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MHS Welcomes Dr. Maria E. Nolte, Family Practice Physician

Maria Nolte

Dr. Maria Nolte brings a Passion for OB and Prenatal Care to Madison Healthcare Team

The Madison region will soon gain a new asset to their healthcare resources, when, on September 1, Dr. Maria Nolte, general practitioner and a native of Bellingham will join the healthcare team at Madison Healthcare Services.

A graduate of the University of Minnesota Duluth/Twin Cities, Nolte recently completed her residency at the Sioux Falls Family Medicine Residency Program. Inspired to seek a career in medicine after undergoing open heart surgery as a teen, Nolte originally hoped to be pediatric cardiologist, but changed specialties once it became clear she would be forced to live in a large city to work. As a general practitioner with Madison Healthcare Services, she’ll have the opportunity to work with patients of all ages, from babies and pregnant women, to the elderly. For Nolte though, prenatal care will always be special.

“I think a big part of what we do during that prenatal and OB care is kind of becoming part of that family,” says Nolte. “And it’s a pretty big privilege we have to be there throughout that whole process and then particularly the delivery, because it’s such a life changing and emotional event.”
What comes after, Nolte adds, is another part of what made her want to practice medicine in a small town.

“We get to see these kids later as part of their well-child checkups and that’s one of my favorite parts – seeing these ‘babies’ one or two years later and they’re walking and talking.”
For Nolte, the key to good prenatal care is communication.

“Ask as many questions as you have,” says Nolte. “Don’t be afraid to ask anything. And write questions down and bring them in to appointments. We’re more than happy to answer them. This can be an overwhelming time with everything that’s going on.”
Educating mothers-to-be on what to expect is another big component of what Nolte believes makes for good prenatal care.

“I’m a big proponent of patient education,” says Nolte, who goes on to explain that she writes out instructions for her patients during their checkups.
“I also have a prenatal guide that I put together. It’s a guide of what to expect as the weeks go by,” Nolte explains. “And there’s also a space to write things down, like when they got their flu shot, so that they have that written down later for reference.”

Knowing ahead of time what is and isn’t normal during pregnancy can go a long way towards easing a mother’s mind and knowing what steps to take during pregnancy helps ensure that babies are born healthy.

With changing hormones and a changing body, nausea (morning sickness), mild fatigue, breast tenderness, increased urination and dizziness can and do commonly occur in the early months of pregnancy, but if any of these symptoms become severe or if you experience severe abdominal pain, significant bleeding or severe dizziness or fatigue, contact your doctor immediately.

Mild symptoms, including fatigue, are most often caused by a lack of nutrients as the body channels it resources to help the growing fetus and they can be lessened or eliminated with good eating habits and a prescribed prenatal vitamin.

“It’s also a matter of eating smart,” says Nolte. The old adage of ‘eating for two’ isn’t true – in the first trimester, you only need an extra 150 calories a day – it’s eating right that’s important.

“Lots of fruits, vegetables, whole grains and proteins,” advises Nolte. “And you should be taking a prenatal vitamin – even if you’re only at the ‘trying’ stage of getting pregnant.”

As for morning sickness, while it’s unpleasant, it’s rarely a cause for concern and must simply be waited out; for the majority of mothers it’s over by week 14 of the pregnancy.
In the meantime, doctors recommend keeping crackers, dry toast or dry cereal by your bedside and eating something before getting out of bed in the morning, as these bland, carbohydrate rich foods will help lessen nausea.

And when it comes to what to avoid, smoking and drinking are the two biggest and most obvious “do not’s”, but there are other dietary and lifestyle concern to consider.

Give those soft, unpasteurized cheeses like blue cheese and feta a pass, as well as undercooked meat, seafood, and fish in any form if it contains mercury. Anything with raw eggs is also a no-go and that includes raw cookie dough, many forms of homemade dressing and desserts with mousse or meringue, like tiramisu – which all call for raw eggs.

Also of concern – particularly for expecting mothers in our lake prolific region – is locally caught fish. Unless you can guarantee that the waters your fish came from are clean and unpolluted, say no to eating fish you’ve caught, as the water they come from could be contaminated with industrial chemicals that are very harmful to pregnant women.

Exercise too, can help pregnant women stay healthy. Another old adage is that women should stay inactive and off their feet for the duration of their pregnancies. Recent studies, however, have found the opposite to be true, with women who stay active tolerating labor better and requiring less medical intervention during pregnancy.

While expecting mother’s should always consult their doctor first to determine what level of activity is appropriate for them, most can continue exercising during pregnancy.

