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1 c o n n e c t i o n s Rural Health Education and Services Vol. 14 No. 2 Fall 2006 What s Inside... Page 3 100,000 Lives Campaign Page 4 Health care proffesional feature Page 6 Implementing language access services Page 7 Kansas Recruitment Center - Job listings Page 14 A journey through Kansas - Southeast Page 16 Rural hospitals identify funding for construction Page 18 Photography contest winners Youth Empowerment Academy Focus group reveals insight into health care As the world of medicine undergoes incredible changes in methods of treatment, as well as the process by which care is delivered to patients, the need for education and advocacy has become increasingly great. According to the Kansas Youth Empowerment Academy (KYEA), young people with disabilities have more opportunities and more challenges than at any other time in the nation s history, and the need for this education and advocacy for youth with disabilities has increased. The Kansas Youth Empowerment Academy (KYEA), is a non-profit organization established to house leadership forums and other programs to empower young people with disabilities. KYEA provides youth with disabilities the encouragement and information about resources that will enable them to develop as leaders and become agents of change. The mission of the KYEA is to promote and support the development of youth with disabilities to become empowered community leaders. This is achieved through the implementation of various programs that target youth with disabilities through education, mentoring, and peer support. KYEA, through Sunflower Foundation grant funding, launched the Creating Youth Agents of Change program to help youth identify health-related issues and develop advocacy strategies that put them in the driver s seat for promoting health-related change. Participants of the Kansas Youth Empowerment Academy discuss the challenges they face with regard to health-related issues. The program began with an informationgathering phase among past participants of the Kansas Youth Leadership Forum, a program sponsored by KYEA. Jean Hall, PhD, and Barbara Starrett, MHA, Center for Research on Learning-Division of Adult Studies, University of Kansas, were integral in distributing a written survey and assisting with focus group sessions about health-related issues that concerned youth with disabilities, such as health insurance, employment, education, and transition from school to community life issues. Thirty youth participated in the survey and ranged in ages years. Participants represented 19 of Kansas 105 counties, and 30 percent (9 participants) represented rural counties. Survey results and focus group findings from Continued on page 5

2 From The Director... Lorene R. Valentine Kansas Connections is published four times a year by the University of Kansas Medical Center, Rural Health Education and Services, Kansas City and Wichita. KUMC is an AA/EO/Title IX Institution DIRECTOR Lorene R. Valentine EDITOR Lauren Lambert GRAPHIC DESIGNER Amanda Gardner 2 Kansas c o n n e c t i o n s PEAK Awards Congratulations to the health care organizations that have been awarded the 2006 Promote Excellent Alternatives in Kansas Nursing Homes (PEAK) award. Those organizations include: Bethany Home Association, Lindsborg, Kan.; Dooley Center, Atchison, Kan.; Medicalodge of Eureka, Eureka, Kan.; Minneola District Hospital Long-Term Care Unit, Minneola, Kan.; Newton Presbyterian Manor, Newton, Kan.; Hillsboro Community Medical Center, Hillsboro, Kan.; and Pleasant View Home Inc., Inman, Kan. The PEAK program is an initiative of the Kansas Department on Aging to support nursing homes instituting non-traditional models of care with progressive environments. This award recognizes homes that adopt more home-like settings along with resident control, staff empowerment, and community involvement. Heart of Healthcare Awards The 16th Annual Nursing: The Heart of Healthcare awards honored 10 registered nurses on Oct. 14, 2006, for their commitment and dedication to serving Kansas communities. This event, coordinated by the University of Kansas School of Nursing, recognizes outstanding registered nurses in Kansas. Among those honored, two nurses representing rural communities were recognized. Michele Correll, RN, Meade County Health Department, Meade, Kan., has worked tirelessly to turn the community s small health department into a highly respected and professional organization. Often working nights and weekends, Correll has worked diligently to ensure that each community member has access to health care. As stated in her nomination for the honor, she treats each person and everyone who enters the clinic with dignity and compassion. Correll is committed to educating, empowering and improving the health of her clients and providing the community with the resources to make their lives better. Carol Smith, RN, ICU staff nurse, McPherson Memorial Hospital, McPherson, Kan., has taken her commitment to the community one step further in support of those impacted by Hurricane Katrina. When Hurricane Katrina hit the Gulf Coast, Smith, was dedicated to assisting nurses, many of whom had lost everything, get back on their feet with the donation of scrubs and other much-needed supplies to the area. Smith was nominated by John Jones, associate administrator, Medical Center of Louisiana, who states, Her tireless efforts on behalf of the nursing community all across the Gulf Coast was met with a welcome sigh, as nurse after nurse reported back to work in new scrubs. Her efforts were nothing less that heroic, the full effects of which will never be measured. While each recipient has contributed to the overall well-being of Heart of Healthcare Award Winners: (Back row) Marlene Finney, Martha Sanderson, Carol Smith, Kelley Sanchez, Linda Hamm, and Kathryn McNeal, (Front Row) Michele Correll, Michael Blomquist and Sarah Mitch Continued on back page

3 100,000 Lives Campaign Improving health care in rural Kansas Nearly 50 hospitals in Kansas were instrumental in saving an estimated 122,300 lives through the 100,000 Lives Campaign, an 18-month campaign initiated by the Institute for Healthcare Improvement (IHI) in December of The Campaign challenged US hospitals to save 100,000 lives through the implementation of six proven health care interventions. As a result, more than 3,000 hospitals across the country joined the Campaign representing 75 percent of U.S. hospital beds. The Kansas Foundation for Medical Care (KFMC) served as the node for the 100,000 Lives Campaign in Kansas and received support from other health care partners to promote the program and encourage Kansas hospitals to participate. Hays Medical Center was one of more than 50 hospitals in Kansas that participated in the 100,000 Lives Campaign. The Hays Medical Center staff realizes the need to improve patient care each day. John Jeter, MD, MHA, FACEP, president and CEO, indicates that the Center is always looking for projects to improve the care delivered at Hays Medical Center and follows the lead of accredited institutions such as the IHI and KFMC. Hays Medical Center is always looking for quality initiatives, and the 100,000 Lives Campaign gave us direction as to what to address to improve patient care, stated Jeter. Connie Hubbell, senior vice-president, community relations, KFMC, indicates the 100,000 Lives initiative identified six scientifically- proven interventions that will save lives in Kansas hospitals. Each initiative provides guidance on implementation, which allows Kansas Hospitals to implement any one or all 6 of these initiatives in a coordinated effort. The project promotes the right care for every person, every time, states Hubbell. Hospitals participating in the Campaign agreed to implement one or more of six evidence-based interventions. Activate a Rapid Response Team at the first sign that a patient s condition is worsening and may lead to a more serious medical emergency. Prevent patients from dying of heart attacks by delivering evidence-based care, such as appropriate administration of aspirin and beta-blockers to prevent further heart muscle damage. Hays Medical Center, Hays, Kan., continues to implement evidence-based interventions, as a result of the 100,000 Lives Campaign. Prevent medication errors by ensuring that accurate and continually updated lists of patient s medications are reviewed and reconciled during their hospital stay, particularly at transition points. Prevent patients who are receiving medicines and fluids through central lines from developing infections by following five steps, including proper hand washing and cleaning the patient s skin with chlorhexidine (a type of antiseptic). Prevent patients undergoing surgery from developing infections by following a series of steps, including the timely administration of antibiotics. Prevent patients on ventilators from developing pneumonia by following four steps, in- Continued on page 4 3

