ST. LUKE’S PATIENT CARE SERVICES REPORT
Dear Friends and Colleagues, This issue of the Patient Care Services Annual Report – 2021 has much to share and celebrate! The past year has provided our patient care teams with challenges we previously have not encountered in our careers, but it has also brought us much to celebrate – how we were able to care for patients, how we were able to care for each other, how we took the situations presented to us and worked together to create the best experience possible for our patients and our community. Improve the health of the people and communities we serve
Best outcome, every patient, every time
OUR MISSION
OUR VISION
OUR PURPOSE Unity Point Health – St. Luke’s Hospital: to give the health care we’d like our loved ones to receive
OUR VALUES Foster unity Own the moment Champion excellence Seize opportunities
Throughout this report, you will find examples of Exemplary Professional Practice, and Innovations in Care. You will see how our teams and colleagues used and contributed to New Knowledge and Improvements as the most current evidence pushed our practice in response to pandemic surges. The accomplishments illustrated throughout this report reflect the impact of Shared Governance and Transformational Leadership. As a team of dedicated professionals, we have stepped up for each other in so many ways. In this report, you will also find our 2021 RN Engagement Scores. Despite the varying patient care challenges we have faced, our RN team scores exceed the Magnet 50th percentile in seven of eight categories. The one category where we fall just below the Magnet 50th percentile is with the question, Adequacy of Resources and Staffing. Certainly, this does not surprise me. Adequacy of resources and staffing has been topof-mind for all of us and will continue to be our leading Patient Care Services priority for 2022 and years to come. But what these engagement scores tell me is that it is our foundation, our culture, our teams, that make us who we are. Though 2021 may have been difficult, it has also allowed us to build pride and a shared sense of purpose as a team. As we close the book on our collective 2021 accomplishments and look forward to the hope and promise that 2022 can bring, may you stay open to new ways to celebrate and strengthen your teams. May you stay open to new ideas to build our teams. May you stay open to new ways to deliver the healthcare we would like our loved ones to receive. I remain immensely respectful and grateful for the commitment and work of our amazing teams – Thank you!
Carmen Kleinsmith, MSN, RN Senior Vice President/Chief Nurse Executive
3
TRANSFORMATIONAL LEADERSHIP YEAR IN REVIEW 2021
Q1
Q2
JANUARY
FEBRUARY
St. Luke’s recognized for excellence with Transcatheter Valve Certification
100th episode of LiveWell Talk On... podcast released
MARCH
APRIL
• St. Luke’s acquires major advancement in imaging technology for surgical patients
Q3 MAY
• Team members receive trees through Planting Forward campaign • Third Floor Modernization • St. Luke’s is first project begins and only hospital in the area to offer • St. Luke’s new Shockwave performs first procedure to open WATCHMAN blocked arteries FLX procedure
• Seven UnityPoint Health - Cedar Rapids nurses recognized as 100 Great Iowa Nurses • Jones Regional Medical Center named a Top 100 Critical Access Hospital • St. Luke’s first and only hospital in Cedar Rapids to Offer minimallyinvasive mitral valve repair procedure using MitraClip
• St. Luke’s and JRMC receive fivestar ratings from CMS
• UnityPoint Clinic Express - Lindale Opens
• Nassif Community Cancer Center celebrates 10 years
• UnityPoint Health - Cedar Rapids recognizes one-year anniversary of treating COVID-19 patients
4
• UnityPoint Health - Cedar Rapids breaks ground on Tower Terrace clinic
JUNE
St. Luke’s earns Joint Commission Gold Seal for hip and knee replacement
Q4 JULY
• St. Luke’s launches CR Heart Hospital campaign
• St. Luke’s Birth Care Center first and only hospital in Iowa to treat postpartum hemmorrhage with Jada System
• U.S. News & World Report names St. Luke’s Among the Best Hospitals in Iowa
AUGUST
SEPTEMBER
• St. Luke’s named among the nation’s top performing for treatment of heart attack
OCTOBER
UnityPoint Health - Cedar Rapids breaks ground on the The Cottages at UnityPoint Way
NOVEMBER
DECEMBER
U.S. News & World Report names St. Luke’s a high performing hospital for maternity care
• St. Luke’s receives Get with the Guidelines Stroke Gold Plus award
• UnityPoint Health - Cedar Rapids marks one year since derecho
• Nursing Alumni Terrace opens along A Avenue • LifeGuard Air Ambulance receives CAMTS accreditation
• St. Luke’s receives four-star patient experience rating
5
TRANSFORMATIONAL LEADERSHIP continued
STRATEGIC PLAN 2021
1
100 GREAT IOWA NURSES HONOREES 2021
CARE DELIVERY
The 100 Great Iowa Nurses award recognizes nurses throughout the state who have made meaningful, lasting contributions to their patients, colleagues and the nursing profession, and who are viewed as mentors to other nursing professionals. St. Luke’s hospital was honored to have seven award winners for 2021.
