Trinity Mother Frances Employee Newsletter
Aug/Sept 2014
In This Issue LIVEwell Human Resources News System News Foundation News and more
The Road To ICd-10 ObjECTivES Of iCD-10-PCS
Additional differences in the ICD-10-PCS inpatient procedural coding system are as follows:
1. Completeness A unique code for all substantially different procedures
2. Expandability Easy incorporation of unique codes for new procedures
3. Uniform Structure Consistent meaning of individual characters in the codes
4. Standardized Terminology No multiple definitions for the same terms and each term assigned a specific meaning
This ICD-10 Tip is brought to you by Precyse University. For more information, go to:
www.precyseuniversity.com 1 TrinityTALK tribune AUG/SEPT 2014
Diagnostic information has been excluded from the procedure descriptions to enhance data collection. in iCD-9, they were often included. The level of specificity has increased so that all procedures currently performed are captured in iCD-10-PCS. All those who code, interact with codes or document the Medical Record must understand the additional information contained within the code and the documentation required to allow construction.
Š Copyright 2012 Precyse Solutions, LLC. All rights reserved.
Mission and Ministry Part of Catholic Healthcare
I
n July 1885, Mother Frances and other Sisters of the Holy Family of Nazareth from Europe departed Naples, Italy, for the United States with the intention of visiting Chicago and caring for the education of children in a parish school and an orphanage there. The journey was a perilous one. In fact, news preceded their arrival in the U.S. that their steamer had been sunk in an Atlantic storm. Fortunately, the ship that did sink had followed the one on which Mother Frances and the other Sisters traveled. Nonetheless, the fears of those who had called them to come to the U.S. and of those remaining in Europe were not allayed for quite some time.
In January of that same year, preceding that trip to the U.S., Mother Frances wrote the following: Thus, I envisioned our life in Nazareth as a life of love, externally given to work, service, performance of whatever our Lord may require, all of which would be accomplished with courtesy, charity, joy and serenity in order to draw everyone to Christ. But in the very depths of the soul the interior life would flourish in profound union with God, in purest love, consecration, sacrifice and total self-effacement. She went on to note that such was the life of Jesus, the Good Shepherd. She and the other Sisters visiting the U.S. lived that paragraph of hers written six months before their arrival. They assumed the leadership of a school teaching 500 students during their visit. In addition, Mother Frances herself adopted an orphaned boy in that community. They went on to become our sponsors. With those words and deeds they set a vision for us at Trinity Mother Frances Hospitals and Clinics to care for our patients and their families with the selfsame “courtesy, charity, joy and serenity.” That is a very high calling, one to which we have all responded. Let us remember the service to which healthcare workers are called by Mother Frances’ words and deeds and do as she did – care for those in need with joy. By Rev. Bob Grigsby Former Director, Pastoral Care
In This Issue: LPOHH and CAET .....................3-4 Foundation News...........................5-6 LIVEwell........................................... 7 System News..................................... 8 STARS.............................................. 8 Service Excellence.............................. 9 Human Resources........................... 10 Upcoming Events............................ 11 TrinityTALK tribune Trinity Mother Frances Marketing 500 S. Beckham Tyler, Texas 75702 Email: tribune@tmfhc.org Managing Editor Will Knous Editorial Board Jerry Ashworth Dorinda Bentley Patricia Cline Natalie Duncan Laura Lockhart Annette Rios Robin Rowan Brandy Royal Deborah Taylor Randy Thomas Graphic Design Betsy Feiden
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LPOHH and CAET to Join Forces Affiliation Creates Unprecedented Access and Quality of Care to East Texas
Watermelon Feta Salad For the Vinaigrette 1/4 cup freshly squeezed orange juice 1/4 cup freshly squeezed lemon juice (about 2 lemons) 1/4 cup minced shallots (1 large) 1 tablespoon honey 1/2 cup good olive oil 1 teaspoon kosher salt 1/2 teaspoon freshly ground black pepper For the Salad 6 cups baby arugula, washed and spun dry 1/8th seedless watermelon (rind removed & cut in 1” cubes) 12 ounces good feta cheese, crumbled 1 cup (4 ounces) whole fresh mint leaves, julienned Thinly sliced red onion, as desired Preparation Wisk vinaigrette ingredients in small bowl until well-combined. Toss salad ingredients together in large bowl. Drizzle salad with dressing and enjoy!
