Quality Measures. Immunization for influenza. Healthcare workers given influenza vaccination

Transcription

1 Quality Measures Immunization for influenza Healthcare workers given influenza vaccination

2 Safety/Other: Immunization for influenza Influenza, or the "flu," is a respiratory illness that is caused by flu viruses and easily spread from person to person. There are over 200,000 hospitalizations from the flu on average every year. An average of 36,000 Americans die annually due to the flu and its complications. The best way to prevent the flu is to get a flu shot each year during the fall season. Because flu viruses change from year to year, it is important to get a flu shot each year. The information below shows how well hospital are in providing flu preventive services. Higher percentages are better. Page 1 of a 6 Page Graph Ashley Medical Center Avera De Smet Memorial Hospital Burnett Medical Center Childrens Hospitals and Clinics - Mpls Chippewa Valley Hospital Community Memorial Hospital Community Memorial Hospital Cook County North Shore Hospital Cooperstown Medical Center Essentia Health - Ada Fall River Health Services Garrison Memorial Hospital Jacobson Memorial Hospital Care Center Landmann Jungman Memorial Hospital Lead-Deadwood Regional Hospital Marengo Memorial Hospital Mayo Clinic Health System - Chippewa Valley, Inc Mayo Clinic Health System - Northland Mayo Clinic Health System - Oakridge, Inc Mayo Clinic Health System - Red Cedar Mercy Hospital of Valley City Orange City Area Health System Osceola Community Hospital Phillips Eye Institute Prairie Ridge Hospital and Health Services Renville County Hospital Saint Elizabeth's Medical Center Sakakawea Medical Center Sanford Chamberlain Medical Center Sanford Hillsboro Sanford Hospital Webster Sanford Rock Rapids Medical Center Sanford Sheldon Medical Center Sanford Vermillion Hospital Southwest HealthCare Services St. Joseph's Hospital and Health Center St. Michael's Hospital Tioga Medical Center Towner County Medical Center Trinity Kenmare Hospital Unity Medical Center Wagner Community Memorial Hospital - Avera Winner Regional Hospital Avera Hand County Memorial Hospital Avera Marshall Regional Medical Center

3 Safety/Other: Immunization for influenza Influenza, or the "flu," is a respiratory illness that is caused by flu viruses and easily spread from person to person. There are over 200,000 hospitalizations from the flu on average every year. An average of 36,000 Americans die annually due to the flu and its complications. The best way to prevent the flu is to get a flu shot each year during the fall season. Because flu viruses change from year to year, it is important to get a flu shot each year. The information below shows how well hospital are in providing flu preventive services. Higher percentages are better. Page 2 of a 6 Page Graph Essentia Health - St. Joseph's Medical Center Fairview Northland Regional Hospital Mayo Clinic Health System - Cannon Falls Mayo Clinic Health System Franciscan Healthcare - Sparta Memorial Health Center Our Lady of Victory Hospital Sacred Heart Hospital Sanford Medical Center Wheaton Sioux Falls Specialty Hospital St. Gabriel's Hospital Tomah Memorial Hospital Avera Sacred Heart Hospital Cambridge Medical Center Essentia Health - Fargo Fairview Lakes Regional Medical Center Hutchinson Health Hospital Mayo Clinic Health System - Eau Claire Hospital, Inc Mayo Clinic Health System - Franciscan Medical Center, Inc Mayo Clinic Health System New Prague - Hospital Mayo Clinic Health System Red Wing - Hospital OakLeaf Surgical Hospital Paynesville Area Hospital Prairie du Chien Memorial Hospital River Falls Area Hospital St. Mary's Healthcare Center University Medical Center - Mesaba Avera Heart Hospital of South Dakota Avera St. Benedict Health Center Baldwin Area Medical Center Black Hills Surgical Hospital, LLP Brookings Health System Buffalo Hospital Eagle River Memorial Hospital Essentia Health St. Mary's Hospital - Detroit Lakes Fairview Southdale Hospital Flambeau Hospital Froedtert Hospital Lakeview Hospital Lakeview Medical Center Langlade Hospital Maple Grove Hospital Mayo Clinic Health System - Lake City Mayo Clinic Health System - Waseca Regions Hospital Rice County District One