CARE EXPERIENCE
a. Safety and Quality i. Flexible Staffing Solutions
a. Patient and Family Experience i. Expand Home-Based Care
1. Expand use of float pools as well as other staffing strategies
1. Implement Primary Care at Home Model
2. Develop and implement staffing and capacity strategies
1. Care Signal
ii. Enhance Virtual Experience
Rose
2. BrightMD
ii. Move to Zero Harm/High Reliability Organization
iii. Foundational Patient Experience Practices
1. Focus on ‘Back to the Basics’ Quality Indicators: Falls, CLABSIs, CAITIs, HAPIs, and SSI’s
b. Team Member, Physician and Provider Experience i. Recruitment and Retention
2. Continued education and utilization of Just Culture tools 3. Implement Workplace Violence Prevention Strategies
Jayne
2. Develop and implement diversity focused workforce development program to promote pathways for career success
St. Luke’s Hospital has a robust and mature shared governance structure, where interprofessional team members throughout the organization have the opportunity to sit on a variety of councils providing input into the work and practice environments. One council in particular, CNE Roundtable, provides a forum for frontline clinical staff to represent their department or unit and discuss issues of importance with the Chief Nurse Executive, Carmen Kleinsmith, MSN, RN. The focus of the council for 2021 included:
c. Diversity, Equity and Inclusion i. Invest in Culture of DEI 1. Implement Diversity Committee workplan 2. Convene AD Hoc Board and staff DEI workgroups
• Cascading Roadmap priorities
3
CARE FINANCING
a. Productivity b. Work Redesign i. Pilot staffing model changes ii. Work at top of license
4
CARE INNOVATION
a. Digital/Virtual/Innovation i. Utilize generate, our health technology, fabrication and learning lab to foster innovation and engagement among frontline team members 6
5
• Reviewing Turnover data COMMITTED TEAM
a. Recruitment and Retention i. Workforce development action plans ii. Onboarding
Shawna
Diane
Aimee
UnityPoint Health – Cedar Rapids honorees include: Rose Hedges, Mt. Vernon; Carrie Lawson, Coralville; Rebecca Moore, Center Point; Jayne Nirschl, Cedar Rapids; Shawna Patterson, Atkins; Diane Seelau, Cedar Rapids and Aimee Traugh, Cedar Rapids.
CONNECT WITH THE CHIEF NURSE EXECUTIVE
ii. Talent Development and Succession Planning
1. Cardiovascular, Emergency Medicine, Inpatient Medicine, Women’s/Obstetrics, Behavioral Health
Rebecca
1. Implement a night RN resource program
3. Promote resilience
b. Service Lines i. Advance System Service Line Development
Carrie
• Retention and Recruitment - unit sharing of best practices. Initiatives included being a proactive pipeline for students, student outreach, onboarding and orientation practices. • Workplace Violence - reviewing and providing input on new initiatives as well as sharing learnings of success. • Promoting the Culture of Safety Survey
7
10 MINUTES THAT MATTER A new approach to team member forums was implemented in 2021. This was a result of necessary changes due to the pandemic and limitations of meeting in person. Each Monday for five weeks, Michelle Niermann, president and CEO, provided a 10-minute video available via Images Newsletter and on the internal HUB. It is an opportunity to share great work, discuss challenges we face, hopes we have and focus for the future.
STRUCTURAL EMPOWERMENT
TRANSITIONS TO PRACTICE St. Luke’s Nurse Residency Program Awarded Accreditation as a Practice Transition Program in 2021 UnityPoint Health – St. Luke’s Hospital’s Nurse Residency Program has received accreditation as a practice transition program from the American Nurses Credentialing Center’s Commission on Accreditation in Practice Transition Programs (ANCC PTAP). Accreditation through ANCC PTAP indicates evidence-based curriculum offering nurse residents a collaborative learning environment to successfully transition into clinical practice. Residents are given the opportunity to work alongside experienced staff and learn in a real-life setting to be better prepared and more confident as they enter the workforce.
