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<strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong>
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<strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong> | 2011 Annual Report<br />
Randy Stravers, President<br />
Dave Chiles, Vice President<br />
Vivian Rippentrop, Secretary<br />
Bob Kroese<br />
Chief Executive Officer<br />
641–628–6604<br />
Jim Brandl, Treasurer<br />
Dr. Tim Yoder<br />
Dr Kevin Mace<br />
Barb Braafhart<br />
Chief Development Officer<br />
641–628–6625<br />
Lezlie Morris<br />
Chief Clinic & Medical Staff<br />
Services Officer<br />
641–621–2207<br />
Board of Trustees<br />
Administrative Team<br />
Credits<br />
Dr. Craig Wittenberg<br />
Dr. Matthew Morgan<br />
John Vander Wert<br />
Yvonne O’Brien<br />
Chief Nursing Officer<br />
641–628–6629<br />
Ron Wauters<br />
Chief Financial Officer<br />
641–628–6603<br />
Jessica Hamilton, Designer Cyndi Atkins, Writer Town Crier, Printer<br />
John Koolstra<br />
David Smart<br />
Ron Willemsen<br />
Chief Professional Services Officer<br />
641–628–6616<br />
Dr. Craig Wittenberg<br />
Chief of Medical Staff Affairs<br />
641–621–2405
Dear friends,<br />
At <strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong>, our first priority is<br />
to provide the absolute best care possible for our<br />
patients. Our patients are friends and family. They<br />
are neighbors we’ve known for years or the person<br />
who just moved in down the block. We feel like we<br />
know you and this knowledge only increases our<br />
desire to provide you with outstanding care.<br />
You’ve probably seen or read about the challenges<br />
facing healthcare today. Those challenges<br />
are huge. Increasing governmental regulation,<br />
decreasing Medicare reimbursements, diminishing<br />
payments from insurance companies are all part<br />
of our environment. But these are challenges we<br />
at <strong>Pella</strong> <strong>Regional</strong> are determined to overcome<br />
as we continue to find ways to provide the<br />
outstanding care that is our mission.<br />
I can look at the past year and point to many<br />
areas where we have met the challenge and<br />
found ways to succeed! For example, in 2011,<br />
more babies were born at <strong>Pella</strong> <strong>Regional</strong> than in<br />
any other year. We welcomed 377 babies into our<br />
labor and delivery suites where families can stay<br />
together from admission through discharge from<br />
the hospital.<br />
Our surgical department continues to grow. At<br />
<strong>Pella</strong> <strong>Regional</strong>, we saw and increase of 19 percent<br />
in the number of surgical procedures performed<br />
here in 2011 compared to 2010. With the<br />
additional of our da Vinci robotic surgical system<br />
and an increasing number of surgeons using our<br />
surgical rooms, we are able to provide many of<br />
the procedures patients need right here – close to<br />
home.<br />
We constantly strive to stay current in our<br />
technologies. In medical imaging, information<br />
services, the lab and surgery, we are finding the<br />
investments made in technology continue to help<br />
us provide you with the outstanding care you<br />
need.<br />
It’s true. We are facing many challenges. But we<br />
are determined to continue to find ways to provide<br />
the best services, the best doctors, nurses and<br />
therapists, the best care… for you. Thank you for<br />
your faith in <strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong>. We look<br />
forward to serving you for many years to come.<br />
Sincerely,<br />
Bob Kroese, CEO<br />
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<strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong> | 2011 Annual Report
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<strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong> | 2011 Annual Report<br />
Meet the<br />
Doctor<br />
Dr. John Kanis<br />
Joined <strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong>: 1982<br />
Medical School<br />
Des Moines University College of<br />
Osteopathic Medicine<br />
Internship<br />
Grand Rapids Osteopathic Hospital<br />
Medical Service<br />
Medical Director - <strong>Pella</strong> Community<br />
Ambulance<br />
<strong>Pella</strong> Corporation Executive Physical<br />
Program Physician<br />
Christian Opportunity <strong>Center</strong> Physician<br />
Marion County Medical Examiner<br />
Volunteer Physician at <strong>Pella</strong> Good<br />
Samaritan Free Clinic<br />
“It is a blessing in so many ways to deliver<br />
babies at <strong>Pella</strong> <strong>Regional</strong>,” said Dr. John<br />
Kanis. “It is an honor and privilege to<br />
share the excitement and anticipation the<br />
parents and family experience from the<br />
first knowledge of the pregnancy to the<br />
culmination of the joy at birth.”<br />
