Healthcare Directory 2016 by Arizona Daily Sun

2015/2016

HEALTHCARE DIRECTORY Sponsored by:

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HEALTHCAREDIRECTORY

2015/2016

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CONTENTS 04

HOW TO SAVE ON PRESCRIPTION DRUG PRICES If the cost of your prescription medicine is giving you a headache, you’re not alone.

SUNBURN TREATMENT: USE THESE TIPS FOR COMFORT The most effective sunburn treatment simply helps ease your discomfort, Try these helpfull tips.

LONGEVITY: LESSONS ON LONGEVITY Habits and philosophies align to create communities where an unusual number of people live an unusually long time.

Front Cover: ra2studio/Shutterstock.com

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HEALTHCAREDIRECTORY

HOW TO SAVE AGAINST JAW-DROPPING PRESCRIPTION DRUG PRICES If the cost of your prescription medicine is giving you a headache, you’re not alone.

DANIELLE BRAFF | Chicago Tribune

health. You can ask your pharmacist

can be a less expensive option than

about it or find more information

paying for medication via your insurance

online at http://www.rxassist.org.

company. The prescription cards typi-

Buy medication online — with

cally will be free, Fitteron said. “It might

caution: While it may seem tempting to

be better than what you’d be getting

buy medication overseas if the prices

from your prescription plan, depending

seem better, drug-regulatory systems

on what your deductible would be,” he

in other countries may be weak or

said. Fitteron suggested speaking with

nonexistent, and there is a problem with

the pharmacist about the prescription

counterfeit and substandard medicine

cards and presenting them at the phar-

there, said Michael Carome, director of

macy before doing a cost comparison to

the Washington-based Public Citizens

see which would be the least expensive

Research Group. Many raw materials,

option. These are offered as member-

active pharmaceutical ingredients and

ship benefits via AAA or AARP, but they

even some finished products for Ameri-

also are available for free at some

can drugs sometimes do come from

websites such as http://www.drugs.com

ast year Americans filled a record

sive (and you don’t have to be a member

overseas, but that’s still different from

and http://www.simplerx.com. (Each

4.3 billion prescriptions at a cost

to use its pharmacy), while CVS, Target

buying the product online from an over-

card has different prescription prices,

of $374 billion, which was 13

and Rite Aid were the most expensive.

seas pharmacy. “Every step of the way

and they’re for prescriptions not covered

is inspected by the FDA when it comes

by insurance). The sponsoring organiza-

to an American pharmacy,” Carome said.

tion typically receives a fee from the

percent more than the amount they had

Be proactive about getting the ge-

paid the previous year, according to the

neric version: Ask if there are generic or

IMS Institute for Healthcare Informatics.

less-expensive brand-name drugs that

“People don’t tend to clip coupons

To check an online pharmacy’s le-

50,000 national drugstores accepting

would work just as well as the prescrip-

gitimacy, you also can visit http://www.

the cards for each prescription filled.

at the pharmacy because their medicine

tion and over-the-counter medications

nabp.net for a list of those vetted by the

and http://www.simplerx.com. (Each

is a health-care product, it’s not a

you’re taking now,” Engle said. “If a ge-

National Association of Boards of Phar-

card has different prescription prices,

commodity,” said Janet Engle, past

neric is not available, check to see if you

macy, said Carmen Catizone, executive

and they’re for prescriptions not covered

president of the American Pharmacists

can use a therapeutic alternative, which

director of the organization. The phar-

by insurance). The sponsoring organiza-

Association and executive associ-

is a similar drug that gives the same

maceutical website you select should

tion typically receives a fee from the

ate dean of the University of Illinois

result that is available as a generic.”

have the NABP seal at the bottom of the

50,000 national drugstores accepting

site. “A lot of people go online because

the cards for each prescription filled.

at Chicago College of Pharmacy. “But

Buy in bulk: Instead of buy-

it’s a good idea to ask questions and

ing a two-week or monthly supply,

they hear that it’s cheaper,” Erowele

try to save money with your medica-

get permission from your insurance

said, “so there are regulations in place.”

tion, as long as you do it smartly.”

company to place your order in a larger

Pharmaceutical experts clued

Get samples: Physicians often

Take advantage of Medicare and the Affordable Care Act: Some

volume to get a bulk discount, said

have samples of the prescriptions

Medicare drug plans have a coverage

us in on how to get the biggest

Derek Fitteron, founder and CEO of

they write, so ask your doctor for a

gap, which is the amount of money that

discounts at the pharmacy counter.

