Author: Winneshiek Medical Center

Winneshiek Medical Center’s Mabel Clinic has expanded once again to offer three health care providers to patients weekly. 

Sarah Kach, PA-C is now seeing patients in the Mabel Clinic on Tuesdays and Thursdays.  She joins Kirsten Wyffels, DNP, who has provided daily family medicine care in Mabel since 2013, and Dr. Anna Mark, Mayo Clinic Health System family medicine physician, who started seeing patients each Wednesday in Mabel in March.

Sarah joined Winneshiek Medical Center in 2007, providing family medicine and urgent care services in Decorah and Ossian.  A native of Winneshiek County and a graduate of Luther College, Sarah completed her physician assistant degree from the University of Iowa.  Sarah treats patients of all ages for acute, chronic and preventive health care. 

Patients can schedule with Sarah in either location by calling the main WMC line at 563-382-2911, or by calling the Mabel Clinic directly at 507-493-5115.

Winneshiek Medical Center’s Wound Center is now open. The Wound Center is located in the North Building on the WMC campus in Decorah.

The Wound Center is a specialized outpatient service for patients with non-healing wounds due to common conditions such as: diabetes, burns, pressure ulcers, and other conditions.  Patients have access to the latest techniques and treatment modalities for the best chance for healing wounds, including hyperbaric oxygen therapy, coming this fall.

Bethany Stevens, ARNP, joined Winneshiek Medical Center in August 2021 to provide advanced wound care to patients. Bethany is a board certified wound specialist and has been providing wound care since 2015. She received her Bachelor of Science in Nursing, and Master of Science in Nursing – Family Nurse Practitioner from Allen College in Waterloo, IA.

Providing care alongside Bethany is Mayo Clinic Health System general surgeon Caroline Schwickerath, D.O., who is also a board certified wound specialist physician.  Dr. Schwickerath achieved this certification through the American Board of Wound Management.

Bethany shares, “I’m looking forward to expanding this specialty service to our region. I have seen first-hand the stress and burden carried by those living with a chronic wound. And I have also witnessed the impact that wound healing brings. That’s why I chose this specialty — to help patients heal and get back to living again.”

To learn more about the Wound Center at Winneshiek Medical Center, or to schedule an appointment, call 563-382-2911.

Winneshiek Medical Center is pleased to share that allergist specialist Michael D’Netto, M.D., M.B.A., has joined the Mayo Clinic Health System practice in Decorah and will begin seeing patients full time this fall.

An allergist helps patients manage allergic and immunologic diseases.  As a Mayo Clinic-trained allergist, Dr. D’Netto will provide testing and treatment options for infants through adults who experience food, environmental, medical, venom (insect bites or stings) and other allergies.  He will provide skin testing, food and medication challenges, and lung function and immune system testing all at Winneshiek Medical Center in Decorah.  In addition, Dr. D’Netto will provide care for patients with asthma and skin conditions like eczema and dermatitis.

Education and Training

Originally from Cincinnati, Ohio, Dr. D’Netto received his Bachelor of Science from University of Notre Dame and his Master in Business Administration from Ohio State University. He then went on to receive his medical degree from Ohio State University College of Medicine, completed his residency in Internal Medicine from Mayo Clinic School of Graduate Medical Education, and his fellowship in Allergy and Immunology, also from Mayo Clinic.  He is certified by the American Board of Internal Medicine, and a member of both the American Academy and American College of Allergy, Asthma and Immunology. 

Dr. D’Netto says, “Personally, I have multiple food and environmental allergies. I hope to help others manage their own allergic and immunologic conditions as well as possible, as others have done for me. I’m really excited to begin an Allergy/Immunology practice at Winneshiek Medical Center, as part of the Mayo Clinic Health System. Training within the unique model of care at the Mayo Clinic allowed me to truly put the needs of the patient first while providing high quality care. I look forward to bringing that care to the region so patients are able to receive excellent Allergy and Immunology treatment closer to home.”