“Especially if you’re someone who already has an exercise routine, you can usually stay active during pregnancy,” says Nolte. No contact sports, of course, Nolte points out – this might be Minnesota, but if you’re expecting, leave that hockey stick in the closet.

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MHS Receives MN Bridges to Excellence Award 2016

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MADISON HEALTHCARE SERVICES RECEIVES MINNESOTA BRIDGES TO EXCELLENCE AWARD FOR DELIVERING OPTIMAL PATIENT CARE AND IMPROVING OUTCOMES!!!

The Minnesota Health Action Group (The Action Group) announced today that Madison Healthcare Services is among 276 Minnesota and border state clinics that were recently recognized for improving care delivery and outcomes for patients with diabetes, vascular disease and depression as part of the 2016 Minnesota Bridges to Excellence program and the Quality Incentive Payment System, a State of Minnesota pay-for-performance program that is administered by The Action Group.

Minnesota Bridges to Excellence and the Quality Incentive Payment System also recognize clinics for improvement in these key conditions. These clinics have improved patient outcomes by at least 10 percentage points in the last year, but did not meet the achievement goal. Madison Healthcare Services was recognized for meeting the improvement goal for diabetes care. This is the second year in a row we have improved on diabetes care and we continue to work hard at helping our patients manage their disease.

Established by the Minnesota Health Action Group in 2006, the Minnesota Bridges to Excellence program uses publicly reported outcomes data to identify clinics that meet or exceed optimal care standards for a specified percentage of patients with diabetes, vascular disease and depression.

“Clinics that receive rewards are doing an exceptional job in caring for their patients, and we applaud them for their commitment and results,” said Carolyn Pare, president and CEO of The Action Group. “Our aspiration is for all Minnesotans to receive the right care, at the right time and at the right price. This can only be achieved through genuine collaboration on behalf of providers, patients, purchasers, and other community stakeholders.”

To be eligible for a reward, clinics must have a certain percentage of patients at optimal levels of care or significantly increase the number over the previous year. Performance goals are set each year by the Minnesota Health Action Group and the Minnesota Bridges to Excellence Champions of Change, a group of organizations that sponsor the pay-for-performance program and who fund the rewards. This year’s Champions include Best Buy, Southwest/West Central Service Cooperative, State of Minnesota-State Employee Group Insurance Plan, the Minnesota Department of Human Services, the University of Minnesota, U.S. Bank, and Wells Fargo.

More information about Minnesota Bridges to Excellence, along with a complete list of reward recipients, can be found at www.mnhealthactiongroup.org.

 

About the Minnesota Health Action Group

The Minnesota Health Action Group is a coalition of public and private purchasers whose sole purpose is to represent the collective voice of those who write the checks for health care in Minnesota. Action Group members collaborate with community stakeholders to drive innovations that support high quality health care, create engaged consumers, and ensure the economic vitality of all Minnesota communities. Based in Bloomington, Minn., the Minnesota Health Action Group was formed in 1988 as the Buyers Health Care Action Group. To learn more, visit www.mnhealthactiongroup.org. Follow us on LinkedIn and Twitter: @actiongroupmn.

 

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Free Diabetes Wellness Workshops

 

Diabetes Wellness Workshops

Contact Kris Monson #320-598-7551 to reserve your spot today! Classes are FREE funded by Medicare.  If you have a loved one diagnosed with Diabetes or Pre-Diabetes, please attend these informational classes to help manage diabetes.

diabetes

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Madison Healthcare Auxiliary Annual Golf Fundraiser

Please join us Wednesday June 15th for a fun filled day of activities including:

3 Person Scramble (9 Holes)
9 Am Bridge Tournament
Noon & Evening Meals served
Silent Auction, Wine Pull, Door Prizes, & More

golf poster

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Meet Erik Bjerke, the New CEO for Madison Healthcare Services

Erik Bjerke, CEO 2015

Erik Bjerke, CEO at Madison Healthcare Services

We are pleased to introduce Erik Bjerke, the new CEO for Madison Healthcare Services.  Erik began at MHS on September 28th, and he has been transitioning well into his new role as CEO.  With his hometown roots in Appleton, MN, and a 1995 graduate of Lac qui Parle Valley High School, we are excited to welcome Erik back to the area!

Erik completed his undergraduate at Concordia College in Moorhead and continued on to earn his Masters in Business Administration at the University of St. Thomas.  Prior to joining Madison Healthcare Services, Erik spent 16 years at Children’s Hospitals and Clinics of Minnesota.  During his time at Children’s, he worked in primary care, medical specialties, and surgical services.

