News & Events
Grand River Medical Group (GRMG) strives to provide high-quality, coordinated care to all patients that walk through our doors. We understand that giving patients the right care at the right time can improve outcomes. GRMG participates in multiple Accountable Care Organizations (ACO) to improve care coordination while further enhancing the patient experience and lowering the overall cost of care. The following are just some of the topics we focus on in the Population Health Department:
ACCESS TO CARE:
One of the biggest focus areas is access. Can we get patients in to the office in a timely manner? When is the next available time-slot for different appointment types? What is the wait time when they get here? What do physician schedules look like day-to-day? Do we need to recruit more staff?
These questions are constantly monitored through data in our EMR. When concerns arise, we collect and analyze data, interpret those results and take necessary action. We pride ourselves on the availability of same day and walk-in appointments in our Pediatric and Family Medicine Clinics and the expansion of offering Saturday appointments at our Multi-Specialty Clinic. A newer feature we offer is the Healow App exclusively for GRMG patients. This is a way to connect with your provider via the web when you have questions.
Patient care is of utmost importance at GRMG. Our staff is committed to giving you the best experience from the time you come through the door to the time you leave. We want you to feel comfortable asking questions and to establish a trusting relationship with our clinicians.
Consumer Assessment of Healthcare Providers and Systems (CAHPS) is a survey given out to Medicare patients each year, gathering information about the patient experience. The surveys capture real feedback from real patients. In 2018, GRMG scored in the 90th percentile for “Getting Timely Care, Appointments, and Information” in addition to “How Well Your Providers Communicate”.
Population Health strives to increase quality and simultaneously decrease the cost of services. This is done by reducing unnecessary services, seeing your Primary Care Provider instead of Urgent Cares and Emergency Departments whenever possible and keeping in mind the cost of medications.
Disease prevention is crucial to the health of our society and future populations. Investing in disease prevention early on can also help to mitigate the rising cost of healthcare. At GRMG, we place special attention on preventive screenings and appointments from breast cancer screenings to immunizations based on age to yearly visits with your primary care clinician (PCC).
|2018 Completion rate||Breast Cancer Screening||Colorectal Cancer Screening|
TRANSITIONAL CARE MANAGEMENT
Over the 2018 year, a team of clinical staff worked together to create a process to improve our transitional care management (TCM). TCM is needed when someone is discharged from the hospital or nursing home. To improve continuity of care, we put a process in place to ensure all patients being discharged receive a follow-up call in addition to setting up appointments and connecting to services as needed. Since the implementation of this process improvement, we have seen a significant decrease in discharges all-together and an increase in completed follow-up appointments.
We saw a 43.57% decrease in discharges from November 2018 through April 2019
|61.41%||TCM Completion Rate in November 2018|
|76.47%||TCM Completion Rate in April 2019|
|15.06%||Percent increase over 6 months|
For the safety of our patients and staff Grand River Medical Group Clinics will be closing today, January 30th at 4:00 p.m. and will not open to patients until 9:30 a.m. tomorrow, January 31st, due to the extreme weather conditions.
This closure includes our Acute Clinic, located inside the NW Arterial Hy-Vee, Dermatology & Allergy Clinic, Family Medicine Clinic, Multi-Specialty Clinic (including Laboratory and Radiology services), Nephrology and Hypertension Clinic, and Pediatric Clinic.
Our dialysis units will operate under normal hours of operation today and tomorrow.
The Dubuque Endoscopy Center located in the Lower Level of the Multi-Specialty Clinic will operate under normal hours of operation.
We apologize for this inconvenience and hope everyone stays safe and warm.
The Laureate Award honors Fellows and Masters of the College who have demonstrated, by their example and conduct, an abiding commitment to excellence in medical care, education, or research and in service to their community, their Chapter, and the American College of Physicians.
The recipient of this award shall bear the title Laureate of the Iowa Chapter.