4 Safety/Other: Immunization for influenza Influenza, or the "flu," is a respiratory illness that is caused by flu viruses and easily spread from person to person. There are over 200,000 hospitalizations from the flu on average every year. An average of 36,000 Americans die annually due to the flu and its complications. The best way to prevent the flu is to get a flu shot each year during the fall season. Because flu viruses change from year to year, it is important to get a flu shot each year. The information below shows how well hospital are in providing flu preventive services. Higher percentages are better. Page 3 of a 6 Page Graph Rice Memorial Hospital River's Edge Hospital Sacred Heart Hospital Spearfish Regional Hospital St. Cloud Hospital St. Joseph's Hospital St. Joseph's Hospital - Chippewa Falls St. Luke's Hospital St. Mary's Hospital Tri - County Hospital Unity Hospital University of Wisconsin Hospital and Clinics Avera Queen of Peace Hospital Black River Memorial Hospital, Inc CentraCare Health - Sauk Centre Hospital Door County Memorial Hospital Grand Itasca Clinic & Hospital Gundersen Lutheran Medical Center, Inc HealthEast Woodwinds Hospital Lakes Regional Healthcare Lewis & Clark Specialty Hospital Mayo Clinic Health System - Mankato Mayo Clinic Health System Albert Lea and Austin Mercy Medical Center North Iowa-Mason City IA Northfield City Hospital Olmsted Medical Center/Hospital Platte Health Center Sanford Medical Center Fargo Sanford Medical Center Fargo St. Alexius Medical Center St. Joseph's Area Health Services Aspirus Wausau Hospital, Inc Essentia Health - Northern Pines Fairview Ridges Hospital Grant Regional Health Center Grinnell Regional Medical Center HealthEast St. John's Mayo Clinic Health System - Fairmont Mayo Clinic Health System - St. James Park Nicollet Methodist Hospital Rainy Lake Medical Center Redwood Area Hospital Sanford Worthington Medical Center St. Clare's Hospital of Weston, Inc St. Michael's Hospital

5 Safety/Other: Immunization for influenza Influenza, or the "flu," is a respiratory illness that is caused by flu viruses and easily spread from person to person. There are over 200,000 hospitalizations from the flu on average every year. An average of 36,000 Americans die annually due to the flu and its complications. The best way to prevent the flu is to get a flu shot each year during the fall season. Because flu viruses change from year to year, it is important to get a flu shot each year. The information below shows how well hospital are in providing flu preventive services. Higher percentages are better. Allen Memorial Hospital Douglas County Hospital Essentia Health Deer River Essentia Health Holy Trinity Hospital Owatonna Hospital St. Francis Regional Medical Center St. Mary's Hospital University of Minnesota Amplatz Children's Hospital, Fairview University of Minnesota Medical Center, Fairview University of Minnesota Medical Center, Fairview Westfields Hospital Abbott Northwestern Hospital Avera Holy Family Hospital Bigfork Valley Hospital CentraCare Health - Monticello Hospital Custer Regional Hospital Essentia Health Virginia HealthEast St. Joseph's Howard Young Medical Center Melrose Area Hospital Riverview Hospital Sanford Jackson Medical Center St. Croix Regional Medical Center Trinity Hospital Vernon Memorial Hospital Altru Health System Avera Gregory Hospital Avera McKennan Hospital & University Health Center Essentia Health - St. Mary's Medical Center Hudson Hospital & Clinics Lake Region Hospital Mercy Hospital North Memorial Medical Center Ortonville Area Health Services Sanford Medical Center Sioux Center Community Hospital and Health Center St. Francis Medical Center Hegg Memorial Health Center/Avera Health Jamestown Regional Medical Center Lakeview Memorial Hospital, Inc New Ulm Medical Center Northwood Deaconess Health Center Sanford USD Medical Center University of Iowa Hospital and Clinics Avera St. Luke's Hospital Boscobel Area Health Care Page 4 of a 6 Page Graph