4 100,000 Lives CONTINUED FROM PAGE 3 cluding raising the head of the patient s bed between 30 and 45 degrees. The Hays Medical Center was part of the initiative to save lives and set out to institute each of the six interventions. Jeter indicated that the Center had already accomplished two of the initiatives prior to the campaign, but continued to implement the additional preventions and was very happy with the results. Hubbell stated, Generally rural hospitals are able to implement at least five of the six interventions and there are times when the rural hospitals made adaptations to the intervention so it would work in their setting. For the Hays Medical Center, each initiative was valuable, but the institution of the rapid response team was the most significant change. Jeter indicates that this prevention is probably the most important in rural hospitals. Kansas Hospitals have realized the impact that adopting these 6 interventions will have on their quality of care, stated Hubbell. Kansas Hospitals have had opportunities to learn from each other, share their successes with other hospitals and know that they have made a difference in the quality of care that they are providing to their patients. Bob Cox, MD, medical director, Hays Medical Center, feels the 100,000 Lives Campaign was a great opportunity for dialogue. The future will move forward from what we re trying to do and it s important to have those building blocks, states Cox. Adoption of these six interventions by Kansas Hospitals has definitely saved lives in Kansas, stated Hubbell. KFMC strongly encourages Kansas hospitals to continue to work on and adopt the six interventions established through the campaign. It is important to carry on the efforts to improve quality of care and reduce the number of unnecessary deaths in our health care systems. For more information regarding the 100,000 Lives Campaign, contact the Kansas Foundation for Medical Care, Inc., Health care professional finds the right match Physicians, nurses, and allied health professionals seeking a position within a rural Kansas community may summon the assistance of the Kansas Recruitment Center (KRC), free of charge. More than 30 physicians and Brandi Bowen, Sonographer 4 Kansas c o n n e c t i o n s allied health professionals have benefited from KRC services; Brandi Bowen, sonographer, is one such health care professional. Bowen received the assistance she needed from KRC, and joined the staff at Bob Wilson Memorial Grant County Hospital, Ulysses, Kan., in March Bowen, a graduate from Southern Medical Corporation, School of Ultrasound, Baton Rouge, La., was seeking a position as a cardiac and vascular ultrasound technologist, with the potential for growth. Once Bowen began her job search, KRC was able to provide the necessary guidance and input to help Bowen find the right match for her and her family. The KRC recruiter took charge of the situation of finding me a better match. She [the recruiter] did her very best to make me happy with my choice of relocation, stated Bowen. KRC staff used Bowen s clinical experience and professional profile, which includes involvement in the Society for Vascular Ultrasound, and the American Society of Echocardiography, in addition to her desire to work with a diverse patient case load, as a tool in making the right match for her at Bob Wilson. Although the move from southern Mississippi to Kansas has been a transition in and of itself, Bowen states the employees at Bob Wilson expressed a genuine warmth and friendliness, unlike any I ve seen in other hospitals. KRC has more than 550 active candidates looking for practice opportunities, and assists in the efforts to recruit and retain physicians and other health care professionals in rural areas of Kansas. Health care professionals may utilize the KRC as a career service center and receive placement assistance with openings throughout the state. KRC also serves rural health care organizations through placement assistance and job opportunity postings. For more information regarding the Kansas Recruitment Center, contact , or online,

5 KYEA CONTINUED FROM PAGE 1 the participants conveyed personal insights and experiences regarding access to health care, as well as employment and educational issues related to having a disability. It was reported through the study, that 23 percent of the participants were not satisfied with their current medical care, and 30 percent reported barriers to seeing the doctor, including expense, lack of transportation, lack of insurance, and attitudes of the medical staff regarding disability. Young adult Kansans who participated in the health survey were asked if they had discussed their changing health care needs as they transitioned to adulthood. Forty-seven percent indicated they had not, while 33 percent said they had, and 20 percent replied they did not know. When asked if they had developed a transition plan for their changing from adolescent to adult health care needs, 40 percent said they had not, only 17 percent indicated they had, and 43 percent did not know. Participants responded that most doctors see their disabilities first and feel compelled to fix them, rather than see them as individuals who have the same needs and desires as everyone else. This concern is illustrated through the fact that half of the participants said they had never received any information about birth control, pregnancy or STDs from their doctors, yet, according to the study, 77 percent of the participants plan to marry, and 70 percent expect to have children. Starrett indicates that this factor is a large concern. It is apparent that these youth are not being provided with information about sexuality, STDs, and AIDS issues. It is essential that parents and doctors create an awareness for these youth and get the information out. Starrett also states, Adults will find a way to engage in sexual activity, so it is imperative that they receive information regarding issues surrounding this activity. As a result of the focus group, it was suggested the medical providers have a difficult time getting past the medical model of disability and feedback indicates that these young adults feel as though medical providers need to learn more about people with disabilities and to see them as It is apparent that these youth are not being provided with information about sexuality, STDs, and AIDS issues. It is essential that parents and doctors create an awareness for these youth and get the information out. Barbara Starrett, MHA, Center for Research on Learning-Division of Adult Studies, University of Kansas individuals rather than as their conditions. The KYEA program, Creating Agents of Change, has provided insight into the needs of youth with disabilities regarding health care. This opportunity for youth to share their experiences with health care related issues reveals that many youth with disabilities are not able to, or were not provided access to services and information that could improve their health and well-being. With these findings in hand, both Hall and Starrett indicate they hope the survey will be conducted again next year to determine if attitudes or access has changed for these young adults with regard to health care. Hall feels as though the survey and focus group have provided an awareness and insight into the challenges that many youth with disabilities face. Hall encourages health care providers to listen to the person, make the health care process a team effort, be aware, and don t neglect to consider the individual s perspective the person with the disability is the expert. Creating Agents of Change program has provided insight into the needs of youth with disabilities regarding health care. 5

6 A patient-centered guide Implementing language access services According to a Kansas Health Institute report, Racial and Ethnic Minority Health Disparities in Kansas: Data and Chartbook, Kansas minorities like minority populations nationwide are disproportionately affected The Patient-Centered Guide provides practial suggestions for the implementation of language access services by health care providers. by disease and other health conditions caused, in part, by socioeconomic status 6 Kansas c o n n e c t i o n s and lack of access to quality health care. The Kansas Department of Health and Environment (KDHE), indicates the minority population in Kansas doubled between 1980 and 2000, from 223,637 to 454, percent of the population in Kansas. As population trends adjust and communities grow, the need for addressing potential language disparity in relationship to education, economy, and health care, becomes increasingly important. In an effort to assist health care organizations in addressing language barriers in health care, the Office of Minority Health (OMH) has released, A Patient-Centered Guide to Implementing Language Access Services in Healthcare Organizations. The guide is intended to help health care organizations implement effective language access services to meet the needs of limited-english-proficient patients, and increase access to health care. The Patient-Centered Guide, indicates that health care delivery and success is primarily based on the patient and provider communication, regarding the health care complications present at the time of diagnosis. Patients who struggle to communicate with the providers How to work effectively with interpreters Face the patient and speak directly to the patient. Speak slowly and clearly. It is not necessary to raise your voice and shout. Avoid metaphors, slang, idioms, and jargon. Explain all medical terms in simple language. Watch the patient during the translation to allow observation of nonverbal cues. Try not to interrupt the interpreter, and allow the interpreter to ask questions to clarify what the patient says. Allow time for patients to ask questions and seek clarification. If the interpreter seems to answer for the patient, inquire may experience inappropriate care. In addition, it is oftentimes difficult for the patient and provider to establish a continuum of care, as communication barriers inhibit the creation of trust and rapport, needed to build a relationship. The primary goal of the Patient- Centered Guide is to provide practical, ground-level suggestions for the implementation of language access services by health care providers. The guide is designed to serve as a resource for organizations of all sizes. It may be especially helpful for smaller organizations with resource constraints, as it provides useful information solicited from health care professions who work in smaller organizations, such as family practices, health clinics, and health care specialists with limited resources, that seek alternative means of implementing language access services. The guide seeks to assist in improving the quality of care delivered in health care organizations and improve patient satisfaction. The implementation of language access services can enhance or ensure appropriate resource utilization. To access the complete guide visit: Checked/HC-LSIG.pdf. about this. Use diagrams, pictures, and translated written materials to increase understanding. Always ask patients to repeat instructions back to you to be certain they were understood. Some patients who request an interpreter may understand English well. The patient may understand any comments made to other providers or to the interpreter. Document the name of the interpreter in the progress. A Patient-Centered Guide to Implementing Language Access Services in Healthcare Organizations

