June 17, 2015: Scotland County Hospital was recently approached by local producers to host a Farmers Market on Hospital property.  Because the mission of Scotland County Hospital is to improve the health of our communities, with services close to home, there was no hesitation to accept the offer.   Starting June 23rd and every Thursday afternoon until fall, the Farmers Market will be set up outside  at Memphis Medical Services (Parking Lot B - Watkins Street) from 2 pm-6 pm, near the Library Conference Center, and is open to the public (watch for signs).  In addition to healthy fruits & vegetables, there will be locally grown meats, eggs, homemade pizza crusts, jams, jellies and homemade baked goods.

The Hospital's hope is that this new venue for the farmers market will increase the likelihood that patients, visitors & staff will eat nutritious fresh foods.  Foods sold locally are able to ripen in the field and be picked the day of the market, so fruits & veggies achieve peak ripeness on the vine or tree, developing full flavor and nutrient content.   Additionally, food produced locally travels a shorter distance from farm to plate, decreasing energy used and air pollution generated from transport. 

Hospital-based farmers markets are not uncommon.  Several Missouri hospitals & clinics, as well as healthcare facilities nation-wide, have been hosting farmers markets for years.  Hospital-based farmers markets are one way for hospitals & clinics to help realize a number of health goals related to patients, staff and their community.  For example, Allen Memorial Hospital in Waterloo, IA, has operated a seasonal farmers market since 1999 to increase their staff & community's access to fresh produce.  Hosting the farmers market on-site is a way for Scotland County Hospital & Clinics to demonstrate their recognition that local food production plays a key role in the health and well being of the communities served.  Watch the Hospital's Facebook page ( for updates on weekly produce for sale at the market.

Patients, be prepared, at your next visit, your doctor may prescribe: 1 bundle of carrots, 2 eggplants and 3 cucumbers to lower your cholesterol!

First Baby in 2016 Arrives at SCH

Scotland County Hospital in Memphis is pleased to announce the first baby born in 2016 at the Women's Center.  Benjamin Leonardo Kelley, who will be called "Leo", the son of Ben & Lindsie Kelley, of Lancaster, was born on January 5, 2016, at 11:01 a.m. and weighs 5 lbs-12.2 oz and is 18.25 inches long.  He is welcomed home by his big sister, Elizabeth, age 2.  Dr. Jeff Davis provided the pre-natal care for the family.  Dr. Randy Tobler delivered the baby.  Ben & Lindsie are no strangers around Scotland County Hospital.  Lindsie is a night nurse at the Hospital and Ben is an EMT for the Schuyler County Ambulance District and a Dispatcher for the Schuyler County Sheriff's Department.Grandparents are Charles & Thelma Porter of Kirksville and Pam Kelley of Memphis.

January 2015
Scotland County Hospital in Memphis has welcomed Brian Pollard, Paramedic, as the Ambulance Service’s new Supervisor. Pollard comes to SCH from Red Oak, Iowa, where he served as a Captain and EMS Director for a combination Fire Base/EMS system. “The relationships between Scotland County Hospital, the Ambulance service and the communities we serve will benefit greatly from his track record of excellence and innovation and the knowledge and skills that Brian brings with him,” said Randy Tobler, MD, SCH Interim CEO. “The challenge of providing solid clinical care to the wide variety of patients and conditions that the Ambulance crew sees everyday is difficult. Brian’s management of the Ambulance crew and services will insure that patients will receive the best possible care at the scene and en route to the hospital.”

Pollard is a native of Woodburn, IA, and completed the paramedic program at Mercy College of Health & Sciences in Des Moines. He also earned an Associate’s Degree in Emergency Medical Services from Iowa Central in Ft. Dodge. He has worked as both a volunteer and a career staff in EMS and fire services. He and his wife have moved to the community and their children are enrolled in school at Scotland County R-1. In his free time, he enjoys camping and outdoor activities with his family.

He holds multiple certifications in Emergency Medical Services, some of these include being both a Nationally Registered Paramedic as well as a Missouri & Iowa Paramedic, IDPH endorsement as an EMS Instructor, American Heart Association provider and instructor certifications in Basic Life Support, Pediatric Advanced Life Support, Pediatric Emergency Assessment Recognition and Stabilization provider and Advanced Cardiac Life Support. National Association of EMT’s provider certifications in Pre Hospital Trauma Life Support, and Instructor certification in Advanced Medical Life Support.

Additionally, Mr. Pollard has accumulated several additional hours of training involving Weapons of Mass Destruction, Public Information, Vehicle Extrication and general emergency medical functions. “I’ve gained outside experience and knowledge by being involved with many diverse EMS agencies and I believe that involvement allows me to see the larger picture of the profession and put that knowledge base to work with the SCH Ambulance Service,” said Pollard.