What brought Erik back to rural healthcare?

“The community, the people, and the opportunities.  It was a great opportunity for my family and me.  I look forward to leading a great organization and working with staff to exceed the expectations of our patients and residents.”

Erik currently resides in Madison with his wife, Brooks, and two sons, Grant, 6, and Ryan, 4.  In his free time, Erik enjoys golfing, outdoor sports, and being on the lake with his family.

Erik is excited to meet new people and get involved with the community.  Please join us in welcoming Erik Bjerke to Madison Healthcare Services and the community of Madison!

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Welcoming Paul Hodge, Certified Family Nurse Practitioner, to the Medical Staff at Madison Healthcare Services

Paul Hodge, CNP

Madison Healthcare Services is pleased to announce that Paul Hodge, Certified Family Nurse Practitioner, has joined our Medical Staff.

Hodge is a graduate of the online Nurse Practitioner Master’s program from Walden University in Minneapolis.  While completing two of his rotations at Madison Healthcare Services, Hodge knew his decision was made.  He would return to his hometown of Madison to start his practice, and we are excited to welcome him back to the community.

Hodge grew up in Madison with his parents Cheryl and Gene Hodge and his siblings, Gary, Gene, and Lisa.  After graduating from Lac qui Parle Valley high school in 1991, Hodge joined the military which put him on the path to where he is today.  Starting out as a medic, Hodge continued to become a Licensed Practical Nurse and then completed his Bachelor’s in Nursing from Missouri Western University.

So what inspired Hodge to become a Nurse Practitioner?

“I love the healthcare field, and I love my nursing career.  So becoming a Nurse Practitioner seemed to be the next step.  I like helping people, so it’s a great fit,” states Hodge.

Hodge has been an RN for 13 years with 5 years serving as a nurse in the army.  His experience outside of the army includes working as a nurse at both the VA and the Neurotrauma ICU at North Memorial.  During his career at the VA, Hodge worked in several areas including chronic disease management, cardiology clinic, and urgent care.

As Hodge begins his practice in rural health, he states, “Being from here and growing up in rural healthcare, I’m glad to be going to an underserved area that needs more practitioners.  Plus, you get to know your patients more by providing a longevity of care.”

Hodge currently resides in Madison where he is looking forward to reconnecting with the community.  His two children, Levi & Lindsay, currently live in Hanover, MN, with their mother.  His hobbies include hunting, fishing, and spending time with family.

When it comes to his practice, Hodge says he enjoys the variety.  At this point, it’s hard to pinpoint one interest because he finds it all interesting.  Hodge looks forward to serving patients of all ages.

For an appointment, please call Lac qui Parle Clinic at (320) 598-7551.

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2015 Double D Event: “Hot Flashes” movie matinee at the Grand Theatre

double d matinee flyer2015

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Announcing the Addition of Bellingham Native, Maria Nolte, MD, to the Medical Staff at Madison Healthcare Services September 2016

IMG_1649 Maria

Madison Healthcare Services is excited to announce that Maria Nolte, MD, will be joining the Medical Staff in September 2016 as a family medicine physician.  Dr. Nolte is currently a third year resident at the Sioux Falls Family Medicine Residency Program. She completed her medical degree at the University of Minnesota Duluth and Twin Cities.

Dr. Nolte grew up in Bellingham with her parents Carol and Richard Borgerson and her two sisters. Carol is currently the chief financial officer at Madison Healthcare Services, and Richard is a self-employed truck driver. Her two sisters are married and currently reside in the Twin Cities.

Dr. Nolte graduated from Lac qui Parle Valley High School in 2005 and St. Mary’s University of Minnesota in 2009 with a Bachelor of Arts Degree in Biology.

Madison Healthcare Services is beyond thrilled to welcome Dr. Nolte back to rural Minnesota next fall after she completes her residency.

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On September 14, 2015, Maria Nolte, MD, signed her contract to join the Medical Staff at Madison Healthcare Services in September 2016. We are excited for Dr. Maria to start her practice in Madison next fall.

So what brought Dr. Nolte back to rural healthcare?
“Being from Bellingham, Minn., played a huge part in coming back home,” said Dr. Nolte. “I realized I wanted to be somewhere with a small town feel and where everyone knows each other. The closer I got to this point, the more I realized I wanted to come back home. I loved growing up here, and it’s a great place to raise a family.”

When practicing in a rural area, Dr. Nolte likes the fact that she will be able to build relationships with her patients by getting to know them outside of the clinic as well. Being near her parents and grandparents is also a perk.  This past July, Dr. Nolte completed a two week rotation at Madison Healthcare Services.  “It just felt at home, and I really liked it,” Dr. Nolte said. “I was very welcomed, comfortable and supported. The best part of a small town is the sense of community.”

