Hospital Connection

At Ely-Bloomenson Community Hospital, our business is caring for people. EBCH wants to make sure everyone in our community has the most up-to-date information about the hospital, its history and our services. That’s why we’re featuring common questions about the hospital each week – questions answered by our own staff! We will provide exciting information about EBCH, our newest services and how we are a partner in the communities we serve.

Week of September 9, 2024 - Colonoscopy

Q: Why screen for colorectal cancer?

A: Because early detection is the key. Colorectal cancer often develops slowly from precancerous
growths called polyps. Screening, using tools including a colonoscopy, can find these polyps early
and remove them before they become cancerous. Regular screening reduces the risk of dying
from colonrectal cancer. The general recommendation is to begin screening at age 45 for
average-risk individuals. If you have a family history of colon cancer or other risk factors, you
might need to start earlier. It is always best to communicate with your primary care provider
during your annual check-up to determine what is right for you.

Q: What is a colonoscopy?

A: For many tests that screen for colorectal cancer, especially a colonoscopy, you’ll need to follow specific dietary restrictions and take a laxative to clear your colon before the procedure. During the procedure, which usually takes about 30-60 minutes, you will be sedated. A flexible tube with a camera is inserted into the rectum to view the colon. It can detect polyps and cancer and allow for their removal during the procedure. It’s typically recommended every ten years.

Q: Where can I get my colonoscopy?

A: You can ask your primary care provider for a referral to Ely-Bloomenson Community Hospital (EBCH). Our surgery team will be happy to help you schedule your colonoscopy with little travel or wait time to get an appointment. EBCH partners with Surgeons from various regional healthcare organizations to provide the experience that is right for you. For more information, call our team at 218-365-8724 or visit our website at http://ebch.org

Q: Is there a new COVID booster?

A: The COVID-19 vaccine helps protect you from severe disease, hospitalization, and death associated with the coronavirus. As with most vaccines, their protection decreases over time, so getting an updated vaccine gives you the best protection from the most recently circulating strains. The CDC and FDA have approved an mNRA COVID-19 vaccine for the 2024-25 season. Both Moderna and Pfizer are manufacturing these vaccines.

Q: Who should get the vaccine, and am I “up-to-date”?

A: It is recommended that everyone ages six months and older receive the new vaccine. Individuals over five years old who are not immunocompromised and have previously received the COVID-19 vaccination are considered up-to-date after receiving one dose of the 2024-25 COVID-19 vaccine. There may be different vaccination requirements for individuals under the age of four, those who have not previously gotten a vaccination or are immunocompromised. If you have questions, we recommend that you contact your Primary Care Provider to discuss a vaccination plan that is right for you.

Q: Where can I get the new COVID-19 vaccine?

A: As of August 26, 2024, the updated COVID-19 vaccine is not yet available at the Ely Community Pharmacy. Stay tuned; we will put out advertising as soon as it becomes available.

Q: EBCH Kids’ Wellness Carnival?

A: Last week, EBCH held its Kids’ Wellness Carnival with several local partner agencies, including Northwoods Partners, Well Being Development, ISD 696, Ely Community Resources, and Range Mental Health. Over 80 kids and their families participated in a fun evening geared toward teaching youth aged Kindergarten through fourth grade more about their social, emotional, intellectual, and physical well-being. Kids were offered a free goodie bag filled with local resource information and pizza. They also had the opportunity to explore stations with projects geared toward each area of wellness.

Q: What is the Life Jacket Loaner box project with local EMS?

A: Earlier this summer, EBCH partnered with local EMS organizations from Babbitt, Ely, and Tower to help create Life Jacket Loaner boxes. The EMS teams constructed the boxes, and EBCH supplied the lifejackets. Safe Kids NE Minnesota website lists the locations for Life Jacket Loaner boxes throughout the region.

Q: What is coming up for other community projects?

A: EBCH has already started planning our free flu shot clinics for Fall. As in previous years, we will offer various dates and times when community members can come to a central location for their annual vaccination. Our first event will take place at the Northern Lights 5K Glow Run on September 20, 2024, in Whiteside Park. Watch the local papers and our Facebook page for upcoming details.

Q: What is Ely Community Pharmacy doing to be more eco-friendly?

A: Ely Community Pharmacy has added some unique new ways to be environmentally responsible. They recently switched to new prescription bags that are brown instead of white, so they aren’t bleached and are used with 40% post-consumer recycled material. Also new are some over-the-counter items that are available in aluminum bottles to save on plastic, over 70% less.

Q: Is Narcan available at Ely Community Pharmacy?

A: Narcan (naloxone) is a medication used to rapidly reverse opioid overdoses that is available without a prescription at Ely Community Pharmacy. It can be obtained from pharmacies and is often carried by first responders, law enforcement, and community organizations. While Narcan is designed to be user-friendly, training can be helpful for those who might need to use it in an emergency.