NEW DON at Scotland County Hospital

November, 2014
Scotland County Hospital (SCH) in Memphis has welcomed Valerie Bair, RN, as the hospital's
new Director of Nursing (DON). 

Ms. Bair comes to SCH with more than 26 years of administrative and clinical experience in the
nursing field.  She oversees all nursing units in the hospital which includes: ER, Surgery,
Med/Surg Floor (in-patients), ICU, OB, Outpatient, Oncology, Case Management, Cardiac Rehab &
Skilled Care.

 Ms. Bair brings strong skills in clinical quality improvement, patient care, regulatory compliance, and cost management.  She brings a great deal of administrative nursing experience in the arena of cost effective utilization of staff, financial and material resources.  She most recently served as the DON at Knox County Nursing Home where she was successful at major improvements to the quality of care with outstanding state survey results.  Additionally, in her career, she has a number of years of experience with Intensive Care Unit nursing and served as the DON at SCH from 1996-2001.

"Valerie brings many years of successful nursing leadership at healthcare organizations similar to ours, with a track record of leading the delivery of outstanding quality care and achieving stellar outcomes, as well as improving financial and service line performance. We're energized by her accepting this position," said Randy Tobler, M.D., Interim Chief Executive Officer, Scotland County Hospital.

Ms. Bair is no stranger to Scotland County.  She is the daughter of the late Vaughn & Shirley Fogle and a 1982 graduate of SCR-1.  She and her fiancé, Patrick Hines, live on the Fogle family farm in northwest Scotland County.  In her free time, she enjoys gardening, yard work and cooking.  She has one daughter, Jessica, who is married to Zach McBee and they live near Downing.  "This is like coming home.  My mother opened the doors at SCMH in 1970 and served as the DON in the 1980's, and in the 70's, my father was an original ambulance service board member," says Bair.  "I look at this hospital as a great asset to the community and I'm excited to be part of it."


 November 2014

Scotland County Hospital in Memphis is recognized for reducing the number of elective
inductions and Cesarean deliveries performed before 39 completed weeks of pregnancy.
The March of Dimes says this will give more babies a healthy start in life. Babies
delivered before full term are at increased risk of serious health problems and death in their first year of life.

“We’re proud of our expert team of physicians and nurses who saw this opportunity to improve care in our community and put in place policies to avoid non-medically indicated  deliveries or caesarean deliveries before 39 weeks of pregnancy, except, of course, when medically necessary” said Randy Tobler, MD, Chief of Obstetrics & Gynecology at Scotland County Hospital.

This achievement is recognized through a banner from the March of Dimes and Missouri Hospital Association (MHA) which is displayed outside the Women's Center at Scotland County Hospital.

Babies born just a few weeks early have higher rates of hospitalization and illness than full-term infants. Recent research by the March of Dimes, the National Institutes of Health and the U.S. Food and Drug Administration found that although the overall threat is small, the risk of death more than doubles for infants born at 37 weeks of pregnancy when compared to babies born at 40 weeks, for all races and ethnicities.

According to Trina Ragain, State Director of Program Services, Advocacy and Government Affairs, March of Dimes Missouri Chapter, “The last weeks of pregnancy are extremely important.  Babies aren’t just putting on weight. They are undergoing important development of the brain, lungs and other vital organs. “The March of Dimes commends Scotland County Hospital for being a champion for babies with their quality improvement effort.”

There are 45 birthing hospitals participating in the state and working with the March of Dimes Missouri Chapter and the Missouri Hospital Association (MHA) for this initiative and 89 percent now have a “hard stop” policy in place which establishes strict medical guidelines for scheduling a delivery.  Only 35 percent had a hard stop policy in place before the MHA/March of Dimes collaboration began. The policy prohibits scheduling a delivery – either by induction or cesarean section – before the baby is at a confirmed 39 weeks gestation.  The policy applies to non-medically indicated deliveries only.

According to Herb Kuhn, president and CEO of the Missouri Hospital Association, "In the best interests of the health of mothers and infants, Missouri's hospitals have been working to reduce non-medically indicated deliveries. This is one of many quality improvements they are aggressively pursuing to achieve the Triple Aim of better care, better health and lower costs.”  More information is available at

The March of Dimes has been providing support to MHA hospitals in the form of its Healthy Babies are Worth the Wait program which includes educational materials and other resources.  Susan Bushnell, State Director of the March of Dimes Missouri Chapter, said, “This data provides hard evidence that more Missouri babies are being born full term, giving them the healthiest possible start to life.  We hope that all of Missouri’s birthing hospitals will embrace this initiative and eliminate early elective deliveries.”

Scotland County Hospital Earns HIGH PERFORMER Status
November 2014

Scotland County Hospital in Memphis was recently given "High Performer" status from the Missouri Hospital Engagement Network (HEN), according to the August 2014 reporting period. The Missouri HEN is part of the Centers for Medicare & Medicaid Services’ Partnership for Patients program which is designed to help improve the quality, safety and affordability of health care.

