PRIMGHAR—The hospital where Misty Dulin was born has seen several changes during her time as its leader.

The 42-year-old rural Paullina native was born in Primghar at Baum Harmon Memorial Hospital, which later became Baum Harmon Mercy Hospital and then MercyOne Primghar Medical Center.

Dulin started working at Baum Harmon in May 2017 as a registered nurse.

She became the facility’s interim director of nursing in August of that year.

The Okoboji resident eventually took on the role of CEO — first interim and then permanent — of the hospital and its wound care center in Primghar and its family medicine clinics in Hartley, Paullina, Primghar and Sutherland.

The CEO title switched in April 2018 to director of critical access hospital operations — a combined role of administrator and director of nursing — for Baum Harmon.

“It is a special honor in my professional life to come full circle and be working at the same facility I was born at,” Dulin said.

“This speaks really to what local health care is all about,” she said. “You get to treat and work with your family, friends and neighbors.”

Saturday, Feb. 1, marked the one-year anniversary of MercyOne Primghar’s name change from Baum Harmon.

“Celebrating our birthday has been kind of nice,” Dulin said. “It’s hard to believe it’s been one year already.”

The change in names occurred because the Clive-based Mercy Health Network rebranded itself and officially became MercyOne on Feb. 1, 2019, to unify its footprint in Iowa, Nebraska and South Dakota.

As part of the Mercy Health Network’s rebranding, exterior and interior signage and branded materials have been modified with the MercyOne name and logo across the regional health system, including in December across O’Brien County.

In addition to the new signage and branded materials at MercyOne Primghar, its wound care center and its clinics, the medical center received an updated mobile digital X-ray system and fixed radiology equipment during the past year.

The hospital, which is home to 14 patient beds, also had its radiology area renovated with new flooring, paint, lights and fixtures, as well as its nurses’ station, lobby area and restrooms remodeled with new countertops, paint, lights and fixtures.

In addition, MercyOne Primghar started a telepsychiatry program in early December in which people seeking mental health care may schedule a video appointment with psychiatrist Dr. Beverley Allen of rural Spokane, WA, to discuss their options.

The telepsychiatry program is the hospital’s first foray into telemedicine.

“We’re going to see how this works,” Dulin said. “I would like to see in the future us being able to offer more telemedicine opportunities.

“The telepsychiatry is going extremely well,” she said. “That’s wonderful for us to give the opportunity to patients to not have to travel far.”

The facility’s future plans include holding an on-site pain management clinic at least once a month with anesthesiologist Dr. Jeremy Poulsen of Siouxland Pain Clinic in Dakota Dunes, SD.

In addition, MercyOne Primghar will see updates to some of its technology, including computers, during the next year.

“Some of them are at the end of their life,” Dulin said. “We’re increasing our computers and changing them out.”

The hospital, its wound care center and its clinics also plan to switch from Cerner to Epic for its electronic medical record database.

“We’re going to go as the whole MercyOne and everyone’s going to have the same medical record system, which will be nice for continuity of care for patients throughout the whole MercyOne system,” Dulin said.

“We’re kind of getting ready for the Epic waves to come through,” she said. “If everything goes good, it’s supposed to be the spring of 2021 for us. There are five waves throughout the whole system. It’s already started for wave one.”

As for physical changes at MercyOne Primghar’s clinics, the downtown Sutherland site is scheduled to move down the street to a new location during the late spring.

“It will be nice, with the opportunity to give more lab and possible X-ray access down the line for the Sutherland patients so they don’t have to come either to Primghar or go to Paullina,” Dulin said.

The former Misty Lundquist — a 1997 graduate of South O’Brien High School in Paullina and mother of three children with her husband, Steve — expressed her appreciation for the employees at MercyOne Primghar, its wound care center and its clinics.

“Being both the CEO and the director of nursing all in one role — it’s just a lot more responsibility,” Dulin said. “I’ve got a great staff that help when I ask for help, which is wonderful.”


The O’Brien County community of Primghar has been home to a hospital since 1914, when the Ward Memorial Hospital was built.

The city of Primghar purchased the facility on Jan. 4, 1945.

Baum Harmon Memorial Hospital was established and dedicated on Sept. 6, 1970, due in large part to the facility’s benefactress, Ellen Baum.

Marian Health Center in Sioux City became Mercy Medical Center on July 1, 1999. The name was changed when the facility joined the unified network of institutions, programs and services throughout the state of Iowa known as the Mercy Health Network.

The Mercy Health Network, represented by Mercy Medical Center, purchased Baum Harmon Memorial Hospital and Clinics on Feb. 1, 2000.

That same year, Mercy Medical Center and Baum Harmon Mercy Hospital joined Trinity Health of Livonia, MI, and the second largest Catholic health-care system in the nation.

On Feb. 1, 2019, Mercy Medical Center and Baum Harmon rebranded with the name MercyOne, which unified the name of the hospitals and clinics across Iowa, Nebraska and South Dakota. MercyOne is the largest health-care system in the Hawkeye State.

MercyOne Siouxland Medical Center in Sioux City owns the critical access hospital and wound care center in Primghar and the family medicine clinics in Hartley, Paullina, Primghar and Sutherland.

MercyOne Primghar Medical Center’s lobby area is home to a Baum Harmon memorial, including a photo of Ellen Baum, that will stay up to honor the history of the hospital.

For more information, call MercyOne Primghar at 712-957-2300, visit its website at or find the hospital on Facebook.