MRHC Seeks Community Input on Local Health Needs

CHNA

Manning Regional Healthcare Center (MRHC) is working with local community leaders to update the 2025 Community Health Needs Assessment (CHNA). MRHC is seeking input from community members regarding current healthcare delivery and unmet resident needs.

The CHNA uses data and community input from the survey that measures and identifies the health needs of the communities MRHC serves. This information is gathered, and the assets and/or needs are used to develop an implementation plan. The three-year implementation plan will then inspire collective actions from multiple community partners and ensure there is an effective allocation of resources from within the hospital and throughout the community.

The goal of this assessment update is to understand progress from past community health needs assessments conducted in 2022, 2019, and 2016, while collecting up-to-date community health perceptions and ideas. VVV Consultants LLC, an independent research firm from Olathe, KS, has been retained to conduct this countywide research.

A brief community survey has been developed if you would like to participate in providing this important feedback. The CHNA survey link can be accessed by clicking here.

All community residents and business leaders are encouraged to complete the survey by February 3, 2025. In addition, a CHNA Town Hall meeting to discuss the survey findings and identify unmet needs will be held on Thursday, March 6th, 2025, for dinner from 5 – 6:30 pm at the MRHC Administration Conference Room. More information will be shared soon.

If you have questions regarding CHNA activities, please call MRHC Chief Nursing Officer, Michelle Andersen, RN, BSN at (712) 655-8220.

Mammos for Misses Women’s Health Event on October 16th

mammos for misses

MRHC is proud to recognize Breast Cancer Awareness Month this October through its “Women Supporting Women” initiative, offering opportunities designed to support, honor, and educate women in the community.

Women of all ages are invited to attend MRHC’s “Mammos for Misses” event on Wednesday, October 16th from 4:30-6:30 pm at Brickhaus Brews in Manning. This is an opportunity for women to learn more about mammograms and important women’s health topics and connect with healthcare professionals. Attendees can socialize with friends, enjoy complimentary appetizers, and learn from expert speakers. The schedule for the evening will go as follows:

4:30 – 5:30 pm: Social hour and learn more about mammograms and self-exams.

Courtney Rupiper5:30 – 6:00 pm: Women’s Health Program by MRHC Clinic Provider, Courtney Rupiper, PA-C on mammograms, self-exams, and women’s health at different life stages.

6:00 – 6:30 pm: Q&A session and conversations with healthcare providers about scheduling screenings and annual visits.

“We want to remind women how important it is to get an annual physical at all age levels because your body is constantly changing,” explained Rupiper. “It is important to be seen regularly so we can decide what screenings we need to do. We work with every patient to individualize their health care plan, determining what is best for them at their stage in life.”

Most insurance plans cover annual well-woman appointments. Patients are encouraged to check with their insurance provider in advance to understand what is covered under their wellness and prevention benefits. To schedule an appointment, call MRHC’s Family Practice Clinic at (712) 655-8100.

Honoring Survivors with Special Flower Deliveries

MRHC is also offering a unique way to honor breast cancer survivors this month. In partnership with Kristina’s Flowers, MRHC invites community members, businesses, or organizations to nominate local breast cancer survivors to receive a surprise floral arrangement. Bouquets will be delivered to cancer survivors within a 30-mile radius of Manning. To nominate someone or sponsor an arrangement for $40, click here. Payments can be made online or at Kristina’s Flowers.

Get to Know MRHC CEO, Shannon Black

Shannon Black

Shannon BlackIn February, MRHC was pleased to welcome Shannon Black as the hospital’s new Chief Executive Officer. With her unique blend of experience and vision, MRHC looks forward to navigating the future of rural healthcare under her guidance and leadership, while remaining dedicated to continuing its mission of providing trusted, quality care close to home. Learn more about Black’s background, personal life, and what inspired her career in healthcare.

Q: What encouraged you to pursue a career in healthcare administration?

Shannon: Rural healthcare has always been my passion. I am a 5th generation rural Iowan and care deeply about the future of healthcare in our communities and being able to take care of the people we serve for years to come.

Q: What has your career path looked like that brought you to where you are now?