Medical Cost Advocate, an organization

sample when you get a new prescrip-

you end up spending after Medicare

that helps individuals and companies

tion, Catizone said. While it won’t

has kicked in. But if you’re enrolled

negotiate medical billing in New Jersey.

reduce the cost of your prescription,

in the Medicare Prescription Drug

it’ll get you a few weeks or even a

Plan (including your employer group

Shop around: A 2013 study by Consumer Reports found that doing a little comparison shopping can have a

Ask about a patient assistance

big payoff, especially if you’re paying

program: Run by pharmaceutical com-

few months for free, and it will give

health and waiver plans) or an HMO

out of pocket for your medications. The

panies, these provide free medication to

you the chance to make sure the

or PPO and you don’t get extra help

study found a $749 difference between

those who can’t afford their medicine,

medication works before you invest.

for limited income, you can qualify for

the highest- and lowest-priced stores

said Goldina Erowele, clinical pharmacy

when shopping for a month’s supply of

educator with CareNovate Magazine,

a number of companies that offer pre-

reached the coverage gap. For more

five drugs. Costco was the least expen-

which provides resources about social

scription cards, and using these cards

information, call 800-633-4227.

HEALTHCAREDIRECTORY

2015/2016

Don’t use insurance: There are

the drug plan’s assistance once you’ve

Commonwealth Primary Care ACO

Flagstaff Commonwealth Accountable Care Organization (ACO) is a partnership of independent physicians in Flagstaff utilizing locally owned and operated Primary Care Providers and Specialists, working together to improve the health of people in Northern Arizona. Our goals are enhancing communication between all medical providers and clinics, streamlining processes, providing quality cost-effective care, and improving health outcomes. We understand you have a choice when deciding where you receive medical care. That is why we have created the largest network of local primary care providers, working together to benefit our patients through seamless coordination of care. Commonwealth is a federally approved ACO participating in the Medicare Shared Savings Program.

Proactively working with a primary care provider will improve your health. Go to MyHealthcareTeam.net and take that first step to select a Commonwealth Primary Care Provider. For patients who already see one of our providers, we want to thank you for trusting us with your care, and remind you to make your annual wellness visit. For your convenience, we accept nearly every health plan, which limits out of pocket cost, and most insurance companies will cover an annual wellness visit. As we work to increase participating specialists, Flagstaff Commonwealth ACO identifies and addresses clinical shortages in our community, including mobile medical care in our patient’s homes. We proudly announce the addition of Cardiologist, Cardiac Rehab, Nutritionist and Neurologists, to our network.

FLAGSTAFF COMMONWEALTH ACO PARTICIPATING PROVIDERS: Flagstaff Family Care Clinic 928-527-4325 With two locations to serve you 710 N. Beaver Street, Bldg 6 and 1501 S. Yale Street, Bldg 2 suite 150 Flagstaff, AZ 86001 www.FlagFamilyCare.com Mathew Wise, M.D. Sara Cook M.D. Andrew Martin, M.D. Meghan O’Donnell, M.D. Michelle Doroz, D.O. Gail Stearley, FNP Kelly Sahl, FNP Jill Duborvic, FNP Irene Wise FNP

East Flagstaff Family Medicine, Ltd. 928-774-2788 Northeast Professional Plaza 1515 E. Cedar Ave., Suite A-3 Flagstaff, AZ 86004 www.eastflagfamilymed.com Bradford Croft, D.O. Mary Pasternacki, FNP Sara Reeves, FNP Cathryn Draper, A-FNP Joshua Makela, PA-C Hospice Compassus 928-556-1500 (24 hours a day) 1000 N Humphreys St, Ste 220 Flagstaff, AZ 86001 www.HospiceCompassus.com

Nurses Network Home Health 928-556-0755 624 North Humphreys, Flagstaff AZ, 86001 www.nursesnetwork.net

Phoenix Neurology 1501 S. Yale St. Bldg 2 Suite 152 Flagstaff, AZ 86001 623-535-0050 Kristi Gill, D.O.

Mountain Heart Cardiology 928-226-6400 2000 S. Thompson St. Flagstaff, AZ 86001 www.mountainheartcares.com Kent D. Winkler, M.D. FSCAI Robert Wolyn, M.D. Vincent X. Grbach, M.D. FCCP Robert S. Rosenberg, D.O. FCCP Megan Engbring, D.N.P. Elisa Hilburn, MSN A.C.N.P. Bruce A. Mortensen, PA-C Chris Fisher, RRT Angela Hansen, R.D. Mackenzie Lurie, PA-C

Ryan Internal Medicine 928-213-5881 1350 Rim Dr. Flagstaff AZ, 86001 www.ryanim.com Keith Ryan, M.D. Katie Lemke FNP

2015/2016

HEALTHCAREDIRECTORY

SUNBURN TREATMENT:

CAN’T RUSH HEALING, BUT USE THESE TIPS FOR COMFORT MAYO CLINIC NEWS NETWORK

nfortunately, there's no fast-fix sunburn treatment. Once you have sunburn, the damage is done — although it may take 12 to 24 hours after sun exposure to know the full extent and severity of sunburn, and several days or more for your skin to begin to heal," says Trent Anderson, Mayo Clinic Health System family medicine physician. In the meantime, the most

• Take an over-the-counter pain

effective sunburn treatment simply

reliever. If needed, take anti-inflam-

helps ease your discomfort:

matory medication such as aspirin or ibuprofen — according to the label

• Keep it cool. Apply cold com-

instructions until redness and soreness

presses, such as a towel dampened

subside. Don't give children or teenagers

with cool water, to the affected

aspirin. It may cause Reye's syndrome,

skin. Or take a cool bath.

a rare but potentially fatal disease.

