say ‘hello’ to new mmsc team members! · mmsc journeys fall 2013 2013 mmsc board of trustees...

FALL 2013

S T E P S T O B E T T E R H E A LT H

•AnnualWellnessExam A simple checkup can dramatically improve your overall health

•DancingforaCure MMSC enters national breast cancer awareness video competition

•Lights,Camera,Action MMSC Foundation announces Annual Giving Campaign goal

Inside this Issue:

Alan Willis is MMSC’s new Director of Surgical Services.

Say ‘hello’ to new MMSCteam members!See the new faces on Page 4.

Contents

MMSC Journeys Fall2013

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InsideMMSCJourneysMessage from John Hughes ..................................................3

MMSC News ........................................................................... 4-5

MMSC Care Champions ......................................Back Cover

4

SupportingLocalVeterans MMSC provides $10,000 contribution for remodeling of new Marshalltown VFW Hall.

DancingforaCure MMSC team members don pink gloves in national breast cancer awareness video competition.

GetHealthy,StayHealthy Learn how an annual wellness exam can contribute to overall health and well-being.

ALookBack As MMSC prepares to celebrate its Centennial Anniversary in 2014, learn about the hospital’s history between 1966-1991.

S T E P S T O B E T T E R H E A LT H

MMSCExecutive LeadershipTeam

JohnHughes,FACHE President & Chief Executive Officer

AndreaGomez Executive Assistant

ToddBurchInterim Vice President

of Operations

HilaryDolbee Vice President of Finance/

Chief Financial Officer

GinaJamesVice President of Nursing/D.O.N.

PaulSliva Vice President of

Information Technology

LizZuercher Vice President of

Administrative Services

PromotingCancerDetection MMSC Foundation announces 2013 Annual Giving Campaign for colon cancer screening technology.

Volume 2, Number 2FALL 2013

MMSC Journeys is published as a community service by Marshalltown Medical & Surgical Center, 3 South 4th Ave., Marshalltown, IA 50158. Health information contained in this

publication is not intended to provide personal medical advice, which should be obtained

directly from a physician. To opt out of receiving future mailings, please send your name and

address to [email protected].

EditorLiz Zuercher

MarketingCoordinatorKathryn Bartling

DesignFroehlich Communications, Inc.

ContributingPhotographersJohn Stalzer – Stalzer Photography

Dane Zuercher Apgar Photography

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NewHospitalistProgram MMSC now utilizing hospitalists for enhanced inpatient care in partnership with Cogent HMG.


2013MMSC BoardofTrustees

T.L.Briggs,M.D.–PresidentRetired, Marshalltown OB/GYN

Marshalltown, Iowa

MikeMason–VicePresident Emerson Process Management/

Fisher ControlsMarshalltown, Iowa

JimLowrance–SecretaryGreat Western BankMarshalltown, Iowa

CarolHibbs–TreasurerCommunity Y of Marshalltown

Marshalltown, Iowa

Dr.ChrisDureeIowa Valley Community

College District Marshalltown, Iowa

SharonGreerCartwright, Druker & Ryden

Law Offices Marshalltown, Iowa

PollyHineman,D.O.MMSC Clinic Tama/Toledo

Toledo, Iowa

JohnHughes,FACHEMMSC President & CEO

Marshalltown, Iowa

SueMartinCommunity Leader Marshalltown, Iowa

KimSchryverCommunity Leader Marshalltown, Iowa

KevinSwartzWolfe Eye Clinic

Marshalltown, Iowa

StephenVanBuren,M.D.McFarland Clinic

Marshalltown, Iowa

BruceWirinEdward Jones

Marshalltown, Iowa

TO OURCOMMUNITIES

Welcome

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Fall is here and the holiday season is right around the corner. As I reflect on the past year and look forward to 2014, we

have many things to be grateful for — both as a community and as a hospital.

Our community is fortunate to have a loyal team of medical professionals who strive daily to provide quality care. From physicians on our medical staff to our clinical and non-clinical employees, the MMSC team is dedicated to meeting the healthcare needs of the communities we serve.

As you know, the world of healthcare is rapidly changing. We are making significant investments to respond to these changes, including technology enhancements and a facilities modernization plan. Our team continues to evaluate a number of potential building options that will help strengthen the level of care both at the hospital and at our clinic locations.