8
November 2021 RN residency cohort graduates Back row: Emily Otdoerfer (OR), Natasha Poppe (DHS), Chelsea Payne (BCC) Front row: Kathleen McAtee (4W) & Lauren Kromminga (ICU)
Among the ANCC PTAP’s reasons for granting accreditation were St. Luke’s and Senior Vice President and Chief Nurse Executive Carmen Kleinsmith’s commitment to the program through financial and leadership support, the program’s use of multi-modal education and interdisciplinary program faculty and ongoing professional development at the end of residency. “Historically, St. Luke’s nursing and executive leadership has fully supported the professional growth, development and confidence of our RN team members,” said Kleinsmith. “Our onboarding, new-hire orientation and residency programs have been foundational to this work and we are pleased to receive this accreditation from the ANCC PTAP.” St. Luke’s Nurse Residency Program’s accreditation through the ANCC PTAP is good through October 31, 2025. A big shout out to the team who worked very hard to help us achieve this accreditation: • Rebecca Moore, program manager, Professional Practice Development • Julie McIntosh, RN, clinical educator • Julie Zimmerman, RN, Birth Care Center
9
RN Residency Poster Fair - Pediatrics McKenna Christianson and James Burke (Peds)
Our onboarding, new-hire orientation and residency programs have been foundational to this work and we are pleased to receive this accreditation from the ANCC PTAP CARMEN KLEINSMITH
COMMUNITY OUTREACH AND SUPPORT DAY OF CARING 2021 - MAY 13TH
CEDAR RAPIDS FARMERS MARKET
Many team members volunteered with four projects across Cedar Rapids for the United Way’s Day of Caring 2021.
10
Team members from Physical Medicine and Rehab, Behavioral Health, the Nassif Community Cancer Center and other departments represented St. Luke’s to share about their services with the community.
11
AWARDS AND RECOGNITION PATIENT CARE EXCELLENCE AWARDS Anna Purna Ghosh Oncology Nursing Award Jeremy Gardemann 5 Center (Oncology/Neurology)
Karma Smith Healthcare Pioneer Award Julie Smith Respiratory Care
C.A.R.E. Award Tate Elsbury Neonatal Intensive Care Unit/ Pediatrics
LaMorgese Award for Excellence in Neurological Nursing Diane Godfrey Operating Room
Carroll H. & Lena H. Nelson Critical Care Award Cody Mefferd LifeGuard Air Ambulance
Nancy Lamb Skogsbergh and Edna Lamb Nursing (Clinical) Leadership Award Lisa Ainsworth Physical Medicine & Rehabilitation
Courtney Shaw Intensive Care Unit
Guardian Angel award winners, Dylan Brooks-Forseth, RT, Respiratory Care, Gabby Onarheim, RN, 5C, and Deziray Bridgewater, RN, ICU
DAISY AWARD WINNERS 2021 • Anthony Dallago, ICU • Judy Studt, OR • Mallory Jones, 4 West • Nicole Newgaard, 3 West • Samantha Uhlenkamp, 4 West • Aimee Price, NICU NURSE LEADER AWARD (St. Luke’s First Ever DAISY Nurse Leader Award) Peg Bradke, Administration
2021 GUARDIAN ANGEL AWARD WINNERS The Guardian Angel program, managed by the St. Luke’s Foundation, gives patients and families the opportunity to make a donation in appreciation of a physician, team member, volunteer, or department that made a difference in their healthcare experience. Each award is presented with a department or unit ceremony and award winners receive individual recognition and a lapel pin.
