2022 Davis County Community Health Needs Assessment

Davis County Hospital & Clinics and Davis County Public Health are working together to complete the 2022 Community Health Needs Assessment (CHNA).

Completing a Community Health Needs Assessment (CHNA) is a federal requirement for non-profit hospitals and must be completed at least every three years with input from the broader community, including public health. Data from this CHNA survey will help health care providers and community organizations improve the overall health and wellness of our community, and identify community needs, establish priorities for programs and services, and inform strategies to address gaps between critical needs and services.

All Davis County, Iowa residents and business leaders are encouraged to participate. Included in the 2022 CHNA surveys are questions dealing with community health regarding service delivery, fitness, nutrition, and access to care. All survey responses are anonymous and completing the survey takes less than 10 minutes.

If you would like to participate in the survey, please go to https://forms.office.com/r/G0f224hncV.  You may also fill out the survey in paper form by contacting Davis County Hospital & Clinics at 641-664-7093. All surveys must be received by August 6th, 2021.

Thank you in advance for your help in completing this confidential, important survey.

If you have any questions about the survey or survey process, please call Devyn Pitlick at Davis County Hospital & Clinics, 641-664-2145.


Nikki Thordarson, CNO

DCHC Names New Chief Nursing Officer

Davis County Hospital & Clinics (DCHC) is pleased to announce that Nikki Thordarson, MSN, RN, EMT-P has joined their leadership team as their new Chief Nursing Officer.

In her new role, Nikki will lead the overall clinical and administrative operations and strategy for patient cares services. Thordarson joins DCHC from the Education, Infection Prevention & Wellness Coordinator role at DCHC.

“We are excited to welcome Nikki to the DCHC leadership team,” said Veronica Fuhs, Chief Executive Officer at DCHC. “Her kind, visible leadership style, as well as her ability to foster strong communication and collaboration across all interdisciplinary teams including nurses and physicians, will be a great asset in achieving our vision to provide dedicated, compassion healthcare to our community.”

“I’m looking forward to working with the team on further developing the hospital’s excellent, and compassionate culture,” said Thordarson. “My approach is to consistently find ways for team members to support each other in pursuing our goals. The role of nursing is critical in providing excellence in patient care and significantly impacts hospitals operations.”

Nikki and her husband, Nathan, have lived in Bloomfield for 14 years. Nathan, originally from Bloomfield, also serves on the historical commission for Davis County. Nikki and Nathan have three children, Taylor (17), Brandon (15), and Harper (7).

Thordarson has a wide breadth of clinical experience in rural and tertiary healthcare care facilities. She brings a wealth of knowledge on education and experience for health care workers, and we are thrilled to have her on our team,” said Fuhs.


Robin Ehrenhard, RN Receives DCHCS’ 2021 DAISY Award

Robin Ehrenhard, RN has been named Davis County Hospital & Clinics’ 2021 DAISY Award recipient.

Nominations for Davis County Hospital & Clinics’ (DCHC) DAISY Award were submitted by patients and their families, colleagues, managers, physicians and community members, and then a small committee of DCHC front line team members chose this year’s honoree through a blinded nomination process. There were 14 DCHC nurses nominated this year: Paige Helton, RN, Melissa Frederick, LPN, Brooklyn Smith, LPN, Julie Baker, RN, Amy Marlow, RN, Rachel Lames, RN, Carrie Berry, RN, Megan Whisler, PNP, Sue Fox, LPN, Tara Porter, RN, Robin Ehrenhard, RN, Sydney Thordarson, RN, Jana Gooden, RN, and Khelcie Ruth, LPN.