Appointments

Winneshiek Medical Center has a waiting list for patients who are interested in allergy care, or patients who would like to transfer their allergy care to Dr. D’Netto when he arrives this fall.  Patients who would like to be added to a waiting list may call 563-382-2911.  Clinic staff will contact patients on the waiting list when Dr. D’Netto’s schedule opens.

Beginning Monday, April 10, Winneshiek Medical Center is relaxing masking requirements on their campus in Decorah and in all outreach locations.  Masks will be optional for patients, visitors and staff in most settings.  Masks will still be required for staff when caring for severely immunocompromised patients; and patients who are immunocompromised, showing symptoms of illness or feel more comfortable doing so are encouraged to wear a mask.  Masks will be available at all entrances and upon request. 

Thomas Marquardt, D.P.M., chief medical officer, “All of our service area counties currently show low or moderate transmission rates. In addition, Mayo Clinic is changing their masking guidelines, and we closely follow their direction in our COVID-19 response.”  He adds, “We understand this announcement may be received with mixed emotions.  Some people may still choose to wear masks, and we support their decision.” 

Since the onset of the pandemic, Winneshiek Medical Center has developed and adjusted guidelines  following the guidance of CDC, Mayo Clinic, other federal and state agencies, and partner health organizations. 

Dr. Marquardt says, “Our staff’s commitment to COVID-19 safety measures has been exceptional, and we are grateful for everyone’s efforts in keeping Winneshiek Medical Center safe and healthy for our patients, visitors and staff.”

Winneshiek Medical Center is pleased to share the new Wound Center is opening March 27.  The Wound Center is located in the North Building on the WMC campus in Decorah.

The Wound Center is a specialized outpatient service for patients with non-healing wounds due to common conditions such as: diabetes, burns, pressure ulcers, and other conditions.  Patients have access to the latest techniques and treatment modalities for the best chance for healing wounds, including hyperbaric oxygen therapy, coming this fall.

Bethany Stevens, ARNP, joined Winneshiek Medical Center in August 2021 to provide advanced wound care to patients. Bethany is a board certified wound specialist and has been providing wound care since 2015. She received her Bachelor of Science in Nursing, and Master of Science in Nursing – Family Nurse Practitioner from Allen College in Waterloo, IA.

Providing care alongside Bethany is Mayo Clinic Health System general surgeon Caroline Schwickerath, D.O., who is also a board certified wound specialist physician.  Dr. Schwickerath achieved this certification through the American Board of Wound Management.

Bethany shares, “I’m looking forward to expanding this specialty service to our region. I have seen first-hand the stress and burden carried by those living with a chronic wound. And I have also witnessed the impact that wound healing brings. That’s why I chose this specialty — to help patients heal and get back to living again.”

To learn more about the Wound Center at Winneshiek Medical Center, or to schedule an appointment, call 563-382-2911.

Access to mental health care is a top health concern of our community, according Winneshiek Medical Center’s Community Health Assessment (2022). To address this need, the Winneshiek Medical Center Behavioral Health team offers additional access to mental health care for patients through group therapy. Cognitive Behavioral Therapy for Insomnia is one of the groups that will be held again this spring.

Cognitive Behavioral Therapy for Insomnia

Cognitive Behavioral Therapy for Insomnia (CBT-I) is a five-week session led by Claire Haedike, Psy.D., Mayo Clinic Health System psychologist at Winneshiek Medical Center. She says, “CBT-I is a drug-free, evidence-based treatment for insomnia. Lack of sleep is a common problem for many people. This group is for those who have difficulty sleeping and would like to be able to fall asleep, and stay asleep, through the night. Interventions are aimed at teaching behavior change skills that will create lasting improvement in sleep.”

CBT-I group therapy sessions will begin this spring. To be considered for group therapy, patients must first schedule a consult to ensure appropriateness for the group. Group therapy is a covered benefit under most insurance plans; check with your insurance carrier to find out your individual coverage options.

To schedule a group therapy consult, call 563-382-2911 and ask to speak with Behavioral Health.

At the March 1 meeting, the Board of Trustees approved a new name and brand for Winneshiek Medical Center.  Effective early summer 2023, the name will change from Winneshiek Medical Center to WinnMed.