‘‘<br />
“I’ve known Dr. John [Kanis] all my life. He’s a<br />
family friend, and it’s just great when you know<br />
your doctor well enough to get a hug from him<br />
when your baby is born!”<br />
– Eric Vande Zande<br />
‘‘
A Family Affair: Babies at <strong>Pella</strong> <strong>Regional</strong><br />
It was a family reunion at <strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong><br />
<strong>Center</strong>’s obstetrics department in April. Within<br />
24 hours, Dr. Galyn Vande Zande rejoiced as first<br />
his son and his wife, and then his daughter and<br />
her husband, delivered two grandchildren at <strong>Pella</strong><br />
<strong>Regional</strong>. Galyn and his wife Lori, son Eric and<br />
his wife Angela, and daughter Allie Thomas and<br />
her husband Alex, welcomed Ryer Timothy Vande<br />
Zande and Lark Lillian Thomas on April 12 and<br />
April 13.<br />
Being born at <strong>Pella</strong> <strong>Regional</strong> continued a tradition<br />
for Eric. He was born here in 1982. Now four of<br />
his five children have also been born here. Ryer<br />
joined siblings Wayne David (age 2), Jenna Lauren<br />
(age 4), Gerrit Wilbur (age 5) and Bridget Dawn<br />
(age 7).<br />
“It’s been good here,” said Eric. “I’ve known Dr.<br />
John [Kanis] all my life. He’s a family friend, and<br />
it’s just great when you know your doctor well<br />
enough to get a hug from him when your baby is<br />
born!”<br />
Eric and Angela have lived most of their married<br />
life in <strong>Pella</strong>. They remember their children’s births<br />
and realized that they’ve even had the same<br />
nurses for some of their deliveries.<br />
Karen Westercamp, director of labor, delivery,<br />
recovery and post-partum care, said that OB<br />
nurses frequently help with the delivery of<br />
siblings.<br />
“Five of our nurses have worked her for more<br />
than 32 years,” said Westercamp. “We’ve even<br />
had the opportunity to deliver the grandbabies on<br />
occasion! The level of experience is impressive<br />
and very reassuring to the families as their<br />
children are delivered.”<br />
Allie and Alex Thomas both grew up in <strong>Pella</strong>. After<br />
graduation from <strong>Pella</strong> Christian High School, they<br />
attended Dordt College. Moving back to this area<br />
of the state was important, and they were happy<br />
to find jobs in nearby Newton.<br />
“Even though we were 30 minutes away, it was<br />
important to us to come back to <strong>Pella</strong> to have our<br />
first baby,” said Allie. “Dr. John [Kanis] has been<br />
my doctor since I was two. And coming here made<br />
it so easy for our families to stop in and visit.”<br />
For Dr. Galyn Vande Zande, the OB is like his<br />
second office. While he remembers years where<br />
he delivered 80-90 babies in a year, he has<br />
reduced his deliveries to only about 40 year. But<br />
each and every one is very special.<br />
“After every delivery, I take dad on a baby tour,”<br />
said Dr. Vande Zande. “I touch their head, look<br />
in the mouth, count their fingers and toes, and<br />
in general give these beautiful babies the Good<br />
Housekeeping seal of approval – all in front of<br />
dad. An exciting moment for both of us.”<br />
But for his grandchildren, Dr. Vande Zande only<br />
participated as Grandpa.<br />
“It’s different being Grandpa than it is being in<br />
control of a delivery,” said Dr. Vande Zande. “It’s<br />
more nerve wracking and yet exciting at the same<br />
time. I’m very thankful to see a healthy baby and<br />
mommy!”<br />
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<strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong> | 2011 Annual Report<br />
A Good<br />
Night’s Sleep<br />
“My wife told me I snored terrible bad,” smiles Ed<br />
Van Kooten of Sully. “Not anymore!”<br />
For Ed and his wife, there was an even greater<br />
concern than snoring. She was also concerned<br />
about pauses in his breathing as he slept. Over<br />
the years, Ed had become more restless in his<br />
sleep, and frequently woke up four or five times<br />
during the night. He decided to talk with his family<br />
physician at his annual exam. Dr. Ron Childerston<br />
recommended a Sleep Test at <strong>Pella</strong> <strong>Regional</strong> in<br />
our newly expanded Sleep Lab.<br />
“I came in for the test, and Abby Sink, the sleep<br />
technologist, hooked me up to a bunch of wires,”<br />
said Ed. “I couldn’t sleep worth a darn. But she<br />
came in at midnight and said she could see that<br />
I needed a CPAP machine. Finally at 3 am, I fell<br />
asleep. I slept like a baby! She had to wake me in<br />
the morning!”<br />
A CPAP machine provides continuous positive<br />
airway pressure for patients allowing free flowing<br />
air into passages. Many patients diagnosed with<br />
sleep problems use this machine on a nightly<br />
basis.