MMSC is also making investments in another important area: People. A number of talented individuals have recently joined our team over the past several months. Among these is Alan Willis, MMSC’s new Director of Surgical Services. He is currently leading efforts to relocate our Ambulatory Surgery Center to a newly remodeled area closer to our operating rooms. The new Pre-Operative Unit will improve patient flow and ultimately help us deliver better care for in-patient and out-patient surgical procedures.

We are also pleased to welcome new physicians to the MMSC Clinics, a new Chief Financial Officer, new department leaders, physician assistants and several new specialists who now see patients in Marshalltown.

As we prepare to celebrate our 100th Anniversary in 2014, MMSC remains focused on providing quality patient care. It’s a responsibility that we take seriously, and a tradition that we are proud to carry forward in our next century of service.

John C. Hughes, President & CEOMarshalltown Medical & Surgical Center

News


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MMSC donates to VFW building projectMarshalltown Medical & Surgical Center CEO John Hughes (center) recently presented a check for $10,000 on behalf of Marshalltown Medical & Surgical Center to members of the Veterans of Foreign Wars Post 839. The funds are being used for remodeling and updating the VFW’s new home at 107 E. Meadow Lane in Marshalltown.

New providers and staff join the MMSC team

Bradley Wargo, D.O.Pain Medicine,

McFarland Clinic

Bryce Jolley, D.P.M.Podiatry,

McFarland Clinic

Dawnett WillisMMSC Business

Development Executive

Alan WillisMMSC Surgical Services Director

Pam DealMMSC Emergency

Department Director

Charles KnudsonPhysicians Assistant,

Emergency Department

Hilary Dolbee Chief Financial Officer/

Vice Pres. of Finance

Ashley MoresPhysicians Assistant,

Emergency Department

Sadia Benson, D.O.Internal Medicine,

MMSC Clinics

Yared Vazquez, M.D.Family Practice, MMSC Clinics

Anthony Stark, D.O.Physiatrist, Iowa Ortho

News


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Whatisahospitalist?In the same way that cardiologists specialize

in the care of heart patients, hospitalists are medical physicians who specialize in the care of hospitalized patients.

The hospitalist assumes the care of the patient while keeping the patient’s primary care physician informed of progress, procedures and medications. MMSC has partnered with Cogent HMG to provides these services.

Howwillahospitalistworkwithme?Together with your primary care physician

(PCP), the hospitalist plans and manages treatment throughout your inpatient stay to help you achieve the best outcome possible.

Once admitted to MMSC, the hospitalist coordinates a course of treatment during your stay, including ordering diagnostic imaging studies and lab work. They will review all tests and adjust care based on the test results. Throughout your stay, the hospitalist will provide updates on your plan of care.

Your hospitalist will work with you and your family to personally answer and discuss any questions you may have about your illness, medications or other diagnostic and treatment processes.

Howwillahospitalist knowmymedicalhistory?

Your hospitalist will spend extra time learning about you. At admission, if your care is assigned to a hospitalist, they will contact your PCP to review your patient history and review any notes in regards to your current condition. The hospitalist will also review any past medical records and gather information from you and your family.

Workingincoordination withyourprimaryphysician

Your hospitalist will be in contact with your primary physician throughout your hospital stay. At the time of discharge, the hospitalist will update your physician on care received including any prescriptions given upon discharge, further treatment recommendations or recommended follow-up care. When your discharge instructions are reviewed with you, you may be given an appointment for follow-up care with your primary physician, or advised to call your physician to schedule an appointment.

Patients return to their primary care physicians for follow-up care after being discharged from the hospital. With a hospitalist program in place, primary care physicians can dedicate their time to seeing patients in the office for non-acute care and health management.

In partnership with Cogent HMG, MMSC now utilizing hospitalists for enhanced inpatient care

Your Hospitalist Team at MMSC

Lowell Palmer, M.D.Regional Medical Director

Shazia Abbas, M.D.Program Medical Director

Pankaj Agrawal, M.D. Mzingaye Moyo, M.D.


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“I don’t need to go to the doctor because I’m not sick.” As a provider, I hear this statement often during my day. Part of

primary care and having a regular healthcare provider is to reduce your risk for chronic diseases. Most insurance companies will cover an annual wellness visit. The doctor will do a risk assessment to establish a personalized prevention plan for you. During the visit your healthcare provider will most likely take your blood pressure, heart rate, height/ weight and include a physical exam.

