InsIde thIs Issue

Foundation Purchases BiPap Machine ............ 2 november is American diabetes Month .......... 3 Free diabetes talk ...... 3 Celiac disease .............. 3 hearts on Fire Wine Fest .................... 4 2013 Foundation Family tree ................ 4 Annual Report 2013 ... 5 health Fair ................. 5 AJ Volunteers Win Point of Light Award ... 7

etyourNewYear’sResolutionsoff toagreatstartbyparticipatinginthe2014SnowmanMarathoncoordinatedbyAnnieJeffreyHealthCenter.Thethemeforthe2014SnowmanMarathonis“DealYourselfaHealthyHand”.TheoverallpurposeoftheSnowmanMarathonistoestablisharoutineofregularactivityandhealthylifestylebyprovidingweeklygoals,nutritioninformation,andkeepingyoumotivatedwithfunandprizes.Participa-tion will be limited to the first 60 people to signup.

• SignupwilltakeplacebetweenNovem-ber4andDec20.Registrationcostwillbe$25.Returnregistrationform,feeandpickupyourpacketatAnnieJeffreyAd-mission Office located at 531 Beebe Street Osceola, NE 68651.

• Packetswillbeavailableatregistrationtime.Inordertoholdyourspace,youwillneedtoreturnyourregistrationform,$25registrationfee,*AND*pick

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heartbeat

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4www.ajhc.org

upyourpacketinpersonattheAnnieJeffrey Admission office. The admis-sion office is open from 7 am - 5 pm Monday – Friday. Once all 60 packets havebeenpickedup,wewillnolongeracceptanyfurtherregistrations.Youmaymailinyourregistrationformhowever,yourspotwillnotbereserveduntilyourpackethasbeenpickedup.Wewillallowanotherpersontopickupyourpacket,aslongasyourregis-trationformandpaymenthavebeensubmitted.

• Inthepacket,participantswillbegiveninstructions,mileagelogs,weeklycon-testformsandprizeinformation.Twohealthyeatingpresentationarealsoplannedthisyear-seeyourpacketforfurtherinformation.

• FreeuseoftheAJWellnessCenterwillbeofferedtoallparticipants,butthoseusingequipmentathomearealsoen-couragedtoparticipate.

• FreehealthscreeningswillbedoneThursday, Jan 2 from 4-6 pm at An-nieJeffrey.Thesefreescreeningswill*onlybeavailableatthistime*,soweencourageparticipantstoplanaheadtoattendthissession.Thesewillin-cludewaistcircumference,weightandheight, body fat, BMI, blood pressure.

• ThesescreeningswillbeavailableagainattheSpringHealthFairsothatpar-ticipants can see the benefits of their hardwork.

ANNOUNCEMENT:

Annie Jeffrey Health Center was one of many phone numbers left out of the new area phone book. Please take a moment and pencil in our

phone number 402-747-2031 into your directory for fast reference when you need to contact us. Thank you!

time to sign up!

Continued on page 4.

Published Quarterly By:

Medical Staff:DavidJameson,MDCameronSidak,MD

JenniferStanton,PA-C

Board of Trustees:StevenJ.Peterson,ChairmanPeggyHopwood,ViceChair

KarenStevens,SecretaryJohnGirard,Treasurer

CharlesRobertsJoeLohrman,Administrator

2

SCHEDULEYOUR

MAMMOTODAY!

Pictured from left are Foundation for Annie Jeffrey Board Members: Ste-ven Peterson, Joe Lohrman, Annie Jeffrey CEO, Mary Lerch, Kathy Gabel, Karleen Watts, Terry Fusco, Margie Hayes, John Girard and Chris Ga-bel, Annie Jeffrey DON. Not pictured are board members Brian Beckner, Karen Stevens and Foundation Director, Susan Chrastil.

happy holidays!