‘‘<br />
“It’s just kind of a miracle thing for me,” said Ed.<br />
“When I go to bed now, I feel relief because I<br />
know I’m going to wake up in the morning.”<br />
Dr. Jason Wittmer, medical director of <strong>Pella</strong><br />
<strong>Regional</strong>’s Sleep Lab, diagnosed Ed with sleep<br />
apnea, a life-threatening sleep disorder, in<br />
January. Sleep apnea is characterized by pauses<br />
in breathing that prevent air from flowing into or<br />
out of a sleeping person’s airways. The breathing<br />
pauses reduce blood oxygen levels, can strain the<br />
heart and cardiovascular system and increase the<br />
risk of cardiovascular disease. But the good news<br />
is that sleep apnea can be treated. In Ed’s case,<br />
the primary treatment was the addition of a CPAP<br />
machine to aid air flow while he sleeps.<br />
– Ed Van Kooten<br />
“Dr. Wittmer had me explaining what my nights<br />
were like,” said Ed. “He told me I needed a CPAP<br />
machine, and that I’d find out how different my sleep<br />
could be. He was right!”<br />
It’s estimated that over 18 million Americans suffer<br />
from sleep apnea, and 10 million American remain<br />
undiagnosed. Yet a simple night’s sleep in a sleep<br />
lab can quickly provide the data needed for accurate<br />
diagnosis and life-changing treatment.<br />
For Ed’s wife, the difference is amazing. She said<br />
that Ed is sleeping and much more relaxed at night.<br />
There’s no storing, and the restless jerking of covers<br />
does not happen anymore.<br />
“It’s just kind of a miracle thing for me,” said Ed.<br />
“When I go to bed now, I feel relief because I know<br />
I’m going to wake up in the morning.”<br />
‘‘<br />
Discover the<br />
Sleep Lab<br />
First opened at <strong>Pella</strong> <strong>Regional</strong>: 2002<br />
Moved to renovated and expanded location:<br />
2011<br />
Medical director: Dr. Jason WIttmer<br />
Number of furnished sleep rooms: 2<br />
Number of sleep tests monthly: 24<br />
New additions to the Sleep Lab:<br />
- State-of-the-art diagnostic equipment<br />
- Dedicated pulmonary rehab area<br />
- Dedicated pulmonary function lab<br />
- Asthma education area<br />
“The technology, staff knowledge and<br />
facility at <strong>Pella</strong> <strong>Regional</strong> is outstanding,”<br />
said Darren Shull, respiratory manager at<br />
<strong>Pella</strong> <strong>Regional</strong> since November 2011. “I’ve<br />
been in this field since 1991, and this is by<br />
far the high quality I’ve ever seen.”<br />
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<strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong> | 2011 Annual Report<br />
First in Iowa with Single Site<br />
Robotic Gallbladder Surgery<br />
<strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong> has joined the<br />
ranks of major medical centers offering single<br />
site robotic surgery this year. Until March, <strong>Pella</strong><br />
was the only hospital in Iowa with this latest<br />
technological breakthrough with general surgeon,<br />
Matt Morgan, D.O., one of fewer than 20 general<br />
surgeons in the nation trained in this area.<br />
“I view robotic surgery techniques as the best<br />
opportunity to get patients feeling better and back<br />
to work more quickly,” said Dr. Morgan.<br />
In the past thirty years, there has been a<br />
revolution in surgical techniques, beginning<br />
with the introduction of laparoscopy. For certain<br />
procedures, surgeons no longer create a large<br />
incision during surgery. Using small cameras and<br />
extended tools, surgeons could work through very<br />
small cuts to remove gallbladders or appendixes,<br />
fix hernias and more. For patients, laparoscopy<br />
was an amazing advance. The weeks or months<br />
of recovery time from large incisions was reduced<br />
to only days. The disadvantages of this procedure<br />
involved limited instrumentation and difficulty<br />
in accessing certain internal areas. In addition,<br />
surgeons experienced significant strain when<br />
performing multiple surgeries throughout the day.<br />
The introduction of robotic surgery in recent years<br />
changed surgery again. Robotic surgery combines<br />
the benefits of laparoscopy that patients<br />
experienced with significant benefits to surgeons<br />
as well. Surgeons are able to operate robotically<br />
with better precision, dexterity and control. In<br />
addition, surgeons experience significantly less<br />
strain doing multiple procedures daily. The latest<br />
addition is single site robotic surgery. This means<br />
there is only ONE incision, one place, usually at<br />
the belly button, where surgeons are entering the<br />
abdomen.<br />
“This type of technology is the future of<br />
health care,” said Bob Kroese, chief executive<br />
officer at <strong>Pella</strong> <strong>Regional</strong>. “We have made<br />
tremendous strides at <strong>Pella</strong> <strong>Regional</strong> with robotic<br />
surgery. Since adding the robot in 2010, both<br />
gynecological and urologic surgeons have used<br />
this state-of-the-art technology in the operating<br />
room. Over the past year, Dr. Morgan added<br />
general surgery, and completed training and<br />
performed the first single site robotic surgery in<br />
Iowa.”<br />
Meet the<br />
Doctor<br />
Dr. Matt Morgan<br />
Joined <strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong>: 2004<br />
Medical School<br />
Des Moines University College of<br />
Osteopathic Medicine<br />
Internship<br />
Mt. Clemens General Hospital; Mt.<br />
Clemens, Michigan<br />
Residency<br />
Mercy Medical <strong>Center</strong> in Des Moines<br />
Professional Memberships and Activities<br />
American College of Osteopathic Surgeons<br />
Iowa Osteopathic Medical Association<br />
Chair of Surgical Department<br />
Medical Trauma Director<br />
Director of Robotics Program<br />
Board Certification: American Osteopathic<br />
Board of Surgery<br />
“I view robotic surgery techniques as the<br />
best opportunity to get patients feeling<br />
better and back to work more quickly.”