7 K A N S A S R E C R U I T M E N T C E N T E R November 2006 The mission of the Kansas Recruitment Center (KRC) is to assist Kansas rural communities in recruiting and retaining physicians and other health care providers. KRC works with hospitals, private physician practices, community health centers, and other organizations recruiting physicians, nurses, physician assistants or other health care professionals. KRC is also a health care career service for physicians, physician assistants, nurses, nurse practitioners and other allied health professionals. KRC assists candidates in finding a community and practice or career opportunity that meets their requirements. Services are provided to candidates at no charge. Candidates should refer to a position by number when they are calling about a specific opening. For more information, contact the University of Kansas Medical Center, Rural Health Education and Services, or , or visit the Web site at NORTH CENTRAL KRC Hematologist/Oncologist new cancer center approved by the Commission on Cancer, American College of Surgeons; current staff: 3 physicians and 1 mid-level; patient population is adult thru geriatric; facility amenities include chemotherapy room w/window wall, counseling room, wig room KRC Pulmonary Medicine/Critical Care 26-physician multi-specialty clinic; currently 10 specialties; additional services include full-service lab, nuclear medicine, echo and vascular testing, ultrasound, and full x-ray unit; full-service acute facility and surgery hospital nearby KRC Invasive and Interventional Cardiologist 26-physician multi-specialty clinic; currently 10 specialties; additional services include a full service lab, nuclear medicine, echo and vascular testing, ultrasound, and full x-ray unit; full-service acute facility and surgery hospital nearby KRC Internist 26-physician multi-specialty clinic; currently 10 specialties; additional services include a full service lab, nuclear medicine, echo and vascular testing, ultrasound, and full x-ray unit; full-service acute facility and surgery hospital nearby KRC Nephrologist 26-physician multi-specialty clinic; currently 10 specialties; additional services include a full service lab, nuclear medicine, echo and vascular testing, ultrasound, and full x-ray unit; full-service acute facility and surgery hospital nearby KRC Family Physician group practice, 25-bed CAH, acute medical, skilled nursing unit, 24- hour emergency, IP & OP surgery, OB, very active rehab department KRC General Surgeon group practice affiliated with a regional medical center that serves a population of 60K; the medical center s state-of-the-art technologies include a full laparoscopic system, family birthing rooms, well-equipped intensive care unit, ER, Level II nursery, fixed site MRI and CT; salary: $200,000-$250,000, great benefits, good school system, community college, park/zoo, strong community pride; H1-B opportunity KRC Orthopedist group practice affiliated with a regional medical center that serves a population of 60K; the medical center s state-of-the-art technologies include a full laparoscopic system, family birthing rooms, well-equipped intensive care unit, ER, Level II nursery, fixed site MRI and CT; competitive salary, great benefits, good school system, community college, park/zoo, strong community pride; H1-B opportunity KRC Internist two-campus regional medical center that serves a population of 60K; the medical center s state-of-the-art technologies include a full laparoscopic system, family birthing rooms, well-equipped intensive care unit, ER, Level II nursery, fixed site MRI and CT; competitive salary, great benefits, good school system, community college, park/zoo, strong community pride; H1-B and J-1 opportunity KRC Family Physician hospital-employed; 25-bed CAH currently undergoing extensive renovation; current staff: 3 family practitioners, 1 surgeon, 1 mid-level; additional hospital facilities include a 30-bed long-term care unit and an outreach clinic that is staffed 3.5 days per week; hospital services include OB, a full lab, diagnostic imaging, physical therapy KRC General Surgeon hospital-employed, 25-bed CAH with new surgical addition in progress; current staff: 3 family practitioners, 1 surgeon, 1 mid-level; additional hospital facilities include a 30-bed long-term care unit and an outreach clinic that is staffed 3.5 days per week; hospital services include OB, a full lab, diagnostic imaging, physical therapy; H-1B and J-1 opportunity KRC Family Physician OB required, prefer ability to do c-section; 25-bed CAH plus 3 satellite facilities; current medical staff: 5 physicians and 2 mid-level practitioners; hospital services include: general surgery, cardiac rehab, cardio pulmonary, radiology, OB, 10 specialties; full benefits Continued 7

8 KRC Physical Therapist KRC Physical Therapist Assistant outpatient physical therapy clinic, primarily treating lymphedema patients, training available for this specialty; additional caseload includes ortho and neuro; current staff: 5 PTs and 2 PTAs; no evenings, call, or weekends; experienced therapists as well as new graduates are encouraged to apply KRC Family Physician 25-bed CAH; hospital services include: on-site CT, mobile MRI and ultrasound, lab, x-ray, scopes, swing unit, urology clinic, cardiac clinic; salary: $145,000- $155,000 and potential for production bonus; full benefits KRC Family Physician with OB for a 25-bed CAH and rural health clinic; the hospital does obstetrics and the family practitioners may perform c-sections; general surgeon, 2 family practitioners, and 2 NPs on staff; call coverage is 1:4 and they locum tenens ER coverage 1 weekend/month; full service hospital including OB, ER, lab, radiology, specialty care, and long term care; Salary Range: $140,000-$160,000; full benefits KRC C Family Physician without OB or surgery for a 12-bed CAH; rural health clinic attached to hospital; 83 staff members at hospital, including PA; call time is 1:2 and non-call time is completely off for practitioner; hospital services include acute care, swing bed, ER, PT, cardiac rehab, ADA certified, and outpatient clinics for cardiac and orthopedics; salary: $135,000- $160,000 w/ 3 year contract; full benefits KRC C Family Physician 25-bed CAH and rural health clinic; current staffing includes 1 physician and 1 PA; call time is 1:3; hospital services include acute care, swing bed, ER services, therapy department, full service lab and x- ray, contracted sonogram and mammogram, and mobile CT scan unit; salary: $135,000- $150,000 w/ 5 year contract; full benefits 8 Kansas c o n n e c t i o n s KRC Physician Assistant KRC Nurse Practitioner position available to work with 2 Gastroenterologists in a 26-physician multi-specialty clinic; currently 10 specialties; Gastroenterology experience preferred, but willing to train; clinic services include a full service lab, nuclear medicine, echo and vascular testing, ultrasound, and full x-ray unit; full service acute care facility and surgery hospital nearby; salary is competitive and negotiable depending on experience; opportunity for incentive bonus; all clinic benefits available KRC Gastroenterologist a 26-physician multispecialty group with 3 Gastroenterologists seeks BC/BE Gastroenterologist to join a well established, busy practice; early partnership, surgical hospital ownership, excellent benefits and a large referral area make this an excellent opportunity KRC Family Physician for well-established group practice; OB preferred, but not required; 4 ½ days per week schedule; call is 1:5; currently 4 family physicians and 1 mid-level on staff; salary is $130,000; full benefits; H-1B opportunity KRC Physician Assistant KRC Nurse Practitioner for well-established group practice covering a full range of family practice services; 4 ½ days per week schedule; call is 1:5; currently 4 family physicians and 1 mid-level on staff; salary is $60,000-$70,000 plus bonus; benefits include liability insurance, 20 vacation days, CME allowance, and relocation KRC General Surgeon for multi-specialty clinic that is owned and operated by 25 physicians representing 11 medical specialties; 3 general surgeons on staff; call is 1:4; full service acute care facility nearby as well as a surgery hospital; salary and benefits are negotiable KRC Family Physician without OB for 25- bed CAH; currently 3 FPs, 1 surgeon, and 1 mid-level on staff; additional hospital facilities include a 25-bed long term care unit and outreach clinic that is staffed 2 ½ days per week; rotating local on call backup; hospital services include lab, diagnostic imaging, rehab services, surgical services, ER, OR, and respiratory therapy; salary is $145,000-$165,000 with a 3 year contract; full benefits KRC Physical Therapist Assistant for 25-bed CAH with new PT Department; also a 30-bed long term care unit and an outreach clinic staffed 3 ½ days/week; currently 3 PTs, 1 CPTA, 1 Exercise Physiologist, 1 Massage Therapist and an assistant on staff; average of 40 patients per day including inpatient, outpatient, and long-term care; caseload includes cardiac rehab, ortho, and neuro; experienced and new graduates encouraged to apply; must have KS licensure or be eligible; hospital services include OB, lab, diagnostic imaging, and PT; salary is $38,000-$50,000; benefits KRC Emergency Medicine Physician for 25- bed CAH; currently 3 FPs, 1 surgeon, and 1 mid-level on staff; additional hospital facilities include a 25-bed long term care unit and outreach clinic that is staffed 2 ½ days per week; rotating call schedule; hospital services include lab, diagnostic imaging, rehab services, surgical services, ER, OR, and respiratory therapy; salary is $145,000-$165,000 with a 3 year contract; full benefits KRC Family Physician for ER in a 25-bed CAH; currently 3 FPs, 1 surgeon, and 1 mid-level on staff; additional hospital facilities include a 25-bed long term care unit and outreach clinic that is staffed 2 ½ days per week; rotating call schedule; hospital services include lab, diagnostic imaging, rehab services, surgical services, ER, OR, and respiratory therapy; salary is $145,000-$165,000 with a 3 year contract; full benefits NORTHEAST KRC Medical Technologist 24-bed CAH; experienced and new graduates encouraged to apply; hospital services include inpatient, outpatient, swing bed, OB; salary: $37,000-$52,000 depending on experience; full benefits KRC Family Physician with OB for a 24-bed CAH; also 2 satellite clinics; currently 2 physicians and 2 mid-levels on staff; call is 1:5; hospital services include inpatient, outpatient, swing bed, surgery, rehab, OB; salary: $125,000-$175,000 with a 3 year contract KRC Physical Therapist 24-bed CAH; experienced and new graduates encouraged to apply; hospital services include inpatient, outpatient, swing bed, OB; salary: $41,600-$60,000 depending on experience; full benefits KRC Occupational Therapist 24-bed CAH; Continued