ThePhysicians,PA’s,

Annie Jeffrey Board of

Directors,Foundation

for Annie Jeffrey Board

ofDirectors,AJ

Volunteersandthe

staffatAnnieJeffrey

HealthCenterand

AnnieJeffreyFamily

Medicineandwouldlike

towishyouandyourfam-

ilyasafe,healthy

andhappyholiday

season!

Remember to schedule your mammogram

at Annie Jeffrey and be eligible to win a special

iPad!

Call Today:

402-747-2031

Foundation for Annie Jeffrey Purchases BiPap with Proceeds from Golf tournament ttheirAugustmeetingThe FoundationforAnnieJeffreydo-nated $6816.00 to Annie Jeffrey Health Centerwithfundsfromtheirgolftour-nament for a BiPap machine. BiPap is

A aproceduretoassisttheeffectivenessofbreathinginpatientswithacuteandchroniclungdiseasewhoarestrugglingtobreath.Itwillhelppreventpatientsfromgettingintubatedandtransferred.

3

tfor a

FRee educationaltalk on diabetes

PleasejoinDr.CameronSidakforaninformativetalkonthesymptoms,complicationsandtreat-mentofDiabetes.Diabe-tesisquicklybecomingan epidemic as over 18.2 millionpeopleintheU.S.havethedisease.Manyofwhichdonotevenrealizetheyhaveit.

Pleasejoinustolearnmoreaboutthissilentanddeadlydisease.

Where: AnnieJeffreyHealthCenterinthedin-ingroom

Watch the Polk County News for the date and time of Dr. Sidak’s talk on Diabetes.

november is American diabetes Month iabetesisadiseaseinwhichthe bodydoesnotproduceorproperlyuseinsulin.Insulinisahormonethatisneededtoconvertsugar,starchesandotherfoodintoenergyneededfordailylife.Thecauseofdiabetesisamystery,althoughgeneticsandfactorssuchasobesityandlackofexerciseappeartoplayaroleinthisdisease.Thereare18.2 million people in the United States who have diabetes, unfortunately 1/3 of themareunawarethattheyhavethedisease.

Oftendiabetesgoesundiagnosedbecausemanyofitssymptomsseensoharmless.Earlydetectionandtreat-mentofdiabetescandecreasethechanceofdevelopingcomplicationsofdiabetes.Somediabetes

d symptomsinclude:• Frequenturination,• Excessivethirst,• Extremehunger,• Unusualweightloss,• Increasedfatigue,• Irritability,• Blurry vision

Ifyouhaveoneormoreofthesedia-betessymptoms,youneedtoseeyourhealthcareproviderrightaway.AnnieJeffreyHealthCenteroffersawellnessprogramonDiabetesEducation.DuringtheDiabetesEducationclasses,studentslearnaboutsymptoms,medication,bloodglucosemonitoring,exerciseandmealplanning.Physicianreferralisrequiredfortheseclasses.CallAnnieJeffreyHealth Center at 402-747-2031 to get testedfordiabetesorforanswerstoyourhealthrelatedquestions.

Celiac disease eliacdisease(CD)isoneofthe mostcommoninheriteddisorders(one in 133 people in the United States haveCD)–however,itisestimatedthat90-95%ofthesepeoplehavenotyetbeendiagnosed.Thesymptomsofthediseasevaryalotfrompersontoperson–andcanbesimilartosymptomsofir-ritablebowelsyndrome,lactoseintoler-ance,chronicfatiguesyndrome,anddiverticulosis.

Proteinsfromwheat,ryeandbarleytriggerdamageinthesmallintestine.This, in turn, can lead to deficiencies of iron,folicacid,calciumandVitaminsA,D,EandK.Celiacdiseaseisalsolinkedtoanincreasedriskofosteoporosis,in-fertilityandsomecancersofthegut.IfapersonhasType1diabetes,osteoporo-sis,Downsyndrome,Turnersyndrome,lymphoma,autoimmunethyroiddisease–youareatanincreasedriskofCD.