Q: How can I refill my prescription at Ely Community Pharmacy?

A: Ely Community Pharmacy is open Monday through Friday from 8:00 a.m. until 6:00 p.m. and Saturdays from 9:00 a.m. until 1:00 p.m. During these regular business hours, our friendly ECP staff is available to help in person or by calling 218-365-8788. Additionally, ECP has partnered with RxLocal to offer app-based ordering from our website or your phone. Be sure to visit our website or see the ECP Monthly Specials ad to find some valuable savings each month on over-the-counter items.

Q: What is the EBCH Kids’ Wellness Fair?

A: EBCH invites families and their child(ren) to our Kids’ Wellness Fair. Madison Rohr, our EBCH Summer Healthcare Intern, has coordinated this FREE, family-friendly activity as part of her internship project at EBCH.

The Kids’ Wellness Fair is geared towards Kindergarten through 4th grade children, but families and people of all ages are welcome to attend. Our evening event will feature engaging games, free pizza, and fun giveaways! Once inside, participants will receive a gift bag and a “Ticket to Wellness.” Kids and families can explore various aspects of wellness by participating in activity stations championed by local community resources including Pathways to Wellness, Ely Community Resource, Range Mental Health Center, Northwoods Partners, and much more. The event will feature an obstacle course, hands-on crafts, sensory toys, face painting, and more! EBCH will provide free Domino’s pizza. Get your ticket stamped at each station to be entered into a raffle to win one of our fabulous prizes drawn at the event’s close.

Q: When does this event take place?

A: The Kids’ Wellness Carnival will be held on Tuesday, August 13, 2024, from 5 to 7 pm at the Ely Memorial playground lawn. This fenced-in field faces the corner of Harvey and 4th Street at 600 E Harvey Street in Ely. The Wellness Fair can be accessed via the playground gate near the entrance to Washington Elementary or through the Ely Ice Arena parking lot.

Q: What if my family needs additional support to participate?

A: If you or your child(ren) require an assistive device, service, or other accommodation to participate in this event, please contact Madison at mrohr@ebch.org or 218-365-8739 by Noon on August 12, 2024.

Q: Who is Crowdstrike?

A: CrowdStrike is a cybersecurity company that specializes in protecting against and responding to cyber threats, including those in the healthcare sector. Its services include threat detection, incident response, and protection against malware and other cyber attacks.

Q: How did the recent Crowdstrike situation affect healthcare entities, including EBCH?

A: CrowdStrike responded to the Universal Health Services (UHS) ransomware attack in September 2020. This attack significantly disrupted UHS’s operations, shutting down its IT systems and affecting patient care. CrowdStrike helped investigate and manage the aftermath of that attack. More recently, you have seen Crowdstrike in the news when a security update that they were performing on Microsoft systems failed, causing disruptions across various industries, including healthcare. At EBCH, we experienced disruption to our patient’s online payment system and with some of our internal functions, such as the software that the providers use for dictation.

Q: What do I need to know about cybersecurity and healthcare?

A: As healthcare systems become more digitized, strong cybersecurity measures are essential to protect patient data and ensure continuous operations. The impact of a cyberattack extends beyond immediate disruptions; it could affect patient care, financial stability, and overall trust in the healthcare system. Additionally, we should all monitor our healthcare information closely. Some tips include using strong passwords and not recycling the same password for multiple sites. Consider using 2FA, a two-factor authentication that provides a higher level of protection than passwords alone. This could include biometric authentication or secondary verification through email or text messages. Finally, be cautious with your accounts, avoid sharing your information, and monitor your accounts closely.

Q: What is Community Benefit?

A: Community Benefit refers to the range of programs and services that hospitals and healthcare organizations provide to improve the health and well-being of the communities they serve. These initiatives typically address unmet community health needs, promote health equity, and enhance the overall health of the communities served.

Q: Why are hospitals required to provide Community Benefits?

A: There are several reasons why hospitals must work on Community Benefit projects. Like many hospitals, EBCH is tax-exempt under Section 501(c)(3) of the Internal Revenue Code. In exchange for the financial benefits of tax exemption, we are expected to demonstrate how we benefit our communities. In 2010, The Affordable Care Act (ACA) introduced requirements for tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years and to develop an implementation plan to address identified needs. Community Benefit programs can help address health disparities by providing free or subsidized care for low-income patients, health education programs, preventive care initiatives, and community outreach efforts.

Q: What does EBCH provide for Community Benefit?

