All posts by harlanco

Wolf Resigns as Harlan County Health System’s Chief Executive Officer

ALMA, Neb. — Harlan County Health System has announced today that CEO Manuela “Manny” Wolf has resigned her position of Chief Executive Officer of the Health System effective February 23rd, 2018. The HCHS Board of Trustees has initiated a search for an interim CEO as well as for a permanent CEO.

In her statement, Manny explained her resignation due to her acceptance of a career opportunity as President/CEO of Memorial Community Hospital in Blair, which will also bring her closer to her family. Wolf began her tenure at Harlan County Health System as Director of Nursing and later Chief Nursing Officer in 2008. She was named Chief Executive Officer in June of 2013

“The Board is thankful for Manny’s service and leadership, and are grateful for her accomplishments” said Bruce Beins, Chairman of the HCHS Board of Trustees.  “We wish her the very best in the future.”

The Board of Trustees of Harlan County Health System wants to take this opportunity to assure the residents of our service area the continued provision of high quality services of Harlan County Health System, as well as the organization’s two Rural Health Clinics in Alma and Oxford during this time of transition.

The HCHS Service Excellence Council is a group of dedicated employees from all areas and positions in the health system, who meet monthly to discuss patient and employee experience, and engagement, Service Excellence activities and ongoing Service Excellence Programs. The Service Excellence Council would like to relay to community members that the goal of HCHS staff remains to give our patients the best possible care all day every day. Diane Fegter, RN and member of the council stated “We are all very capable employees who are committed to doing the best we can for our community, Harlan County Health System has been here for many years and will continue to serve its patients for many more to come”.

Current efforts to raise funds for a new medical clinic in Alma continue, and the project has progressed to hiring an Architect and a Construction Manager in order to develop a definite building budget. The building site was surveyed in late fall.

Ongoing projects, such as the current conversion to a unified Electronic Health Record will forge ahead under the leadership of the Board of Trustees and the very capable hands of HCHS staff.




Harlan County Health System Receives National Recognition for Performance Leadership in Patient Perspective


Alma, NE, November, 2017 – Today, on National Rural Health Day, Harlan County Health System announced it has been recognized by The Chartis Center for Rural Health/iVantage Health Analytics and the National Organization of State Office of Rural Health (NOSORH) for overall excellence in Patient perspective, reflecting top quartile performance among all rural hospitals in the nation.

“I am very excited for our facility and staff. This is the second time HCHS has earned this honor. It is a clear indication of the dedication of our staff to customer service and patient satisfaction.” Stated Manuela Wolf, CEO of Harlan County Health System

The rankings are determined each year using iVantage Health Analytics’ Hospital Strength INDEX®, the industry’s most comprehensive and objective assessment of rural hospital performance. In partnership with NOSORH, iVantage Health Analytics has developed a data-driven program designed to identify excellence across a broad spectrum of indicators relevant to hospital performance and patient care. The Hospital Strength INDEX captures performance metrics for all rural and Critical Access Hospitals. Leveraging data from public data sources, INDEX aggregates data from more than 50 individual metrics into three major categories and eight pillars to derive a single strength overall rating for each facility.

“On this important day, as we celebrate the power of rural, it’s great to recognize these top performers who are excelling in managing risk, achieving higher quality, securing better outcomes, increasing patient satisfaction, or operating at a lower cost than their peers,” said Michael Topchik, National Leader of the Chartis Center for Rural Health. “These leaders serve as a benchmark for other rural facilities as they strive to achieve similar results and provide a blueprint for how to successfully run a hospital and serve their communities amidst today’s uncertainty and mounting pressures.”


The National Organization of State Offices of Rural Health (NOSORH) was established in 1995 to assist State Offices of Rural Health in their efforts to improve access to, and the quality of, health care for America’s 61 million rural citizens. NOSORH enhances the capacity of SORHs to do this by supporting the development of state and community rural health leaders; creating and facilitating state, regional and national partnerships that foster information sharing and spur rural health-related programs/activities; and enhancing access to quality healthcare services in rural communities.

