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<strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong>


2<br />

<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 />

3<br />

<strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong> | 2011 Annual Report


4<br />

<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 />

5<br />

<strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong> | 2011 Annual Report


6<br />

<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 />

7<br />

<strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong> | 2011 Annual Report


8<br />

<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 />

9<br />

<strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong> | 2011 Annual Report


10<br />

<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 />

11<br />

<strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong> | 2011 Annual Report


12<br />

<strong>Pella</strong> <strong>Regional</strong> <strong>Health</strong> <strong>Center</strong> | 2011 Annual Report<br />

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.

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