Healthy Spirit Fall 2015

Page 1

A Publication of Indian Health Care Resource Center of Tulsa

Fall 2015

Summer Camp, see page 6


Operationally Speaking

Purchasing Clerk, received the Individual Customer Service for Urban Facilities award for his outstanding job of ensuring BY J.R. HURT, CHIEF the various IHCRC teams have OPERATING OFFICER the tools and supplies needed to provide exceptional care to Why is it that the hot summers seem to last forever, but cool ones the patients who have entrusted us with their care. Lastly, Lisa seem to fly by? This summer has Weiche, LCSW/LADC, received definitely flown by and so have the Peer Recognition Award for the the eight one week camps that exceptional counseling services she Indian Health Care Resource provides along with her willingness Center (IHCRC) hosted for the 250+ Native American children in to be a team player, resulting in enhanced quality care for our and around the Tulsa Metro area. Without our Dance of Two Moons patients. Another part of the excitement donors, these camps would not have been possible and on behalf of around the IHCRC campus, is the many lives your donations have the ability to provide full time positively touched, we want to say adult psychiatry services. We are fortunate to have Dr. David thank you. Ross, MD, Psychiatrist, join our This summer has been an Behavioral Health Department. exciting one at IHCRC. Three of In addition to joining the IHCRC our staff members were honored team, Dr. Ross’ brother, Aaron during the 2015 I.H.S Area Ross, Pharm D, has joined our Director Awards ceremony held pharmacy so we can enhance in Oklahoma City. Tanya Cain, Clinic Administrator, received the our services by meeting one on Merit Award for her tireless efforts one with patients to discuss their medications. You can read more in optimizing the operational about both of these fantastic efficiencies while achieving additions to the IHCRC team in clinical outcome goals within the this edition of the Healthy Spirit. medical department at IHCRC. The summer of 2015 also Additionally, Jim Perryman, 2 IHCRC Fall 2015

brought the inaugural Family, Fun and Fitness day. More than 150 people enjoyed a beautiful morning at Centennial Park which included a fun run/walk, games, activities and hot dogs. Start planning now to join us for another exciting day next summer. Recently, over 1,200 people participated in our bi-annual patient satisfaction survey and we are happy to report the responses have been positive. While there are still area’s that we will continue to improve, the results demonstrated that our patients have spoken and IHCRC has listened. Additionally, we would like to thank everyone who took the time to write comments and provide valuable feedback. The changes we have made in various areas have had a positive impact on the care our patients receive and their overall satisfaction with IHCRC. The IHCRC team is honored that so many people have entrusted us to provide medical care for them and their families. Accomplishing our mission and vision would not be possible without the exceptional team members that we call friends and family, and to them, we want to say thank you.


In This Issue of Healthy Spirit IN THE COMMUNITY Youth Summer Camp................................................................................6 Family Fun and Fitness Day.....................................................................7 Sit Less Move More, Learn Better Workshop.........................................8 Restoring Harmony, Creating Balance Powwow...................................9 IN THE CLINIC Oklahoma City Area Director Awards................................................14 The Big Cheese - Carmelita Skeeter, CEO............................................15 Komen and IHCRC Partner to Provide Hope.....................................16 Telligen Community Initiative...............................................................17 Satisfaction Survey Results Are In........................................................25 MEET OUR PROVIDERS IHCRC Welcomes New NOPIP Interns...............................................12 Dr. Jennifer Jones, Optometrist.............................................................21 The Dynamic Duo...................................................................................22 EVENTS Dance of the Two Moons 2016: Mirrored Moons.................................4 Activities and Groups..............................................................................26

MEDICAL SERVICES HOURS Monday, Tuesday, Wednesday and Friday 8:00 am-5:00 pm Thursday 10:00 am-7:00 pm 1st Friday of the month the Medical clinic opens at 1:00 pm (closed in morning for staff training) BEHAVIORAL HEALTH HOURS Monday-Wednesday; 8:00am-6:00pm Thursday 10:00am-7:00pm Friday 8:00am-5:00pm 1st Friday of the month the Behavioral Health clinic opens at 1:00 pm (closed in morning for staff training) WIC NUTRITION HOURS Monday-Wednesday; Friday 8:00 am-5:00 pm Thursday 10:00 am-6:00 pm 1st Friday of the month WIC opens at 1:00 pm (closed in morning for staff training) SCHEDULED APPOINTMENTS To schedule an appointment, call 918-382-1224, press option 1. If you are unable to get your preferred appointment time, please schedule for the first available appointment. Patients may call back and check to see if an opening becomes available that better suits their needs. IHCRC ADMINISTRATION Carmelita Skeeter Chief Executive Officer J.R. Hurt Chief Operating Officer Judy A. Gibson Chief Financial Officer Stacie Nutt Chief Human Resource Officer DEVELOPMENT STAFF Debbie Starnes Development Director dstarnes@ihcrc.org

Family Fun and Fitness Day...page

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John Young Marketing Specialist jyoung@ihcrc.org IHCRC Fall 2015 3


