Category Archives: Health Care

Healthcare in Bourbon County: Amberwell

The emergency room in 2019 prior to Ascension Via Christi assuming operations.

Ascension Via Christi is stopping their emergency department services in Fort Scott at the end of this year.

But a new healthcare system is coming to replace the services.

At this week’s special City of Fort Scott Commission meeting, Mayor Matthew Wells said “It is public knowledge at this point that Amberwell is the company that we are partnering with, their home office is in Atchison, Kansas.”

The city approved $600,000 for its part in the new E.R. services in a Memorandum of Understanding.

Other entities

At a special Bourbon County Commission meeting this week the commissioners approved $500,000 towards the new E.R. services.

“The administration and Board of Trustees at Fort Scott Community College recognize the importance and need for there to be an active emergency room in the county,” Dr. Jason Kegler, President of Fort Scott Community Colleges said. “We understand the benefit this provides to our guests, students and staff. The college remains mindful of the financial responsibility we have to the citizens of this county. We will have internal discussions about how best for us to partner with other entities to ensure the continued presence of an emergency room in this county.”

Because of public school finance laws  USD 234 is unable to help financially, Destry Brown, Superintendent said. “We do support it, but we can’t help with it financially.”

About Amberwell

Amberwell Health has a mission to sustain and strengthen rural healthcare, through affiliation with clinically integrated organizations that share services, expertise, and group savings while retaining local operational management,  according to its website.

As of January 2022, Amberwell had 650 employees serving across seven locations in six communities in northeast Kansas, according to the website.

Problems in healthcare

“Kansas has 104 rural hospitals – and more than 80% of them are losing money, according to the Center for Healthcare Quality and Payment Reform, a nonprofit think-tank,” Mayor Wells said. “More than half are deemed to be at risk of closing this year.”

“The biggest problems for rural hospitals (are) a combined high percentage of Medicare and Medicaid patients and payments from private insurance companies that, like those from government programs, don’t cover the cost of providing services, Wells said.
“Under the new federal program, we could qualify for a subsidy of approximately $2.2 million a year plus a 3% increase in Medicare payments by becoming a federally designated Rural Emergency Hospital. However, we must be a functioning rural hospital that meets these conditions. To qualify, this organization we are partnering with will provide these services.”

“The Kansas Hospital Association (https://www.kha-net.org/) estimates that Kansas would have received an additional $6.2 billion in federal funding if it had expanded Medicaid when the opportunity arose in 2014,” Wells said. “I ask you to start pressing the state legislature to make this happen, for our community, for our people.”

 

“We are so thankful that Ascension has helped provide the E.R. to date, but they too have been subsidized with free rent and free utilities by Legacy Health,” Wells said.

Amberwell will also receive this benefit, he said.

“On top of the E.R., this is one of the greatest needs: primary care doctors for us citizens,” Wells said. “We are also told that Amberwell has the ability, because of the way it has set itself up to create single-payer systems, that allow people to pay directly for services without having to have insurance. Many of the businesses showed extreme interest in this model, and one said it would save them a lot of money.”

 

Boil Water Advisory Rescinded for City of Fulton, Bourbon County

 

TOPEKA – The Kansas Department of Health and Environment (KDHE) has rescinded a boil water advisory for the City of Fulton public water supply system located in Bourbon County. The advisory was issued because of system upgrades leading to multiple line breaks resulting in a loss of pressure in the system.  Failure to maintain adequate pressure may result in a loss of chlorine residuals and bacterial contamination.

Public water suppliers in Kansas take all measures necessary to notify customers quickly after a system failure or shutdown. Regardless of whether it’s the supplier or KDHE that announces a boil water advisory, KDHE will issue the rescind order following testing at a certified laboratory.

Laboratory testing samples collected from the City of Fulton indicate no evidence of bacteriological contamination and all other conditions that placed the system at risk of contamination are deemed by KDHE officials to be resolved.

For consumer questions, please contact the water system at: 620-857-4464 or you may call KDHE at 785-296-5514. For consumer information please visit KDHE’s PWS Consumer Information webpage: kdhe.ks.gov/waterdisruption.

 

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Clinic Offered This Saturday For Those Seeking Mental Health Services

A  mental health clinic is offered to the community this Saturday, Oct. 14 at the former Mercy Hospital building.

