Health & Recreation Progress in the San Luis Valley

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HEALTH & RECREATION

San Luis Valley

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2015

Wednesday, March 4, 2015


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Health & Recreation Progress

Wednesday, March 4, 2015

RG Hospital receives breakthrough awards

DEL NORTE — Seven employees of Rio Grande Hospital recently attended the 15th Annual Healthcare Service Excellence Conference in Long Beach, Calif. Feb. 22-25 and brought home several awards. Attending the conference was Arlene Harms, Tiffany Gilliam, Susan Beeghly, Jerilyn Hamelin, Janet Hendrix, DeeAnn Sierra and Megan Brownell. Rio Grande Hospital received 11 breakthrough awards. These are recognition awards received for improving the patient experience scores. Of the 11, two were Diamond awards which are the highest and given for receiving a score in the 95th percentile in the satisfaction surveys, specifically in questions about communication about medicines and a clean, quiet environment. Rio Grande Hospital was nominated for five Pinnacle awards: Service Excellence Advisor Team - Susan Beeghly and Jerilyn Hamelin; Service Excellence Mentor - Sonya Plane (posthumously); Service Excellence Program Director - DeeAnn Sierra; Inspiring Administrator - Arlene Harms and Hospital Provider of Choice - Rio Grande Hospital. The Pinnacle awards are the three top nominees. Summit awards recognize significant achievement and dedication in improving initiatives in the areas of quality of service to patients and customers and performance of the organization.

The prestigious Summit award chosen from the three Pinnacle awardees were announced on the last night of the conference and Rio Grande Hospital brought home two summit awards: Sonya Plane and DeeAnn Sierra. RGH is very proud of all the awards received and will continue in being the best of the best in service excellence. You can find more information about the conference on the Custom Learning Systems website. Website and history Those wishing to learn more about what Rio Grande Hospital offers are encouraged to visit the hospital’s official website at http:// www.rio-grande-hospital.org/ . The site has a separate section on each department, doctor and clinic contact and financial information, patient services information, other community health links and much more. The hospital website brings Rio Grande Hospital fully into the 21st century. The hospital was founded in the early 1900s by the Catholic order of nuns, the Sister’s of St. Joseph, who operated the hospital from1907 until 1993. Then St. Joseph Hospital was located at 1280 Grande Avenue in Del Norte. When St. Joseph’s closed, Rio Grande Hospital at Del Norte re-opened at the old St. Joseph Hospital Building in 1996. The new Rio Grande Hospital, a $10 million

Courtesy Photo

Rio Grande Hospital employees Janet Hendrix, Susan Beeghly, DeeAnn Sierra and left to right back row, Megan Brownell, Tiffany Gilliam and Arlene Harms received 11 awards at the 15th annual Healthcare Service Excellence Conference in California this year.

facility at 0310 County Road 14 in Del Norte, Norman Haug, who died in May 2007 of colon opened Aug. 11, 2004. The new clinic directly cancer, was the driving force behind the new across from the hospital opened in 2008. Dr. hospital.

Monte Vista RG Hospital clinic one step closer The future Rio Grande Hospital Clinic to be built in the former Super Foods building in Monte Vista cleared another stepping stone as the Monte Vista City Council gave its resounding conditional approval for the plans at their meeting Feb. 19. Architect Ron McClure presented his drawing for the new clinic to the Monte Vista City Council saying the existing building has “excellent structure for a clinic with a strong foundation and lot of potential for expansion when needed in the future.” The clinic to be built will replace the very small one now in service near Chapman Park. Photos by John McEvoy


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Health & Recreation Progress

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SLV Health brings neurology back to Valley

