|
SECTION M. HEALTH & HUMAN
SERVICES
INTRODUCTION
With an aging population the
available health and human services Lee County offers will become an
important deciding factor for many residents to remain in the county or to
move. The county needs to know what
services are currently offered to its residents and which ones are needed to
provide the residents with the best quality of life possible. This section will examine the current
health and humans services offered to the residents of Lee County.
HEALTH SERVICES
Lee County
Health Department
The Lee County Health Department provides the following services:
Home Care and Public Health Services; An Immunization Clinic; Lead Poisoning
Services; a Senior Health Calendar of Events; HOPES; and Environmental
Services, to residents of Lee County regardless of income, race, creed, age,
religion, physical or mental disability, illness, national origin or sexual
preference. Below is a brief
description of these services; please contact the Lee County Health
Department for further information.
Home Care and Public Health
There are seven different types of services under this category:
¨
Skilled Nursing,
¨
Hospice
¨
Home Care Aides
¨
Companions
¨
Free Evaluations
¨
Senior Health
¨
Community Health
¨
Community Outreach
Skilled Nursing is
available seven days a week, 24-hours a day for the following health items:
¨
Dressing Changes
¨
Medication Management
¨
Ostomy/Catheter/IV Care
¨
Pain Control Therapy
¨
Drawing Blood for Lab
Work
¨
Diabetic Teaching/Care
¨
Bowel Care
¨
Vital Signs
¨
Health Teaching
¨
Specialized Care for
Terminally Ill
¨
Coordination of meals,
supplies, and medical equipment
¨
Supportive Therapy
¨
Physical Therapy
¨
Occupational Therapy
¨
Speech Therapy
¨
Medical Social Worker
Hospice
provides in-home care and support for the terminally ill and their
families. Hospice enhances the ill
person’s quality of life by alleviating pain and other symptoms and by
providing physical, emotional, and spiritual support to the patients and
family. The Hospice team includes a
registered nurse; social worker; home care aides; medical director; chaplain,
volunteers; and bereavement support.
Home Care Aides
services make independent living possible.
The aides provide help with a variety of daily needs, including both
personal care and homemaking assistance.
Companions provide
custodial supervision, physical and emotional support and security to clients
within their own homes. The focus of
the service is to prevent family disruptions and prevent or postpone the need
for admission to the hospital or nursing home.
Free Evaluations are
provided to help gauge a person’s heath care needs.
Senior Health provides
programs to assist with a healthy senior lifestyle through physical
assessments; health education; health screening; and foot care.
Community Health
encompasses a wide range of services:
¨
Child Immunizations
¨
Adult Influenza
¨
Tetanus/Diphtheria
¨
Lead Screening
¨
HOPES/Healthy Families
Iowa
¨
Communicable Diseases
Follow-up
¨
HIV/Aids Testing
¨
TB Screening and
Follow-up
¨
Health Education
Programs
Community Outreach is a
constant goal of the department. They
strive to keep updated with the needs of Lee County residents and work in
collaboration with other local and state organizations to maximize resources.
Immunization Clinic
The department provides a clinic for the immunization of children
without charge to the parents.
Lead Poisoning
Provides important information for parents on how to detect and
prevent lead poisoning in children and how to have them treated.
Senior Health Calendar of Events
The department informs the senior citizens of Lee County where and
when they will provide monthly foot care, blood pressure and blood sugar
screenings, and an educational program at adult health and wellness clinics.
HOPES
Healthy Opportunities for Parents to Experience Success (HOPES) is a
voluntary and convenient way for parents to get assistance in caring for
their baby by making scheduled in-home visits by a Family Support
Worker.
Parents in the program will be given practical information on:
¨
Realizing your baby’s
needs
¨
Caring for your baby’s
needs and still managing to take care of yourself too
¨
What to expect as your
baby grows
¨
Making your home ‘baby
safe’
¨
Encouraging ‘on-target’
development in your baby
Parents will also receive assistance in the following areas:
¨
Budgeting and Finance
Skills
¨
Arranging Transportation
¨
Effective Discipline for
your Child
¨
Ways to Continue your
Education
¨
Employment Opportunities
¨
Using Community Services
Environmental Services
The Environmental Services staff consists of the Environmental
Director, two sanitarians, one food inspector, and one part-time food
inspector. This staff provides the
following services to promote, preserve and protect the health of all Lee
County residents:
¨
Food inspections of
restaurants, taverns, grocery stores, convenience stores, concession stands,
warehouses, food processing plants, schools, correctional facilities,
temporary food stands, mobile units, vending machines.
