Linn Block Recognized as Top Rural Hospital CEO to Know

Linn Block, MRHC CEO

Becker’s Hospital Review recently named its “80 rural hospital CEOs to know”, which included seven Iowa hospital CEOs. The list highlights CEOs who have developed models that ensure their rural hospitals are thriving despite the financial hardships health care organizations face.

Among those highlighted is Manning Regional Healthcare Center’s (MRHC) CEO, Linn Block, BN, BSN, MHA. The article states, “Ms. Block established and implemented an effective strategic plan that shifted the organization’s focus to patient safety, quality care, and team engagement. She advocates at the state and national level for rural healthcare and led a capital campaign that raised nearly $1 million to renovate the obstetrics wing at her hospital. Her efforts have also helped MRHC earn a prestigious Press Ganey Guardian of Excellence Award for Employee Engagement.” Linn Block, MRHC CEO

“Rural hospitals are critical to the success of the U.S. healthcare system to expand access to care in remote areas. CEOs at the helm of these important community institutions have many responsibilities to make sure their hospitals thrive,” the review shared. “The executives featured on this list have put their heart and soul into ensuring their communities have access to the best healthcare services possible. While rural hospitals across the country have faced closure in recent years, these leaders have developed a model for not only surviving but thriving.”

Although Block has only held the MRHC CEO position for three years, she served in a variety of nursing positions prior, most recently serving as MRHC’s Chief Nursing Officer for four years. Block’s guidance to the senior leadership and all management teams provided conscientious efforts to completely transform the culture of the organization, making it one of the top performing rural hospitals in the MercyOne Network across numerous metrics.

When it comes to leadership style, Block’s approach is different than many hospital CEO’s. She operates a very flat organization where employees are empowered to find opportunities to improve daily and provide the best patient experience whether their position is patient-facing or not.

Block’s Accomplishments at MRHC

Block has developed numerous partnerships with affiliate healthcare organizations to provide ongoing specialty services in Manning. In collaboration with St. Anthony Regional Hospital, she is facilitating the smooth transition to a new electronic health record system that will improve patient transparency and access to care, a project that has been in the works for more than two years.

Most notably, Block identified an opportunity to make better use of the unused maternity rooms which resulted in a local capital campaign, Project Forward. These efforts resulted in nearly $1 million donated to MRHC over the past year. Significant legacy donations continue to be made to the organization based on the positive impact the hospital is having on the four-county area.

“Rural healthcare reimbursement continues to be a challenge, but Linn has advocated for funding at the local, state, and federal levels,” said MRHC’s CFO, Amy McLaughlin, CPA, CHFP. “Her efforts have helped to increase Medicaid reimbursement, increase cash reserves, decrease the percentage of write-offs, and reduce the average days in AR. She challenges staff to think creatively to track down reimbursements, keep expenditures reasonable, and produce a bottom line in the black.”

Block has also garnered respect among her peers in neighboring communities and hospitals across the state, as well as MRHC employees, community members, and patients.

“Linn can often be seen in the hallways asking how an employee’s day is going, talking to a patient to ensure they receive the care they deserve, or grabbing a coffee and talking with community members,” said CNO, Michelle Andersen, RN, BSN.

Block excels in community engagement by being visible in the community, serving in leadership capacities for local and industry organizations such as Manning Rotary and encourages employees to contribute to community causes such as boy scouts, upcoming events, the Manning Community Chest, the giving tree, Hillside splash, the public library, and more.

Employees have also shared the following about her: “Linn has brought fun and laughter into the workplace while supporting family-first values. We spend more hours a day with our co-workers than we do with our families, so we need to laugh and care for one another as family. This has definitely improved our culture and employee engagement”, “Linn is a very approachable leader and employees are comfortable talking with her about issues”, and “Linn is never afraid to say she doesn’t know something. She is very quick to say she will find out and she does.”

Not only is Block’s financial performance high and ability to connect with people impressive, nearly all MRHC departments have seen growth over the past three years under her leadership. Specialty clinic volumes have increased, same-day appointments were added in the family practice clinic, and most recently, the substance abuse recovery center has exceeded 95% capacity monthly.

“Patient satisfaction is at an all-time high with nearly 100% of patients sharing that they would recommend MRHC to others and many providing written and verbal testimonials of their care,” shared Director of Quality, Patient Advocacy & Risk Management, Jackie Blackwell, RN, BSN, CPHQ.

“I credit the incredible team of staff, providers, community members, and our board of directors for the successes MRHC has enjoyed,” shared Block. “They are always ‘all in’ in their commitment to the growth and impact of MRHC.”

Congratulations to Linn Block for receiving this deserving award and for her dedication to Manning Regional Healthcare Center, our communities, and patients.

MRHC Contributes to Community Beyond Healthcare

MRHC exterior

As a non-profit, critical access hospital, the mission and purpose of Manning Regional Healthcare Center (MRHC) is to serve those in the local community and provide a public benefit. Quality healthcare has a large community and economic impact, and it is essential for attracting other industries. Hospitals are generally among the largest employers. They offer highly educated, well-paying jobs and physicians are essential to maintaining operations.

