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Encyclopedia Dubuque

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HEALTH MAINTENANCE ORGANIZATION and MEDICAL ASSOCIATES CLINIC PC (THE): Difference between pages

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HEALTH MAINTENANCE ORGANIZATION (HMO). The HMO established between [[MEDICAL ASSOCIATES CLINIC PC (THE)]] and the [[JOHN DEERE DUBUQUE WORKS]] in July, 1982 was area's first health maintenance organization. (1) The decision to establish a Medicare plan for seniors was made in 1983. The program expanded into Wisconsin in 1984 and Illinois in 1985. In 2017 Medical Associates Health Plans serviced approximately a 45-mile radius of Dubuque although there were offices in Monona, Wisconsin and Elkader, Iowa. FFamily practices existed in all three states. (2)
[[Image:medicalassociates.jpg|left|thumb|250px|The Medical Associates clinic at Main and 12th in the 1970s]]MEDICAL ASSOCIATES CLINIC PC (THE). Medical Associates is Iowa's largest and oldest fully accredited multi-specialty clinic. Medical Associates was founded in 1924 by Drs. [[HELES, John B.|John B. HELES]], [[LYNN, Clarence|Clarence LYNN]], and [[JOHNSTON, Wayne A.|Wayne A. JOHNSTON]]. The site of the first clinic was a house at 1200 Main. This building was renovated and expanded to eventually house twenty-eight physicians.  


HMOs presented employers with an alternative to health insurance. Participating companies contracted with the clinic and other participating doctors for health care of employees. Costs were contained because doctors were forced to work within pre-determined health care payments. Employees were also encouraged to see their doctor to address concerns before the health of the person declined further. (3)
By 1974 a new clinic with 66,000 square feet of space was built at 1000 Langworthy next to St. Joseph's Unit of Mercy Health Center. The size of the staff was nearly doubled. This building was expanded in 1978 by 22,000 square feet.


In 2018 employers could choose from multiple health plans. The tri-state plan included all Medical Associates Clinic providers and locations and most family medicine providers in the area and all hospitals within a 60-mile radius of Dubuque. Other plans included areas of eastern, northern, and southeast Iowa. (4)
In 1978 Medical Associates Foundation was established to encourage health research, wellness, and health education activities.  


Zach Keeling, the organization's chief operating officer, found that the Medical Associates Health Plans were one of just two owned by physicians' groups. The plans were one of just one hundred plans owned by a health system. In 2018 the plans, recently awarded five-star ratings (top possible scores) from the Centers of Medicare and Medicaid Services and the National Committee for Quality Assurance Health Ratings, served over 42,000 members. Of these, 15,000 were receiving supplemental care for Medicare, a federally funded program providing coverage primarily for those 65 and older, and younger people with disabilities. Keeling explained that the ratings placed a major emphasis on patient experience. (5)
The Pediatrics Department expanded by two departments in 1983. Adolescent Medicine worked with the problems of children aged 12 to 19. Physicians in this department divided their time between counseling and general health care. The new Well-Child Clinic was staffed by nurse practitioners who provided check-ups and immunizations to healthy children up to age 3. They also offered parents instruction in nutrition, social habits dental care and safety. A third expansion and modernization came in the Obstetrics, Gynecology and Infertility Department with more comfortable and private conferences and advanced pre-natal care. (1)
 
In 1989 Medical Associates employed 75 physicians and over 525 nurses and health care professionals. Through 1984 the clinic annually added from five to seven doctors and one new medical specialty. Satellite offices were opened throughout the tri-state region.
 
In December 1993, Medical Associates announced it had an option to purchase 100 acres of land east of the [[NORTHWEST ARTERIAL]]. The medical practice planned to build a 120,000 square-foot four-level facility. The musculoskeletal facility at Asbury Square would grow to 40,000 square feet. Plans for a 88,000 square-foot expansion proposed at the Langworthy location would be abandoned. (2)
 
The 1993 ''Dubuque City Directory'' listed 1940 Elm, 1000 Langworthy, and Sports Medicine (Medical Associates at 2255 John F. Kennedy Road.
 