ALAMOSA—San Luis Valley Health made a dynamic hire when Dr. Bill Cooper stepped on board this past summer. Cooper became the San Luis Valley’s only neurologist, a service that residents had to leave the area to receive prior to his arrival. “It is a real privilege to bring neurology services to the San Luis Valley,” Cooper stated. “I think there is a real need, and I am looking forward to serving those that call this beautiful area home.” A 1978 graduate of Brown University Medical School, Cooper has over 30 years of experience in Neurological Medicine. His career has taken him to several places across the country, but he spent over two decades practicing in Indianapolis. Most recently, Dr. Cooper worked in private practice in Durango at Durango Neurology, P.C. Cooper also spent two years of his career at the University of Colorado Health Sciences Center both as a Clinical Fellow and as the Instructor/Director of the EMG Laboratory. Cooper has a special interest in neuromuscular diseases, including neuropathies and myopathies, and in treating peripheral nerve injuries and entrapments. “We are very pleased that Dr. Cooper has joined our organization,” said Greg McAuliffe, chief medical officer of San Luis Valley Health. “His experience in neurology will be a great asset for the community of the San Luis Valley.” Cooper is certified by the American Board of Psychiatry and Neurology and has licenses to practice medicine in both Indiana and Colorado. He has been published in numerous publications, offering insight on everything from strokes in young adults to neuromuscular disorders. Cooper is also a diplomat of the American Board of Electrodiagnostic Medicine. Dr. Cooper’s wife, Dr. Penny Cooper, joined San Luis Valley Health in March of 2014 becoming the organization’s first full-time oncologist. Cooper can be reached at San Luis Valley Health’s Monte Vista Clinic at 852-9400.

Dr. Bill Cooper works with a patient at the Monte Vista Medical Clinic Courtesy Photo


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Health & Recreation Progress

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OHV ordinance awaits state, county decisions BY LYNDSIE FERRELL

SOUTH FORK—During South Fork’s monthly meeting on Feb. 12, residents spoke to the town board about their continuing concerns for public safety and noise control when the OHV ordinance comes into effect. The ordinance was originally passed and put into effect last fall, when local residents filed a petition to stop the ordinance and asked the board of trustees to reconsider. In a meeting held on Jan. 8, the October-passed ordinance was rejected, and a new ordinance containing more detail was passed unanimously by the board. During the meeting in February, local resident Tim Longmire provided the board with new information pertaining to safety regulations for OHVs. Longmire spoke about the safety manuals and decal stickers provided by all manufacturers of OHV and ATV machines. Almost all manufacturer safety guidelines warn against the use of the machine on paved roads. According to the ATV Safety Institute website it states, “Never ride on paved roads;” this statement is located on all material and decal stickers provided by manufacturers. Longmire pointed out that most of the proposed route for OHVs in South Fork are along paved roads. South Fork Mayor Pro Tem Don Hixson expressed that he, in particular, had been unaware of these safety regulations and stated that he would research the new information. Longmire also spoke about the traffic that runs on one road in

particular that was included in the proposed OHV route. Beaver Creek road is a long, curved, paved road, and drivers on the road have a tendency to drive too fast for conditions during summer months. Longmire pointed out that there is no place for ATVs or OHVs to get out of the way of traffic on several parts of the road, because there is no shoulder. Hidden driveways, campers, RVs, large trucks and cars are constantly traveling the road during summer months and pose a safety threat. “You are opening this town up to litigation,” said Longmire. Bill Morgan was next to speak during the February meeting, addressing his continued concern of keeping the peace and safety of neighborhoods around South Fork. Morgan suggested the board reconsider closing neighborhoods to the legal use of OHVs on neighborhood streets. Morgan requested that the board prohibit use of ATVs in residential areas, but allow them on city streets in order to support local businesses that may benefit from allowing ATVs. “Motels will get business, and neighborhoods keep the peace and quiet. Its a win-win situation,” said Morgan. Board members agreed to consider the request. The ATV ordinance has passed the approval of the board, but is not in effect yet. Any ATVs used on city or county roads will be held accountable under current state laws. The ordinance will not become legal until it has been published in full detail in the local newspaper.

File photo

Town Manager, Tom Acre, states that as of right now the city board is not going to do anything until the state legislature makes a decision on OHV laws at the state level. Even after the state makes a clear

decision, the town of South Fork will wait for Rio Grande County Commissioners to determine how they will handle regulations on county roads. Once the state and county have made a decision, the

town board will go back one more time and review the proposed map of the OHV corridor before making any further decisions on the matter. “It’s going to take some time,” said Acre.

