KEY MESSAGES:
  • The best way to prevent the flu is the influenza vaccine.

  • The best way to lessen complications of the flu is antiviral medication.

  • The best way to prevent the spread of flu is to stay home when ill.

All three strains currently circulating are covered by this year's vaccine - A(H3N2), A(H1N1) and B.

  • Some of the A(H3N2) viruses circulating nationally and in Iowa are a drifted strain.

  • Although the drifted strain is not an exact match, the vaccine should provide partial protection.

Vaccination is still the best defense against the flu. IDPH and the CDC recommend all Iowans older than age 6 months receive the vaccine.

  • Even if you have already had one strain of the flu, you can still get sick with the other two strains of the flu circulating in Iowa so vaccination would still be recommended.

  • It is not too late to be vaccinated. The flu season typically peaks in February and can last until May.

Seasons in which A(H3N2) viruses dominate tend to be more severe, with more hospitalizations and more deaths.

    • Those at highest risk of developing serious complications of the flu include the very young, very old, pregnant women and those with chronic conditions such as heart or lung disease. Beginning antiviral medications early for these individuals is particularly important.

      Antiviral medications are not a substitute for vaccination, but are an important second line of defense to treat the flu.
        • Most effective if started as soon as possible and within 48 hours of the beginning of flu symptoms. (If those with serious illness, those who are hospitalized or those at high risk of complications do not seek medical attention within 48 hours, starting antiviral medications is still recommended.)

        • Call your doctor right away if you develop symptoms of the flu.

        • Antiviral medications make influenza illness milder, shorter, and reduce the risk of ending up in hospital or dying from influenza.
        • Receiving antiviral medications quickly is especially important for those at risk of complications.

       

      The flu is a respiratory illness caused by viruses. The flu comes on suddenly and symptoms may include fever, headache, tiredness, cough, sore throat, nasal congestion, and body aches. Illness typically lasts two to seven days. Influenza may cause severe illness or even death.

       

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Misconceptions Are Among The Greatest Obstacles
For Heart Health, Says One of the 'Best Doctors in America'*

Despite decades of medical research and public campaigns to ease the problem, heart disease is the No. 1 killer in the United States and throughout the Western world.

One of the problems driving heart disease is the messaging, says Robert Thompson, M.D., an integrative medicine specialist deemed by his peers to be in the top 5 percent of U.S. physicians. While there's plenty of good research to indicate good advice, the general public, and many of his peers in the medical community, are stuck with faulty conclusions, he says.

"Perhaps the biggest misconception is that an overabundance of calcium, which may include supplements, is very good for people, especially women, but that's simply not true," says Thompson, author of "The Calcium Lie II: What Your Doctor Still Doesn't Know," (calciumliebook.com), a new book that details the roles minerals play in overall health and how to identify and correct deficiencies and imbalances.

Calcium is just one of 12 substances, as well as traces of 64 other minerals, that make up our bones. Excessive amounts of calcium hurt our bodies in many ways, especially the heart and the brain, he says. We cannot possibly replace minerals with just calcium, which hardens concrete and makes bones more brittle.

One study, published in the British Medical Journal in 2008, was meant to assess the effect of calcium on bone density and fractures in postmenopausal women. Researchers found that participating women were significantly more likely to suffer heart attacks while taking calcium supplements.

"This is far from an isolated study - there are others, including 15 studies combined into a meta-analysis yielding similar heart-health results, which show an increased risk of heart disease by at least 30 percent," says Thompson, who offers practical recommendations for what individuals can start doing for better overall health in recognition of American Heart Month, celebrated in February.

•  Drink at least 64 ounces of water a day. As a general rule, we need to drink half of our bodyweight in ounces of water daily. For a 150-pound individual, that's 75 ounces of water. Those who are overweight, or are heavy exercisers or live in warm climates may need more. Take care to drink quality water. Get a quality filtration system at home, which can range from $200 to $3,000.

•  Take ionic sea salt-derived minerals. We all need a diverse range of minerals and virtually none of us get enough. Ionic minerals are the only ones that are completely available for our bodies to use because they are water-soluble and they naturally carry an electrical charge that allows them to be carried through the cell membranes. All sea salt-derived trace mineral products are recommended - at least three grams per day.