In early January 1997 Finley, Medical Associates, and the Tri-States Physicians Association submitted an application to the Iowa Department of Public Health to bring a permanent hospital-based magnetic resonance imaging center (MRI) to Dubuque. The application suggested that the center would be the fourth busiest in Iowa and would lower the cost of each MRI by 23%. Finley and [[MERCY MEDICAL CENTER]] were at the time using a mobile MRI on a part-time basis as a contracted service. The proposed Finley MRI was to be housed in an attached hospital addition and could provide MRI services 24-hours daily. The cost of purchasing the equipment, construction, and installation was estimated at $2.3 million. (3)
 
Medical Associates claimed many of the area's "firsts" in health care. The area's first [[HEALTH MAINTENANCE ORGANIZATION]] (HMO) was opened by the clinic in 1982. The first walk-in emergency room, Acute Care Facility, was added in 1983. The same year the Midwest's first low-dosage radiation mammography equipment, used in the detection of breast cancer, was purchased by the clinic.
 
The West Campus of Medical Associates at 1500 Associates Drive was formally opened on May 17, 1997. (4)
 
Medical Associates announced "Same Day Appointment Scheduling" in 2005 in the Departments of Pediatrics, Internal Medicine, Family Practice, Ophthalmology, and Orthopedics. (5)
 
In April 2011 Medical Associates introduced Patient Station, an online patient portal and personal health record. Using the program, a patient could link to all of their Medical Associates' physician and provider offices, request appointments and prescription refills, and communicate securely and directly with the physician and office staff through secure messaging. (6)
 
One of the first oncology practices in the United States, in 2014 Medical Associates was one of only five practices in Iowa to be recognized by the Quality Oncology Practice Initiative Certification Program. (7) The same year, Medical Associates advertised it offered the only  cardiothoracic surgeons in the area. (8)
 
[[Image:medicalassocwc.jpg|left|thumb|350px|Medical Associates West Campus in 2010]]


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Source:
Source:


1. Jacobson, Ben, "Top Marks," ''Telegraph Herald'', December 9, 2018, p. 1D
1. "Medical Associates Adds, Expands Departments," ''Telegraph Herald'', January 23, 1983, p. 16
 
2. Bergstrom, Kathy. "Clinic Seeks West-Side Site," ''Telegraph Herald'', December 30, 1993, p. 1
 
3. Gwiasda, Susan B. "Prognosis: Finley's MRI Busy, Fee Lower," ''Telegraph Herald'', January 22, 1997, p. 1. Online: https://news.google.com/newspapers?nid=aEyKTaVlRPYC&dat=19970122&printsec=frontpage&hl=en
 
4. Insert. ''Telegraph Herald'', May 14, 1997. https://news.google.com/newspapers?nid=aEyKTaVlRPYC&dat=19970514&printsec=frontpage&hl=en
 
5. Advertisement, ''Telegraph Herald'', January 2, 2005, p. 3


2. Salwolke, Scott, "35 Years of Healthy Efforts," ''Telegraph Herald'', March 9, 2017, p. 42
6. Medical Associates Clinic: Embracing the Brave New World of Healthcare Information Exchange," '''Julien's Journal''', May 2013, p 49


3. Hammil, Roxie. "Dubuque-Area Hospitals, Clinics from Some Victories..." Dubuque, On the Road Again, ''Telegraph Herald'', June 26, 1983
7. Advertisement, ''Telegraph Herald'', February 7, 2016, p 80


4. Jacobson
8. Advertisement, ''Telegraph Herald'', January 22, 2016, p. 54


5. Ibid.


[[Category: Health Care]]
[[Category: Clinics]]
[[Category: Clinics]]

Revision as of 05:54, 10 December 2018

The Medical Associates clinic at Main and 12th in the 1970s

MEDICAL ASSOCIATES CLINIC PC (THE). Medical Associates is Iowa's largest and oldest fully accredited multi-specialty clinic. Medical Associates was founded in 1924 by Drs. John B. HELES, Clarence LYNN, and Wayne A. JOHNSTON. The site of the first clinic was a house at 1200 Main. This building was renovated and expanded to eventually house twenty-eight physicians.

By 1974 a new clinic with 66,000 square feet of space was built at 1000 Langworthy next to St. Joseph's Unit of Mercy Health Center. The size of the staff was nearly doubled. This building was expanded in 1978 by 22,000 square feet.