“But why do I need to see you when I feel fine?” There are a number of health diseases that don’t necessarily have symptoms. Hypertension is known as a silent killer for a reason. The number one killer

in the U.S. is heart disease and stroke. About one out of three U.S. adults — 31.3 percent — has high blood pressure. High blood pressure is a major risk factor for heart disease, stroke, congestive heart failure and kidney disease.

Other conditions that are of concern are diabetes and obesity. The Centers for Disease Control and Prevention estimates that diabetes affects 25.8 million people and 7 million are undiagnosed. This is also a major risk factor for heart disease. According to the CDC about one-third of U.S. adults (33.8 percent) are obese. Obesity-related conditions include heart disease, stroke, type 2 diabetes and certain types of cancer.

Your healthcare provider will also look for other

Everyone knows this

famous saying: “An

apple a day will keep

the doctor away.” But

research shows having

an annual wellness

exam is an even better

approach to improving

your overall health.

By Dr. Sadia Ashraf-BensonBoard Certified Internal Medicine PhysicianMMSC Clinics

Health Aware


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risk factors for certain diseases, like cancer. Cancer is a leading cause of death, and your healthcare provider can look into age-appropriate screening for certain types of cancer. Some examples of age-appropriate screenings your doctor might recommend include colon, cervical and breast cancers. Your provider will also determine how often you need to come in for screening tests.

Once the provider knows your risk for certain diseases, they will come up with a plan to modify or decrease your risk for them through health education and counseling.

The annual wellness exam is meant to focus on lifestyle interventions to reduce health risks and promote self management and wellness, including weight loss, physical activity, smoking cessation and nutrition.

Dr. Yared Vazquez, M.D., sees patients at the MMSC Clinic in Tama-Toledo and Marshalltown. To schedule an appointment, call (641) 484-5445.

Dr. Sadia Ashraf-Benson, D.O., sees patients at the MMSC Clinic in Marshalltown. To schedule an appointment, call (641) 753-2752.

New physicians now practicing at MMSC Clinics

Dr. Benson and Dr. Vazquez are accepting new patients. Call today for an appointment.

Other areas of focus during an annual wellness exam may include:

•Tobaccocessationcounseling

•Immunizations/vaccines

•Abdominalaorticaneurysmscreens

•Depressionscreening

•Alcoholismscreening

•Familyplanning

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MarshalltownMedical&SurgicalCenterJoinsMedline’s

2013NationalPinkGloveDanceVideoCompetition

Ma r s h a l l t o w n Medical & Surgical

Center, in partnership with Marshalltown Community College instructor Steve Muntz and class, is competing in the 2013 Medline Pink Glove Dance Video Competition with the goal of winning a $25,000 donation to a breast cancer charity of their choice. The video features participants dancing and wearing pink-colored exam gloves to raise awareness about the importance of early detection of breast cancer through mammograms.

Hundreds of hospitals and healthcare organizations from across the country have entered the 2013 competition. Voting runs through Nov. 8, and winners will be announced Nov. 15. The second place winner will receive $10,000 and the third place winner will receive a $5,000 donation.

“We’re so excited to be part of what has become a major national competition,” said Liz Zuercher, Vice President of Administrative Services. “Putting together this video has been a labor of love for all of us. It was a fun project to do, but our real goal is to raise awareness for early detection of breast cancer, research and prevention.”

A year ago, Katy Perry’s hit song “Part of Me” was featured in the winning Pink Glove Dance video submitted by Lexington Medical Center

in West Columbia, South Carolina. The medical center won the competition with 14,921 votes.

Medline, the creators of the YouTube sensation Pink Glove Dance and makers of the pink exam gloves, has sponsored Pink Glove Dance video competitions in 2011 and

2012, in which more than 80,000 have participated. The competition has quickly become a national social media phenomenon with the videos generating millions of views and votes.

The original Pink Glove Dance video premiered in November 2009 and featured 200 Portland, Oregon hospital workers wearing pink gloves and dancing in support of breast cancer awareness and prevention. Today the video has more than 13.8 million views on YouTube and has inspired hundreds of pink glove dance videos and breast cancer awareness events across the country.

To watch MMSC’s video and cast your vote, visit http://www.pinkglovedance.com/videos/2013-video-contest/marshalltown-medical/. Voting runs through Nov. 8.

Marshalltown Medical & Surgical Center partnered with Marshalltown Community College broadcast students and MCC instructor Steve Muntz on production and editing of the project.