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Two of the most experienced and wellrespected medical organizations in East Texas have joined forces to create an unrivaled partnership for heart patients in the state. Cardiovascular Associates of East Texas (CAET) and the Louis and Peaches Owen Heart Hospital (LPOHH) have signed an affiliation agreement to provide improved access to physicians for patients throughout the region. “By partnering with Cardiovascular Associates of East Texas, Trinity Mother Frances and the Louis and Peaches Owen Heart Hospital are demonstrating our continual commitment to provide East Texas with the very highest levels of care,” said Dr. Steve Keuer, President and Chief Medical Officer, Trinity Mother Frances Hospitals and Clinics. “We take great pride in the quality of care we provide, and we are confident this affiliation will improve upon both organizations’ already high standards.” The affiliation agreement will cover clinical, operational, employee services, revenue cycles, IT and facilities management as shared between the two organizations. Beyond the legal words on paper, the goal of this affiliation is to expand cardiology services across East Texas by bringing together two of the most influential and establishing figures of East Texas cardiology in Dr. C. Fagg Sanford, Trinity Clinic Cardiology and Dr. Noah Israel, CAET. “We’re very proud to be bringing together the two real pioneers of cardiovascular care in East Texas,” said Lindsey Bradley, FACHE, President and Chief Executive Officer, Trinity Mother Frances Hospitals and Clinics. “Dr. Sanford and Dr. Israel really are the godfathers of cardiology in East Texas, and the affiliation between them and our organizations is a truly historical step into the future for heart patients.”
Patients walking into CAET – whether new or on return visits – will not really notice a difference other than a small change in signage. The high levels of service will remain the same. “By combining the efforts and skills of these two excellent organizations, patients throughout the East Texas region will have improved access to the highest levels of cardiac care available,” said Ray Thompson, FACHE, Executive Vice President and Chief Operating Officer, Trinity Mother Frances Hospitals and Clinics. “We will be bringing specialists to clinics throughout the region on a regular basis, offering patients access they’ve never had before.” The agreement maintains that each entity remain independent of one another but affiliate to combine services to offer to bring heart care to East Texans through outreach clinics spread throughout smaller, rural locations – in places like Gun Barrel City, Pittsburgh and beyond. Additionally, CAET
patients will benefit from a streamlined process for admitting and services from Trinity Mother Frances, partially through the implementation and coordination of the TMF electronic health records system, Epic, in the CAET offices and clinics, which will further enhance the convenience of patients of both organizations. “LPOHH at TMF have garnered multiple awards for the quality of their care, from being named one of the Truven 50 Top Cardiovascular Hospitals in the country to our continued high marks from the Society for Thoracic Surgery,” said John McGreevy, Chief Executive Officer, Mother Frances
Hospital Tyler and the Louis and Peaches Owen Heart Hospital. “However, by forming this partnership we are demonstrating the resolve to push forward. Both the LPOHH and CAET are well-respected medical institutions, and neither of us are content to simply rest on our laurels. We want to ensure heart care in East Texas gets even better.” The affiliation brings together more than 20 cardiologists to spread throughout East Texas offering the best possible care with its July 1 implementation. It also places a Trinity Mother Frances Imaging Center into the CAET clinic in Tyler. TMFHC patients will also now have access to the Vein Center and Weight Loss Center at CAET. At its heart, the goal of the affiliation is to combine unrivaled experience, leading edge technology and improved access to better serve all the heart patients of East Texas with award-winning levels of care. “We are bringing together two groups with a lot of compassion, knowledge and skills that we are able to give to our patients,” said Dr. Noah Israel, founding partner of CAET “I look at this as putting together a dream team. You have the skills, compassion and long-term experience of two groups offering the care the patients need, with state-of-theart technology.” “These two groups will be joining together under the umbrella of a fabulous organization – the organization that started cardiovascular care in East Texas,” said Dr. C. Fagg Sanford,
Chief, Trinity Clinic Cardiology at the LPOHH. “Together, we will continue to lead the way in cardiovascular care – not just in East Texas, but in the Nation – with benchmarks that are among the very best in this country.” “This is about collaborating with a focus on the patient first,” continued Dr. Sanford. “That’s what it’s all about.”