In 1978 Medical Associates Foundation was established to encourage health research, wellness, and health education activities.

The Pediatrics Department expanded by two departments in 1983. Adolescent Medicine worked with the problems of children aged 12 to 19. Physicians in this department divided their time between counseling and general health care. The new Well-Child Clinic was staffed by nurse practitioners who provided check-ups and immunizations to healthy children up to age 3. They also offered parents instruction in nutrition, social habits dental care and safety. A third expansion and modernization came in the Obstetrics, Gynecology and Infertility Department with more comfortable and private conferences and advanced pre-natal care. (1)

In 1989 Medical Associates employed 75 physicians and over 525 nurses and health care professionals. Through 1984 the clinic annually added from five to seven doctors and one new medical specialty. Satellite offices were opened throughout the tri-state region.

In December 1993, Medical Associates announced it had an option to purchase 100 acres of land east of the NORTHWEST ARTERIAL. The medical practice planned to build a 120,000 square-foot four-level facility. The musculoskeletal facility at Asbury Square would grow to 40,000 square feet. Plans for a 88,000 square-foot expansion proposed at the Langworthy location would be abandoned. (2)

The 1993 Dubuque City Directory listed 1940 Elm, 1000 Langworthy, and Sports Medicine (Medical Associates at 2255 John F. Kennedy Road.

In early January 1997 Finley, Medical Associates, and the Tri-States Physicians Association submitted an application to the Iowa Department of Public Health to bring a permanent hospital-based magnetic resonance imaging center (MRI) to Dubuque. The application suggested that the center would be the fourth busiest in Iowa and would lower the cost of each MRI by 23%. Finley and MERCY MEDICAL CENTER were at the time using a mobile MRI on a part-time basis as a contracted service. The proposed Finley MRI was to be housed in an attached hospital addition and could provide MRI services 24-hours daily. The cost of purchasing the equipment, construction, and installation was estimated at $2.3 million. (3)

Medical Associates claimed many of the area's "firsts" in health care. The area's first HEALTH MAINTENANCE ORGANIZATION (HMO) was opened by the clinic in 1982. The first walk-in emergency room, Acute Care Facility, was added in 1983. The same year the Midwest's first low-dosage radiation mammography equipment, used in the detection of breast cancer, was purchased by the clinic.

The West Campus of Medical Associates at 1500 Associates Drive was formally opened on May 17, 1997. (4)

Medical Associates announced "Same Day Appointment Scheduling" in 2005 in the Departments of Pediatrics, Internal Medicine, Family Practice, Ophthalmology, and Orthopedics. (5)

In April 2011 Medical Associates introduced Patient Station, an online patient portal and personal health record. Using the program, a patient could link to all of their Medical Associates' physician and provider offices, request appointments and prescription refills, and communicate securely and directly with the physician and office staff through secure messaging. (6)

One of the first oncology practices in the United States, in 2014 Medical Associates was one of only five practices in Iowa to be recognized by the Quality Oncology Practice Initiative Certification Program. (7) The same year, Medical Associates advertised it offered the only cardiothoracic surgeons in the area. (8)

Medical Associates West Campus in 2010

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Source:

1. "Medical Associates Adds, Expands Departments," Telegraph Herald, January 23, 1983, p. 16

2. Bergstrom, Kathy. "Clinic Seeks West-Side Site," Telegraph Herald, December 30, 1993, p. 1

3. Gwiasda, Susan B. "Prognosis: Finley's MRI Busy, Fee Lower," Telegraph Herald, January 22, 1997, p. 1. Online: https://news.google.com/newspapers?nid=aEyKTaVlRPYC&dat=19970122&printsec=frontpage&hl=en

4. Insert. Telegraph Herald, May 14, 1997. https://news.google.com/newspapers?nid=aEyKTaVlRPYC&dat=19970514&printsec=frontpage&hl=en

5. Advertisement, Telegraph Herald, January 2, 2005, p. 3

6. Medical Associates Clinic: Embracing the Brave New World of Healthcare Information Exchange," Julien's Journal, May 2013, p 49

7. Advertisement, Telegraph Herald, February 7, 2016, p 80

8. Advertisement, Telegraph Herald, January 22, 2016, p. 54