Visit pinkglovedance.com to watch the video!

Promoting Breast Cancer Awareness

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Watch the dance video http://is.gd/MMSC2013Video

Vote for MMSC daily now through Nov. 8th!

Stroke Awareness

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WhatisStroke?A stroke occurs when a blood vessel that carries oxygen and nutrients to the brain either bursts, ruptures or is blocked by a clot. As a result, the brain cannot get the blood and oxygen it needs and pieces of the brain die.

RiskFactorsApproximately 80 percent of strokes can be prevented. Though some stroke risk factors are uncontrollable, such as age and race, other risk factors are in your control. For example, hypertension, which is the leading risk factor, can be controlled by eating a healthy diet, regularly engaging in physical activity, not smoking, and by taking prescribed medications.

KnowtheSignsF.A.S.T. is an easy way to remember the sudden signs and symptoms of a stroke. F.A.S.T. is:

•Face Drooping — Does one side of the face droop or is it numb? Ask the person to smile.

•Arm Weakness — Is one arm weak or numb? Ask the person to raise both arms. Does one arm drift downward?

•Speech Difficulty — Is speech slurred, are they unable to speak, or are they hard to understand? Ask the person to repeat a simple sentence, like “the sky is blue.” Is the sentence repeated correctly?

•Time to call 911 — If the person shows any of these symptoms, even if the symptoms go away, call 9-1-1 and get them to the hospital immediately.

Information courtesy of The American Heart Association. Learn more at www.strokeassociation.org.

Strokeisadiseasethataffectsthearteriesleading

toandwithinthebrain. It ranks as one of the leading

causes of death and disability in the United States.

• About795,000Americanseachyearsufferaneworrecurrentstroke.Thatmeans,onaverage,astrokeoccurs every40seconds.

• Strokekillsmorethan137,000peopleayear.That’sabout1ofevery18deaths.

• Onaverage,every4minutessomeonediesofstroke.

• About40percentofstrokedeathsoccurinmales,and60percentinfemales.

GettheAppTheAmericanHeartAssociationandAmericanStrokeAssociationhaveasimplesmartphoneapptohelpidentifythewarningsignsofstroke.ThefreeappisavailabletodownloadforiPhoneandAndroidplatforms.


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Physical Medicine & Rehabilitation

Dr. Anthony Stark, D.O., is a Physiatrist with

Iowa Ortho. He received his medical degree

from Des Moines University and served his

residency at the University of Texas Health

Science Center at San Antonio. Dr. Stark is

now seeing patients in Marshalltown.

WhatisPhysiatry?Physiatry, also called Physical Medicine

and Rehabilitation (PM&R), is the practice of medicine emphasizing prevention, diagnosis, and treatment of disorders related to the nerves, muscles, bones and brain that may produce temporary or permanent impairment.

Physiatrists, also known as rehabilitation physicians, are medical doctors who have completed training in the specialty area of PM&R. Rehabilitation physicians treat injuries and illnesses that affect how you move, with the goal of enhancing performance. Physiatrists treat disabilities resulting from disease or injury. A PM&R treatment plan is not focused on one part of the body. Rather, a comprehensive plan is developed to help patients recover in all areas, including medically, socially, emotionally and vocationally.

WhywouldIneedtoseeaPhysiatrist?A rehabilitation physician cares for patients

suffering from a number of illness or injury related ailments. Consider seeing a rehabilitation physician if:•Youhadanaccidentoryouhaveaninjuryor

chronic condition that has left you with pain or limited function.

•You’rerecoveringfromsurgery.•Youhavean illness thathasdiminishedyour

energy or ability to move easily.

•You’rerecoveringfromtheeffectsofastrokeorother problems related to nerve damage.

•Youhavechronicpainfromarthritis,repetitivestress injury or back problems.

•Excessweightmakesitdifficulttoexerciseorhas caused health problems.

•Lifechangessuchaschildbirthormenopausehave created new challenges to your physical function.

WhatareDr.Stark’sareasoffocus?Dr. Stark performs special testing called

electrodiagnosis to assist orthopaedic surgeons and other physicians in the evaluation of muscle and nerve concerns. His main areas of focus include hip, knee and shoulder; physical medicine and rehabilitation; concussion management; conservative management of sports injuries, musculoskeletal pain and low back pain; conservative treatments for arthritis of the knee; and non-operative shoulder, hip and knee management.