A: Over the past several years, EBCH has worked hard to provide several opportunities for Community Benefit projects. In addition to internal activities that the public may not see or be aware of, such as providing charity care and financial assistance programs for low-income patients, EBCH has worked hard to increase its community presence. We have expanded our annual vaccination clinics to offer free flu shots throughout the community at events each fall. We collaborate with many community organizations to address social drivers of health, such as housing, food insecurity, daycare, EMS services, and isolation. EBCH offers a “Blessings Backpack” program for housing insecure individuals who may lack belongings; we provide scholarships through the Ely Chamber of Commerce to help local businesses purchase AEDs, and this weekend, we are sponsoring a family comfort tent at the Blueberry Arts Festival that will allow for a safe, clean environment for families to nurse, change diapers, or give kids a break from overstimulation. To learn more about our current Community Health Needs Assessment (CHNA) or implementation plan, visit our Community Health Needs Assessment page.

Q: What is carpal tunnel syndrome?

A: Carpal Tunnel Syndrome is when pressure on the nerve in your wrist can cause numbness, tingling, and pain in your arm and hand.

Q: How does the procedure work?

A: Typically, local anesthesia is used to numb the wrist area, and sedation may be used to help a patient relax. Before the surgery begins, the surgeon will use an ultrasound machine to create detailed images of the structures inside your wrist. This helps them see exactly where the nerve and other important tissues are located. With the guidance of the ultrasound images, the surgeon will make a small incision (cut) in your wrist, just enough to allow specialized surgical tools to be inserted. The main goal of the surgery is to relieve pressure on the nerve. Using the ultrasound for guidance, the surgeon will carefully cut the ligament that forms the roof of the carpal tunnel. This releases the pressure on the nerve and allows it to function correctly again. After the ligament is cut, the surgeon will close the incision with stitches or adhesive strips and cover it with a bandage. You’ll typically be able to go home the same day after a short observation period. Recovery time varies, but many people can resume light activities within a few days and full activities within a few weeks.

Q: What are the benefits of the ultrasound-guided surgery?

A: The incision is very precise because the surgeon can see structures clearly using ultrasound imaging. This reduces the risk of damaging tissue around the area. The minimally invasive procedure means less pain and faster recovery times than traditional open surgery. As with any surgery, not everyone may be a candidate for this procedure, so it is important to talk to your primary provider and the surgeon to see what is right for you. For more information, contact our fantastic surgery team at 218-365-8724 to see if ultrasound-guided carpal tunnel surgery is right for you.

Q: What was presented at the meeting on June 13, 2024?

A: On June 13, 2024, community members, EBCH staff and board members, elected officials, and those close to the EMS community gathered at the Ely Senior Center to hear a presentation from SafeTech Solutions. SafeTech Solutions was hired by EBCH last fall to complete a comprehensive study of Emergency Medical Services (EMS) throughout our area. They collected data and talked with key stakeholders from Ely, Babbitt, and Tower. The presentation included background information on how the study was conducted, several key takeaways, and various EMS system models that could work within our service area. These potential models outlined various systems, such as a system owned by EBCH, a system owned by another local entity, and a system that implements a quick response vehicle.

Q: Why is the hospital a good solution now when they managed the ambulance previously?

A: The Ambulance was separated from the hospital approximately eighteen years ago. While the hospital leaders and board made their decisions with the best information available at that time, things have changed over time. This solution worked, until it didn’t. We have seen the needs of our patients change over time. We have also seen the needs of the communities we serve change. Additionally, the current climate and regulations are quite different from the early 2000s. While finances are essential for long-term sustainability, caring for our patients and the communities we serve is the most important factor and can not be taken lightly.

Q: What are the next steps?

A: The presentation was not the end of the process; it was only the beginning. It ended one phase of preliminary research and began another phase of ongoing conversations. The next steps will include each entity involved agreeing on the possible solution. There are no simple answers. We know that this process will take time, and ongoing conversations to ensure the best possible solution for everyone affected.

Q: What is a Mammogram?

A: A mammogram is a specialized type of X-ray imaging used to screen for breast cancer in its early stages. During a mammogram, the breast is compressed between two plates, and X-ray images are taken from various angles. These images can reveal abnormal growths or changes in breast tissue that may indicate the presence of cancerous or precancerous cells.

Q: Who should get a Mammogram?

A: The guidance regarding when to start screening with mammograms has recently been in the news, along with updated guidance. We always recommend speaking with your Primary Care Provider to

determine the best course of action for you. Typically, mammograms are recommended for women aged 40 and should be done annually after that. Women at higher risk, such as those with a family history of breast cancer or specific genetic mutations, may need to start screening earlier or undergo additional screening tests, such as breast MRI.

Q: Can I get my Mammogram at Ely-Bloomenson Community Hospital?

A: Yes – 2D and 3D Mammograms are available at EBCH. It is always recommended that you contact your insurance company to determine what type of mammography is covered. Contact our Radiology Department at 218-365-8737 for complete details.

Q: What is Hospital Week?

