MRHC Wound Care Clinic Receives Patient Satisfaction and Clinical Distinction Awards

MRHC Wound Care Clinic Receives Awards

Manning Regional Healthcare Center (MRHC) is pleased to announce the Wound Care Clinic is a recipient of RestorixHealth’s Patient Satisfaction Award and Clinical Distinction Award. Recipients of these awards meet or exceed national patient satisfaction and quality benchmarks over a set period. The Clinical Distinction Award also acknowledges exceptional success in wound healing rates and safety goals.

“This achievement reaffirms our commitment to the patient experience and the quality of care that our Wound Care Clinic provides its patients every day,” said MRHC CEO, Linn Block, RN, BSN, MHA. “We are proud to be a recipient of two awards that recognize the hard work and dedication of our staff.”

RestorixHealth launched its Center Recognition Award for Patient Satisfaction program to recognize those centers that have met or achieved a patient satisfaction score of 96% or higher. The Clinical Distinction recognition program is meant to recognize centers that have demonstrated success by meeting or exceeding patient safety goals along with a 90% healing rate.

One local resident is a testament to the positive patient satisfaction and overall effectiveness of the MRHC Wound Care Clinic.

MRHC Wound Care Clinic Receives Awards“I’m so thankful I was able to go to MRHC for wound care since it’s located in my hometown,” said Manning resident, Jeanne Kerkhoff. “I was immediately impressed by Kendra’s genuine concern for my care, her efforts to get answers and help me, along with Dr. Luong’s attention and ongoing wound care treatment. The best thing about the care I received was their genuine care and advocacy,” she shared.

The MRHC Wound Care Clinic is dedicated to optimizing outcomes and preventing lower limb loss in those patients with non-healing wounds. The approach to wound care is aggressive and comprehensive, coordinating traditional and advanced therapies and techniques that are proven to reduce healing time and improve healing rates. Since non-healing wounds rarely result from a single cause, the Wound Care Clinic begins with a thorough evaluation and diagnostic testing to determine the underlying cause of the wound. A treatment plan is then developed to give patients the best chance for healing. Most treatments are covered by Medicare/Medicaid, HMOs and other private insurance.

Manning’s clinic is staffed by Dr. Thang Luong, M.D., Kendra Tiefenthaler, RN and supported by Taylor Potthoff, RN and Elaine Macumber, RN. Integrating a team of wound care professionals optimizes patient care while offering the most advanced healing options.

The MRHC Wound Care Clinic is held every Thursday from 8 a.m. to 2 p.m. For more information about our treatment plans, please call 712-655-8112.

About RestorixHealth

RestorixHealth, the nation’s leading wound care solutions company, develops and operates advanced wound healing centers and provides wound healing direct-care services, education and advanced wound supplies nationwide. Forging strong relationships with their partners, RestorixHealth’s customized wound healing programs and solutions increase the access to care, lower or avoid direct care costs, reduce hospital admissions, improve outcomes and increase patient and partner satisfaction. For more information, visit www.RestorixHealth.com.

Local Businesses Generously Support Project Forward

check for capital campaign

As the year comes to a close, Manning Regional Healthcare Center is celebrating significant success since the launch of their capital campaign, Project Forward.

Recent year-end gifts have donation totals nearing $700,000. Most recently, two major gifts were received, $35,000 from AGP and $10,000 from Home Mutual Insurance Association of Carroll County. These contributions are representative of the high-level of continued support from the Manning-area business community.

Wayne Johnson, AGP’s Director of Marketing shared, “We have always done annual community donations in the past and have traditionally picked three or four communities to contribute to significant projects. Our new CEO, Chris Schaffer [who succeeded former CEO, Keith Spackler earlier this year] wants to remain focused on areas where our plants are operating and take care of those communities.”

In the past, AGP has made a sizable donation to the new Manning Fire Department facility and last year AGP made a significant contribution to Manning chamber bucks that matched local purchases of chamber bucks.

Additional donations include Warren and Sue Puck’s $50,000 donation and AMVC’s donation of $10,000.

