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Greater Regional Welcomes Surgeon
Amy Hynek McFarland, DO

Greater Regional Medical Center is pleased to announce Amy Hynek McFarland, DO will join the Greater Regional Medical Clinic – Surgical Specialists team on September 14th. 

Hynek McFarland, originally from Ellston, Iowa grew up on a farm on the east side of Sun Valley Lake.  She completed her Associates degree at Southwestern Community College the same year she graduated from Mount Ayr High School in 2001.  While obtaining those degrees, she also worked as the Sunday morning disc jockey at KSIB Radio in Creston.  She obtained her B.A. degree from Graceland University in 2003 and then acquired a Master’s degree in anatomy at Creighton University in 2004. 

Dr. Hynek McFarland graduated from Des Moines University – College of Osteopathic Medicine in 2010 and recently completed a five year residency in general surgery at Northeast Regional Medical Center in Kirksville, Missouri. 

Hynek McFarland will be living in Creston with her husband Stacy McFarland and son, Gus.  She states she is excited and committed to her career in surgery.  “I’m a lot like my Dad who is a farmer.  He is always fixing something in the machine shed.  It’s a great feeling to help someone feel better.  I am looking forward to meeting and serving the great people of our region.”

An open house to welcome Dr. Hynek McFarland to the community will be held Thursday, October 1st, between the hours 12:00 – 1:30 PM in the Medical Arts Plaza Conference Room.  The public is invited to attend and welcome her to the community.

2015 Greater Regional Women's Event October 29th

Grab your black dress and a few of your friends and get ready for a fun night out.  There will shopping laughter and fun as Greater Regional Medical Center invites you to join us at “A Little Black Dress and a Lot Less Stress.”  Our women’s event will inform about women's health issues and entertain. 
The event will be held Thursday, October 29th at Southwestern Community College in Room 180. 

Women who attend the event will enjoy appetizers and desserts while browsing booths with displays and information on women’s wellness and also find a selection of shopping opportunities.

After socializing and enjoying all the offerings in Room 180, the group will move to the auditorium for two special presentations.  The first presentation will be by Drs. Heather Osterbrink and Amy Hynek McFarland, general surgeons at Greater Regional, who will discuss varicose veins and the treatment options available locally as well as other important surgery screenings available at Greater Regional. 
The second speaker will be nationally recognized speaker Kay Frances.  Kay Frances combines standup comedy with education and encourages audiences “to manage their stress, take care of their health and remember to laugh!”

As part of the night’s celebration Greater Regional will also recognize an Amazing Woman.  In honor of all the women who make a difference in our community, the award will recognize a woman who is making a difference.  Please send nominations of 250 words or less to Greater Regional Medical Center, Attn: Women’s Event by October 12.  The winner will receive prizes and special recognition at the event.

To purchase tickets please visit or call 641-782-3828.  Tickets are also available in at the Greater Regional Gift Connection.  Tickets are $25 pre-event or $30 at the door.

Greater Regional Medical Center and Greater Regional Medical Clinic Prepare for Transfer to New Electronic Medical Record System

On Sunday, June 28th, Greater Regional Medical Center and on Monday, June 29th, Greater Regional Medical Clinics will transfer to the same electronic medical record system used across the entire UnityPoint Health system. Greater Regional Medical Center has been a rural affiliate of Unity Point since the early 1990s.

Greater Regional has been planning for the transition the past several months.  The transition will benefit both health care providers and patients, as providers can now quickly compile and view patient information in one place, resulting in better, more comprehensive care for patients.

“Having the same electronic documentation at both the hospital and clinic level allows for better communication among health care providers, ensuring consistent, improved care for patients in whatever setting they might be,” said Monte Neitzel, CEO. “Our physicians and health care team are committed to advancing our technology to allow advanced care and communications with our patients.  In addition, we are pleased to be joining the electronic health record platform shared by the affiliates of UnityPoint Health.”