Dance of the Two Moons Mirrored Moons March 12, 2016 Hard Rock Hotel and Casino Tulsa Be ready to get your groove on during this fab Thank you to the first of our rockin’ early bird Sponsors evening of fun! IHCRC’s Dance of the Two Moons: and Patrons for 2016! Mirrored Moons, plans to take you back to the age PRESENTING SPONSOR of disco. But before you get out the blue tuxedo and the bellbottom pantsuit, prepare to enter the world of disco chic. This will be the most elegant and radical disco party you have ever seen! Join our rad Honorary Chairs, Alison Anthony and Mark Wilson for this far out night on March 12, 2016, 6:30 pm at the Hard Rock Hotel and Casino, EAGLE SPONSOR Tulsa. Get down with the awesome sounds of Ultra Suede. Dig some of the greatest auction items around. Help thank one of the coolest cats you will ever meet, our 2016 Circle of Life Community Partner, Delores Titchywy Sumner. Hurry, last year’s event sold out. BEAR SPONSOR Get the skinny at www.ihcrc2moons.org. IHCRC Jeans Pass Staff Oklahoma State University Medicine/Mercy Tiger Natural Gas BUFFALO SPONSORS The Chickasaw Nation Commerce Bank CommunityCare Diagnostic Laboratory of Oklahoma First National Bank and Trust Co. of Broken Arrow Oklahoma City Indian Clinic Osage Casino SPONSORSHIP OPPORTUNITIES Jim and Sharon Ruley Eagle - $10,000 Wolf - $7,500 Bear - $5,000 Buffalo - $3,000 PATRON OPPORTUNITIES Premier Table Patron - $3,500 Table Patron - $2,000 Couple Tickets - $250/couple Individual Tickets - $150 4 IHCRC Fall 2015

ADDITIONAL EARLY BIRD SPONSORS (sponsorship level not yet determined) The University of Oklahoma - Tulsa Public Service Company of Oklahoma TABLE PATRONS Dr. Jay and Nancy Anderson Janice Edmiston and Ceasar Williams Carmelita Skeeter


Honorary Chairs: Alison Anthony and Mark Wilson

Alison Anthony and Mark Wilson have a strong commitment to supporting IHCRC’s mission. Mark has played an important role in our annual powwow for many years. Alison is the director of Strategic Outreach at Williams, and president of Williams Foundation. Three years in a row, 20102013, The Journal Record recognized Alison as one of 50 Women Making a Difference in the state of Oklahoma. Alison and her husband Mark Wilson, in Tribal Relations for OU’s School of Community Medicine, reside in Sand Springs, Oklahoma, and have five children. Mark and Alison enjoy traveling, reading, and spending time with their lively and large extended family.

Circle of Life Community Partner: Delores Titchywy Sumner Delores has been generously donating to Indian Health Care Resource Center for more than a decade. During that time she has established herself as IHCRC’s largest individual donor. Last year, Delores was a Bear Sponsor for Dance of the Two Moons and provided funding to support a week of the HelmZar Challenge Course. Delores has unselfishly utilized her sponsorships to recognize her tribe (The Comanche Tribe) and to provide a fun evening for a large number of her family and friends. We are grateful that Board member Goldie Phillips introduced Delores to IHCRC.

Featured Artist: Susan Eddings Perez Susan has been a generous supporter of IHCRC, donating beautiful works of art to our live auction. Her work incorporates various mixed media and acrylics on gold leaf. Abstract in design, Susan has a vision for each of her pieces ranging from landscapes to emotions to seasons of the year. From subtle tone-on-tone to vivid explosions of color, many of her pieces have the ability to be displayed in the horizontal or vertical. As such, her art is signed and titled on the back of each piece. Susan is also an award winning interior designer, receiving local, national, and international recognition for her Interior Design. She was named Top Designer of Children Bedrooms in 2010 by HGTV as well as the Inaugural People’s Choice Award for her work in the historic Campbell Hotel Designer Showcase.

www.ihcrc2moons.org


Youth Summer Camp

BY: NANCY O’BANION, DIRECTOR, HEALTH EDUCATION & WELLNESS

The IHCRC summer camps program just ended another exciting and successful summer. Children participated in games, sports skills, team building, climbing, field trips, and cultural activities. When interviewed, a recent group of campers were asked, what they would be doing if they weren’t at camp? Most campers answered they would be home watching TV or playing video games. Our camps provide opportunities for youth to learn the value of physical activity, fitness, culture, and healthy lifestyles. Cultural Camps provide enrichment for the urban youth, instilling culture through crafts, stories, and native games. Sports and Fitness Camps emphasize physical fitness and sports fundamentals. The Wellness Adventures camps, held at the HelmZar Challenge Course, focus on healthy lifestyles, diabetes prevention, leadership, team building, and problemsolving. A field trip highlighted the end of each week. Thanks to the Tulsa Shock and Blue Cross and Blue Shield of Oklahoma for another entertaining fitness assembly for our younger campers. Thanks to the HelmZar staff, Tulsa and Broken Arrow Public Schools, and all the special guests who provided for our campers. Special thanks goes to our dedicated donors, who make our camps possible for all these great kids!