9 experienced and new graduates encouraged to apply; hospital services include inpatient, outpatient, swing bed, OB; salary: $39,500- $56,000 depending on experience; full benefits KRC Internist solo practice; busy hospital and outpatient practice; currently 1 physician and 1.5 mid-levels on staff; 2 hospitals nearby and many specialty services throughout the local area; specialties include radiology, urology, OB/GYN, general surgery, CV, orthopedics, cardiology, ENT, nephrology, and neurology; salary: $110,000-$140,000 with a 1 year contract; full benefits KRC Physical Therapy Director integrated rural health system including CAH, rural health clinic, home health, and pharmacy; hospital services include acute care, inpatient, outpatient, swing bed, ER, and a health clinic; currently 1 PTA on staff; director of PT must be team oriented, self motivated, and have strong communication skills; diverse patient caseload; must be licensed physical therapist; prefer experience; salary is negotiable, competitive, and depends on experience; benefits KRC Physical Therapist Assistant 25-bed CAH; responsibilities include acute care, outpatient, and home health; experienced and new graduates encouraged to apply; must be a graduate of an accredited school and be certified or eligible; currently 3 PTAs, 4 Restorative Aids, and 3 contract PTs on staff; salary range: $29,000- $32,500 depending on experience; full benefits KRC Occupational Therapist 25-bed CAH with an outpatient clinic and 6 satellite clinics; responsibilities include: receive, interpret, and carry out physician referrals in regards to OT techniques and services; direct patient participation in selected tasks to restore, reinforce, and enhance performance, and work as an interdisciplinary team member when working with rehab patients; currently 1 OT Director, 1 PRN OTR, and 1 COTA on staff; experienced and new graduates encouraged to apply; must be registered or registry eligible; salary is negotiable and depends on experience; full benefits KRC C Internist private practice in building attached to hospital; to join 3 other internists, (in private practices) in seeing a growing patient population and to share call; clinic office space, practice management services, and a start-up loan to cover initial business expenses are available to the right physician; call is 1:4; family practice physicians perform ER coverage; net income guarantee of $160,000 (negotiable depending on training and experience); benefits KRC Family Physician with OB for a Certified Rural Health Clinic attached to a 12-bed CAH; currently 3 FPs and 2 NPs on staff; call is 1:5 ER rotation; hospital services include acute care, skilled nursing, 24 hour ER, and an outpatient clinic; salary: $120,000-$150,000 with a 1 year contract with multiple 1 year extensions; full benefits; open to Bridging Plan participant KRC C Pediatrician hospital-employed group practice in a rural health clinic; currently 2 Pediatricians and 1 NP on staff; call is 1:2; service area is 45,000 and 30,000 new residents are expected w/in 6 years; the 92-bed hospital s services include bariatric surgery, sleep lab, women s health center, acute care, lab, diagnostic imaging, rehab center, ER, home health, speech path and audiology, senior health center, and occupational health clinic; hospital is undergoing a $40 million expansion; salary range is $150,000 plus production bonus with a 3 year contract; full benefits; H-1B opportunity KRC C General Surgeon 92-bed hospital due to growth; hospital services include bariatric surgery, sleep lab, women s health center, acute care, lab, diagnostic imaging, rehab center, ER, home health, senior health center, and occupational health clinic; hospital is undergoing a $40 million expansion; currently 2 general surgeons on staff; an interest in bariatric surgery (laproscopic) and vascular surgery as well as general surgery is preferred; salary range is $270,000 plus production bonus with a 3 year contract; full benefits; H-1B opportunity KRC Nurse Practitioner KRC Physician Assistant Family Practice Clinic attached to a 12-bed CAH; currently 2 Family Physicians and 2 NPs on staff; call is 1:5 ER; hospital services include acute care, skilled nursing, ER, and an outpatient clinic; salary is negotiable; full benefits KRC Family Physician group practice located next to a 28-bed CAH; prefer OB but not required; currently 3 physicians and 1 mid-level on staff; call is 25%; salary and benefits are not predetermined as this is considered an independent practice KRC General Surgeon group practice; currently 1 general surgeon on staff; limited call coverage; hospital is a 28-bed CAH and supports a satellite clinic; salary is structured on a feefor-service basis; benefits are negotiable; H-1B opportunity NORTHWEST KRC Orthopedist 2 positions available for group practice, 190+ bed state-of-the-art medical center with an in-clinic MRI and wellness facility, currently 90 physicians on active medical staff, salary negotiable, 6 weeks vacation, benefits, excellent school systems, university, vo-tech, museums, performing arts center, aquatic park, recreation commission; H1-B and J-1 opportunity KRC Plastic Surgeon 190+ bed state-of-theart medical center with new wellness facility, currently 90 physicians on active medical staff, salary negotiable, 5 weeks vacation, benefits, excellent public and parochial schools, university, vo-tech, museums, recreation commission, aquatic park, performing arts center KRC Cardiologist 190+ bed state-of-the-art medical center with new wellness facility, currently 90 physicians on active medical staff, excellent public and parochial schools, university, vo-tech, museums, aquatic parks, performing arts center, recreation commission; H1-B and J-1 opportunity KRC Gastroenterologist 190+ bed state-of-theart medical center with new wellness facility, currently 90 physicians on active medical staff, salary negotiable, full benefits, excellent public and parochial schools, university, votech, museums, aquatic parks, performing arts center, recreation commission; H-1B and J-1 opportunity KRC Nephrologist 190+ bed state-of-the-art medical center with new wellness facility, currently 90 physicians on active medical staff, salary negotiable, full benefits, excellent public and parochial schools, university, vo-tech, museums, aquatic parks, performing arts center, recreation commission; H-1B and J-1 opportunity Continued 9