“AMVC has been welcomed in the Manning community for 31 years, and Manning is a large part of our business. We are happy to participate in forward-thinking projects that benefit the families and communities we call home,” shared Bob Blomme, managing partner of AMVC Veterinary Services.

Several families have contributed at the $10,000 level or higher including James and Virginia Rasmussen, the Ohde family, Randy & Jean Behrens, and Marlene Borkowski. More than 75 total donors have contributed to the campaign to date.

Project Update

“We are happy to report that the Senior Life Solutions expansion, Pharmacy renovation and negative pressure isolation room projects have been completed,” said MRHC CEO Linn Block, RN, BSN, MHA. “In the past month, we have started holding group therapy sessions for both the Senior Life Solutions program and the Recovery Center in the new space, have had several patients use the new patient isolation room, and the pharmacy is now in compliance with federal regulations.”

COVID has prevented an in-person open house, however, virtual tours of the newly renovated spaces have been shared on the MRHC Facebook and YouTube pages.

Projects Continue Forward

“The generosity of our supporters has been humbling to say the least,” said Block. “However, as we continue to evolve to meet the needs of our patients and provide care for three of the most common healthcare challenges we face today – mental health, obesity, and cancer, we request the community’s continued financial support.”

As MRHC approaches the new year, there are two major initiatives that staff, administration and board members are embarking on. An enhanced 32-slice CT scan will allow MRHC to provide scans that result in lower radiation, quicker scans, and more detail.

“The improved technology means that patients won’t have to travel to urban areas to receive better imaging,” said Linda Croghan, MRHC Director of Radiology.

The smart metal artifact reduction feature allows for high-quality images even if a patient has metal fillings, joint replacements, or metal hardware. The upgraded machine also allows local imaging for heavier people and will be able to accommodate patients up to 450 pounds. This CT is not only critical for hospital patients but also for specialty providers seeing patients in rural settings.

The other major investment is an Electronic Medical Records System which will enable MRHC to seamlessly access records and provide a system that is broadly accepted industry-wide, making medical record access much easier if a patient has to be seen at another hospital. The new system will allow online check-in for patients, enable patients to see their results online, and offer two-way communication with providers. The new system will improve telehealth capabilities as it is compatible with mobile devices.

Both projects present a significant financial hurdle for the hospital but are necessary to continue providing trusted healthcare close to home.

“Our hope is that our community members will consider supporting these projects with a monetary donation so we can continue to evolve to meet our patients’ needs, provide the best care possible and offer important, necessary services for residents in rural communities,” said Block.

As part of the Project Forward campaign, MRHC is planning a new donor wall located near the Med/Surg waiting room in the hospital that will feature a tree (or series of trees) that recognize the generous contributions from donors.

“We anticipate that donations of $100,000+ will be recognized as tree trunks, donations of $10,000-$99,999 will be branches or stepping stones, and donations of $1,000-$9,999 will be represented by leaves,” shared Block.

MRHC welcomes the support and participation in this campaign by the regional community, as well as individuals and businesses in neighboring counties. Those interested in donating can visit MRHC’s lobby to pick up a donation form, call Amy Benton at (712) 655-2072 to discuss funding needs, or visit www.mrhcia.com/2021-capital-campaign to find out more details.

senior life solutions group room

The new Senior Life Solutions group therapy room is also used for Recovery Center Outpatient group therapy.

check for capital campaign

AGP Director of Marketing, Wayne Johnson, presents a check for $35,000 to co-chairs of the Project Forward capital campaign, Randy Behrens and Virginia Rasmussen, and MRHC CEO, Linn Block.

Blackwell Advances in Career and Education at MRHC

Jackie Blackwell, employee at MRHC

For Manilla local, Jackie Blackwell, healthcare was always the plan for her career path, but she never quite anticipated where she would be today. Jackie Blackwell, employee at MRHC

At the young age of 14, Blackwell began her career in healthcare as an environmental aide at the Manilla Manor. After she received her CNA in 2006, Blackwell worked at the Manilla Manor for one year and then started working full-time at the Manning Plaza in high school during weekends and evenings.