•  Use only vitamin supplements made from 100 percent organic whole foods that have been vine-ripened. Almost all of us need supplements because contemporary food supplies lack adequate amounts of vitamins and minerals, thanks to soil depletion. Most store-bought vitamins include just one component of the many complex molecular elements contained in the naturally occurring vitamin source. You need all of the nutrient components to get the full benefits.

•  Get your fill of essential fatty acids; raw nuts and/or seeds are a good source. In 2003, the Food and Drug Administration approved the following health claim for seven kinds of nuts: "Scientific evidence suggests but does not prove that eating 1.5 oz. per day of most raw nuts as part of a diet low in saturated fat and cholesterol may reduce the risk of heart disease." Omega-3 and Omega-6 are considered essential because humans can't manufacture them within our bodies. Research has now shown that plant-derived Omega 6, and not fish oil, is the best oil for humans.

•  Eat high-quality proteins. Seafood, eggs, beans, chicken, game meat, duck and turkey are excellent sources of essential amino acids that are the building blocks of every protein molecule, hormone, neurotransmitter, cell membranes and immune molecules. Proteins can also be obtained from grains, sprouted grains, raw nuts and raw seeds. Vegetarians and vegans need to play close attention to combine protein sources to get the full complement of amino acids.

•  Walk at least 30 minutes every day. This activity has a huge effect on relieving the physiologic effects of stress on the human physiology. Exercise is good, but walking is amazing. No other single activity will more significantly or more rapidly affect the adrenal stress response in humans than walking, which probably works so well because it slows us down. And, it is an incredible way to build relationships.

"Also, I recommend ingesting essential monosaccharides, which is new and unknown territory for most people," he says. "They are the simplest form of carbohydrate molecules found in the body, are essential for protein molecules and can be found in maple syrup, sweet potatoes, parsnips, beets and onions."

*Robert Thompson, M.D., was added to the peer-reviewed directory, "Best Doctors in America," in 1996.

About Robert Thompson, M.D.

Dr. Robert Thompson is a board-certified obstetrician and gynecologist, and a nutrition specialist who helps patients get long-term relief from chronic disease, including obesity, diabetes, hypothyroidism and adrenal fatigue. His newest book, "The Calcium Lie II," is available for free at calciumliebook.com. Dr. Thompson received his medical training at the University of Kentucky and has been a leader in medical advances for more than 30 years.

This January 31st and February 7th, Get Covered Illinois and TPQC will be hosting several Valentine's Pizza and Enrollment Parties in Rock Island County. Events are scheduled for Saturday, January 31st, 12:00pm to 3:00pm at the Moline Township Office (620 18th St. Moline, IL) and Rock Island Township Office (2827 7th Ave. Rock Island, IL). Saturday, February 7th, 12:00pm to 3:00 pm at the Ybarra Gomez VFW (1810 1st St. East Moline, IL) and the Black Hawk Township Office (234 4th St. W. Milan, IL). This is an open invitation for all Rock Island County residents to learn more about their expanded options for health insurance coverages. There is no cost for attendees and there will be great give away prizes and snacks for all.

Each location will have Illinois certified In-Person Counselors available to help with questions and concerns about health insurance plans, as well as enrollment and website navigation. Our goal is to help people get enrolled by the February 15th deadline, and with the upcoming tax season, we want make sure that people are informed about penalties and exemptions.

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Modifications Help Create A Home Environment
That's Safe and Supportive

Not every person struggling with dementia lives in a nursing home or assisted-living facility.

In fact, more than 15 million Americans - usually family members or friends - provide unpaid caregiving to people with Alzheimer's disease and other forms of dementia, according to a 2014 report by the Alzheimer's Association.

Although it's wonderful so many are willing to assume that responsibility, it's also important they take steps to make sure the home is a safe place, says Kerry Mills, co-author with Jennifer Brush of the book "I Care: A Handbook for Care Partners of People With Dementia." (www.engagingalzheimers.com)

Part of that is to focus on potential hazards. The concept is not unlike new parents making a house "childproof." Many of the concerns are similar, such as stairs, electrical sockets, sharp objects and swimming pools.

At the same time, it's easy to go too far, Mills said. Ideally, the environment for the person with dementia should be as unrestricted as possible.

"For example, if your loved one enjoys cooking for a hobby and can safely cut and peel vegetables, then by all means, encourage it," Mills says.
Mills suggests several ways to make a home safer for someone with dementia.

