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MCH Rehab Center Vital Stim Therapy What is Vital Stim Therapy? Vital Stim Therapy is used in conjunction with traditional oral motor exercises in order to strengthen swallowing muscles and improve overall swallow function. Often times, patients regain their swallowing ability faster and more thoroughly than with traditional dysphagia techniques. Vital Stim is the only FDA approved treatment approach that successfully combines Neuromuscular Electrical Stimulation (NMES) and traditional dysphagia techniques. Vital Stim is a method to promote swallowing through the use of electrical current directed to affected muscles. The goal of this therapy is to strengthen the swallowing muscles and improve motor control of the swallow. What is Dysphagia? Dysphagia is defined as difficulty swallowing. It can occur after a stroke or other neurological diseases, normal aging, or after a long period of inactivity. An estimated 15 million adults in the US currently suffer from dysphagia. The management of dysphagia mainly consists of diet modification to decrease choking episodes, and in severe dysphagia a feeding tube may be placed in the stomach to provide nutrition. In the last few years, new treatment options have become available, especially the use of electrical stimulation. This research based treatment tool, Vital Stim Therapy, has resulted in positive outcomes in most patients. It is simple for certified clinicians to administer and is pain free for the patient. What diagnoses can benefit from Vital Stim? Stroke Parkinson’s Disease Multiple Sclerosis Myasthenia Gravis Amyotrophic Lateral Sclerosis (ALS) Muscular Dystrophy Dementia Post head/neck cancer Dysphagia Facts... It is estimated that oropharyngeal dysphagia affects between 6 and 15 million adults and an unknown number of children in the United States. (ECRI, 1999) Dysphagia is very common after stroke. By some estimates as many as 25-50% of acute stroke patients develop dysphagia. (Mann, 2000) It is also common in various neurological diseases, head and neck cancer, and also aging. As many as 20-40% of head injured patients may present with dysphagia. (Winstein, 1981) Many patients with dysphagia suffer seriously impaired quality of life and may develop serious complications, such as dehydration and malnutrition. Therapist Training... The Vital Stim certification course consists of 12 hours of online certification and testing, as well as 16 hours of hands-on certification coursework. At the end of the course the clinician must pass a written post-test, as well as demonstrate accurate practical application of Vital Stim Therapy. All Vital Stim treatments require a physician's referral. OUR COMMITMENT TO YOU The goal of the Morris County Hospital Rehab Center is to provide quality care with an emphasis on individual, personalized service. Rest assured, our highly trained staff is constantly learning, applying, and practicing the most modern and successful methods in the physical, occupational, and speech therapy fields. Your return to good health is our common goal. MCH Rehab Center Phone: 620.767.6811 Address: 600 North Washington Street, Council Grove, KS 66846 Return to MCH Rehab Ce nter Return to All MCH Services

Careers at MCH New challenges and opportunities to learn are what allow great careers to thrive. Join our family and you’ll experience it firsthand — alongside expert caregivers in a culture that provides you the support you need. Together, we can deliver the world-class care our patients expect. Browse some of our key career areas below and explore how we support you in the things that really matter. MCH is an equal opportunity employer valuing the diversity and inherent dignity of all job seekers. We do not discriminate based upon race, color, religion, age, sex (including pregnancy), sexual orientation, national origin, ancestry, disability, veteran status, genetic information, gender identity, or any other applicable legally protected status. MCH is committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans in our application process. If you need assistance or an accommodation due to a disability, please contact us by sending an email to webmaster@mrcohosp.com

On this page... Insurance Motor Accidents Workers Comp Standard Charges Billing Info Billing & Payment Information Pay Bill Here Click button to the left to get started. AblePay Health Program is a way that our patients can save up to 13% on their out-of-pocket medical expenses (deductibles and coinsurance). As a member, you have flexible payment options on every bill and the full support of AblePay’s billing experts if you have a question. The program is NO-COST and works with any primary health insurance, including Medicare. You can also include family members on your AblePay account. AblePay Customer Service Phone : 484-292-4000 AblePay Customer Service Email : support@ablepayhealth.com Please feel free to contact us at 620-767-6811, ext 325 with questions. We accept payments by mail, phone, or in person as well. Quick Pay Payment Solution Pay Bill Here The link below provides another option for our patients to make online payments for their accounts here at MCH. Please follow the prompts as they will guide you through the process. Should you have any questions or issues with