¨
Hotel inspections,
including bed and breakfast inns.
¨
Beer and Liquor
inspections.
¨
Food Service
Certification Course offered to food establishment owners, operators, and
employees.
¨
In-service training and
education upon request to food establishments and swimming pools.
¨
Onsite sewer system
inspections, recommendations and site surveys.
¨
Private water well
permits and inspections.
¨
Testing of private water
wells for bacteria and nitrates.
¨
Proper closure of
abandoned wells.
¨
Pool and spa
inspections.
¨
Lead Poisoning
Prevention Program with Lee County Community Nursing monitoring lead poisoned children.
¨
Radon awareness.
¨
Inspections of tanning
beds, funeral homes, and tattoo parlors.
Fort Madison Community
Hospital
Fort Madison Community Hospital (FMCH) is an accredited, fully
equipped 50-bed “Primary Care” facility.
Built on a 20-acre site at the west end of Fort Madison, it is
situated near the junction of Highways 2 and 61, providing easy access for
all area residents. It is managed by
Quorum Health Resources, Inc. of Nashville, Tennessee, and governed by a
local Board of Directors. Chief
Executive Officer is James Platt, who heads an administrative team that
includes a Chief Financial Officer, Director of Nursing, Director of Employee
Operations and Director of Health Information. FMCH employs more than 300 people.
A modern, one-story facility, the hospital was designed using the
“medical mall” concept, with everything contained on one level. Constructed in 1986, it was built to
replace an 80-year old structure on Avenue H, the former Sacred Heart
Hospital, which was operated by the Sisters of the Third Order of Saint
Francis.
When the current FMCH facility was built, it
included more than 58,000 square feet.
Since then, several remodeling projects and additions have been
completed to keep the hospital up-to-date with changing healthcare trends and
patient needs.
Today, the campus of the hospital complex includes the inpatient
hospital facility, a three-track Emergency/Outpatient center, an adjoining
Professional Office Building, plus a Family Practice Clinic. The modern, brick exterior fits well into
the surrounding landscape, which is accented by one of the area’s colorful,
tree-lined bluffs. The interior of
FMCH is both comfortable and aesthetically pleasing. Accented by soft-hued carpeting, the
facility features three large skylights and a quiet, outdoor courtyard that
lies nestled between the patient rooms and the surgical wing.
The modern, high quality care
available through FMCH covers all phases of a patient’s life. This includes a full range of diagnostic laboratory and
radiological services such as Mammography, Magnetic Resolution Imaging (MRI),
CT Scanning, Bone Densitometry, and Nuclear Medicine. There is also a high-tech SurgiCenter
within the facility, equipped to accommodate both inpatients and ambulatory
patients who return home shortly after surgery. Likewise, care for patients needing respiratory, physical,
occupational, or aquatic therapy is available on both an inpatient and
outpatient basis.
The combined Emergency Room and
Annex Outpatient Center offers regular 24-hour emergency care, routine
medical clinic services, and basic outpatient care that included Worker’s Compensation
and Case Management for area businesses and industries. A portion of this unit is also equipped to
provide oncology care in a relaxed setting that features a scenic view of the
nearby bluff.
Family-centered maternity care
at FMCH is offered through the Birthplace.
The homelike atmosphere of this attractively furnished unit enables
patients to receive their labor, delivery, recovery and postpartum care all
in the same room. Entire families are
welcome in this unit, including grandparents.
The FMCH Family Practice
Clinic, built in 1997, also caters specifically to family needs. “Fort Madison Family Physicians” of FMCH
boast 6 physicians including a gynecologist and internist available to meet
all of your family’s healthcare needs.