To schedule an appointment with Dr. Stark, call the Iowa Ortho office in Marshalltown at (641) 844-6259.

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at the history of MMSCA look back

1966-1991Moving ForwardThis year, each issue of MMSC Journeys magazine will feature our hospital and healthcare providers over the past 99 years. Previous editions focused on the first 50 years of history. This issue highlights the period 1966-1991.

1974 1979 1984 1984

Ultrasound department is set up.

Hospital assumes ownership of physical

therapy unit after 24 years on contractual basis.

Hospital purchases CT scanner.

Cataract patients become outpatients.

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Similar to today, the world of medical care and coverage was facing changes during the 1960s. In July 1965, the United States’ government

passed and President Johnson signed into law the Medicare Program to provide health insurance to people age 65 and older. The passing of the Medicare law guaranteed health insurance for the growing, aging population and led to evolving changes in the medical system.

However, one of the biggest changes facing medical care in the Marshalltown area took place on November 1, 1969, with the merger of Mercy Hospital and the Evangelical Hospital. The new corporation, known as Marshalltown Area Community Hospital (MACH), was led by Rev. H.C. Buchmueller, the former Evangelical administrator, and until August 1977, both hospital buildings were operated by the single corporation. It was also during this time that the name of the nursing school became Marshalltown Community School of Nursing.

Beyond the name change, patients at MACH were also experiencing modifications in care. Beginning in the 1980s, new fathers were not only encouraged to be in the delivery rooms but were

allowed to partake in the birthing process, such as cutting the umbilical cord. In addition, in 1973, computers began to handle the data processing for the hospital, including patient-related reports and

census activity.In May 1985,

MACH officially changed its name to Marshalltown Medical & Surgical Center (MMSC), in an effort by the then hospital board of trustees to more accurately describe the role of the hospital within the community. During this time, the hospital had taken on additional initiatives,

including outpatient surgery services and a skilled nursing facility. Additionally, MMSC had just completed a $4 million renovation to the 1926 building, originally part of the old Evangelical Deaconess Hospital, in an effort to gain much needed space for the laboratory and x-ray services.

The same purpose and pride that originated with the founding of the hospital in 1913 has carried through many decades and will continue to be a part of the MMSC vision for years to come. Healthcare continues to change, but the dedication MMSC has shown to the communities will no doubt remain a constant presence for the future.

Hospital adapts to evolving medical system with merger; new services

1966-1991: A Quarter Century of Change

1984 1988 1988 1989

Skilled Nursing Facility opens doors.

MMSC opens Phase II Cardiac Rehabilitation

Program.

Occupational Therapy program begins.

Mobile MRI brought to MMSC through shared

leasing contract with Ames and Fort Dodge hospitals.

In 1985, MMSC introduced a new logo which is still in use today. The design elements represent:Cross — The symbol of Christian heritage.Arrows — Health ministry reaches in all directions.Caduceus — Symbol of healing profession.Diamond-Shaped Circle — The many facets of service provided by the institution.

The Origins of the MMSC Logo


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The MMSC Foundation is a non-profit 501(c)(3) organization and gifts of all sizes enable us to carry out our mission and improve the services and programs we provide to the community. To learn more, call the MMSC Foundation office at (641) 754-5005 or email [email protected].

Colorectal cancer is known as a “silent killer” because in the early stages a person will often

experience no symptoms. A colonoscopy screening is one of the most powerful weapons in detecting colon cancer early, when it is highly treatable. That’s why the MMSC Foundation is excited to announce the focus of the 2013 Annual Giving Campaign “Lights, Camera, Action”: to raise $50,000 to enhance the hospital’s colon cancer screening technology to keep it among the best in the nation.

GetBehindaGoodCauseCancer screening is an important part of the

hospital’s mission of providing quality care to all residents. The new colonoscope equipment will provide enhanced technology including:

High-intensity 300-watt light source

High-definition video imaging

Advanced visualization capabilities

These enhancements will improve early detection.

TheImportanceofCancerScreeningsLocal cancer advocate Thomas Hillers

knows the importance of colon cancer screenings firsthand. “I lost my father to colon cancer. Doctors said that preventative screening likely would have saved his life as it was a very slow growing cancer that was likely there for a few years before they found it. Had he been screened at age 50, he would likely still be here,” he said.