•  For the front and back doors. Use bells on the doors, motion sensors that turn on lights or alerts, or other notifications that make the care partner aware when someone has gone out. Add lamps or motion-activated lighting so people can see where they are going when they are entering or leaving the house.

"Another way to discourage someone from wanting to leave the house is to make sure that he or she gets plenty of outside exercise whenever possible," Mills says.

•  For stairways and hallways. Add reflective tape strips to stair edges to make stairs more visible. Remove obstacles, such as mats and flowerpots, to minimize risks of falls on or by the stairs.

Also, install handrails in hallways and stairways to provide stability, and install a gate on the stairway to prevent falls. Improve the lighting around hallways and stairs by installing more ceiling fixtures or wall sconces.

•  For the bathroom. Install grab bars and a raised toilet seat to help both the individual with dementia and the care partners so they don't have to lift the person on and off the toilet.

Add grab bars inside and outside the tub, and a non-skid surface in the tub to reduce risks of falls. You can also add colored tape on the edge of the tub or shower curb to increase contrast and make the tub edge more visible.

Lower the water temperature or install an anti-scald valve to prevent burns, and remove drain plugs from sinks or tubs to avoid flooding.

•  For the possibility the person becomes lost. Provide your loved one with an identification or GPS bracelet in case he or she wanders. Label clothes with the person's name, and place an identification card in his or her wallet with a description of the person's condition. Notify police and neighbors of the person's dementia and tendency to wander.

About Kerry Mills

Kerry Mills, MPA, is an expert in best care practices for persons with dementia both in the home and in out-of-home health care residences and organizations. She is a consultant to numerous hospitals, assisted livings, hospice, home care agencies, senior day care centers and nursing homes. In her twelve-year career in health care, she has served as executive director and regional manager for numerous long-term dementia facilities. She is an outspoken advocate for persons with dementia, lecturing in Hong Kong, Canada, China, Europe and the United States. Her book, coauthored with Jennifer A. Brush, "I Care," (engagingalzheimers.com), is the 2014 Gold Award Winner of the National Mature Media Awards.

M.D. Breaks Down Why It's Not Your Fault

More than a third of adults in the United States, 35.1 percent, are obese, according to the Centers for Disease Control. Nearly 70 percent are at least overweight, and obesity in adolescents has quadrupled in the past three decades.

"Despite all the attention, an unhealthy amount of body fat remains an insidious problem," says Dr. Eleazar Kadile, who specializes in treating patients with obesity and associated chronic disease.

"Most of us know we're facing a national health crisis, yet diets for millions of Americans continue to be based in heavily processed foods. Obese people often live in perpetual shame, and many others believe they are right to blame the overweight and obese for their problem."

Dr. Kadile, director of the Center for Integrative Medicine and author of "Stop Dying Fat" (www.kppmd.com), says poor attitudes and lack of understanding contribute significantly to this national crisis, which contributes to our national healthcare difficulties. He debunks five myths about being overweight and obese.

•  "It's your fault that you're fat." Obesity is caused by complex imbalances within a person's body and his or her environment. Some imbalances are exacerbated by poor dietary choices based on bad dietary information, personal history and psychological patterns. Together, the physiological, psychological, social and environmental causes of the disease of obesity create a predicament that obese people are drawn into and unable to get out of.

•  Obese people are among the "fat and happy." Large people can be masters at suppressing the indignities they suffer in society. The obese often have to pay first-class fare since cheaper seats for transportation are designed for thinner people. Most advertisements employ beautiful people who are thin, and rarely attractive actors who are larger. National campaigns to battle obesity do not focus on the factors beyond diet and exercise that keep people overweight. Obese patients also spend an average of nearly $1,500 more each year on medical care than other Americans.

•  Obese and overweight people just need the right diet. There's no shortage of diets promoted by beautiful people who promise amazing results. If only overweight people eat what they eat, then they'll be beautiful, too. But that's just not true. What and how one eats is just a part of an excessive body mass index level. Other important factors to achieving a healthy BMI include good information regarding one's health, sustained motivation to change, continuous learning, vigilance and an ability to be extremely honest.

•  Food is not an obese individual's friend; exercise is. Eat less; exercise more; lose weight - those have been the commandments in the religion of weight loss. But most obese people have tried this and it hasn't worked. More than being a source of pleasure, comfort and survival, food is medicine.