For other, more specialized
healthcare needs, FMCH also has a Medical Clinic that is comprised of 2
general surgeons.
FMCH also maintains a highly
popular, three-phase Cardiopulmonary Rehabilitation programs for patients
with either pulmonary or cardiac problems. Our Physicians’ Specialty Clinic is popular as well. This clinic brings a number of physician
specialists into the area on a regular basis. Among them are cardiologists, dermatologists, oncologists,
urologists, neurologists, and EMTs.
The Sleep Disorders Center is
used to diagnose patients with chronic sleep problems. Patients spend the night in a comfortable,
queen-size bed where they are monitored while they sleep by a computer device
used to record sleep patterns. The
data is then analyzed and scored by a trained sleep disorders physician who
makes the patient’s diagnosis.
The ever-growing Home Health
Care program of FMCH enables patients to receive home visits from Registered
Nurses, specialists in speech, occupational, physical or respiratory therapy,
social workers, homemaker aides, and companions. FMCH Home Health Care is Medicare certified and now available
to Iowa residents living in Lee, Des Moines, Van Buren, and Henry County.
Although, the hospital’s
regular, full-time Medical Staff is comprised of over 60 physicians
representing more than a dozen different specialties. A skilled team of over 200 nurses,
technologists, therapists, technicians, and nursing assistants backs their
expertise.
At FMCH, the staff is
continually seeking new ways to best meet the healthcare needs of area
residents. Physician recruitment
remains an ongoing effort to keep expanding the service and care options
available in the area. Continuous
Quality Improvement (CQI) is an ongoing effort as well, with several teams
constantly working within the hospital to improve both patient care and the
way that care is provided to all those served by the hospital. As a result of such efforts, FMCH garnered
high marks during its most recent visit by a nationwide team from the Joint
Commission on Accreditation of Healthcare Organizations. And once again, FMCH achieved the Joint
Commission’s accreditation status.
Keokuk Area Hospital (KAH) is
located at 1600 Morgan Street in Keokuk, Iowa. KAH is a full-service community hospital that operates as a
charitable 501 (c) (3) not-for-profit organization under the direction of a
volunteer Board of Trustees. KAH is
the result of a merger of Graham Hospital and St. Joseph’s Hospital in
1977. The merged entity (KAH) came to
the Graham campus, and built a new facility, which opened in 1981. The hospital facility is composed of a
120,000 square feet, multi-story building complex with the following
component of inpatient beds (total 125):
63 Acute Medical/Surgical Beds; 8 Critical Care Beds; 14 Psychiatric
Beds; 20 Skilled Nursing Beds; 8 Obstetrical Beds; and 12 Nursery Bassinets.
The hospital has had several
major additions and renovations since opening, the latest being the
Ambulatory Care addition in 1996. The
entire facility is in compliance with all applicable Life Safety Code
requirements. The facility is
licensed by the State of Iowa and is fully accredited by the Joint Commission
on Accreditation of Healthcare Organizations (JCAHO) with the latest survey
being conducted in 2001. The College
of American Pathologists (CAP), American College of Radiology (ACR) and
numerous other regulatory and accrediting bodies also accredit the hospital.
In addition to the full compliment of inpatient services, the hospital
provides a complete array of outpatient services including ambulatory
surgery, chemotherapies, rehabilitative services (PT, OT, Speech Pathology),
industrial medicine, 24-hour emergency services, trauma center, Respiratory
therapies sleep beds, home health care services, private duty-in-home
assistance and all of the diagnostic services (labs, x-ray, nuclear medicine,
CT, mammography, ultrasound, MRI, Lithotripsy, etc.) associated with a full
service community hospital.
The hospital maintains educational
affiliations with the University of Iowa School of Medicine, Washington
University School of Medicine in St. Louis, Southeastern Community College
(Nursing and Lab Techs), Indian Hills Community College in Ottumwa (Radiology
Techs, Medical Records Administration) and other educational training
programs for health professionals.
The hospital is an accredited provider of Category 1 Continuing
Medical Education and maintains a full service medical library and resource
center and many community health programs and services.