Symptomscanoccuratanyageandcanbytriggeredbyeventssuchaspregnan-cy,surgery,infection,orsevereemo-tionalstress.Thenumberandseverity

C ofsymptomsvarygreatlyfromoneper-sontoanother.Thefollowingsymptomsmayoccuraloneorincombination:

• Anemia• Deficiency of vitamin A,D,E,K• Abdominalpain,gas,bloating, cramping• indigestion• recurring/persistentdiarrhea• constipation• extremeweaknessandfatigue• weightloss• lactoseintolerance• dermatitisherpetiformis• elevatedliverenzymes• frequentcankersores• easybruising• bone/jointpain• edemaoffeetandhands• menstrualirregularities• infertilityinbothmenandwomen• recurrentmiscarriages• migraine• depression• peripheralneuropathy

Continued on page 6.

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amily,friendsandlovedonesare cherishedjoysoftheChristmassea-son.TheFoundationforAnnieJeffreyhassetasideaspecialtimeeachyeartopausetorememberandhonorourlovedones.Makesuretostopandseethepersonal-izedChristmasornamentshangingonthe

ChristmastreeatAnnieJeffreyHealthCenter,honoringcommunitymembers.Thetreeislocatedinthehospitalwait-ingarea.Topurchaseanornamentorformoreinformation,pleasecallAnnieJef-frey Health Center at 747-2031.

Foundation for Annie Jeffrey Board members decorate the Foundation Family Tree. Pictured from left are: John Girard, Brian Beckner, Karleen Watts, Karen Stevens, Steve Peterson, Mary Lerch, Terry Fusco, Joe Lohrman and Susan Chrastil.

2013 Foundation Family tree

F

Fundraiser to help support Annie Jeffrey Health Center

402-747-2031 • www.ajhc.org

Join Us Sunday, February 9th for a

at “The Rose Colored Glass” in Stromsburg

Enjoy many excellent wines from Nebraska as well as hors d’oeuvres,

desserts and a few silent auction items for Valentine’s Day.

Tickets are $25 per person and can be purchased from Foundation members or

from Annie Jeffrey Health Center. Call Susan Chrastil at 402-418-1852

for more information.

Hearts on Fire Wine Fest

Hearts on Fire Wine Fest

• FreetotalcholesterollevelsanddiscountedratesonotherHealthFairlabwillbeavail-ableattheSpringHealthFairtothosewho submit all 8 mile-agelogs.(Only1freeblooddrawwillbedonethisyear).

• ThemarathonwillbeginJanuary5thisyear.Participantstracktheirownmileagelogsandsubmitthemeachweek–on-lineatwww.ajhc.org,orattheAJWellnessCenter.

• Specialprizeswillbedrawnweeklytoreward“runners”whoturninweeklymileagesheets.AllparticipantswillreceiveaSnowmanMarathonT-shirt.

• Tokeepyouontrackandmotivated-wewillhaveexcitingweeklycontestsanddrawingswhereeveryonecanwinprizes!SnowmanMarathonconcludesonMarch1,2014.Allparticipantswhohavesubmitted 8 mileage logsbyMarch1willbeenteredtowinthegrandprizepackageworthover$200!

Continued from front.

2014 snowman Marathon

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AJ health Fair Annie Jeffrey Memorial County health Center Annual Report 2013 atientsandcommunitymembers cometousinneedandhonoruswiththeirtrust.Theyplacetheirhealth,andofteneventheirlives,inourhands.Wetakethatresponsibilityseriouslyanden-sureourpatientsreceivequality,person-alizedandcompassionatehealthcareinasafe and efficient manner.

Wecontinuetodevelopourworkplaninconjunctionwithourstrategicplan.OurBalanced Score Card gives us measurable informationthatallowsustotrackhowwearedoingintheareasofFinancialPerformance,CommunityandCustomers,InternalProcessesandOurPeople(Em-ployees).Wealsocontinueourworkintheareasofcustomerserviceexcellence,providerrecruitmentandretention,com-municationwiththepublic,expansionofservices,andretainingahighqualityworkforce.

