Citizens Memorial Hospital | Vitality | Winter 2022


2 VITALITY Winter 2022 We’d love to hear from you ON FACEBOOK WE’RE ALSO ON Citizens Memorial Hospital • Citizens Memorial Health Care Foundation 1500 N. Oakland Ave. Bolivar, MO 65613 417-326-6000 CEO/Executive Director Michael Calhoun Marketing Director Tamera Heitz-Peek Marketing Department Tessa Arnold Charlotte Marsch Amy Gimpel Aaron Tallant Mission Caring for every generation through exceptional services by leading physicians and a compassionate health care team. Vision Be the first choice for customer-focused health care to every generation. CoreValues I am…positive, respectful, innovative, dedicated, empowered. Together, we are CMH PRIDE. For permission to reprint any portion of this magazine, call 417-328-7245. If you wish to be removed from the mailing list, please email or call 417-328-7245. VITALITY is published as a community service for the friends and patrons of CITIZENS MEMORIAL HOSPITAL. Information inVITALITY comes from a wide range of medical experts. If you have any concerns or questions about specific content that may affect your health, please contact your health care provider. Models may be used in photos and illustrations. 2022 © Coffey Communications, Inc. All rights reserved. Looking to the future What a celebration we had at CMH for our 40th anniversary! I especially enjoyed seeing employees across our organization have fun with the ’80s-themed dress-up days during our anniversary week. You can see some of these pictures on page 4. Now that we have celebrated, we are focusing on sustaining CMH for the next 40 years and beyond. New building projects are exciting, but the employees inside the buildings are the heroes who make a difference in patients’ lives every day. That is why our leadership team is focusing on developing leaders and investing in our employees. We want to create the best working environment so that employees can provide you with the best health care experience. Read more about our efforts to invest in our people on page 12, and please consider joining our team. Expanding community partnerships is another step in our growth. Read about our new partnerships with Bolivar Schools and Recovery Friendly Workplace Missouri on pages 6 and 13. Ultimately, we want you to have the best health care experience every time you come to CMH. In this issue, read about a patient who had hip replacement surgery and was able to return to enjoying her passion: taking care of rescued horses. I hope the information in this issue of Vitality will help you be better informed about your health. Thank you for your support of CMH for the past 40 years. We look forward to making the next 40 years even better! In good health, Michael Calhoun, CEO/Executive Director Citizens Memorial Hospital/Citizens Memorial Health Care Foundation 4 Cheers to 40 years! Check out how staff celebrated CMH’s 40th in style. 8 Hip pain, go away Thanks to her hip replacement at CMH, Maureen Conklin is back on her feet and back to the horses she loves. 10 For your heart’s sake Did you know that lack of sleep hurts your heart? Find out how much snoozing you need for heart health. 12 A worthwhile investment At CMH, we know happy, supported employees are key to providing top-quality care. Here’s how we’re investing in our staff— today and for the future. Michael Calhoun, CEO/Executive Director WELCOME 3 Pulmonary rehab receives national certification renewal The American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) recently renewed its certification of CMH’s pulmonary rehab program through 2025. The cardiovascular rehab program’s certification will renew in 2023. AACVPRcertified programs are leaders in the cardiovascular and pulmonary rehabilitation field because they offer the most advanced practices available and have proven track records of high-quality patient care. Citizens Memorial Hospital complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. CMH has arranged for language assistance services free of charge. Call 417-326-6000. (Spanish) ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 417-326-6000. (Chinese) 注意:如果您使用繁體中文,您可以免費獲得 語言援助服務。請致電 417-326-6000. CMH NEWS SBJ RECOGNIZES HEALTH CARE CHAMPIONS The Springfield Business Journal named five CMH employees as Health Care Champions: Additionally, SBJ selected CMH for the Corporate Wellness Program of the Year. Alyson Ankrom is CMH’s wellness coordinator. The awards were presented at the SBJ Health Care Champions banquet on Nov. 17. » Curtis P. Schreiber, M.D., Top Doctor, a board certified neurologist with CMH Neurology & Headache Center/Missouri Memory Center » Matt Havens, PA-C, Technician, a physician assistant with Butterfield Park Medical Center » Paulette Ivey, Technician, lab assistant coordinator at CMH » Dawnielle Robinson, LPC, Therapist, a mental health therapist with Butterfield Park Medical Center and CMH Addiction Recovery » Rachael Swopes, Ph.D., Therapist, a psychologist with CMH Pediatric Clinic ASH GROVE HEALTHCARE FACILITY WELCOMES NEW ADMINISTRATOR Joshua Solomon, LNHA, is the new administrator for Ash Grove Healthcare Facility. Solomon has worked as an administrator since 2019. He has a degree in general studies from Ozarks Technical Community College and is currently enrolled at Missouri State University in Springfield for a degree in cellular and molecular biology. Solomon is licensed as a nursing home administrator by the Missouri Department of Health and Senior Services. News fromMHCA The Missouri Health Care Association (MHCA) named Chris McBratney, Lake Stockton Healthcare Facility administrator, the 2022 David Duncan Administrator of the Year. McBratney has been the Lake Stockton Healthcare Facility administrator since 2019 and previously served as the administrator of Ash Grove Healthcare Facility for 18 years. With more than 28 years of health care experience and licensing as a nursing home administrator, McBratney also serves as the administrative director of long-term care for three CMH long-term care facilities. McBratney has been a member of the MHCA board of directors since 2000. He serves as the association’s secretary and was re-elected for a second term at this year’s convention. Tim Francka, administrative director of long-term care, was re-elected to the MHCA board as the Missouri Council of States Representative on the American Health Care Association board of directors. Chris McBratney Tim Francka Joshua Solomon, LNHA Curtis P. Schreiber, M.D. Matt Havens, PA-C Paulette Ivey Dawnielle Robinson, LPC Rachael Swopes, Ph.D.

4 VITALITY Winter 2022 40 CMH celebrated its 40th anniversary week with ’80s-themed spirit days. What an honor and privilege it has been to serve our patients and residents since opening our doors Sept. 28, 1982. Looking forward to the next 40 years and beyond! Citizens Memorial Healthcare Facility celebrated spirit week by dressing as characters from an ’80s TV show or movie, such as Alvin and the Chipmunks with Dave. From left: Ashlee Wood; Jennifer Stegner; Shawn Brigance, NP-C; and Becky Wheeler. Butterfield Residential Care Center staff had 40th anniversary fun on Rock Band Day. Neon Day was a popular spirit day. Members of executive leadership and department managers wore their matching neon yellow golf polos. From left: Steve Retherford, Renee Meyer, Jeremy MacLaughlin, Michael Calhoun, Tregg Geren and Ellis Hall. The hospital night shift staff enjoyed a special Andy’s Frozen Custard treat during the 40th anniversary celebration week. We kicked off our 40th anniversary week celebration with CMH Family Day at Silver Dollar City! Fanny pack Friday was a big hit during spirit week. From left: Shawne Kelly, R.N.; Victoria Martinez-Jowers, clerk; Destiny Isles, scheduler; and Vicki Peterson, clinic manager, from CMH Urology Clinic. Linda Wainscott, R.N. (left), and Linda Buffington, R.N., were two of the original employees who helped open the hospital Sept. 28, 1982. The duo enjoyed cupcake day during the 40th anniversary celebration. CMH NEWS CELEBRATING 40 YEARS WITH SPIRIT 5 Colonial Springs receives national quality award Colonial Springs Healthcare Center received the 2022 Bronze Commitment to Quality Award from the American Healthcare Association (AHCA) and National Center for Assisted Living (NCAL). Modeled after the core values and criteria of the Malcolm Baldrige Performance Excellence Program, the AHCA/NCAL National Quality Award Program is a rigorous threelevel process that is reviewed and judged by trained experts in Baldrige Performance Excellence standards. Providers are nationally recognized for achieving each award level and progressively joining the ranks of the best in long-term care. CMH NEWS NOBLITT ADVOCATES FOR HOME HEALTH LEGISLATION Valerie Noblitt, R.N., director of home care services, represented the Missouri Alliance for Home Care (MAHC) in Washington, D.C., in September. Noblitt is the MAHC president. Noblitt and MAHC Executive Director Carol Hudspeth visited with seven of Missouri’s congressional delegations to discuss important homecare issues. They discussed support for the Preserving Access to Home Health Act of 2022 (S. 4605 / H.R. 8581), opposing additional reductions to the hospice aggregate cap, and support for the Better Care Better Jobs Act (S. 2210 / H.R. 4131) to increase funding for home- and community-based services. MAHC is Missouri’s largest trade association representing the interests and concerns of home health agencies, home care companies, hospices and private-duty companies. MAHC’s mission is to support, promote and advocate for the home-care industry as an integral component of the health care continuum. Valerie Noblitt, R.N. CMH Auxiliary recognized Auxiliary volunteers Emma Mincks and Jackie Truitt as recipients of the 2022 Lillian Hutcheson Award. The award is given each year