Shannon: I’ve been in the industry for about 20 years. Most recently I served as clinic administrator for Unity Point Clinics in the Des Moines market, serving family medicine clinics in Waukee where I worked to increase patient access, patient experience, and employee satisfaction. Prior to that, I was with Greene County Medical Center for about ten years where I held several different leadership positions and wore many hats learning the ropes of rural healthcare. I had some great mentors along the way who allowed me to learn, grow, and develop my career path. I have a bachelor’s degree in healthcare administration from Walden University and will have my master’s in healthcare administration in April from the University of Phoenix.

Q: What attracted you to MRHC and what are you most looking forward to about working here?

Shannon: I was drawn to MRHC because of its reputation of being a great place to work and providing outstanding patient care. The more I learned about MRHC, I was drawn to the cultural beliefs and mission as they align with my own core values and leadership style. My first week has been wonderful. I’ve felt welcomed and I am looking forward to building relationships with this team and working together to achieve our goals. I’m eager to dig in and get to work as well as meet members of the communities MRHC serves.

Q: What are your main goals as the CEO of MRHC?

Shannon: As the CEO of MHRC, my goals are to continue to advocate for our hospital and rural healthcare in general; to provide quality care; and to remain viable for generations to come. I also aim to look for ways to grow in the areas the community needs us the most.

Q: Family Composition:

Shannon: My husband, Chad, and I have four children, Gwen (23) who is a graduate of Iowa State and now lives in Nevada; Nate (20) a sophomore at Grand View University studying Kinesiology and on the track team; Nick (14) in 8th grade; and Grace (10) in 5th grade both at Greene County Middle School.

Q: Where are you from and where do you live currently?

Shannon: I am a Jefferson-Scranton graduate and currently reside outside of Jefferson, which also happens to be my hometown.

Q: What do you like to do in your free time?

Shannon: I have been the head cheerleading coach at Greene County for seven years, I enjoy reading, listening to podcasts, riding my bike with friends, attending concerts, and attending my children’s events with my husband.

Q: How are you involved in your community?

Shannon: I have been very involved in my community over the years, serving on several committees and boards including Jefferson’s Bell Tower Festival Steering Committee, and serving as a city councilwoman for eight years.

Are Gaming or Gambling Habits More than a Hobby?

Gambling, sports betting, and video games – we all know they can be fun in moderation. But when do they become more than just a hobby? The community is invited to learn more about addictive behaviors such as sports betting, gambling, and gaming disorder at the “Addiction to Gambling and Gaming” event on Tuesday, March 12th from 4-6 pm at the Timmerman Shelter House at City Park in Manning. This is a free, come-and-go event for adults and children hosted by the Recovery Center at Manning Regional Healthcare Center, the City of Manning, and New Opportunities.

“We know that we live in a tech-filled world, and this has made activities, such as gambling, easy to access and indulge in, to the point of affecting lives and relationships,” said Recovery Center Director, Taya Vonnahme, MSN, RN, ARNP, CADC. “The same goes for gaming; this is at anyone’s fingertips including children. We are hoping to educate the community on how these behaviors can lead to addiction and how to get help if needed.”

Attendees will learn how to identify symptoms of addiction and gambling-related lifestyle changes; understand the risks and consequences associated with gambling, sports betting, and gaming; discover how gambling can begin in adolescence; and learn when these common pastimes are considered a problem. The event will also address myths surrounding sports betting, similarities between video games and gambling, and how video game developers design games to be addictive.

For additional support regarding a gambling addiction, the Recovery Center offers problem gambling services on an outpatient basis that can be added to recovery services. Gambling services also include financial counseling with therapy. Call (712) 655-2300 to learn more or to schedule an appointment.

Exceptional Skilled Nursing Care at MRHC

skilled nursing

The decision between a nursing home and skilled care often weighs heavily on the minds of families seeking the best possible support for their loved ones. At MRHC, skilled care isn’t just an alternative—it’s a transformative solution that offers a path to recovery and independence, all within a community people have come to know, love, and trust.

MRHC’s skilled nursing program offers care for all ages following major joint procedures, strokes, colostomies, IV antibiotics, post-surgery recovery, chronic illness management, therapeutic interventions, and other post-acute services. Care is designed to cater to individuals requiring specialized medical attention and rehabilitation services to help them return to daily living. It can also help patients learn to live with heart conditions, respiratory problems, nutrition/metabolic disorders, and wound care.