6 Safety/Other: Immunization for influenza Influenza, or the "flu," is a respiratory illness that is caused by flu viruses and easily spread from person to person. There are over 200,000 hospitalizations from the flu on average every year. An average of 36,000 Americans die annually due to the flu and its complications. The best way to prevent the flu is to get a flu shot each year during the fall season. Because flu viruses change from year to year, it is important to get a flu shot each year. The information below shows how well hospital are in providing flu preventive services. Higher percentages are better. Essentia Health - St. Mary's Hospital - Superior Good Samaritan Health Center Linton Hospital Mercy Hospital - Moose Lake, MN Sanford Bemidji Medical Center Carrington Health Center Essentia Health - Duluth Essentia Health - Sandstone Health Center First Care Health Center Floyd Valley Hospital Johnson Memorial Health Services Lakewood Health System Meeker Memorial Hospital Rapid City Regional Hospital Sanford Tracy Hospital FirstLight Health System Memorial Medical Center Mille Lacs Health System Regina Medical Center Sanford Luverne Medical Center Windom Area Hospital Cuyuna Regional Medical Center Glacial Ridge Hospital Hennepin County Medical Center Murray County Memorial Hospital Prairie Lakes Hospital Ridgeview Medical Center Spencer Municipal Hospital Glencoe Regional Health Services Lakewood Health Center Sanford Thief River Falls Spooner Health System Aitkin Community Hospital Covenant Medical Center Essentia Health - Fosston Hayward Area Memorial Hospital Mayo Clinic Health System - Springfield Milbank Area Hospital/Avera Health Sanford Westbrook Hospital United Hospital Avera Weskota Memorial Medical Center Hendricks Community Hospital & Home Sanford Canby Medical Center Tri-County Memorial Hospital, Inc Riverview Health Sturgis Regional Hospital Page 5 of a 6 Page Graph

7 Safety/Other: Immunization for influenza Influenza, or the "flu," is a respiratory illness that is caused by flu viruses and easily spread from person to person. There are over 200,000 hospitalizations from the flu on average every year. An average of 36,000 Americans die annually due to the flu and its complications. The best way to prevent the flu is to get a flu shot each year during the fall season. Because flu viruses change from year to year, it is important to get a flu shot each year. The information below shows how well hospital are in providing flu preventive services. Higher percentages are better. Swift County-Benson Hospital Memorial Medical Center, Inc St. Joseph's Memorial Hospital Indianhead Medical Center Lisbon Area Health Services Pipestone County Medical Center/Avera Health Sleepy Eye Municipal Hospital Amery Regional Medical Center Perham Memorial Hospital and Home Winona Health Services LifeCare Medical Center Heart of America Medical Center Madelia Community Hospital, Inc Cavalier County Memorial Hospital Minnesota Valley Health Center Avera Dells Area Hospital Mercy Medical Center Presentation Medical Center Sibley Medical Center Sanford Mayville Tyler Healthcare Center Madison Community Hospital Nelson County Health System Hospital Wishek Community Hospital & Clinic Association CentraCare Health - Long Prairie Cumberland Memorial Hospital & Extended Care Unit, Inc Rusk County Memorial Hospital Stevens Community Medical Center United Hospital District - Blue Earth Madison Hospital Oakes Community Hospital Avera Flandreau Hospital Community Memorial Hospital Cook Community Hospital Kittson Memorial Hospital West River Regional Medical Center Granite Falls Municipal Hospital and Manor Osceola Medical Center Chippewa County Montevideo Hospital Pembina County Memorial Hospital Winneshiek Medical Center Mahnomen Health Center North Valley Health Center Sanford Bagley Medical Center Appleton Area Health Services Ely-Bloomenson Community Hospital Page 6 of a 6 Page Graph

