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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:
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Skilled Nursing,
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Hospice
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Home Care Aides
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Companions
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Free Evaluations
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Senior Health
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Community Health
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Community Outreach
Skilled Nursing is
available seven days a week, 24-hours a day for the following health items:
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Dressing Changes
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Medication Management
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Ostomy/Catheter/IV Care
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Pain Control Therapy
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Drawing Blood for Lab
Work
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Diabetic Teaching/Care
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Bowel Care
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Vital Signs
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Health Teaching
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Specialized Care for
Terminally Ill
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Coordination of meals,
supplies, and medical equipment
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Supportive Therapy
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Physical Therapy
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Occupational Therapy
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Speech Therapy
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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:
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Child Immunizations
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Adult Influenza
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Tetanus/Diphtheria
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Lead Screening
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HOPES/Healthy Families
Iowa
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Communicable Diseases
Follow-up
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HIV/Aids Testing
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TB Screening and
Follow-up
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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:
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Realizing your baby’s
needs
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Caring for your baby’s
needs and still managing to take care of yourself too
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What to expect as your
baby grows
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Making your home ‘baby
safe’
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Encouraging ‘on-target’
development in your baby
Parents will also receive assistance in the following areas:
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Budgeting and Finance
Skills
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Arranging Transportation
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Effective Discipline for
your Child
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Ways to Continue your
Education
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Employment Opportunities
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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:
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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.
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Hotel inspections,
including bed and breakfast inns.
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Beer and Liquor
inspections.
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Food Service
Certification Course offered to food establishment owners, operators, and
employees.
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In-service training and
education upon request to food establishments and swimming pools.
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Onsite sewer system
inspections, recommendations and site surveys.
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Private water well
permits and inspections.
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Testing of private water
wells for bacteria and nitrates.
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Proper closure of
abandoned wells.
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Pool and spa
inspections.
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Lead Poisoning
Prevention Program with Lee County Community Nursing monitoring lead poisoned children.
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Radon awareness.
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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:
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Medical Supplies and
Equipment;
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Retail Pharmacy;
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Consulting Pharmacy;
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Wholesale Medical
Supplies;
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Oxygen Therapies;
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Specialty Rehab
Equipment;
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Uniforms;
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Nursing Homes; and
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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:
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Companions
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Therapist and Social Workers
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