 About The Chartis Group
The Chartis Group (Chartis) is a comprehensive advisory and analytics services dedicated to the healthcare industry. Chartis provides strategic planning, value-based care, advanced performance, informatics and technology consulting services as well as leading-edge decision support tools to the country’s leading healthcare providers. The Chartis Center for Rural Health (CCRH) was formed in 2016 to offer tailored services, performance management solutions, research and education to rural hospitals and facilities. Learn more at

 About iVantage Health Analytics, a subsidiary of The Chartis Group
A subsidiary of The Chartis Group, iVantage Health Analytics (iVantage) is a leading provider of healthcare analytic and performance management analytic tools. Health system and hospital leadership teams across the country rely on the company’s software and services to deliver customized insights on clinical and financial performance, strategic planning, market assessment and payment optimization. iVantage’s analytics are the basis of continuing thought leadership and insight in the areas of healthcare policy and research.





Plantar Fasciitis: Signs and Symptoms, Risk Factors, and Helpful Tips

Plantar fasciitis is one of the most common foot disorders treated by health care providers. Plantar fasciitis is inflammation of the dense, fibrous connective tissue (plantar fascia) that extends along the plantar surface of your foot due to repetitive strain. This condition is best described as pain on the bottom of your heel or mid-portion of the foot. The peak population of people seeking treatment for this diagnosis is between 40 and 60 years old. Here is a quick overview of signs and symptoms, predisposing factors, and helpful tips for managing this condition.

Signs and Symptoms:
• Classic symptom: severe pain on the plantar surface (bottom) of your foot with your first few steps in the morning.
• Increased pain in the bottom of your heel with first few steps after a period of inactivity.
• Pain may decrease with increasing activity (walking), but worsens at the end of the day.
• Tenderness when pushing on the bottom of your heel or mid-foot.
• Antalgic gait (limp with walking)
• Pain with pulling your big toe up.

Risk Factors:
• Sports or occupations that require prolonged weight bearing (being on your feet a lot.)
• Weight bearing activity on hard surfaces.
• Overtraining
• Poor foot posture (both flat feet and excessively high arches)
• Muscle and flexibility imbalances.
• Inappropriate footwear.
• Increasing age.

Helpful Tips:
• Rest (activity modification).
• Ice 2-3 times a day for 15-20 minutes (try rolling a frozen water bottle or frozen golf ball under your foot).
• Massage the tender areas.
• Over the counter or custom foot orthoses (arch supports, heel pads, etc.)
• Stretch your plantar fascia (Pull your toes back towards your shin until a stretch is felt.)
• Stretch your calves.
• Wear supportive shoes (Go to a running store and have them fit you with an appropriate shoe for your foot type).

If symptoms persist after 4 weeks, contact your physician or physical therapist for consultation.
Patient education provided by Carli Heft, PT, DPT with Harlan County Health System Rehabilitation Department, Alma, NE


Nebraska Critical Access Hospital Program Receives National Recognition

Lincoln, NE – The Health Resources and Services Administration (HRSA) has recognized 10 states for outstanding quality performance of their Critical Access Hospitals (CAHs) in achieving the highest reporting rates and levels of improvement over the past year.

The 10 top-performing states – Wisconsin, Maine, Utah, Minnesota, Illinois and Pennsylvania (tied), Michigan, Nebraska, Indiana and Massachusetts – built on their previous successes by investing Federal Office of Rural Health Policy (FORHP) funds into quality improvement projects and developing technical assistance resources that improve high-quality care in their communities. States also work collaboratively with every CAH and their respective partners to share best practices and utilize data to drive quality improvement in their hospitals.
“Rural hospitals are key safety-net providers in their communities and it is important that we make every effort to provide the highest quality of care to individuals living in rural communities,” said Dr. George Sigounas, HRSA Administrator. “Critical Access Hospitals may be limited in resources, but they have strong connections to their community and a commitment to quality care for every patient that is reflected in their effort to meet higher standards.”