Robin is a Registered Nurse (RN) in the Acute Care Inpatient department Davis County Hospital & Clinics. Robin was nominated by a peer, “Robin demonstrates care for the whole person with each patient and family she is a nurse for during an ER visit or as patient on the acute care floor.  She has the ability to assess and respond to the overall health and wellness of the individual.  I have seen her give time to patients who benefit from just them telling others what is bothering them with their physical or mental health needs. Robin educates patients on what to expect especially at discharge and what the next steps are for the patient.  Robin learns much from her conversation with patients to identify and recommend ways to enhance their treatment here and at home and shares with providers and other team members things she has learned from the patient.  When she has downtime, she keeps herself productive with projects and also doing things with patients. Robin is also involved in caring for others outside of her job with local ministries in their outreach programs.”

“Robin is incredibly deserving of this year’s 2021 DAISY Award,” commented Amy Marlow, Patient Services Manager at Davis County Hospital & Clinics. “She is truly dedicated to her patients, and it shows through her care. We are proud to have Robin on the DCHC inpatient care team!”

A signature program of the DAISY Foundation, the DAISY Award for Extraordinary Nurses recognizes individual nurses throughout the year for their extraordinary, compassionate care. More than 3,600 health care facilities and nursing schools across the US and in 21 other countries participate every year.

About the DAISY Award

“The DAISY Awards were created to express gratitude to nurses around the world for their compassion,” said Bonnie Barnes, FAAN, Co-Founder and CEO of the DAISY Foundation. “This year’s honorees exemplify the professionalism and humanity that are hallmarks of outstanding nursing care.”

DAISY is an acronym for Diseases Attacking the Immune System. The DAISY Award was established by the DAISY Foundation in memory of J. Patrick Barnes who died at 33 of Idiopathic Thrombocytopenia Purpura (ITP), an auto-immune disease. The Barnes Family was awestruck by the clinical skills, caring and compassion of the nurses who cared for Barnes, so they created this international award to say thank you to nurses everywhere.

For more information about the DAISY Award and Foundation, visit www.daisyfoundation.org




About Davis County Hospital & Clinics
Davis County Hospital & Clinics is a 25-bed, critical access hospital located in Bloomfield, Iowa, committed to providing dedicated, compassionate, health care to the community. In addition, the Davis County Hospital Medical Associates Clinic provides care for the entire family and is located at Davis County Hospital & Clinics. For more information about Davis County Hospital, please visit www.DCHC.org.

Practical Tools to Improve Mental Health and Cope with Challenges from COVID-19

May is Mental Health Awareness Month

This past year presented many different challenges and obstacles that tested our strength and resiliency. The global pandemic forced us to cope with situations never before imagined, and many of us struggled with our mental health as a result. The good news is that there are tools and resources available that can support the well-being of individuals and communities.

May is Mental Health Month was started 72 years ago by national organization, Mental Health America (MHA). Now, more than ever, we need to combat the stigma surrounding mental health concerns. That’s why this Mental Health Month Davis County Hospital & Clinics’ (DCHC) Senior Life Solutions program is highlighting #Tools2Thrive – what individuals can do throughout their daily lives to prioritize mental health, build resiliency, and continue to cope with the obstacles of COVID-19.

Throughout the pandemic, many people found themselves struggling with mental health challenges for the first time. During the month of May, we are focusing on tools that can help us process the events of the past year and the feelings that surround them, while also building up skills and supports that extend beyond COVID-19.

“This past year forced many to accept tough situations that they had little to no control over.” Said Rhonda Roberts, Director of DCHC’s Senior Life Solutions. “If you found that it impacted your mental health, you aren’t alone.”

Fortunately, there are practical tools that can help improve your mental health. Our program is focused on managing anger and frustration, recognizing when trauma may be affecting your mental health, challenging negative thinking patterns, and making time to take care of yourself.

Ultimately, during this month of May, DCHC Senior Life Solutions wants to remind everyone that mental illness is real, and recovery is possible. By developing your own #Tools2Thrive, it is possible to find balance between life’s ups and downs and continue to cope with the challenges brought on by the pandemic.