Steve Slessor, chief administrative officer, says, “The new name closely connects to the current identity, but is shortened to be easy to see, say and remember.  The ‘Winn’ portion gives respect to Winneshiek County citizens to whom we are so deeply connected, and the ‘Med’ portion broadens our scope from a physical place or ‘center’ to a larger medical system that encompasses the entire region.”

A new tagline to support WinnMed was also adopted by the Board of Trustees: Excellence lives here. Slessor says, “The tagline speaks to the ideal that every patient receives the absolute best care here, and that care is inspired by the patients and health care providers who choose to live, work and care for each other locally.”

As under the legacy name and brand of Winneshiek Medical Center, clinic and many hospital physician services, as well as administrative services at WinnMed will be provided by Mayo Clinic Health System.  Thomas Marquardt, D.P.M., chief medical officer, says, “With the new brand there has been an ‘unlocking’ of the logos between WMC and Mayo Clinic Health System. This helps to protect brand identity of both organizations. The county-owned medical center will continue to have great service from our Mayo Clinic Health System physicians. The nearly 20-year partnership with Mayo Clinic Health System remains strong and continues to grow. The leadership and physician services we continue to receive from Mayo Clinic Health System will help keep WinnMed on the cutting edge of health care.”

Background

In 1992, the first of all Mayo Clinic Health System clinics opened in Decorah and worked in partnership with the local hospital, then Winneshiek County Memorial Hospital.  In 2005, Winneshiek County Memorial Hospital entered into a Professional Services Agreement and Management Services Agreement with Mayo Clinic Health System, and rebranded itself to Winneshiek Medical Center.  The medical center continued to grow and evolve, adding service lines and specialty services until the present time, and is now the largest and most specialized hospital in the region.  Currently, 565 staff and physicians work at Winneshiek Medical Center, and in addition to being a top economic engine for the region, Winneshiek Medical Center has significant plans to expand the facility over the next five to ten years.

Slessor says, “As expansion plans began to unfold, it was the perfect time to rebrand Winneshiek Medical Center to reflect our renewed commitment to the region and future growth.”  Winneshiek Medical Center engaged with Vendi Advertising from La Crosse, Wisconsin to support the rebranding efforts, which included a community perception study to inform WMC leadership what patients and non-patients alike expect from their local health care center.

Next Steps

Winneshiek Medical Center will continue to operate under the current name and brand until early summer, at which time there will be an official launch of WinnMed.  During the spring transition months, staff will prepare for the changes, including all print, signage and electronic uses of the name and logo. Clark Goltz, chair of the Board of Trustees, says, “We are a system that exists to care for the health and well-being of every person in the communities we serve. This includes our patients and their families, our professional colleagues and the community at large.  WinnMed reflects this broader level of commitment and our expanding presence and scope of care in the communities we serve.”

From the federal to the local level, taxes are a very real part of our world.  Typically, taxes support infrastructure like roadways, bridges, or law enforcement assistance; or social expenses like public education, Medicaid support and others. 

Iowa Code Chapter 347A allows for county or municipal hospitals to levy taxes to help cover unreimbursed expenses.  As a county-owned not-for-profit health care facility, Winneshiek Medical Center is legally able to set a tax levy and collect property taxes from the citizens of Winneshiek County.  Each March, the elected Winneshiek Medical Center Board of Trustees decides on a rate, or levy, of property tax dollars to go to the hospital.  For the Fiscal Year 2024 budget (July 1, 2023-June 30, 2024),  Winneshiek Medical Center leadership will propose a budget to the Board of Trustees that includes a tax levy of 1.08 per $1000 assessed valuation.   This is an increase from 0.77235 per $1000 assessed valuation from last fiscal year.  The proposed budget will be discussed at the March 1, 2023 board meeting at the medical center. 

Why is WMC considering a tax levy increase?