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Foundation News Mother Frances Hospital Nurse Inspires Others RNspire is a nurse appreciation program from Cardinal Health dedicated to honoring, inspiring and recognizing nurses for their valuable contributions to patients’ lives. As part of the campaign, an RNspire Facebook page (Facebook.com/rninspire) was launched during National Nurses Week with an Inspirational Story Competition taking place from May 6 June 5. Nurses were asked to share a story, along with a picture, of what inspires them as nurses. Marvin Delfin submitted a powerful, 1,000-word story that resulted in more than 1,600 Facebook ‘likes’ and 420 ‘shares,’ earning him top recognition and a $5,000 donation in his honor to the Wounded Warrior Project. In his story, Delfin reflected on past experiences and explained his life-long dream of becoming a ‘superhero’ to ultimately help those in need. Representatives from Cardinal Health joined with TMFHC administrators and Marvin’s coworkers to surprise and honor him with the presentation on June 27. When I was a kid, I dreamt of being a superhero with superpowers to help everyone, especially the ones who needed my help. I’ve always held on to that dream… not until I finished high school when I could not decide on which course to take up in college. Most of my best friends that time chose the most popular course, which was NURSING. Actually I had no idea about the nursing degrees, because I was confused whether I would like to become a chemical engineer, a doctor or a teacher. But having the reassurance that I would be with my friends taking that course, I decided to push trough. During the enrollment day, I was surprised that none of my friends were there in the College of Nursing building, only to find out that I was the only one taking up the course. To my dismay, I realized that they all 5 TrinityTALK tribune AUG/SEPT 2014
took up engineering. I felt so lost that time, hated my friends for what they did because I had no goal or idea, and I didn’t know my purpose of being there. Two years had passed and I was still clueless on what to do and still contemplating if I would shift to a new course or not. When I wore the scrub suit for the first time, it was fancy wearing it and indeed boosted my confidence, but I was still clueless of what lay ahead and what super powers the scrubs would unveil for me. My life totally changed when I was doing my clinicals in the communicable disease ward. Most of my classmates feared that clinical area, not because of the highly transmittable illness the patients had but because of the clinical instructor who had the reputation to be a terror. Of course, I was scared and felt unfortunate because my birthday fell in one of the three-day exposures in that area. During the first day, he already gave us three patient assignments, which included a very dehydrated old man, who could not even sign nor move his legs, and frequently had bad greenish diarrhea. Another was a comatose patient with extremely high fever and lastly there was a patient with measles. The first day was rough, some of my classmates would want to give up because of the pressure and fear of being yelled at, but mine was worse because I had to document every input and output of the dehydrated man to include measuring the greenish liquid stool accurately. The next day was my birthday. Every one of my classmates extended their greetings except my clinical instructor. He had his in his usual strict, business-mood demeanor. During the day, a code was paged and I was working near that patient. My clinical instructor grabbed my back and ordered me to perform CPR and participate in the resuscitation efforts. A
few minutes had passed and our hard work was put to an end when the elderly patient was declared dead. My clinical instructor was there and said: “You know what to do… perform a postmortem care.” I couldn’t say no to him. While doing the care, behind my surgical mask soaked with sweat, I was crying and telling myself that I didn’t deserve this