this payment solution please contact our office at 620-767-6811, extension 325. Paying for Your Care Thank you for choosing Morris County Hospital, we are pleased that you and your physician have chosen us to help with your medical needs. This information has been compiled to help assist you in understanding the process and responsibilities of billing for services and care while you or your loved ones have been here. Please be advised that in addition to a bill for our services, you may also receive a bill for other professional services while a patient here (i.e. from your physician, or consulting physicians, radiologist, etc.) Questions? Our Patient Accounts staff will be happy to respond to questions about your bill, insurance correspondence, or payments. To reach us call 620-767-6811, Monday through Friday from 7 am to 5 pm. Payment Arrangments If you need to make arrangements to pay your bill or help with securing a loan from a local bank, please contact our Patient Accounts individual at 620-767-6811 ext 325. Financial Assistance Morris County Hospital offers a Financial Assistance Program that provides medical care free for patients who qualify based upon income guidelines. For assistance please contact either Patient Accounts at 620-767-6811 ext 325. Application for Financial Assistance Insurance Insurance Requirements Before hospitalization or use of outpatient services, you are responsible for meeting any special requirements of your insurance plan, such as prior approval, referrals, pre-certification, or obtaining a second opinion. If you have insurance that requires you to contact your Primary Care Physician prior to going to the emergency room, you are responsible for calling your physician for approval. Most insurance plans have special steps which must be followed unless you are seeking treatment for a life-threatening condition. Referral forms must be submitted to your insurance company by your physician. In most cases, the hospital is not allowed to provide referral forms. Insurance plans are quite different and you need to know your plan requirements. If they are not met, your benefits can be greatly reduced or denied by your insurance company. For questions on the above issues, please consult your insurance company, or our Admissions Department at 620-767-6811 ext. 325. Insurance Filing Morris County Hospital will file your insurance claim for you. Because of special requirements by insurance companies and frequent changes in the requirements, it is necessary for us to have a copy of your current insurance card. When we file your insurance, we will send you a summary of the charges being filed, if you require an itemized bill, please contact us. We will ask your insurance company to send payment directly to the Morris County Hospital, allowing your insurance company time to process and pay your bill. If payment has not been received within six weeks of the filing date, you will be billed for the unpaid balance. Motor Vehicle Accidents If you sustain an injury associated with a motor vehicle accident you must provide Morris County Hospital with information on your motor vehicle insurance carrier. Please notify our billing department when a claim number has been assigned. You must report your injury to your own motor vehicle insurance carrier. Kansas law requires claims related to injuries occurring as a result of ownership, operation, maintenance, or use of a motor vehicle to be filed with a motor vehicle insurance. Any claim for an injury arising from contact with a motor vehicle, even if the vehicle is not moving, must first be filed with your motor vehicle insurance. Most health insurance plans will not consider the claim until it has been filed with the motor vehicle insurance. Worker’s Compensation Injuries If you believe you have a work-related injury, you are required to provide Morris County Hospital with the name and address of your employer. You must report the accident to your employer within 24 hours. Failure to do so may result in loss of benefits. Health insurance plans generally will not pay claims determined to be work related. Morris County Hospital Standard Charges To improve price transparency, all U.S. hospitals and health systems are required to provide lists of standard hospital charges ― also called a chargemaster ― so patients can compare prices across hospitals. Here are a few considerations to keep in mind as you view the list of standard charges (chargemaster). These charges are rarely the price that patients pay. The chargemaster lists the dollar amount set for each service prior to insurance contract/benefit plan discounts or self-pay discounts being applied, so the price patients pay tends to be less than the standard charge. Hospital charges differ from patient to patient for the same service depending upon variations in treatment. Patients who are eligible for financial assistance also receive additional discounts. Items included in a charge vary across hospital systems. For example, what’s included in one hospital’s charge for room and board may differ from another hospital’s charge ― some hospitals bundle services together into a single charge that others may list separately. Looking at various hospital charges does not provide any indication of quality of service and outcomes. Price Transparency Tool & Information Video Instructions to use the Price Transparency Solution For the most accurate estimate of the cost of care, patients can contact Morris County Hospital at costestimate@mrcohosp.com or call 620-767-6811 for assistance in understanding the charges and related costs for a procedure or visit. Kevin Leeper, CEO 620-767-6811, Extension 146 Ron Christenson, CFO 620-767-6811, Extension 120 Billing Information Morris County Hospital strives to serve you in an effective and efficient manner. We realize that financial concerns can add to the stress of any medical need. This information is supplied to assist you in settling your accounts. Office Hours: 7:00 am to 5:00 pm Monday through Friday Medical Bill Rights A summary statement of your account is mailed every four weeks. An itemized bill is available upon request. After all insurances have paid on the accounts, payment in full is requested. Payments on accounts can be made via cash, personal checks, or by money orders. For your convenience MasterCard, Visa, and Discover Card are also accepted. MCH is now offering online bill payments as well. Your account statements will indicate how to process those payment options. For self pay patients (those without any insurance coverage) we offer a 15% discount for payment in full upon receipt of the first statement. If you are not able to pay the balance of your account in full upon receipt of your first statement, please contact Patient Accounts at 620-767-6811 and ask for extension 325. For those individuals that qualify, Morris County Hospital has a Financial Assistance Policy to help patients that do not have the resources to pay for the healthcare services that they have received. Please contact Patient Accounts if you want to learn more about this policy. (Click here for Income guidelines and application for assistance. ) Should you believe that your insurance company has not paid in accordance with your health plan policy, please contact your insurance company before calling Morris County Hospital. Further Billing Questions? Call (620) 767-6811 Ext. 325 Monday - Friday 8:00 am - 4:30pm for Medicare, Blue Cross, and Medicaid All other insurance, including auto accidents and workers compensation or Private-pay accounts or to set up a payment plan on a current account

MCH Rehab Center Speech Therapy What is Speech Therapy? Speech Therapy is so much more than just “talking.” Speech Therapy is an extensive field that can benefit all ages, from birth to adult. Speech Therapy addresses cognition (memory, orientation, sequencing, executive functioning, medication management), speech-language disorders (adult and children), voice disorders, and swallowing difficulties. Swallowing Often times when people have some type of swallowing difficulty they think they just have to "deal with it," which is not the case at all. Some people are more affected than others, and some have circumstances that can affect their swallowing, such as a stroke, illness/ disease, surgery, oral/laryngeal cancer, etc. Common symptoms of swallowing problems are (including, but not limited to): coughing, clearing throat after bites or drinks, feeling as if food gets "stuck," recurring pneumonia, and a change in one's voice after swallowing. Speech therapists can be helpful in identifying what muscles may be affected and work with the patient on exercises and strategies to address the weakness/problem. Cognition Speech therapists can address many cognitive deficits that may be associated with post-surgery confusion, dementia, and an overall decrease in cognition with illness or age. Speech therapy can help improve orientation, medication management, finance management, sequencing, short-term memory, and safety awareness. Language Disorders Language disorders can be either receptive or expressive... Receptive disorders refer to difficulties in understanding or processing language. Expressive disorders include difficulty putting words together, limited vocabulary, or inability to use language in a socially appropriate way. Speech disorders include the following problems, according to the American Speech-Language-Hearing Association: Articulation Disorders Include difficulties producing sounds in syllables or saying words incorrectly to the point that other people can't understand what's being said. Fluency Disorders Include problems such as stuttering, the condition in which the flow of speech is interrupted by abnormal stoppages, repetitions (st-st-stuttering), or prolonging sounds and syllables (ssssstuttering) Resonance & Voice Disorders Include problems with pitch, volume, or quality of the voice that distracts listeners from what's being said. Changes in voice can be attributed to paralyzed vocal folds, oral/laryngeal cancer, Parkinson's disease, or increased muscle tension in laryngeal musculature. Voice therapy can also be beneficial with pediatric patients in cases of vocal abuse. For example, a child who may have a hoarse voice due to increased yelling (during play, sports, cheering, etc.) Specialty speech treatments offered at MCH Rehab Center: LSVT Loud LSVT Loud is a treatment for patients with Parkinson's disease and other neurological conditions to improve vocal loudness. The treatment has been shown to improve respiratory, laryngeal, and articulatory function, as well as maximize a