“I liked getting to know the residents – you become close to a lot of them. I knew I wanted to be a nurse, so it was just kind of learning the routine of healthcare and connecting with the residents,” said Blackwell, RN, BSN, CPHQ, who now serves as the Compliance/Privacy Officer and Director of Quality, Patient Advocacy & Risk Management at Manning Regional Healthcare Center (MRHC).

After receiving her RN degree from Iowa Lakes Community College, Blackwell started at St. Anthony’s on the ortho floor, meanwhile continuing to work for the Manning Plaza as needed. In 2012, she started in the Med/Surg department at MRHC and later accepted the OB Coordinator position, eventually going full-time in UR and Quality. As Blackwell experienced various roles throughout the hospital, she grew to enjoy the management side of healthcare.

“I needed my bachelor’s to keep doing clinicals and advance into a management role, so in 2018, I graduated with my bachelor’s degree from the University of Texas at Arlington. The hospital paid for that,” said Blackwell.

Blackwell has now found herself advancing in her career as well as her education once again – an accomplishment she attributes to the generosity and support of MRHC.

“Last summer, Linn [Block, MRHC CEO] asked me if I was interested in pursuing my MBA. I was, however, I planned on waiting until my kids were older. I figured I might as well do it now while my kids are young and not in many activities. Now I am in my first year at Nebraska Methodist and should graduate in December of 2023 with my MBA in healthcare. It’s an online program, and I can do my preceptors with Linn right here at MRHC. It’s been good,” shared Blackwell.

Even though Blackwell is a mom and works full-time on top of taking classes for her MBA, she says that the support she receives from MRHC makes it all possible.

“I probably wouldn’t have pursued my bachelor’s or master’s degrees if MRHC had not paid for it. That’s a lot of money upfront,” said Blackwell. She went on to add that “Linn and Michelle [Andersen, RN, BSN, MRHC Chief Nursing Officer] have been great in helping me advance in my career and helping me become a manager. Michelle mentored me a lot when I was on the floor, and Linn always asks how I’m doing in school. If I have a question, we’ll talk about it. All of the senior team really help – they take the time out of their busy days to sit with me and go through stuff so that’s helpful. I have a lot of support.”

Blackwell also credits some of her success to her co-workers as well as the positive team environment at MRHC.

“Everyone is super supportive of each other, and if we know someone has a busy schedule or a huge project that they’re working on everyone is always asking ‘what can I do, can I help you with anything?’ so there is a lot of support and checking in,” shared Blackwell. “Plus, healthcare is a challenge and changing every day. We all have to be adaptable, work together and trust that everyone is trying to do their best right now with things quickly changing, so supporting each other is huge,” she adds.

While healthcare is everchanging and evolving, one constant for MRHC in the past few years has been their leadership.

“Here at MRHC, not only do we prioritize employee satisfaction, recognition, appreciation, and retention, but we also have an ongoing commitment to training and developing our leaders,” said Linn Block, RN, BSN, MHA.

Blackwell is not only grateful to work for a healthcare organization close to home, but also one that prioritizes its patients, employees, and families as well.

“I live just eight miles away so it’s nice not having to drive and waste that time away from my kids,” said Blackwell. “[MRHC] is flexible with things like having a sick kid at home and adjusting your hours to a different day. They are a very family-oriented facility and organization, which is important.”

For a list of current openings or to apply at MRHC, go www.mrhcia.com or call (712) 655-2072 for more information.

Hospitality Care Now Offered at MRHC

Nice, clean, well-lit hospital room in MRHC

Nice, clean, well-lit hospital room in MRHCPatients looking for short-term care in a safe environment now have an option close to home. Manning Regional Healthcare Center’s hospitality care provides convenient accommodations and assistance for patients who do not need to be admitted to the hospital for observation, inpatient or skilled care, but are not quite ready to be on their own.

“We noticed there were many patients in the area with a need for transitional or ‘in-between’ care,” said MRHC Director of Quality and Patient Advocacy, Jackie Blackwell, RN, BSN. “So, for instance, if you are a caregiver and your loved one needs somewhere to stay while you are on vacation, you can have peace of mind knowing they are being cared for.”