8 Safety/Other: Healthcare workers given influenza vaccination Influenza, or the "flu," is a respiratory illness that is caused by flu viruses and easily spread from person to person. There are over 200,000 hospitalizations from the flu on average every year. Hospital staff and healthcare workers who are infected with the flu virus can transmit the virus to coworkers and patients, including those at higher risk for getting very sick from the flu. To reduce the spread of flu within a hospital, the Centers for Disease Control and Prevention recommended that all healthcare workers who work in a healthcare setting get the flu vaccine ( flu shot ) each year. Vaccinating healthcare workers has been found to reduce the risk of flu illness, medical visits, antibiotic use, and flu-related deaths. It is recommended that all healthcare facilities provide the flu vaccine to their healthcare workers. This measure shows the percentage of all healthcare workers in a hospital that received the flu vaccine. Higher percentages are better. Page 1 of a 6 Page Graph Avera Dells Area Hospital Black River Memorial Hospital, Inc CentraCare Health - Long Prairie Childrens Hospitals and Clinics - Mpls Chippewa Valley Hospital Cook County North Shore Hospital Custer Regional Hospital Ely-Bloomenson Community Hospital Fall River Health Services FirstLight Health System Floyd Valley Hospital Hendricks Community Hospital & Home Jacobson Memorial Hospital Care Center Jamestown Regional Medical Center Johnson Memorial Health Services Lakewood Health Center Landmann Jungman Memorial Hospital Lead-Deadwood Regional Hospital Mercy Hospital - Moose Lake, MN Mercy Hospital of Valley City North Valley Health Center Rainy Lake Medical Center River's Edge Hospital Saint Elizabeth's Medical Center Sakakawea Medical Center Southwest HealthCare Services Spooner Health System St. Gabriel's Hospital St. Joseph's Hospital and Health Center Sturgis Regional Hospital Tioga Medical Center Trinity Kenmare Hospital Westfields Hospital Windom Area Hospital Avera Flandreau Hospital Avera Hand County Memorial Hospital Avera St. Benedict Health Center Avera Weskota Memorial Medical Center Brookings Health System Community Memorial Hospital Grant Regional Health Center Madison Community Hospital Rusk County Memorial Hospital Sanford Jackson Medical Center Sanford Medical Center Wheaton

9 Safety/Other: Healthcare workers given influenza vaccination Influenza, or the "flu," is a respiratory illness that is caused by flu viruses and easily spread from person to person. There are over 200,000 hospitalizations from the flu on average every year. Hospital staff and healthcare workers who are infected with the flu virus can transmit the virus to coworkers and patients, including those at higher risk for getting very sick from the flu. To reduce the spread of flu within a hospital, the Centers for Disease Control and Prevention recommended that all healthcare workers who work in a healthcare setting get the flu vaccine ( flu shot ) each year. Vaccinating healthcare workers has been found to reduce the risk of flu illness, medical visits, antibiotic use, and flu-related deaths. It is recommended that all healthcare facilities provide the flu vaccine to their healthcare workers. This measure shows the percentage of all healthcare workers in a hospital that received the flu vaccine. Higher percentages are better. Page 2 of a 6 Page Graph Sanford Tracy Hospital Sanford Vermillion Hospital Sioux Center Community Hospital and Health Center St. Michael's Hospital Avera Sacred Heart Hospital Garrison Memorial Hospital Granite Falls Municipal Hospital and Manor Hayward Area Memorial Hospital Lakeview Medical Center Madelia Community Hospital, Inc Milbank Area Hospital/Avera Health Sanford Canby Medical Center Sanford Hillsboro Sanford Sheldon Medical Center St. Mary's Healthcare Center Winner Regional Hospital Winneshiek Medical Center Appleton Area Health Services Avera De Smet Memorial Hospital Avera Queen of Peace Hospital Froedtert Hospital Howard Young Medical Center Indianhead Medical Center LifeCare Medical Center Marengo Memorial Hospital Oakes Community Hospital Olmsted Medical Center/Hospital Our Lady of Victory Hospital Paynesville Area Hospital Sanford Bagley Medical Center Sanford Hospital Webster Sanford Luverne Medical Center Sanford Rock Rapids Medical Center Sanford Westbrook Hospital St. Alexius Medical Center Tyler Healthcare Center Wagner Community Memorial Hospital - Avera Allen Memorial Hospital Avera Holy Family Hospital Avera McKennan Hospital & University Health Center Boscobel Area Health Care Door County Memorial Hospital Sanford Medical Center Fargo Sanford Medical Center Fargo Sanford USD Medical Center