Jill M. Powers, DO FACP- 2018 Laureate of the Iowa Chapter
“I was in second grade, and I just wanted to be that person to help the kid on the playground.” At least, that’s my response whenever people ask me when I decided to be a doctor. I had early exposures to hospitals when I was little, for a kidney issue that thankfully never affected my health in the long run. I was inspired by my father who volunteered at both The American Red Cross teaching CPR and as a local fireman. In addition, my mom’s tackle-box-sized first aid kit kept her prepared for her many adventures of being at the right place at the right time to help random strangers. Although to be honest, I think it was my singing/acting career falling through that led me to medical school. You know, as my back up plan.
In all seriousness, I’m thankful that I can honestly say I love my job. I feel like I’m just at the beginning of my career, and therefore, I’m extremely humbled by the honor of being listed among the names of my mentors as Laureate Award recipients. I’ve had great mentors through Dr. Yost, Dr. Craig, Dr. Rosenberger, Dr. Purtle and most recently Dr. Vogelgesang. They’ve inspired me to be at my best, stay up to date and saying yes to be involved through the ACP. Dr. Yost was my residency director who excitingly welcomed my news that I was pregnant as an intern and again when I graduated residency and started my career. He taught me that, yes, life balance is important and possible with a career in medicine. Dr. Craig encouraged me to give back through mission work, and I had the pleasure of joining him in El Salvador in 2016. I’ve said yes to return there this November. Dr. Purtle showed me how to get involved on committees, take on leadership roles to enact change, and keep the physician voice heard in policy. I showed up to my first local medical society meeting and found myself nominated for a four- year rotation through the executive board. I said yes. Then, when I was asked to be the next chief of staff at the local hospital because our group needed a voice there, I said yes.
Dr. Vogelsang inspired me to be more involved in the ACP, other than just attending meetings and he asked me to be on the council. And I said yes again. Through ACP, I’ve able to obtain many leadership opportunities, develop connections, and realize how one physician can make a difference by saying yes when others may have said no. My most recent engagement occurred because I read an article in the local paper about the opioid crisis. They mentioned how our county health department lacked a physician on their board. When I contacted the administrator, this time it was them who said a surprised yes.
Last but not least, Dr. Rosenberger taught me how to love my patients, let them love me, and not take things too personally. My patients are very capable of giving me grief, like when I’ve showed up to work with stitches in my face after a bike crash during a triathlon.
I’ve joked that I really didn’t get far in life as my practice is located across the street from the hospital where I was born. Next year will mark my tenth year in private practice at Grand River Medical Group (formerly known as Dubuque Internal Medicine.) My next task is to join the newly formed nutrition committee to start reversing disease in my community through diet rather than maintaining it with medications. This is in honor of my father, who passed away from heart disease last year. To all my family, especially my husband, Brian, and children, Kyle and Ruth: Thank you for coming along on this ride with me and sticking up for me when people ask, “Girls can’t be doctors, can they?” by always saying, “Yes.”
The Award was presented at the Annual Scientific Meeting, October 18. 2018. The awardee is to be nominated by a process that may originate from the Awards Committee or from any member of the Chapter.
The awardee should be an experienced physician and Fellow or Master of long-standing, with acknowledged experience and peer approval in the field of internal medicine. In addition, the awardee should have served the Chapter with distinction.
It is with distinct pleasure that this year the Iowa Chapter of the American College of Physicians presents the Laureate Award to Jill M. Powers, DO, FACP. Dr. Powers is a long-standing and loyal support of the College, has rendered distinguished service to the Chapter, and has upheld the high ideals of professional standards for which the College is know.
We salute and honor her on this occasion, and we wish her well in the future
Scott A Vogelgesand, MD, FACP, FACR
Governor, Iowa Chapter
Many of us associate winter with sitting beside a roaring fire watching the snowfall gently outside our window. We love to cozy up with a soft wrap and binge watch our favorite shows, maybe with our dog sleeping by our side. Lovely as that thought may be, there is another side to winter.