Feeling Good Again<br />
For years, Sue Van Vark of <strong>Pella</strong> has dealt with<br />
acid reflux. There have been treatments, including<br />
a Toupet Fundoplication, or partial wrap of the<br />
stomach around the esophagus, at <strong>Pella</strong> <strong>Regional</strong><br />
<strong>Health</strong> <strong>Center</strong>.<br />
“I’d check with him annually,” said Sue. “We’d<br />
talk about my back pain, but one Sunday night, I<br />
dropped to my knees with such pain. My husband<br />
rushed me to the hospital. After four days, on<br />
morphine, the pain lessened, and I went home.”<br />
The doctors ran a number of tests during her stay,<br />
including a gall bladder check, but the greatest<br />
concern was for her acid reflux, and possibly<br />
needing additional surgery to help correct the<br />
problem. The on-call doctors at <strong>Pella</strong> <strong>Regional</strong><br />
prepared to send Sue to Iowa City for a surgical<br />
consultation. But Sue decided to check in with Dr.<br />
Morgan one more time.<br />
“Dr. Morgan said the gallbladder tests in the<br />
hospital were a little off,” said Sue. “It was<br />
possible this horrible pain was just my gallbladder.<br />
He offered me the choice of trying removing the<br />
gallbladder before going to this intense surgery for<br />
my acid reflux. I said, ‘Let’s try it.’”<br />
Dr. Morgan scheduled Sue for the new single-site<br />
robotic gallbladder surgery. Dr. Morgan was the<br />
first surgeon in Iowa to be trained and performing<br />
this procedure, and one of only 20 nationwide<br />
qualified to do this. For Sue, the results were<br />
spectacular.<br />
“I had the surgery on Wednesday,” said Sue. “On<br />
Friday, four of my grandchildren, including 10-weekold<br />
Fisher, came for the weekend. And really I<br />
could have gone to work on Thursday, but I had to<br />
run errands to get ready for the grandkids!”<br />
The following week, Sue was already back on the<br />
golf course on Tuesday and Wednesday.<br />
“After the surgery, I felt good!” said Sue. “And I’ve<br />
had no pain since. No pack pain, no burning, and<br />
no doubling over. The greatest compliment I can<br />
give to Dr. Morgan is that he listens. He looks a<br />
patient right in the eye, and really listens.”<br />
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<strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong> | 2011 Annual Report
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<strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong> | 2011 Annual Report<br />
New Beginnings<br />
Barb Braafhart started at <strong>Pella</strong> <strong>Regional</strong> as a<br />
student nurse in December, 1968 for $2 an hour.<br />
Since then, Barb Braafhart, RN, has worked in<br />
or managed nearly every department at <strong>Pella</strong><br />
<strong>Regional</strong>.<br />
Six years ago, Barb Braafhart was asked to<br />
take on a new challenge. The need for ongoing<br />
financial support was identified. With cuts to<br />
insurance reimbursements, looming federal<br />
healthcare reform, and the rising cost of care,<br />
financial support of our not-for-profit hospital was<br />
more vital than ever. Barb accepted the challenge<br />
to create and grow the <strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong><br />
<strong>Center</strong> Foundation. Over the past six years, over<br />
$3 million has been given to the Foundation!<br />
Barb looks back at her career at <strong>Pella</strong> <strong>Regional</strong><br />
and appreciates the constant challenges she has<br />
faced in her ever-evolving roles.<br />
“I never dreamed this is what I would do in my<br />
career,” said Barb. “I’ve always had an opportunity<br />
to do different things and I’ve really thrived on<br />
that.”<br />
At the end of May, Barb will be retiring from <strong>Pella</strong><br />
<strong>Regional</strong> leaving behind a legacy of caring and<br />
dedication at <strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong>.<br />
Meet<br />
Barb B.<br />
Chief Development Officer<br />
Joined <strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong>: 1968<br />
Nursing positions:<br />
- Med/Surg floor<br />
- OB<br />
- Emergency Dept.<br />