The facility cares for
approximately 4,000 inpatients and 45,000 outpatients each year with an
average daily inpatients census of about 55 to 60 patients. Approximately 3,000 surgical procedures
are done each year with almost 70 percent of those being done on an
outpatient basis. The facility has
about 40 physicians (M.D.’s & D.O.’s) on their active medical staff and
another 30 to 40 on their consulting and courtesy staffs in a long list of
primary care and specialty areas of practice. About 20 percent of the hospital’s patients come from Missouri,
and another 15 to 20 percent from Illinois.
Total employment within KAH is
about 475 at this time. The
workforce, like our patient base, comes from the entire tri-state region
including northeast Missouri and east central Illinois.
The Keokuk Area Hospital is a part of a larger organization known as
Keokuk Health Systems. The following
are the other components of this mentioned health system. All of these entities fall under the
direct responsibility of the Keokuk Health System Board of Directors, who has
the authority and management oversight roles of the entire system.
Keokuk Area Medical Equipment and Supply, Inc. (KAME)
KAME is a for-profit durable medical equipment business with a
central office in Keokuk at 515 Main Street.
The business is a provider of durable medical equipment, supplies, and
pharmaceuticals for sale and rental to patients, physician offices, nursing
homes, and industrial clients. Major
business lines include:
¨
Medical Supplies and
Equipment;
¨
Retail Pharmacy;
¨
Consulting Pharmacy;
¨
Wholesale Medical
Supplies;
¨
Oxygen Therapies;
¨
Specialty Rehab
Equipment;
¨
Uniforms;
¨
Nursing Homes; and
¨
Home Care IV Therapies.
The business provides these services actively in a 75-mile radius of
Keokuk and has service outlets in Fort Madison and central Illinois. The business employs approximately 40
people and is planning a major building project on the hospital campus this
year and moving all their operations to that site.
Tri-State Medical Group, Inc. (TSMG)
TSMG is a subsidiary of KHA involved in the employment and operations
of physician clinics in the tri-state region. It is a not-for-profit foundation model clinic with a separate
volunteer Board of Directors. The
organization operates three clinics, one in Keokuk at 400 North 17th
Street on the hospital campus (built in 1997), one in Hamilton, Illinois
(built in 2000) and one in Warsaw, Illinois (built in the 1960s). The organization employs 9 physicians, 1
nurse practitioner and 1 physician assistant. In addition, the TSMG organization employs 35 related health
professionals (nurses and techs) and support staff. The organization provides a full array of physician and clinic
services in Family Practice, General Surgery, Pediatrics, and Orthopedics as
well as Industrial Medicine and outpatient testing for local employer
groups. TSMG providers are
participants in Medicare and Medicaid programs as well as most third party
insurance plans in the area.
Keokuk Area Hospital Foundation (KAHF)
This is a KHS subsidiary involved in seeking and managing endowments
for the health system entities. It
has a separate Board of Directors and no formal employees. It is administered through the health
system administration and is a 501 (c)(3) charitable organization.
Keokuk Area Hospital Organized Delivery System (KAH-ODS)
This organization is an insurance company organized under the special
section of Iowa Code, which
allows community organizations to own and operate health insurance products
in a defined geography. The KAH-ODS
is licensed in Lee and Van Buren Counties and has no formal employees. It is staffed by KHS Administration and
through an agreement with Cady Insurance Company in Burlington who acts as
the third-party administrator and marketing wing for the plan.
Southeastern Renal Dialysis, LLC (SRD)
SRD is a joint venture between KAH, Ft. Madison Community Hospital,
Great River Medical Center and Henry County Health Center, each being a 25
percent partner. The organization operates
three kidney dialysis centers in southeast Iowa, one in Mt. Pleasant (the
original unit at the hospital there), one in Burlington (built in 1999), and
one in Keokuk (built in 2000). The
centers provide life-saving renal dialysis services to over 100 patients in
the region and have gross revenues of approximately 5 million each year and
employ about 25 people in the three sites.
Regional Private Health Services, Inc. and Regional Home Health Care,
Inc. in Donnellson
This service provides
comprehensive quality client and client/family centered care in the client’s
home. They promote the client’s level
of independence. Their goal is to
restore, maintain, and promote the client’s health in their own home.