Local doctors and surgeons also support this year’s campaign. “A screening colonoscopy is a crucial step in cancer prevention. The upgraded equipment will allow us to continue to provide state of the art care to our patients right here in Marshalltown. I strongly support the purchase of this equipment,” said Dr. Stephen Van Buren of McFarland Clinic.

YourContributionWillImpactLivesYour gift will help MMSC improve colon

cancer screenings in the communities we serve. Funds raised are earmarked for the MMSC Surgical Services Department. Your contribution will impact early cancer detection through preventative screenings for you or a loved one. Thank you for your generous support!

To be a part of this year’s Annual Giving Campaign, return the enclosed envelope with your gift, or visit www.marshmed.com and click the “Lights, Camera, Action” icon for online contributions.

2013 Annual Giving CampaignNew colon cancer screening technology will provide enhanced detection for our patients

FACTSABOUTCOLONCANCER•ColonCarcinomaisthesecondleadingcauseofcancerdeathintheU.S.

•75%ofpeoplewhodevelopcoloncancerareage50orolderandhavenoobviousriskfactors.

•Colonoscopyisthemostsensitivetestfordetectionofcolorectalpolyps.

•Colonoscopycanreducetheaverageperson’sriskofdyingfromcoloncancerby90%.

•Withearlydiagnosis,themajorityofcoloncancersarehighlytreatable.

•Byage50,25%ofmenand15%ofwomenwillhaveanadenomatouspolyp.


News from the MMSC Foundation

Foundation announces new board membersAbigail Hillers works as a Trust Officer at United Bank & Trust. She graduated from Iowa State University in 2005 and Valparaiso School of Law in 2009. Abigail and her husband, Tom, have two

children and reside in the area.

Lance Horbach is an agent with Independent Insurance Services in Marshalltown. He manages the IIS Nursing Home Program statewide, and also specializes in insuring medical facilities. He is a past State

Representative in the Iowa Legislature, serving as Chairman on the Labor & Industrial Relations Committee. He retired from public service in 2013. He and his wife, Jody, have four children: Amy, Kendra, Melissa and Nick. In his free time, he enjoys golf, friends and spending time with his five grandchildren.

Sue Turbiville is a retired registered nurse. She and her husband, Don, have two adult children. She is a sustaining member of the Assistance League, Elder and Volunteer at Marshalltown’s First

Presbyterian Church, as well as a volunteer greeter and SHIIP counselor at MMSC.

Ben Watson is Farm Manager/Real Estate sales professional with Farmers National Company in State Center. His responsibilities at FNC include assisting clients with reaching their goals for their

farmland and professional real estate services. He is 1992 graduate of the University of Illinois at Urbana-Champaign with a degree in Agricultural Economics. He and his wife, Christy, have one son, Evan, a third grade student at West Marshall.

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Leaving a legacy

The MMSC Foundation is among 12 local organizations to receive a gift from the

estate of Verle and Ellen Hunt. “Marshalltown has a long history of charitable leaders and I think Verle and Ellen Hunt have jointed that leadership,” said Larry McKibben, the Hunt’s longtime attorney.

“We are so grateful for this charitable gift,” said Val Ruff, MMSC Foundation Executive Director. “The gift will be used toward the upcoming building project at MMSC.”

The MMSC Foundation recently accepted a $100,000 gift from the Verle and Ellen Hunt Estate. Pictured from left are: Hilary Dolbee, MMSC Chief Financial Officer; Val Ruff, MMSC Foundation Executive Director; Kevin Hitchins, MMSC Foundation President; and Joe and Diane Hunt.

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3 South 4th Avenue Marshalltown, IA 50158

Scan the QR Code with your mobile device or visit www.marshmed.com to learn more about our services and providers.

Congratulations to these MMSC Care Champions who were recently recognized by Grateful Patients!

The MMSCCareChampions program offers patients and their families a unique

opportunity to express gratitude for the exceptional level of care they receive at

Marshalltown Medical & Surgical Center, MMSC Clinics and MMSC Rehabilitation

Centers. Visit www.marshmed.com and click on Foundation to learn more.

MMSCClinic-Conrad MMSCPharmacy MMSCWoundCareClinic MMSCEmergencyDept. MMSCHospitalist MMSCClinic-Marshalltown

say ‘hello’ to new mmsc team members! · mmsc journeys fall 2013 2013 mmsc board of trustees...

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