Other examples of individuals qualifying for hospitality care include those needing extra care due to exhaustion, patients needing complicated diagnostic workups or substantial pre-admission testing, and individuals who need a place to stay to allow time for their family to make alternate placement arrangements.

Hospitality care provides a stay at MRHC on a fee-for-services rate based on actual care given. The daily rate for hospitality care is $275 with a two-day down payment rate of $550 requested upon admission. Charges are incurred by day, not a 24-hour period, so patients will not be charged for the day they are discharged. Hospitality care can range from one day up to one week, unless other terms are agreed upon between the patient and hospital/facility representatives.

“We anticipate this new service will allow families and caregivers to feel comfortable that their loved one is in a safe place while details of their long-term stay or transitional living are being worked out,” Blackwell adds.

Hospitality care will be offered at MRHC as beds are available and is not paid for by Medicare or any insurance group. Services available during a hospitality care stay include meals, assistance with daily care, regular and as-needed vitals, and outpatient services, such as labs, x-rays, and rehabilitative therapy (outpatient services are billed to insurance).

To learn more about hospitality care at MRHC, contact Jackie Blackwell at (712) 655-2072 or by email at jackie.blackwell@mrhcia.com.

MRHC Welcomes New Physical Therapist

Taylor Nelson, MRHC Physical Therapist

Manning Regional Healthcare Center is excited to welcome new Physical Therapist, Taylor Nelson, PT, DPT. Taylor Nelson, MRHC Physical Therapist

Nelson is an Iowa native, excited to be back working close to home. “My wife and I are originally from Exira. We moved to Maine for about two years and then just recently made our transition back to the area. So, I’m looking forward to starting our family here, getting to know the community and taking the hospital to a new level with PT services,” he shared.

Nelson is a Vestibular Rehabilitation Specialist, which uses an exercise-based program to improve balance and reduce dizziness-related problems. He also specializes in orthopedic type conditions, implementing a multifaceted approach, including hands on and exercise treatments to help patients achieve their rehab goals.

After graduating from Central College in 2015 with a degree in Health and Exercise Science, Nelson obtained his Doctor of Physical Therapy degree from the University of New England in 2019. He then worked as a physical therapist at Proactive Physical Therapy in Lewiston, Maine for two years.

A knee injury in high school requiring extensive rehab inspired Nelson to pursue a career in physical therapy. “The whole rehab process and having a good experience is what led me to this field. Especially in small towns, we’re kind of limited on how many healthcare professionals we have here. We didn’t really have the option of driving to Omaha or Des Moines for everything, so that’s what made me interested in coming back to this area – just having a place for everyone to receive high-quality, evidence-based care here.”

MRHC Physical therapist helping high school boy exerciseEvidence-based practice includes the integration of best available evidence, clinical expertise, and patient values and circumstances related to patient and client management, practice management, and health policy decision-making, according to the American Physical Therapy Association.

Physical therapy can help those with back, neck, muscle and joint pain, headaches, carpal tunnel syndrome, stroke, sprains and strains, orthopedic or sports related injuries, weakness or loss of motion, body misalignments and more.

MRHC also offers additional rehabilitative services such as occupational and speech therapy. Occupational therapy provides services for people of all ages who, because of illness, injury, developmental, or psychological impairment, need specialized assistance to lead independent, productive, and satisfying lives. Speech therapy can address issues with speaking, reading, listening, writing, thinking, and swallowing.

To schedule a physical therapy appointment at Manning Regional Healthcare Center, call (712) 655-8298.

Local Mom Receives Wound Care Close to Home

wound care team

“I never imagined that you could find skin cancer in the form of a lump without having any visual signs on your skin,” said Manning resident, Jeanne Kerkhoff. “I am hopeful that by sharing my story that everyone realizes the importance of self-exams and early detection.”

Jeanne manages the Northwestern Mutual Financial in Manning, is an active community member and volunteer, and has four growing children. In late 2020, Jeanne visited with her primary care provider for what she thought might be a hernia. Further exploration and testing showed evidence of melanoma spreading to her lymph nodes. Thanks to the quick action by her medical team in January 2021, she underwent surgery to remove multiple lymph nodes, began recovery and started receiving immunotherapy.