- Surgery Dept. (17 years)<br />
Varied management responsibilities:<br />
Quality Improvement, Risk Management,<br />
Safety, Nutrition Services, Environmental<br />
Services, <strong>Health</strong> Information Management,<br />
Plant Operations, Home <strong>Health</strong>, Hospice,<br />
Diabetes, Fair Haven East and <strong>Pella</strong> Manor,<br />
Occupational <strong>Health</strong>, <strong>Pella</strong> Hospital<br />
Auxilliary, Materials Management, <strong>Pella</strong><br />
Medical Clinic reception staff<br />
Since 2005, Barb established the <strong>Pella</strong><br />
<strong>Regional</strong> <strong>Health</strong> <strong>Center</strong> Foundation and has<br />
had oversight of:<br />
Volunteer Services, Spiritual Services,<br />
Public Relations, Gifts on Jefferson<br />
Giving through time,<br />
Giving in memory…<br />
When Mary Glendening retired from teaching in<br />
2006, she quickly found another job to keep her<br />
busy – <strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong> volunteer<br />
extraordinare!<br />
Mary first began at the information desk. It wasn’t<br />
long until she was asked to join the <strong>Pella</strong> <strong>Regional</strong><br />
Auxiliary Board. Additional duties soon included<br />
working at the Koffetijde Kart in the lobby and<br />
knitting charming hats for newborn babies.<br />
“I like the contact with people at <strong>Pella</strong> <strong>Regional</strong>,”<br />
said Mary. “I can’t tell you how many times I hear<br />
patients say that they haven’t been anywhere as<br />
nice as <strong>Pella</strong>, and they so appreciate the help that<br />
we provide in getting them to the right door and<br />
the right office.”<br />
Volunteers are in the hospital every day of the<br />
week. In an average week, over 228 volunteer<br />
hours are donated by caring individuals at the<br />
hospital information desk, Gifts on Jefferson, the<br />
clinics, surgery department, Hospice of <strong>Pella</strong>, long<br />
term care department, Hilltop Manor, and in many<br />
other areas.
“There are so many dedicated individuals who<br />
care and want to help,” said Beth Loux, volunteer<br />
coordinator at Hospice of <strong>Pella</strong>. “There are<br />
services we wouldn’t be able to offer without the<br />
volunteer support. We are so grateful for all they<br />
do for us.”<br />
For the Glendenings, volunteering was the first<br />
gift. With the building project underway in 2008,<br />
Mary and Rich honored her father’s memory<br />
through a gift to capital campaign. Henry Roorda,<br />
a lifetime <strong>Pella</strong> resident, saw the hospital built,<br />
and the facility held many memories for him.<br />
Supporting the hospital both financially and<br />
through Mary’s volunteer work is important to both<br />
of the Glendenings.<br />
“If I needed hospital care, this is the place I’d<br />
want to go,” said Mary. “I volunteer and give to<br />
ensure the continued outstanding care that <strong>Pella</strong><br />
<strong>Regional</strong> provides.”<br />
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Growth<br />
Pathway to Excellence Designation for <strong>Pella</strong><br />
<strong>Regional</strong><br />
<strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong> was the first<br />
hospital in Iowa to achieve the Pathway to<br />
Excellence® designation<br />
from the American Nurses<br />
Credentialing <strong>Center</strong> (ANCC).<br />
The Pathway to Excellence<br />
recognition is earned by<br />
health care organizations<br />
nationwide that create work environments<br />
where nurses can flourish. It demonstrates the<br />
professional satisfaction of nurses and identifies<br />
best places to work.<br />
www.pellahealth.org: New and Improved<br />
<strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong>’s new and improved<br />
web site - www.pellahealth.org - with easy to use<br />
navigation and additional interactivity is went live<br />
in 2011 and is designed to keep patients and<br />
communities up-to-date about <strong>Pella</strong> <strong>Regional</strong>.<br />
“We are continually innovating and improving our<br />
services and the new web site is the next natural<br />
