
2013 Community Health Needs Assessment Report Released
The 2013 Community Health Needs Assessment Report is now available by clicking on the link below. Printed versions will also be available at the Manning Regional Healthcare Center hospital lobby and the Manning Regional Healthcare Center – Clinic. These reports summarize the findings of a comprehensive community health care needs survey.
COMPLETE 2013 CHNA REPORT
Community Health Needs Assessment for MRHC Completed
Manning Regional Healthcare Center (MRHC) has completed the community health needs assessment for our service area as required by law.
The Affordable Care Act includes a requirement that all 501(c)(3) hospitals conduct a community health needs assessment in order to maintain their tax-exempt status. This requirement went into effect for the taxable year of each hospital beginning after March 23, 2012.
Click here to view the results of MRHC’s most recent assessment as a presentation, or if your browser doesn’t support mhtml format, click here to view it as a Windows Media video. You may also view the results as a PDF document here.