• Keep it moist. Apply aloe or moistur-

• Treat peeling skin gently. Within a

izing cream to the affected skin. Avoid

few days, the affected area may begin

products containing alcohol, which can

to peel. This is simply your body's way

further dry out skin. Beware of sunburn

of getting rid of the top layer of dam-

treatment products containing anes-

aged skin. While your skin is peeling,

thetics, such as benzocaine. There's

continue to use moisturizing cream.

little evidence that these products are effective. In some cases, they may even

"Consult a health-care provider

irritate the skin. Benzocaine has been

for sunburn treatment if severe sunburn

linked to a rare but serious, some-

covers a large portion of your body with

times deadly, condition that decreases

blisters, (if) sunburn is accompanied by

the amount of oxygen that the blood

a high fever or (if) severe pain or severe

can carry. Don't use benzocaine in

sunburn doesn't begin to improve within

children younger than age 2 without

a few days," says Dr. Anderson.

supervision from a health-care profes-

To prevent future episodes of

sional, as this age group has been

sunburn, use sunscreen frequently and

most affected. If you're an adult,

liberally. Select a broad-spectrum product

never use more than the recommended

— one that provides protection against both

dose of benzocaine, and consider

ultraviolet A (UVA) and ultraviolet B (UVB)

talking about it with your doctor.

radiation — with a sun protection factor (SPF) of at least 15. If you take medications that make sunburn more likely, be especially

form, don't break them. Doing so

careful. A common example is tetracycline

only slows the healing process and

taken orally for acne. Common sense

increase the risk of infection. If needed,

counts too. Cover up while you're outdoors,

lightly cover blisters with gauze.

and stay in the shade as much as possible.

HEALTHCAREDIRECTORY

2015/2016

Sedlacek/Shutterstock.com

• Leave blisters intact. If blisters

Cancer Centers of Northern Arizona Healthcare: Expertise with compassion The Cancer Centers of Northern Arizona Healthcare offer state-of-the-art cancer services and compassionate, personalized care â&#x20AC;&#x201C; right here in Flagstaff. Our team is devoted to improving cancer care, earning the trust of families and patients throughout Northern Arizona. Our offerings include: t $PNQSFIFOTJWF QBUJFOU DBSF UFBNT NBEF VQ PG physicians, nurses, social workers and dietitians. t #SFBTU $BODFS 3FTPVSDF $FOUFS t /VSTF /BWJHBUPS 1SPHSBN t 1BUJFOU BOE GBNJMZ TVQQPSU BOE SFTPVSDFT

For more information,

call 928-773-2261.

The link between cancer and obesity

by Gigi Sorenson, R.N., M.S.N.

besity is a growing national problem and the list of related health issues is growing along with it. In addition to diabetes, coronary heart disease, high blood pressure and other chronic diseases, obesity also poses an increased risk of cancer. Cancers of the esophagus, breast, endometrium, colon and rectum, kidney, pancreas, thyroid, gallbladder and other cancer types are present at higher rates in obese patients. The link between cancer and obesity is believed to be a result of the many metabolic and hormonal shifts that occur with obesity. These changes can launch, grow and reproduce cancer cells and tumors, even causing tumors to grow elsewhere in the body. 3FBTPOT CFIJOE UIF IJHIFS QFSDFOUBHF PG cancer in obese patients include: t )JHIFS SBUFT PG FTUSPHFO JO GBU UJTTVF t *ODSFBTFE MFWFMT PG JOTVMJO t 'BU DFMM IPSNPOF QSPEVDUJPO XIJDI stimulates or hinders cell growth.

t $ISPOJD MPX MFWFM JOÄ&#x2DC;BNNBUJPO In all cases, the link appears to result from gaining weight during adulthood, high blood pressure, a growing waist measurement, high #.* BOE UIF QIZTJDBM QSPCMFNT PG PCFTJUZ JO general. These issues are compounded in a body already struggling with the increased demands of weight. The good news is that weight loss has a direct and positive effect on cancer and other health problems. Observational studies have shown a decreased risk in cancers among those who lose weight. When bariatric surgery is combined with lifestyle changes in obese patients, they generally lose 30 percent of their body weight compared to only 7 to 10 percent through dieting strategies alone. Those who have bariatric surgery appear to lower their cancer risk as they reduce their size. To attain a healthy weight, the American *OTUJUVUF PG $BODFS 3FTFBSDI SFDPNNFOET filling two-thirds of your dinner plate with

nuts, seeds, beans, fruits and vegetables plus whole grains. These cancer-fighting foods will benefit the entire family, while creating a healthy routine for those who need to lose weight. Good eating habits, physical activity and reduced stress lead to healthier lifestyles for all, and in obese patients, such a lifestyle can be a life-saver. Exercise is also important and it doesnâ&#x20AC;&#x2122;t have to be time-consuming or exhausting. Walking is the simplest and most natural form of exercise. Walking five days a week for 30 minutes at a time can deliver countless benefits to your health.