When it comes to her future practice at Madison Healthcare Services, Dr. Nolte says she plans to do everything from prenatal and obstetrics to caring for the geriatric population.

Dr. Nolte will graduate medical school in June 2016, and then she will begin making the transition to Madison with her husband, John Nolte. John is a science teacher and also a high school girls basketball coach.

Dr. Nolte’s interests include playing volleyball, golfing, fishing and spending time with her niece, nephews, and family. She looks forward to being back in the area and finally getting to start her own practice.  Madison Healthcare Services is honored and fortunate to have Maria Nolte, MD, starting her practice in Madison next September.

By: Calista Bergerson

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Lac qui Parle Clinic Recognized for Improving Care Delivery and Patient Outcomes

minnesota health action groupMadison Healthcare Services Logo_CMYK

 

 

 

 

Minnesota Bridges to Excellence rewards Lac qui Parle Clinic for excellence in treatment of patients with Diabetes Mellitus

Madison, Minn. (August 3rd, 2015) – The Minnesota Health Action Group (The Action Group) announced today that Lac qui Parle Clinic is among 437 Minnesota and border state clinics that were recently recognized for delivering optimal care and achieving optimal care measures or improving specific patient outcomes as part of the 2015 Minnesota Bridges to Excellence program and the Minnesota Quality Incentive Payment System, a State of Minnesota pay-for-performance program that is administered by The Action Group. A complete list of reward recipients can be found here.

Lac qui Parle Clinic was recognized for achieving the program’s specific clinical outcomes for patients with diabetes; which is known to be a primary driver of health care costs. Meeting achievement goals is the highest level of recognition in the program.

The staff at the Lac qui Parle Clinic is honored to receive this recognition as it validates the work that we all do as a team to improve the health of our patients.

In addition, Lac qui Parle Clinic was recognized for meeting the improvement goal for Diabetes Care.

“We congratulate the health care providers across Minnesota who make providing quality care a priority for their practice, especially for the critical conditions that we know have a significant impact on health care costs,” said Carolyn Pare, president and CEO, The Action Group. “More patients than ever before received care from clinics recognized by Minnesota Bridges to Excellence, and that’s something to celebrate.”

The Minnesota Bridges to Excellence program, which was established by the Minnesota Health Action Group in 2004, and the State’s Quality Incentive Payment System implemented in 2011, uses clinical data that is publicly reported to identify clinics that qualify for a reward for meeting or exceeding optimal care standards for a specified percentage of patients with diabetes, vascular disease and depression.

To be eligible for a reward, clinics must have a certain percentage of patients at optimal levels of care or significantly increase the number over the previous year. Performance goals are set each year by the Minnesota Health Action Group and the purchasers who fund the rewards. For diabetes, measurement components include levels of blood sugar and blood pressure, along with non-smoking status and daily aspirin use for all patients at risk for cardiovascular disease. Vascular disease measurements include blood pressure levels, along with non-smoking status, and daily aspirin for all patients. And the depression measurement is remission at six months based on the patient’s improvement in their PHQ-9 score over a six-month period of time. The PHQ-9 is an assessment questionnaire completed by patients and results in a numerical score that represents the patient’s level of depression.

Financial rewards are made possible by the Minnesota Bridges to Excellence Champions of Change, a group of organizations that sponsor the pay-for-performance programs. Champions include Best Buy, Carlson Companies, Southwest/West Central Service Cooperative, State of Minnesota-State Employee Group Insurance Plan, the Minnesota Department of Human Services, the University of Minnesota, U.S. Bank, and Wells Fargo. These organizations provide health care coverage to nearly one million people in the state.

About the Minnesota Health Action Group

Formed in 1988 as the Buyers Health Care Action Group, the Minnesota Health Action Group is a coalition of public and private employers. Based in Bloomington, Minn., The Action Group is the only Minnesota organization whose sole purpose to represent the collective voice of those who pay the bill for health care—employers, public purchasers and individuals. The Action Group drives innovation, collaboration and engagement in ways that improve health care and ensures the economic vitality of all Minnesota communities. To learn more, visit www.mnhealthactiongroup.org. Follow on Twitter: @actiongroupmn.