Suite B of the SEKMHC at 401` Woodland Hills Blvd.

Those who are interested in initiating therapy services and seeing if other services are desired must make an appointment by Oct. 12

“This (clinic) is for anyone wishing to start services with us, “Dawne Burchett Southeast Kansas Mental Health Center Manager of Prevention and Promotion said “Anyone who would like additional support for any reason.”

An appointment can be made by calling 620.223.5030.

The office staff will ask for your name, date of birth, address, Social Security Number, insurance information, and reasons you are seeking services.

On the day of your appointment, proof of income, insurance card, and Social Security Number are needed.

The hours of this clinic are 9 a.m. to 6 p.m. on Oct. 14.

The location is 401 Woodland Hills Blvd., Fort Scott.

SEKMHC moved into the building on Sept. 11 and shares the clinic facility with Ashley Clinic.

SEKMHC and Ashley Clinic joined to create a more accessible, efficient, and effective model of care for the citizens of Kansas, according to a previous press release. The focus: leading integrated, whole-person care and breaking down barriers for patients.

To see a prior story:

Former Mercy Building Now SEK Mental Health and Ashley Clinic

401 Woodland Hills Blvd. houses offices of the  Southeast Kansas Mental Health Center.

About SEKMHC

Southeast Kansas Mental Health Center, established in 1961,  is a not-for-profit organization that provides, advocates and coordinates quality mental health care, services, and programs, according to its website https://www.sekmhc.org/about/.

Core services include:

  • Outpatient psychiatry
  • Therapy
  • Consultation
  • Chemical abuse counseling
  • Case management
  • Educational and skill-building groups
  • Specialty training
  • Physical healthcare coordination
  • 24/7 crisis intervention services

FS City Commission Agenda for Special Meeting On Oct. 10

NOTICE OF AND AGENDA FOR SPECIAl
MEETING OF FORT SCOTT CITY COMMISSION
CITY HALL COMMISSION ROOM – 123 SOUTH MAIN ST.
October 10, 2023 – 7:00 P.M.
I. Roll Call:
T. VanHoecke K. Harrington E. Woellhof M. Guns M. Wells
II. Pledge of Allegiance
III. New Business:
A. Consideration of Bids for Demolition of 10 S. National
(4) Bids received – Heck & Wicker $166,457.10; Industrial Salvage
$138,100.00; Skitch’s Hauling & Excavation $98,494.00 and Dave’s Demo
$80,000.00.
IV. Executive Session:
A. Healthcare pursuant to the attorney client privilege exception in K.S.A. 75-
4319(b)(2) the financial affairs or trade secrets of corporations.
XII. Adjournment:

Special Bo Co Commission Meeting on Oct. 10: Discussion of Healthcare

 

Bourbon County Courthouse

210 S. National Ave Fort Scott, KS 66701 Phone: 620-223-3800

Fax: 620-223-5832

 

 

 

 

 

 

 

 

Bourbon County, Kansas

Nelson Blythe

1st District Commissioner

Jim Harris, Chairman

2nd District Commissioner

Clifton Beth

3rd District Commissioner

 

 

Bourbon County Commission Agenda 210 S. National Ave.

Fort Scott, KS 66701

October 10, 2023 5:30 p.m.

 

 

A special meeting of the Board of Bourbon County Commissioners

 

 

  1. Call Meeting to Order
  2. Flag Salute Followed by Prayer
  • Executive Session KSA 75-4319(b)(4)
  1. Discussion of Healthcare
  2. Commission Comments
  3. Adjourn Meeting

 

 

 

 

 

Executive Session Justifications:

 

KSA 75-4319 (b)(1) to discuss personnel matters of individual nonelected personnel to protect their privacy.

KSA 75-4319 (b)(2) for consultation with an attorney for the public body or agency which would be deemed privileged in the

attorney-client relationship.

KSA 75-4319 (b)(3) to discuss matters relating to employer/employee negotiations whether or not in consultation with the

representative(s) of               the body or agency.

KSA 75-4319 (b)(4) to discuss data relating to financial affairs or trade secrets of corporations, partnerships, trust and individual     proprietorships

KSA 75-4319 (b)(6) for the preliminary discussion of the acquisition of real property.