"I've developed a complementary set of protocols that target an obese person's specific set of problems," Dr. Kadile says. "Sometimes, you need to eat fat - the right kind - in order to burn fat. And, many exercises can actually harm an obese person. You can't impose cookie-cutter solutions to this complex problem and expect them to work."

•  Fat people need to "just do it" - lose weight. This attitude is not based in reality; it's an over-simplistic response for a frustrating problem.

"Morbidly obese patients need plenty of preparation," he says. "When a patient comes to me, I go through a rigorous list of questions regarding medical and family history. I ask about eating, sleeping and activity patterns, as well as medical conditions, emotional patterns, stress histories, good times and bad times, etc. I also have them go through an extensive battery of medical tests. That's the effective and safe way of doing it."

In other words, "just do it" just doesn't cover it.

About Eleazar Kadile, M.D.

Dr. Eleazar Kadile is a complementary physician who specializes in treating patients with obesity, who may suffer from heart disease, hypertension, type-2 diabetes, arthritis, depression or ADHD. With decades of medical experience throughout the United States, he has been developing a comprehensive and systematic approach to battling obesity. He is the director of the Center for Integrative Medicine in Green Bay, Wis. (www.kppmd.com).

DES MOINES - Today, AFSCME Iowa Council 61 President Danny Homan issued the following statement about Governor Branstad's recommendation to close the Clarinda and Mt. Pleasant Mental Health Institutes:

"The well-being of the clients who rely on DHS facilities must come first in any decision about those facilities' future.

"This decision by the Branstad Administration to propose closing these facilities has taken almost everyone by surprise, including legislators. Before releasing this recommendation as part of the budget, Governor Branstad does not appear to have sought the opinion of the families of the clients of these two facilities, legislators, community leaders, employees, or AFSCME. The Iowa Department of Human Services even requested funds to operate these facilities; however, the Governor removed those funds from his budget

"The fact that this proposal was quietly tucked into a large budget book without explanation and not even mentioned by the Governor in his Condition of the State speech is yet another failure of the Governor to live up to his promises of a transparent and open government.

"Such a drastic recommendation that will impact the care of some of the most vulnerable Iowans should have not been reached behind closed doors. This sort of secretive government is wrong and it is not good for Iowans, especially those who will be affected by this decision.

"The recommendation already appears to be impacting care. Rep. Dave Heaton said that he was told by the Administration that the facilities have stopped accepting new patients and filling job vacancies. These sort of unilateral moves toward closure without consulting the legislature is inappropriate.

"AFSCME Iowa Council 61 believes the future of these facilities should be decided by the Legislature after extensive opportunities for input by all. The vulnerable Iowans who rely on these facilities deserve nothing less."

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LEXINGTON, Ky.--While 27 states and the District of Columbia chose to expand Medicaid eligibility to 138 percent of the federal poverty level by the end of 2014, more states are likely to consider expansion in 2015.

Debra Miller, CSG's director of health policy, said states that expand this year are likely to follow the lead of Arkansas, Iowa, Michigan and Pennsylvania and design state-specific programs that will require a waiver from the federal government.

"The pressures on the states that have not already expanded Medicaid are growing," Miller said. "Providers, especially hospitals, worry about their revenues. Many in the dollars-and-cents crowd worry about the economic loss of leaving federal money on the table. Consumer advocates tout the advantages of health insurance coverage not just for those newly covered, but for employers and the overall economy."

The federal government will reimburse states 100 percent of the cost of expansion for calendar years 2014 through 2016, and at a reduced rate thereafter.

Miller listed Medicaid expansion as the top health care-related issue facing state policymakers in 2015. The Council of State Governments this week released its annual listing of top 5 issues legislators will face this year in education, energy and the environment, federal affairs, fiscal and economic development, health, international affairs, interstate compacts, transportation and workforce development.

The Medicaid expansion was a part of the Patient Protection and Affordable Care Act, which will again loom large in states. Twenty-seven states are served by a federally facilitated health insurance exchange, while 14 states opted to operate a state-run health insurance exchange. Three states have a federally supported marketplace and seven are served by a state-federal partnership marketplace. A case before the Supreme Court this term raises questions about the subsidies for insurance coverage under those federal exchanges.

"Depending upon the upcoming Supreme Court decision on the exchange and insurance subsidy question, states could be forced into another round of decisions around ACA implementation," Miller said.