to outstanding volunteers who demonstrate commitment, dedication and compassion to patients, residents and the organization. It is named in honor of Lillian Hutcheson, who founded the Auxiliary program before CMH opened in 1982. Mincks has been a volunteer for more than 16 years and serves as a hostess on the CMH Auxiliary Board. She is also responsible for placing weekly flower orders for the gift shop, and she helps make the floral arrangements. She has given 2,595 hours to CMH. Truitt has served CMH as a volunteer for 14 years. He began his volunteer career as a shredder, and now he is a greeter at the Douglas Medical Center. He has donated 4,516 hours to CMH. CMH HONORSMINCKS AND TRUITT WITH HUTCHESONAWARDS Jackie Truitt and Emma Mincks

When it’s time to see the doctor for a checkup or vaccinations, many children feel anxious and scared of the unknown. It’s hard to see your children in distress and to figure out the best way to help them. Try these tips to guide your children through doctor visits and vaccinations and ease their—and your—anxiety. Tell them what to expect. Don’t be vague. Children may not understand words like checkup or vaccinations. Explain unknown words and give specific details about what will happen when they get to the office. Have them pick out a favorite book or toy to bring with them to keep them occupied. Be honest. Be open about what you do and don’t know. Otherwise, your child may feel betrayed and lose trust in you. Use kid-friendly explanations. You might say, “The shot may sting, but it will go away,” or, “Nobody likes getting shots, but they keep us healthy.” Allow them to express themselves. Don’t ignore your children when they speak up about their fears. Rather, helping them articulate their specific fears and feelings can go a long way to help children feel less worried. Validate their feelings. Never scold your child for being afraid or say it’s no big deal. Instead, say something like, “I get it, because I sometimes get worried before I go to the doctor. But the doctor helps keep us healthy and strong.” Be aware of your own anxiety. If you’re feeling anxious, manage your fears to help calm your child. If necessary, arrange to ask the doctor delicate questions when your child isn’t in the room or before or after the appointment. During vaccination visits, hold and comfort your child, remain calm, look at them, and smile. Take deep breaths with them. By taking these soothing steps, you can help your children be less fearful during the next doctor visit. New partnership for CMH and Bolivar Schools Citizens Memorial Hospital and Bolivar Schools are partnering to provide telehealth services for Bolivar R-1 students and staff while they are at school. The newly formed Bolivar Schools Navigator program began with the 2022–23 school year. The program is for students and staff who become ill with acute conditions while at school. They can stay at school while conducting a virtual appointment with a provider at the CMH Pediatric Clinic or Butterfield Park Medical Center. An on-site health navigator affiliated with CMH will communicate with parents and coordinate appointment scheduling. “The navigator is the link between the school nurse, student, parents and medical provider,” says Michelle Boehne, administrative director of clinics at CMH. “We are excited to collaborate with Bolivar Schools to benefit students, employees and their families.” CMH and Bolivar Schools also are continuing a partnership started last spring to provide in-person appointments or virtual visits for school employees and their dependents between 7 and 8:30 a.m. Monday through Friday. The early-morning appointments help reduce the need for substitute teachers. FOR MORE INFORMATION about the health navigator program, call 417-516-4262 or go to 6 VITALITY Winter 2022 CHILDREN’S HEALTH Easing your child’s fear of the doctor These simple steps can comfort your child 7 Pelvic floor dysfunction (PFD) includes pelvic pain, urinary incontinence, pelvic organ prolapse, abdominal separation due to traumatic childbirth (vaginal or cesarean) or multiple childbirths, and bladder leakage. Symptoms include: » Urinary leakage when you laugh, cough or sneeze. » Frequent urge to urinate. » Not being able to make it to the restroom on time. » Pain with urination. » Pelvic pain. » Pain during or after intercourse. » Pelvic organ prolapse. » Cesarean scar pain/restriction. » Abdominal separation (diastasis recti). HOW DOES PHYSICALTHERAPY HELP? Physical therapy uses pelvic floor muscle evaluation techniques through observation, palpation, sEMG biofeedback and a lumbopelvic-hip complex movement screening. Ask your physician if pelvic floor therapy is right for you! Physical therapist Maggie Sanders specializes in pelvic floor therapy. She has Pelvic Health Physical Therapy Level 1 certification through the American Physical Therapy Association. What is pelvic floor