birthday gift. But I promised I would not give up. After the post mortem care, I went to my comatose patient to perform sponge bath because her fever was so high and needed to be lowered down. While I was doing the sponge, I did not realize that the basin I was using was dripping, making the floor wet. When I was about to go to another side, I accidentally slipped on the wet floor and hit my elbow on the patient’s thigh. To my surprise, the two-day comatose patient opened her eyes and spoke the name of her grandson. Her family gathered immediately to her bed and
started talking to her. Some of the family members approached me and thanked me for what I did. I was very anxious, speechless and went out very scared thinking I had done something wrong. As the day went by, as my birthday continued, I have already imparted knowledge about disease prevention and home remedies to the patient who was having measles and was about to be discharged. And I had the quality
taking care of them in your own little ways are greatly recognized and truly rewarded… and it is for you Mr. Marvin”. I almost broke into tears after hearing it. He then added: “You will know more of what you are capable of, if you are positive to face every challenge you meet in life… from then on you will know your purpose.” For years after that moment, every time I wear the medical scrubs, it gives me the unlimited power, more than the superhero persona I dream of. I became a community nurse-leader, inspiring and advocating our local youths to be more responsible and participatory in youth development. I became a nurse-midwife, in which I gave free maternal and child education and care including managing and assisting deliveries in my own community. Every year that I wear the medical scrubs, it inspires me to be more of a service to others. I also became a professional organization nurse leader, helping young nurses toward their career goals and long-term objectives and to improve their clinical practice. And lastly, I became a nurse-educator, working in the same institution where the previously known terror (and now my friendly colleague) clinical instructor is also employed. Inspiring and motivating future nurses to achieve their maximum potential is both fulfilling and priceless. I know that God’s life purpose for me is to be a superhero in my own right, which is to be a NURSE. With my scrubs as my superhero costume, with compassionate care as my weapon, I believe I can make a difference in someone else’s life…
time to help feed the old man with severe dehydration, and little by little he was gaining strength and was able to ambulate with assistance. His wife said, “I am very fortunate that you are our nurse, you have done great things, and God bless your heart.” On our last day of clinical exposure, the group was kind of grumpy because we were exhausted physically, mentally and emotionally from the three-day infectious ward experience. To our Marvin F. Delfin surprise, our clinical instructor came early and Staff Nurse, EmergencyCARE Center brought a cake. All we thought it was for him. Mother Frances Hospital Tyler He then announced: “I just want to make this news, that three patients made their efforts and contributed for this cake. Your efforts in
Grilled Fruit Kabobs Ingredients 1/2 fresh pineapple, trimmed and cut into chunks 3 medium nectarines, cut into 1” chunks 3 medium pears, cut into 1” chunks 3 medium peaches, cut into 1” chunks 3 to 4 medium plums, cut into 1” chunks 10 apricots, halved 3 tablespoons honey or light corn syrup, warmed Directions Thread fruit alternately onto metal or soaked wooden skewers. Grill, uncovered, over medium-hot heat until fruit is heated through, about 6 minutes, turning often. Brush with honey or corn syrup during the last minute of grilling time.
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Peach-and-Mint Iced Tea Ingredients 8 cups boiling water 8 tea bags (either green or black) 4 ripe peaches, cut into 1/2” pieces 1 small bunch fresh mint sprigs Preparation Pour the water into a heat-resistant pitcher. Add the tea bags and let steep for 10 minutes. Remove and discard the bags and allow the tea to cool to room temperature before refrigerating. Add the peaches, mint. Strain, if desired. Pour over ice.