KSA 75-4319 (b)(12) to discuss matters relating to the security measures, if the discussion of such matters at an open meeting

would jeopardize such security measures.

 

Kansas child deaths hit record low in 2021

Kansas child deaths hit record low in 2021, annual report shows

 

TOPEKA – (Oct. 3, 2023) -– Child deaths hit a record low in 2021, despite an increase in the number of child homicides and fentanyl overdoses, according to a report released today by the State Child Death Review Board of Kansas.

The board’s annual report analyzed the deaths of Kansas children (birth through 17years old) that occurred in calendar year 2021, the most recent year for which data is available.

“Within the three decades that the State Child Death Review Board has been in in existence, more than 12,000 deaths of Kansas children have been examined. The data provided in this report is critical to our understanding of why children are dying,” said Sara Hortenstine, the board’s executive director.  “We know that behind each of these statistics are the stories of children who lost their lives too soon, families who are still grieving, and communities that will be impacted forever. We must learn from these difficult circumstances and take action to prevent future deaths of Kansas children.”

Overall, the report showed Kansas had 349 child fatalities in 2021, compared with 365 in 2020. The overall child death rate in 2021 was 49.6 deaths per 100,000 population, both the lowest number and rate of death since the board was created in 1994.

The rate of deaths due to natural causes declined in the last five years, the report revealed. In 2021, 100-plus fewer children died of natural causes compared to 2018. Despite the overall decreasing number of child deaths in Kansas, homicides, weapon-related deaths, and drug-related deaths in children has shown an alarming increase.

Thirty-two children died from homicide in 2021 compared to only 22 child homicides in 2020, a 45% increase. The report also indicates drug-related deaths increased significantly in the past two years. While no children died in 2017, 2018, and 2019 from fentanyl, 20 kids died from fentanyl overdoses in 2020 and 2021.

The Centers for Disease Control and Prevention reported nearly 500,000 people of all ages died from overdoses involving both illicit and prescribed use of opioids from 1999-2019. In recent years, both nationally and in Kansas, the data has shown an increase in the use of synthetic opioids like fentanyl. While fentanyl is a prescription drug, it is also manufactured illegally. Frequently it is incorporated into illicitly manufactured pressed pills and mixed with other substances without the knowledge of the end user.

“My office is committed to preventing every preventable death of a child. This report shows a dramatic increase in fentanyl deaths in 2020 and 2021 as compared with previous years. We are using every tool at our disposal to deal with this threat,” Kobach said.

In addition to policy recommendations, the report includes prevention points that families can use to decrease the likelihood of a child’s death.

The board is a multi-disciplinary, multi-agency volunteer board organized by law within the attorney general’s office to examine trends and patterns that identify risk factors in the deaths of children, from birth through 17 years of age. The report is available on the attorney general’s website at https://ag.ks.gov/scdrb.

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Habits to Live a Healthier Life

 

Tara Soloman-Smith, Family and Wellness Agent, Sunflower District of Kansas State University’s Extension Office. Submitted photo.

 

The secret to living healthier, happier and longer lives has been out for many years now.  Decades-long research from explorer Dan Buettner reports areas of the world where people seemed to be living longer and healthier and termed the locations ‘Blue Zones’. His recent Netflix documentary gives a visual and is now trending as a top streaming pick.

The five original Blue Zones are in Italy, Costa Rica, Greece, Japan and California, with Singapore being added later.

So why do people in these areas live so long and so well? The answer is simple — lifestyle. Their lifestyle includes a healthful diet, daily exercise, and a low-stress style of living that focuses on family, purpose, religion, and meaning. Here are a few lifestyle aspects that Buettner has found in his research.

Move naturally.  If you are like me and do not like to go to the gym, you might be inspired by this one.  Those in the Blue Zones build movement naturally into their day by walking to the store, gardening, or sitting on the floor instead of lounging in a chair.

Downshift. This relates to stress relief. Here there is a lot of talk about mindfulness and reducing stress but in Blue Zones it seems to be a natural practice.  For example, in Okinawa, Japan, people take a minute every day to remember their ancestors. In Loma Linda, California, people take time to pray every day. In Greece, it’s an afternoon nap. In Italy, a Happy Hour.