10 Safety/Other: Healthcare workers given influenza vaccination Influenza, or the "flu," is a respiratory illness that is caused by flu viruses and easily spread from person to person. There are over 200,000 hospitalizations from the flu on average every year. Hospital staff and healthcare workers who are infected with the flu virus can transmit the virus to coworkers and patients, including those at higher risk for getting very sick from the flu. To reduce the spread of flu within a hospital, the Centers for Disease Control and Prevention recommended that all healthcare workers who work in a healthcare setting get the flu vaccine ( flu shot ) each year. Vaccinating healthcare workers has been found to reduce the risk of flu illness, medical visits, antibiotic use, and flu-related deaths. It is recommended that all healthcare facilities provide the flu vaccine to their healthcare workers. This measure shows the percentage of all healthcare workers in a hospital that received the flu vaccine. Higher percentages are better. Page 3 of a 6 Page Graph Spearfish Regional Hospital St. Michael's Hospital Tri - County Hospital Altru Health System CentraCare Health - Sauk Centre Hospital Lakes Regional Healthcare Linton Hospital Melrose Area Hospital Platte Health Center Sanford Chamberlain Medical Center Sanford Worthington Medical Center Sleepy Eye Municipal Hospital Spencer Municipal Hospital St. Croix Regional Medical Center Avera Heart Hospital of South Dakota Essentia Health - Fosston Glacial Ridge Hospital Sanford Medical Center Swift County-Benson Hospital Burnett Medical Center Community Memorial Hospital Good Samaritan Health Center Mercy Medical Center North Iowa-Mason City IA Prairie du Chien Memorial Hospital Sanford Mayville St. Clare's Hospital of Weston, Inc Avera Gregory Hospital Avera St. Luke's Hospital Baldwin Area Medical Center Covenant Medical Center Hennepin County Medical Center Hutchinson Health Hospital Langlade Hospital Mahnomen Health Center OakLeaf Surgical Hospital Sioux Falls Specialty Hospital St. Joseph's Hospital Cumberland Memorial Hospital & Extended Care Unit, Inc Flambeau Hospital Mayo Clinic Health System - Oakridge, Inc Avera Marshall Regional Medical Center CentraCare Health - Monticello Hospital Eagle River Memorial Hospital Gundersen Lutheran Medical Center, Inc Rapid City Regional Hospital

11 Safety/Other: Healthcare workers given influenza vaccination Influenza, or the "flu," is a respiratory illness that is caused by flu viruses and easily spread from person to person. There are over 200,000 hospitalizations from the flu on average every year. Hospital staff and healthcare workers who are infected with the flu virus can transmit the virus to coworkers and patients, including those at higher risk for getting very sick from the flu. To reduce the spread of flu within a hospital, the Centers for Disease Control and Prevention recommended that all healthcare workers who work in a healthcare setting get the flu vaccine ( flu shot ) each year. Vaccinating healthcare workers has been found to reduce the risk of flu illness, medical visits, antibiotic use, and flu-related deaths. It is recommended that all healthcare facilities provide the flu vaccine to their healthcare workers. This measure shows the percentage of all healthcare workers in a hospital that received the flu vaccine. Higher percentages are better. Page 4 of a 6 Page Graph Redwood Area Hospital St. Cloud Hospital St. Joseph's Memorial Hospital St. Mary's Hospital Mayo Clinic Health System - Waseca Presentation Medical Center Regions Hospital Renville County Hospital Tomah Memorial Hospital United Hospital District - Blue Earth University of Wisconsin Hospital and Clinics Vernon Memorial Hospital Amery Regional Medical Center Mayo Clinic Health System - Northland Mayo Clinic Health System Red Wing - Hospital Sacred Heart Hospital Sanford Thief River Falls Unity Medical Center Aspirus Wausau Hospital, Inc Essentia Health - Fargo Mayo Clinic Health System - Cannon Falls Mayo Clinic Health System - Lake City Mayo Clinic Health System - Red Cedar Memorial Health Center Osceola Medical Center Riverview Hospital Sanford Bemidji Medical Center St. Francis Medical Center St. Mary's Hospital Mayo Clinic Health System - Eau Claire Hospital, Inc Mayo Clinic Health System - St. James Mayo Clinic Health System Franciscan Healthcare - Sparta Meeker Memorial Hospital Orange City Area Health System Pipestone County Medical Center/Avera Health Rice Memorial Hospital Aitkin Community Hospital Bigfork Valley Hospital Grinnell Regional Medical Center Mayo Clinic Health System - Chippewa Valley, Inc Mayo Clinic Health System - Franciscan Medical Center, Inc Mayo Clinic Health System - Springfield Northwood Deaconess Health Center Essentia Health Holy Trinity Hospital Glencoe Regional Health Services Hegg Memorial Health Center/Avera Health