dysfunction? Maggie Sanders, P.T. CMH OUTPATIENT THERAPYAND OCCUPATIONAL HEALTH SERVICES 1155W. Parkview St., Suite 2A, Bolivar 417-328-6453 WOMEN’S HEALTH & TECHNOLOGY The latest in MRI technology Increased patient comfort and faster scans are benefits of CMH’s upgraded magnetic resonance imaging (MRI) machine. The Siemens Magnetom Altea magnet was delivered to the hospital Aug. 2 and went into service in early September. It replaced the previous MRI that’s been in service for 18 years. FOR MORE INFORMATION about the upgraded MRI equipment, go to For more information about imaging and radiology at CMH, call 417-328-6261. TO MAKEANAPPOINTMENT or to learn more about pelvic floor therapy, call CMH Outpatient Therapy at 417-328-6453. Angela Deckard, lead MRI technologist

8 VITALITY Winter 2022 Maureen Conklin, of Buffalo, Missouri, has a soft spot in her heart for rescue horses. She enjoys gardening and relaxing next to the soothing sound of her koi pond. While a hip injury kept her from enjoying her active lifestyle for a while, she returned to her hobbies after a total hip replacement surgery at Citizens Memorial Hospital. “I think that it’s amazing that you can injure a hip and be unable to really walk or do any activities because of the intense pain, but then once you had the surgery, you can resume life and be pain-free and go back to being, in some instances, better than you were before,” Conklin says. Troy Morrison, D.O., is a board certified and fellowship trained orthopedic surgeon with CMH Orthopedic & Spine Center in Bolivar and the physician who performed Conklin’s surgery. “During the whole time I went to see Dr. Morrison, it was like going to visit a friend,” Conklin says. “He sat. He listened. He had empathy for me at the time because I said I had two horses. I wanted to be able to go back to working with the horses I had.” Conklin injured her hip when pulling the pump out of her koi pond. “The pump slipped out of my hands and went back down into the pond and, unfortunately, took me with it,” HIP INJURY OVERCOMING Maureen Conklin got back to the life she loves, thanks to CMH ORTHOPEDICS 9 Advanced hip, neck and back care close to home If you have hip, neck or back pain, just getting up out of a chair or walking can be a struggle. Don’t let pain keep you from enjoying the activities you love. Take the first step and schedule an appointment with Troy Morrison, D.O., with CMH Orthopedic & Spine Center in Bolivar. Diagnosing the problem is only a small step when treating hip, neck and back pain. You need the expert assistance of a fellowship-trained orthopedist. Dr. Morrison will work with you to develop your personalized treatment plan. Discover why patients drive to Bolivar for orthopedic and spine surgery with Dr. Morrison at Citizens Memorial Hospital. Call 417-777-2665 to schedule an appointment. GOTO or scan the QR code at right to learn more about Dr. Morrison. she says. “When I got back up out of the pond, I was aware that I had some pain in the hip and down that leg. But I thought I had just probably pulled a muscle or something in the leg.” Though she had hoped the pain would go away in a day or two, her pain continued to increase until she finally went to see Dr. Morrison six months later. “If I sat down in a chair and went to get up out of a chair, I had a terrible lot of difficulty with pain and then walking was unbearable,” she says. “If I went to try to kneel down to do anything, that was absolutely intolerable pain. But I, for a while, just thought, well, it was age-related, so I would get over the problem, until I eventually went to see Dr. Morrison and did the X-rays and the MRI. It showed that the hip needed replacing, which was a bit of a shocker.” While total recovery time was six months, Conklin was able to get back to working with her horses sooner. “It was such a relief to not have that pain anymore,” Conklin says. “I would highly recommend anybody who has pain or discomfort in their hips to go and see Dr. Morrison and to be relieved of that pain so that you can resume your normal activities and go back to your quality of life prior to injury.” EXCLUSIVEVIDEO Go to to watch the exclusive interview of Maureen Conklin talking about her total hip replacement journey and Dr. Morrison with CMH Orthopedic & Spine Center. Troy Morrison, D.O. Do you have hip pain? Hear from Dr. Morrison as he talks about the causes of hip pain and treatment options. Go to Since her hip replacement surgery, Conklin has increased her number of rescue horses from two to six by rescuing more horses from kill pens or abandonment. She wouldn’t have been able to do this without her total hip replacement. “Once I had the surgery, I was amazed at the recovery rate and the same day was able to get up out of bed and walk without any pain at all in the hip,” Conklin says. “I can’t speak highly enough of the treatment that I received from CMH and from Dr. Morrison.”