Gigi Sorenson, R.N., M.S.N., is the director of Bariatric Surgical Weight Loss Clinic, a service of Northern Arizona Healthcare.

For more information, call 928-773-2261.

NAHealth.com

2015/2016

HEALTHCAREDIRECTORY

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dental assistant in a low-income and not-for-profit clinic

My favorite places to climb in Northern Arizona are Mount

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can sometimes find me knitting at the Sit n’ Stich at Purl

perhaps a new job, a new relationship, a new change. I

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witnessed it in my family, and I wanted to be a part of

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HEALTHCAREDIRECTORY

2015/2016

In my time outside of dentistry, most could easily

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I hope this finds you and your family well. Thank you and smile!

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LONGEVITY: LESSONS ON LONGEVITY

perhaps the healthiest community in the United States. It's something so much more essential, a part of their very being. The Fontouras, their three children and Daniel's parents are among the 22,000 residents of Loma Linda, where as many as a third of the people are Seventh-day Adventists. Their faith instructs them to treat their bod-

BY MARY MACVEAN | Los Angeles Times

ies as temples: little or no meat or fish, no smoking or

n the midst of our burger-eating, screen-peering,

cities, improving school food, reforming local health policies and

stress-filled world, there are pockets of longevity and

getting public works agencies to make streets more walkable.

health, where habits and philosophies align to create

Among the experts working on the project is Brian

communities where an unusual number of people live an

Wansink, a Cornell University professor who has long

unusually long time. And studying these people has provided

studied consumer behavior. Much of his work

insights into how the rest of us might emulate them.

has shown how easy some change is,

"I believe that it's no coincidence that the way these people

particularly around our decisions

eat, interact with each other, shed stress, heal themselves, avoid

about food, and how significant

disease and view their world yields them more good years of

the effect can be. Most of our food

life," writes Dan Buettner, who first wrote about these five areas

decisions, he says, are "mindless,"

a decade ago in "The Blue Zones" book. He has since formed

and changing our environment

an organization, the Blue Zone Project, to spread the word.

so that the mindless choice is the

The five Blue Zones he identified are Ikaria, Greece; Okinawa, Japan; the Ogliastra region of Sardinia, Italy; Nicoya Peninsula, Costa Rica; and Loma Linda, Calif.

healthful one can go a long way toward improving our health. Here we take a look at Loma

Buettner has worked with scientists from the National Insti-

Linda, the only Blue Zone in the U.S.

tute on Aging, academics, agencies and companies to bring about

It's not a bathing-suit body that

change in public health initiatives, restaurants and supermarkets,

Daniel and Vicki Fontoura and their neighbors

and individuals. The Blue Zones Project has worked in 23 U.S.

are after as they go about their days in

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2015/2016

alcohol, plenty of exercise and a sense of purpose. Spend a little time in Loma Linda, and what distinguishes it from, say, the adjacent city of San Bernardino becomes apparent. Continued on page 16

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2015/2016

HEALTHCAREDIRECTORY

SAME-DAY DELIVERY: PATIENTS GET A NEW HIP, GO HOME IN LESS THAN 24 HOURS AMAKA UCHEGBU | PITTSBURGH POST-GAZETTE

magine going to sleep with chronic joint pain, waking up without pain and walking out of the hospital the same day. For Daniel Currie, 57, of Frank-

lin Park, Penn., this was no dream. After suffering with osteoarthritis for more than a

A year and a half ago Allegheny Health Net-

cally significant, adjusted risk of wound complications

work began offering same-day total hip replacements.

in same-day knee replacements. Among some of

In May, the first same-day total knee replacement

the complications from this procedure are infec-

was performed at Allegheny General Hospital.

tion, development of blood clots and nerve injury.

“This is phenomenal, and it’s because of

John Meeker, 51 — the first same-day to-

decade, Currie had a three-hour hip replacement surgery

the baby boomers,” said Nick Sotereanos, the or-

tal knee replacement patient in the Allegheny Health

and was discharged from West Penn Hospital hours later.

thopedic surgeon who performed Allegheny Health

Network — said his recovery has been smooth. He

Network’s first same-day hip replacement.

has been surprised by how quickly he is recovering.

He is one of a growing number of people having same-day joint replacements.

“There is a huge economic push to make

“When I woke up, it was wonderful,” Currie said. “Typically I feel pain all the time, so waking up without pain from a night where (I could) barely sleep was wonderful.” Joint replacements are a way to treat ad-

this procedure less expensive and quicker.”

“Three hours after the surgery I was walking down the hall with a walker, and they let me

Still, not all hospital systems are making this jump.

go the same day,” said Meeker, adding that he

Chuck Finder, University of Pittsburgh Medi-

was not groggy or in pain when he woke up.

cal Center’s media relations manager, said the shortest

Dr. Seel said the surgical technique is the same for

vanced arthritis that has not responded to nonsurgi-

hospital stay allowed for total knee and hip replace-

same-day patients and overnight patients. But improved

cal treatments such as anti-inflammatory medication

ments at UPMC hospitals is 23 hours because litera-

surgical and pain management techniques have en-

and activity changes, said Michael Seel, director

ture proving the safety of shorter stays is scarce.

abled some patients to avoid a night in the hospital.

of orthopedic surgery at West Penn Hospital.

