Author: Amy Speed

Guttenberg Municipal Hospital & Clinics Recognized Two Consecutive Years for Performance Leadership by The Chartis Center for Rural Health

As part of National Rural Health Day, Guttenberg Municipal Hospital & Clinics has been recognized with two 2024 Performance Leadership Awards for excellence in Quality and Patient Perspective. Compiled by the Chartis Center for Rural Health, the Performance Leadership Awards honor top quartile performance (i.e., 75th percentile or above) among rural hospitals in Quality, Outcomes and/or Patient Perspective.

“At Guttenberg Municipal Hospital & Clinics, we’re honored to consistently receive awards recognizing the exceptional care our patients experience. This is a testament to the outstanding professionalism and dedication of our team,” said Tim Ahlers, FACHE, CEO. “We couldn’t be prouder to serve our communities with excellence.”

The Performance Leadership Awards are based on the results of the Chartis Rural Hospital Performance INDEX®, a comprehensive and objective framework for assessing how rural hospitals are performing. INDEX benchmarks are relied upon by rural hospitals, health systems with rural footprints, hospital associations, and state offices of rural health to measure performance across multiple areas impacting hospital operations and finance.

“The Performance Leadership Awards capture the commitment, diligence, and innovation with which America’s rural hospitals approach the delivery of care within their communities,” said Troy Brown, Network Consultant, The Chartis Center for Rural Health. “It’s a tremendous honor to be able to recognize the efforts of this year’s award winners and celebrate their achievement.”

Guttenberg Municipal Hospital & Clinics (GMHC) has been a committed member of the Guttenberg community since its founding more than 60 years ago. A Critical Access Hospital, licensed to deliver acute, skilled, observation and hospice inpatient care, the 25-bed hospital offers a wide range of services to help the community live healthier. GMHC provides primary medical care for patients of all ages through Cornerstone Family Practice with clinics in Guttenberg, Edgewood and Garnavillo. GMHC operates the community ambulance service and supports area trauma care via a state-certified Level IV Community Trauma Center. The Family Resource Center is an extension of GMHC and offers a variety of services to increase access to health and human services for families in the surrounding areas.

For more details about the Chartis Rural Hospital Performance INDEX, contact Billy Balfour at wbalfour@chartis.com.

Audie’s Story

Most people who know Audie see him as a quiet person, but behind this demeanor he’s very competitive—especially with himself.

Back in 2019, Audie set an impressive goal for himself: to walk a minimum of 13,000 steps each day, which adds up to just over 5 ¾ miles. This daily challenge was one he committed to wholeheartedly, as he pushed himself to maintain his routine rain or shine. His dedication to his goal was so strong that he didn’t miss a single day until November 27, 2023, when he underwent open-heart surgery—a temporary pause in his journey to better health.

In 2023, during a check-up with Dr. Hoffmann—just one week before the doctor retired—concerning issues came to light. Audie scheduled a follow-up appointment with Cardiologist Dr. Ramabadran (Dr. Ram.) to further investigate his condition, which revealed severe stenosis and a needed aortic valve replacement.

Even though open-heart surgery was the best option for his condition, Dr. Ram believed that Audie’s commitment to daily exercise may have played a significant role in masking the severity of his heart condition. His consistent daily walking routine likely kept his body strong and resilient, making it difficult for him to feel the full impact of the severe stenosis. Audie’s dedication to staying active might have minimized symptoms, underscoring the powerful impact of regular exercise on overall health—even when underlying issues are present.

After his surgery last November, Audie requested to complete his rehab at GMHC. Dr. Ram, who also serves as a cardiology specialist at GMHC, agreed to Audie’s request, making it possible for him to complete his rehab and receive follow-up care right here at home with familiar faces.

“They started me slowly and were incredibly careful, while always encouraging me in my recovery,” reflected Audie. “It was such a blessing to be able to stay local for my rehab. I can’t say enough about the incredible team that we have here. They’re caring, compassionate, encouraging, and they work together so well. Whoever I work with always has a smile on their face and is always helpful.”