10 VITALITY Winter 2022 Sleep better for a healthier heart To reduce your chance of getting heart disease —the nation’s No. 1 killer—you probably know you’re supposed to exercise regularly and fill your plate with veggies and fruit, whole grains, fish, lean meat, and nuts and seeds. But did you know that getting enough quality sleep is as important for your heart health as eating a heart-healthy diet and exercising? IFYOU DON’T SNOOZE,YOU LOSE It’s true. Sleeping less than seven hours each night may raise your risk of health problems that can lead to heart disease, including: » High blood pressure. During sleep, your blood pressure naturally decreases. Staying awake longer means your blood pressure stays higher for longer. » Type 2 diabetes. A lack of quality sleep is linked to poor blood sugar control, which can help lead to type 2 diabetes and its complications. » Obesity. Too little sleep may affect the part of the brain that controls hunger. When you don’t sleep well, you are more likely to eat more. Sleep disorders, such as obstructive sleep apnea—when your airway gets blocked repeatedly during sleep, causing you to stop breathing briefly and wake up abruptly throughout the night—and insomnia—characterized by trouble falling or staying asleep—can also increase your risk of developing heart problems. TAKE BACKTHE NIGHT For your heart’s sake, aim for seven to nine hours of sleep each night. Adopting the following steps, which are the cornerstone of good sleep hygiene, can help put you on the road to dreamland. » Stick to a sleep schedule . Hit the sack at the same time each night and get up at the same time each morning, including weekends and when you’re traveling. » Wear yourself out. Getting plenty of exercise during the day can pay off at bedtime. » Know the risks of alcohol. Alcohol is a sleep thief. Although it might make you drowsy, it can cause you to wake up hours later. » Put your screens to bed. The blue light from digital devices can make it tough to fall asleep. If you like to read on your phone or tablet before bed, use a blue-light filter. If you still feel tired during your waking hours for more than two or three weeks, see your primary care provider. Sources: American Academy of Sleep Medicine; American Heart Association; Centers for Disease Control and Prevention; National Institute on Aging HEART HEALTH REST RIGHT FORYOUR HEART Need a provider? Go to providers to find one. 11 It’s that “most wonderful time of the year” again, and you’ve got happy visions of cozy times with family and friends and perfect meals and presents, right? Let’s examine those visions. Fantasy: You stock up on gift cards and leave the cooking, cleaning, decorating, shopping and wrapping to someone else. Reality: You’ve got more to do than ever, with cards to send; cookies to bake; and kids, relatives, friends and teachers to shop for. And what about all that decorating you need to do to set the stage for the festivities? With so much going on during the holidays, it can be challenging to enjoy the season. But take heart—the following holiday tips can help you stress less and increase your enjoyment quotient. WELLNESS Downsize holiday stress 1. Track your spending. Financial stress can put a dam per on the holidays. Set a realistic budget and keep tabs on your spending with a daily list. Scale back instead of straining your budget. Talk to your kids about setting realistic expectations and remind them that the holidays are about making memories, not expensive gifts. 2. Take it a step further. No time to exercise? Shoppercise. Add more activity to your busy days by taking a few quick laps around the mall before going into any stores, by taking the stairs instead of the escalator and by deliberately parking far from the shopping center entrance. 3. Take time to recharge. Amid all the holiday hustle and bustle, treat yourself to some downtime with yoga. Or take a quiet walk at your local park or around your neighborhood to see the lights and sights. 4. Load up on healthy food choices. During the holidays, food isn’t just food, it’s an indulgence loaded with delicious tradition. You don’t have to completely deny yourself. Healthy-up your plate at holiday parties by filling it with fruit and vegetables first, reserving a small portion for anything else you may want, even if it’s less healthy. Be sure to sit down to savor each and every bite. 5. Keep the conversation light. Family sparks can fly during the holidays, but this is a time to find neutral ground. If you’re concerned about tension at family gatherings and differences of opinion, steer the conversation away from controversial topics. Focus on happy memories and common ground. Sources: Academy of Nutrition and Dietetics; American Psychological Association; Centers for Disease Control and Prevention: U.S. Department of Agriculture 5 ways to put the wraps on holiday overload