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Family Fun and Fitness Day BY: JENNIE HOWARD, FITNESS EDUCATOR

Centennial Park was the site for IHCRC’s first Family and Fitness Day sponsored by Osage Casino and grants from the Oklahoma City Area Inter-Tribal Health Board and The Notah Begay III Foundation. An early morning rain failed to dampen spirits as more than 150 participants checked-in for the morning fun run. What a sight it was to see, as children, youth, parents, and grandparents joined together at the starting line. After the run, families participated in an obstacle course (inflated, of course), hula hoop contests, volleyball, ping pong, line dancing, yoga, frisbee, and much more. The day was made even more special by the participation of Camp Fire of Green Country, Oklahoma State University, and Be Love Yoga. Families laughed and played and cheered as music filled the air and the entire park became an amazing fitness playground. The morning ended with lunch (including snow cones) and fitness giveaways for every family in attendance. How much did families enjoy this event? “My family attended the family fun and fitness day. We were very blessed to see all the things the clinic had planned for us. Thank you for helping to fund such wonderful benefits for our families to take advantage of. It helps us to feel part of a special group.”

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Sit Less Move More, Learn Better Workshop

BY: NANCY O’BANION, DIRECTOR, HEALTH EDUCATION & WELLNESS

“I just wanted to thank you so very much for the workshop Sit Less Move More. I attended last year and this year. It is by far one of the best P.E. workshops I have attended. The presenters were awesome and you all did a great job. Thanks again, I look forward to one again next year.” This was one of the positive comments a participant made after attending our Sit Less Move More Learn Better training, held August 7, 2015. IHCRC collaborated with the youth programs from the Creek Nation and the Tulsa Health Department. In addition to presentations by these three agencies, nationally known physical education instructor, Mike Spiller, conducted the morning workshop. His “Games of the World” presentation included over 40 unique games and activities for youth of all ages. This free training, funded by the Oklahoma City Area Inter-Tribal Health Board focused on implementing activities to help children increase knowledge and fitness through physical activity, experiential learning, and interdisciplinary learning. Sixty participants took advantage of the training and increased their repertoire of activities for the upcoming school year.

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Restoring Harmony Creating Balance Powwow BY: KELLY MOUNCE, PROJECT DIRECTOR, SYSTEMS OF CARE

Earlier this summer, over 800 people gathered at the Tulsa West Side YMCA for the 8th Annual Restoring Harmony Powwow. This year’s theme was “Creating Balance,” which focused on the importance of balancing mind, body and spirit. The day began with youth and their families participating in activities including QPR Training, stickball games, and an awareness hike. After a morning of fun, the afternoon started with Gourd Dancing and Specials and concluded with a free supper for everyone in attendance. Grand Entry began at 7pm followed by memorial songs, round dance songs, and intertribal dancing. In conclusion, the contests, which featured dancers from tiny-tot to golden age, filled the arena with beautiful dancing throughout the rest of the evening. Not only did the Restoring Harmony Powwow feature great dancing and singing, it also included many vendors whom were selling items such as Native American jewelry, beads, baskets, shawls, blankets, food and even ice cream! Special thanks to the Restoring Harmony Powwow Head Staff, the Tulsa Indian Community Advisory Team, The Native Nations Youth Council, Muscogee (Creek) Nation, Cha’ Tullis, IHCRC Systems of Care, and IHCRC Methamphetamine Suicide Prevention Initiative for all their support to the powwow and for helping us promote mental health awareness to our youth. Thank you to all the vendors, volunteers, and visitors that came out and helped make this such a successful event!

IHCRC Fall 2015 9


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IHCRC Fall 2015 11


IHCRC Welcomes New NOPIP Interns BY: EDWARD E. ROGERS, CREDENTIALING COORDINATOR

In August 2015 Indian Health Care Resource Center’s Behavioral Health department saw the successful completion of a year-long psychology internship by interns David Bright, Edward Hunt, and Merrill Jones (pictured above from left to right). We wish these gentlemen the very best as they move forward with their one-year post doctoral training before becoming fully licensed psychologists. As they move on in their careers, we welcome a new set of psychology interns – LaTrice Loche, M.S., Leah O’Reilly, M.S. and C. Matthew Stapleton, M.S. IHCRC’s graduate psychology internship program is undertaken in partnership with the Northeastern Oklahoma Psychology Internship Program (NOPIP). NOPIP is a consortium comprised of various local agencies who are committed to providing quality clinical training in the provision of basic psychological services. The NOPIP goal is to facilitate the interns’ development of critical thinking, conceptualization and problem solving skills to work within an integrated holistic service model. NOPIP is American Psychological Association-accredited and is a member of the Association of Psychology Postdoctoral and Internship Centers (APPIC).

About the new NOPIP Psychology Interns: LATRICE M. LOCHE, M.S. – OKLAHOMA STATE UNIVERSITY LaTrice M. Loche, M.S., moved to Tulsa in order to complete a doctoral internship in the Behavioral Health department at IHCRC. Previously Loche was living in Natchitoches, Louisiana where she attended Northwestern State University and completed a Master of Science degree in Clinical Psychology. Mrs. Loche is currently pursuing a Doctor of Philosophy degree with an emphasis in Counseling Psychology from Oklahoma State University. Loche was born in Houston, Texas and earned a Bachelor of Science degree from Texas Christian University located in Fort Worth, Texas where she majored in Psychology and minored in Sociology. Loche has taken an active interest in community and campus activities at NSU, OSU and TCU where she has served as a Student Member of the Southwest Psychological Association (2013 – present), Student Member of the American Psychological Association (2012 – present), Student Member of the 12 IHCRC Fall 2015