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Many of you have been asking how you can track the progress of your preventative exam and biometric lab work once you have this completed. All employees that are enrolled on the health plan have access to view their claims through WebTPA’s online website; webtpa.com. Employees can go to ‘Member Log In’ and register for their online account. Once registered, employees will have access to view their claims, print ID cards and many more features. To view the status of your preventative exam and biometric lab work simply locate the claim based on the date of service and check the claim status. Employees may also call WebTPA at (866) 266-9966 to receive the status of their claim. We will be sending out a communication piece in late July/early August to all employees and spouses who have not had their preventative exam and biometric lab work done. If you or your spouse has completed your preventative exam / biometric lab work and you receive this mailing saying you have not, please contact WebTPA at (866) 266-9966. We will also begin paying the $200 LiveWELL Incentive beginning with the July 25th paycheck. This is another way for you to track whether or not you have completed all the necessary steps for the 2014 LiveWELL Program as you will not receive this payout unless you or your spouse have completed the preventative exam / biometric lab work. DON’T FORGET to schedule your preventative exam with biometric lab work for you and your spouse before December 31, 2014. Failure to do so will result in a $600 non-compliance surcharge in 2015 for both the employee and spouse so don’t delay, schedule now! Please contact Human Resources at (903) 531-4472 if you have any questions.
System News First Summer STARS Session Wraps The STARS (Students Taking Action to Reach Success) Program is for students ages 15-18 that are interested in healthcare as a career. The students observe our staff as they care for patients in our hospital departments and clinics. They also hear speakers talk about their healthcare careers and during the first session our students heard from Aaron Ashley Yorn, Child Life Specialist; Amber Chauncey, Speech Language Pathologist; Sarah Holmes, Occupational Therapist; Bonnie Tincher, Clinical Nurse Specialist; Warren Goodwin, Chief Cardiovascular Perfusionist; and staff in Pharmacy. We had 53 students from East Texas high schools and home school groups during the first session and they presented projects at the End of Session Party on July 3. Projects included PowerPoint presentations, posters, and essays written about what they learned from their experience this summer. Thank you to the staff that took time out of their busy schedules to mentor these students while they were here. The STARS program helps to encourage and inspire our future healthcare providers in ways they would never experience in any other setting. The second session began this week and this new group of students are very eager to learn!
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System News Service Excellence Award Winners and Nominees
MAY WINNER Ron Odom
Security officer
TMF Main
Beth Eddings
Unit Tech
NICU
Elizabeth Hair
Emergency Tech
ECC
Janet Estrada-Pineda
Unit Tech
3 South PEDI
Cathy McCarthy
Unit Tech
3 South PEDI
Marie Lacy
Unit Tech
3 South PEDI
Monica Davis
Unit Tech
3 South PEDI
Lisa Hurt
Unit Tech
3 South PEDI
Tierra Trarbach
Unit Tech
3 South PEDI
Kimberly Cofer
Unit Tech
3 South PEDI
Stephanie Knipe
Unit Tech
3 South PEDI
Adriana Saavedra
Unit Tech
6 Ornelas
Astric Rogers
Unit Tech
6 Ornelas
Wynde Miller
Emergency Tech
ECC
Ruth Klock
Unit Tech
5 Ornelas
Noemi Arriaga
Clinical Medical Asst
Manhatton Clinic
Jacob Cassasco
Respiratory Therapist
LPOHH
Scott Beu
Emergency Tech
ECC
Barry Lofquist
Director
Finance
Rachael Beam
Unit Tech
6 Ornelas
Omar Salazar
Unit Tech
LPOHH
Tangela Anderson
Clinical Medical Asst
Gastroenterology
Stephanie Patten
CRTT
Pulmonary Medicine
Gary Allen Jones
Radiology Tech
Canton Clinic
Aileen Ruiz
Unit Tech
3 Dawson
Nakita Pauley