12 VITALITY Winter 2022 DEVELOPING OUR LEADERS CMH’s first Leadership Summit was held Aug. 16 and brought together more than 150 leaders from across the organization to inspire, inform and engage leaders and to share CMH’s journey to becoming a High Reliability Organization. The highlight of the day included an encouraging and inspirational message from Dan Meers, the man behind the Kansas City Chiefs’ mascot, KC Wolf. “In the last few years, CMH has experienced a lot of changes due to the pandemic, retirements and new leadership. We’ve partnered with Huron Group to help us advance our journey to becoming a High Reliability Organization, or HRO,” says Calhoun. “Through this work, we will improve our culture of safety, quality, transparency and continuous improvement that is vital to fulfilling our organizational mission.” Leadership Summits are scheduled quarterly for the continual training and development of our leaders at all levels of the organization. The future of CMH: Our employees Citizens Memorial Hospital and Citizens Memorial Health Care Foundation are committed to developing our leaders and investing in our employees. New initiatives launched this fall are working together to achieve this goal. “We want you to have the best health care experience every time you come to CMH,” says Michael Calhoun, CEO/ Executive Director of Citizens Memorial Hospital and Citizens Memorial Health Care Foundation. “Quality, safety and patient satisfaction are key indicators of our success. In order to achieve this success, we are developing our leaders and investing in our employees to provide the very best care to you.” INVESTING IN OUR EMPLOYEES CMH launched its quarterly Employee Forums Sept. 21 and 22. Calhoun gave updates on initiatives, significant achievements and recognitions, and an overview of CMH’s HRO journey. Employees also had the opportunity to ask questions. “Employee Forums are an opportunity for all our employees to have regular, direct communication from our executive team,” Calhoun says. “While we do a great job of cascading key information throughout the organization, the forums provide that direct, two-way communication, helping staff to be fully informed and engaged.” The Employee Forums are offered in-person and through live video, and they are repeated to include day and night shifts and off-site locations and recorded for those employees not able to attend. “As we prepare for the next 40 years, investing in our people is the best investment we can make,” Calhoun says. “We will continue to find new ways to support and empower our employees.” Ron Evans, M.D., CMH Chief Medical Officer, and KCWolf Dan Meers, Kansas City Chiefs’ mascot, KCWolf CMH BENEFITS Other ways CMH is investing in our employees is through new programs, such as employee referral bonuses for referring new employees, pay differentials for night and weekend shifts, and a new loan forgiveness program for those who qualify. An additional recent benefit includes an on-demand pay program that allows employees to get early access to their money as they earn it with next-day bank transfers and instant transfers. CMH has an expansive benefit package for employees, including a zero premium option for health and dental coverage; vision and prescription drug coverage; wellness and employee programs for smoking cessation, stress reduction, weight loss or to improve healthy lifestyle habits; retirement planning; and personal finance education. Also included is an employer-paid term life insurance policy, paid time off, retirement plan contributions and access to local investment advisers at no cost. WORKFORCE 13 Citizens Memorial Hospital is the first business in Missouri to receive the Recovery Friendly Workplace (RFW) designation from Recovery Friendly Missouri. Ann McCauley, RFW project director with the University of Missouri Extension, made an official presentation during CMH’s Mental Health Awareness Walk on Sept. 29. CMH staff completed several steps to earn the designation, including training, planning and delivering a declaration to staff stating the organization’s support for employees in recovery. “The greatest thing about Citizens Memorial is the people,” McCauley says. “They walk the walk and talk the talk, and their support for those in recovery is phenomenal. Citizens Memorial changes lives for the better, and in doing so, positively impacts its entire community.” The RFW designation comes at no cost to businesses. The University of Missouri Extension is funding the initiative through a Rural Opioids Technical Assistance grant to address substance use disorder in rural communities throughout Missouri. “It is our hope that businesses that have been reluctant to give people in recovery a second chance will hear the stories from Citizens Memorial staff and leaders and decide to become recovery friendly too,” McCauley says. “We are excited CMH is willing to mentor other businesses that need support hiring people in recovery.” Learn more about Recovery Friendly Missouri at FOR MORE INFORMATION about employment opportunities at CMH, go to From left: Christina Bravata, CMH director of grants management and CMH Addiction Recovery manager; Ann McCauley, MU Extension project director of Recovery Friendly Workplace; Sawiyyah Chanay, MU Extension rural opioids technical assistance grant principal investigator and community health engagement and outreach education director; Sarah Swearingin, director of nutritional services; and Kurt Bravata, M.D., FASAM, medical director of CMH Addiction Recovery. CMH RECEIVESMISSOURI’S FIRST RECOVERY FRIENDLYWORKPLACE DESIGNATION