A: Hospital Week is an annual celebration dedicated to honoring the vital contributions of hospitals and healthcare professionals to their communities. At Ely-Bloomenson Community Hospital (EBCH), we have a dedicated team that plans activities and events to show our staff how much we appreciate their hard work. This year, activities include an all-staff lunch, BINGO, and Root Beer Making with the Dorothy Molter Museum.

Q: When is Hospital Week celebrated?

A: Hospital Week typically occurs in the second week of May each year. It allows hospitals and healthcare organizations to recognize and appreciate their staff’s hard work and dedication. Hospital Week typically follows Nurse’s Week, which coincides with Florence Nightingale’s birthday.

Q: Why is Hospital Week important?

A: Hospital Week is important because it raises awareness about hospitals’ critical role in providing essential healthcare services, promoting wellness, and saving lives. It’s also a time that fosters a strong sense of pride and unity among healthcare professionals, acknowledging their tireless efforts in caring for patients and supporting their communities.

** EBCH is so thankful for the wonderful team of healthcare professionals that work with us to provide high quality care to the patients and community we serve. **

Q: Why did EBCH commission a study of Emergency Medical Services?

A: As the only local hospital, Ely-Bloomenson Community Hospital (EBCH) is an essential part of the healthcare sector, and we take our responsibility of caring for the communities we serve very seriously. We understand and know the challenges Emergency Medical Services (EMS) face at the national, state, and local levels. We acknowledge the instability of the current climate facing EMS and have proactively taken the initiative to commission a study that examines all possible options to create a sustainable and viable solution for EMS in our region.

Q: Did EBCH see the results of this study?

A: Yes – on April 30, 2024, the SafeTech Solutions Team presented the EBCH Board of Directors with a comprehensive report on their commissioned study. The report presented four models as potential solutions for the EMS sustainability problem. While many models were considered, the proposed solutions were meticulously analyzed and presented to the board clearly and concisely. The board was impressed with the quality of the report and looks forward to sharing the results publicly.

Q: What are the next steps?

A: To show respect and inclusivity toward all the parties involved in the study, EBCH has decided to develop a rollout plan that will include a public presentation. This presentation will be open to all those who participated in the study and any members of the public interested in the future of Emergency Medical Services in our service area. Coordinating the presentation will take some time, but we will advertise the date well in advance.

Q: What is the difference between a Doctor and a Provider?

A: Provider is a generalized term for individuals with varying healthcare-related education, degrees, and training. Mainly used interchangeably with Doctor or Physician, the term Provider could also refer to a physician’s Assistant, Nurse Practitioner, or Hospitalist.

Q: Who are the Providers at EBCH?

A: The main entrance point into the hospital is through the Emergency Department (ED). EBCH currently employs six Physicians who work in the ED. If we cannot ensure the 24/7 coverage required in the ED, EBCH utilizes additional Physicians through a contracted service. If you are an inpatient at the hospital, you may also see your Primary Care Provider. This group of doctors comprises our current medical staff, led by our chief medical officer, Dr. Brock Urie.

Healthcare can be confusing. As you navigate our healthcare system, please remember that three separate entities share our campus: Ely-Bloomenson Community Hospital, Essentia Health—Ely Clinic, and Boundary Waters Care Center.

Q: Are there other Doctors available at EBCH?

A: Yes – EBCH works with visiting Providers to offer additional access to specialists on our campus. These Providers, experts in their respective fields, are available to consult and treat specific conditions, providing a convenient and comprehensive healthcare experience. They currently include:

  • Dr. Sam Harms, Orthopaedics
  • Dr. Katie Evans, Podiatry
  • Dr. McKee, Gastroenterology
  • Dr. John Bollins, General Surgery

Other Physicians may utilize our Surgical suites to perform procedures such as colonoscopies. EBCH is also proud to partner with Christian Cavalier of Lake County Anesthesia, LLC, to ensure the highest level of patient care during surgical procedures. For more information on scheduling an appointment with one of the Specialty Providers, please contact us at 218-365-8793.

Q: What is the DEA National Rx Takeback Day?

A: The DEA National Rx Takeback Day, scheduled for Saturday, April 27, 2024, is an initiative by the Drug Enforcement Agency that relies on the active participation of our community to collect and safely dispose of unused medications. According to the DEA website, 332 tons of unused medication were collected during their April 2023 Takeback Day. Too often, unused prescription drugs find their way into the wrong hands, resulting in dangerous and often tragic outcomes. By participating in this initiative, we can all play a part in preventing such incidents.

Q: Why should I dispose of unused medication?

A: Unused or expired prescription medications are a personal concern and a public safety issue. Proper disposal of unneeded drugs is a crucial step that saves lives, protects the environment, and enhances the health of our community. By preventing medication misuse, overdose, and addiction, your decision to dispose of your old, unused, or unneeded medications can make a significant difference in our community’s safety and health.