Unit tech
5 Ornelas
Rebecca Ray
Unit Tech
6 Ornelas
Entire Security Force
Security
Security
Vironica Dewberry
Unit Tech
5 Ornelas
Andy Yates
Wellness Specialist
Cardiac Rehab
Debbie Germany
CRTT
Cardiac Rehab
Amanda Turner
CRTT
Cardiac Rehab
Nishisuta Elliott
Unit Tech
3 Dawson
Elisa Rodiguez
Unit Tech
Laboratory
Ramesha Jiminez
Unit Tech
3 Dawson
Rashondra Carter
Unit Tech
3 Dawson
Angela Smith
Occupational Therapist
Physical Medicine and Rehab
Sharon Ray
Unit Tech
3 Dawson
Beverly Walker
Unit Tech
3 Dawson
Domenique Forge
Unit Tech
3 Dawson
Shirley Cicero
Unit Tech
3 Dawson
Sarah Holmes
Administrative Director
Inpatient Rehab
Kimberly Cofer
Unit tech
3 South PEDI
Mitzi Moss
OA III
Winnsboro
NOMINEES
JUNE WINNER Bethany Fazande
Emergency Tech
ECC
NOMINEES Barbara Biggs
Unit Tech
3 Dawson
Patricia Derrett
PCA
Jacksonville - IP Unit
Dinah Goodwin
Unit Tech
3 Dawson
Cathy McCarthy
Unit Tech
3 South PEDI
Meagan Moore
Unit Tech
4 Ornelas
Janelle Sibley
Unit Tech
4 Ornelas
Lois McGowan
Unit Tech
4 Ornelas
Arlene Whitmill
Unit Tech
5 Ornelas
Vironica Dewberry
Unit Tech
5 Ornelas
Emily Karlson
Unit Tech
5 Ornelas
Arlene Whitmill
Unit Tech
5 Ornelas
Chassidy Prince
Unit Tech
5 Ornelas
Johnnie Raibon
Unit Tech
5 Ornelas
Ashley Stoker
Unit Tech
5 Ornelas
Taylor Weatherford
Unit Tech
5 Ornelas
Rashondra Carter
Unit Tech
6 Orneslas
Andrew Yates
Wellness Specialist
Cardiac Rehab
Sherika Simmons
Unit Tech
CV-ICU
Lorena Flores
Unit Tech
CV-ICU
Alice Horne
Housekeeping
Integrated Services
Paige Betts
Food Service Associcate
Integrated Services
Marvetta Barker
Lab Assistant
Douglas Clinic
Gerald Cofer
Laundry Lead
Integrated Services
Kevin Maples
Promotions Producer
Marketing
Robert McAuliffe
Physical Therapist
Physical Medicine and Rehab
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Human Resources News MD/RN Grand Rounds 1-Year Anniversary In September 2013, Physician and Nursing Leadership kicked off our inaugural MD/RN Grand Rounds. Over this past year, these monthly Physician/Nursing Grand Rounds scheduled for the first Friday of each month have offered our Staff an excellent opportunity to hear expert physicians and nurses co-presenting on the latest, up to the minute topics. Each month has featured different topics presented by Physician(s) and Nurse(s) who are experts in their field, centered on a case presentation format. This event still remains FREE to attend and is scheduled in Wisenbaker Conference Center requiring no registration. Communication about each month’s topics and speaker information is communicated to TMFHC Physicians and Nursing Staff and our many campuses by email, flyers and Stand-Up. For our campuses outside of the Hospital, Web Conferencing is now available which allow participants the ability to view/listen to events and earn CME/CNE credits. However, since the number of participants is limited, pre-registration and set up is required prior to each event. With the guidance of Dr. Steven Keuer, President Trinity Clinic; Dr. Barbara Allen, Vice President Medical Affairs; and Robert Rose, Senior VP Patient Care Services and System Chief Nursing Officer, our committee has worked in a collaborative effort to achieve CNE/CME credits for those physicians and nurses who attend. In addition to this educational mission, Grand Rounds has helped foster better teamwork between physicians and nurses, which is a hallmark of excellent patient care. Committee members are Deborah Taylor, Chief Nursing Officer for LPOHH; Laurie Hartwig, System Administrative Director, Professional Excellence, Rhonda Phillips and Shelley Welch, Professional Staff Development Educators; Patricia ‘Tish’ Cline, Education Program Specialist and Jennifer Hawkins, Medical Staff Credentialing. MD/RN Grand Rounds has proved to be very well received, earning great feedback from those attending. For the remainder of 2014 and for the future of 2015, look for more great topics/ discussions to come from our many talented Physician/Nursing professionals here at Trinity Mother Frances Hospitals and Clinics. Congrats on our 1 year anniversary!
