Public health nurses, nutritionists and other professionals are available to make home visits. Frequency of visits and length of time per visit are agreed upon by family and nurse, depending upon needs of the family. Services: - After Home Care: Suggestions for exercise program, mother's health needs, parenting education, newborn care, nutritional needs, and infant growth and development - Breast feeding assistance - Child's growth and development, and child rearing questions - Guidelines for parents to provide safe care and a healthy environment for their child - Health information on pregnancy and pregnancy care - Healthy Families America parenting program for first time parents who wish to improve their parenting skills - Identification of problems and early intervention activities in conjunction with families and schools to assist families with special needs children ages birth - six - Nutritional assessment, counseling and education - Physical development screening - Prenatal health needs including nutrition, weight gain, balance of rest and exercise, and substance use - Preparation of labor and delivery - Prevention of child maltreatment - Special care for high risk pregnant women - Supportive community resources

Health Education and Promotion Programs attempt to maintain and improve the health of our county's residents through many types of programs such as: Group Programs about health concerns such as: - Nutrition - Healthy lifestyles - Hypertension - Smoking - AIDS, etc - Health Related Programs for schools and youth organizations - Assistance and direction with the formation of needed support groups - Diabetes Education is provided by one of our staff nurses who is a certified diabetes educator - Blood Pressure and Cholesterol Screening, education and referral for on-site groups and work places - AIDS information and support, call the AIDS Hotline at (800)248- AIDS - For local education and/or promotion, call County Health at (218)283-7070 - Up to date health information and audiovisual materials are available free of charge to individuals, community groups, schools - Public Awareness of Health Resources throughout the county through publicity, programs and health information - What's Up? Family, Health and Community radio broadcast provides important information concerning our community Health. Listen to KGHS Radio Wednesday afternoons & Saturday mornings - Labor and Delivery class training is provided through the Rainy Lake Medical Center Hospital Campus - The Maternal and Child Health Special Project seeks to reduce infant mortality and disability and to improve the health of the mothers and babies. Home visits are made to pregnant women and mothers and infants by a skilled maternal and child health nurse. Education and support services to reduce maternal risk-taking behaviors and improve parenting skills are provided through individual counseling, group education, prepared childbirth classes, special classes for students on healthy lifestyles, and the distribution of printed materials and newsletters - Family Planning Services are available at Koochiching Family Planning Clinic

- - ADD/ADHD initial evaluation - - Adult vaccinations - - Anticoagulation therapy - - Camp and sports physical exams - - Childhood vaccinations - - Comprehensive medication review (CMR) - - Diabetes education program - - Family medicine - - Flu vaccinations - - Health maintenance exams (adult physical exams for women may also include a pap smear, and a pelvic and breast health exam, as appropriate) - - Health screenings:- - Blood pressure check - - Cholesterol check - - Colonoscopy - - Colposcopy - - Depression screening - - Diabetes screening - - Mammogram - - Osteoporosis test - - Prostate cancer screening - - Sexually transmitted disease (STD) screening - - Internal medicine - - Medicare wellness visits - - Medication management - - Obstetrics and gynecology (OB/GYN) - - Pediatrics - - Pregnancy (prenatal care) - - Well-child exams

Provides specialty medical services including: - Allergy testing - Birth center - Cardiology - Chemotherapy - Eye care center - Family medicine - Imaging - Infusions and injections - Laboratory - Orthopedics - Pharmacy - Rehabilitation

- ADD/ADHD initial evaluation - Adult vaccinations - Anticoagulation therapy - Camp and sports physical exam - Child and teen psychology - Childhood vaccinations - Commercial motor vehicle physical exam - eVisits - Family medicine - Flu vaccination - Health maintenance exam - Health screening - Medical imaging - Medicare wellness visit - Medication management - Obstetrics and gynecology (OB/GYN) - Occupational health exam - Orthopedics - Osteopathy - Pediatric walk-in care - Pediatrics - Podiatry - Pregnancy care - Psychology - Well-child exam - Women's health exam - Workers' compensation exam

An outpatient medical clinic providing services such as: - Acute illness or injury care - Allergy shots - Behavioral health services - Chronic disease management - Foot care services - Health maintenance for men, women, and children - Immunizations - Prenatal care - Reproductive health in birth control, family planning, and STI screening - School, sports, and camp physical examinations - Sports and non-sport injuries and joint issues - Telehealth services via Zoom - Tobacco cessation - Well-child examinations and newborn appointments - Women's health for breast examinations, family home visiting, and pap smears