“With this, it’s important to remember that working on your mental health and finding tools that help you thrive takes time,” concluded Roberts. “Change won’t happen overnight. Instead, by focusing on small changes, you can move through the stressors of the past year and develop long-term strategies to support yourself on an ongoing basis.”

For more information, visit www.mhanational.org/may. or call Davis County Hospital & Clinic’s Senior Life Solutions program at 641-664-3851.


Senior Life Solutions is managed in partnership by Psychiatric Medical Care (PMC), a leading behavioral healthcare management company. Focused on addressing the needs of rural and underserved communities, PMC manages inpatient behavioral health units, intensive outpatient programs, and telehealth services in more than 25 states. The company’s services provide evaluation and treatment for patients suffering from depression, anxiety, mood disorders, memory problems, post-traumatic stress disorder, and other behavioral health problems. For more information, visit www.psychmc.com/seniorlifesolutions.


Dr. Robert Remis

DCHC Welcomes Dr. Robert Remis, Urologist to the Specialty Clinic Team

Davis County Hospital & Clinics (DCHC) is pleased to welcome Dr. Robert Remis, Urologist, to the DCHC Specialty Clinic provider group. Dr. Remis specializes in kidney stones, symptoms of enlarged prostates, an overactive bladder, bladder cancer, and vasectomies.

Dr. Remis will be available to see patients the second and fourth Thursday of every month at Davis County Hospital & Clinics. He is a Urology Consultant with Premier Specialty Network, with over thirty years of experience in general urology, and has performed numerous urological surgeries. Dr. Remis is a member of the American Urological Association, board certified and re-certified by the American Board of Urology, and a Fellow of the American College of Surgeons.

Dr. Remis is a graduate of the University of Oklahoma in Norman, Oklahoma. He obtained his medical degree at the University of Oklahoma Health Sciences Center in Oklahoma City. His residency was at the University of Oklahoma Health Sciences Center affiliated hospitals in Oklahoma City.

“We are excited to add Dr. Remis to the Specialty Clinic provider team here at Davis County Hospital & Clinics,” said DCHC Chief Executive Officer, Veronica Fuhs. “Expanding our Specialty Clinic providers is a large part of our future strategies in meeting our customers’ needs. Dr. Remis will help us not only accomplish that goal but will also be a critical part of us keeping quality care close to home in Davis County.”

Dr. Remis will begin seeing patients at DCHC on Thursday, March 25th. To schedule an appointment with Dr. Remis in Bloomfield, call 641-664-7091.


Davis County Public Health Launches Online Scheduling for COVID-19 Vaccine

Davis County Public Health is excited to share the launch of a new, easy-to-use online scheduling tool that allows eligible community members to schedule an appointment for their first dose of COVID-19 Vaccine.

Now Available for Sign-Up: 120 appointments for next Wednesday, March 17th. First come, first serve. Davis County Public Health will add new appointment times/clinics weekly. If you don’t see any available appointment times on March 17th, all spots are currently full.

Schedule your 1st dose COVID-19 Vaccine appointment here: https://outlook.office365.com/owa/calendar/DavisCountyPublicHealth@dchc.org/bookings/

**This scheduling tool is to be utilized for individuals interested in receiving their FIRST DOSE of the COVID-19 Vaccine with Davis County Public Health in Bloomfield, IA. Please only schedule an appointment if you haven’t received a COVID-19 vaccine yet and are eligible to receive a vaccine.


COVID-19 Vaccine and Breast Imaging Recommendations

Swollen lymph nodes visualized on mammography and ultrasound appear days post-vaccination and could be mistaken for malignancies.

Bloomfield, IA – Davis County Hospital & Clinics (DCHC) is informing patients who receive either the Pzifer-BioNTech or Moderna COVID-19 vaccine, that they can experience swollen lymph nodes that could be mistaken for breast malignancies in breast images for a certain amount of time after receiving the vaccine.