American Psychological Association of Graduate Students (2012 – present), Graduate Student Member of the Association of Black Psychologists (2012 – present), Charter President, Association of Black Psychologists (2012 – 2014), Student Member of Psi Chi, National Honor Society in Psychology (2007 – present), and Treasurer, Delta Sigma Theta Sorority, Inc., (2006 – 2009). Loche was honored with membership to the Ronald E. McNair Post baccalaureate Achievement Program (2008 – present), the Clayton A. Morgan Excellence Endowed Scholarship (2013 – 2014), the Robert L. Breckenridge Graduate Student Award (2012), and the Order of Omega from the National Greek Honors Society (2008). LEAH O’REILLY, M.S. – WISCONSIN SCHOOL OF PROFESSIONAL PSYCHOLOGY Leah O’Reilly, M.S. comes to IHCRC from Wauwatosa, Wisconsin where she is pursuing a Doctor of Clinical Psychology degree and has earned a Master of Science degree in Clinical Psychology from the Wisconsin School of Professional Psychology located in Milwaukee, Wisconsin. O’Reilly earned a Certificate in Trauma and Resilience from the Hebrew University of Jerusalem in Israel and she completed a Bachelor of Arts degree in Psychology from the University of Wisconsin in Madison. Her academic performance earned her a place on the Dean’s List at UW-Madison. O’Reilly was honored with the John H. Jackson minority scholarship from The Wisconsin School of Professional Psychology (2011 – 2016), Academic Advancement Program Focus Award winner at UW-Madison (2011), and the Undergraduate Student of the Year Award and Scholarship at UW-Madison (2010). O’Reilly stays active in her field as a Student Affiliate of the American Psychological Association (2012 – present), Student Affiliate of the Wisconsin Psychological Association (2012- 2013) and Member of the Association of Professional Psychology Students (2012 – 2013). C. MATTHEW STAPLETON, M.S. – THE UNIVERSITY OF MEMPHIS C. Matthew Stapleton, M.S. is pursuing a Doctor of Philosophy degree in Clinical Psychology from The University of Memphis. Stapleton previously completed a Master of Science degree in General Psychology and a Master of Arts degree in Philosophy also while attending The University of Memphis. He earned a Bachelor of Arts degree in Philosophy and Psychology from Marshall University located in Huntington, West Virginia. Stapleton was honored with the Delyte and Dorothy Morris Doctoral Fellowship at Southern Illinois University in Carbondale, Illinois for his doctoral work in philosophy. He has received Research Travel Awards to cover traveling expenses to psychology related conferences while attending The University of Memphis (2009 – 2014). Stapleton stays active in his field with memberships in the Society for Research in Child Development, Association for Psychological Science, Jean Piaget Society, Tennessee Psychological Association and the International Congress of Qualitative Inquiry. IHCRC serves as a primary host agency for NOPIP interns to complete the last year of their training under the supervision of Rachele Floyd, Psy.D., the Behavioral Health Director, Jason Menting, Psy.D., the Director of Clinical Training and Joanna Shadlow, Ph.D., a staff psychologist. Management and staff at IHCRC welcome the new interns and encourage each to have a successful and productive year at our facility as they finish their doctoral degrees.

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Oklahoma City Area Director’s Awards BY: EDWARD E. ROGERS, CREDENTIALING COORDINATOR

The 12th Annual Oklahoma City Area Director’s Indian Health Service Awards Ceremony and Banquet was held on July 16, 2015 in Oklahoma City at the National Cowboy and Western Heritage Museum. This annual awards ceremony recognizes individuals and health teams working in Kansas, Texas and Oklahoma who have helped advance the goal of the Indian Health Service to ensure comprehensive health services are provided in a culturally competent manner to American Indian and Alaskan Native people. “Today we acknowledge the distinguished service and tireless efforts of our colleagues to improve the health and well-being of American Indian and Alaska Native patients and communities. The contributions of the recipients in the areas of Length of Service, public health, and Commissioned Corps honor awards represent those of the entire I/T/U family. Each day you labor to make Indian country healthier and safer in countless ways be encouraging healthy habits and disease prevention and supporting our youth and elders. I applaud all of this year’s recipients. It is through individuals like you that the Indian Health Service, Tribal and Urban Health Programs have been able to make a difference in the lives of the American Indians and Alaska Natives whom we serve,” said Rear Admiral Kevin D. Meeks, RS, MPH, Area Director of the Oklahoma City Area Indian Health Service. TANYA CAIN, RN CLINIC ADMINISTRATOR MERIT AWARD Tanya Cain, RN began her career at Indian Health Care Resource Center of Tulsa in August 2009. Tanya was hired as the Triage / Immunizations / Supervising Nurse. She was promoted to Clinic Administrator in 2014, as a supervisor of Nursing, Medical Records, Schedulers, Medical Social Worker, and PHNs. Tanya serves on the Clinical Applications Committee (CAC), Employee Health, and Credentialing Committees. Tanya is also responsible for the infection control program at the facility. She is a member of the leadership and safety and infection teams. Tanya assists with peer review, growth/ development of the Improving Patient Care (IPC) teams and is a champion for Government Performance and Results Act (GPRA).

LISA WEICHE, LADC, LCSW SOCIAL WORKER/SUBSTANCE ABUSE COUNSELOR PEER RECOGNITION AWARD Lisa Weiche is dually certified as both a Licensed Clinical Social Worker and a Licensed Alcohol and Drug Counselor. Her flexibility allows IHCRC to utilize her time to reflect the current need within the Behavioral Health Department. Lisa’s position fills a special need of providing treatment in both of these areas. In addition to her regular caseload, Lisa performs substance abuse assessments and leads a substance abuse support group each week.

