Program areas at CMH
Revenue and expenses relating to outpatient departments that operate within Community Memorial Hospital. These departments include, but are not limited to, laboratory, radiology, operating and recovery room, and physical, occupational and speech therapy services. Each of these outpatient departments provides statistical information based on volume related to the specific service area and works in conjunction with services provided in the cmh medical clinic, emergency department and acute nursing services.
Acute nursing had 114 admissions in 2022. Cmh utilizes a company called mckesson's change healthcare for qualifying patients to determine if they meet inpatient admission criteria. The average length of stay for acute was 90.66 hours. This is well below the 96 hours threshold for critical access. There was a total of 458 acute patient days and 494 swing bed days in 2022.
Community Memorial Hospital (cmh) medical clinic continued to serve Sumner, ia and the surrounding area in the year 2022. On january 1, 2022, cmh completed the acquisition of the fredericksburg medical clinic, formerly known as fredericksburg family health clinic, llc,. This was previously an independent private practice with one physician in the clinic. Clinic volumes for 2022 include visits from this new clinic as well. Cmh clinic was staffed with 4 providers. The cmh clinic has two nurse practitioners and two physicians. In august 2022, one of the physicians from the cmh clinic left the practice and moved from the Community. This left only staffed providers in the clinic. Patients were served in many capacities including, but not limited to, well child visits, annual wellness visits, immunizations, routine pediatric care, shared maternity care, wound care, therapeutic injections and manipulation treatments. Patients ranged from newborn to geriatric. A 50-mile radius of Sumner was served with a total patient volume of 19,738 for 2022. In addition to clinic visits, our providers continue their service to surrounding nursing homes and assisted living facilities with patients seen monthly at hillcrest home in Sumner, maplecrest manor in fayette, tripoli nursing & rehab in tripoli, and cobblestone assisted living in Sumner. Other services to the Community were physicals for area firefighters and ems agencies and post-job offer physicals for five local businesses. Providers continue to take calls for the emergency department on a regular scheduled basis in the evening and on weekends throughout each month. Individuals from the Community are allowed to walk into the clinic for free blood pressure checks whenever needed. Providers avidly precept for student's various programs with chamberlain university, chicago il, university of Iowa hospitals & clinics, Iowa city, ia, des moines university in des moines, ia, purdue university and allen college, waterloo, ia taking advantage of this in 2022. The clinic hours are monday through friday 7 am to 5p.
The cmh emergency department served 1,786 patients in 2022. This is an increase of 220 patient visits from 1,566 visits in 2021. The number of physician hours spent in the emergency department increased from 4,146 in 2021 to 5,083 in 2022.the educational focus for 2022 centered around mock codes, education at nursing meetings, and presentation boards. The mock codes were completed by the emergency department lead. The subjects educated on with mock codes throughout 2022 were respiratory symptoms in a pediatric patient, cold exposure, chest tubes, overdoses, motor vehicle accidents, cardiac arrest, treatment of an infant using the broselow bag, angina, falls from an extensive height and ez-io access.education presented at the inpatient nurses' meetings in 2022 include pf ratios, diabetic ketoacidosis, hyperglycemic hyperosmolar syndrome, emtala, ring remover equipment, heparin infusions, potassium infusions, external catheters, norepinephrine infusions and using the one call now system. A guest speaker from the Iowa donor network presented information in may and a guest speaker from bremer county public health presented on mental health resources within bremer county in november of 2022.education presented at the surgery nurses' meetings in 2022 include olympus scope cleaning, carescape, malignant hyperthermia, local anesthetic system toxicity, fire extinguisher training, cardiac arrest, epic in-basket charting, mini sterilizer in-service, medtronic energy platform videos in-service, olympus elite training.community Memorial Hospital has a week in march where there are many education topics presented, known to the staff as march madness. In 2022 the topics were hazardous waste, traction splints, lab draws completed by nursing, carbon monoxide poisoning education, nasal atomizer, sedation competency, surgical patients overview, charting respiratory therapy charges within epic, bi-pap and vapotherm.2022 c.q.i - continuous improvement program projects in the emergency department were having all vital signs obtained in the first 15 minutes upon arrival in the emergency department, having two ivs in place when there is a code three transfer, assessing visual acuity with patients that present with eye injuries and completing blood transfusion documentation. Cqi projects on the inpatient floor were completing new medication documentation, offering alternative pain management options in addition or instead of pain medications, charting that the avs was given upon discharge, documenting pressure ulcer interventions and completing all parts of a patient discharge thoroughly. The cqi projects in the surgery department were completing all post calls, pre-operative checklists and intra-operative checklists.nursing initial or recertifications included: cpi or moab, hazmat, acls, bls, tncc, nrp, and pals.