The following is a summary of activities for the past year:

• AwardedHelmsleyTrusteEmergencygrant of $307,286, a program that givesphysiciansimmediateaccesstospecialtycare24hoursaday.ThegrantwasusedtoimplementeEmer-gencytechnologyandimproveaccesstospecialtyservices.eEmergencyensures that board-certified emergency physiciansandemergency-trainednursesareavailabletoassistlocalpro-vidersintreatingtrauma,heartattack,stroke,andothercriticalconditions.

• ContinuedOctoberMammogramsincentivesprogram

• ImplementedePharmacywhichprovidesaround-the-clockaccesstoremotepharmacysupportatAnnieJef-freyHealthCenter.TheePharmacistreviewsprescriptionswhentheon-staffpharmacistisnotavailable.Thisnewsystemprovidesasafeandeffectivemethodofprescriptiondeliverytoourpatients.

• FinishedValuesCollaborativeandMeaningfulUseTrainingforstaff

• AJ Volunteers held their 17 year an-niversarycelebrationattheThriftShop

• AJ Volunteers received the 2013 First Lady’sOutstandingCommunityServiceAward

• StrategicPlanningcontinuedforthenextthreeyears

• HostedtheFoundationFamilyTreeCelebration

• FoundationforAnnieJeffreyheldawinetastingeventinFebruarywithproceedstobeusedforPhaseIIIoftheremodelingproject

• WorkedonMasterFacilityPlanandpresented to Board of Directors

• SnowmanMarathonWellnessProgramwaswellattended

• AnnieJeffreyawardedasilvermedalforlowWorkman’sCompclaimsfromNebraskaHospitalAssociation

• FoundationforAnnieJeffreyreceiveda$10,000VerizongranttohelpwithePharmacyprogram

• FoundationforAnnieJeffreyandthePolkCountyFoundationsponsoredanEstatePlanningSeminar

• FoundationforAnnieJeffreygavethreescholarshipstoareahighschoolstu-dentsplusgivesscholarshipstoAnnieJeffreyemployees

• Featured a Baby insert with all babies bornatAnnieJeffreyduringthepastyearinthePolkCountyNews

• PurchasednewlabequipmentwithfundsfromFoundationforAnnieJef-freyannualcampaign

• Purchased a BiPap Machine with pro-ceedsfromgolftournament

• Purchased and installed a new 16-slice CTscanner

• Partnered with Pinnacle Bank in spon-soring BC/BS Walk for Lunch Day

• AnnieJeffreyparticipatedindisastertrainingaspartoftheSoutheastNe-braskaMedicalSystem(SEMRS)

• Hosted the fifth Annual Foundation for AnnieJeffreyGolfTournament

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Continued on page 6.

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Continued on page 7.

hetenthannual AnnieJeffreyMemo-rialCountyFallHealthFairheldonOctober1stwasahugesuccess.Over200fairgoers,fromavarietyofNebraskacommunities,visitedthehealthexhibitswith154takingadvantageofthediscountedcomprehen-sive health blood profiles. Fifteenanatomy/biologystudentsfromtwolocalschoolstookadvantageoftheeducationalop-portunitiesavailablethroughthehealthfair.AcontinentalbreakfastwasprovidedbyAnnieJeffrey’sdietarystaff.

Thehealthfairisde-signedtobeaneventwherepeoplecanlearnabouttheirownhealthandobtaininformationaboutservicesprovidedinthearea.Participantswereabletovisitdiffer-entboothswherevendorsprovidedfreebodyfatanalysis,oximetry,bloodtyping,bloodpressurescreening,skincancerscreening,andcoloncan-cerscreeningkitswereavailable.