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JIM PERRYMAN PURCHASING CLERK INDIVIDUAL EXCELLENCE IN CUSTOMER SERVICE Jim Perryman, the Purchasing Clerk for Indian Health Care Resource Center of Tulsa started work in August 2011. Jim places orders with vendors, maintains control of shortages, back order and drop shipments and ensures the supply inventory is current. He receives all deliveries; verifies the accuracy of all packing slips; maintains all NSSC order books and orders; ensures the level of inventory is on hand as required; maintains properly numbered bins and shelves to correlate with the inventory sheets and obtains price quotes for all items being purchased as well as reviews requisitions for compliance with policy and completion.

The Big Cheese - Carmelita Skeeter, CEO BY: EDWARD E. ROGERS, CREDENTIALING COORDINATOR

Michael and Leslie Moore, the Oxley Foundation represented by Hank Harbaugh, and IHCRC’s CEO Carmelita Skeeter were each honored with The Big Cheese Award at the Iron Gate Founders Dinner. This event is one of the largest annual fundraisers benefitting Iron Gate. Individuals and organizations receiving the Big Cheese Award are recognized for the help and assistance they have given to Iron Gate. Indian Health Care Resource Center of Tulsa has been a community partner of Iron Gate since 2009. Of those seeking the services of Iron Gate, 30% are Native Americans. Mrs. Skeeter has served on Iron Gate’s Native American Task Force since 2011. Connie Cronley, Iron Gate Executive Director said this of the award winners “They exemplify the individuals, social service agencies and private foundations that are critical to our continuing success. We owe our existence to their compassion and their generosity.”

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Komen and IHCRC Partner to Provide Hope BY: DEB STARNES, DEVELOPMENT DIRECTOR Cancer is the leading cause of death for American Indian women and the most common form of cancer for these women is breast cancer. While breast cancer rates for American Indian women are lower than Caucasian women, American Indian women are more likely to be diagnosed at a later stage when the cancer is more advanced and harder to treat. With this in mind, it is not surprising that the 2014 Komen Tulsa Community Profile revealed a breast cancer death rate for American Indian women that is 24.8% higher than the service area. For the past 15 years the Susan G. Komen Tulsa Affiliate has been the primary supporter of IHCRC’s breast health program. Komen Tulsa is the local source for funding programs that provide breast health services, breast cancer education and outreach in a 30 county service area. Since 1997 Komen Tulsa has raised over $7.1 million with over $5.1 million in local programs and $2 million in national research grants. The amazing partnership with the Susan G. Komen Tulsa Affiliate has allowed IHCRC to truly help reduce health disparities in breast cancer screening and treatment for American Indian women. IHCRC estimates that 3,000 to 4,000 American Indian women will receive breast cancer and breast health education focused on understanding risks, getting screened, understanding warning signs, and making healthy lifestyle choices. An estimated 800 16 IHCRC Fall 2015

American Indian women, without insurance or a third party payer source, will receive mammography screening through the IHCRC Komen program. To ensure that patients receive the advanced screening and treatment required, IHCRC has begun providing breast ultrasounds within the clinic. It is anticipated that 100 to 120 women will require breast ultra sounds following initial mammography screening. This inhouse service provision will reduce barriers to care for American Indian women, thereby increasing chances of being diagnosed at an earlier stage. Women without a third party payer source (approximately 60%) must rely on Indian Health Service contract dollars for advanced diagnostics.

“I found comfort in the warmth and kindness of the IHCRC staff. Because of them, I believed I could beat this and I did.” -Patricia


Changing Lives One Grant at a Time: Telligen Community Initiative BY: DEB STARNES, DEVELOPMENT DIRECTOR

One of the most vital positions shared by all four of IHCRC’s medical home teams is the Medical Case Manager. Filled by a licensed social worker, this position serves as the “biopsychosocial crisis response” team for every medical provider in the building. Medical providers defer patients who are facing crisis situations that ultimately effect the health and well-being of the patient and the family. One day it may be a woman who feels safe to admit she is the victim of domestic violence. Two hours later it may be a family on the verge of losing their home. The next day a single mother may no longer be able to feed her crying child. At the end of the week a homeless man is hungry, cold, and ill. On Monday, a young woman is convinced that suicide is her only answer. These are just a few of the crises the IHCRC Medical Case Manager positively impacts each and every day. The ultimate goal of IHCRC’s medical case management program is to connect patients to programs that meet basic human needs, to enhance human well-being, and to reduce heath disparities. IHCRC has received a $25,000 grant from the Telligen Community Initiative (TCI), the private charitable foundation of Telligen, Inc. Telligen Community Initiative seeks to empower organizations and citizens to improve their individual and overall community health. TCI funding is designed to initiate and support innovative and forward-looking health-related projects aimed at improving health, social well-being and educational attainment. The foundation’s funding focuses on project support in Iowa, Illinois and Oklahoma within the areas of health innovation, health for the underserved and healthcare workforce development. The commitment to annual funding in Oklahoma is part of TCI’s overall vision to empower organizations and citizens to improve their individual and community health and ensure health opportunities are available and accessible to everyone. “The Medical Case Management program provides a range of health and wellness services tailored towards the medical needs of Tulsa’s Native Americans,” said Matt McGarvey, Executive Director of Telligen Community Initiative. “The need is profound and our contribution will positively impact their ability to serve nearly 725 patients annually.”