It wasn’t until her surgical wound would become infected that she would receive care at MRHC.  Jeanne’s surgical oncologist referred her to the Wound Care Clinic at MRHC for ongoing management of her surgical wound.

“I’m so thankful I was able to go to MRHC for the wound care since it’s located in my hometown,” she said. “The wound vac and drainage tubes kept me from maneuvering around and doing things myself,” she added. “I had to rely on my husband and kids to help me out, which was definitely a change for the family.”

wound care team“Dr. Luong and nurse, Kendra Tiefenthaler, were able to help minimize and manage my pain. They also prescribed antibiotics for the infection and Kendra taught me how to clean and change the dressings daily to treat the infection. I was immediately impressed by Kendra’s genuine concern for my care, her efforts to get answers and help me, along with Dr. Luong’s attention and ongoing wound care treatment. The best thing about the care I received was their genuine care and advocacy.”

After seven weekly visits to the wound clinic, Jeanne’s wound was healed. “I was ecstatic! I’m so thankful and blessed to not be attached to any tubes anymore, and I have new empathy for those who do. Kendra and Dr. Luong exceeded all my expectations and provided comfort during a challenging time!”

Wounds Healed at MRHC

foot care

“After a car accident left me with extensive injuries, the Wound Care team at Manning Regional Health Care Center has my sincere thanks for all they have done to heal my wounds,” shares Christina Brown, a resident of Manilla.

When Christina was referred to receive wound care treatment at Manning Regional, she had four large wounds on her leg. foot care

“Christina’s wounds were typical of what we see and treat here at MRHC,” said Kendra Tiefenthaler, RN, MRHC Wound Care Clinic Coordinator. “Christina’s wounds were very large and deep in size requiring advanced treatment options to manage and heal the wounds.”

As with many wound care patients that Dr. Luong treats, he begin with an evaluation to assess the cause of the wound, look for any signs of infection, and determine the best treatment option for wound healing. Initially, Christina received wound care weekly and as the wound began responding to treatment, she transitioned to appointments every two weeks.

“Although my wounds were quite extensive and took what seemed like a very long time to heal, the staff controlled the pain and made me comfortable,” said Christina.

At each visit, Christina was seen by a nurse and doctor to monitor healing and assess for any signs of infection or other possible concerns.

“Depending upon the severity of the wound, it is important that the wound is cleaned regularly, and bandages are applied to help the wound heal more rapidly than if they weren’t treated,” said Tiefenthaler.

Although this was the first time Christina had received treatment for a wound, she shared how positive her experience was.

“Wound care is not something I would choose to do, but the wound care team made me as relaxed and comfortable as possible,” Christina said. “Everything was thoroughly explained, and all necessary steps were taken to ensure the proper healing. The care I received was excellent.”

As far as the impact COVID-19 has had on her treatment, Christina said there have not been any problems.

“All precautions to ensure safe and healthy treatment were taken and I felt comfortable going to MRHC,” she shared.

“I would definitely recommend Manning Regional’s wound care services to others. They are a very caring and competent group of individuals,” adds Christina. “I will miss my visits with them. They are a great group, and I have enjoyed getting to know them.”

Although Christina’s wounds were the result of a car accident, there are many other types of hard-to-heal wounds that the Wound Care Clinic treats. These wounds may be a result from pressure, trauma or infection. MRHC has many types of advanced treatment options available for wound care based on the type and severity of the wound.

Sometime, even the simplest of wounds can turn into a significant problem because the body’s normal healing process is affected. A wound that is not healing properly may be complicated by underlying conditions such as diabetes, circulation problems or previous radiation treatment. Non-healing wounds can have serious health consequences and may adversely affect a patient’s quality of life.

“It is important that patients reach out as soon as they realize they have a wound that is not healing properly,” stated Tiefenthaler. “If we can catch the wound early enough, oftentimes we can get a jump start on the healing process, decreasing the number of visits necessary for full healing.”

If you or a loved one has a wound that is of concern or is not healing properly, call the Wound Care Center at MRHC for an evaluation at (712) 655-8100.