As part of his rehab, Audie completed 36 sessions, 2 to 3 sessions per week, spread out over 15 weeks. Upon completion of the program, Audie was granted free access to the GMHC Rehab Gym. Audie took full advantage of this perk and began his next walking streak to maintain his health, continue to improve his cardiovascular fitness, and lose a little bit of weight to enjoy and extend his life.

“Through 11/24/24, I have now met my new revised goal of walking a minimum of 11,300 steps (5 miles) each day for 282 consecutive days. Not only do I enjoy being at GMHC to work out and see the staff who took such great care of me, but I also enjoy opportunities to encourage other rehab patients on their journey back to health.”

Audie’s determination and resilience are truly inspiring as he makes every step count towards his personal goals.

“We choose GMHC for our healthcare needs because they truly put us at the center of everything they do, and I believe that vote of confidence drives them to provide the best care possible,” shared Becky Shaffer.

Originally from Cedar Rapids, Becky and Mike Shaffer have been coming up to Guttenberg since they purchased their Esmann Island get-away in 2005. They spent many long weekends enjoying all of the amenities Guttenberg has to offer.

In 2009, when she slipped on water in her bathroom and hit her head on the wall, Becky had her first experience at GMHC in the Emergency Department. “I was incredibly impressed with the care I received,” recalled Becky. She has also brought friends throughout the years who had experienced mis-haps and as an observer, she was struck by how professional and efficient the hospital was with their care as well.

During the Covid-19 pandemic, Mike and Becky took advantage of their part-time residence on the island and used it as their full-time home. The couple enjoyed their new lifestyle so much, they decided to make Guttenberg their permanent residence. “The confidence in the care we’d received at GMHC was one of the big reasons we chose to live full-time in Guttenberg,” said Becky, “especially since we’re not getting any younger!”

On the first day of fall in 2022, Becky tripped on her flip-flops and tumbled down the steps of her screened-in-porch, and was unable to move. “Thankfully, our neighbor’s son happened to stop next door and heard me calling out for help. The ambulance arrived and the team was simply awesome. They told me exactly what they were going to do, they were incredibly gentle and paid close attention to every word I said,” Becky reflected. 

When she arrived at the Emergency Department, imaging revealed Becky had shattered her humerus and tore her rotator cuff. “I was in so much pain, but everyone, the EMT, the ER staff and the imaging technician was incredibly cautious and concerned about my comfort. I was so thankful for the professional care I could get right here in Guttenberg!” 

After surgery in Cedar Rapids that included a plate and screws to repair her injuries, Becky came back to GMHC for Physical Therapy. “I can’t say enough about the rehab team! They were tough, they pushed me, and they gave me the use of my arm back. And the receptionist, Trish! What a way to begin my rehab appointment… walking in and being greeted by her.”

Mike and Becky have transitioned most of their healthcare to GMHC. “I love GMHC! I think the biggest difference for me is the way that I am treated here. I feel like a person, not a name on a chart, and I’ve felt this way consistently with the care that I have received here. I feel authentically cared for when I’m here. I’m listened to and not rushed, and yes, it is pretty convenient to park right outside the door, walk right in and rarely wait!”

In fact, Becky appreciated her experiences at GMHC so much, she wanted to be a part of the team as a Volunteer Greeter. Becky’s cheerful, upbeat attitude helps lessen anxiety in the patient waiting area, but she is also very aware that some people would rather be alone. “I have been blessed with conversation skills. I can talk to just about anyone,” she laughed. “I am grateful for the opportunity to give back to the hospital for all of the excellent, professional care Mike and I have received here since relocating to Guttenberg. Volunteering gives me a reason to stay active in the community and help others,” Becky commented.

The mission of the Foundation of Cornerstone Communities is to keep the communities served by GMHC healthy and strong to ensure the future of healthcare in Guttenberg. Embracing the mission, Mike and Becky joined the Foundation’s Board of Directors in the fall of 2023. “We have experienced first-hand the value of GMHC for our healthcare, as well as all that GMHC does for our community. We want to be a part of helping others appreciate our excellent, local healthcare, and assist in keeping it strong.” shared Becky. “Yes, it is convenient, but more than that, we appreciate the quality care right here in Guttenberg!” 