10 KRC Family Physician with OB, prefer c-section certified; 25-bed CAH; currently 3 physicians and 1 mid-level; call is 1:4 as secondary to ARNP (primary ER call); full service hospital including med/surg acute care, obstetrics/ nursery, ER, outpatient, surgery/recovery, diagnostic imaging, lab, PT, respiratory therapy, inpatient pharmacy, ambulance, specialty clinic, primary care clinic; salary includes base plus productivity incentive, approx. $150,000+ depending on OB and procedures w/ a 3 year contract; full benefits; H-1B opportunity KRC Respiratory Therapist 25-bed CAH that includes a 2 physician hospital-based clinic and a 68-bed long term care facility; hospital services include acute care, swing bed, OB, diagnostic, lab, respiratory, specialty clinic, ER, and ICU; staff includes 2 full time therapists and 3 prn therapists; there is a daily average of 15 patients; rotating call; open to experienced therapists and new graduates and CRTT or RRT KRC Physician Assistant 5 month contract with possibility of becoming a permanent position; 25-bed CAH with 2 satellite clinics; currently 2 physicians and 1 mid-level on staff; $40.00 per hour with a very flexible schedule KRC General Surgeon 190+ bed, state of the art medical center and wellness facility; currently 90 physicians on staff; call time is 1:3; salary is negotiable; benefits KRC Hematologist/Oncologist cancer center that is an affiliation of a 190+ bed, state-of the-art medical center and wellness facility; due to growth; currently 90 physicians on staff; salary is negotiable; full benefits; H-1B and J-1 opportunity KRC C Psychiatric Director progressive outpatient community mental health center looking for board eligible or certified general psychiatrist to work in center and 5 branch locations; caseload will be approximately 25% youth and 75% adult cases; call will rotate with 2 other psychiatrists; center provides outpatient services for adults, children, and substance abusers, screening and referral services available 24-7, case management services, community support services for SPMI adults, Respite Center 10 Kansas c o n n e c t i o n s services, and alternative school for SED youth; salary base is $144,000 depending on experience; excellent benefits KRC Internist 190+ bed, state of the art medical center and wellness facility; currently 90 physicians on staff; call is 1:5; salary is negotiable; benefits include paid vacation, CME allowance, and relocation costs; an outstanding hospital in a positive and progressive environment; H-1B and J-1 visa opportunity KRC Pediatrician 190+ bed, state of the art medical center and wellness facility; currently 90 physicians on staff; call is 1:4; salary is negotiable; benefits include paid vacation, CME allowance, and relocation costs; an outstanding hospital in a positive and progressive environment KRC Family Physician without OB for 190+ bed, state of the art medical center and wellness facility; currently 90 physicians on staff; call is 1:6; salary is negotiable; benefits include paid vacation, CME allowance, and relocation costs; an outstanding hospital in a positive and progressive environment KRC C Family Physician KRC C Internist 25-bed CAH and family health care center; physician will provide primary care services in a new clinic attached to the hospital and take over existing patient base; clinic serves the whole county; satellite clinic 19 miles east with acute care and swing beds, 37-bed long term care unit and 6-bed assisted living unit; currently 3 physicians and 1 mid-level on staff; call is 1:4 weekends and 1 night/week w/ backup on mid-level; hospital services include on-site CT, mobile MRI, nuclear medicine, lab, surgery, and rehab; salary is $140,000 with additional income for ER coverage can be higher based on productivity; full benefits KRC C Family Physician for 25-bed CAH; OB preferred; rural health clinic on-site (4-day schedule); currently 3 family physicians, 1 general surgeon, 1 mid-level on staff; call is 1:5 ER and 1:3 OB; hospital services include acute care, intermediate care, ER, lab, x-ray, PT, respiratory therapy, specialty clinics, cardiac rehab, skilled nursing, and chemotherapy administration; salary range: $140,000-$150,000 plus incentives; full benefits; H-1B and J-1 opportunity KRC Family Physician for hospital-based group practice; position is combo of outpatient services in a new rural health clinic and inpatient services in the 25-bed CAH; 2 physicians will be part of group practice; call is 1:4; hospital will provide coverage every 5th weekend of the month; hospital services include acute care, x-ray, CT, mobile sonography, lab, ER, home health, hospice outpatient clinics, surgery, PT, respiratory therapy, and cardiac rehab; salary range: $130,000-$150,000 with incentives; full benefits; H-1B and J-1 opportunity KRC Physician Assistant KRC Nurse Practitioner a hospital-based group practice; combo of outpatient services in a new rural health clinic and inpatient services in the 25-bed CAH; 2 physicians will be part of group practice; call is 1:4; hospital will provide coverage every 5th weekend of the month; hospital services include acute care, x-ray, CT, mobile sonography, lab, ER, home health, hospice outpatient clinics, surgery, PT, respiratory therapy, and cardiac rehab; salary range is competitive; full benefits KRC C Family Physician for 25-bed CAH with 33-bed long-term care unit attached; there are 2 clinics - one in town, and one 15 miles away; the out of town clinic has a physician ½ day/ week and a FT NP; new physician will work in the clinic 4.5 days from 9:00am-12:00pm and 2:00pm-5:00pm; new physician will perform rounds on the long term care patients in the facility and several others as well as with their patients in the hospital; OB preferred, not required; no high-risk OB; currently 1 physician (does OB), 1 NP, and 2 PAs on staff; call is 1:4 with 2nd call backup for the PAs; hospital services include acute care, ER, minor surgery, OB, EECP, PT, OT, and speech; salary is $150,000-$165,000 + additional pay for ER coverage and production bonus; full benefits; H-1B and J-1 opportunity KRC Physical Therapist for 25-bed CAH; will be breaking ground to build a new hospital by 2007; currently 1 PT and 1 PTA on staff; responsibilities include evaluation, planning and administering therapy treatment to an average of 20 patients per day; hospital services include lab, OB, PT, stress testing, cardiac rehab, diagnostic imaging, CT, MRI, EKG, nuclear medicine, ER, ultrasound, and general surgery; 4 Continued

11 satellite clinics; experienced and new graduates encouraged to apply; must have KS licensure or be eligible; salary is negotiable; full benefits SOUTH CENTRAL KRC Family Physician without OB; hospital-employed; 24-bed CAH; hospital services include: inpatient, outpatient, physical therapy, ER; currently 2 physicians and 2 mid-levels on staff; salary: $140,000-$150,000 KRC Family Physician multi-specialty clinic, currently 15 specialties and 24 physicians on staff among 4 satellite clinics, excellent benefits, competitive salary with possible production bonus; 60 miles from major metro area KRC Urologist multi-specialty clinic, currently 15 specialties and 24 physicians on staff among 4 satellite clinics, excellent benefits, competitive salary with possible production bonus; 60 miles from major metro area KRC Orthopedist multi-specialty clinic, currently 15 specialties and 24 physicians on staff between 4 satellite clinics, excellent benefits, competitive salary with possible production bonus; 60 miles from major metro area KRC Family Physician group practice, with or w/o OB, currently 2 physicians and 1 NP on staff, 22 bed CAH with clinic next door as well as a satellite clinic, hospital services include lab, oncology, physical therapy, CT, travel MRI, Dexxa, full-service surgery; salary: $130,000- $140,000 KRC Pediatrician group practice in a clinic and 82-bed hospital; includes covering a secondary level nursery; electronic medical records utilized; currently 1 full time pediatrician, 1 part-time pediatrician, and 1 NP on staff; call is 1:4; salary range: $110,000-$115,000 full time or $55,000-$60,000 part-time; benefits KRC C Family Physician without OB for 25-bed CAH; hospital services include acute care, swing bed, lab, x-ray, PT, OT, 24-hour ER, mobile CT scan, ultrasound, mammogram, and bone density screening; call is 1 evening/week and 1:5 weekends; salary: $150,000-$160,000 with up to a 2 year contract; full benefits; H-1B and J-1 opportunity KRC Registered Nurse hospital based rural health clinic connected to a 25-bed CAH; prefer acute care or surgery experience in a hospital setting; will consider new graduates; day shift (7:00am- 3:00pm); currently 2.2 FPs and 1 PA on staff; hospital services include x-ray, CT, ultrasound, lab, surgery, specialty clinics, mobile MRI, and telerad; salary: $33,800-$44,000; benefits KRC Family Physician without OB for hospital based rural health clinic connected to a 25-bed CAH; one offsite rural health clinic; currently 2.2 FPs and 1 PA on staff; call is for backup coverage only; hospital services include x-ray, CT, ultrasound, lab, surgery, specialty clinics, mobile MRI, and telerad; salary: $130,000- $160,000; full benefits KRC Family Physician for energetic group practice; currently 2 physicians in this practice; the hospital has an LDRP in the same building as the practice; the nearby 69-bed hospital s services include radiology, lab, obstetrical care, ER, mobile MRI, CT, PT, swing bed, acute care, and general surgery; salary is negotiable KRC Family Physician new position w/ or w/o OB; in new rural health clinic across the street from the hospital; the 25-bed CAH s services include ER, OR, lab, x-ray, MRI, CT scan, ultrasound, respiratory therapy, PT, OT, speech therapy, EKG, EEG, and sleep studies; no call on weekends, during the week, call is 1:3; salary: $140,000-$160,000 with a 3-5 year contract; full benefits; H-1B and J-1 opportunity KRC Physician Assistant KRC Nurse Practitioner new position based in a new rural health clinic across the street from the hospital; the 25-bed CAH s services include ER, OR, lab, x-ray, MRI, CT scan, ultrasound, respiratory therapy, physical therapy, occupational therapy, speech therapy, EKG, EEG, and sleep studies; no call coverage on weekends, during the week, call is 1:3; salary is competitive and negotiable depending on experience; full benefits SOUTHEAST KRC Family Physician with OB; 25-bed CAH; call rotates with groups of 5; hospital services include OB, ICU Level I, general surgery, orthopedics, ENT, urology, CT, lab; salary is negotiable; benefits KRC Orthopedist group practice, 2 orthopedic surgeons looking for a 3rd partner; additional staff includes 1 mid-level, office manager, 2 radiology techs, 1 orthopedic nurse; office located in a 100+ bed hospital, salary $350,000, benefits; culturally active community, superb schools, lakes with activities available KRC Anesthesiologist with Pain Management office located in hospital, 3 orthopods on staff want to open a pain management clinic, option to work as a solo physician or be hospital-employed, salary is negotiable, benefits, culturally active community, superb schools, and lakes with activities available KRC Non-Invasive Cardiologist 100+ bed hospital, option to work as an independent practitioner or be hospital-employed, salary is negotiable, benefits, culturally active community, superb schools, quick access to metropolitan areas, beautiful lakes with activities available KRC Psychiatrist 100+ bed hospital, opening a Geriatric Psychiatric Unit, option to work as an independent practitioner or be hospital-employed, salary negotiable, benefits, culturally active community, minimal traffic, low crime rate, superb schools, quick access to metropolitan areas, beautiful lakes with activities available KRC Orthopedist multi-specialty group with main clinic and 4 satellite clinics; clinic also sponsors a surgical outreach clinic and a urological outreach clinic; currently 6 family practice physicians, 1 pediatrician, 2 internists, 2 general surgeons, 1 urologist on staff; clinic offers a full spectrum of care such as family medicine including obstetrics, physical exams and sports physicals, on-site lab and x-ray, on-site EKG testing and bone density studies, minor surgery, wellness exams and preventative medicine, osteopathic manipulations, PT, diabetic education, cancer center; salary is negotiable; full benefits KRC Internist multi-specialty group with main clinic and 4 satellite clinics; clinic also spon- Continued 11