Private care is the economical
alternative to hospitalization, nursing homes, or assisted living
facilities. These two entities
provide the following services:
¨
Companions
¨
Therapist and Social Workers
¨
Home Health Aides
¨
Registered Nurses
¨
Licensed Practical Nurses
Services offered are as
follows:
¨
Bathing
¨
Personal Care
¨
Cooking
¨
Cleaning
¨
Assist Transportation
¨
Laundry
¨
Errand Running
¨
Shopping
¨
Companionship
¨
Assist with other activities of daily living
¨
Medication set-up and instruction
¨
Diabetic care (prefilling insulin syringes,
instructing blood sugar machines, giving insulin injections, diet
instruction, foot care)
¨
Venipuncture for lab work
¨
Medication injections.
Medicare, Medicaid, and Private
Insurance may cover some of the offered services. Personalized care is available 24 hours a day, 7 days a week. There is no minimum or maximum block of
time required. Servicing six counties
in Iowa: Lee, Henry, Des Moines, Van Buren, Louisa, and Jefferson, and three
counties in Missouri (Clark, Scotland, and Lewis).
Donnellson Health Center
The Donnellson Health Center opened in 1975 and is an Eden
Alternative facility. The facility
has 73 beds, 20 of which are the Alzheimer’s Unit. They offer skilled nursing, as well as ICF intermediary
care. The facility is licensed for
Medicare and Medicaid. Meals on Wheels
are available on a limited basis.
Free blood pressure checks are also available at the center; however,
they cannot handle patients on ventilators.
In 1990, Inhance Corporation
took over the center. EMS ambulance
service began in 1995. The main office
is in Donnellson, with two-satellite offices throughout Lee County. They provide basic and advanced life
support. The service employs
full-time paramedics and they have 12 lead EKGS for the diagnosis of heart
attacks and chest pain victims, which runs through the cell phone to the
hospital.
Montrose Health Center
Opened in 1975, this 68-bed nursing home is a skilled unit. It employs about 50 staff.
West Point Care Center
This care center is a state
licensed 51-bed nursing facility. It
originally opened in March 1976 and it located at 607 North 6th
Street in West Point.
The licensed nursing home
provides N.F. level of care to primarily an elderly population. This facility is Medicaid certified, but
does not provide Medicare services.
The staff levels at the care
center fluctuate between 50 and 55 employees consisting of registered nurses,
licensed practical nurses, certified nurse aides, cooks, dietary aides,
housekeepers, laundry workers, maintenance, activity professionals, social
services workers and administrative staff.
Keokuk Convalescent Center
This 30-year-old facility is a
skilled nursing home. It is located
at 500 Messenger Road in Keokuk.
Services provided are Medicare,
Medicaid, and private pay. It has
occupancy of 126 beds and has a staff of 100 to 105 persons.
River Hills Village-Keokuk
This facility is only 1 ½ years
old and provides an individual living, assisted nursing home. The facility has a capacity for 135
persons and is currently full. It
employs 110 persons.
HUMAN SERVICES
Lee County Department of Human Services
The Lee County Department of
Human Services provides two types of assistance to the residents of the
county: economic assistance and child protective assistance.
Economic Assistance
The Department of Human Services
of Lee County offers three kinds of economic assistance to its residents: The
Family Investment Program, The Food Stamp Program, and Medicaid. The following is a brief description of
these programs; please contact the Lee County Department of Human Services
for further information.
The Family
Investment Program (FIP) replaced Aid to Dependent Children (ADC) in
Iowa. This program’s goal is to help
people leave poverty and become self-supporting. FIP offers training or education, allows the person to keep and
save more of the money they earn, and teaches them how to deal with the
problems their family may face.
FIP assistance is an equal
opportunity program available to families, one-parent families, and to
relatives caring for children whose parents are absent.