“In addition to providing healthcare through the services we offer, we also provide widespread benefits to support our community,” said Chief Executive Officer, Linn Block, RN, BSN, MHA.

Community Impact

MRHC offers a variety of community education events, trainings, and clinics such as CPR, AED & First Aid training classes, blood drives, monthly wellness clinics, blood pressure clinics, concussion testing at the high school, and walk-in flu shot clinics. They also hold and participate in educational events, such as the Bike Rodeo, babysitting courses, Suicide Prevention Walk, Live Healthy Iowa Healthiest State Walk, Senior Fun Day, and Medicare Enrollment. Many of these efforts have a direct impact on the local economy and overall community health.

Most notably, MRHC held a Healthcare Career Camp for IKM-Manning middle and high school students to have an immersive experience learning about a variety of careers available within healthcare. This effort was recently funded by a University of Iowa grant to continue the program for more students and expand the offering to additional school districts.

“We are proud to share that in the past three years, we have provided nearly $100,000 in donations and community health improvement services to benefit our local communities,” shared Block.

MRHC has also supported foundations such as the IKM-Manning Education Foundation, West Central Iowa Healthcare Foundation, American Cancer Society, as well as community organizations such as Little Hawks Childcare Center, Manning Child Care Center, IKM-Manning Color Run, Kinderfest, Trail to Nowhere Bike Ride, Pack the Pantry, Fireman’s Golf Tourney, Main Street Manning, Manning Chamber, Manning Hausbarn Heritage Park, Manning Rotary, and Boy Scouts of America.

Last year, Manning Regional provided $98,873 in charity care and served more than 50 people through those efforts. Charity care is also known as uncompensated health care, which is provided for free, or at a reduced cost, to people with limited income who would otherwise be unable to pay for their treatment. Various types of financial assistance is provided to patients, and community education events and important information about health and well-being are shared through radio ads, news articles, social media, and the MRHC website.

Economic Impact

Economic impact of an organization is often measured in terms of employment, income (payroll and benefits), taxable retail sales and sales tax collections. According to the Iowa Hospital Association, during the most recent reporting period (2022), Manning Regional Healthcare Center provided 160 jobs representing more than $7 million in direct payroll income and an indirect $11.4 million impact on the local economy. The health sector and the employees in the health sector purchase many goods and services from local businesses which are referred to as secondary (or indirect) impacts to the economy.

“We are grateful to be able to make such an impact on our local communities,” said Block. “It takes all aspects of a community working together to be vibrant and strong.”

MRHC Healthcare Career Camp to Expand

healthcare career camp

Like many rural areas, Manning Regional Healthcare Center (MRHC) and local ambulance crews continue to see a shortage in medical staff and EMT volunteers. Both ambulance staffing and provider shortages were listed as top five unmet needs in the 2022 Community Health Needs Assessment. At the same time, community leaders recognize that it is much easier to attract people to work here who are from the area rather than trying to draw people completely unfamiliar with the area.

With that in mind, MRHC piloted a Healthcare Career Camp in partnership with IKM-Manning Community Schools to provide a hands-on, immersive experience to showcase careers in a hospital setting. This full day began with an ambulance station and students rotated through the emergency room, laboratory, surgery, therapy, clinic, recovery center, and other departments.

“We wanted to spark an interest among middle and high school-age students,” shared MRHC Chief Nursing Officer, Michelle Andersen, RN, BSN. “We collaborated with the IKM-Manning guidance counselors to form a mutually beneficial partnership. MRHC purchased mannequins and supplies to make it as hands-on and immersive as possible.”

The feedback from the 24 participants was positive, and other local schools started reaching out to participate. MRHC explored financial partnerships to expand the program and were recently awarded a Community Grant from the University of Iowa College of Public Health and its Business Leadership Network (BLN) in the amount of $3,000.

This grant is meant “to foster collaboration in Iowa’s smaller communities by addressing areas of identified community health or public health need. The intent is also to begin or strengthen partnerships with business and industry and to link with University of Iowa College of Public Health

experts and resources in community and public health issues,” as stated in the program’s Request for Proposals.

MRHC and IKM-Manning plan to offer an additional camp yet this school year and three other camps to school districts within a 30-mile radius within the next 12 months. The financial assistance of the BLN Grant will help cover the cost of supplies, additional training mannequins, and trainers.

Those interested in learning more about participating in a Healthcare Career Camp can contact their school guidance counselors and schools interested in partnering to offer this experience should contact Michelle Andersen at (712) 655-8220.

MRHC Helps Individuals Live at Home Longer with Occupational Therapy

aging in place

90% of older adults want to stay in their homes as they age. Occupational therapy at MRHC can help promote aging in place to help individuals live, work, and play more independently. Therapy treatments can help with aging in place by promoting independence and safety to make activities of daily living more doable.