Plant Slant and the 80% Rule.  Blue Zone diets include meat, however it’s about a tenth of the amount Americans eat.  Incorporate more plant-based foods, such as beans and nuts and green leafy vegetables and try ways to add herbs for flavoring. Another principle allows your stomach to catch up to your brain by eating only until your 80% full.

Build that Social Network with Purpose.  Blue zones have similar prioritization of family and community.  A network of support and a sense of belonging is good for the body and the soul.  This has often been found in a faith-based community, but it doesn’t have to be.  It can be accomplished within an interest group or through volunteer project work. We do know that habits are often contagious so surround yourself with others that inspire you to live a healthier life style!

 

There’s no quick fix or one thing that will create this all-encompassing health change. It requires dozens of small steps that can move us toward a healthier life.  We can start this within our home in small increments to improve connections, increase movement, and decrease stress.

 

For more information, contact Tara Solomon-Smith, [email protected], or call 620-244-3826.

 

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Kansas State University Agricultural Experiment Station and Cooperative Extension Service

K-State Research and Extension is an equal opportunity provider and employer. Issued in furtherance of Cooperative Extension work, acts of May 8 and June 30, 1914, in cooperation with the U.S. Department of Agriculture, Director of K-State Research and Extension, Kansas State University, County Extension Councils, Extension Districts.

 

Award for Breastfeeding Support Received by SEKMCHD

Becky Johnson. Submitted photo.

Submitted by Becky Johnson, Administrator/Director of the Southeast Kansas Multi-County Health Department.

The Bourbon County office is located at 524 S. Lowman and can be reached at 620.223.4464 or [email protected]

Recently all four of the offices of SEK Multi-County Health Department (SEKMCHD) (Allen, Anderson, Bourbon and Woodson Counties) have received the Gold Level “Breastfeeding Employees Support Award” from the Kansas Breastfeeding Coalition and its Business Case for Breastfeeding program.

We have worked very hard to get this award for our offices and are pleased with the continual growth we are having for employee support, recruitment and retention. It is the goal of SEK Multi-County Health Department to become and remain a family-forward workplace, to provide resources and education for our employees and to normalize breastfeeding, as it is a healthy and natural way to feed your baby and is essential to maintaining the workforce.

SEKMCHD benefits not only from staff retention but also from turnover costs, healthcare costs savings and reduction of absenteeism. Child care is difficult to find, as most parents know, so we allow new moms to bring their baby to work with them for the first 6 months. We also benefit from staff satisfaction and these days, that it not an easy thing to maintain. My motto is “Take care of your employees and they’ll take care of you”. I am blessed with a great group of employees that want to work in public health and I spend a lot of time making sure their needs are met and finding new ways to retain them.

We have taken on several new services in the last couple of years, one being our Breastfeeding Peer Counselor Program and have been able to hire new employees to provide this service to our communities. Our clientele has grown so much that we now have 2 Breastfeeding Peer Counselors (Holly Fritter, who covers Bourbon and Woodson Counties and Khloe Utley, who covers Allen and Anderson Counties) and a supervisor for this program (Brittany Frishman, who is our Designated Breastfeeding Expert and covers all 4 counties). This ties right in with the support we offer our employees. Also, our staff have taken several levels of courses on breastfeeding, we’ve remodeled/updated areas in each of our offices for lactation rooms and can offer professional lactation support to our communities.

I am so very proud of our team and the accomplishments we’ve made through the turmoil that has been faced in public health in recent years. It’s nice to see something positive take off so well!

Rate of Uninsured Kansans Surpasses National Rate

Census Survey: Nearly 250,000 Kansans
without Health Coverage

~~ Kansas Rate of Uninsured Per Capita Surpasses U.S. Rate
for Second Year ~~

TOPEKA – The U.S. Census Bureau recently released its American Community Survey 1-year estimates, indicating nearly 250,000 Kansans lack health insurance. The survey reflects data collected in 2022 to assess health insurance coverage rates across Kansas and the United States.

For the second consecutive year, Kansas’ uninsured rate for working-age adults surpassed the national rate. Kansas’ rate was 12.5% compared to the U.S. at 11.3%.

Governor Kelly announced yesterday that her top priority for this coming legislative session is Medicaid expansion by kicking off her “Healthy Workers, Healthy Economy” tour. Medicaid expansion would give thousands of working Kansans access to affordable health care.