“The best part of what I get to do is be there for folks in crisis. I often ask, “Out of everything you’re going through what one thing would help?” Often it’s food or getting a utility bill paid, gas for their car; sometimes they just want someone to listen. Once the hurt is acknowledged, a help for the need is provided, then the provider can get to the medical, which is usually what the patient came in for to begin with.” Deni Fholer, IHCRC Medical Case Manager

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Be Smart About Your Heart: Manage the ABCs of Diabetes PROVIDED BY: NATIONAL DIABETES EDUCATION PROGRAM (NDEP)

Many people with diabetes do not realize that having diabetes increases their chances of having a heart attack or stroke. While most people may think about diabetes-related health problems such as kidney disease, blindness and amputation, adults with diabetes are nearly two times more likely to die from heart disease or stroke than a person without diabetes. If you have diabetes, the National Diabetes Education Program (NDEP) and Indian Health Care Resource Center of Tulsa (IHCRC) wants you to know that you can lower your chance of having a heart attack or stroke by managing your Diabetes ABCs. • A is for the A1C test (A-one-C). This is a blood test that measures your average blood sugar (glucose) level over the past three months. • B is for Blood pressure. • C is for Cholesterol. • S is for stopping smoking. If you have diabetes, talk to your doctor about your A1C, Blood pressure, and Cholesterol numbers. Your ABC goals will depend on how long you have had diabetes, and other health problems. If you smoke, ask for help or call IHCRC at 918-382-2209 and ask about our Tobacco Cessation Group. The U.S. Department of Health and Human Services’ National Diabetes Education Program is jointly sponsored by the National Institutes of Health (NIH) and the Centers for Disease Control and Prevention (CDC) with the support of more than 200 partner organizations.

Here’s one more way to take care of your heart: Learn the warning signs of a heart attack and stroke. • Signs of a heart attack may include pressure, squeezing, fullness, and pain in the chest or upper body. You may also have shortness of breath. • The signs of a heart attack for a woman may be different than a man. Signs for a woman can include nausea and vomiting, being tired all the time (sometimes for days), and pain in the back, shoulders, and jaw. •Signs of a stroke may include weakness on one side and trouble walking, seeing, or speaking. IHCRC Fall 2015 19


All Things Comanche

Caring and Sharing is Our Culture and Tradition Members of the Comanche Tribe Sumner Family Delores, Rodney, Patti, Larry, Pam, Blanche Philips Family Goldie, Vivian, Brian, Eric, Jessica

Dickerson Family DeeAnn, John, Melissa

Morris Family Sue, Tom

Kelley Family Margie, Megan

Proud Supporters of Dance the TwoCenter Moonsof Tulsa Proud Supporters of Indian Health CareofResource

COMMUNITIES NEED HEALTHY TEENS

Free or low cost health insurance for Native teens! Enrollment is quick and easy. Ask to speak with an IHCRC Benefits Coordinator today!

918-588-1900 • www.ihcrc.org

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Your Insurance Can Benefit Others Without BY: J.R. HURT CHIEF OPERATING OFFICER

As a 501(c)(3), non-profit entity, IHCRC is a budgeted line item for Indian Health Services which represents roughly one-third of our revenues. Additionally, IHCRC receives funding from grants for various programs and services that we offer and provides services not typically found in private practices. To further support the many services we offer, IHCRC accepts Medicare, Medicaid and private insurance, which represents over 60% of our revenues. Our patients with insurance choose to come to IHCRC due to the quality and volume of services they can receive in one location. They are represented by working individuals who have insurance for them and/or their families through their employer. Since IHCRC does not collect a co-pay or deductible from these patients, there is no out of pocket expense. This adds additional value for families and their budgets, plus provides additional revenues for IHCRC to provide services to other Native Americans who do not have insurance. Supporting our patients and providers is the IHCRC Patient Benefits Coordinator’s team. Patient Benefits Coordinators work with patients when a referral is made for specialty care, plus assist those who have no insurance with signing up for SoonerCare and Affordable Care Act benefits (ACA). While on the surface, these additional benefits do not appear to be needed since our patients have Indian Health Services, often times referrals for specialty services are not offered through IHS or tribal facilities and are denied funding through contract health. The ACA insurance plans, which can be no-cost or low cost for the patients, is a great way to make sure these referrals are approved. Additionally, since a referral is being made by IHCRC providers, there is no out of pocket expense for anyone who has the ACA zero or limited cost sharing plan. If you have questions about insurance or ACA benefits, feel free to contact one of our Patient Benefit Coordinators at 918-588-1900.