Other health issues will compete for the attention of state policymakers, Miller said. Among the questions they'll need to consider, she said, are these: "How can states make sure there are enough health care providers to deliver the right services at the right time? How will aging baby boomers change demands on the health care system? Will parity between physical health and behavioral health be achieved? How can the scourge of heroin and prescription drug abuse be stopped?"

Health care costs account for one of every six dollars spent in the economy.

"The growing share of states' budgets spent on health care--not just Medicaid, but state employee benefits, state retiree health care, and health costs in corrections as well--dictates that each dollar be spent as efficiently and effectively as possible," Miller said.

She said states will look at integrating health and human services to "break down artificial funding and service silos." They also will increasingly apply evidence-based standards to guide programs and services, she said.

"State policymakers will look to tackle upstream factors such as poverty, racism and educational achievement in order to reduce downstream costs," said Miller.

Learn more about the Top 5 issues in health. For more information about these or any other topics, visit the CSG Knowledge Center.

DAVENPORT, Iowa - Jan. 13, 2015 - The Genesis Health Services Foundation Board has been joined by five new directors.

The newest Genesis Foundation directors elected for a one-, two- or three-year terms are Richard Kleine, retired, Deere & Co.; Elizabeth Richmiller, Pediatric Group Associates; Caitlyn Russell, Russell Construction; Carol Miller, retired educator; and, Scott Florence, Mama Bossos.

New to the Genesis Philanthropy board is Rob Woodall, Alcoa.

The boards of the Genesis Health Services Foundation and Genesis Philanthropy serve on a volunteer basis. The boards are dedicated to improving health in the region by meeting the needs of patients and families.

Board members assist Foundation staff in developing organizational strategy, securing annual and legacy gifts from individuals, corporations and foundations, and planning events to benefit health and wellness-related projects.

In the past year, the foundations have provided free seasonal flu shots to elementary school-aged children; awarded nursing scholarships; provided free lung cancer screenings; funded music and alternative therapies for hospice patients; and, provided online classes to help individuals lose weight and reduce their risk for metabolic syndrome.

To discover how gifts to the Genesis Health Services Foundation and Genesis Philanthropy have an impact on the health of the region, call (563) 421-6865.

Uncontrolled diabetes can control your health. Help prevent these serious diabetes complications by learning the warning signs.

People with type 2 diabetes are at increased risk of many serious health problems, including heart attack, stroke, vision loss, and amputation. But by keeping your diabetes in check ? that means maintaining good blood sugar control ? and knowing how to recognize a problem and what to do about it should one occur, you can prevent many of these complications of diabetes.

Heart Attack

Heart disease and stroke are the top causes of death and disability in people with diabetes. If you experience any of the following heart attack warning signs, call 911 immediately:

  • Chest discomfort that feels like pressure, squeezing, fullness, or pain in the center of your chest, lasting for a short time or going away and returning
  • Pain elsewhere, including the back, jaw, stomach, or neck; or pain in one or both arms
  • Shortness of breath
  • Nausea or lightheadedness

Heart attack symptoms may appear suddenly or be subtle, with only mild pain and discomfort.

Stroke

Stroke warning signs may include :

  • Sudden numbness or weakness in the face, arm, or leg, especially if it occurs on one side of the body
  • Feeling confused
  • Difficulty walking and talking and lacking coordination
  • Developing a severe headache for no apparent reason

If you suddenly experience any of these stroke symptoms, call 911 immediately. As with a heart attack, immediate treatment can be the difference between life and death.

Nerve Damage

People with diabetes are at increased risk of nerve damage, or diabetic neuropathy, due to uncontrolled high blood sugar. As a result, various foot and skin problems can occur, including:

  • Foot problems. Nerve damage associated with type 2 diabetes can cause a loss of feeling in your feet, which makes you more vulnerable to injury and infection. You may get a blister or cut on your foot that you don't feel and, unless you check your feet regularly, an infection can develop. Untreated infections can result in gangrene (death of tissue) and ultimately amputation of the affected limb.
  • Skin problems. Diabetes can make it more difficult for your body to fight infections, causing skin problems. Various skin conditions are linked to diabetes, and even minor cuts or sores can turn serious fast. Any bumps, cuts, or scrapes should be cleaned and treated with an antibiotic cream and monitored carefully.