Every five years the US Department of Health and Human Services (HHS) and the US Department of Agriculture (USDA) publish a report containing nutrition and dietary information for the general public. These Dietary Guidelines are based on current scientific and medical knowledge and are designed for professionals to help all individuals ages 2 years and older consume a healthy, nutritionally adequate diet.
Previous Dietary Guidelines focused on individual food groups or nutrients but that is not how people generally eat and as a result the 2015-2020 Dietary Guidelines focus more on eating patterns and provide guidelines that encourage the shift in food and beverage choices to meet a healthy overall eating pattern and live an active lifestyle. A healthy eating pattern is not a rigid plan; it can be adapted to fit your personal preferences and budget and is something that can be maintained over time.
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Dialysis is the process of eliminating waste and unwanted water from the blood; a natural process of normal kidneys. Dialysis treatments are provided to patients who are experiencing kidney failure. Patients typically receive dialysis three days a week for about three and half to four hours each treatment.
Tri-State Dialysis, Grand River Medical Group’s dialysis program, provides three different dialysis treatment types including; in-center hemodialysis, home hemodialysis and home peritoneal dialysis.
Where are the Dialysis Units Located?
Tri-State Dialysis outpatient dialysis units are located in Dubuque and Manchester, Iowa and Platteville, Wisconsin. In addition to these three units Tri-State Dialysis offers inpatient dialysis services at Unity Point Health- Finley Hospital, Mercy Medical Center- Dubuque, and Select Specialty Hospital in Davenport.
To learn more about our dialysis units contact us today.
Access your health information on Patient Pathway. Anytime. Anywhere.
Sign-up with one of our receptionists at your next appointment to gain access to your health information online. Read the rest of this entry »
During a routine exam, our clinicians will exam your health, review past medical history, and perform any preventative testing necessary based on age, gender and other health factors. These preventative exams are generally covered by your insurance carrier. Please note, however, that if a problem-focused issue is addressed during your exam, a charge for that visit may result.
What is a problem-focused issue?
A problem-focused issue can vary, but generally speaking these are any health concerns that are not included in your routine preventative exam. A few examples may include a rash, sore throat, cough, nasal congestion or any other injuries or illnesses.
The reason for the possible charge for these services is because insurance carriers generally cover the cost of one preventive exam annually; any services outside the scope of that exam are not fully covered.
- Arrive 15 minutes early
Arriving early allows you to complete any necessary paperwork prior to your appointment time. This may include updating your insurance or demographic information, such as your address or phone number, and completing any physical or history forms needed for your visit.
- Bring a photo ID
Bringing your photo ID to each appointment allows our receptionists to verify your identity and confirm it matches the information in our system, providing increased security of your health information.
- Bring your Insurance cards
Bringing your insurance cards to every appointment assists us in properly submitting your claim to your insurance company and allows for timely payments of your claims.
Note: Payment for all co-payments and elective cosmetic procedures is required at the time of service.
- Bring your medications or a current medication list
Some medications can be dangerous when taken with other medications. By bringing your medications or current medication list to your appointment, your doctor is able to see what medications you are taking, determine why you are taking them, and discuss the potential side effects and possible interactions. This includes any over the counter medicines such as, herbal supplements, vitamins, and weight control products.
- Bring any paperwork that was mailed to you for your appointment
Sometimes our office may mail you forms to be completed before your scheduled appointment. Please fill those out to the best of your ability and bring them with you to your appointment.
At Grand River Medical Group we want to ensure you receive the best care possible. By arriving early and bringing these items we can better assist you with your overall healthcare experience. See you soon!
As temperatures rise and summer activities begin we spend more time outside. Whether you are at a baseball game or doing yard work it is important to remember to protect your skin from the sun’s harmful UV rays. UV rays can damage your skin in as little as 15 minutes, so always have sunscreen on hand. Read the rest of this entry »