Most health care revenue comes from dollars reimbursed to the organization from insurance companies, including Medicare and Medicaid.  Organizations like WMC are unable to negotiate a reimbursement rate with most companies and accept the rate they provide.  For some services, the reimbursement rate is below the facility’s cost, especially for critical EMS services WMC provides Winneshiek County.  Steve Slessor, chief administrative officer, Winneshiek Medical Center says, “In an emergency situation, skilled, experienced paramedics arrive in a fully equipped ambulance to provide life-saving care.  However, the expense of purchasing, equipping and maintaining three ambulances, plus wages and benefits for 24/7 EMS staff, are only partially covered by the payments we receive for their services.”  In fiscal year 2022, WMC experienced a deficit of $682,000 in the EMS/Ambulance service line.  Slessor says, “We are proud to provide this service with our exceptional staff, and it does come at an expense to the organization.”

Slessor further explains, “The business of health care is a bit different than other industries. For example, a restaurant can increase their menu prices when food and labor costs go up.  In health care, most insurance companies only pay the set reimbursement rate, regardless of what we charge.  Expenses, including salaries, equipment and supplies and other infrastructure costs are increasing at a faster rate than they have in decades.”

The revenue generated from the proposed tax levy increase will bring in an anticipated additional $437,000 (estimated) to the medical center. Slessor says these dollars will help cover increasing labor costs.  “It is vital for WMC to maintain a strong workforce, and as everyone knows, salary expenses are increasing across all markets and industries.  The additional tax dollars will cover far less than half of the expected salary adjustments we must make to retain and recruit skilled health care workers as we grow in services and specialties for our region.”

What will the increase mean for families?

At the proposed rate of 1.08 per $1000 assessed valuation, a resident within Decorah city limits with a $200,000 assessed land/building/dwelling would see an increase in annual taxes of $77.  A resident living in rural Winneshiek County would see an annual increase of $56.  The new rate will move Winneshiek Medical Center from the sixth lowest tax levy to the eleventh lowest out of the 43 county-owned hospitals in Iowa.* 

Slessor says, “WMC has a deep respect for the communities we serve, and the Board thoughtfully considers the tax levy rate each year.  We do not assess taxes we do not need and every dollar that comes into the medical center, including tax dollars, is reinvested in the medical care that we provide to Winneshiek County citizens and the broader region.”   He adds, “If the Board of Trustees approves the FY 24 budget to include a tax levy increase, we will use those dollars to continue to ensure the needs of our patients come first.”

*Iowa Department of Management – County Hospital Property Tax Rates FY2023https://dom.iowa.gov/document/county-hospital-property-tax-rates-fy2023

Winneshiek Medical Center in Decorah is launching a new telephone system in the New Year. Referred to as a unified communication system, the new cloud-based system replaces an aged system and provides improvements to the caller and staff experience.

Features

Most notably, the caller will be offered a short menu to better direct calls to departments of their choosing, such as Decorah Clinic, Billing and Insurance, Laboratory Service and Radiology.  The menu is expected to reduce time on hold, especially in the busier times early in the week and in the morning hours.

Dave Rooney, operations administrator, Winneshiek Medical Center says, “The new communication system has been a work-in-progress for some time and connects our 500+ staff through traditional phones, ‘soft’ computer-based phones, video calls and instant messaging.  We were able to address call flow preferences and past barriers to efficient communication.  Our staff will quickly notice the benefits internally, and we look forward to callers having an improved experience as well.”  He adds, “Patients have shared they appreciate talking to an actual person when calling us when so many call centers are now automated. Callers can be reassured that our staff is still just a step away. Once a menu option is chosen, a live person will be ready to assist them.”

Timeline

The transition to the new system is scheduled to take place the morning of Thursday, February 9. There may be a brief interruption in service at the time of transition.  All current phone numbers will remain intact.

Jim Schwan, lead infrastructure analyst in the WMC Information Technology department and lead for the communication project says, “We have been working in a ‘dual’ environment for some time as we have planned and built the new system.  As new phones have been deployed across the organization, our teams have also been involved in staff training and education. We are excited for the new system, the benefits it will bring, and are looking forward to the ‘live’ date in our near future.”  To contact Winneshiek Medical Center for an appointment or for other needs, please call 563-382-2911.  To send secure, electronic communication to your health care provider, please use MyChart, available through the WMC website at www.winmedical.org.