66
CEREMONIES
384
INDIVIDUAL WINNERS
DAISY LIFETIME ACHIEVEMENT AWARD Mary Ann Osborn, Chief Nurse Executive, UnityPoint Health
Dale & Ruby Morgan and Mable Ray Award for Pediatric Nursing Cassie Davis Neonatal Intensive Care Unit Darrell Dennis Pulmonary Medicine Award Monica Farmer Respiratory Care Elaine Young Leadership Award Jessica Cizmadia 4 West (Telemetry) Adam Misfeldt Emergency Department Excellence in Behavioral Health Award Denise Hoffpauir 1 West (Older Adult Behavioral Health Unit) Lisa Lawrence 1 West (Older Adult Behavioral Health Unit) Gail Stork Emergency Medicine Nursing Award Mattea Labs IV Therapy/Float Pool
Jessica Cizmadia, 4W manager, Mallory Jones, RN, 4W, and Brenda Oehler, 12 director, Nursing Operations
Social Worker Award Kelsey Freed Medical Social Services Ted Townsend / St. Luke’s Auxiliary Leadership Award Carrie Lawson, Nursing Support Dr. Stephen & Peg Vanourny Award for Excellence in Obstetrical & Gynecological Nursing Lauren Vislisel, Operating Room
Outstanding New Graduate Award Mallory Jones 4 West (Telemetry)
Other Awards 2021 Waypoint Tribute to Women Honorees: Kerri Feldhaus MSN, RN, CCRN - Manager Intensive Care Unit
Ronald L. Mahany Award Alisha Armstrong Medical Social Services
Julie Smith MHA, RRT - Manager Respiratory Care
Kelli Johnson Physical Medicine & Rehabilitation
1,000th LifeGuard Flight Sue Mincks LifeGuard Flight Paramedic
Tina Myers 6 West (Rehabilitation Unit) Dan Wolfs 6 West (Rehabilitation Unit) Smulekoff Family Award for Nursing Excellence Shannon Hermsen Neonatal Intensive Care Unit/ Pediatrics
Kirkwood ICR All-Star Jordan Kelly Program Manager, LifeGuard Air Ambulance
Brittney Jansen 6 East (Inpatient Hospice Unit) Jenna Kuehner IV Therapy/Float Pool Angela Meyers Operating Room Emily Williams Inpatient Skin Care
13
Jordan Kelly
PROFESSIONAL PRESENTATION/POSTERS: 4/21/21 | Cedar Rapids, Iowa | Presentation | Grand Rounds Multisystem Inflammatory Syndrome in Children Baliey Shanahan, BSN, RN Morgan Gritzner, BSN, RN Kate Paulsen, MD 5/11/21 | Cedar Rapids, Iowa | Presentation | Grand Rounds- St. Luke’s Hospital Nurse Week Acute Liver Failure Michelle Kiesey, BSN, RN, CEN, CFRN Lacy Kleinsmith, BSN, RN Kim Etscheidt, BSN, RN 7/13/21 | Virtual | Presentation | American Organization of Nursing Leaders Making in the Midst of a Pandemic Carmen Kleinsmith, MSN, RN Rose Hedges, DNP, RN 09/21/21 | Des Moines, Iowa | Poster | Evidence-Based Practice Symposium Building Relationships: From a Birth Center to the NICU Karla Pisarik Shelley Rocca, RNC-NIC, NTMNC Shared Learning: Nursing Grand Rounds Rose Hedges, DNP, RN BIPAP HAPI Prevention Alaina Kuper, BSN, RN Pain Ease to Ease the Pain Carrie Lawson, MHA, BSN, RN, CMSRN Implementation of the Functional Pain Scale in UPH Hospitals Dr. Benje Tallman, PhD April Golwitzer, MSN, RN Making an Impact with 3D Shelley Rocca, RNC-NIC, NTMNC 11/13/21 | Atlanta, Georgia | Presentation | ANCC National Magnet Conference Prototyping at the Point of Care: Building a Culture of Innovation Rose Hedges, DNP, RN 11/21/21 | Madrid, Spain | Presentation | Asociacion Nacional de Directivos de Enfermeria Health Making Rose Hedges, DNP, RN
14
EXEMPLARY PROFESSIONAL PRACTICE EXTRACORPOREAL LIFE SUPPORT (ECLS) Extracorporeal Life Support (ECLS) is a specialized life support machine that has been available at St. Luke’s since early 2020. It’s one of a limited number of ECLS machines in the state. According to the American Thoracic Society, individuals in need of ECLS have severe and lifethreatening illnesses that stop the heart or lungs from working properly. During ECLS treatment, blood is withdrawn from a large vein in the body, then passed through a pumping mechanism and a device that adds oxygen and removes carbon dioxide. Blood is then returned to the individual’s circulatory system. ECLS is a potential shortterm treatment for cardiac and respiratory failure patients and is an option for patients who may have had a heart attack, infection, pneumonia, influenza, trauma or smoke inhalation, among others. The program required months of planning and training. The development of a successful ECLS program involves the engagement and support from many disciplines within the hospital, including nursing, respiratory therapy, radiology, lab, vascular services, interventional cardiology, the blood bank and more. The St. Luke’s ECLS care team includes seven ICU nurses and six respiratory therapists who underwent advanced training. In 2021, the need for ECLS has increased here at St. Luke’s, with five total runs equaling 101 days of treatment. Prior to the implementation of the ECLS program here at St. Luke’s patients requiring this advanced life support had to be transferred to another facility. 15
NIGHT RESOURCE NURSE ROLE IMPLEMENTED IN 2021 Three tenured Registered Nurses, Brittany Langston, BSN, RN, PCCN, Deb Bemer, RN, and Melanie Gerard, BSN, RN, PCCN, began their roles as Night Resource Nurses. This role is an additional resource for nurses with less than one year of experience in the Acute Adult Division and Emergency Department. The resource nurses will round with all new graduate nurses through their first year, to ensure they feel supported and have an expert nurse to call when they have questions or concerns.
