MOUNTRAIL BETHEL HOME/MOUNTRAIL COUNTY MEDICAL CENTER AGENDA Executive Conference Room Thursday, September 17, 2020 7:00 a.m.
Call to Order – 7:00 a.m.
Changes to Agenda – Add approval of MCMC Budget for FY 2021 to Old Business
Approval of August 27, 2020 Board Meeting Minutes
Visitors/Guests
Financials – will be sent separately
Administrator’s Report
Medical Staff – Chief of Staff Comments
Foundation Report
Old Business -MBH – Phase III status -MBH/MCMC – Strategic Planning -MCMC – OR Expansion
New Business -MBH/MCMC – Approve Policy and Procedures Manuals: None -MBH – Converstaion with Brad DeJong, Eide Bailey, in regards to bringing back beds out of layaway
We’re closed to the Public. To call into the meeting, please follow:
Call 1-605-472-5291 Access Code: 889325#
Next Board Meeting Date: Thursday, October 22, 2020, 7:00 a.m.
Upcoming MCMC/MBH Board Meetings (All dates are tentative, unless marked as confirmed)
October 22, 2020 (confirmed) November 19, 2020 December 17, 2020 January 28, 2021 February 25, 2021 March 25, 2021 April 22, 2021 May 27, 2021 June 24, 2021 July 22, 2021 August 26, 2021 September 23, 2021
Through routine testing for our employees, MCHC has identified a staff member who has tested positive for COVID-19.
This case is not related to travel or a known positive contact and the employee is currently quarantined at home per ND Department of Health guidelines. This case correlates with an increase in community spread of COVID-19 in Stanley and Mountrail County. We as a Health Center are advising the residents of Mountrail County to follow the CDC guidelines for COVID-19 now more than ever.
We continue to practice strict infection control measures within MBH and MCMC. Our infection control team has performed the necessary contact tracing in house and families have been notified accordingly. We have instituted immediate repeat testing later this week of MBH, Rosen Place and Centennial residents as well as testing of our entire staff to screen for any additional positive cases.
Given the dynamic nature of COVID-19 and with regard to the nationwide plans to re-open/restart, the face to face visitation inside our nursing home and assisted living are on hold again at this time. We will visit these restrictions on a daily basis and will keep family members posted.
Any questions can be answered by calling:
Tanya Giese, RN – MBH DON – 701– 628-2424—Ext. 105
Amy Littlecreek, LPN – MCHC Infection Control – 701-628-2424—Ext. 104
If you feel you have symptoms consistent with COVID-19 or would like to be tested please call the Reiarson Rural Health clinic at: 701-628-2505.
MOUNTRAIL BETHEL HOME/MOUNTRAIL COUNTY MEDICAL CENTER
AGENDA
Executive Conference Room
Thursday, July 23, 2020
7:00 a.m.
Call to Order – 7:00 a.m.
Changes to Agenda
Approval of June 25, 2020 Board Meeting Minutes
4. Visitors/Guests
5. Financials – attached
6.Administrator’s Report
7. Medical Staff
Chief of Staff comments
8. Foundation Report
9. Old Business
MBH — Phase III status
MBH/MCMC – Strategic Planning
MCMC – OR Expansion
10. New Business
MBH/MCMC – Approve Policy and Procedures Manuals: None
11. Executive Session
MBH/MCMC – Quality: Tanya Giese, MBH DON. Executive session to discuss patient care and quality issues. The discussion will include references to patient health information that is private and confidential under state and federal law including but not limited to: N.D.C.C. § 23-01.3-01, N.D.C.C. § 23-34-02, N.D.C.C. § 44-04-19.2 and the Health Insurance Portability and Accountability Act (HIPAA).
We’re closed to the Public. To call into the meeting please follow:
Call 1-605-472-5291 Access Code: 889325#
Next Board Meeting Date: Thursday, August 27, 2020, 7:00 am
Rosen Place on 8th and the new chapel at the Bethel Home were recently featured in an architectural magazine. This article has some astounding pictures and a lot of information on the construction of our new additions. You may view the PDF of this publication here.