patient's speech intelligibility. Vital Stim Therapy Vital stim therapy is a safe and effective treatment for patients suffering from difficulty swallowing. It is a non-invasive, external electrical stimulation therapy cleared to market by the Food and Drug Administration in 2002 for the treatment of swallowing disorders with application on the anterior neck. It has been shown to accelerate recovery time, as well as help patients achieve sustained improvement and long-term results with improvements to swallow function. Myofa scial Release Myofascial release addresses the specific patient populations of head/neck cancer, treatment of fibrosis, dysphagia, various dysphonias, and trismus/TMJ disorders. What we treat at MCH Rehab Center: Adults Swallowing difficulties Stroke rehabilitation Traumatic brain injury Voice disorders Altered mental status post surgery Overall cognitive decline Children Therapy should begin as soon as possible. Children enrolled in therapy early in their development, younger than 3 years old, tend to have better outcomes than those who begin therapy later. This does not mean that older kids can't make progress in therapy; they may progress at a slower rate because they often have learned patterns that need to be changed. Cleft lip palate Language delays Speech sound/articulation delays Stuttering/fluency disorders Developmental delays Motor planning issues (apraxia of speech) Voice disorders (ex: vocal abuse) The goal of the Morris County Hospital Rehab Center is to provide quality care with an emphasis on individual, personalized service. Rest assured, our highly trained staff is constantly learning, applying, and practicing the most modern and successful methods in the physical, occupational, and speech therapy fields. Your return to good health is our common goal. MCH Rehab Center Phone: 620.767.6811 Address: 600 North Washington Street, Council Grove, KS 66846 Return to MCH Rehab Ce nter Return to All MCH Services

White City, Kansas MCH Clinic White City We provide Family Practice, caring for the entire family. Address 106 West Mackenzie Street White City, KS 66872 Contact phone (785) 349-2274 emergency 911 fax (785) 349-2275 email webmaster@mrcohosp.com Office Hours Monday Tuesday Wednesday Thursday Friday Saturday Sunday 8:00 am – 5:00 pm closed 8:00 am – 5:00 pm closed 8:00 am – 5:00 pm closed closed by appointment ONLY White City Clinic Providers Haley Morgan FNP

MCH Radiology Department MRI (Magnetic Resonance Imaging) MRI provides excellent images without radiation exposure by using a super conductive electromagnet, radio waves and sophisticated computer software to generate and enhance images. The result is an unprecedented view of internal organs, body structure and systems which provide detailed images needed to make an accurate diagnosis. Our MRI suite offers a 1.5 Tesla Magnet, a full-field magnet with advanced software applications. To maximize patient comfort, we also offer a stereo system! The headphones can play the music of your choice and allow the MRI staff to communicate with you during your scan. Hours A scheduled appointment is required. Procedures We perform a wide range of MRI scans as well as special procedures such as arthrograms and angiography. Frequently Asked Questions... What to Expect During Your MRI... The technologist will constantly be in touch with you via intercom. You’ll lie down on the MRI table, which will move into the scanner. During the exam, you may feel a slight vibration and hear a series of rhythmic knocking or hammering sounds. This is all normal. Some MRI exams require the injection of a contrast dye, which assists the Radiologist in obtaining optimal images to make a diagnosis. Most exams take about an hour. How Do I Prepare for a MRI? When scheduling you will be asked the following questions... Do you have a history of metal to your eyes? If you have previously had any metal in or removed from your eyes, you may have to undergo an x-ray of the eyes to verify it is safe for you to have an MRI Do you have heart stents, pacemakers, or other implanted devices? Patients with an implanted device should never enter an MRI suite without being cleared by the MRI technologist or the radiologist in charge Have you had a recent surgery in the last 6 weeks? For safety reasons, a patient cannot have an MRI until 6 weeks post-op. If your exam is ordered with MRI contrast, you may need lab work prior to the exam to verify your kidneys are in good functioning condition. You’ll also need to remove all metal, jewelry, snaps, zippers, pens, pocket knives, pagers, cell phones, guns, ammunition and the like. Any questions regarding MRI safety should be directed to the technologist or radiologist in charge for the day. We offer online sharing of your medical images using Nuance Powershare. This service allows us to share images with your provider in a secure and convenient way! All imaging will be sent to the physicians of Manhattan Radiology to be read and reported. Your ordering provider will have your report within 24 to 48 hours. Your provider should contact you with your results. All services require a written order from a physician in good standing and licensed to practice medicine in the State of Kansas. Return to MCH Radiology Department Return to All MCH Services