step to keep our patients, their families and the<br />
community better informed of health information<br />
and the variety of services we provide,” said Bob<br />
Kroese, chief executive officer at <strong>Pella</strong> <strong>Regional</strong><br />
<strong>Health</strong> <strong>Center</strong>.<br />
Quality<br />
<strong>Pella</strong> <strong>Regional</strong>: A Level III Trauma Care Facility<br />
The Emergency Department at successfully<br />
completed the categorization and re-verification<br />
process to be re-certified for three years as a<br />
Level III trauma care facility.<br />
Iowa’s trauma system is designed to assure that<br />
all people throughout the state have access to<br />
an organized delivery system for trauma care and<br />
that critically injured patients are rapidly stabilized<br />
and provided with the appropriate resources<br />
necessary to care for their injuries.<br />
Exceeding the Standards<br />
Quality patient care is a hallmark of <strong>Pella</strong><br />
<strong>Regional</strong>. Each year, data is collected and<br />
reported to examine how <strong>Pella</strong> <strong>Regional</strong> compares<br />
to other hospitals in Iowa. Results show that <strong>Pella</strong><br />
<strong>Regional</strong> continues to exceed the standards of the<br />
state of Iowa.<br />
Medication errors or adverse drug events (ADE)<br />
are a serious public health condition that can<br />
often be avoided. <strong>Pella</strong> <strong>Regional</strong> has less than<br />
half the number of ADEs at 2.43 ADE per 10,000<br />
doses compared to the state average of 5.25.<br />
Pain management is critical to a positive patient<br />
experience. Patients in pain do not move as much<br />
and participate less in their care due to their pain.<br />
This can lead to pneumonia, longer hospital stays,<br />
and added expenses. According to quality data,<br />
patients report that pain is managed 72 percent<br />
of the time at <strong>Pella</strong> <strong>Regional</strong>, compared to 71<br />
percent statewide.<br />
Surgical site infections are not only financially<br />
costly to patients and hospitals, but are physically<br />
costly to patients. Incurring an infection from<br />
surgery can lead to prolonged healing, frustration,<br />
and additional visits to your physician. Reviewing<br />
hysterectomy procedures shows that only 1.43<br />
percent of patients incurred a surgical site<br />
infection at <strong>Pella</strong> <strong>Regional</strong>, compared to 1.53<br />
percent in Iowa overall.<br />
Pneumonia is serious condition that has been<br />
shown to have better outcomes when managed<br />
with a specific set of orders. Completing a<br />
vaccination of patients can reduce the occurrence<br />
of pneumonia. <strong>Pella</strong> <strong>Regional</strong> is successful in<br />
administering the vaccine 99 percent of the time,<br />
compared to the state average of 94 percent.<br />
Additional data on quality measures at <strong>Pella</strong><br />
<strong>Regional</strong> <strong>Health</strong> <strong>Center</strong> is available online at<br />
www.pellahealth.org under the “About Us” tab.
Service<br />
Serving our Patients<br />
Overall patient satisfaction is one element that <strong>Pella</strong> <strong>Regional</strong> receives from patient surveys.<br />
Survey results provide an indication of the overall experience the patient receives at each visit.<br />
<strong>Pella</strong> <strong>Regional</strong> achieved a 94.72 percent satisfaction score compared to an overall Iowa score<br />
of just 74 percent.<br />
Serving our Community<br />
Each year, <strong>Pella</strong> <strong>Regional</strong> prepares a Community Benefits Report that accounts for services<br />
needed by the community, but provided at a financial loss. In our 2010 report, our community<br />
benefits were valued at $5,713,420 and impacted at least 32,318 people.<br />
These benefits were:<br />
Charity Care at Cost $320,823<br />
Medicaid Shortfalls $2,888,135<br />
Financial Loss of Subsidized <strong>Health</strong> Services<br />
(Hospice, Home <strong>Health</strong>, Dialysis, Cardiac Services, Emergency<br />
$2,314,607<br />
and Trauma Services, Diabetes Management and Women’s Services)<br />