12 sors a surgical outreach clinic and a urological outreach clinic; currently 6 family practice physicians, 1 pediatrician, 2 internists, 2 general surgeons, 1 urologist on staff; clinic offers a full spectrum of care such as family medicine including obstetrics, physical exams and sports physicals, on-site lab and x-ray, on-site EKG testing and bone density studies, minor surgery, wellness exams and preventative medicine, osteopathic manipulations, PT, diabetic education, cancer center; salary is negotiable; full benefits KRC C Obstetrician/Gynecologist with choice of being an independent practitioner or employed by the 109-bed hospital; the medical center has 37 physicians representing over 15 medical specialties; currently 1 OB/GYN and 2 family practitioners that perform OB on staff; salary range: $ 250,000; relocation and loan repayment available; benefits and vacation offered if employed by the hospital KRC C Family Physician w/o OB for private group practice located next to the hospital; currently 2 family physicians and 3 mid-levels on staff; each physician treats their patients who become hospitalized and share ER coverage with the other physicians; call is 1:3 ER and 1:2 for the practice; the 25-bed CAH s services include acute care, lab, physical therapy, MRI, CT, x-ray, and respiratory therapy; physicians alternate a ½ day per week at a satellite clinic 25 miles away; salary range: $140,000-$150,000 with a 2-3 year contract; full benefits; H-1B and J-1 opportunity SOUTHWEST KRC Family Physician federally qualified community health center, 3 satellites; current staff includes 1 physician and 8 mid-levels; no call coverage, no weekends, salary negotiable, benefits; H-1B and J-1 opportunity KRC Interventional Cardiologist multi-specialty group affiliated with a 100+ bed medical complex; the complex consists of an acute care, outpatient surgical facility, women s center, rehab center, transitional care unit, outpatient services; the medical complex has approx. 70 physicians on staff representing over 20 specialties; salary is negotiable, benefits; H1-B opportunity 12 Kansas c o n n e c t i o n s KRC Orthopedist multi-specialty group affiliated with a 100+ bed medical complex; the complex consists of an acute care, outpatient surgical facility, women s center, rehab center, transitional care unit, outpatient services; the medical complex has approx. 70 physicians on staff representing over 20 specialties; salary is negotiable, benefits; H1-B and J-1 opportunity KRC Urologist for multi-specialty group with 27 physicians and 11 specialties; large service area with many referrals; this group also supports 3 satellite facilities including an urgent care clinic; the local 100-bed hospital s services include ER, lab, x-ray, CT, MRI, OB, peds, new cardio and ICU services; salary is competitive and negotiable; full benefits KRC Physician Assistant hospital-employed, PA for FP w/o OB, hospital consists of 12 acute/swing beds, 35-bed LTC Unit, rural health clinic; hospital services include physical therapy, lab, x-ray, ER, skilled and intermediate swing bed, home health; salary: $70,000, benefits KRC Registered Nurse 25-bed acute care setting including swing bed unit and ER, experienced nurses and new graduates encouraged to apply, ASN or BSN acceptable, 12-hour evening shift 3 days a week; salary depends on experience, benefits KRC Registered Nurse nursing home unit, experienced nurses and new graduates are encouraged to apply, ASN or BSN acceptable, 12-hour evening shift 3 days a week, salary is negotiable, benefits KRC Extended Care Facility Manager 48-bed nursing home unit, responsible for supervising staff of approx. 30 employees, must be RN with long-term care experience, long-term care management experience preferred but not required, ASN or BSN acceptable, salary is negotiable, benefits KRC Lab Tech 25-bed acute care setting with swing bed unit and ER, first shift, will also cross train into radiology with training provided if needed, salary is negotiable, benefits KRC Family Physician with OB; CAH; current staff: 3 physicians; progressive, energetic practice seeking medical professional interested in satisfying career in family-oriented community; hospital recently remodeled, has state-of-theart computer system; First Frontier National Community Center of Excellence in Women s Health; great salary and benefits KRC Physician Assistant CAH; current staff: 3 physicians; progressive, energetic practice seeking medical professional interested in satisfying career in family-oriented community; hospital recently remodeled, has state-of-the-art computer system; First Frontier National Community Center of Excellence in Women s Health; great salary and benefits KRC Physical Therapy Manager 45-bed county owned, not-for-profit, rural hospital; average of 5-10 patients per day; minimum of 1 year experience and hold KS licensure, or eligible; hospital services include radiology, lab, obstetrical care, ER, mobile MRI, CT, swing bed, acute care, general surgery, pediatric care, respiratory therapy, ICU, home health, and PT; salary is negotiable KRC General Surgeon 45-bed county owned, not-for-profit, rural hospital; currently 2 physicians and 1 PA on staff; call coverage is negotiable; hospital services include radiology, lab, obstetrical care, ER, mobile MRI, CT, swing bed, acute care, general surgery, pediatric care, respiratory therapy, ICU, home health, and PT; salary and benefits are negotiable KRC Family Physician 25-bed hospital; patient care is also provided at the clinic and extended care facility; hospital services include general medical-surgical care, skilled nursing care, ER, obstetrics, geriatrics, inpatient, outpatient, and long term care; currently 1 family practitioner, 1 part-time general surgeon, and 1 NP on staff; call is 1 week every 3-4 weeks; salary range: $150,000-$170,000; benefits KRC Physician Assistant KRC Nurse Practitioner position available for a 25-bed hospital; patient care is also provided at the clinic and extended care facility; patient caseload includes women s Continued

