Sumner Community Club

Community memorial hospital (cmh) medical clinic continued to serve sumner, ia and the surrounding area in the year 2024. 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 2024 include visits from this 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 18,231 for 2024. 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 2024. The clinic hours are monday through friday 7 am to 5 pm.

The cmh emergency department served 1,789 patients in 2024. This is a decrease of 34 patient visits from 1,823 visits in 2023. The number of physician hours spent in the emergency department increased from 4,720 in 2023 to 4,924 in 2024.the educational focus for 2024 centered around mock codes/scenarios, education at nursing meetings, and presentation boards. The mock codes/scenarios were completed in partnership with the ed pa and nursing leadership. The subjects educated on with mock codes throughout 2024 were respiratory failure, airway management, farm accident/trauma, pneumothorax and chest tubes, cardiac arrest, drowning, and decontamination. We also participated in the rural trauma team development course to work on our trauma assessment skills and interventions/stabilization. 2024 c.q.i - continuous improvement program projects in the emergency department were having all documenting tetanus review and status, assessing and documenting vital signs within 15 minutes of arrival, and completing callbacks to patients within 72 hours. Cqi projects on the inpatient floor were completing dual skin assessments and completing inpatient callbacks within 72 hours.the cqi projects in the surgery department were completing the gad-7 screening if a pain clinic patient had a positive phq-2 screening, completing a time out prior to the start of a pain procedure, and making sure the anesthesia provider had visited and documented their assessment/notes prior to the patient going back to the or. The cqi goal for the infusion department was assessing and documenting a full set of vitals on each infusion encounter/patient. Nursing initial or recertifications included: bls, moab, hazmat, acls, pals, tncc, and nrp. Education presented at the inpatient nurses' meetings in in 2024 included emtala, code documentation/flowsheet, iv extravasation, trauma alerts, glidescopes and stylets, collecting urine from an indwelling catheter, sepsis, suicide prevention, hospice patients and services, frost bite, and dka/hhs. The surgery team has worked on their own education structure which consists of at least 2 full days of education to help develop the younger surgery nurses. Education consisted of gi scope processing, instruments, sterile processing, patient positioning, and draping. Community memorial hospital spent a week in march where there are many education topics presented, known to the staff as march madness.in 2024 the topics were bipap, vapotherm, glidescope/bronchoscope, needle decompression, chest tubes and drainage system, and interosseous access.

Acute nursing had 78 admissions in 2024. 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 65.20 hours. This is well below the 96 hours threshold for critical access. There was a total of 209 acute patient days and 368 swing bed days in 2024.