One UPMC surgeon, who declined an inter-

Both knee and hip replacements typically require an average hospital stay of two to three days.

HEALTHCAREDIRECTORY

2015/2016

The first knee replacement was performed in 1968,

view, shared a 2014 article in the The Journal of

according to the American Academy of Orthopaedic

Arthroplasty that showed an increased, but not statisti-

Surgeons. Now more than 600,000 knee replacements

are performed each year in the United States, accord-

in the journal Clinical Orthopaedics and Related Re-

hip replacements less painful by approaching the hip

ing to the Agency for Healthcare Research and Quality.

search, that found that same-day knee replacements

from the front and not cutting into the thick muscle

require “perfect execution” to be successful.

behind, and at the side of the hips, he said.

More than 90 percent of patients who have total knee replacement surgery experi-

A study presented

ence a dramatic reduction of knee pain and a significant improvement in the ability to perform common activities of daily living, according

I feel no arthritic pain whatsoever.

to the AAOS website.

livery system has allowed patients to receive

meeting showed a small

post-operative pain drugs at home.

increase in readmission

nerve going to the knee that controls pain and not the

joint replacement patients

branch that controls movement. Patients can go home

compared to inpatients.

with this pump because of improvements made to the

But

at St. Clair Hospital in October 2014, said Brett Perricelli, chief of orthopedic surgery at St Clair Hospital. Dr. Perricelli performed the procedure on a 64-year-old male. One other outpatient knee replacement has been performed since then at St Clair.

device over the years. At least 400 knee replacements

the study said patient selection is key.

have been done at Allegheny General Hospital using

“In properly selected patients, the outcomes

this pain pump in the past year, Dr. Sotereanos said.

of outpatient (total joint replacements) are com-

The material used for joint replacements —

parable to inpatient (joint replacements) without

metal alloys, ceramic or strong plastic — is the same for

increasing readmission rates,” the study read.

overnight and same-day patients, Dr. Sotereanos said.

Good candidates for same-day joint replace-

“The procedure is not for every patient,” Dr. Per-

A pump delivers anesthetics to the branch of the

rates among outpatient

The first outpatient knee-replacement in Pittsburgh was conducted

For knees, a different anesthetic de-

at the 2014 annual AAOS

“It doesn’t cost any more, the quality is identi-

ments are in their 60s or younger and lack other health

cal, and we wouldn’t have it any other way,” Dr. Seel

ricelli said. “The patient’s pre-functional status, social

problems, such as heart disease, West Penn’s Dr. Seel

said, adding that implants can last up to 20 years.

support and medical needs must be carefully evaluated.”

said. Patients are discharged only if they can walk with

Several studies show that same-day joint replace-

Patients recover better at home because they are not

assistance between 40 and 75 feet — about the length

at risk of hospital-borne infections, and have the opportunity

ments can yield successful results if they are done on

of a city bus or longer — and get out of bed, use the

to resume their normal routines and be independent, said

the right patient using a well-executed technique.

bathroom and go up and down a flight of stairs unassisted.

Timothy Sauber, the Allegheny Health Network orthopedic

Richard Berger, an orthopedic surgeon at Rush

Dr. Sotereanos said managing pain and the

Medical Center in Chicago who did his residency at

side effects of narcotic painkillers is the main fac-

Pitt, is a pioneer of a minimally invasive hip and knee

tor behind the need for overnight hospitalization.

replacement technique. He led a 2009 study, published

Surgeons at Allegheny Health Network made

surgeon who performed Meeker’s knee replacement. Meeker said he was walking unassisted 25 days after his surgery. “I feel no arthritic pain whatsoever.”

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2015/2016

HEALTHCAREDIRECTORY

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IMPROVEMENTS IN MENTAL HEALTH SERVICES COMING TO NORTHERN ARIZONA as NARBHA Changes to Health Choice Integrated Care

n just a few months, nearly 200,000 individuals living

deaths and emergency department visits for alcohol and drug

Communicating the Change

with behavioral health needs in Northern Arizona will see

use in the state. These barriers to healthcare are magnified for

Change can be particularly stressful to people living with

improvements in the way they receive behavioral health

people with behavioral health and substance abuse needs who

behavioral health needs. Health Choice Integrated Care has im-

and physical healthcare services. On October 1, Northern

may experience a lack of motivation, fearfulness, social instability

proved customer service and reinforced community outreach to

Arizona Regional Behavioral Health Authority (NARBHA) will

and unemployment -- conditions that may prevent them from

minimize concerns. Health Choice Integrated Care conducted a

become “Health Choice Integrated Care” under a new state

engaging in the self-care that contributes to healthier lifestyles.

series of community forums throughout the region in the spring.