13 health, child health, diabetic care, and ER; currently 1 family practitioner, 1 part-time general surgeon, and 1 NP; salary range: $70,000- $95,000; benefits KRC Nurse Practitioner KRC Physician Assistant community health center with 3 satellite facilities; currently 1 physician, 6 NPs, 2 PAs, and 1 volunteer physician on staff; no call coverage or weekends; salary range is $58,000, negotiable; full benefits KRC Family Physician with or without OB for 25-bed CAH; salary range is $120,000- $150,000 with a 3 year contract; full benefits; H-1B and J-1 opportunity KRC C Family Physician w/o OB for multi-specialty group practice; position is strictly outpatient, clinic-based; currently 2 family physicians, 5 internists, and 3 pediatricians on staff; call is shared with family physicians and internists; family physicians are responsible for answering questions over the telephone (1:3) and the internists provide all call coverage to the hospital (inpatient); the 132-bed admitting hospital s services include acute care, OB, emergency medicine, surgery, oncology, rehab, wound care, cardiology, orthopedics, and neurology; salary is $150,000; full benefits KRC Neurologist several options for this practice physician may choose to be hospital employed, an independent practitioner that contracts the administrative functions to the hospital, or a solely independent practice; the admitting 132-bed hospital provides acute care, OB, emergency medicine, surgery, oncology, rehab, wound care, cardiology, orthopedics, and neurology; currently 1 physician doing outreach 1 day a week; salary is $220,000 plus sign-on bonus; full benefits; J-1 and H-1B opportunity KRC Otolaryngologist several options for this practice physician may choose to be hospital employed, an independent practitioner that contracts the administrative functions to the hospital, or a solely independent practice; the admitting 132-bed hospital provides acute care, OB, emergency medicine, surgery, oncology, rehab, wound care, cardiology, orthopedics, and neurology; currently 1 hospital-employed ENT on staff; salary is $200,000 plus sign-on bonus; full benefits; H-1B opportunity KRC Orthopedic Surgeon hospital is looking for a second Orthopedic Surgeon to join hospitalbased practice; patient caseload is full service general orthopedics including sports medicine; the admitting 132-bed hospital provides acute care, OB, emergency medicine, surgery, oncology, rehab, wound care, cardiology, orthopedics, and neurology; currently 2 orthopedists in the community; salary is $400,000 and negotiable; full benefits; H-1B opportunity KRC Emergency Medicine opportunity available to join a 3 emergency medicine physician group; volume is 12,000-14,000 visits annually; the admitting 132-bed hospital provides acute care, OB, emergency medicine, surgery, oncology, rehab, wound care, cardiology, orthopedics, and neurology; salary is $ per hour plus a sign-on bonus; benefits include one month vacation and relocation; H-1B opportunity KRC Interventional Cardiologist for group practice; this position will join 8 Cardiologists in an outreach clinic; admitting hospital is 132-beds and provides a full range of services including acute care, OB, emergency medicine, surgery, oncology, rehab, wound care, cardiology, orthopedics, and neurology; salary is $450,000 negotiable KRC C Respiratory Therapist for 45-bed, county owned, not-for-profit, rural hospital; must be a graduate of an accredited respiratory therapy program and have CRT or RRT; required certifications NBRC, CPR, ACLS; currently 2 FT, 1PT, 2 prn respiratory therapists on staff; hospital services include radiology, lab, OB, ER, MRI (mobile), CT, acute care, general surgery, pediatric care, respiratory therapy, ICU, home health, and physical therapy; salary range CRT: $26,500-$34,000, RRT: $29,000- $39,500; full benefits KRC C Obstetric Nurse 45-bed, county owned, not-for-profit, rural hospital; should have 2 years of experience and be eligible for KS licensure; required certifications ACLS, NRP, BCLS, PALS; currently 3 FT nurses and 2 prn nurses; hospital services include radiology, lab, OB, ER, MRI (mobile), CT, acute care, general surgery, pediatric care, respiratory therapy, ICU, home health, and physical therapy; salary is $37,000-$48,000; full benefits KRC Interventional Cardiologist position available for a group practice; this position will join a group of 8 Cardiologists; the 132-bed hospital provides a full range of services including acute care, obstetrics, emergency medicine, surgery, oncology, rehabilitation, wound care, cardiology, orthopedics, and neurology; salary is $450,000 negotiable KRC Physical Therapist for a new 20-bed CAH and 43-bed long-term care unit; under direction of an experienced PT, this PT will provide services for post-op orthopedic patients, athletic injuries and geriatrics; experienced and new graduates encouraged to apply; Director, PTA, and an aide currently on staff; hospital services include orthopedic surgery, CT scan, ultrasound, home health and long-term care; salary is $62,000-$83,000; full benefits KRC Radiologic Technologist for new 20-bed CAH and 43-bed long-term care unit; must have RRT or be eligible; experienced and new graduates encouraged to apply; under direction of an experienced tech, this tech will provide services for orthopedic surgery, athletic injuries, geriatrics, trauma, CT scan, ultrasound, mammography, and nuclear medicine; Director, Staff Technologist and 2 Aid Assistants currently on staff; hospital services include orthopedic surgery, CT scan, ultrasound, home health and long-term care; salary is $52,000-$62,000; full benefits KRC Internist for multi-specialty group with 27 physicians and 11 specialties; large service area with many referrals; this group also supports 3 satellite facilities including an urgent care clinic; the local 100-bed hospital s services include ER, lab, x-ray, CT, MRI, OB, peds, new cardio and ICU services; salary is competitive and negotiable; full benefits KRC Dermatologist for multi-specialty group with 27 physicians and 11 specialties; large service area with many referrals; this group also supports 3 satellite facilities including an urgent care clinic; the local 100-bed hospital s services include ER, lab, x-ray, CT, MRI, OB, peds, new cardio and ICU services; salary is competitive and negotiable; full benefits Candidates looking for job opportunities in Kansas can access those listed by the KRC by visiting ruralhealth.kumc.edu on the Web.

14 A journey through Kansas: A Closer look at the Southeast Visitors to Columbus, Kan., have many sights to see, including a Hot Air Balloon Regatta, held each October - one of only 4 balloon rallies in the state. The state of Kansas covers 82,282 square miles of terrain. As the 15th largest state in the U.S., the historical and agricultural contribution is great, and the way of life for numerous Kansans is unique in each region of the state. As part of a six-part series, highlighting unique attractions in areas throughout Kansas, with the help of Marci Penner s book, entitled, The Kansas Guidebook, this issue will provide a closer look at the southeast region of the state. According to Jean Pritchett, executive director, Columbus Chamber of Commerce, southeast Kansas is a beautiful area of the state, with lots of trees, green grass, hills, agriculture, and numerous industries in the area. It s enough to keep her rooted. I stay because I like it. I still have the city close by to do activities, but have all the small town advantages, states Pritchett. Much of the Flint Hills can be found in southeast Kansas, as the landscape spans hundreds of miles. Visitors to the area may take advantage of the wildlife in the area through hunting. The Flint Hills Adventures, Inc., offers trophy Kansas deer hunting in remote areas with great whitetail deer populations. Visitors interested in hunting at the Flint Hills Adventures, may also plan quail and turkey hunting, as the ranches have limited hunting pressure and numerous game to hunt. Visitors interested in visiting the Flint Hills for the aesthetic qualities may do so with an authentic covered wagon trip. Since 1979, the Flint Hills Overland Wagon Train has provided trips through the Kansas Flint Hills. The trips allow visitors, or pioneers, the opportunity to relive experiences of those who were part of the Westward movement in the mid-19th century. Many indigenous animals have made much of the Flint Hills their home, but others, exotic animals included, find the Emporia Zoo a much safer, comfortable place to settle. As one of the country s smallest accredited zoos, visitors may view the animals while walking or driving. The Emporia Zoo is open daily from 10:00 a.m. to 4:30 p.m., but visitors may drive through the large animal drive-through until dark. Fort Scott, Kan. is located midway between Fort Leavenworth, Kan., and Fort Gibson, Okla., on the route historically known as the Military Road. The 14 Kansas c o n n e c t i o n s

15 fort at Fort Scott was established in 1842 and named for Lieutenant General Winfield Scott, then, General-in-Chief of the U.S. Army. As a result of this rich history, the National Park Service has deemed 20 historic structures throughout Fort Scott as well as the Fort Scott National Cemetery, located on the outskirts of this small town. Eureka, Kan., is home to nearly 3,000 residents. With a plethora of sights to see and enjoy, visitors may experience horse racing, as Eureka is known as the Horse Racing Capital of Kansas. Horses have been racing at Eureka Downs since 1862 and while the grandstand has been renovated over the years, visitors can still experience the excitement surrounding a good race. Erie, Kan., the county seat of Neosho County, is on highway US59 near the Neosho River. This small town with nearly 1,200 residents is famous for its annual Old Soldiers and Sailors Reunion held during the third week of July. This event includes the annual free Beanfeed. During the Beanfeed, more than 1400 pounds of beans are cooked in more than 50 iron kettles on the courthouse lawn by the American Legion Post. Through this annual event Erie has earned the title, Bean Feed Capital of Kansas. If beans aren t the food of choice for visitors to southeast Kansas, one doesn t have to travel far to find Crawford County, the Fried Chicken Capital of Kansas. According to Penner, Crawford County probably has more fantastic nonfranchise restaurants than any other county in the state. Although visitors may find more fried chicken in this area than in most, anything from classic diners to Brazilian-style steaks are on the menu in this county. Visitors to southeast Kansas will realize quickly that the area is rich in history. Contributing to the historical value of the area, West Mineral, a town with fewer than 250 residents, is home to the second largest electric shovel in the world, more affectionately known as Big Brutus. This piece of machinery is 16 stories high (160 feet), weighs 11 million pounds, 150 feet long and could scoop enough rocks and topsoil to fill three railroad cars, in one fail swoop. Big Brutus ran continuously between 1963 until 1974, removing soil and rocks. Dedicated as a museum and memorial to the rich coal mining history in southeast Kansas, Big Brutus is a certainly a site to be seen in West Mineral, Kan. Galena, Kan., has also memorialized mining history and is home to the Galena Mining and Historical Museum. According to Penner, photos and artifacts capture the story of the region s mining days from 1877 to the 1920 s. During this time, lead and zinc were the heart and soul of Galena. The museum is located in a KATY railroad depot and provides visitors with an appreciation of the town s history. The habitat in southeastern Kansas is enough to support numerous wildlife, including the safari animals found at the Safari Zoological Park, Caney, Kan. Walk-through guided tours of the park are available for an educational and entertaining experience. If visitors are interested in the historical attributes of the community, self-guided, driving or walking tours through 26 historic sights in Caney are available. As the economy grows, population trends move toward larger cities and Lauren Lambert of Wichita, Kan., visits Big Brutus in West Mineral, Kan. This electric shovel is the second largest in the world. away from rural areas, Elgin, Kan., has a motto that most small communities can relate to: A town too tough to die. Eighty residents call Elgin home and pronounce their dedication to their small town with that motto clearly painted on a sign in front of the community building. There are numerous reasons Kansans have chosen to live in the southeast region of the state. Aside from the aesthetic beauty mentioned by Pritchett, she also indicates that she has chosen to live in Columbus, Kan., because the pace is much slower and ultimately, because the people are friendly and easy to get to know. 15