Guttenberg Municipal Hospital & Clinics is pleased to announce the addition of Megan Eisel, dermatology physician assistant.

Megan is now available to see patients at Cornerstone Family Practice in Guttenberg. Megan brings her advanced expertise in dermatology, including comprehensive skin care services like skin cancer screenings, acne treatment, and aesthetic dermatology.

Megan Eisel, PA-C, CAQ-Derm is the founder and owner of Driftless Skin Center, P.C.  She graduated from the University of Wisconsin-LaCrosse in 2001 with a bachelor’s degree with honors in Biology. She then went on to Des Moines University Osteopathic Medical Center graduating in 2003 with a degree in Physician Assistant Studies. While at DMU, she was inducted into the Alpha Eta Honor Society. Following graduation she moved to the Chicagoland area where she worked in general private dermatology practice for 8 years, before moving to Dubuque, IA in 2011 to continue her career as a dermatology physician assistant at Grand River Medical Group. In 2024 she founded Driftless Skin Center, P.C. in Dubuque.

Megan will provide a wide range of services and treatment options for:

•  Skin Cancer

•  Moles

•  Acne

•  Hair Loss

•  Skin Rashes

•  and More

To schedule an appointment with Megan at Cornerstone Family Practice in Guttenberg call 563-252-2141.

GMHC Advanced Wound Care opens on Friday, November 8 and is a specialized outpatient wound care treatment center dedicated to the care of patients with wounds.

Wounds that are hard-to-heal or non-healing may be a result of pressure, trauma or infection. Sometimes, the simplest of wounds can turn into a significant problem due to underlying conditions, including diabetes, circulation problems or previous radiation treatment. These wounds can have serious health consequences and may adversely affect your quality of life.

Healing wounds is our specialty! Even the most difficult wounds that have not responded to other treatments may see significant improvement at our center. Jamie Hammerand, NP, and Taylor Grinstead, NP, have undergone specialized wound care training. Their commitment to enhancing their skills ensures our patients receive the highest quality care. At our wound center, our team of experienced wound care nurses and providers will assess your symptoms, determine the underlying cause of your non-healing wound and customize the most effective treatment plan to stimulate healing.

We specialize in treating wounds of all types, including:

•  Diabetic foot ulcers

•  Venous ulcers

•  Pressure injuries/ulcers

•  Non-healing, post-surgical wounds

•  Traumatic wounds

•  Arterial/ischemic ulcers

•  Acute or delayed radiation wounds or injuries (external)

•  Compromised skin flaps and grafts

•  Crush injuries

•  Any wound that is not healing or is of concern

If you or a loved one has a wound that is of concern or is not healing properly, contact our Advanced Wound Care Center at 563-252-5605 to schedule an appointment.

Kim Davis, a retired accounting professional with over 40 years of experience in finance and HR management, has joined the team of SHIIP counselors at the Family Resource Center.

“Now that I am retired, I want to stay engaged by volunteering my time to support causes closest to my heart,” said Kim.

This is Jim Solomon’s seventh year volunteering as a SHIIP counselor, while Deb Hogan is beginning her third year.  Last year, they met with 351 clients, helping them save a total of $179,688 in savings. Our two SHIIP counselors volunteered for 448 hours meeting with clients, not including their volunteer training time.

 “We are very grateful for the dedication of our SHIIP counselors and appreciate the time they donate to assist our clients,” said Kari Harbaugh, Family Resource Center Coordinator.

Medicare Open Enrollment season begins October 15 and ends December 7. Starting in September, the Family Resource Center is scheduling appointments for seniors to meet with SHIIP representatives who offer free advice in choosing the best fitting prescription plan and to answer questions. Because drug plans are ever changing, having a guide to help you navigate these changes can be very helpful.

There is no charge for consultation with Jim, Deb or Kim. If they don’t have the answer, SHIIP counselors have a direct connection to the state to get the answer. All three counselors offer flexible schedules, and welcome clients from other communities, too.