Q: Locally, where can I safely dispose of unused medications?

A: Sites are available throughout the communities that EBCH serves. These sites are available for anonymous medication disposal; no questions will be asked.

  • Ely City Hall/Police Department: 209 E Chapman St. Ely, MN 55731
  • Babbitt Police Department: 71 South Drive Babbitt, MN 55706
  • Vermilion Pharmacy: 1613 Farm Rd. S Tower, MN 55790

For more information, you can visit the DEA website at https://www.dea.gov/takebackday.

Q: Why did I get a survey after my hospital stay?

A: The HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey, the first standardized, national survey to publicly report information on patients’ perspectives of how well they were cared for, is a crucial part of our operations at Ely-Bloomenson Community Hospital (EBCH). CMS (Center for Medicare and Medicaid Services) requires us to survey our hospital inpatients. These surveys are sent out and tabulated by a third-party vendor, Press Ganey, and are a vital tool in our continuous improvement efforts. The results of these surveys, which reflect your experiences, are used to enhance the quality of care we offer.

Q: What is a Community Health Needs Assessment?

A: Every three years, non-profit hospitals like EBCH must conduct a Community Health Needs Assessment (CHNA). These assessments are about understanding the needs and expectations of the communities we serve and hearing your voice as a patient. You play a vital role in this process. You may receive a survey in the mail or be invited to participate in a Key Informant or Focus Group interview. Your honest feedback is not just valued; it’s essential. It helps us make the best decisions for the future of our hospital and the patients we serve. The results of our last two CHNAs can be found on our Community Health Needs Assessment page. If you want to participate in our 2024 CHNA, please get in touch with us at 218-365-8739.

Q: How can I give a compliment or make a complaint?

A: At EBCH, we are always happy to hear what we are doing right. We also need to know when there are areas we can improve. If you are on campus, you can talk to any member of our team and let them know about your visit. If you have already gone home but would like to let us know how we have done, there are several ways available, including the CONTACT US page, calling 218-365-8787, or mailing a letter to 328 W. Conan St. Ely, MN 55731. Our Patient Relations Committee handles each instance.

Q: Why did EBCH decide to commission an EMS survey?

A: Ely-Bloomenson Community Hospital (EBCH) has always been a supportive contributor to the Ely Area Ambulance Service (EAAS). We have provided them with various in-kind and financial support. However, in recent years, EBCH leadership began to hear concerns from our medical staff regarding emergency medical transportation of patients in relation to EAAS. Simultaneously, EBCH was asked to contribute more funding annually to support the service. As with any concerns, the EBCH Board of Directors conducted their due diligence by requesting financial and operational information from the EAAS before providing additional “cash” funding. This request resulted in further communication breakdown. EBCH looked for other ways to support Emergency Medical Service (EMS) throughout our service area. EBCH hired Safe Tech Solutions to complete a comprehensive regional study of EMS. In doing so, EBCH hopes to identify new, collaborative models that could be innovative and ensure that all of our local ambulance services are successful.

Q: Is EBCH’s goal to bring in a third-party ambulance service?

A: No. EBCH’s primary goal is to provide the highest quality patient care possible. Part of that care is the peace of mind in knowing that, when needed, we can get our patients to a higher level of care as quickly as possible. EMS services nationwide, not just locally and statewide, are struggling. The team at Safe Tech Solutions includes working paramedics who help develop a sustainable model that can ensure viability for the future of EMS in our service area. Our decisions will always be in the best interest of our patients to ensure emergency medical transportation is available in the communities we serve.

Q: Has EBCH seen the survey results?

A: No. EBCH has not seen the survey results. Our experience has been that there are often delays with any large-scale project. They are typically unintended and certainly should not contribute to rumors or speculation. This work aims to provide high-quality care for our communities, and we will do everything possible to ensure this goal is met. However, since EBCH is the primary contact for the survey and has paid for its completion, we eagerly anticipate the results. We assure you that we are committed to transparency and will review the results

Q: What is Transitional Care?

A: Often, the road to recovery doesn’t lead straight home. Patients may need a little extra care following surgery, major illness, or injury. This is when they may need the services of a Transitional Care bed. In Transitional Care, patients can get the extra help they need to recover in a safe and secure environment with plenty of help and encouragement through hospital-based services such as Physical and Occupational Therapy. These stays are typically short and last ten to fourteen days.

Q: Why was this type of care formerly called a Swing Bed?

A: The term ‘Swing Bed’ was previously used by Medicare to describe extended care provided in a hospital setting. It was designed for patients who didn’t require a Skilled Nursing Facility like a Nursing Home but weren’t ready to return home. This program, now known as Transitional Care, was initially created for rural hospitals that might not have other care options available locally.