contract for regional integrated health services in Apache,

It has scheduled another series for the fall at all NAZCARE

Focus on Wellness and Choice

Wellness Centers across Northern Arizona. The organization

Health Choice Integrated Care will be based at NARBHA’s

has increased its customer services staff to respond to an

between NARBHA and Health Choice Arizona – two healthcare

current location in Flagstaff, and it will retain NARBHA’s

anticipated increase in phone calls, and it has designated care

companies with long histories of serving the needs of members

charitable purpose as a guiding principle. Health Choice

managers to personally assist members with complex cases.

throughout Northern Arizona. Health Choice Integrated Care

Integrated Care will provide three integrated healthcare

will be charged with carrying out the state’s commitment to

programs to cover members: the Coordinated Behavioral

will be members of Health Choice Integrated Care start-

improve whole-person health outcomes by integrating physical

Care Program, the Recover Wellness Premier Integrated

ing October 1 received letters in early August explaining

and behavioral health services for individuals with the most

Care Program, and Health Choice Generations.

the changes. The mailing included AHCCCS members

Coconino, Mohave, Navajo, Yavapai, and Gila counties. Health Choice Integrated Care is a new partnership

significant behavioral health needs. Individuals with less serious

The Coordinated Behavioral Care program is for

Individuals currently in the AHCCCS system who

in Gila County who previously were covered by Tucson-

behavioral health needs will also benefit from improved coordi-

members receiving services for general mental health and

based Cenpatico and will be moving to Health Choice

nation between the behavioral health and medical providers.

substance use disorders. These members will notice only a

Integrated Care to improve proximity to services.

name change as they continue to receive their behavioral

Additional information and resources are available on

Chronic Disease and Mental Health

healthcare services from the same providers and pharma-

Health Choice Integrated Care’s website at www.Health-

On average, people with serious mental illness (SMI) die 25 years

cies. Health Choice Integrated Care’s focus on integrated

ChoiceIntegratedCare.com or by calling Member Services at

earlier than the general population. Even more tragically, Arizonans

care also will ensure these members will benefit from

800-640-2123.

with SMI have a life expectancy of 32 years less on average,

improved care coordination with their physical health plan.

according to the National Association of State Mental Health

Health Choice Integrated Care’s Recover

Program Directors 2006 study, Morbidity and Mortality in People

Wellness Premier Integrated Care program pro-

IMPORTANT NUMBERS AND DATES

with Serious Mental Illness. It is often assumed that individuals

vides expanded services for members who have the most

with SMI die from psychiatric disorders or their complications,

significant behavioral health needs. Members will benefit

such as suicide. However, the 2006 study found that chronic

from a single treatment plan that covers both behavioral

physical conditions, such as heart disease, diabetes and lung

health and primary care. They will have more choices in

diseases, more often cause early deaths among the population.

the types of settings where they receive these services.

UNTIL & INCLUDING SEP. 30, 2015 NARBHA is the RBHA in northern Arizona Main number: 928-774-7128 Member Services Contact: 1-800-640-2123 Provider Contact: 928-774-7128 Crisis Hotline: 1-877-756-4090 STARTING OCTOBER 1, 2015 Health Choice Integrated Care becomes the new RBHA in northern Arizona Main number: 928-774-7128 Member Services Contact: 1-800-640-2123 Provider Contact: 928-774-7128 Crisis Hotline: 1-877-756-4090 HEALTH CHOICE GENERATIONS (currently not available in Yavapai County) Member Services Contact: 1-800-656-8991 Provider Contact: 1-800-656-8991 Crisis Hotline: 1-877-756-4090

A recent study by the Robert Wood Johnson Foundation

Many of members in the Recover Wellness program have

(RWJF) found that 28% of Americans have two or more chronic

been part of NARBHA’s integrated care pilot program already,

conditions. In Northern Arizona, 70% of Medicaid adults receiving

and most have Health Choice Arizona as their AHCCCS plan for

mental health and substance use disorder services have two

primary care (physical health). They will continue to see their

or more chronic conditions, and 52% have three or more. The

same providers and obtain their medications from the same

RWJF study also showed that people with multiple chronic

pharmacies. Most primary care doctors are already in Health

conditions are at greater risk for disability, have substantially

Choice Integrated Care’s network, however, the few members

more physician contacts, and are more likely to be hospitalized.

who’s doctors are not will be able to continue to see their doctor

Our region presents unique challenges to meeting the needs of individuals with behavioral health, substance abuse and chronic medical conditions. First, our region is challenged

for at least a year. Health Choice Integrated Care will cover those services and work to bring those doctors into its network. Health Choice Generations is an optional program

by its vast expanse which complicates both accessibility to, and

for Health Choice Integrated Care members who receive

coordinated care with, healthcare providers such as hospitals,

both Medicaid and Medicare parts A, B, and D. Health

primary care, and behavioral health agencies. With less than

Choice Generations has been in place at Health Choice

twelve people per square mile covering almost 65,000 square,

Arizona for eight years. Health Choice Generations cur-

Northern Arizona contains multiple HRSA-designated Medically

rently is not available in Yavapai County, however, it is

Underserved Areas/Populations and also has the highest rate of

working to make it available by the beginning of 2017.