Provides a range of primary care services including: - Allergy injections - Children's health and pediatrics - Drug screening and substance abuse evaluations - Illnesses, such as colds, fevers, sore throats, and ear infections - Immunizations and vaccinations - Laboratory services, stress tests, X-rays, and ultrasound procedures - Lesion removal, dermatology services, and wound care - Men's health - Osteopathic manipulative treatment - Preventative screenings like diabetes and hypertension - Pulmonary care - Routine prenatal care - Yearly checkups and yearly wellness visits

Acute care - Adult acute illness - Childhood illnesses - Colds/coughs - GYN care - Injuries - Lacerations - Sprains/strains/fractures Chronic Disease Management - Anticoagulation management/INR - Asthma - Cardiovascular disease - Congestive heart failure - COPD - Diabetes - Hypertension Prenatal Care - First and second trimester care - Pregnancy screening Preventive Services - Cancer screening - Immunizations - Physical exams - all ages - DOT physicals - Men's physicals - Sports physicals - Well child visits - Women's wellness - Smoking cessation - Weight loss

Increases access to medical services by traveling from site to site to bring services where it is convenient for individuals facing homelessness. Services include: - Chemical health assessment and referrals - Chiropractic services - Medical services include primary care, transportation assistance, and community resource assistance and referral - Nutrition services include assessment and referral, education, consultation, advocacy - Mental health diagnosis and treatment services - Optical including vision screening and eyeglasses - Pharmaceutical services - Physical therapy - Public health nursing services include outreach and assessment, maternal/child health and family planning, child and teen checkups, and TB case management Donations of unopened medicine, inhalers, and supplies are gratefully accepted. Must be delivered to the project.

Provides primary and specialty care services including: - Breast Care - Cardiology - Diabetes education - Family medicine - Genetic Counseling - Hospice - Physical therapy - Podiatry - Prenatal care - Orthopedics and orthopedic surgery - Psychiatry and Psychology - Sports medicine - Transitional care

Provides specialty in patient medical services including: - Birthing center and prenatal care - Physical, occupational, and speech therapy - Spiritual care - Surgery - Transitional care

- Anticoagulation - Family Medicine: Preventive medicine; acute illness evaluation; student health maintenance exams and sports physicals; complete physicals; Department of Transportation (DOT) exams; immunizations; ongoing care/chronic disease management - Internal medicine - Pediatric and Adolescent Medicine - Podiatry - Pathology - Obstetrics and gynecology (OB-GYN): Breast care; child birth; well-women check up and women's health; infertility; familiy planning; prenatal care; health education; cancer screening; urinary incontinence; ultrasounds; weight management - Radiology

Provides clinic services to patients. Services include: - Biopsy skin lesions - DOT/Bus driver physical exams - Family medicine - Foot care - Geriatric care - Gynecology, including pap tests - Infant and child care - Ingrown toenail removal/skin removal of skin tags and cysts - Laboratory testing - Laceration repair - Maternity care - Medical care for any illness or injury - Routine physicals - Wart care - Weight management and nutritional guidance - X-rays

- Adult vaccinations - Flu vaccinations - Health screenings including blood pressure, cholesterol, colonoscopy, colposcopy, depression, diabetes, mammogram, osteoporosis, and sexually transmitted disease (STD) - Medication management - Osteopathy - Primary care - Ultrasounds - Women's health including breast health, mammograms, obstetrics and gynecology, pap smears, pelvic exams, and pregnancy (prenatal) care

- Annual wellness visits - Anxiety/depression - Chronic disease management - ECare - Follow-up care - Immunizations/flu shots - Orthopedics and sports medicine - Physical Therapy - Pregnancy care - Prescriptions/medication management - Preventative care - Same-day appointment for illnesses and injuries - Well child visit

Clinic based development program for Latino youth and their families. Medical services include: - Complete physical exams - Pregnancy testing - Treatment for common diseases - Prenatal care - Testing and treatment for sexually transmitted infections - Teen family planning program - Health related education including topics such as nutrition, weight control, pregnancy care, sexually transmitted infections - Referrals to other resources