SHIIP counselors will assist you with these three important things during Medicare Open Enrollmnent:

  • Review  your plan notice. Read any notices from  your Medicare plan about changes for next year—especially your “Annual Notice of Change” letter. Review your plan’s information to make sure the prescriptions you use are still covered and your medical providers and pharmacy are still in network.
  • What matters most to you? Medicare health and drug plans change each year and so can your health needs. Does your current plan best meet your needs?            (over)
  • Shop for the plans that meet your needs and fit your budget. Compare plans even if you’ve been satisfied with your current plan. The coverage and costs for plans can change from year to year.

To set up an appointment during the Open Enrollment period from Oct. 15-Dec. 7, call the Family Resource Center at 563-252-3215. SHIIP is a free, confidential service of the State of Iowa. SHIIP counselors review all plans offered and do not promote any particular plan or company. Please bring your Medicare card and your present list of prescription drugs to your appointment.

Gene’s Story

Other than visiting newborn grandchildren who were delivered here, Gene and Betty Kruse had never been to Guttenberg Municipal Hospital & Clinics before.

That changed for the couple from Colesburg on July 1st when Betty was assisting Gene into bed and noticed he was very weak and struggling to breathe.

“We called 911 and the ambulance crew suggested we go to Guttenberg Hospital because it was the closest,” said Betty. “Halfway to Guttenberg, a Paramedic met us in Osterdock to treat Gene’s low blood pressure in the ambulance before arriving to the hospital.”

In the GMHC Emergency Department, Hospitalist George Osai, ARNP, and the team immediately began working on Gene. Not only was his blood pressure low, but test results determined Gene was dehydrated and a CT scan revealed two blood clots in his lungs. He was admitted as an inpatient on the Patient Care Unit and after four days transitioned to a Skilled Care patient on the unit.

“I have been so impressed with the people here, so impressed,” exclaimed Gene’s wife, Betty.

In November 2023, Gene was diagnosed with atypical Parkinson’s disease. Atypical Parkinsonian disorders cause muscle stiffness, tremor, and problems with walking/balance and fine motor coordination. “At home, I was stuck in a recliner permanently, only getting up to go the bathroom or bedroom. My whole right side is difficult to move so I just did the best I could,” said Gene.

During his time in Skilled Care, Gene was seen by physical and occupational therapists who taught him a lot of different ways to move. “They guided Gene to use all of his muscles, so they don’t deteriorate so quickly, allowing him to be more independent. They also taught me better ways to move him to save my back,” stated Betty. “They even came to our house for a home safety evaluation and made recommendations to make it easier for Gene to move around. Speech and respiratory therapists also helped Gene with speech, swallowing and breathing difficulties. Each therapist lifted Gene’s spirits so much, they were all fantastic!”

“I thank the Lord that they brought us to Guttenberg,” said Betty. “It was a great experience for both of us.” Gene replied, “Everyone was top-notch!”

Sheila’s Story

Keeping up with her grandchildren is a priority for Sheila Frink.

The recently retired Director of the Anamosa Ambulance Service moved to North Buena Vista in June 2023 to be closer to her daughter’s family.

“We have three grandchildren, ages 10, 8 and 5, that we love to spend time with. In order to keep up with them and all their activities, I had a total knee replacement in Cedar Rapids on January 17, 2024. I was so grateful that I only had to travel 20 minutes for my follow-up physical therapy at Guttenberg Hospital,” said Sheila.

Immediately after surgery, when they got Sheila up and walking on her new knee, she struggled to lift her ankle of the same leg. Two days later, she began physical therapy and after her initial evaluation with Joel Gourley, DPT, she was diagnosed with foot-drop, most likely caused from overstretching the nerve during her surgery. Joel contacted the surgeon to inform her of Sheila’s condition, creating a new plan of care once proper healing allowed.

“I was very frightened that I would never walk normal again,” reflected Sheila. “I came into physical therapy with not just one problem, but with two. Reassuring me that I would recover, my therapists worked on both areas, mostly concentrating on my knee to start with.”