Please note that you must have Adobe Acrobat or a similar PDF viewing software installed to view the above link. Alternatively, you may click on the pictures below to read the article.
As we stated last week, through routine bi-weekly screening, MCHC identified a staff member who tested positive for COVID-19.
As a result of this, we tested all of our Centennial Court, Rosen Place on 8th and Mountrail Bethel Home residents last week. Our employees were tested also. All tests completed have come back negative. Repeat testing for everyone will be done again this week.
As we monitor the situation this coming week and work with the State Health Department, plans for our Phase Two Smart Restart will be put into motion again. Families will be contacted once we have all our results in from this next round of testing, which will be completed later on this week. The steps we had previously for our Smart Restart will be the same. A reminder, immediate family members will need to get an updated COVID test completed before they come into the facility.
Any questions can be answered by calling:
Tanya Giese, RN – MBH DON – 701– 628-2424—Ext. 105
Amy Littlecreek, LPN – MCHC Infection Control – 701-628-2424—Ext. 104
Through routine bi-weekly screening, MCHC has identified a staff member who has tested positive for COVID-19.
This staff member had recently returned from a trip out of state, was completely asymptomatic at the time of screening, and is currently quarantined at home per ND Department of Health guidelines.
Our infection control team has performed the necessary contact tracing in house and families have been notified accordingly. We have instituted immediate repeat testing of MBH and Rosen Place residents as well as testing of our entire staff to screen for any additional positive cases.
Given the dynamic nature of COVID-19 and with regard to the nationwide plans to re-open/restart, MCHC has put any plans for face-to-face visitation in our nursing home and assisted living on hold at this time.
Any questions can be answered by calling:
Tanya Giese, RN – MBH DON – 701– 628-2424—Ext. 105 Amy Littlecreek, LPN – MCHC Infection Control – 701-628-2424—Ext. 104
If you feel you have symptoms consistent with COVID-19 or would like to be tested, please call the Reiarson Rural Health clinic at 628-2505.
When the Coronavirus hit North Dakota, schools closed, and businesses closed or altered their business model. Daycares were impacted and many in Stanley chose to close. This created a challenge for staff at Mountrail County Medical Center. A cooperative effort between Ragamuffins Ranch Daycare and the Mountrail County Health Foundation worked to fill that need over the last two months.
MCMC Administrator Steph Everett says that the process started on March 23. She began receiving texts from staff expressing their concerns about what they would do as they faced closing schools and daycares. She said that she reached out to Carol Maurer at Ragamuffins Ranch who opened their arms to the staff’s children.
Everett says that each request was met with a “we’ll figure it out” response that was amazing. As they began the conversations, Everett says they had no idea how many staff members would need daycare. Based on the texts from staff, she knew it would be more than just a few.
As they received the guidelines from the state regarding daycares, working together the daycare was ready to start taking students by the weekend of March 27. Working hand in hand, they were ready for the first children on March 30.
Ragamuffins Ranch Daycare owner Carol Maurer says that working on the Bright and Early curriculum and achieving the Step 3 designation made the process easy. The assessments and training she says that by the blessing of God helped them be prepared to take on the challenges.
She says they were already set up to the new standards and guidelines set up by the state for childcare facilities in response to the Coronavirus. That includes the way they use spaces in the daycare, their sanitizing processes and the separations for age groups they already had in place.
They already were separated to eat in smaller groups and play in smaller groups and different areas. The babies, toddlers and older children already interact in their own groups on a regular basis.
Maurer says that the biggest challenge was to bring in children that didn’t know them or their environment. She says they wanted to make sure that each child felt safe and comfortable during this stressful situation. They wanted them to feel at home and happy, knowing this was a safe place to be.
The children coming into the daycare have moms and dads that work on the frontline during this virus fight. Life can be stressful, and children often pick up on that stress.
The staff put their heads together, even knowing it might not be easy, but knew they could do it and come out for the better. Maurer says they really stepped up to the plate and did a great job.