This advancement in technology will improve patient care by providing:
• Current medical information at the providers’ fingertips no matter which UnityPoint Health hospital or clinic the patient is receiving care.
• Better coordinated care – Health information will be more efficiently shared between patients’ UnityPoint Heath providers and hospitals that are involved in their care.
• Additional Safety and Security features for their medical record.

Another feature of the new electronic health record is a new patient portal a free, privacy-protected website and mobile app for patients and care givers.  It will help patients keep track of their personal medical history and test results.  Individuals already enrolled in the current Greater Regional patient portal, will need to enroll in the new portal system.  Patients will be provided information on how to activate their “MyChart/MyUnityPoint” beginning in July.

During the first few weeks of implementation, patients may experience longer than usual wait times, as staff and providers adjust to the new system.

“We realize our patients’ time is extremely important, and we appreciate their understanding during implementation, should they experience any extended wait,” said Neitzel, “We are committed to making this transition as seamless as possible for our patients and their families.”

Greater Regional Now Provides In-house Breast Biopsy
Stereotactic Technology

Greater Regional Medical Center has expanded its health and wellness services available to women with the addition of the Eviva® Breast Biopsy System from Hologic, Inc. for use under stereotactic (mammography) guidance.

The Eviva Breast Biopsy system is designed to improve the quality, accuracy and ease of stereotactic-guided breast biopsies. Greater Regional is the only southwest Iowa location offering this service in-house. 

The Eviva device is a fully closed system that uses vacuum-assisted technology to perform a breast biopsy that typically lasts one-minute. The precision of the Eviva system allows for the ability to compassionately treat a broader spectrum of patients giving more women an alternative to open surgical biopsy. Samples are obtained through a very small incision in the skin, typically excluding the need for post-biopsy stitches and minimizing procedure time. These benefits allow most patients to return to daily activities immediately following the procedure.

The Greater Regional Radiology Services Department provides a comprehensive scope of services addressing the physical, emotional and educational needs of our clients.  Each and every patient receives personalized care designed to meet her individual needs. Our staff is highly trained and our equipment is state-of-the-art. We are committed to providing exceptional care to the women in our community.

Greater Regional Medical Center offers high quality, acute health care and preventative medical care in a compassionate manner to all people who live in, work, or visit Creston and its surrounding areas. For further information, please call 641-782-3508 or visit our web site

Nawab Joins Greater Regional Medical Staff

Greater Regional Medical Center welcomes Qurrat-Ul-Ain “Annie” Nawab, M.D., to the Greater Regional medical staff.   Dr. Nawab is a board certified internal medicine physician with secondary practice specialties and board certification in critical care, sleep medicine and pulmonology.   

Prior to joining Greater Regional, Nawab worked as a Pulmonologist/Intensivist and Sleep Medicine Specialist since 2008 at Mercy Hospital in Joplin, Missouri.  Nawab, recognized as one of 417 Magazine’s Top Pulmonologists in Southwest Missouri, served as Chief of the Medical Staff in 2013-14 and Director of the Sleep Lab during 2011-2014 while in Joplin.  

Nawab obtained her medical degree at the Agakhan University Medical School in Karachi, Pakistan in 1999.  She completed her internship at Methodist Healthcare University Hospital in Memphis, TN and her Residency and Fellowship at the University of Tennessee. 
 Nawab will be Director of the Greater Regional Pulmonary & Sleep Medicine Center at Greater Regional and will also serve in a rotation with the hospitalist program on the Patient Care Floor at Greater Regional.

Greater Regional Adds 24/7 Fetal Monitoring Expertise
Decision support and remote web access enhances Labor and Delivery outcomes,
safety and best practices

Continuing its commitment to deliver safe, quality health outcomes to the Labor and Delivery (L&D) patients of southwest rural Iowa, Greater Regional Medical Center, in Creston, has implemented PeriGen’s PeriCALM® fetal surveillance system.