Sheila’s knee rehab included lots of stretching, straightening and strengthening exercises, with visits three times per week, working down to one visit per week. Because the foot-drop was a huge tripping hazard, the therapists taught Sheila a different way to walk, being mindful to pick up her foot so she would not trip.

While Sheila’s knee therapy was wrapping up, another order was placed for physical therapy to strengthen her ankle. After three total months of physical therapy for both her knee and her ankle, and her diligence to do her exercises at home, Sheila’s ability to lift her ankle returned.

“Once I got strength back in my ankle, every advancement was so great! I still can’t lift my big toe, but I do my exercises daily and know it is improving. It will just take time,” she said.

When asked about her experience at GMHC, Sheila exclaimed, “My therapists were great! They were compassionate but tough! They worked me hard and I appreciated it. Their encouragement helped me keep going when I got discouraged. They celebrated my improvements and made sure that I knew I was making progress.”

She added, “I really like the smaller, home-town feel here at GMHC, where I truly feel like I am treated like family.”

And, speaking of family, Sheila is now back in her athletic flip-flops attending her grandchildren’s numerous summer activities, and keeping up just fine.

Merlin’s Story

“The nurses and therapists have been so good to me and the food is the BEST here!” said Merlin Moser, Skilled Care patient at GMHC.

Merlin is a retired farmer from Colesburg. He and his wife, Judy, have been coming to GMHC for their health care as long as they can remember. After 28 years of wintering in Arizona, a few years ago they decided to buy a home in Guttenberg. “It’s a blessing that our home is now so close to the hospital, not only for Merlin, but for me! I’ve had plenty of health issues myself,” said Judy.

In the spring of 2023, around Easter, Merlin noticed a painful toe on his left foot. At his Annual Wellness Visit, his primary care provider at the time, Dr. Hoffmann, referred Merlin to physical therapist Kimberly Franzen so she could take a closer look. “She got on the phone right away and called my cardiologist, Dr. Ram (Ramabadran),” reflects Merlin. “Kim got me in to see him right away!” Merlin was diagnosed with a serious circulation problem in his left foot from peripheral vascular disease.

A podiatrist determined that Merlin would lose all of his toes, and eventually his foot. The best option was to amputate his leg just below his knee. Following the amputation, in July, Merlin returned to GMHC for Skilled Care for three weeks. “Even on a walker, Merlin got around pretty good,” said Judy, “so we just kept coming back to the gym each day and completed the entire Physical Therapy program!” Merlin got his prosthesis the day before Christmas, and continued with physical therapy, working also with a prosthetist. Although he is going to be 86 years old, Merlin was able to get around well with his new leg. 

Merlin’s next admission to GMHC Skilled Care was this past June. He was diagnosed with Endocarditis, a bacterial infection affecting the heart, which requires IV antibiotics several times each day for 8 weeks. Judy walks up daily to spend time with Merlin and play games to pass the time.

“Everyone takes such good care of me here,” said Merlin.

All of my friends say “Judy, you don’t know how lucky you are to have a hospital right here!”

Merlin and Judy couldn’t agree more! 

Guttenberg Municipal Hospital & Clinics is pleased to announce a new way to support the Community Resource Center project while honoring or memorializing a loved one and bringing beauty inside our hospital and clinics through Project Beautify!

From serene sunsets on the Mighty Mississippi to breathtaking autumn displays along the rolling countryside, Project Beautify showcases images of the Clayton County area, taken by local professional photographers. Choose your favorite image from our selection to adorn the walls of GMHC in memory of, or honor of, your loved one.

Project Beautify sponsorship level is $1,300 per image, with $1,000 of the sponsorship fee going to the Community Resource Center Campaign, where our new Family Resource Center will be located.

Images measure 30″ x 20″ and will include a 4″ x 4″ plaque placed below the image noting the donor and loved one.

To sponsor an image, contact Amy Speed at amy.speed@guttenberghospital.org or by calling 563-252-5558.

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