Dr. Jennifer Jones, Optometrist Jennifer Jones, OD joined Indian Health Care Resource Center of Tulsa (IHCRC) in October 1997 as an Optometrist. When Dr. Jones joined IHCRC, it was for a projected three-year Health Professions Scholarship service obligation with the Indian Health Service (IHS). She elected however to make IHCRC her career home. Optometry services provided by Dr. Jones include vision evaluations, eyeglass prescriptions, medical treatment of eye infections and diseases, visual field testing for glaucoma, dilation evaluation and retinal photographic recording of eye disease. Comprehensive visual exams are conducted using computerized diagnostic equipment to assess a patient’s eye health and vision. In addition to prevention and health education services, treatment is provided for vision conditions arising from diabetes. In 2011, Dr. Jones enhanced our Optometry services with the addition of an Optical Coherence Tomography (OCT) scanner which scans for glaucoma and pachymetry (corneal thickness,) and the retina. As a Cherokee woman, she takes pride in providing services to our clinic population. “It’s rewarding to help a group of individuals that are truly and genuinely appreciative of my services. It makes me feel hopeful,” said Dr. Jones.

dr jones

IHCRC Fall 2015 21


The Dynamic Duo

BY: EDWARD E. ROGERS, CREDENTIALING COORDINATOR

They are healthcare professionals, colleagues, peers, IHCRC employees, and brothers. David B. Ross, MD, Adult Psychiatrist joined the Behavioral Health Department on a part-time basis in May 2014, while completing the final year of his psychiatry residency at the University of Oklahoma. After completing his residency in July 2015, Dr. Ross joined the IHCRC staff as a full-time employee. Aaron Ross, Pharm. D., relocated to Tulsa and joined the Pharmacy team as a Staff Pharmacist in August 2015. 22 IHCRC Fall 2015

The Ross brothers were born in Grass Valley, California but were raised in Salina, Oklahoma. As members of the Cherokee Tribe both men experienced tribal health care during their formative years. It was in part due to the tribal health experience that both men developed a desire to give back to Indian Health Service programs and to be a part of enhancing and improving the services offered to Native Americans. Dr. David Ross graduated from OU’s College of


Community Medicine Psychiatry Residency Program in Tulsa. He completed a Psychiatry Internship at the University of Nevada School of Medicine while living in Reno, Nevada. Dr. Ross earned his Doctor of Medicine degree from the University of Oklahoma and a Bachelor of Science degree in Biology from Oklahoma State University in Stillwater. Dr. Ross was on the Residency Teaching Honor Roll at the University of Nevada School of Medicine. Additionally he was honored with a Teaching Award at the University of Oklahoma School Of Community Medicine, the Benjamin Rush Award for Psychiatry, and a Multicultural Student Academic Award. His academic distinction earned him membership with the Golden Key Honor Society, the Tau Sigma Honor Society, Phi Kappa Phi Honor Society and placement on the Dean’s Honor Roll and President’s Honor Roll. Dr. Ross has previous experience shadowing providers at the White Eagle Health Center near Ponca City and working in outpatient medical clinics in Tulsa, Ramona and Locust Grove. During his psychiatry internship in Reno, he gained medical experience at the VA Hospital and the State Hospital. Aaron Ross attended Southwestern Oklahoma State University in Weatherford, Oklahoma where he earned a Doctorate degree in Pharmacy. He has

completed the Officers Basic Course BOTC Class and the Pharmacy Practice Training Program. He is ACPE certified in immunization administration. He has served as the Vice President of the local Fort Yuma Chapter COA, and the Junior Officers Advisory Group. Ross has received several Public Health Service (PHS) Awards including: CCTR-2010, CCRC2010, and HazDutyA-2013. Aaron relocated to Tulsa from Winterhaven, California where he served as a Lieutenant and Staff Pharmacist in the Commissioned Corps at the Fort Yuma Service Unit. Previously he worked as the Senior Pharmacist (04-Billet) for the Federal Bureau of Prisons (BOP) at the Federal Correctional Facility located at Lompoc, California. He has served in several leadership positions including the Narcotics Officer for the Managing Pain Committee, Secretary of the Pharmaceuticals and Therapeutics (P&T) Committee, Drug Formulary Manager and Pharmacy Representative for the Women’s Health Committee. Ross was deployed to the Hurricane Sandy Response in 2012 and to the Local Offsite Emergency Evacuation Site in 2013. Board members, management and staff wish to welcome the Ross brothers to Indian Health Care Resource Center of Tulsa.

IHCRC Fall 2015 23


24 IHCRC Fall 2015


Patient Satisfaction Survey Results Are In BY: EDWARD E. ROGERS, CREDENTIALING COORDINATOR Indian Health Care Resource Center of Tulsa (IHCRC) surveyed patients during the month of June as part of our biannual survey process. At IHCRC we take an active interest in what our patients have to say about the comprehensive healthcare services that we provide. We understand that quality improvement and best practices once established are not static. Both of these require our focused attention and the pursuit of excellence on an ongoing basis. We challenge ourselves each day to be open to changes within the organization, to listen to suggestions, and to make changes to our processes and services where needed. To obtain feedback from a patient’s perspective we use confidential surveys as a resource for collecting important data. We have found this is the best way to obtain honest and uncensored feedback from those that we serve. During the month of June, 1,219 patients from all areas of the clinic completed our survey. The breakdown of the results follow: Of the 1,219 patients who responded to our survey, 65% were women and 35% were men. Of these, 53% have been a patient at IHCRC for over five years. On the day they completed the survey, a total of 73% of respondents had a scheduled appointment, 14% were walk-in patients, and 13% of respondents were visiting IHCRC to pick up a prescription. Of the respondents, 50% indicated they had a clinical visit at IHCRC two– five times during the past twelve

months, 23% reported six–ten times, and 21% had been to the clinic over 10 times during this time period. When asked which method of communication was preferred from staff at our facility, 70% indicated they prefer a telephone call, 20% a voice-mail, and 10% a written letter. We also learned more than 71% of respondents had internet access.

