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Mahaska Health is an independent, self-directed, busy Critical Access County Hospital in Southeastern Iowa which consists of 25 beds and an attached 43 Physician and Provider Medical Group with 10 visiting Physician Specialists. The health system provides services from birth to end-of-life for emergency, elective and preventive healthcare. Mahaska Health employs over 450 team members and offers appointments in the Medical Group to see most types of specialists so patients do not have to travel for specialized care.    This is not a typical Critical Access Hospital: it is rapidly transforming into one of the most innovative and highest performing small hospitals in the country through a combination of innovative technology, process definition, creativity, and a truly distin