2021 RN ENGAGEMENT SCORES Items for Evaluation
Magnet - Fundamentals of Quality Nursing Care Magnet - Leadership Access and Responsiveness
NICU DEVELOPMENTAL CARE Shelley Roca, NICU Developmental Care RN, created, modified, and printed life-like brain models to use as a unique educational tool to teach parents how to best interact and care for their premature baby, while supporting brain development.
% Favorable |
% Neutral |
80.67
55.02
28.36
Magnet - Professional Development Magnet - Adequacy of Resources and Staffing
4.02
3.85
3.50
3.49
3.64
3.55
3.84
3.74
3.99
3.87
3.78
3.73
3.34
3.48
20.91 14.76
74.18
17.32
76.46
8.60
16.18 7.37
69.16
20.20
67.54
14.54
NURSE LEADS WORK TO HELP PATIENTS WITH LANGUAGE BARRIERS
16
Magnet 50th %tile
16.62
Magnet - Autonomy
Magnet - RN-to-RN teamwork and Collaboration
Mean
12.00 7.33
64.33
Magnet - Interprofessional Relationship
Emergency Department Nurse Bonnie Lunsford, MSN, RN, worked to assist patients with language barriers. As a graduate project for her Masters in Community and Public Health, Bonnie completed this project to support Limited English Proficient (LEP) patients. In her project, Bonnie identified a lack of consistent care coordination with this population in the Emergency Department. The project focused on resources, referrals and prescription assistance for the LEP population, seeing an increase in all areas by establishing a standardized process of care coordination referrals from bedside nurses to social workers and nurse case managers.
% Unfavorable
Our Professional Practice Model is based on Katherine Kolcaba’s Theory of Comfort – we view our patients holistically, focusing on what makes each patient unique, and what matters most to them. Through our relationships with our patients, we identify their unique needs. C.A.R.E. represents how we provide for those needs, including Continuity, Accountability, RelationshipCentered and Evidence-Based.
17
10.66
27.72
NEW KNOWLEDGE, INNOVATIONS, AND IMPROVEMENTS generate State of Making 2021 This year, there were...
607
total new devices in use throughout St. Luke's, designed by staff and impacting patient care
709
119
visits to the lab
new users
166 new projects
70%
of 161 total users who used the generate Lab this year were repeat users
Since opening, our 316 total users represent... Physical Therapist - 6%
Registered Nurse - 44%
41
different departments
30
professions Patient Care Tech 6%
Radiologic Tech 7%
18
ST. LUKE’S HOSPITAL RECOGNITIONS US NEWS & WORLD REPORT 3RD BEST HOSPITAL IN IOWA St. Luke’s Hospital is among the nation’s Best Regional Hospitals, according to U.S. News & World Report. St. Luke’s is ranked third best hospital in Iowa in the U.S. News & World Report 2020-21 edition. The annual U.S. News Best Hospitals rankings, now in its 31st year, recognize hospitals that excel in treating the most challenging patients. CMS 5-STAR RATING In 2019 and 2021, St. Luke’s Hospital received the highest rating from the Centers for Medicare and Medicaid (CMS). CMS Hospital compare recently updated its overall Hospital Quality Star Ratings and St. Luke’s was one of only 12 hospitals in Iowa to receive five stars. BEST IN THE CORRIDOR For 2021, St. Luke’s Hospital was voted Best Hospital in the Corridor for the eighth time by the Corridor Business Journal. TAVR ACCREDITED St. Luke’s was awarded Transcatheter Valve Certification based on evaluation of the staff’s ability to meet standards for multidisciplinary teams, formalized training, shared decisionmaking and registry performance. CARF ACCREDITATION St. Luke’s is the first rehabilitation program in Iowa to receive the Commission on Accreditation of Rehabilitation Facilities (CARF) Inpatient Rehabilitation Stroke Specialty Program accreditation. St. Luke’s Brain Injury Program also received accreditation and St. Luke’s Inpatient Rehabilitation unit received a three-year accreditation - the twelfth consecutive three-year accreditation for the unit.