In 2011, FORHP, located within HRSA, created a program to promote high quality of care at rural hospitals with 25 beds or fewer. Low-volume hospitals participating in the Medicare Beneficiary Quality Improvement Project (MBQIP) voluntarily report on a set of quality measures relevant to the care they provide, share data, and take on quality improvement initiatives. Currently, 96 percent of the 1,340 CAHs in the United States are reporting rural-relevant quality measures.

Nebraska has 64 Critical Access Hospitals which serve the most rural communities in the state. The federal initiative is administered in the state by the Nebraska Office of Rural Health. For more information, contact Flex Program Manager Nancy Jo Hansen at 402-471-4616 or


Back to School Backpack Safety


It’s that time of year again when kids and parents are preparing for a new school season.   When buying school supplies, parents often overlook the impact an ill-fitting backpack can have on a child’s health.  According to a study by Boston University, approximately 85% of students from the university reported pain and discomfort associated with backpack usage.  Wearing a pack that is too heavy or one that fits incorrectly can cause low back pain, muscle soreness, shoulder pain, and poor posture.  A study in The Journal of Applied Physiology found that the pressure of heavy loads carried on the back have the potential to damage the soft tissues and nerves of the neck and shoulders causing numbness and tingling to arms and hands.

Here are some tips to consider to avoid these health issues and prevent injury and discomfort when buying, loading and wearing a backpack.

When buying a backpack:

Make sure the backpack fits appropriately with the height of the backpack extending approximately 2 inches below the shoulder blades to waist level or slightly above the waist

Look for well-padded shoulder straps so the weight of the pack is evenly distributed across both shoulders

Hip and sternum belts are helpful to disperse weight and take some of the strain off of the neck and shoulders

The bottom of the pack should rest in the curve of the lower back, never more than 4 inches below the waist

Packs should be tried on for fit, just like new shoes or clothes

If ordering online, make sure the vendor has a return policy in case the pack is not the right fit

Reflective material on packs allows kids to be seen more easily when walking to/from school

When loading a backpack:

Place heavier items like computers, tablets and large books toward the back of the pack (closest to the child’s back)

Arrange books and materials to avoid items moving around when walking

Check to see what your child carries in his or her backpack and remove unnecessary items

Utilize pockets to disperse items evenly and snuggly

When wearing a backpack:

The backpack should weigh no more than 10% of the child’s body weight.  For example, a child weighing 50lbs should not carry a back pack more than 5lbs

Adjust the straps so that the pack fits snuggly against the child’s back

Check the straps for correct fit frequently, as they can become loose over time

Two straps are better than one, dispersing the weight more evenly across the child’s shoulders

When putting the pack on, educate the child to bend at the knees vs bending over to prevent back injury

If you would like to consult an occupational therapist about an ergonomic evaluation regarding backpacks, computer use, or other learning-related issues, contact Harlan County Health System’s Rehabilitation Department at (308) 928-3002.


These tips provided by Mindy DeJonge OTD, OTR/L (


Jennifer Taylor PA-C rejoins HCHS Family

Sneak Preview and Welcome:
Jennifer Taylor PA-C will re-join the HCHS Medical Staff by the end of September 2017. She will tend to patients in both the Alma and Oxford Clinic and will also assist with Emergency Room call.

Jennifer will join our medical staff consisting of:
Dr. Michael Finkner, Dr. Cameron Knackstedt, Jessica Stemper, PA-C, Craig Taylor, PA-C and Cameron Ourada, PA-C.

HCHS Administration and staff are excited to welcome Jennifer back to our team.

Please help me welcome Jennifer back, and stay tuned for updates as we get closer to September.