12 Safety/Other: Healthcare workers given influenza vaccination Influenza, or the "flu," is a respiratory illness that is caused by flu viruses and easily spread from person to person. There are over 200,000 hospitalizations from the flu on average every year. Hospital staff and healthcare workers who are infected with the flu virus can transmit the virus to coworkers and patients, including those at higher risk for getting very sick from the flu. To reduce the spread of flu within a hospital, the Centers for Disease Control and Prevention recommended that all healthcare workers who work in a healthcare setting get the flu vaccine ( flu shot ) each year. Vaccinating healthcare workers has been found to reduce the risk of flu illness, medical visits, antibiotic use, and flu-related deaths. It is recommended that all healthcare facilities provide the flu vaccine to their healthcare workers. This measure shows the percentage of all healthcare workers in a hospital that received the flu vaccine. Higher percentages are better. Page 5 of a 6 Page Graph Lakeview Hospital Cuyuna Regional Medical Center Lake Region Hospital Murray County Memorial Hospital Perham Memorial Hospital and Home Riverview Health St. Joseph's Area Health Services Tri-County Memorial Hospital, Inc Black Hills Surgical Hospital, LLP Chippewa County Montevideo Hospital Essentia Health - Ada Essentia Health St. Mary's Hospital - Detroit Lakes River Falls Area Hospital Memorial Medical Center, Inc Mille Lacs Health System Essentia Health - St. Joseph's Medical Center First Care Health Center Madison Hospital Mayo Clinic Health System New Prague - Hospital Nelson County Health System Hospital Sacred Heart Hospital Grand Itasca Clinic & Hospital Mayo Clinic Health System - Mankato Ortonville Area Health Services Prairie Lakes Hospital Rice County District One Cavalier County Memorial Hospital Cook Community Hospital Fairview Northland Regional Hospital Memorial Medical Center Phillips Eye Institute St. Francis Regional Medical Center St. Joseph's Hospital - Chippewa Falls University of Minnesota Amplatz Children's Hospital, Fairview University of Minnesota Medical Center, Fairview University of Minnesota Medical Center, Fairview Pembina County Memorial Hospital St. Luke's Hospital Wishek Community Hospital & Clinic Association Abbott Northwestern Hospital Buffalo Hospital Douglas County Hospital Essentia Health - St. Mary's Hospital - Superior Mercy Medical Center Sibley Medical Center Cooperstown Medical Center

13 Safety/Other: Healthcare workers given influenza vaccination Influenza, or the "flu," is a respiratory illness that is caused by flu viruses and easily spread from person to person. There are over 200,000 hospitalizations from the flu on average every year. Hospital staff and healthcare workers who are infected with the flu virus can transmit the virus to coworkers and patients, including those at higher risk for getting very sick from the flu. To reduce the spread of flu within a hospital, the Centers for Disease Control and Prevention recommended that all healthcare workers who work in a healthcare setting get the flu vaccine ( flu shot ) each year. Vaccinating healthcare workers has been found to reduce the risk of flu illness, medical visits, antibiotic use, and flu-related deaths. It is recommended that all healthcare facilities provide the flu vaccine to their healthcare workers. This measure shows the percentage of all healthcare workers in a hospital that received the flu vaccine. Higher percentages are better. Page 6 of a 6 Page Graph Essentia Health - St. Mary's Medical Center Mayo Clinic Health System - Fairmont Mayo Clinic Health System Albert Lea and Austin Northfield City Hospital University Medical Center - Mesaba Carrington Health Center Essentia Health - Duluth Heart of America Medical Center Hudson Hospital & Clinics Park Nicollet Methodist Hospital United Hospital Unity Hospital Cambridge Medical Center Lakewood Health System Mercy Hospital Osceola Community Hospital Owatonna Hospital University of Iowa Hospital and Clinics Fairview Lakes Regional Medical Center Fairview Ridges Hospital Minnesota Valley Health Center Fairview Southdale Hospital New Ulm Medical Center Stevens Community Medical Center Essentia Health - Northern Pines Essentia Health - Sandstone Health Center Prairie Ridge Hospital and Health Services Regina Medical Center Ridgeview Medical Center West River Regional Medical Center Essentia Health Deer River Kittson Memorial Hospital Lakeview Memorial Hospital, Inc Maple Grove Hospital Trinity Hospital Community Memorial Hospital Winona Health Services Lisbon Area Health Services North Memorial Medical Center HealthEast St. John's HealthEast St. Joseph's HealthEast Woodwinds Hospital Ashley Medical Center Lewis & Clark Specialty Hospital Essentia Health Virginia Towner County Medical Center