2014 Lurlene Shepherd Memorial Scholarship Awarded Congratulations to Mendy Gothard and Ashley Nelson, this year’s Lurlene Shepherd Scholarship recipients. Mendy has worked for Trinity Mother Frances since November 2008, and is currently a LVN for the ECC Jacksonville. She is pursuing a career in nursing with a current goal of becoming a RN and then continuing her education to attain a BSN. Mendy provides excellent care to all patients she encounters in the emergency care center. She is a strong team player, and her customer service skills are far above average, which gains her outstanding comments from her patients as well as from her co-workers. Mendy has the gift of compassion, and a unique ability to read people and their needs. Ashley has worked for Trinity Mother Frances since August 2007, and she is currently an LVN and Lead Nurse at Trinity Clinic Broadway Commons. She is pursuing a career in nursing with a goal of attaining her BSN and RN license. Ashley is an outstanding employee, who on a daily basis goes “above and beyond” in her support to her provider and team. She demonstrates excellent supervisory and decision making skills. Ashley remains steadfast in her cheerfulness, calmness and dependability. She is an extraordinary employee and a vital member of the team. There were over 30 applications this year and all shared compelling stories and received outstanding support from their supervisors. Please remember this is an annual award and will be offered again next spring. We encourage anyone to apply at that time. The goal of the scholarship is to provide support for an employee who is seeking educational opportunities to improve their work skills. Please join us in congratulating Mendy and Ashley.
Working the night shift? Human Resources is here for you! Human Resources is open late every Thursday. You can find us at the 3 Ornelas Information Desk every Thursday evening from 5 pm - 8 pm. We look forward to seeing you there! tmfhc.org 10
Trinity Mother Frances Hospitals and Clinics 800 E. Dawson Tyler, Texas 75701
Upcoming Events Aug. 19
Newborn Care
6:30 pm - 9 pm at 802 S. Beckham, Tyler
Aug. 21
Trinity TALK Live
5:30 pm at 703 S. Fleishel , Tyler
Aug. 21
Cooking Heart to Heart
6:30 pm - 9 pm at FRESH By Brookshire’s
Aug. 21, 25, 28
Childbirth Preparation Skills
6:30 pm - 9 pm at 802 S. Beckham, Tyler
Aug. 26
Pediatric CPR
6:30 pm - 9 pm at 802 S. Beckham, Tyler
Sept. 2
Breastfeeding Class
6:30 pm - 9 pm at 802 S. Beckham, Tyler
Sept. 4
Cooking Heart to Heart
10 am - 11 am at 703 S. Fleishel, Tyler
Sept. 4, 8, 11, 15, 18, 22, 25, 29
Childbirth Preparation Skills
6:30 pm - 9 pm at 802 S. Beckham, Tyler
Sept. 16
Newborn Care
6:30 pm - 9 pm at 802 S. Beckham, Tyler
Sept. 18
Cooking Heart to Heart
6:30 pm - 9 pm at FRESH By Brookshire’s
Sept. 18
Trinity TALK Live
5:30 pm at 703 S. Fleishel , Tyler
Sept. 23
Pediatric CPR
6:30 pm - 9 pm at 802 S. Beckham, Tyler
$35 off
$90 off
Any Complete Pair of Eyeglasses
Any 2 Complete Pair of Eyeglasses
not valid with other offers
not valid with other offers
Spark People Spark People is the world’s largest healthy living community with a free online diet and fitness program. Spark People is helping millions of people achieve their goals every single day. Whether you want to lose weight, tone up, live a healthier lifestyle, or reach other goals, Spark People can help – and it’s 100 percent FREE! Some of the resources available through Spark People are: Calorie Counter and Meal Plans, Personalized Fitness Plans and Exercise Demos, Food Recipes, and many more! For more information please contact Leaha Large at (903) 638-6445.
Most Major Vision Insurance Plans Accepted
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