HCHS Purchases new Equipment for CT Room

The HCHS Board of Trustees approved the purchase of a dual head Contrast Injection System. This new system allows for quicker CT exam times and a significant improvement in patient safety.  Capital improvements like this help show our commitment to providing the highest quality patient care.


Becky Fleischmann Retires After 45 Years With HCHS

Harlan County Health System (HCHS) would like to congratulate Becky Fleischmann as she is retiring after 45 years of employment. She has seen many changes over the years. When Becky started in November of 1971, she had never heard of a hard drive, CD, Dell, etc., as there were no computers. She recalled the first computer being installed in the business office in the late 70’s. To prepare for the computer age, Becky traveled to the Phillipsburg, KS, Great Plains Health Alliance (GPHA) office to input the necessary information. Once the computer was installed and the information entered, accounts receivable charges were processed as batches.
Becky became very knowledgeable in her computer skills and processing, that with the passing of LaDonna Robison in 1989, Curtis Erickson, Executive Director from GPHA asked Becky to help with administrative duties on a temporary basis, with his help, until a new administrator was hired. Becky was relieved of those duties when a new administrator was hired in 1992.
“During my 45.5 years at HCHS, I’ve had a number of different responsibilities in the business office, of which I have learned a great deal. Even through good and difficult times, I have thoroughly enjoyed my time at HCHS. I have also had the opportunity to meet so many nice people throughout my career,” stated Becky.
HCHS wishes Becky a very happy and healthy retirement! You will be missed!


Power, Speed and Agility Camp

Coming again this Summer: The HCHS Rehab Department assisted by the Alma HS Coaching Staff is offering a 6 week long Power, Speed and Agility Camp to students from all area schools.

Your youth athlete will be instructed by knowledgeable and experienced coaches and trainers that have been well educated in the movement patterns and biomechanics of top athletes.  Efficiency in movement can decrease the risk for common sports related injuries, provide good technique and mechanics, strength, stability, control and flexibility.

 Camp activities will help the student athlete to improve their form and speed, provide skills to improve quickness, techniques to enhance explosiveness, methods to improve balance and coordination and assist in conditioning by improving linear and lateral acceleration and deceleration, change of direction mechanics, jumping and landing mechanics and neuromuscular coordination to help prevent future injury.

In addition to improving the athletic performance of your child, they will have a great time attending the Cardinal Power, Speed and Agility Camp

Sign up by May 20th by emailing:  or  sign up at the Rehab Department at HCHS in Alma


Dr. J. Michael Finkner joins Harlan County Health System as an Employed Physician

Dr. Finkner is by no means a new face to the patients in Alma. He was in private practice in Alma from 1980-1988 and has in recent years been assisting with clinic and emergency room on-call duties. Much to the excitement and pleasure of the HCHS Board of Trustees and Administration Dr. Finkner has recently chosen to join HCHS as an employee. He will be available to see patients in the Alma clinic on Mondays, Tuesdays and Wednesdays starting in July.
When asked what prompted his decision to become an employee of Harlan County Health System, Dr. Finkner stated that he has always maintained a love for our community and feels a true calling to finish out the last 7-10 years of his medical practice here in Alma.
Dr. John Michael Finkner graduated with honors from University Of Nebraska College Of Medicine in 1975. He practiced in Alma from 1980 – 1988 and then became the Director of Emergency Physicians at Good Samaritan Hospital for the next 18 years. His extensive background in Family Practice and Emergency Medicine gives him a broad range of experience that he will continue to share with the patients of Harlan County Health System.
Originally from Minden, Dr. Finkner lives in Kearney with his wife Kathy. The couple has four adult children, and 14 grandchildren, all under the age of 10. Dr. Finkner enjoys competitive running, fishing, landscaping, shopping with his wife, traveling and visiting his grandchildren.
Dr. Finkner will be taking over duties of Dr. Michelle Durr, who will end her services with HCHS in July.