Birthing center Maternal child care Medical staff includes an obstetrician, pediatricians, and family practice physicians offering family centered maternity care. Education Partnering with Fairview Mesaba Clinics and the Essentia Clinic-Hibbing, a variety of pregnancy, parenting, and infant care classes available. Prenatal tests - Non-Stress Test - non-invasive test performed using an external monitor. - Ultrasound - uses sonic waves which are beamed through the mother's abdomen to the baby. - Amniocentesis - physician extracts a sample of amniotic fluid from inside the placenta sac. Unexpected deliveries Baby born earlier than planned or with special health needs. Baby receive care in the Nursery. If the baby does require intensive medical care after birth, arrangements can be made quickly for transfer to a facility with a Neonatal Intensive Care Unit. Lactation Services A Lactation Specialist works closely with a Lactation Educator from the Public Health Department and the local La Leche League. These services are provided free of charge. Certified Nurse Midwife (CNM) services

Increases access to medical services by traveling from site to site to bring services where it is convenient for individuals facing homelessness. Services include: - Chemical health assessment and referrals - Chiropractic services - Medical services include primary care, transportation assistance, and community resource assistance and referral - Nutrition services include assessment and referral, education, consultation, advocacy - Mental health diagnosis and treatment services - Optical including vision screening and eyeglasses - Pharmaceutical services - Physical therapy - Public health nursing services include outreach and assessment, maternal/child health and family planning, child and teen checkups, and TB case management Donations of unopened medicine, inhalers, and supplies are gratefully accepted. Must be delivered to the project.

Complete Medical Clinic Services: - Comprehensive health evaluation screening - Disease specific screening: Lyme disease, diabetes, tuberculosis - Pediatric evaluation - Prenatal evaluation - Mammograms, Pap tests, Breast exams - Diabetes clinic - Weight management - Certified Medical Home - Behavioral Health Triage Therapist on staff - Health Coach on staff Specialty Medicine: - Family practice - Obstetrics/gynecology - Diagnostic Imaging/Radiology

Provides clinic services to patients. Services include: - Biopsy skin lesions - DOT/Bus driver physical exams - Family medicine - Foot care - Geriatric care - Gynecology, including pap tests - Infant and child care - Ingrown toenail removal/skin removal of skin tags and cysts - Laboratory testing - Laceration repair - Maternity care - Medical care for any illness or injury - Routine physicals - Wart care - Weight management and nutritional guidance - X-rays

- Breast care and exams - Colposcopy and treatment of abnormal pap smears - Contraceptive counseling and minimally invasive options for surgical sterilization - Evaluation and treatment of infertility and recurrent pregnancy loss - Evaluation and treatment of pelvic pain - Evaluation and treatment of urinary incontinence and pelvic organ prolapse - Gynecologic care - Maternal-fetal medicine for high-risk pregnancy - Midwifery - Options for treatment of irregular or heavy periods - Preconception counseling - Pregnancy and prenatal care - Screening for and treatment of sexually transmitted diseases - Treatment and counseling for menopausal and perimenopausal symptoms - Treatment of uterine fibroids, including minimally invasive, and non-surgical treatment options

Provides a full range of women's health services for all ages. Services include: - Breast care such as breast cancer detection education, breast exams, support groups, and mammography services - Eating disorders treatment and support groups - Midwifery - Obstetrics and gynecology - Pap smears - Prenatal care - Sexual dysfunction, fertility preservation, and reproductive medicine

An outpatient medical clinic providing services such as: - Acute illness or injury care - Allergy shots - Behavioral health services - Chronic disease management - Foot care services - Health maintenance for men, women, and children - Immunizations - Prenatal care - Reproductive health in birth control, family planning, and STI screening - School, sports, and camp physical examinations - Sports and non-sport injuries and joint issues - Telehealth services via Zoom - Tobacco cessation - Well-child examinations and newborn appointments - Women's health for breast examinations, family home visiting, and pap smears

An outpatient medical clinic providing services such as: - Acute illness or injury care - Allergy shots - Behavioral health services - Chronic disease management - Foot care services - Health maintenance for men, women, and children - Immunizations - Prenatal care - Reproductive health in birth control, family planning, and STI screening - School, sports, and camp physical examinations - Sports and non-sport injuries and joint issues - Telehealth services via Zoom - Tobacco cessation - Well-child examinations and newborn appointments - Women's health for breast examinations, family home visiting, and pap smears

Acute care - Adult acute illness - Childhood illnesses - Colds/coughs - GYN care - Injuries - Lacerations - Sprains/strains/fractures Chronic Disease Management - Anticoagulation management/INR - Asthma - Cardiovascular disease - Congestive heart failure - COPD - Diabetes - Hypertension Prenatal Care - First and second trimester care - Pregnancy screening Preventive Services - Cancer screening - Immunizations - Physical exams - all ages - DOT physicals - Men's physicals - Sports physicals - Well child visits - Women's wellness - Smoking cessation - Weight loss