HEALTHCAREDIRECTORY

2015/2016

On October 1, 2015, NARBHA will become Health Choice Integrated Care Starting October 1, 2015, Health Choice Integrated Care will be the new regional behavioral health authority for Apache, Coconino, Gila, Mohave, Navajo, and Yavapai Counties. The state of Arizona is committed to providing whole-person healthcare services to people who need help obtaining care. Health Choice Integrated Care and its network of providers throughout Northern Arizona are delivering on that commitment to focus on both physical and emotional wellbeing and to take unique factors such as lifestyle and cultural values into consideration.

Collaborating on the Promise of Recovery and Resiliency with Community Bridges Community Counseling Centers Encompass Health Mohave Mental Health Clinic Southwest Behavioral Health Services Southeast Arizona Behavioral Health Services Spectrum Healthcare West Yavapai Guidance Center Community Engagement Committee of Northern Arizona

Horizon Human Services NAZCARE Hope Lives/Vive Lâ&#x20AC;&#x2122;Esperanza Family Involvement Center MIKID Art Awakenings NAMI (Flagstaff, NAU, Sedona, Yavapai and Mohave County) NAU

Visit HealthChoiceIntegratedCare.com to learn about an Integrated Wellness Forum at a Northern Arizona NAZCARE Wellness Center near you in September! Northern Arizona Regional Behavioral Health Authority (NARBHA) is the Regional Behavioral Health Authority for Coconino, Navajo, Yavapai, Apache and Mohave counties (the northern geographic service area (GSA)). Starting October 1, 2015, NARBHA will become Health Choice Integrated Care (HCIC), and Gila County and parts of Graham County will be added to the northern GSA. Funds for services are provided through a contract with the Arizona Department of Health Services/ Division of Behavioral Health Services and AHCCCS.

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LONGEVITY Continued from page 10 The Loma Linda Market near Loma

Caleb is pretty adamant, "really dog-

Linda University has bin after bin of beans

ging me" over an occasional chicken

and grains; there's no meat section. There

order at Chipotle, Fontoura says.

is a McDonald's in a shopping center, but

The Fontouras live in a roomy tract

What is mental illness?

it moved in only after a fight; a counter-

house on the east side of Loma Linda, and

A mental illness is a combination of symptoms that lead to difficulties with emotion and behavior which disrupts the ability to relate to others and function daily. One in four adults are affected by mental illness every year and 20% of children receive mental health care.

DIRECTORY

Medical Care DIRECTORY Allergy, Asthma, & Immunology

Northern Arizona Allergy, Asthma & Immunology 930 N. Switzer Canyon Suite 101 Flagstaff, AZ 86001 (928) 774-1700

Allergy

Flagstaff Surgical Associates Brad Andrews, M.D. Nate Tritle, M.D. Heather Coffman, M.D.

Ear, Nose & Throat 77 West Forest Avenue Flagstaff AZ, 86001 (928) 773-2257 flagstaffsurgical.com

Anesthesiology, Gastroenterology

Behavioral Health

Cardiology, Internal Medicine, Osteopathy

Behavioral Health

1215 N. Beaver St. Flagstaff, AZ 86001 (928) 773-2150

Adam Graff, M.D. Jay Collier, M.D. Blaine Henderson, M.D.

Cardiology, Vascular Surgery

Northern Arizona Heart Care

1200 N. Beaver St. Flagstaff, AZ 86001 (928) 213-6400

Behavioral Health

Northern Arizona Regional Behavioral Health Authority 1300 S. Yale St. 86001 Flagstaff, AZ 86001 (928)-774-7128 narbha.org

Cardiology

Heart & Vascular Center of Northern Arizona Mark Donnelly, M.D. Trish Hutton, N.P.

1215 N. Beaver St. Suite 203 Flagstaff, AZ 86001 (928) 773-2150

Chiropractic Care

Jeff Alfred, M.D. Private Practice 2733 E. Lakin Suite 3 Flagstaff, AZ 86004 (928) 527-9309

Andrew Overhiser, M.D. 77 W. Forest Ave. Suite 206 Flagstaff, AZ 86001 (928) 773-2547

Anesthesiology

Forest Country Anesthesia 77 W. Forest Avenue Suite 207 Flagstaff, AZ 86001 (928) 773-2505

Bariatric Clinic

Bariatric Surgical Weight Loss Clinic Patricia Olm, M.D. Julie Polzin, N.P.

1050 N. San Francisco St., Suite B Flagstaff, AZ 86001 (928) 214-3737

Heart & Vascular Center of Northern Arizona Eric Cohen, M.D. Jim Dwyer, M.D. J. Lynn Otto, M.D. Omar Wani, M.D. Andrew Atiemo, M.D. Norria Brice, N.P. Craig Peters, D.O.

1215 N. Beaver Street, Suite 202 Flagstaff, AZ 86001 928-773-2150

Cardiothoracic Surgery Orazio Amabile, M.D. Kenith Fang, M.D. Mark Tasset, M.D. Craig Peters, D.O.