16 16 Kansas c o n n e c t i o n s Rural hospitals identify funding for construction Many rural health care organizations face the same concerns that Wilson County Hospital, Neodesha, Kan., staff were facing, in that the best possible care is difficult to provide when a building begins to age. Increasing health care capabilities is also a challenge, as Rooks County Health Center, Plainville, Kan., staff has learned, when building constraints prohibit the staff and services from expanding. Deanna Pittman, CEO/Administrator, Wilson County Hospital, indicates, Accomplishing the task of providing the best possible medical care in Wilson County and surrounding areas, in a building built in 1916 is a daunting and frustrating undertaking. For that reason, both health care organizations have sought alternatives for providing the best possible care to patients in rural Kansas. The board of trustees at Wilson County Hospital (WCH) spent several years gathering and examining data to determine how the needs of patients could be met more effectively. Senator Derek Schmidt, Wilson County Hospital Board of Trustees, Administration, and County Commissioners broke ground Tuesday, November 7, 2006, on their new hospital and medical office building in Neodesha, Kan. Concerns regarding the need for additional space to accommodate the Hospital s Center for Wound Care and Hyperbaric Medicine, as well as other new services, and the inability to add on to their 90-year-old building led the board to determine that a replacement facility would be the best option for meeting the needs of current and future health care provided at WCH. For Rooks County Health Center (RCHC), the past five years has provided consistent growth in revenues and an increase in the level of care provided. We have four family physicians and three mid-levels that provide excellent care to this area of Kansas. We have increased our ambulatory surgeries, obstetrics, cardiac rehabilitation, lab and therapy services, stated Kathy Ramsay, RN, communication and development director, Rooks County Health Center. The construction of a new facility for Rooks County Health Center will provide ample space for the Center s growth. As with any major undertaking, the changes, triumphs, and challenges are many. For Rooks County Health Center, locating the most cost effective financing was the biggest challenge. Rooks considered several options, as did Wilson County Hospital. The HUD 242 program and the USDA loan program were identified, but not taken advantage of by either organization. Instead, both organizations will utilize tax-exempt hospital revenue bonds. Ramsay states, The best alternative came from an opportunity with United Missouri Bank (UMB) to have a $19 million, tax-exempt, fixed rate, and hospital revenue bond to assist in funding the construction. While a majority of the funding will come from the hospital revenue bonds, additional funding for the new facility in both communities will come in a variety

17 of ways. Wilson County Hospital will use donations from the capital campaign and tax-exempt revenue bonds for the replacement hospital. Funds from a block grant, tax credits and donations from the capital campaign will be used to build a new medical office building next to the hospital. In Plainville, Kan., a voluntary hospital employee payroll deduction program, in addition to the same at Dessin Fournir (an organization within the community), has been established to assist in raising the necessary funds to build the new hospital. Rooks County Health staff will apply for various grant opportunities and organize numerous fundraising efforts to contribute to the construction costs. Community members have already shown their support with many individuals sponsoring fundraising efforts such as a Pampered Chef party, Cook Book project, Turkey Trot 5K (run or walk), and various other events. Funding for the new hospital in Wilson County, has come from a variety of sources. Wilson County recently issued approximately 10 million dollars in tax-exempt revenue bonds through UMB, Kansas City, and another two million dollars in additional bonds will be issued in January of The Wilson County Hospital Foundation also exceeded its goal of $2.2 million for the capital campaign, including 100 percent voluntary participation from WCH employees, and a lead gift of $1 million from a trust fund within the community. Financing has been secured in Neodesha, and a groundbreaking was held November 7, 2006, as a ceremonial kick-off for the construction. With the construction period estimated at 14 months, hospital staff anticipates moving into the new facility in the first quarter of Rooks County Health Center will share the same success and has plans to complete their new hospital by April The construction of a new hospital will make an impact on the communities for which they serve. For RCHC, the new facility will provide Construction of a new replacement facility will greatly improve our efficiency, patient comfort and the opportunity to add additional services to meet the needs of our community. Deanna Pittman, CEO/Administrator, Wilson County Hospital space for expansion of current services and the addition of new services. The hospital will be properly designed to be more efficient, states Ramsay. In Wilson County, the construction of the medical office building will accommodate additional providers, and added space will be utilized for current and new specialty clinics and future physician recruitment. Pittman states, Construction of a new replacement facility will greatly improve our efficiency, patient comfort and the opportunity to add additional services to meet the needs of our community. Artist rendering of the the Rooks County Health Center in Plainville, Kan., prepared by Miller Architects Inc. 17

18 2006 Rural Kansas Photo T he 2006 Rural Kansas Photography Contest, presented by the University of Kansas Medical Center, Rural Health Education and Services, had a number of worthy entries. Kansans from across the state submitted a collection of photographic images that reflect why Kansas is a great place to live, work, and play. To view winning photographs and honorable mentions photographs in color, visit Rural Landscape Community 1st Place Diane O Connor Storm Clouds Over Lincoln County 1st Place Michael O Connor Band at Czech Festival, Wilson, Kan. 2nd Place Jill Longstaff Wintry Scene, Columbus, Kan. 2nd Place Theresa Bedigrew Relay For Life, Winchester, Kan. 18 Kansas connections

19 graphy Contest Winners Recreation 1st Place Jill Longstaff A Happy Man, Clark s Fish N Ranch, Kingman County 2nd Place Theresa Bedigrew Huff n Puff, Topeka, Kan. at Lake Shawnee Health Care 1st Place Lori Beikman for Clay County Medical Center Surgery Team Pictured: Lori Brumfield, RN, Daree James, RN, Lori Porter, RN, and Judy Deaver, Director of Surgery Services Concordia, Kan. 2nd Place Michael O Connor Don t Spit on Sidewalk, Ellsworth, Kan. 19

20 From the Director CONTINUED FROM PAGE 2 their community, patients and professions, we are proud to recognize both Carol and Michele in their efforts to enhance and ensure quality health care in rural Kansas communities. Congratulations to each recipient of the Nursing: The Heart of Healthcare award. Publication Schedule If you have an idea for an article in Kansas Connections, we welcome your input. Please send information to the KU School of Medicine-Wichita, 1010 N. Kansas, Wichita, KS Ideas are also welcomed by telephone at ; fax, ; or e- mail, lvalenti@kumc.edu. Deadline for submission of ideas for the next issue is December 15, If you know of someone who is not receiving the newsletter, but might enjoy reading it, please let us know Rural Kansas Photography Contest - Honorable Mention Aron Fast - Ready for Harvest Harvey County, KS Non-Profit Organization U.S. Postage PAID Wichita, KS Permit #864 The University of Kansas School of Medicine Wichita 1010 N. Kansas Wichita, KS RETURN SERVICE REQUESTED