“We strive to support individuals in reclaiming their well-being and vitality,” shared Chief Nursing Officer Michelle Andersen, RN, BSN. “Our mission is centered around providing comprehensive services aimed at facilitating the journey back to optimal health, all within a patient-centric environment that prioritizes the patient and their specific needs.”

The skilled nursing program consists of 24-hour care and supervision by nurses and clinic physicians; physical, occupational, or speech therapy; infection control; and nutritional assessment and management. Additional skilled services include education and monitoring for a variety of health conditions.

At the core of MRHC’s approach to skilled care is a multidisciplinary team of nurses, therapists, physicians, and support staff who work collaboratively to deliver comprehensive care. The skilled nursing staff possess the expertise and dedication necessary to ensure each patient receives personalized care tailored to their unique needs. The skilled nursing team conducts a thorough assessment to understand each patient’s medical history, current condition, and specific goals. This personalized approach ensures that care is tailored to meet the distinct needs and preferences of each individual, optimizing outcomes and promoting a sense of empowerment and autonomy.

The skilled nursing staff not only provide clinical support but also offer emotional support, encouragement, and reassurance to patients and their families during challenging times.

“Our goal is to provide a relaxing environment to aid in the emotional well-being of each patient,” said Andersen.

Admission to MRHC skilled care services is by direct provider referral after a three-day stay in an acute care facility. Patients can be admitted immediately or within 30 days after an acute care stay. Discharge planning begins on admission to MRHC skilled care, and individualized goals are established with the patient, their family, and medical providers. Patients participate in a weekly care conference with family members and the patient’s multidisciplinary care team at MRHC.

If you or a loved one require skilled care services after an acute hospital stay, call (712) 655-2072 for more information.

John Hansen Making a Difference Behind the Scenes at MRHC

John Hansen

John HansenJohn Hansen’s career path is one rooted in family influence and a willingness to embrace a challenge. Despite a background in factory work, John decided to follow in his father’s footsteps and give the maintenance field a try. His decision turned out to be a rewarding one, and he found a true passion for the work at MRHC.

“I never saw myself working in a hospital, but I figured I would give it a try and am really glad I did,” John shared.

Starting as a maintenance tech in February of 2020, John would quickly grow into a leadership role just a year later, becoming the department supervisor in April of 2021. With the work he does and the impact he makes at MRHC, it is no question that non-clinical roles play a vital role in ensuring smooth functioning of healthcare facilities. While a job in maintenance might not be at the forefront of patient care, John emphasizes the importance of his role in keeping everyone comfortable during their stay at MRHC. From ensuring the functionality of facilities to addressing maintenance issues promptly, John’s work contributes significantly to the overall patient experience.

“MRHC is so fortunate to have John. He is knowledgeable in so many different areas, digs into whatever needs fixing, and tries to figure things out on his own,” said Chief Human Resources Officer, Shelli Lorenzen. “John quickly fell into a management role and absolutely owned it. We couldn’t ask for a more dedicated employee. He knows what needs to be done and he does it, even if that means spending the entire weekend at MRHC to move snow so the ambulances can always get to the ER.”

In addition to making a positive impact on patients and helping his coworkers whenever possible, John appreciates the flexibility and support that he has at the hospital. Trust also plays a crucial role in fostering a positive work experience, and John attests that the administrative staff at MRHC trusts him implicitly. Something that is key to a productive and positive workplace.

“MRHC is very family oriented, and I know that when a family issue arises, I can go without question,” he shared. “Dan’s food is just an added bonus to working here.”

John’s journey at MRHC exemplifies the potential for growth and fulfillment in non-clinical roles within the healthcare industry. From his family-inspired career choice to the impact he makes on patient well-being, John’s story is a testament to the diverse and essential roles that contribute to the success of a healthcare institution like MRHC.

To join the MRHC team, click here or call (712) 655-2072 for more information.

Recovery Center Works to Prevent Overdose Deaths

overdose

Drug overdose is one of the leading causes of death for people ages 18-45. Nearly 110,000 people have died due to drug overdose in the last year, making August 31st, Overdose Awareness Day, more important than ever.taya vonnahme

“Overdose is something everyone should be aware of,” shared Recovery Center Director, Taya Vonnahme, MSN, RN, ARNP, CADC. “Not only is overdose a concern in the addiction world but also in general practice. We see overdoses all the time for various reasons – alcohol, opiates, and drug related. Some are unintentional from prescription pain medications that were accidentally taken incorrectly.”