Community Improvement Services $26,688<br />
(<strong>Health</strong> Fairs, Screenings, Support Groups, Services to Special Populations)<br />
<strong>Health</strong> Professions Education $106,776<br />
(Clinical site for medical, nursing, pharmacy, technical and therapy students)<br />
Community Benefits Activities $1,669<br />
Financial and In-Kind Donations $54,722<br />
At <strong>Pella</strong> <strong>Regional</strong>, we have elected to follow recommended Community Benefits Guidelines,<br />
which EXCLUDE our Medicare shortfall and bad debt expense from our Community Benefit<br />
calculation. Our Medicare shortfall was $15,055,841 and bad debt expense was $1,067,353.<br />
People<br />
Top Iowa Workplace!<br />
<strong>Pella</strong> <strong>Regional</strong> was named an<br />
“Iowa Top Workplaces 2011” by<br />
The Des Moines Register. In the<br />
large company category, <strong>Pella</strong><br />
<strong>Regional</strong> ranked third for places<br />
employees want to work.<br />
“We have outstanding<br />
employees,” said CEO Bob Kroese. “I know our<br />
employees work hard to provide the best service in<br />
health care to all of our patients. And in turn, the work<br />
is rewarding to our employees.”<br />
New Physicians at <strong>Pella</strong> <strong>Regional</strong><br />
Dr. William Bitsas, family practice physician, joined<br />
the <strong>Pella</strong> <strong>Regional</strong> team and is practicing in Sully<br />
and Monroe. Dr. Bitsas graduated and completed his<br />
residency at Oregon <strong>Health</strong> Sciences University. Since<br />
then, he has worked in numerous roles as primary<br />
care physician in both hospital and clinic settings. He<br />
also has experience in emergency medicine.<br />
Dr. Tereasa Van Zee, family practice physician who<br />
also provides obstetric services, began practicing at<br />
<strong>Pella</strong> Medical Clinic in May. Dr. Van Zee, grew up in<br />
<strong>Pella</strong> and graduated from Des Moines University. She<br />
completed her internship and residency at Broadlawns<br />
Medical <strong>Center</strong> in Des Moines. Since then, she has<br />
been practicing in Newton.<br />
13<br />
<strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong> | 2011 Annual Report
14<br />
<strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong> | 2011 Annual Report<br />
neT operATing revenue<br />
Inpatient Revenue<br />
Outpatient Revenue<br />
$ 25,824,354<br />
Charity Care<br />
$ 91,999,822<br />
Other Revenue $ 1,425,723<br />
Cost of Compensated – All Insurance $ (48,379,887)<br />
Charity Care $ (617,827)<br />
Total Operating Revenues $ 70,252,185<br />
Cyndi Deal Atkins<br />
Jeff & Rita Bender<br />
Jim & Ole Blasi<br />
*Carl & Dody Boat<br />
Rick & Pam Boat<br />
Steven & Diane Boat<br />
Nelson & Elinor Bogaard<br />
Arie Boot<br />
Jim & Barb Braafhart<br />
Jim & Sue Brandl<br />
Bette Brunsting<br />
Dr. Rob & Alicia Bruxvoort<br />
*Donald & Barbara Butler<br />
*Jacob B. & Arvena Dahm<br />
Cassling Diagnostic<br />
Marsha Collins<br />
David & Sarah Cottington<br />
Robert Crozier<br />
Jim & Phyllis Danks<br />
Dan DeCook<br />
Mark & Kay DeCook<br />
Ralph & LuAnn De Haan<br />
Verlan & Karen Den Adel<br />
*Harold & Wilma Den Besten<br />
Financial Reports<br />
2011<br />
Inpatient Revenue<br />
Outpatient Revenue<br />
Other Revenue<br />
Legacy Society Members<br />
Cost of Compensated - All<br />
Insurance<br />
Gary Dirksen<br />
Lori & Mark Ellingson<br />
Charles S. Farver<br />
Joan Farver<br />
Dennis & Janet Fogle/Thistles<br />
Jolene & Kurt Furr<br />
Rich & Mary Glendening<br />
Graham Construction<br />
Dr. Matt & Kim Gritters<br />
John Harmeling Family<br />
Dr. Jeff & Pam Hartung<br />
Mel & Dorna Haught<br />
operATing expenses<br />
Wages/Fees/Benefits $ 43,427,677<br />
Supplies $ 13,116,976<br />
Utilities/Insurance $ Interest 1,722,128<br />
Lease/Rent Equipment/Building $ 1,199,060<br />
Bad Debt $ 1,656,434<br />
Depreciation $ 4,982,501<br />
Interest $ 2,422,264<br />
Total Operating Expenses $ 68,527,040<br />
Ned Hedrick<br />
Bruce & Sandy Heerema<br />
*Martin & Elva May Heerema<br />
Dr. Lee Henry<br />
Curt & Pat Hite<br />
Max Hoeksma<br />
Adah Hunziker<br />