“With PeriGen’s PeriCALM, the evidence-based decision support system is like having a maternal fetal expert looking over your shoulder throughout the labor process, offering reassurance and consultation when needed,” said Gwen Buck, R.N., Greater Regional’s chief nursing officer.  “When we get busy handling multiple deliveries, PeriCALM’s fetal heart monitoring and alert capabilities ensure that we stay on top of all developments. We expect our outstanding quality care for newborns and their mothers to continue and PeriCALM helps assure the highest level of safety.”

With PeriCALM’s remote web access, Greater Regional on-call physicians can log onto the system’s spilt screen to instantly view the mother and baby’s fetal heart tracings in current state and over two hours. They can also access automated, real-time pattern recognition at the bedside. These capabilities allow physicians working remotely to see for themselves the same PeriCALM annotations nurses are seeing, creating more productive conversations. This dialogue empowers the Greater Regional Birthing Center team to make decisions with greater confidence, mitigating the potential for complications and risk.

The Greater Regional Birthing Center typically delivers between 150 and 250 babies annually.

“PeriGen supports Greater Regional Medical Center’s mission to provide the highest quality healthcare and service and to be our community’s provider of choice,” said Buck. “PeriCALM technology also helps us support our core values by encouraging teamwork in making it easier for physicians, nurses and midwives to view and interpret the same fetal strip data at the same time and collaborate on the patient’s care.” 

Continuing, she added, “Above all, PeriCALM enhances our integrity and compassion by applying evidence-based decision support annotations to promote better outcomes – all of which demonstrates our striving for best practice, excellence and the respect we have for our patients. This ensures we’re delivering the very best care.”

“PeriCALM gives our OB staff a sense of reliability and security in the decision process by creating better communication between physicians, nurses and midwives,” said Denise Riley, R.N., OB/GYN coordinator at Greater Regional. “It ensures we’re able to maintain the high quality level we’ve established, and that our interpretation of the data is following evidence-based best practices.”

“Greater Regional Medical Center has established an outstanding reputation for its quality of care and dedication to achieving positive outcomes for its patient community spread across rural southwest and south central Iowa,” said Matthew Sappern, PeriGen’s CEO. “We are excited to bring our sophisticated PeriCALM complete perinatal system to grow with their technology needs now and into the future.”

Greater Regional Offers 3D Mammography

Women who undergo routine mammograms now have the latest screening and diagnostic technology available to them at Greater Regional Medical Center in Creston.

Greater Regional is one of the first women’s centers in Iowa to offer tomosynthesis for breast cancer screening. Breast tomosynthesis helps radiologists identify and characterize individual breast structures without the confusion of overlapping tissue. 

The center’s Selenia® Dimensions® breast tomosynthesis system is made by Hologic, a world leader in digital mammography. The Selenia Dimensions system offers exceptionally sharp breast images, an advanced ergonomic design providing more patient comfort, and the ground-breaking tomosynthesis platform designed to deliver superior screening and diagnostic performance.

Breast cancer screening with tomosynthesis when combined with a conventional 2D mammography has a higher cancer detection rate than conventional 2D mammography alone.   Radiologists are reporting that tomosynthesis technology gives them increased confidence with a significant reduction in recall rates.

During a tomosynthesis exam, multiple, low-dose images of the breast are acquired at different angles.  These images are then used to produce a series of one-millimeter thick slices that can be viewed as a 3D reconstruction of the breast.

By offering women the latest technology in mammography, Greater Regional hopes to increase the number of area women who will be routinely screened.  Breast cancer is the second leading cause of cancer death among women, exceeded only by lung cancer.  Statistics indicate that one in eight women will develop breast cancer sometime in her lifetime. The stage at which breast cancer is detected influences a woman’s chance of survival. If detected early, the five-year survival rate is 98 percent. 

Greater Regional is committed to the fight against breast cancer. In offering breast tomosynthesis digital mammography, Greater Regional provides the latest in imaging quality. If you would like to schedule a mammogram or have questions about this important breast health procedure, please contact 641-782-3508 or visit our web site