The Recovery Center is dedicated to raising awareness of drug overdose and helping prevent future deaths caused by an overdose.

“Everyone should educate themselves on the signs of a possible overdose and know what to do if it is suspected,” Vonnahme recommended.

Typical signs of an overdose can include one or several of the following:

  • Unconsciousness
  • Seizure
  • Severe headache
  • Chest pain
  • Breathing difficulties
  • Extremely paranoid, agitated, and/or confused
  • Snoring or gurgling

Seek emergency help by calling 911 if someone is exhibiting these symptoms. Prior to emergency personnel arriving, follow these steps:

  • Administer *Naloxone if available
  • Support breathing by ensuring their airway is clear and giving breaths
  • Monitor their response
  • Do not forcefully try to awake them
  • Don’t try to make them vomit

When help arrives, it is vital to provide as much information as possible about the overdose. Details such as what type of drug and how much was taken and how long ago it was taken can help save a life.

“One of the best things I have seen that can assist someone who has overdosed is Naloxone,” Vonnahme said. “It saves lives every day and anyone can learn how to use it. It is also available to anyone who may need it no matter the reason. If you know someone who uses any type of opiate, prescription, or recreational drug they should know about this and learn how to use it.”

*Naloxone is a non-addictive, life-saving medication that can reverse an opioid overdose. Given as a nasal spray, auto-injector, or injectable, naloxone can be purchased from most pharmacies without a prescription. If you or someone you know is at increased risk for opioid overdose, you should carry naloxone and keep it at home. People who are taking high-dose opioid medications (>50 morphine milligram equivalents per day) prescribed by a doctor and people who use opioids and benzodiazepines together should also carry naloxone, according to the CDC.

Recovery Center Services

If you or someone you care about has problems with substance abuse, help is available. The sooner a person can get help, the better the long-term chance for recovery. If you feel that you need help or guidance, contact the Recovery Center at (712) 655-2300.

The Recovery Center is a 16-bed, co-ed chemical dependency facility located in Manning. Services include detoxification, residential treatment, outpatient treatment and consultations or evaluations. Recovery Center staff have adapted treatments to meet addiction issues, from alcoholism to meth to the abuse of prescription painkillers. For four decades, staff have helped clients take their first step toward healthy, drug and alcohol-free lifestyles. For more information, visit www.manningrecoverycenter.com.

MRHC Welcomes Dedicated Mental Health Provider, Hollie Schechinger

Hollie Schechinger

Hollie SchechingerTo address one of the primary health concerns affecting our rural communities, MRHC is expanding mental health services. Hollie Schechinger, a counselor in the Recovery Center at MRHC, will now be a designated mental health provider offering services in Manning three days a week for those 12 and older starting July 1st, 2023.

“My new position will help expand the availability of mental health services for everyone,” said Schechinger, LMSW. “I will be able to help people in Manning and surrounding communities get the help they need. Mental health services in this area are difficult to get as there are long waiting lists so people struggle to get appointments. My hope is to provide support for people who are just waiting for help.”

In addition to providing mental health services for the general community, Schechinger will also continue working with Recovery Center inpatient clients two days a week.

“I will be providing mental health therapy by using a wide variety of interventions and therapy models,” Schechinger said. “I am very excited about this opportunity and building the availability of mental health services in Manning. I hope we can spread awareness of mental health and the importance of not hiding it. I want to bring more access to mental health services so that those who are staying quiet about their mental health problems can speak out about them.”

Mental health care has always been important to Schechinger, and she is hopeful that her new role will help those in need and change the stigma surrounding mental health.

“I have always wanted to work in healthcare in some way. During high school when we took those career quizzes, I always got therapist. I just have a passion for helping people,” Schechinger shared. “I found that social work would be a great way to help others in the healthcare setting, so after getting my social work feet wet working with troubled youth at Quakerdale in Manning, I really realized how important mental health is. Many people still see mental health as being taboo, but I want people to understand that mental health impacts everyone in multiple ways. That is when I realized I wanted to focus on helping others in mental health.”