 

Diabetic Finds Comfort from MRHC Wound Care Clinic

wound care team

“I woke up one morning and noticed that the bottom of my foot was sore. It was tender to the touch and the pain was excruciating to walk. I knew right away that I needed to get into the doctor and have it evaluated,” said Ralph Dobler of Manning.

Although Ralph had experienced the effects of diabetes for several years prior, he was following a proper diabetic diet, he was watching his health and ensuring he was keeping active. Unfortunately, Ralph had learned the hard way a few years prior that if he doesn’t take care of his wounds, it could lead to amputation.

“I knew that if we could get on top of the wound right away that we would have the potential to save my foot.  At 74 years old, Ralph has been dealing with the side effects of diabetes for many years.

More than 29.1 million Americans have diabetes and sixty to seventy percent of people with diabetes have limited or no feeling in their feet. “It’s much easier to treat a minor foot problem before it becomes serious,” said Kendra Tiefenthaler, RN, Clinical Coordinator for the MRHC Wound Care Center. Kendra Tiefenthaler

The wound care team believes that Ralph’s immediate attention to the issue and willingness to commit to weekly treatments until the wounds were healed is what ultimately prevented him having an amputation.

Approximately 25-30% of patients with diabetes develop a foot sore or ulcer. Though foot ulcers can be anywhere on the foot, most occur on the ball of the foot or on the bottom of the big toe.

There are several reasons why diabetic patients have foot problems, but the most common reason is that they suffer from nerve damage called neuropathy, which causes loss of sensation in the feet.  These patients also suffer from poor circulation, which can make your foot less able to fight infection and heal.

Signs of a Possible Foot Ulcer:
  • Lack of sensation (feeling) in your feet
  • Feeling of “pins and needles” in your feet
  • Feet hurt while walking or resting
  • Sores don’t heal
  • Skin on your feet becomes thick, dry or scaly,
  • Calluses develop easily on the soles of your feet

“At MRHC, we have the ability to treat any open wounds caused from vascular complications, post-surgical procedures, diabetes and more,” said Tiefenthaler.  “Oftentimes patients will see the most benefit from weekly treatments where the provider addresses any concerns, evaluates wound progress, and cleans/redresses the wound to ensure timely healing.”

How to care for your feet and prevent diabetic ulcers:
  • Check your feet daily. Look for blisters, cuts and scratches. Use a long-handled mirror or place a mirror on the floor to see the bottom of your feet. Always check between your toes.
  • Keep your feet clean. Wash daily, dry carefully – especially between the toes.
  • Moisturize your feet. Apply a moisturizer as recommended by your physician, but never apply between toes as that can lead to a fungal infection.
  • Do not walk barefoot. That includes on sandy beaches and pool/patio areas.
  • Wear properly fitted shoes. Shoes should be comfortable when purchased. Do not wear narrow, pointed toe or high-heeled shoes.
  • Inspect the inside of your shoes daily. Check for foreign objects, tears or rough areas on the inside of the shoe.
  • Do not wear shoes without socks or stockings. Wear clean, properly fitted socks. Cotton or cotton-blend socks are recommended.
  • Avoid temperature extremes. Test water temperature with your hand or elbow prior to bathing. Do not soak your feet in hot water or apply a hot water bottle. If your feet feel cold at night; wear socks.
  • Trim your toenails regularly. Always cut your nails straight across.
  • Do not use over-the-counter remedies for corns. See a podiatrist to have these evaluated.
  • Avoid crossing your legs. This causes pressure on the nerves and blood vessels, resulting in less blood flow to your feet.

As we wrap up American Diabetes Month, MRHC wants to remind people with diabetes that they are at a higher risk for non-healing foot wounds – and therefore amputations – than most Americans. One in four patients with diabetes will develop a foot ulcer in their lifetime. The wound healing center at MRHC can provide guidance for prevention and treatment of these wounds.

If you are experiencing pain or complications from an open wound, contact the MRHC Wound Care Clinic at (712) 655-8100 to request a wound care consultation or treatment. Physician referrals are not required.