Aging in place refers to an individual making a conscious decision to live in the residence of their choice for as long as they can with the comforts that are important to them. As they age, adding supplementary services to facilitate their living conditions and maintain their quality of life may be necessary. These could include assistance with personal care, household chores, making meals, money management, or health care.

Family members should consider the following questions when determining the best course of action for an aging adult:

  • What is the ideal way for them to spend their retired years?
  • What type of home environment do you see them living in – individual, community, assisted?
  • What special health care requirements are needed or anticipated?
  • What other types of supplementary services are needed?
  • What options are available in case of emergencies, life changing events, accidents, etc.?

MRHC Occupational Therapists remind individuals that aging in place does not mean that you need to do everything yourself. You can choose to do as little or as much as you want, can, and are capable of.

Occupational therapy at MRHC is available for people of all ages who need specialized assistance to lead independent, productive, and satisfying lives. Services can promote independence and aging in place by assisting with the following:

  • Getting around (adaptive devices: cane, walker, wheelchair)
  • Safety concerns and fall prevention
  • Home modifications (grab bars, lighting, and toilet risers)
  • Cooking
  • Laundry
  • Showering
  • Shopping
  • Medications
  • Cognition and memory
  • Muscle strengthening
  • Balance.

A doctor’s referral is required to be seen by an occupational therapist.

In addition to occupational therapy, MRHC provides a variety of other services to help community members live at home longer. Physical therapy is beneficial for those who are suffering from an injury, recovering from surgery, or dealing with any sort of acute or chronic pain. Senior Life Solutions offers an outpatient group counseling program to meet unique needs of adults over 65 struggling with depression and anxiety, often related to aging. Residential and outpatient medical care, behavioral therapy, and social support to enable a healthy lifestyle free from drugs and alcohol is available through the Recovery Center.

If you or a loved one would benefit from services that enable you to live at home longer, schedule an appointment with your primary care provider at MRHC by calling (712) 655-8100. To learn more about occupational therapy services, click here.

February is American Heart Month: Be Heart Healthy

heart attack signs

Dr. UlvelingHeart attack and cardiac arrest are two topics that have been in the news lately and are critical things to discuss relative to heart health. Manning Regional Healthcare Center sat down with Dr. Kyle Ulveling, the hospital’s visiting Cardiologist in the specialty clinic to learn more.

“A heart attack and cardiac arrest are different diagnoses with two very different treatments,” said Ulveling, MD. “A heart attack is when there is not enough blood flow to the heart. The warning signs are typically exertional chest pain or other exertional symptoms like jaw, arm, or teeth pain. It typically will get worse with activity and better with rest. If you have any of these signs don’t wait until it’s so bad that you don’t think you can complete an activity. Get checked out right away either by your primary care provider, an urgent care, or at the ER if it is severe.”

Other common warning signs of a heart attack can include:

  • Fullness, indigestion, or a choking feeling
  • Sweating, vomiting, or dizziness
  • Severe weakness, anxiety, fatigue, or shortness of breath
  • Fast or uneven heartbeat

“Cardiac arrest is not necessarily a blockage problem of the heart, it’s where the heart has gone out of rhythm and is either too slow or too fast, not getting enough blood to the body. This is treated with things like CPR, shocks from either an AED, or in the hospital from a defibrillator,” Ulveling said. “One of the best things that you can do just as a person in the community is, if you’ve got access to training, learn how to do CPR and be trained how to use an AED. You can help somebody in the future should that happen to them.”

MRHC offers monthly CPR/AED training for anyone who wishes to be trained. Upcoming class dates are March 20 and April 17 at 6p.m. in the MRHC education room located in the maintenance shed behind the hospital. Course fee is $50 and includes a certificate and book.

Those interested in registering should call (712) 655-8179.

How to Maintain a Healthy Heart

While some heart issues can be hereditary, there are ways to help maintain a healthy heart. Dr. Ulveling shares some tips on things you can do without a doctor’s help for your heart health.

“Number one, moderate things in your diet like sodium, fats, or carbohydrates. That doesn’t mean you can’t have any, but recommended amounts can help prevent heart damage in the future. Number two, moderate physical activity for 20 minutes a day at least five days a week. This can be walking, biking, or any other uninterrupted, athletic activity. Lastly, regular well checks. Even if you don’t have a complaint, providers would much prefer to catch things earlier rather than when they might cause symptoms later on,” advised Ulveling.

It is also important to abstain from tobacco and vaping, find ways to manage stress to the best of your ability, and control high blood pressure, diabetes, and cholesterol with medications if necessary.

If you have any heart health concerns, Dr. Ulveling with the Iowa Heart Center in Carroll comes to Manning offering cardiology services on the first and third Tuesday of every month. Cardiac nuclear imaging & stress testing can be performed on an as needed basis. On the third Tuesday of the month, echocardiograms are performed in the specialty clinic.

If you have a history of heart health complications or have any heart health concerns, talk to your primary care provider about scheduling a cardiology appointment with Dr. Ulveling. To make an appointment to see Dr. Ulveling at MRHC, call (712) 792-6500.

 

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