A 2009 Coon Rapids-Bayard graduate, Schechinger received a social work degree from Briar Cliff University in 2013. After working at Quakerdale, she worked in the Recovery Center for almost five years before going into Home Health with Carroll Area Nursing Services. She then returned to school to get her master’s in social work with a focus in mental health and trauma from the University of Denver.

“After finishing my degree, I realized I really missed providing therapy, so when a position opened at the Recovery Center, I decided to take it,” said Schechinger. “I spoke with the Director, Taya Vonnahme, about wanting to improve access to mental health services in this community, and she ran with the idea. The amazing administration team at MRHC came together and we came up with the plan of adding a full-time mental health therapist. Having an administration that will help us achieve our career goals is amazing. They really care and want you to succeed. I wanted to expand mental health services, and now less than a year later I am already working on making that goal reality.”

“Hollie is very passionate about helping our community in more ways than we already do,” said Vonnahme, MSN, RN, ARNP, CADC. “She has been working with the Recovery Center in Manning for years, and when she came back, she made it clear that as much as she loves substance abuse that she wanted to do more. I knew we had a great opportunity to provide additional services to our patients and community, so we are very excited to expand mental health services here in Manning.”

In addition to feeling supported in her career goals, Schechinger shares that working at MRHC is fulfilling in other ways as well.

“Working at MRHC is almost like having another family,” Schechinger shared. “I believe it speaks volumes that I worked here for 4.5 years and eventually decided to come back. We are very team-oriented, close with one another, and help each other out. Everyone is very encouraging and helpful in many ways even if they don’t work in the same department. We are all here to work together to help ensure patient safety and needs are met.”

To schedule a mental health appointment, call (712) 655-8100. Referrals are not needed. If you need additional mental health information, education, or would like to discuss support, please contact your primary care physician at (712) 655-2072. For those 65 and older, call Senior Life Solutions at (712) 655-8262. Or call the Manning Recovery Center at (712) 655-2300 and talk to a professional.

Bruce Named Outstanding Employee at MRHC

George Bruce

George BruceGeorge Bruce, IT Specialist at Manning Regional Healthcare Center (MRHC), was recognized for his exceptional performance and growth in his job and received the 2023 MRHC Outstanding Employee Award on May 10th. Bruce was nominated for the award by several of his co-workers who all agreed he not only meets but exceeds the criteria for this award.

The Outstanding Employee Award recognizes an MRHC employee who consistently performs a high quality of work and extra duties beyond those normally assigned, demonstrates a willingness to work with others and assist whenever needed, has a positive attitude, displays exceptional dependability, and creates a positive work environment. Characteristics that Bruce undeniably possesses, making him a popular nomination and an easy choice for the award.

In a nomination letter, one of Bruce’s co-workers commented that, “George is extremely passionate about his job and ensures that MRHC not only has a safe network but that users can access and do their work efficiently. He has gone above and beyond in the number of projects he has helped to implement in the time he has been here. We are so much safer and better off with him. I don’t know what we would do without George!”

Another co-worker commented that, “everyone at MRHC knows his laugh, and he’s built positive, collaborative relationships with employees all throughout the facility. I think most, if not all, would say that if George is working on their IT problem, they can expect a resolution. He continually puts in time outside of his core hours (evenings and weekends) and he is always there and available. There are so many technical things George has impacted that most employees don’t see or know about.”

In addition to assisting with technical needs and problem-solving for fellow co-workers, Bruce has also played an integral role in helping MRHC seamlessly introduce a new electronic health record system earlier this year.

“George’s technical knowledge is unmatched by anyone I’ve ever worked with and that shows in his quality of work,” said a fellow co-worker. “He has been instrumental in our EMR conversion, often serving as the subject matter expert for technologies, vendors, equipment, and systems that we don’t even own.”

Several of Bruce’s co-workers also shared how his personality, dependability, and commitment to MRHC make him the best choice for the Outstanding Employee Award.

“George is extremely dependable when it comes to finding answers or solving problems and he works tirelessly until he finds solutions for his peers,” a co-worker wrote. “He puts others’ wants and needs above his own and is always willing to lend a helping hand where needed. If there is a problem, he will not only fix it but go above and beyond to research how to prevent it from happening in the future. He is super knowledgeable, very approachable, and always willing to help. We are so lucky to have George at MRHC!”