*Francis C. & *Jeannette Huyser<br />
Iowa Pathology Associates, P.C.<br />
Ralph & Elaine Jaarsma<br />
Dr. John & Sandy Kanis<br />
Dr. Stewart & Jeanne Kanis<br />
Wages/Fees/Benefits<br />
Supplies<br />
Utilities/Insurance<br />
Lease/Rent<br />
Equipment/Building<br />
Bad Debt<br />
Depreciation<br />
Scott & Deb Kinney<br />
Barb Kniff Trust<br />
Bob & Nancy Kroese<br />
Shannon Krumm<br />
Marjorie Kuiper<br />
Dr. Dale & Lisa Lensing<br />
Wade & Lee Ann Magel<br />
Stu & Joyce McDanel<br />
David & Carla McFarland<br />
John & Pamela Menninga<br />
Menninga Electric<br />
Dr. Kenneth & Dorothy Monsma
$1,400,000<br />
$1,200,000<br />
$1,000,000<br />
$800,000<br />
$600,000<br />
$400,000<br />
$200,000<br />
$0<br />
Dr. Matt & Kim Morgan<br />
Mark & Lezlie Morris<br />
Bernie & Janet Naset-Payne<br />
Yvonne & *Pete O’Brien<br />
<strong>Pella</strong> Hospital Auxiliary<br />
<strong>Pella</strong> Rolscreen Foundation<br />
Bill & Uella Peters<br />
Rev. Larry & Karin Peterson<br />
Stan & Gayle Poortinga<br />
Precision Pulley & Idler<br />
Mark & Tammy Putnam<br />
David & Betsy Roe<br />
'2006 '2007 '2008 '2009 '2010 '2011<br />
For THe YeAr enDeD DeCeMBer 31, 2011<br />
ToTAL giving BY YeAr<br />
‘2006 $552,356<br />
‘2007 $686,156<br />
‘2008 $1,253,572<br />
‘2009 $359,198<br />
‘2010 $157,817<br />
‘2011 $367,289<br />
Total $3,376,388<br />
Capital<br />
Annual Funds<br />
Ervin & Andrea Roorda<br />
Hilda Rus<br />
Tim Sadler<br />
Mike & Carol Salter<br />
Schiebout Charitable Foundation<br />
Cory & Sandy Veenstra<br />
Siemens Building Technologies<br />
Dr. Aaron & Dr. Alison Smith<br />
Thyrza Steward<br />
Roger & Jinnie Stoll<br />
Dave & Ardie Sutphen<br />
Brian & Julie Thomas<br />
Foundation Giving Report<br />
2011<br />
Series1<br />
Education Endowment<br />
General Endowment<br />
Hospice Endowment<br />
Spiritual Services<br />
Endowment<br />
Dr. Michael & Ann Thompson<br />
Gary & Maurine Timmer<br />
K.C. & Gloria Valster<br />
*Keith & Joan Vande Krol<br />
Dennis & Joyce Vander Beek<br />
Drs. Dale & Nancy Vander Broek<br />
*Rua Vander Linden<br />
Lyle & Kathy Vander Meiden<br />
*Chuck & *Bernice Vander Ploeg<br />
*Bob & *Olive Vanderwal<br />
John & Phyllis Vander Wert<br />
*Margaret Van Vark<br />
giving BY DesignATion<br />
Capital $ 3,000<br />
Annual Funds $ 125,603<br />
Education Endowment $ 88,882<br />
General Endowment $ 22,642<br />
Hospice Endowment $ 120,445<br />
Spiritual Services Endowment $ 6,717<br />
Total $ 367,289<br />
Dorothy Vande Voort<br />
James & Christy Van Zee<br />
Dewey & Wilma Veenstra<br />
John & Jennie Veenstra<br />
Bob & Arlys Verdoorn<br />
*Verle Ver Dught<br />
John P. & Virginia Ver Meer<br />
*Gary & Matilda Vermeer<br />
*Harry & Bernice Vermeer<br />
Robert & Lois Vermeer<br />
Vermeer Charitable Foundation<br />
*Stan & Donna Vroom<br />
Capital<br />
Annual Funds<br />
Education Endowment<br />
General Endowment<br />
Hospice Endowment<br />
Spiritual Services<br />
Endowment<br />
Ron & Cherie Wauters<br />
Ken & Shirley Weller<br />
Ron & Cindy Willemsen<br />
John & Beverly Wisse<br />
Dr. Craig & Angie Wittenberg<br />
Dwight & Dolores Young<br />
Bob & Charlie Zylstra<br />
Glenn & Nancy Zylstra<br />
* Denotes deceased members<br />
15<br />
<strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong> | 2011 Annual Report
<strong>Pella</strong> Medical Clinic<br />
405 Monroe Street<br />
<strong>Pella</strong>, IA 50219<br />
(641) 621–2200<br />
Bussey Medical Clinic<br />
411 Merrill Street<br />
Bussey, Iowa 50044<br />
(641) 944–5813<br />
Knoxville Medical Clinic<br />
1208 N. Lincoln<br />
Knoxville, Iowa 50138<br />
(641) 828–3832<br />
pella regional <strong>Health</strong> <strong>Center</strong><br />
404 Jefferson Street, <strong>Pella</strong>, Iowa 50219<br />
641–628–3150 | www.pellahealth.org<br />
Our Family of Clinics<br />
Monroe Medical Clinic<br />
100 East Sherman<br />
Monroe, Iowa 50170<br />
(641) 259–2155<br />
Occupational <strong>Health</strong> –<br />
Newton Clinic<br />
321 E. Third St. N.<br />
Newton, IA 50208<br />
(641) 791–1538<br />
Sully Medical Clinic<br />
704 Third Street<br />
Sully, Iowa 50251<br />
(641) 594–3150<br />
Providing healthcare and healing services with Christian compassion.