14 VITALITY Winter 2022 Keith J. Butvilas, D.O., is the medical director of emergency services at CMH. Dr. Butvilas has more than 20 years of extensive emergency medicine and leadership experience. Before joining CMH, Dr. Butvilas most recently was an attending physician in emergency medicine at Mercy Hospital, Springfield; MercyOne Siouxland, Sioux City, Iowa; and MercyOne Waterloo (formerly Covenant Medical Center), Waterloo, Iowa. His previous experience also includes three years as a chief medical officer, six years as an emergency department medical director and director of a community paramedicine program. As medical director, Dr. Butvilas will provide administrative leadership and clinical direction of the emergency department, EMS and stroke services. The ER medical staff also includes: » Marcelo A. Assmann, M.D. » Sean Bandzar, M.D. » Jordan H. Gipson, M.D. » Ryan Hunsel, M.D. » Nathaniel Pearl, D.O. » Jeffrey K. Smieshek, D.O. » Nathan Walters, M.D. » Brandi Hume, PA-C » Jamie D. Schoolcraft, PA-C » Esther Trammell, NP-C Three grants totaling $1,845,000 will help Citizens Memorial Hospital establish a Mobile Integrated Healthcare program. Part of the grant funding will pay for the recruitment and training of emergency medical technicians and specialized training for paramedics to become certified community paramedics. The Mobile Integrated Healthcare (MIH) program will provide inhome, non-emergency care to highrisk patients through community paramedics. Community paramedics are specially trained to provide inhome assessment and treatment for patients to avoid unnecessary visits to the emergency department and to avoid re-admission after discharge when possible. Community paramedics will work jointly with an integrative care team to coordinate referrals, connect patients to community resources and assist in telehealth access. “The goal is a reduction of people being re-admitted to the hospital,” says Aaron Weaver, director of Emergency Medical Services at CMH. “It’s healthier for our patients and healthier for our system.” Community paramedics do not replace EMTs and paramedics responding to emergency calls. The non-emergency service helps to educate patients after discharge from the hospital or after recurring emergency room visits. The educational EMERGENCY SERVICES Mobile Integrated Healthcare program Aaron Weaver Keith Butvilas, D.O., FAAEM Meet the ER team CMH is a Level IIITrauma Center, Level II STEMI Center and Level III Stroke Center. For more information about the CMH Emergency Department, call 417-326-6000. 15 Walk-in clinic or emergency room? When you need immediate medical care, it can be difficult sometimes to determine whether you should go to a walk-in clinic or the emergency room. Keep this guide for a handy reference the next time you have an urgent health care need. Walk-in clinic » Allergies. » Colds, flu, fever. » Dental pain. » Ear pain, infection. » Insect bites. » Minor asthma. » Minor cuts, burns. » Rashes. » Sprains, strains, simple fractures. » Sore throat, cough. » Urinary tract infections. Some CMH walk-in clinics are open seven days a week and offer evening hours. Many also provide X-ray and laboratory services. Emergency department » Broken tooth. » Chest pain, discomfort. » Head trauma, severe headache. » Poisoning. » Seizures. » Shock. » Severe burns, cuts. » Severe trauma, injuries. » Shortness of breath, difficulty breathing. » Sudden paralysis, slurred speech. » Unconsciousness. » Uncontrollable bleeding. » Visible fractures. coming to CMH component benefits patients who do not qualify for home health care. “We look forward to spending time with patients to educate them and put them in control of their health care,” Weaver says. “We are helping people be able to take care of themselves.” With two CMH personnel already taking community paramedic classes, Weaver says CMH’s first community paramedics should be in the field within a year. For more information about the Mobile Integrated Healthcare program, go to 3S3ZdwV. For more information about Emergency Medical Services at CMH, call 417-326-6000. Clip and save Call 911 if you think you’re dealing with a medical emergency.