Valley-Wide helps medically underserved BY TERESA L. BENNS SAN LUIS VALLEY — Valley-Wide Health Systems Inc. (VWHS) is a truly homegrown healthcare organization that has expanded its horizons throughout the region over the past several years. The VWHS website under the “about us” heading, written by President/CEO Gigi Darricades, explains that their organization is a community/migrant health center, “a private non-profit corporation governed by a volunteer community board.” VWHS operates multiple full-service primary health care, physical therapy and dental clinics throughout southern Colorado. Darricades says Valley-Wide’s goal is to “provide quality, comprehensive healthcare services with special consideration for medically underserved populations. Our providers and staff are motivated by a passion to provide safe and effective health care for all people.” As might be expected, VWHS’s main goal is to keep patients as healthy as possible. According to the VWHS website they do this by being: • accessible and convenient, with clinics in locations that offer multiple services and convenient office hours (evenings and weekends) • affordable, providing for patients with or without insurance to make sure healthcare services are available to patients and their families • respectful and inclusive, by honoring patients’ opinions, beliefs, and concerns and looking for effective treatment options that make sense to them. VWHS accepts most private insurance, including Medicaid, Medicare, the Colorado Indigent Care Program and Colorado Child Health Plan Plus. They also offer a sliding-fee program for those who are not insured. Valley-Wide physicians and practitioners specialize in a variety of areas, including allergies, arthritis, diabetes, geriatrics, obstetrics, pediatrics, heart disease, intestinal disorders, osteopathic manipulation, preventive medicine, also men and women’s health. In addition they also offer nutrition education, family planning, case management and other programs. Valley-Wide strives to help patients receive the best care possible whether they need acute or short-term care, chronic or ongoing care, preventive care, or end-of-life care. This is true for patients of all ages, incomes, and populations – VHS is there to help. Those with questions may call 719-589-5161 or find a list of clinics online at: www.vwhs.org.

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Dr. David Guhl and his wife Lisa drive from Colorado Springs every summer to run a free eye clinic at Valley-Wide’s Cesar Chavez clinic in Center, one of the many special programs offer by VHS.


Wednesday, March 4, 2015

Health & Recreation Progress

9Health Fair coming to Monte Vista

MONTE VISTA—The Monte Vista 9Health Fair will be held Friday, April 10 and Saturday, April 11 from 7–11 a.m. each day at a NEW LOCATION, the Monte Vista High School on Prospect Ave. 9Health Fair is set to kick off its 36th year of providing life-saving, professional health screenings to adults (18+) all across Colorado, and Monte Vista has participated in all 36 years. Over 130 communities will host a 9Health Fair, with locations all across the state, and even a handful in Nebraska and Wyoming. Endorsements from the Colorado Medical Society, the Colorado Nurses Association and the Colorado Hospital Association make 9Health Fair a great place to start or continue on the path to healthy living. The Monte Vista 9Health Fair will offer many free screenings, including blood pressure, height, weight, BMI and “ask a medical question get a referral.” To best prepare for a blood draw, drink plenty of water. There will not be bottled water distributed, but there will be water fountains available, or bring your own bottle. Continue to take prescription medications. People with diabetes should not fast. Check with your medical provider for specific recommendations. All blood screenings are for participants 18 years and older. No matter how many blood tests you choose, one small needle does it all.