Q: How can I find out more about EBCH Transitional Care?

A: Our dedicated social worker is here to assist patients who need a Transitional Care bed. She plays a crucial role in connecting with discharge planners from larger facilities when patients are transferred from our Emergency Department to another hospital. She can advocate for patients to return to EBCH and recover closer to home, ensuring their needs are met. If you know in advance that you may need a Transitional Care bed (such as after surgery), we can work with you to help facilitate the process and ensure that your insurance will cover the costs. For more information, visit our Transitional Care web page or contact our social worker at 218-365-8758.

Q: What is Change Healthcare?

A: Change Healthcare is owned by UnitedHealth Group. It is an essential “pipeline” between healthcare insurers and providers. It electronically facilitates the flow of claims to insurance companies and the payments from insurance companies back to providers (e.g. EBCH). In addition to United Health Care, many payors (insurance companies) use Change Healthcare, including Atena, UCare, and Medica. Their claims clearinghouse processes approximately $2 trillion in claims annually.

Q: What happened with the breach?

A: In February, Change Healthcare was the victim of a cyberattack. A breach of this magnitude lends itself to the potential disclosure of confidential information, so they were forced to completely shut down their systems to prevent greater information loss. They have slowly worked to bring systems back online for the last month. However, electronic insurance verification for most companies remains down.

Q: Could this breach affect me?

A: Possibly. Because we cannot quickly verify insurance coverage electronically, there may be delays if you need a service or procedure that requires Prior Authorization. These Prior Authorizations must be verified manually, which entails calling the company. When we call the companies, hundreds of other healthcare providers nationwide are also calling. It can be an extensive and time-consuming process. Additionally, claims are taking significantly longer than usual to process. This means you may not receive a bill for your (patient responsibility) portion for some time following an appointment.

Q: What is Telehealth or Telemedicine?

A: Telehealth and Telemedicine have become prominent in medicine throughout the pandemic. These terms are often used interchangeably to describe a general distribution of healthcare-related services using electronic means and methods. The difference is often related to scope, with Telemedicine referring more to actual clinical services such as diagnosing and treating. At the same time, Telehealth often includes additional non-clinical work such as provider training or administrative work.

Q: What are some of the various methods of Telemedicine?

A: There are three main types of Telemedicine care delivery.

  1. Remote Monitoring allows providers to get real-time information through various medical devices and is most often used to manage a patient with a chronic condition.
  2. Store and Forward when data about a patient is collected through a medical device that the provider can later download.
  3. Real-time interactions include live interactions between patients and providers using electronic devices. These interactions can include video conferencing platforms or adaptive technology for patients with disabilities such as hearing impaired.

Q: Is Telemedicine used at Ely-Bloomenson Community Hospital?

A: Yes —EBCH utilizes technology to deliver care for our patients in various ways. We have the option to contact with a Specialty providers through the Emergency Department for consultation on cases such as Mental Health crises. The Cardiopulmonary Department offers a Zio patch home device to monitor heart-related diagnoses. Even the Refill Rx app can be used to communicate with Ely Community Pharmacy and refill prescriptions.

Q: What is Medicare?

A: Medicare can seem complex and confusing, but essentially, Medicare is a federal insurance program that provides coverage for all individuals over 65, individuals under 65 who have specific disabilities, or individuals with end-stage renal disease.

Q: Why are Medicare Parts A & B considered “Original Medicare”?

A: Medicare Parts A and B were the original blueprint for Medicare coverage. Part A is typically free for individuals who paid into Medicare for a certain period throughout their career. It primarily covers hospital insurance for major medical events and possibly some home health or skilled nursing facilities. Medicare Part B is typically the medical insurance that costs you an out-of-pocket premium for annual physicals, diagnostic, or lab services. You may not need to purchase Medicare Part B if you or your spouse still work and insurance is offered through employment.

Q: What about Parts C and D?

A: Medicare Parts C and D are considered additional coverage. Part C is Medicare Advantage, which is private insurance that covers everything the original Medicare covers and often provides extra benefits for a monthly premium. Part D is specifically designed insurance to cover the cost of prescription drugs. Private insurance companies only offer Part D, which can often be part of a Medicare Advantage plan or purchased separately.

Q: EMTALA?

A: EMTALA stands for Emergency Medical Treatment and Labor Act. Congress passed this act in 1986, ensuring access to emergency care for all individuals regardless of their ability to pay. This act states that any individual presenting to any emergency department will receive a medical screening and stabilizing treatment before deciding to transport the patient to another level of care.

Q: HIPAA?

A: HIPPA stands for Health Insurance Portability and Accountability Act. A federal law was created in 1996, establishing national standards to protect sensitive patient health information. HIPPA ensures that a patient’s health information is kept private and secure and that patients are notified if there are any breaches to their health information.