Vaccines of all types, including the COVID-19 vaccines, can result in temporary swelling of the lymph nodes, which may be a sign that the body is making antibodies in response as intended. Swollen lymph nodes can be seen on a mammogram after any vaccination but are more common after a vaccine that evokes a strong immune response, such as the COVID-19 vaccine.

The Society of Breast Imaging (SBI) has set the following recommendations for scheduling screening mammograms in relation to receiving the COVID-19 vaccine:

  • Consider scheduling your screening mammogram prior to first dose of COVID-19 vaccination, or
  • Consider scheduling your screening mammogram 4-6 weeks following 2nd dose of COVID-19 vaccination.

“This should not be a deterrent for individuals interested in receiving their COVID-19 vaccine,” said Davis County Hospital & Clinics Medical Imaging Manager, Susan Haskell. “We just want to ensure our patients have all the information and possibly consider waiting to schedule their mammogram or breast imaging based upon the recommendations set by the SBI.”

Screening mammograms can still be performed at any time at the patient’s request.

“We will not turn away patients if they have a breast imaging appointment and have recently had their COVID-19 vaccine,” said Haskell. “We want individuals to have all of the information and can make the decision on what’s best for them. We are always here to care for our patients when they need us. If an individual chooses to proceed with imaging after recently receiving a COVID-19 vaccine, radiologists are taking note of the vaccination when reviewing the images.”

If you have any questions, please consult your provider, or call Davis County Hospital & Clinics Medical Imaging Department at 641-664-2145 to speak with Susan Haskell, Medical Imaging Manager.


DCHC Health Services Scholarship

2021 Health Services Education Scholarship Application Now Available

Davis County Hospital & Clinics (DCHC) is excited to share the 2021 Health Services Education scholarship opportunity for individuals pursuing a career in a healthcare related field is now open for applications.

Davis County Hospital & Clinics will be awarding at least two $500 scholarships to two or more applicants in 2021.  The applicants are preferred to reside in Davis County but those living outside of Davis County will be considered as well. This scholarship is designed to assist individuals pursuing a career in a healthcare related field, which could include Nursing, Radiology, Laboratory, Respiratory Therapy, Physical Therapy, Occupational Therapy, Speech Therapy, Pharmacy, Medicine, Health Information Management etc.

A broad-based criterion is used in the selection process. The principle criterion is a demonstrated commitment to post-secondary education in a healthcare related field. An applicants’ academic record, communication skills, community involvement, and instructor recommendations are also considered.

The scholarship fund is made possible with funding provided by the Davis County Hospital Foundation and Davis County Hospital & Clinics Board of Trustees.

Anyone who feels they meet the criteria for eligibility are encouraged to apply. A copy of the application may be obtained from the Davis County Hospital & Clinics Human Resources Department or online at DCHC Health Services Education Scholarship – Davis County Hospital & Clinics.  Applications must be received or postmarked no later than March 31st, 2021 for the application and supporting materials to be considered by the committee. From all scholarships received, the scholarship committee will select the number of scholarships given. Eligible individuals are encouraged to apply each year.

Questions about the scholarship opportunity should be directed to the Davis County Hospital & Clinics Human Resource department at 641-664-2145.

If an individual is selected, they will be notified by DCHC Human Resources and arrangements can be made for the scholarship to be awarded. A list of scholarship recipients can be found on the DCHC website after June 1st.


DCHC Relaxes Visitor Restrictions

In recognition that patient support from a family member or friend contributes to patient experience, safety and healing, we desire to balance these important elements with the need to protect patients and colleagues from unnecessary exposure to COVID-19.