Seventyfouradultsandchildrenreceivedtheirseasonal flu vaccination

6

• PartneredwithTooley’stoofferDu-rableMedicalEquipmentatAnnieJeffreymonthly

• PartneredwithTrafficSafetyPlustoholdfreeMatureDrivingClassesatAnnieJeffrey

• Dr.Jamesoncelebrated25yearsofhealthcareinPolkCounty

• PublishededucationonAdvancedDirectives

• Hostedmonthlytraumameetingswitharearescueunits

In addition to the financial and statistical measures, Annie Jeffrey participated in the following community partnerships:

• OfferedtwoHealthFairstocommunitymemberswithinformationanddis-countedhealthscreenings

• PublishedanumberofinformationalarticlesinThePolkCountyNews

• PublishedaquarterlyHeartbeatnewsletter

• Utilizedtele-healthequipmentforeducationalanddiagnosticpurposes

• Co-sponsoredandparticipatedinNationalWalkDay,fourblooddrives,andStromsburgSwedishFestivalFunRun

• ParticipatedinShelbyandOsceolaschoolsystemcareerday,TeammatesMentoringandotherschoolrelatedactivities.

• Provideshadowingopportunitiesforcollegeandhighschoolstudents

• Utilized tele-health for BryanLGH nursingstudentsandCentralCom-munityCollegemedicalcareerstu-dents

• ActiveinareaChamberofCommerceandcommunityorganizations

Wewishtoexpressoursinceregratitudeforallowingustheprivilegetoserveyourhealthcareneedsduringthepastyear.Welookforwardtoprovidingyouandyourlovedoneswiththebestqual-ityhealthcareservicesintheupcomingyearandarehonoredthatyoutrustuswithyourmostvaluedpossession…yourhealth.

ThefoundationforAnnieJeffreyMemo-rialCountyHealthCenter’sfuturecon-tinuestobeourrelianceonthestrengthofourstaffanditsresolvetoremaintruetotheheartofourmissionandvalues–theprovisionofquality,compassion-atehealthcareforthecitizensofPolkCountyandthesurroundingarea.

Annual Report continued from page 5.

In this years, Fifth Annual Foundation for Annie Jeffrey Golf Tournament, the team of Dohman, Akerlund, andEddy (above) won first place, first flight, with each golfer receiving two Saltdog tickets and a golf gift pack.

6

Financial and Statistical HighlightsStatistic 2012 2013Acute admissions 221 184Swing Bed Days 491 245SurgicalCases 51 44Observation Hours 2,628 3,129CT Scans 394 360ER Visits 816 780X-ray Visits 1,876 1,702Specialty Clinic Visits 793 692PT procedures 11,953 9,022Operating Gain (Loss) $251,556 ($235,677)

Diagnosisofceliacdiseasecannotbedoneonsymptomsalone.Initially,bloodtestsareavailabletoscreenpeoplewhohavesymptomsorhaverelativeswithceliacdisease.

Ninety-sevenpercentofpeoplewithceliacdiseasehaveageneticmarkerthatcannowbeusedtodiagnosethedisease.Thistestrequiresanintestinalbiopsywhileeatingagluten-contain-ingdiet.

Theonlytreatmentforceliacdiseaseisastrictgluten-freedietforlife.Aglutenfreedietallowstheguttorecoverandcanlowertheriskofdevelop-ingmanyofthecom-plicationsofuntreatedceliac disease. Because ofthecomplexityofthegluten-freediet,patientsshouldbereferredtoaregistereddietitianfornutritioneducation.

Sandra Burwell, RD, LMNTfromAnnieJeffreyHealthCenterrecentlyattendedaclassonCeliacDiseaseandcanhelpwithnutritioneducation.Regularfol-low-upwithaphysicianisalsorecommended.

REFERENCES:CeliacDis-ease–HiddenandDanger-ous,bytheCanadianCeliacAssociation

Continued from page 3.

Celiac disease

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AJ health Fair Continued from page 5.

fromthePolkCountyHealthDepartment.

SeveralindividualstookadvantageoftheAgingPartnersHealth&Fit-nessfromLincolnbonedensityscreeningop-portunityinanattempttomakeearlydetectionofosteoporosispossible.LifeteamCriticalCareTransportCompanyhadtheirhelicopteronsiteforaspecialviewingopportunity.