Q: HCAHPS?

A: HCAHPS stands for Hospital Consumer Assessment of Healthcare Providers and Systems. In 2006, the Center for Medicare and Medicaid (CMS) implemented the system to create the first standardized and publicly reported system for surveying patients on their hospital care. The surveys focus on 29 standard questions that address various aspects of a hospital stay. Hospitals utilize data for quality assurance and process improvement.

Q: What is a Critical Access Hospital?

A: In 1997, the federal government created the unique Critical Access Hospital (CAH) designation for rural facilities with fewer than 25 beds and typically located at least 35 miles from a higher level of healthcare. Ely-Bloomenson Community Hospital is one of 78 CAHs in Minnesota.

Q: Is EBCH a not-for-profit hospital?

A: Yes, EBCH, like most hospitals in MN, is a not-for-profit 501(c)(3). This means that we provide care to all residents regardless of their ability to pay. It also means we must survey our community every three years with a Community Health Needs Assessment (CHNA) and identify community needs gaps. We must develop an implementation plan to identify partnerships and strategies to help meet those needs. Some of the past projects that EBCH has worked to address include access to specialty providers (such as orthopaedics and podiatry), daycare, and transportation.

Q: How is EBCH reimbursed as a Critical Access Hospital?

A: EBCH receives “cost-based” reimbursements as a Critical Access Hospital. CMS (Center for Medicare and Medicaid Services) establishes payment based on hospital volumes and proximity to other healthcare facilities. In 2023, nearly 64% of individuals were covered by government insurance programs, with reimbursement rates currently around 20% less than the cost of the care provided.

Q: What is the Price Transparency Act?

A: The Hospital Price Transparency Act put in place regulations by the Centers for Medicare and Medicaid Services (CMS) that require hospitals to make information about their standard charges available to the public. In doing so, patients have a better foundation for patient-driven healthcare, allowing them to see the costs associated with care before scheduling their appointments.

Q: Does EBCH offer Financial Assistance?

A: Yes, EBCH understands the burden of medical bills and how they can affect your family’s budget. We offer a variety of opportunities to ease the burden of medical expenses, including a Financial Assistance Program (FAP), payment plans, prompt pay discounts, and AblePay Health services. More information about these programs is available by visiting our Billing & Insurance page.

Q: Navigating healthcare billing is difficult; who can help me?

A: Ely-Bloomenson understands how difficult it can be to navigate your healthcare insurance and billing information. We have a wide variety of professionals who can help you understand your billing and payment options, including a fully staffed Business Office Team, a Patient Access Team Leader, and a Social Worker. Call us at 218-365-3271 during regular business hours, and our receptionist can direct your call to the appropriate support staff to get you the help and understanding you deserve.

Q: What are Outpatient Services?

A: Outpatient care is a type of healthcare service that does not require an overnight stay at a hospital and is usually scheduled by appointment. These services are typically separate from your routine primary care visit. They can include procedures, treatments, and consultations such as lab work, radiology services, physical and occupational therapy, or a diagnostic colonoscopy in the Surgery Department.

For instance, suppose you visit a Clinic for your annual physical, and your provider orders a follow-up test for your bone density. In that case, you can schedule an appointment as an outpatient with the Ely-Bloomenson Community Hospital (EBCH) Radiology Department. Separate entities are working together to care for you.

Q: Does EBCH offer Outpatient Services?

A: Yes, EBCH offers a wide variety of Outpatient Services. Some services include mammography, infusion therapy, chemotherapy, cardiopulmonary rehab, physical and occupational therapy services, and surgical procedures. For a complete list of what each EBCH department offers, visit ebch.org/services or call us at 218-365-3271. We have knowledgeable Receptionists who answer the phones during regular business hours and can answer your questions or direct your call.

Q: Do you need a referral for Outpatient Services?

A: You will need a provider referral for most procedures, such as colonoscopies or diagnostic imaging procedures. However, it is a patient’s choice where they would like their referrals to be sent. You can have an open conversation with your provider and let them know if you would prefer to have your services close to home. Let your provider know if you have barriers such as transportation or taking time off of work so they can help make the best decisions about where to get your care and always check with your insurance company to ensure coverage.

Q: What will happen in the upcoming legislative session that affects healthcare?

A: Our current legislative session in Minnesota is set to convene on February 12, 2024. There was much talk in last year’s session about the Keeping Nurses at the Bedside Act. This was a bill that would have imposed statewide staffing mandates for Hospitals. We anticipate these potential staffing mandates to be a topic again this year as the MN Nurses Association (MNA) is currently meeting with legislative leaders.

Q: What won’t we see during this session?

A: This session is not a budgeting session, so we most likely won’t see much happening regarding bonding or funds distribution throughout the State. Although we know many healthcare entities, including Hospitals and Emergency Medical Services statewide, ended last year with negative margins, we most likely will not see much funding during this session.