Which low-cost screenings are right for you? < BLOOD CHEMISTRY SCREENING (12-hour fast recommended) – Gives you information on your blood sugar (glucose), cholesterol, triglycerides, liver, kidney, bone, thyroid and muscle function. May show warning signs of diabetes, heart disease and other issues….$35 <BLOOD CELL COUNT SCREENING (not included in the Blood Chemistry Screening above) – this test tells you about the health of your blood and your ability to fight infection; may identify anemia or certain cancers. The four components of the test include white blood cell count, hemoglobin concentration, hematocrit value and platelet count.…$20 < VITAMIN D SCREENING –this test plays an important role in evaluating your level of Vitamin D. Vitamin D helps maintain proper bone health. Low Vitamin D levels have been associated with an increased risk of certain types of cancers, immune diseases and heart disease….$45 < HEMOGLOBIN A1C SCREENING (no fasting required) - this test indicates your average blood sugar (glucose) level over the past 2 to 3 months and, by extension, whether or not your blood sugar is being controlled over time….$30 <COLON CANCER SCREENING (takehome kit recommended for men and women 50 or older, or with a family history, symptoms or concerns) – This take-home kit screens for signs of colon cancer in your stool. The mailin kit is quick, simple and easy to use in the privacy of your home. If you are on a regular colonoscopy schedule you may not need this test. Speak with your healthcare provider if you have questions….$25 < PSA SCREENING (for men over 40 with a family history of prostate cancer and all males between the ages of 50 to 75, but not recommended for men over 75) - The US Preventive Services Task Force (USPSTF) has recently recommended against routine screening of men with the PSA test. Other medical organizations continue to recommend it. Please speak to your healthcare provider if you have questions. This test may provide an early warning of prostate cancer or other

prostate problems….$30 <Please consider making a tax-deductible donation to 9Health Fair. Every dollar donated helps insure early detection, peace of mind and hope for you, your family, your neighbor. NO GIFT IS EVER TOO SMALL – THANK YOU!! Registration may be done on site the day of the fair or online by going to www.9healthfair. org and searching for Monte Vista in “Find a Fair.” While registering online does not necessarily save you time at the fair, it does allow you to pay by credit card. Only checks and cash will be accepted at the fair. Registering online also allows you to retrieve your results within two weeks. For every year you register online, those results are always accessible on the secure site. If you prefer paper registration you will receive your results in the mail usually within four weeks. Whichever way you decide to register, if something is out of the ordinary with your screenings you can expect to receive a call from 9Health to notify you. Here are some points to remember if you decide to register online: Each participant must have their own email address (couples cannot share). Make note of the user ID and password you create when you register, as you will need them to retrieve your results. And you will reuse them each year. Print your registration form and bring it with you to the fair. Online registration closes at noon the day before the fair starts. If you decide at the fair you would like additional tests, you can fill out a paper registration and pay the cashier for these additional screenings. The Monte Vista 9Health Fair is organized entirely by volunteers and supported by the Monte Vista Health Outreach Team (formerly Medical Auxiliary). The volunteers greatly appreciate the continued support of so many in the community, both individuals and businesses, who have made and continue to make this local 9Health Fair possible. In the 36 years of the Monte Vista 9Health Fair it has seen many changes and the volunteers strive to keep this valuable health service for the community. About 9Health Fair 9Health Fair advances health awareness, providing people with the tools they need to take responsibility for their own health. 9Health Fair makes available life-saving, professional health screenings and education programs in over 130 sites in communities throughout Colorado and beyond (Nebraska, Wyoming, Kansas). Started in 1970 by the National Institutes of Health and 9NEWS, 9Health Fair became an independent 501(c) (3) non-profit organization in 1987 and has impacted 2 million lives in its 36-year history. 9Health Fair is Colorado’s largest non-profit, volunteer-driven health fair program and holds unique endorsements from the Colorado Medical Society, the Colorado Nurses Association and the Colorado Hospital Association. Major sponsors for 9Health Fair include 9NEWS, Quest Diagnostics, Comcast and King Soopers. Special thanks to The Colorado National Guard for its continued 9Health Fair support through delivering supplies to volunteers and sites around the state. If you would like to volunteer for either a medical or non-medical role in the Monte Vista 9Health Fair, contact Nancy at 580-5427. For more 9Health Fair information, please visit www.9HealthFair.org or call 1-800-3323078. For local information, call 852-2339.