“88% of respondents indicated their Primary Care Provider (PCP) is employed by IHCRC’s Medical department.” Of the patients that responded 71% indicated they have a health care provider in Behavioral Health, Dental, Health Education and Wellness, or Optometry, in addition to a (PCP) in Medical. We are happy to report 60% of respondents indicated a wait time of less than 15 minutes from their arrival time to being seen by a provider; 32% indicated a wait time of 15 to 30 minutes. More than 40% of respondents indicated it’s “easy” to get an appointment at IHCRC and 42% indicated it is “usually easy” to get an appointment. We are proud that patients consistently give our providers high marks. Over 97% of patients indicated they feel comfortable talking to staff about their health concerns. Another 98.5% indicated they feel staff are interested in their health concerns and are respectful to them. Over 98% indicated they understood the health information they were given and felt their questions were answered.

We are honored that 98% of the respondents indicated they would recommend IHCRC’s providers and services to family and friends.

“96% of those surveyed gave a rating of excellent or good for quality of service.” IHCRC’s management and staff thank all patients who participated in the June survey period. Your feedback is important to us.

“While there are still area’s that we will continue to improve in, the results demonstrated that our patients have spoken and IHCRC has listened. Additionally, we would like to thank everyone who took the time to write comments and provide valuable feedback. The changes we have made in various areas have had a positive impact on the care our patients receive and their overall satisfaction with IHCRC.” -J.R. Hurt, COO IHCRC Fall 2015 25


Activities and Groups September-November HEALTH EDUCATION AND WELLNESS CLASSES SEPTEMBER September 16th, 11 am: Exercise and Diabetes - Exercise is an important part in diabetes control. Learn easy ways to incorporate physical activity, how to set realistic goals, and appropriate safety measures to take. Instructed by Alison Forsythe, RD. September 24, 11 am: Cooking with Butternut Squash - Come learn several delicious ways to prepare this savory fall vegetable. Instructed by Katie Snyder, RD. OCTOBER October 14th, 11 am: Clean Eating - Learn what it means to eat clean and sample recipes. Instructed by Alison Forsythe, RD. October 22, 11 am: Cooking with Pumpkin - Branch out from Jack-olanterns and learn to use this fall vegetable in the kitchen! Instructed by Katie Snyder, RD. NOVEMBER November 18th, 11am: Easy Thanksgiving Recipes - get healthy and simple recipes ideas for your Turkey Day. Instructed by Alison Forsythe, RD, and Katie Snyder, RD. Some classes fill up early. Please register in advance by visiting the Health Education and Wellness reception desk or calling 918-382-2222.

BEHAVIORAL HEALTH GROUPS Tobacco Cessation Group - Every Wednesday from 4:00-5:30pm. This group contains ongoing weekly support for members in their struggle to stay nicotine free. Group Topics are driven by members along with motivational handouts by group Therapist. Depression and Anxiety Group - Every Tuesday from 1:00-2:30pm. This group has an educational component but is also geared to help clients support each other through difficult times. All are welcome to attend, the client does not need to be seen for individual therapy first. Sign up at the Behavioral Health reception desk or call 918-382-2209.

26 IHCRC Fall 2015


The Society of the Medicine Wheel The medicine wheel is an ancient symbol used by most Native people to express holistic, cyclical, and harmonious concepts. One of those concepts involves the four aspects of our nature: physical, mental, spiritual, and emotional - and their role in our balance, health, and wellbeing.

We invite you to be part of this rich tradition of healing. As a member of this special annual giving club you will become a vital part of the health and wellbeing of the Native Tulsa community. Members of the Society receive the special benefits outlined below.

Membership Benefits

$500 and Above Gift Recognition All of the benefits listed below, and: - Two tickets to IHCRC’s Dance of the Two Moons Dinner and Auction* $250 - $499 Gift Recognition All of the benefits listed below, and: - Recognition on the IHCRC website - A personal invitation to the IHCRC Annual Meeting $50 - $249 Gift Recognition - IHCRC e-mail updates regarding programs and activities - Recognition in the IHCRC Annual Report and Healthy Spirit magazine - Subscription to IHCRC’s Healthy Spirit magazine - Special Society of the Medicine Wheel lapel pin

Thank you for supporting Indian Health Care Resource Center of Tulsa! Welcome 2016 Society of the Medicine Wheel Members Aliakber & Farida Akberali Dr. Jay & Nancy Anderson Donna Birkenfeld Mary Boardman RN Katie Burk In honor of Bill & June Carr Donnie & Gayla Cox Zandra Drywater Elizabeth A. Duncklee Janice Edmiston & Ceasar Williams Elizabeth Fair

Mr. Matthew and Dr. Rachele Floyd Judy A. Gibson J. R. & Stephanie Hurt Jay & Kelly Mounce Brian & Stacie Nutt Nancy O’Banion Daniel and Julia Olson Edward E. Rogers Carmelita Skeeter Debbie Starnes John Young

Donors in color have given at the highest level. *The two dinner tickets have a cost benefit of $100. Therefore, the actual tax deductible amount of your gift will be reduced by $100 if you wish to receive the tickets.

IHCRC Fall 2015 27


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Thank you for being an integral part of our “Caring is Strong Medicine” Team. If you have any questions or would like to be removed from our mailing list, contact John Young at 918-382-1206 or jyoung@ihcrc.org. 918-588-1900 | www.ihcrc.org


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