For more information contact:
Kris Monson
320-598-7551
kmonson@mlhmn.org

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BIG is Better & LOUD is Proud—LSVT BIG & LOUD Program

“Watch out, I get BIG!”  Susan Clark, Physical Therapist Assistant at Big Stone Therapies (BST) in Madison, says as she prepares to demonstrate the eight exercises of the LSVT BIG program.  If you have not heard of the LSVT program, it stands for Lee Silverman Voice Treatment and has two different parts: LSVT BIG & LSVT LOUD.  The program is clinically-proven to help individuals with Parkinson’s disease as well as many other conditions to improve voice/speech and movement.  In addition, a doctor may refer a patient without a diagnosis to the program if that individual is experiencing any movement issues resulting in decreased amplitude.

LSVT BIG has one main focus for the patient—to make every movement BIG.  The goal is to target the amplitude (“bigness”) of each movement rather than quality.  Often times, patients participating in the program feel they are making huge movements, when in reality they are not due to their medical condition.  The exaggeration of every movement helps the patient improve their ability to move and balance.  Clark explains that participating in LSVT requires an investment from the patient in order for the program to be successful.

For the LSVT BIG portion of the program, the patient has a one hour therapy session four days per week for a total of four weeks.  These four days are broke out into two days with a LSVT BIG-certified physical therapist and two days with a LSVT BIG-certified occupational therapist.

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When it comes to administering the LSVT BIG and LOUD program, it takes a team of professionals. That is just what Big Stone Therapies in Madison provides to their patients with the entire staff being certified in the program. Pictured from L-R, front: PJ Thole, COTA, Kelly Wittnebel, PTA, ATC, Clinic Manager of Big Stone Therapies in Madison, Amanda Heinrich, PT, DPT, Melissa Marihart, CCC-SLP. From L-R, back: Autumn Edmundson, OTR/L, Susan Clark, PTA, and Taylor Huseby, PT, DPT.

The collaboration of both physical and occupational therapy allows the patient to work on both their fine and gross motor skills, creating a well-rounded program.  Each hour of therapy includes 45 minutes working on the eight key exercises of the LSVT BIG program, and the other 15 minutes narrowing in on functional movements.  This includes those day-to-day activities such as walking, rolling over in bed, standing up from a chair, picking up objects from the ground, buttoning or zipping a shirt, and so on.

So what makes the program successful?  According to Clark, the answer is carryover.  She explains, “This program has homework and needs investment from the patient.”  Why?  The reason is diseases such as Parkinson’s affect the center portion of the brain—this portion needs to be stimulated frequently in order for the patient to experience the best results possible.  The core of the program is eight exercises that patients should be doing two times per day for seven days for a total of 14 times each week (four times are done at the weekly therapy sessions).  Clark continues, “I like that the program is consistent.  There’s a routine of eight exercises making it easy for patients to carryover to their home.  Initially, these exercises typically take the patient 45 minutes from start to finish, but once the patient has the system down it just takes 15-20 minutes.  It’s amazing to watch the improvement.”  Since carryover is crucial to the program, spouses and caregivers of the patients are invited to attend therapy sessions of their loved one to help motivate and encourage carryover of the program.

Clark describes her personal experience working with patients in the program, “There’s several things I’ve seen in my patients in the program—improved posture, improved walking skills, and better balance.  One of the most interesting is improvement with facial expressions.  Any masked look is replaced with happiness, simply an overall improvement in appearance and disposition.”

The LSVT LOUD portion of the program is administered by a LSVT LOUD-certified speech language pathologist in four sessions per week for four weeks.  The program focuses on “speaking LOUD” to improve communication abilities by stimulating the muscles of the voice box and speech mechanism. Similar to LSVT BIG, LSVT LOUD also focuses on carryover with assignments given to patients at the end of each therapy session.

According to Clark, the best part about the program is that it brings energy and fun at each session.  Even after the four weeks are over, BST values follow-up by calling patients every three months to see how everything is going.  If there are concerns, a “tune-up calibration” session with a physical therapist will be scheduled to see what’s going on allowing the therapist to offer more tips and encouragement.

The staff at Big Stone Therapies in Madison was first trained in LSVT BIG and LOUD in November 2014. We are proud to say that the entire staff is now trained in the program.  For patients who have already completed the LSVT BIG program, we are excited to announce that a weekly exercise program will be kicking off on July 2nd from 1-2 pm at the Chapel at Madison Healthcare Services.  The cost per session will be $5.  This program is a great opportunity for patients to continue their exercises as well as re-assess their level of functional mobility.

For more information on the LSVT BIG and LOUD program, please contact Big Stone Therapies in Madison at (320) 698-7162.  There will also be a Brunch & Learn at Madison Healthcare Services in late August—watch for more details to come!

By: Calista Bergerson

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