“While 40 other states have expanded Medicaid, Kansas continues to lag behind the nation in health care coverage because the legislative has yet to accept the federal funding – which Kansans have already paid for through taxes – needed to get more workers insured,” Governor Laura Kelly said. “That’s unacceptable. Kansans should call their legislator and urge them to expand Medicaid this upcoming legislative session.”

Prior to the implementation of the Affordable Care Act by other states, the rate of Kansans with health care coverage was better than the nation. Since the Legislature hasn’t expanded Medicaid, the rate of uninsured Kansans has trended closer to or exceeded the national uninsured rate.
Uninsured Rates for Kansas and the United States, 2009-2022

Graph courtesy of the Kansas Health Institute.

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As summer comes to a close, virus season is just beginning!

Many area healthcare providers including CHC/SEK have begun to see an end-of-summer increase in viral
illness such as COVID, influenza and other respiratory illnesses.
Fortunately, for most people the COVID variants and the other viral illnesses are mild and generally resolve
without the need for treatment, says Dr. Linda Bean, Chief Medical Officer at CHC/SEK. However, individuals
who are at risk, either due to age or certain medical conditions, and have been exposed or suspect they have
COVID or influenza should follow up with a medical provider to discuss testing and treatment options.
At this point, do not expect mass testing associated with the 2020 pandemic to return. “With the public health
emergency declarations expiring signaling the end of the pandemic, we have also seen an end to the ability to
do mass testing for COVID,” Bean says. “Most health organizations including CHC/SEK now have less access to
testing supplies, and fewer resources dedicated to testing as we did during the pandemic.”
Additionally, the curbside and in-clinic testing once covered for patients during the public health emergency is
no longer “free,” and home testing kits are readily available through retail stores and on-line.
“COVID variants are always going to be around,” Dr. Bean says. “Now, beyond the pandemic, we need to shift
our thinking around them and other respiratory illnesses to managing our risks the best we can, including
staying up to date on COVID and influenza vaccines, which we believe will be available in the next couple of
weeks.”
What should you do if you develop symptoms or have been exposed to COVID, influenza or other
respiratory illnesses?
• Stay home, rest, drink fluids.
• Use over-the-counter medications such as ibuprofen (Motrin, Advil) or acetaminophen (Tylenol) for
fever and body aches.
• For most viral illnesses, you can return to class or work when you have been fever-free for 24 hours
and symptoms are improving.
• If you have suspected or confirmed COVID or influenza, it is recommended that you stay home for 5
days from the start of your symptoms.
• Masks can help reduce transmission.
• Cover coughs and sneezes if you must be around others.
When should you be tested or see a medical provider?
• If you are sick and you are at an increased risk of severe illness due to medical conditions such as
asthma, diabetes, or other conditions that lower your immune system.
• If your symptoms are getting worse or you develop trouble breathing, pain or pressure in the chest,
dizziness or other symptoms that are concerning to you.

New Presbyterian Village Director: Marla Heckman

Marla Heckman. Submitted photo.

Marla Heckman, 52, is the new Fort Scott Presbyterian Village Executive Director.

Heckman is new to Fort Scott.

“My husband, John,  was born in Fort Scott,” she said. ” We were planning on retiring and moving here someday.  There was some property that was going up for sale close to our family, so we decided to change our plans and move back sooner.”

Heckman started on September 5, 2023, as the   Executive Director, “overseeing this wonderful community.  I am so excited to work with the amazing TEAM here,” she said.

She received her education from the University of Oklahoma and is a Licensed Nursing Home Administrator.

Heckman has 36 years in Healthcare-Independent Living, Assisted Living, Residential Care, Skilled Nursing, and Long-term Care.

“I served on the board for Care Providers Oklahoma, as well as, the Oklahoma State Department of Health Informal Dispute Resolution panel,” she said.

In her spare time she  “loves spending time with family and friends.”

“I have never lived anywhere but Oklahoma, so I am excited to start some new hobbies, maybe gardening and having some chickens,” she said. “I look forward to being involved in the community and helping whenever possible.”

She has four children and 13 grandchildren.

 

Presbyterian Village, 2401 S. Horton, Fort Scott.

Heckman replaces Ginger Nance as the executive director.