If you notice any of the following symptoms, see your doctor:

  • Inflammation and tenderness anywhere on your body
  • Red, itchy rash surrounded by small blisters or scales
  • Cuts, sores, or blisters on your feet that are slow to heal and are not as painful as you would expect
  • Numbness, tingling, or burning sensations in your hands or feet, including your fingers and toes
  • Sharp pain that gets worse at night
  • Muscle weakness that makes walking difficult
  • Bladder infections and problems with bladder control
  • Bloating, stomach pain, constipation, nausea, vomiting, or diarrhea
  • Erectile dysfunction in men and vaginal dryness in women

Kidney Disease

Type 2 diabetes increases your risk of kidney disease, or diabetic nephropathy, a condition in which the blood vessels in your kidneys are damaged to the point that they cannot filter out waste properly. If left untreated, dialysis (a treatment to filter out waste products from the blood) and ultimately a kidney transplant may be needed.

Typically, you won't notice symptoms of kidney disease until it has advanced. However, if you experience any of the following symptoms, tell your doctor:

  • Swelling in your ankles and legs
  • Leg cramps
  • A need to go to the bathroom more often at night
  • A reduction in your need for insulin
  • Nausea and vomiting
  • Weakness and paleness
  • Itching

The best way to prevent type 2 diabetes-related kidney problems is to have your urine, blood, and blood pressure monitored regularly and to keep your blood sugar and blood pressure under control.

Eye Problems

People with type 2 diabetes are at risk of several eye conditions, including diabetic retinopathy (which affects the blood vessels in the eye), glaucoma, and cataracts. If left untreated, these conditions can cause vision loss.

Call your doctor if you notice any of these warning signs:

  • Blurry vision that lasts for more than two days
  • Sudden loss of vision in one or both eyes
  • Floaters, black or gray spots, cobwebs, or strings that move when you move your eyes
  • A sensation of seeing "flashing lights"
  • Pain or pressure in one or both eyes

Hyperglycemia

Hyperglycemia means you have too much sugar in your blood. High blood sugar doesn't always produce symptoms; therefore, it is important to check your blood sugar regularly, as indicated by your doctor. When symptoms of hyperglycemia occur, they may include :

  • Frequent urination
  • Extreme thirst
  • Feeling tired and weak
  • Blurry vision
  • Feeling hungry even after eating

If you frequently have high blood sugar, tell your doctor. He or she may need to make changes to your medication and suggest diet and lifestyle modifications to help you gain and maintain better blood sugar control.

The key to preventing many of the complications of diabetes is to keep your blood sugar at a healthy level. To do this, eat right, exercise, monitor your blood sugar as recommended by your doctor, and don't smoke.

Report any unusual symptoms to your doctor. Together you can work to prevent these diabetes-related health complications.

Iowa City – The Department of Veterans Affairs is pleased to announce the appointment of Judith Johnson-Mekota as the new Director of the Iowa City VA Health Care System.

"We are excited to bring Ms. Johnson-Mekota on board as the new Director of the Iowa City VA Health Care System," said Ms. Janet Murphy, Veterans Integrated Service Network (VISN 23) Director. "Her sound leadership qualities and proven experience will be valuable assets for the health care system, the employees, volunteers, and most importantly, for the Veterans we are honored to serve. We anticipate she will arrive at the Iowa City VA medical center February 8 to begin her appointment."

Ms. Johnson-Mekota holds a Master Degree in Nursing Administration from the University of Iowa, Iowa City, Iowa and an undergraduate degree in Nursing from Coe College, Cedar Rapids, Iowa. She is a Fellow of the American College of Healthcare Executives. Ms. Johnson-Mekota has served more than 20 years in health care leadership positions within VA, most recently as Director, VA Central Iowa Health Care System.

The Iowa City VA Health Care System provides health care to more than 40,000 Veterans with an operating budget of about $182M - to include ten Community Based Outpatient Clinics (CBOCs). With 1,100 employees, the system covers 32 counties in eastern Iowa and 16 counties in western Illinois.

It is a teaching hospital providing a full range of patient care services with state-of-the-art technology, as well as education and research. Comprehensive health care is provided through primary care and long-term care in areas of medicine, surgery, psychiatry, physical medicine and rehabilitation, neurology, oncology, dentistry, geriatrics and extended care.

Ms. Johnson-Mekota has an exceptional background and possesses the leadership, knowledge, and skills necessary to successfully lead the Iowa City VA Health Care System into the future.

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