The initiative focuses on specific areas of patient care, in the hospital, that align with patient safety initiatives such as quality, efficiency and safety. Additionally, the Missouri HEN initiative addresses leadership engagement and a culture of safety, including teamwork, communication and preventable harm.

As part of the HEN project, health care workers across Missouri are participating in intensive training programs to teach and support hospitals in making patient care safer. The 8 focus areas that have been monitored for improved quality and placed Scotland County Hospital in the "High Performers" status are:

Adverse Drug Events (ADE)
Catheter-Associated Urinary Tract Infections (CAUTI)
Central Line Associated Blood Stream Infections (CLABSI)
Falls With and Without Injuries
Obstetrical Adverse Events
Pressure Ulcers
Preventing Avoidable Readmissions
Reducing the Risk of Surgical Site Infections (SSI)

"High Performer" hospitals listed from the August 2014 reporting period are:


I-70 Community Hospital
Barton County Memorial Hospital
Boone Hospital Center
Capital Region
Citizens Memorial
Cox Branson
Cox Health
Fitzgibbon Hospital
Freeman Health System
Golden Valley Memorial Healthcare
Lafayette Regional Health Center
Lake Regional Health System
Mercy Hospital Jefferson
Mineral Area Regional Medical Center
North Kansas City Hospital
Ozark Medical Center
Perry County Memorial Hospital
Pike County Memorial Hospital
Saint Francis Medical Center
Ste. Genevieve County Memorial Hospital
St. Louis University
Western Missouri Medical Center

Employees Receive Service Pins
October 2014

There are several employees at SCH that have been loyal to the organization for multiple decades and received  service pins this year.  At the top of that list, working two and a half decades for the hospital are Kathy Miller & Linda Morgan, receiving 25 year pins.

Kathy Miller is a native of  Midland, Michigan, and moved to Scotland County in 1980 when she married her husband, Joe Miller.  She received a degree in biology/biochemistry from Manchester College in North Manchester, Indiana, in 1977 and became a Medical Technologist after completing her internship at St. Mary’s Hospital in Quincy, Illinois, in 1979.  She started to work at SCH in 1989 as a Medical Technologist.  She is currently a Lab Tech and also serves as Assistant Supervisor of the Lab Department. 

Linda Morgan is a native of Kansas City.  She earn her RN license from St. Luke's Hospital in Kansas City in 1980.  She started her career with SCH in 1989 as a nurse on the med/surg unit (in-patients).  Now, her primary role is still caring for patients in the med/surg unit, but she also works in the Oncology/Hematology & Infusion Departments and with rheumatology patients. 

BACK PAIN - Is A Steroid Injection Right For You and Your Conditions

In the SCH Surgery Center and Radiology/Imaging Center lumbar epidural steroid injections known as L.E.S.I. treatments, may be used as an integral part of the non-surgical management of sciatica, known as painful/aching back.  The goal of the injection is pain relief; and at times the injection alone is sufficient to provide relief.  L.E.S.I. is also commonly used in combination with a rehabilitation program which can also provide additional benefit.  Most practitioners will agree that, while the effects of the injection tend to be temporary - providing relief from pain for one week up to one year - an epidural can be very beneficial for a patient during an acute episode of back and/or leg pain.

At Scotland County Hospital’s Surgery Center and Radiology/Imaging Center where fluoroscopy is used to ensure accurate placement, you’ll find that epidural steroid injections are a common procedure and a way to treat spinal nerve irritation that is caused by tissues next to the nerve pressing or rubbing against it.  

Scotland County Hospital makes transition to Electronic Medical Records (EMR), May 2014

An Electronic Medical Record is a computer version of a paper chart.  It brings together all of the information that used to be written on paper and stores it digitally.  Your EMR contains your medical exams, office visits, hospital procedures, test results, medications, allergies, after-visit summaries and more.  The same laws that protect the privacy of your paper medical records, apply to your electronic medical records.

Scotland County Hospital Receives New State-of-the-Art Equipment

Local Students Learn About Careers in the Medical Field


News & event literature from Scotland County Hospital is prepared by the Public Relations Department staff and approved by Administration.   We hope you find this information to be beneficial as you learn more about our Hospital.

Scotland County Hospital is served by many news media outlets including:

    Memphis Democrat - Memphis    
    Schuyler County Times - Lancaster
    Hometown Journal - Kahoka
    The Media - Kahoka
    Edina Sentinel - Edina
    Quincy Herald-Whig - Quincy, IL
    Kirksville Daily Express - Kirksville

    KTVO Channel 3 - Kirksville/Ottumwa, IA
    WGEM Channel 10 - Quincy, IL
    KHQA Channel 7 - Quincy, IL
    KYOU Fox 15 - Ottumwa, IA

    KMEM 100.5 FM - Memphis
    KRXL/KTUF/KIRX - Kirksville