1215 N. Beaver Street, Suite 203 Flagstaff, AZ 86001 928-773-2150

Cardiovascular Disease Kent Winkler, M.D. Robert Wolyn, M.D. 2000 S. Thompson St Flagstaff, AZ 86001 928-226-6410

Cardiology

Mountain Heart 2000 S. Thompson St. Flagstaff, AZ 86001 (928) 226-6400

2015/2016 HEALTHCAREDIRECTORY 17

DIRECTORY

Chiropractic Care

Critical Care Medicine David Coy, M.D. Keith Hutchinson, M.D. Christopher Murphy, M.D. Alan Tuttle, M.D. PO BOX 967 Flagstafff, AZ 86001 928-773-0003

Dahl Chropractic

Dr. Robert E. Dahl, DC Dr. Jason Austin, DC Dr. Kimberly Landins, ND 2717 N. 4th St. Suite 100 Flagstaff, AZ 86004 (928) 774-1463 dahlchiropractic.com

Critical Care Medicine Elijah Poulos, M.D. Steven Lewis, M.D. D.O.uglas Maple, M.D. Brent Cutshall, M.D. 823 N. San Francisco St. Flagstaff, AZ 86001 928-774-8000

Chiropractic Care

Moseng Chiropractic 114. W. Hunt Ave. Flagstaff, AZ 86001 (928) 773-9781

Dermatology

Northern Arizona Dermatology Center 3700 W. Hwy 89A Sedona, AZ 86336 (800) 469-5074

Ear, Nose & Throat

Northern Arizona Ear, Nose & Throat 1300 Rim Suite B Flagstaff, AZ 86001 (928) 556-9200

Ear, Nose & Throat Dermatology

Angela Wyatt Dermatology 150 N. Verde St. Suite 101 Flagstaff, AZ 86001 (928) 779-6923

Chiropractic Care

Summit Chiropractic & Rehabilitation 519 N. Leroux St. Flagstaff, AZ 86001 (928) 774-7315

Dermatology

Dane Gruver, LCSW 222 N. Verde St. Flagstaff, AZ 86001 (928) 220-1997

Northern Arizona Dermatology Center

Counseling

Deanna D. Vance, MED, LPC 222 N. Verde St. Flagstaff, AZ 86001 (928) 779-5118 ext. 3

Carl Biglerr, M.D., FAAD Scott Dale, M.D., FAAD Cynthia Knutson, M.D., FAAD Sara Risner-Rumohr, M.D., FAAD Jordan Miller, M.D., FAAD Kelly Czarnecki, PA-C 1490 N. Turquoise Dr. Flagstaff, AZ 86001 (928) 774-5074 nazderm.com

Counseling, Psychology

Dr. Chris Gunn 222 N. Verde St. Flagstaff, AZ 86001 (928) 779-5118

Dermatology

Dr. Nicole Carson Degomez, LPC 222 N. Verde St. Flagstaff, AZ 86001 (928) 607-8401

Northern Arizona Dermatology Center

Carin Cain, M.D., FAAD Edward Kauffman, M.D., FAAD Kristina Paley, M.D., FAAD 297 S. Willard St. Cottonwood, AZ 86326 (928) 639-9596 nazderm.com

HEALTHCAREDIRECTORY

Brad Andrews, M.D. Nate Tritle, M.D. Heather Coffman, M.D. Ear, Nose & Throat 77 W. Forest Ave. (928) 773-2257 flagstaffsurgical.com

Counseling

Counseling, Psychotherapy

Flagstaff Surgical Associates

2015/2016

Emergency Medicine Spencer Anderson, M.D. Asha Atwell, D.O. Jennifer Conn, M.D. Kevin Conn, M.D. Jeffrey Daniel, M.D. Michael Earl, M.D. Regina Hart, D.O. James Hayes, M.D. Edward Hiltner, M.D. Sarah Hsia, M.D. Michael Hudson, M.D. Donn Johnson, M.D. Travis Jones, M.D. Chad Lange, M.D. Rachel Levitan, M.D. Maura Mahoney, M.D. Rianne Page, M.D. Mark Peterson, D.O. Michael Ray, M.D. Anne Richter, M.D. Daniel Shaw, M.D. Vladimir Svesko, M.D. Nathan Whitfield, M.D., Ph.D. Andrew Wilkis, M.D. Julia Williams, M.D. Stephen Hartz, M.D. 1200 N. Beaver St. Flagstaff, AZ 86001 928-774-1693

DIRECTORY

Emergency Medicine

Flagstaff Emergency Physicians 1600 W. University Ave. Suite 215 Flagstaff, AZ 86001 (928) 774-1693

ENT Specialist, Otolaryngology Allergies, Facial Plastic Surgery

Crystal Canyon 1340 N. Rim Dr. Flagstaff, AZ 86001 (928) 774-1873

Family Medicine - Naturopathic

Brandie Gowey NMD Private Practice 3011 N. West St. Flagstaff, AZ 86004 (928) 214-8793

Matt Wise M.D. Michelle Doroz D.O. Meghan O'Donnell M.D. Sara Cook M.D. Kelly Sahl F.N.P. Robin Fry P.A. Irene Wise F.N.P. Jill Dubravcic F.N.P.