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ASU, TSJC offer many pathways to health

ALAMOSA—As if it isn’t readily appar- many other to improve individual skills, stay ent, the San Luis Valley is a healthy place to healthy and make friends. For those who prefer indoor activities, the live and its institutions of higher education ASAP climbing wall is located inside REX. help it become even more so. The climbing wall is open to everyone with the purchase of a climbing wall membership Adams State University Located in Alamosa since the 1920s, Adams during posted hours. Those without memberships can try it once State has come into its own as Adams State University (ASU), offering programs for both for free. ASAP offers private climbing wall experiences for groups and programs for mind and body. Home to the university’s first doctoral pro- youth from age 4 to 17. ASU is also green, with bicycles availgram ASU’s counselor education programs have found graduates working in mental able for students to rent, thus lessening their health clinics, private practice, hospitals, de- carbon footprints and enhancing their health and well being. partments of social services and more. Trinidad State Junior College Valley CamThrough pre-professional experience, students find areas of specialty and, eventually pus Working hand-in-hand with ASU, the facbecome a licensed professional counselor in ulty at the campus in Alamosa offers everyColorado. Adams State University’s nursing depart- thing from acupuncture to work as a surgical technician. ment is also part of its health care mission. Its nursing programs have already won This department prepares individuals for successful integration into the profession by acclaim for preparing students to work in all providing an excellent theory-lead, evidence- levels of the nursing and medical professions, based educational program with a focus on with on line programs available for students professional nursing standards, patient safety, who may already be employed, but seeking cultural diversity, community service and advanced education. At TSJC, one can become a certified nurse rural healthcare. midwife or a technician in almost every eleRecreation is also part of ASU’s health ment of the medical field. The dental field is also an open door at mission. Once Rex Gym, Adams State University’s TSJC, as is a career as nutritionist. Massage therapists find their way through Rex Activities Center, also known as the REX, is also key to maintaining good health for TSJC programs, as do persons who become many faculty members, students and alumni. nurse practitioners and clinical nurse specialREX is not only home to indoor activities, ists, nurses’ aides and nutritionists. And, for someone who wants to handle the but also the Adams State Adventure Program nuts and bolts, there are programs for people (ASAP). ASAP takes participants outdoors to have to become health information specialists, fun, and challenge themselves with activi- Emergency Medical Technicians and more. Courtesy photo Taking care of the body, students can be- Adams State University nursing students experience hands-on learning in the ties like hiking, rock climbing, backpacking, whitewater kayaking, mountain biking and come athletic and sports trainers. simulation lab.

Test your fitness level at the ASU Human Performance Lab ALAMOSA—The Adams State University Human Performance and Physical Education Department (HPPE) continues to offer the community a variety of affordable fitness tests. Testing will be located in the Human Performance Lab room 106, located in the East Campus Building. Dr. Tracey Robinson, professor of HPPE, and graduate assistants, Lukus Klawitter Cody Martus, and Alexandra Cooper will conduct the tests from 5 p.m. until 7 p.m. every Thursday. Fitness testing appointments are mandatory. This is a great opportunity for families and individuals to develop a healthier lifestyle. The graduate students are more than willing to help identify current fitness levels and develop individualized fitness plans based on personal goals, needs, and physical limitations. Lifestyle modifications are not easy on your own, graduate students can give the personal drive you need. Fitness tests available include VO2 Max $50, Wingate anaerobic power test $10, FitnessAge $15, and body composition $10. The VO2 max test is an aerobic endurance assessment of the maximum amount

of oxygen a body is able to utilize during high intensity aerobic activity. The lab also tests your blood lactate levels to assess individual lactate thresholds, which are used to determine proper training intensities for maximal benefit. Test time is approximately 45 minutes. The Wingate power test is an assessment of anaerobic power. It consists of a 30 second maximal effort on a cycle ergometer; test time approximately 10 minutes. Body composition assessment consists of skin fold measurements from several sites on the body. Measurements can determine body fat percentage as well as lean mass; test time is approximately 5 minutes. The FitnessAge test is a comprehensive assessment of muscular strength and endurance, cardiorespiratory endurance, flexibility, and body composition. Individual test results are compiled to give an overall fitness “age.” Test time is approximately 20 minutes. To set up an appointment, contact Robinson at tlrobins@adams.edu or 719-5877663; or Klawitter at lukusklawitter@adams. edu, or Martus at codymartus@adams.edu or Cooper at cooperar@grizzlies.adams.edu.

