Program areas at CMH
Revenue and expenses relating to 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 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.
The cmh emergency department served 1,823 patients in 2023. This is an increase of 37 patient visits from 1,786 visits in 2022. The number of physician hours spent in the emergency department decreased from 5,083 in 2022 to 4,720 in 2023.the educational focus for 2023 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 2023 were spinal cord injuries, anaphylaxis, seizures and intubation preparation for pediatrics, respiratory distress and failure, cardiac arrest, carbon monoxide poisoning, and asthma attacks. Education presented at the inpatient nurses' meetings in 2023 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.i looked through my meeting minutes for these. Items educated on were dka, bronchoscopes, bladder scans, phishing emails, i-gels (supraglottic airway device), medication waste, oxygen, giving platelets. In january, there was a presentation by a speaker on emtala basics. In february, there was a speaker from the sexual assault response team that spoke about how to care for those that have been sexually assaulted. In june, we had a presenter come from the Iowa donor network. In july, there was a hospice service that came to speak. In december, a speaker came to talk about their helicopter service. Education presented at the surgery nurses' meetings in 2023 included vocera functions and glidescopes. Community Memorial Hospital has a week in march where there are many education topics presented, known to the staff as march madness. In 2023 the topics were care for the hypothermic patient, cardiac arrest, shortness of breath, diabetes, agitated patients, and interosseous access.2023 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, assessing visual acuity with patients that present with eye injuries, and completing callbacks to patients within 72 hours. Cqi projects on the inpatient floor were completing dual skin assessments, having patient personal belongings marked as sent home, and completing inpatient callbacks within 72 hours.the cqi projects in the surgery department were the providers completing the provider interval note prior to the patient procedure. The cqi goal for the infusion department was completing documentation on blood transfusion patients accurately. Nursing initial or recertifications included:bls, moab, hazmat, acls, pals, tncc, and nrp.
Community Memorial Hospital (cmh) medical clinic continued to serve Sumner, ia and the surrounding area in the year 2023. 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 2023 include visits from this new clinic as well. Cmh clinic was staffed with 6 providers. The cmh clinic has two nurse practitioners and four physicians. 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 17,506 for 2023. 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 seven local businesses. Providers continue to cover the needs of the emergency department on a regular scheduled basis through the evening and on weekends 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, and the university of Iowa hospitals & clinics, Iowa city, ia, taking advantage of this in 2023. The clinic hours are monday through friday 7 am to 5 pm.
Acute nursing had 82 admissions in 2023. 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 69.67 hours. This is well below the 96 hours threshold for critical access. There was a total of 242 acute patient days and 547 swing bed days in 2023.