AMERICAN COLLEGE OF CARDIOLOGY’S NCDR CHEST PAIN MI REGISTRY PLATINUM PERFORMANCE AWARD For the eighth year in a row, St. Luke’s has received this prestigious recognition. In 2021, St. Luke’s is one of only 140 hospitals nationwide to receive the honor. The award recognizes our commitment and success in implementing a higher standard of care for heart attack patients and signifies that we have reached an aggressive goal of treating these patients to standard levels of care as outlined by the American College of Cardiology. US NEWS & WORLD REPORTHIGH PERFORMING IN ADULT MATERNITY CARE St. Luke’s Hospital has been recognized as High Performing in Adult Maternity Care (Uncomplicated Pregnancy) by U.S. News & World Report. To be recognized among the Best Hospitals for Maternity, hospitals had to excel on multiple quality metrics that matter to expectant families, including complication rates, C-sections, whether births were scheduled too early in pregnancy, and how successfully each hospital supported breastfeeding. COMMISSION ON CANCER The cancer program at St. Luke’s Hospital earned a three-year approval with commendation from the Commission on Cancer (CoC) of the American College of Surgeons. The Commission on Cancer is a consortium of professional organizations dedicated to improving survival rates and quality of life for cancer patients through standardsetting, prevention, research, education and the monitoring of comprehensive, quality care.
19
PRIMARY STROKE CENTER St. Luke’s Hospital is certified as a Primary Stroke Center by the Joint Commission, the American Stroke Association and the American Heart Association. NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS St. Luke’s Hospital has been granted a three-year/full accreditation designation by the National Accreditation Program for Breast Centers (NAPBC), a program administered by the American College of Surgeons. Accreditation by the NAPBC is only given to those centers that have voluntarily committed to provide the highest level of quality breast care and that undergo a rigorous evaluation process and review of their performance. PREMIUM TOTAL JOINT SPECIALTY CENTER St. Luke’s Hospital is proud to be selected as a UnitedHealth Premium Total Joint Specialty Center. UnitedHealthcare evaluated our associates, services and procedures using specific quality criteria and guidelines based on nationally recognized standards and expert advice. CERTIFIED AIR MEDICAL TRANSPORT SERVICE (CAMTS) ACCREDITATION St. Luke’s Hospital LifeGuard Air Ambulance received a three-year accreditation from the Commission on the Accreditation of Medical Transport Systems (CAMTS). CAMTS is an organization dedicated to improving the quality and safety of medical transport services.
WHAT IS MAGNET RECOGNITION? • The highest recognition of “Nursing Excellence” • A warded by the American Nurses Credentialing Center to health care organizations for quality patient care, nursing excellence and innovations in professional nursing practice. • A validation of the culture, one which enables all levels of the organization to influence decisions that affect their practice.
578
less than
7% of hospitals have achieved MAGNET RECOGNITION
MAGNET HOSPITALS WORLD WIDE
1 of 141 3x designees
ST. LUKE’S MAGNET JOURNEY Initial Designation August
Re-Designation March
2nd Re-Designation December
3rd Re-Designation document due October 3rd
2009
2014
2018
2022
Connect with St. Luke’s at unitypoint.org/cedarrapids 1026 A Avenue NE | Cedar Rapids, IA 52402 | (319) 369-7211
Copyright ® 2022 UnityPoint Health. All Rights Reserved. ® SM trademarks of UnityPoint Health. 005079-1 1/22 CS