Q: Do hospitals need funding from the government?

A: According to a Press Release issued by the MN Hospital Association (MHA) on January 31, 2024, patient discharge delays cost Minnesota hospitals nearly half a billion dollars in 2023. A new comprehensive survey of patient care in Minnesota hospitals has found persistent, ongoing delays in discharges from emergency departments and inpatient care, resulting in tens of thousands of days of unnecessary hospital-level patient care and staggering financial losses. “Minnesota hospitals have gone from being a safety net, to being a catch-all for patient care,” said MN Hospital Association CEO and president Dr. Rahul Koranne. “This is a function they were never intended for, can’t afford, and isn’t good for patients. This gridlock is preventing Minnesotans from getting care that their lives depend on. Policy makers must act.” EBCH is not immune to these delays in getting patients to another level of care. It is currently challenging to find a facility for a patient who needs mental health or substance use disorder care, and they often wind up staying at EBCH for an extended time. If you would like a complete copy of the recent MHA Press Release, please contact jmartin@ebch.org.

Q: How will Artificial Intelligence (AI) impact healthcare in the future?

A: AI is all around us. We hear about it almost daily on the news. While it is unclear how AI will affect healthcare, we know it will likely impact how healthcare is delivered. We can only project that AI might allow for greater access to healthcare for patients, reduce human error, or assist medical professionals through advanced technology. EBCH is always working on strategic planning and looking at the future of healthcare. What will EBCH look like in 2030? We are excited to see!

Q: Can AI be used in scams?

A: Yes. We recently had an incident where the Ely-Bloomenson Community Hospital CEO Patti Banks “seemingly” left voicemails on some of our patients’ phones. That was not the case. These are typically scams perpetrated by using AI and cloning an individual’s phone number or, in some cases, even their voice. We want to remind you to be cautious when confronted with a potential scam; never give out your personal information or pay money to them over the phone.

Q: How can I find out more information?

A: Call us at 218-365-3271. During regular business hours, a receptionist typically answers our phones and directs our calls. We pride ourselves on making as many personal connections with our patients as possible. If something seems wrong, trust your gut and call us. You can also visit our website at www.ebch.org for a full range of information about EBCH. We generally post urgent announcements on our Facebook page and share them with the “What’s Up, Ely, MN” and “What’s Up, Babbitt, MN” pages.

Q: Which Specialty Clinic Providers can I currently see at EBCH?

A: There are currently three Specialty Providers seeing patients monthly at EBCH. Dr. Harms and his staff from Orthopaedics Associates see patients twice monthly for all of their Orthopaedic needs. Podiatrist Dr. Katie Evans is on campus typically twice per month to see patients. She provides a full range of services to men, women and children for their feet and ankles. EBCH is also grateful to partner with Dr. John Bollins of Advances Surgical Associates of Northern Minnesota to supply expert surgical services using our da Vinci surgical robot. Dr. Bollins is typically on campus four days per month for consultations, performing surgery, and seeing our patients for their follow-up.

Q: Do I need a referral?

A: It depends, some of our visiting providers can see you without a referral: however, you may want to be sure your insurance will cover the visit if you make the appointment on your own. We highly recommend that you talk with your Primary Care Provider and your insurance company if you would like to make an appointment with one of our Specialty Providers.

Q: How can I find out more information?

A: Call us at 218-365-8793 and our knowledgeable Specialty Clinic Team will answer your questions and get you started in the right direct. You can also visit our website at http://www.ebch.org for a full range of information on all the services offered here at Ely-Bloomenson Community Hospital.

Q: Who owns Ely Community Pharmacy?

A: Although Ely Community Pharmacy (ECP) is located next to the Essentia Health – Ely Clinic waiting area, ECP is owned and operated by Ely-Bloomenson Community Hospital. ECP is a full-service retail pharmacy that offers easy prescription refills and transfers, vaccinations, and diabetic testing supplies.

Q: Is it too late to get my vaccinations?

A: It is not too late to get your vaccinations. Currently, Ely Community Pharmacy has vaccinations available on a walk-in basis every Monday through Friday from 8:00 am until 6:00 pm. Influenza, RSV, Shingles, Pneumonia, and Tetanus (Boostrix) vaccinations and the latest COVID-19 boosters are fully stocked and waiting for you!

Q: How can I refill my prescription?

A: You can refill your prescription at Ely Community Pharmacy in various ways.

  • Stop in and request a refill at the counter during regular business hours.
    • Monday – Friday: 8:00 am to 6:00 pm
    • Saturday: 9:00 am to 1:00 pm
  • Call us at 218-365-8788 and follow our automated prompts.
  • Use our convenient mobile app, RxLocal.
    • Download for free from your phone’s app store.