As they got ready to add new children to their groups, Ragamuffins reached out to their parents. For some, they were already planning on keeping their children home with schools and businesses closing or reducing staff. Others offered to keep theirs home to make room, saying that it was important to take care of first responders’ families. She says she gives credit to those families for giving the okay to use their spots.
With some of their kids not coming because of the virus, Maurer said they missed their kids. It was hard emotionally on everyone, but at the end of the day they came back and grew a whole new family with these new children.
As for helping out staff at the medical center, Maurer says that they knew the needed the help and they were ready to do it. It was amazing to watch, she says, and now as the two months come to a close, they will be missing these children that will be going back to their former providers.
Looking back now, Maurer says that everything was a learning curve with stepping stones at the right time with the right help to set up this difference to succeed. She said, “I do it this way and it works. Sometimes you pray and ask God to show you the way. My heart is put into this and we have invested so much of ourselves.”
Everett says that for the two months Ragamuffin met their needs, they were a lifesaver. Eight families with eleven children were helped during this time. Mountrail County Health Foundation, along with grant funds from the NWND Community Foundation helped cover some of the costs.
While many families will be returning to their previous providers this week as daycares resume operations, a few will be staying at Ragamuffins Ranch enjoying the new relationships they have formed.
Steph Everett says that they just knew at the beginning they had to do something to help their staff. All of this was so new to medical facilities. They had heard about the first stories with coronavirus coming from a nursing home in Washington. The focus became on what if it happened here.
“For medical staff, there is no choice but to be at work. The last thing we wanted was for staff to have to make a hard choice. We needed them here, for Health Centers never shut down. Some of our Staff made shifts from their clinic positions to helping at the nursing home, for they were needed there to ensure our nursing home residents were cared for,” said Everett. “The partnership with Raggamuffin Ranch allowed us to take one huge stressor off our staff. Especially through this, maneuvering through unchartered territories over the last few month,” Everett said.
The two month partnership between the medical center and Ragamuffin Ranch is just another example of small towns pulling together to help each other through these challenging times. It is also an example of meeting critical needs through collaborative effort.
This article is republished by the gracious consent of the Mountrail County Promoter.
As we all work together to reopen “North Dakota Smart”, we here at the Mountrail County Medical Center want to let the public know how we will be reintroducing our services starting the week of May 4th. Due to the encouragement of Governor Burgum, we as a facility did mass testing of our county, our employees and our residents the week of April 20th. Over 450 tests were completed in 48 hours, with only one new positive emerging from this testing. With these results, we feel confident to slowly reopen our clinic, our outpatient services and bringing our specialists back to Stanley.
Details
Inpatient Services: The providers in the clinic will slowly start working at seeing their normal patient load the week of May 4th. Telemedicine will still be utilized, when seen fit. Respiratory issues and COVID-19 symptoms will still be seen through the ER, along with traditional ER patients. We are doing all COVID testing through the ER also.
Outpatient Services: We will start providing mammograms the week of May 4th. Christine and Nile will be rejoining the physical therapy team, with Heidi. MRI’s will begin to be scheduled again starting May 11th.
Specialists: Dr. Joshi and Dr. Amsbury will start
seeing patients again on May 14th. Dr. Williams will start again the following
Wednesday, May 20th.
Checking in Process: This will look a bit different for everyone. All patients will still be screened per the CDC COVID-19 guidelines. All clinic patients, outpatients and specialists’ patients will check in through the clinic. When you arrive please call 701-628-2505 and you will be given instructions on how to get registered. Please sit in your vehicle until your appointment time, so we can maintain social distancing. Special arrangements will be made if this is not possible for the patient. We also will require each patient to wear a mask, so please bring one to your appointment.
COVID—19 Screening and Cleaning Process: All technicians, specialists and their staff will follow the same screening protocol the rest of the Mountrail County Health Center staff follow. They will come in door 11 and get their temperature, change into MCHC scrubs and go through the basement to get to the clinic, avoiding the Mountrail Bethel Home. Our cleaning process in the clinic will be expanded and door knobs, desk areas, seating areas and clinic rooms will be sanitized between patients. For any questions, please call the Rural Health Clinic at 701-628-2505