Nonprofit Org. U.S. Postage PAID WallaWalla,WA Permit No. 44 Citizens Memorial Hospital District 1500 N. Oakland Ave. Bolivar, MO 65613 MARCELO A. ASSMANN, M.D., is an emergency medicine physician at CMH. He received his medical degree from Ross University School of Medicine, Dominica,West Indies, and completed his residency in emergency medicine at TexasTech University Paul L. Foster School of Medicine, El Paso, Texas. He is certified by the American Board of Emergency Medicine and is a Major in the U.S. Army Medical Corps. To learn more, call 417-326-6000. ROBERT MCGOWIN, PA-C, is a physician assistant at El Dorado Springs Medical Center &Walk-In Clinic. Previously, he was on staff at Bolivar Family Care Center. McGowin is certified by the American Academy of Physician Assistants. To schedule an appointment, call 417-876-2118. Welcome, new providers! ASHLEY BATSON, LCSW, is a licensed clinical social worker at CMH Pediatric Clinic. She provides on-site counseling and therapy services to students at Bolivar R-1 School District. She earned a Bachelor of Science in psychology and sociology from Southwest Baptist University, Bolivar, and a Master of Social Work from Missouri State University, Springfield. For more information, call 417-777-2121. TARA BILLINGSLEA, PMHNP-BC, is a mental health nurse practitioner at Southside Medical Center. She earned a Bachelor of Science in nursing and a Master of Science in nursing with a concentration in psychiatric mental health nurse practitioner from Cox College in Springfield. Billingslea is certified by the American Nurses Credentialing Center. To schedule an appointment, call 417-326-7840. KEITH J. BUTVILAS, D.O., is the medical director of emergency services. Dr. Butvilas earned his medical degree and completed a residency in emergency medicine at the Midwestern University of Chicago, College of Osteopathic Medicine. He is certified in emergency medicine by the American Osteopathic Board of Emergency Medicine and is a fellow of the American Academy of Emergency Medicine. For more information, call 417-326-6000. ERIN DUVALL, PMHNP-BC, is a mental health nurse practitioner at Dallas County Family Medical Center. She earned a Bachelor of Science in nursing from Southwest Baptist University, Bolivar, and a Master of Science in nursing from Liberty University, Lynchburg, Virginia. Duvall also holds two post-master’s certificates and is certified by the American Nurses Credentialing Center. To schedule an appointment, call 417-345-6100. SARAH GELTMACHER, FNP-C, is a family nurse practitioner at Willard Medical Center &Walk-In Clinic. She earned a Bachelor of Science in nursing from the University of Saint Mary, Leavenworth, Kansas, and a Master of Science in family nurse practitioner from South University, Savannah, Georgia. She is certified by the American Association of Nurse Practitioners. To schedule an appointment, call 417-761-6655. SCOTT DENNIS, PA-C, is a physician assistant at Bolivar Family Care Center. He previously worked at Osceola Medical Center &Walk-In Clinic. He is certified by the American Academy of Physician Assistants. To schedule an appointment, call 417-326-6021. PROVIDERS ONTHE MOVE