Key Considerations:

  • All visitors to the facility must continue to follow screening procedures; anyone with symptoms of a respiratory infection (fever, cough, shortness of breath, or sore throat) should not be permitted to enter any facility at any time.
  • The visitor may not be present during any intermittent or continuous aerosol generating procedures (AGPs) during the visitation
  • Visitors only allowed in the patient room or other area in which the patient they are visiting is located; no use of waiting rooms or the cafeteria

Visitors should be reminded, while visiting:

  • Perform Frequent Hand Hygiene; wash their hands with soap and water
  • Use alcohol-based hand sanitizer when washing their hands is not an option
  • Use a tissue to cover any coughs and sneezes; perform hand hygiene immediately afterward
  • Wear a mask upon entry into the facility and throughout the visit. Visitors who fail to agree to wear a mask will be asked to leave.
  • The hospital will determine visiting hours; A facility may suspend visitation at any time as warranted (medical necessity; PPE availability, etc.) The clinical team should make every effort to communicate with both patient and family if unexpected changes occur.

Visitation to COVID-19 positive or PUI patients is prohibited unless permitted by state/local law or if the patient meets compassionate care exception criteria:

    • Children (minor) admitted to the hospital
    • Patients receiving end-of-life (EOL) care
    • Developmentally/Cognitively Impaired adults or those who require access to a support person or family member in order to appropriately access and understand the services to be provided to them while in our care
  • The visitor to PUI or those with COVID-19 must be in a single patient room or be the only patient in a multi-occupancy room.
  • The visitor to PUI, confirmed COVID-19, or other patient in isolation precautions, will be encouraged to use hand hygiene just after entering the room and upon exit and should don appropriate PPE



Emergency Care Patients

  • One visitor is allowed with the patient.

Hospital Inpatients

  • Two visitors are allowed during the hospitalization with only one visitor allowed per day.

Outpatient Clinic and Testing Patients

  • One visitor is allowed with the patient.

Surgery and Procedure Patients

  • One visitor is allowed with the patient.


PEDIATRIC PATIENTS (age 18 and under)

Hospital Inpatients

  • Two visitors are allowed per patient per hospital stay.

Surgery and Procedure Patients

  • Two visitors are allowed per patient.

Outpatient Clinic and Testing Patients

  • Two visitors are allowed with the patient.

DCHC Increases Visitor Restrictions

Davis County Hospital & Clinics (DCHC), in partnership with the CDC and local public health organizations, want to provide the safest possible environment for our patients, families, community and colleagues. Based on the latest information and surge in COVID-19 cases, one important way to enhance health and safety is to reduce exposure to potential disease carriers. The fewer people whom our patients come in contact with, the less likely they will be to contract COVID-19 or other infectious diseases.

Effective November 17th, DCHC is increasing visitor restrictions. For the immediate future, no visitors will be allowed in our facility.

Some visitor exceptions will be made for extenuating circumstances, including:

  • Children under the age of 18
  • Outpatients requiring a caregiver due to physical or functional deficit
  • Inpatients receiving end-of-life care

For approved exceptions, only one visitor will be allowed. Visitors must:

  • Must pass screening guidelines at designated entrances.
  • Are required to wear a facemask while in the building, regardless of symptoms.
  • Must be 16 years of age or older. Exceptions may be permitted in case of a patient imminently dying.

As a reminder, we encourage the community to follow the best practices from the Centers for Disease Control and Prevention to help prevent the spread of all viruses:

  • Staying home if you are sick
  • Avoiding close contact with people who are sick
  • Covering your nose and mouth when you cough or sneeze
  • Thoroughly washing your hands with soap and water
  • Avoiding touching your eyes, nose and mouth
  • Disinfecting surfaces and objects using a regular household cleaning spray or wipe

At DCHC, we are following guidance provided by the Centers for Disease Control and Prevention and Iowa Public Health Department to screen patients for symptoms including fever and respiratory signs.

For individuals who have symptoms of illness, particularly with fever and cough or shortness of breath, your provider can assess whether you need to be seen in the office or if you can recover at home. If you think you need healthcare, call first.

For up-to-date information on COVID-19, visit https://coronavirus.iowa.gov/ and follow the department on Facebook at @IowaDepartmentOfPublicHealth and on Twitter at @IAPublicHealth.