There were 26 vendors atthefairprovidinghealthinformationandservices.

Thisyearnewven-dorsthatwereonhandincludedArborHealthPlan,SoloFitness,LifeteamCriticalCareTransport,andthePolkCountySheriff’sOf-fice.TheAnnieJef-freyVolunteersheldabakesaleraisingover$300.00.

TheHealthFairCom-mitteewouldliketothankalloftheexhibi-tors,participants,andAnnieJeffreystaffhelpingatthefairformakingthe2013healthfairasuccess.Plan-ninghasalreadybegunforthe11thAnnualFallHealthFair.Lookforupcominginformationonthe7thannualMini-SpringHealthFair.

Annie Jeffrey Volunteers - Winner of the 2013 Governor’s Point of Light Community service Award

heAJVolunteersarethewinnersof the 2013 Governor’s Point of Light CommunityServiceAwardandwerepre-sentedtheawardatGovernorHeineman’smonthlyProclamationCeremonyonNo-vember 13th at the State Capitol.

TheGovernor’sPointofLightAwardsarepresentedquarterlyataspecialceremonyattheStateCapitolandrecognizeNebraskavolunteerswhogivetheirtime,talentandenergytohelpNebraskansbuildstrongercommunities.

“ItismypleasuretoheartilyendorsetheAnnieJeffreyVolunteersfortheGovernor’sPointofLightAward”,saysJoeLohrman,CEO,AnnieJeffreyHealthCenter.“Theorganizationisagreatgroupofladiesthatgivetheirtimeandlabortothecom-munities!TheyoperateaThriftShopinthecommunityofOsceolaandhaveitopenover900hoursayear.Theyalwayshaveasmileandkindwordforanyonethatmayventurein!Theshopdoesagreatbusinessandoverthe past 18 years has been able to donate almost$100,000.00totheAnnieJeffreyMemorialCountyHealthCenterforthepur-chaseofneededequipment!Thataloneisanamazingfeatconsideringmostoftheitemsin

t theshopsellforpenniesonthedollar!

TheVolunteersarealsoonhandtohelpwithcommunityprojects,suchasourlo-calEasterEgghuntheldeachyearatournursinghome.TheVolunteersassisttheresidents in filling the eggs with candy andcatchuponthelocalhappeningsastheycompletetheirtask!Itisalaborofloveandenjoyedbyall!

Theyalsohelpwiththeannualhealthfair,holdbakesales,helpwiththehealthcenter’sgolftournamentandanyothercommunityprojectthatmayneedas-sistance!

The organization has over 60 members! Themembershipcomesfromallpartsofthecountyandsurroundingarea.Theyalsoenjoythesocialaspectofthegroupandoftenbridgethegapsthatareoftenleftinsmall,ruralcommunitiesbetweentheserviceorganizations,churches,gov-ernmentprogramsandlocalbusinesses.The Board of Directors and Staff of An-nieJeffreyareappreciativeofeverythingtheVolunteersdo!TheyareagreatexampleofwhatisrightwithNebraska!”

Front row: Marian Daum, Mary Lou Stallings, Karleen Watts, Donna Snook, & Gloria Oquist. Middle row: Margie Hayes, Susan Chrastil, Gladys Gaedeke, Marie Jarmin, Dorothy Simpson, Martha Huggler, Idelle Jacobsen, Janet Carlson, Ardie Hayes, & Trudy Anderson. Back row: Marcus Augustin, Marilyn Holmberg, Rogene McMeekin, Marjorie Johansen, Becky Hays, Marie Fusco, LaVerne Stevens, Karen Stevens, Cathy Peil, Marian Johnson, & RaeLynn McKiernan.

ECRWSS POSTAL CUSTOMER

see Annie’s Babies on our website at:www.AJhC.org

531 Beebe Street PO Box 428 Osceola, Nebraska 68651

nonprofit Organization us Postage

PAId Osceola, ne 68651

Permit no. 15 standard Route Presort