All Posts Health Tips News Services Events Staff Assisted Living Blood Drive Benefit Tournament Search jnthibodeaux Aug 22 2 min Administrator’s Bi-Weekly Review (August 22nd) Continued Dedicated Service to Our Community For Pay Period Ending August 17th Guess we can close out the summer of 2024’s books:... 3 views 0 comments Post not marked as liked jnthibodeaux Aug 16 1 min Original Medicare vs. Medicare Advantage With Medicare enrollment just around the corner, October 15th through December 7th, it is important to understand the options available... 8 views 0 comments Post not marked as liked jnthibodeaux Aug 8 2 min Administrator’s Bi-Weekly Review (August 8th) Continued Dedicated Service to Our Community For Pay Period Ending August 3rd ... 3 views 0 comments Post not marked as liked jnthibodeaux Jul 26 3 min Administrator’s Bi-Weekly Review (July 26th) Continued Dedicated Service to Our Community For Pay Period Ending July 20th This political year is getting more and more interesting... 8 views 0 comments Post not marked as liked jnthibodeaux Jul 15 2 min Administrator’s Bi-Weekly Review (July 15th) Continued Dedicated Service to Our Community For Pay Period Ending July 6th Does it feel safe to say that the Dog Days of Summer are... 15 views 0 comments Post not marked as liked jnthibodeaux Jul 15 2 min JULY Newsletter The heat doesn't have to stop you from getting outside and getting a good walk! Here are some tips to keep moving (and getting the... 16 views 0 comments Post not marked as liked jnthibodeaux Jul 2 0 min MCH Golf Benefit Tournament 56 views 0 comments Post not marked as liked jnthibodeaux Jun 28 1 min Greater Morris County Development Corporation The primary purpose of the FHLB Owner Occupied Rehab grant is to improve or modernize low-income to moderate-income family homes. The... 7 views 0 comments Post not marked as liked jnthibodeaux Jun 28 2 min Administrator’s Bi-Weekly Review (June 28th) Continued Dedicated Service to Our Community Administrator’s Bi-Weekly Review For Pay Period Ending June 22nd Seems like we are on a run... 15 views 0 comments Post not marked as liked jnthibodeaux Jun 14 2 min Administrator’s Bi-Weekly Review (June 14th) Continued Dedicated Service to Our Community Administrator’s Bi-Weekly Review For Pay Period Ending June 8th This week ends in Father’s... 12 views 0 comments Post not marked as liked jnthibodeaux Jun 10 0 min JUNE Newsletter 12 views 0 comments Post not marked as liked jnthibodeaux Jun 5 1 min Administrator’s Bi-Weekly Review (June 4th) Continued Dedicated Service to Our Community Administrator’s Bi-Weekly Review For Pay Period Ending May 26th This report will again be... 11 views 0 comments Post not marked as liked jnthibodeaux May 22 1 min Administrator’s Bi-Weekly Review (May 22nd) Continued Dedicated Service to Our Community Administrator’s Bi-Weekly Review For Pay Period Ending May 11th This report will be very... 16 views 0 comments Post not marked as liked jnthibodeaux May 6 3 min Administrator’s Bi-Weekly Review (May 3rd) Continued Dedicated Service to Our Community Administrator’s Bi-Weekly Review For Pay Period Ending April 27th If European tradition... 16 views 0 comments Post not marked as liked jnthibodeaux Apr 23 2 min Administrator’s Bi-Weekly Review (April 13th) Continued Dedicated Service to Our Community Administrator’s Bi-Weekly Review For Pay Period Ending April 13th April has again brought... 18 views 0 comments Post not marked as liked szeigler4 Apr 9 3 min April Newsletter April is National Stress Awareness Month! Here are a few tips to help ward off the negative impacts of stress: Take breaks from news... 24 views 0 comments Post not marked as liked Kevin Leeper Apr 4 2 min Administrator’s Bi-Weekly Review (Ending March 30) The first quarter 2024 is now history, as well as the last first quarter of the 21st century’s first quarter…does that get you thinking... 36 views 0 comments Post not marked as liked Kevin Leeper Mar 16 2 min Administrator’s Bi-Weekly Review (Ending March 16) Spring is definitely in the air with longer days of daylight ahead and, Spring Break, with its time-off-tug on a few of our staff and... 22 views 0 comments Post not marked as liked Kevin Leeper Mar 6 2 min Administrator’s Bi-Weekly Review (Ending March 2) As spring is in the air (around here that occurs once Grove Gardens opens), we do know that winter will have another round or two with... 30 views 0 comments Post not marked as liked

Sat, Jul 13 | Council Grove MCH 7th Annual Disc Golf Tournament Join us at the historical Council Gove Fair Ground Park for a doubles disc golf tournament. July 13th with sign in beginning between 8:00 and 8:30 am. Find out more and register at https://www.discgolfscene.com/tournaments/MCH_Foundation_7th_Annual_Fundraiser_presented_by_Precision_Anesthesia_2024 Time & Location Jul 13, 2024, 8:00 AM – 2:00 PM Council Grove, 2-62 E Valley St, Council Grove, KS 66846, USA About the event This annual disc golf tournament is a fundraiser for the Morris County Hospital Foundation to help support Hospital projects. It is a doubles tournament and walk-ups are welcome. Four divisions with prizes for each and a fun raffle table! More information and registration at https://www.discgolfscene.com/tournaments/MCH_Foundation_7th_Annual_Fundraiser_presented_by_Precision_Anesthesia_2024 Show More Share this event