The Food Stamp
Program
helps low-income people buy the food they need for good health. A person qualities for food stamps if
they:
·
Work for Low Wages
·
Are Unemployed or Work Part Time
·
Receive Welfare or Other Assistance Payments
·
Are Elderly or Disabled and Live on a Small
Income
·
Are Homeless
Medicaid is an assistance program, which
pays for covered medical and health care costs of persons who qualify. The Medicaid program is funded by the
federal and state governments and is managed by the Iowa Department of Human
Services.
“Medically Needy” is a program
designed to provide medical coverage for a person if they have either limited
income or high medical expenses that use up most of their income. If a person has too much income or resources
to be eligible for case assistance, but not enough to pay for medical
expenses, you may qualify under the Medically Needy Program.
Child
Protective Assistance/Services to Families and Children
The Lee County Department of
Human Services provides nine services for families and children: Adoption
Services; Family-Centered Services; Family Foster Care; Family Preservation;
Group Care; Protective Services; Shelter Care; Supervised Community
Treatment; and Wrap-Around Services/Supports. The following is a brief description of these programs; please
contact the Lee County Department of Human Services for further information.
Adoption
Services are
designed to provide a secure permanent adoptive home for children under the
guardianship of Department of Human Services (DHS) when the parental rights
of their birth parents have been terminated.
Services include recruitment of families for special needs children,
purchasing adoption services from licensed private child placing agencies and
registering special needs children in the Iowa Adoption Exchange, the
National Exchange, the Iowa Foster and Adoptive Parent Association newsletter
and the Iowa’s Photo listing Book in an effort to recruit adoptive homes.
Family-Centered
Services are
interventions designed to prevent or treat child abuse, neglect, and
delinquency, to prevent or reduce out-of-home placements and maintain family
reunification. In the family-centered
program, the rehabilitative treatment service components are: therapy and
counseling, restorative living, family and social skill development and
psychosocial evaluation services.
Also two supportive service, supervision and MR/DD respite services
are available in this program.
Family Foster
Care services
provide 24-hour temporary care for children unable to remain in their own
homes, while also offering services to families of children in order to
implement plans for permanent placement.
The rehabilitative treatment service components in this program are:
therapy and counseling, social skill development, restorative living skills,
family skills development and behavioral management services. This program also provides supportive
services such as supervision services; foster family home studies and
maintenance.
Family
Preservation is a highly intensive and time-limited in-home service
intervention that was developed to prevent out-of-home placement of
children. Services are tailored to
meet the individual needs of families in crisis and consist of one or more of
the following components: therapy and counseling, skill development and
psychosocial evaluation. Supervision,
transportation and community resource building services are also available to
families.
Group Care services are highly structured
24-hour treatment services and supervision in a licensed group care
facility. Children placed in-group
care cannot be served in less intensive levels of care due to the intensity
or severity of their emotional or behavioral problems. The rehabilitative treatment service
components in this program include: therapy and counseling, social skill
development, restorative living skills, and family skills development. Supportive services include supervision
services and maintenance. These
facilities offer a variety of treatment modalities, but all offer counseling
and skill development services.
Protective
Services typically
begin with a prompt assessment of a report of child abuse. If necessary, rehabilitative services may
be provided so that the family can remain intact without immediate danger to
the child or, when necessary, a child may be removed from the home. Adult evaluations are conducted when an
adult abuse report is made.
Shelter Care services are usually of an
emergency short-term nature until they can be returned home or to the other
permanent arrangement. Shelter care
services are designed to provide crisis intervention and daily supervision,
protecting the child and meeting immediate needs, rather than providing
long-term treatment of problems.
Supervised
Community Treatment provides comprehensive multi-disciplinary treatment
services in a structured setting.
Services are closely coordinated and integrated with the school
system. Youth participate in the
program for four to six hours a day for five to six days a week for an
average of ten months. Services are
targeted for youths ages 9 through 17 who are experiencing significant
behavioral or emotional problems, who are adjudicated delinquent or who are
at risk of delinquency.
Wrap-Around
Services/Supports are individualized services or supports, necessary in
order for a child’s group care placement to be prevented or reduced in
length, that are unavailable through other avenues of funding. Wrap-around services/supports are designed
to be individualized, community-based and focused on the basic needs of the
children and their families.
|