Health district hits a stand still

BY LYNDSIE FERRELL

CREEDE— The newly formed Silver Thread Public Health District has come to an impasse as both Mineral and Hinsdale counties try to come to terms with new health regulations. The merger between Hinsdale and Mineral County Public Health departments is the first district to form since new health regulation passed two years ago. State statute requires any new health district have financial responsibility according to population size within the county. Originally, the agreement between Hinsdale and Mineral counties made it so both counties would have equal financial responsibility once the district was formed. The state statute requirements came to light as the two counties were finalizing a resolution detailing each county’s responsibility. Though the new health regulations have put a damper on how the district was being formed, plans are to continue with the process. Each county is working on researching ways around the statute in order to finalize a resolution for the district. According to the state health regulation, the county with more population would have the larger sum of financial responsibility. Mineral County has less people, but planned on shouldering an equal financial responsibility for the new district once it was formed. Whether the two counties agree to keep an ongoing MOU or find a solution to the issue at hand, the health

district will be formed. County attorneys Randy Nicholson and Michael O’Loughlin are working together to hopefully resolve the situation. The district was formed under an MOU last fall, with plans to have a resolution complete by February. Health District Director Tara Hardy has been working diligently between both counties to resolve any outlying issues. When commissioners from both counties sat down to finalize the resolution, the financial responsibility requirement was discovered. Other Colorado counties which formed health districts before the new state health laws took effect were able to work around the law. Hardy has been in contact with the other health districts for guidance on the matter. Both counties feel that a solution will be reached one way or another. Once the issue is resolved, the public health district will be highly beneficial to both counties. More services will be offered, such as tobacco awareness programs for the area’s youth, senior services and emergency preparedness. Hardy has a long list of tasks to compete before she will be able to get things rolling. Hardy also plans to revisit each county’s emergency plans and try to make the plans as user-friendly as possible. Though they have hit a bump in the road, things are still moving forward. More information of the issue will be reported as it comes available.

Obesity prevention, mental health priorities in health plan

DENVER — Obesity prevention and mental health/substance abuse are the flagship priorities in the state’s second public health improvement plan, released by the Colorado Department of Public Health and Environment in late January. “Healthy Colorado: Shaping a State of Health” is a five-year plan for improving public health and the environment. It brings together initiatives such as CDC’s Healthy People 2020, Colorado’s Winnable Battles and Gov. John Hickenlooper’s 2013 “State of Health” report. “We’ve connected the dots between the many

worthwhile efforts on public health improvement into one state plan,” said department Executive Director and Chief Medical Officer Dr. Larry Wolk. The 2008 Public Health Act requires a public health improvement plan every five years. The first plan, in 2009, outlined improvements to be made in the statewide public health system. Those improvements paved the way for this coordinated plan, which lays out measurable goals for specific health and environmental issues. “Obesity and mental health/substance abuse were the top concerns in communities across Colo-

rado,” said Dr. Wolk. “These two top priorities are data-driven, but they also reflect areas where more funding and strategy development is needed. This plan provides a framework for action.” For example, one goal is to reduce the obesity rate by 10 percent by 2020. To do that, agencies will work together to create a positive shift in healthy eating and active living at various life stages. Strategies include: • Breastfeeding-friendly hospitals and environments • Nutrition and physical activity environments

for children • Worksite wellness programs • Access to healthy foods and beverages in government settings The plan is based on 2013’s statewide health assessment and plans written by local health departments and community partners. Its other priorities are health care access and coverage, marijuana, Colorado’s Winnable Battles and continued improvements to public health infrastructure. The plan will be monitored, evaluated and revised annually.


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Health & Recreation Progress

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Nearly 220,000 Coloradans gained coverage

COLORADO— Between Nov. 15 and Feb. 15, nearly 220,000 Coloradans enrolled in healthcare coverage for 2015, either in private plans purchased through the health insurance Marketplace or with Medicaid or Child Health Plan Plus (CHP+), according to new data released in mid February by Connect for Health Colorado® and the Colorado Department of Health Care Policy and Financing. During the three-month open enrollment period, 139,652 people enrolled in private coverage through Connect for Health Colorado, another 76,194 in Medicaid and 3,720 in CHP+. Connect for Health Colorado also enrolled 24,884 individuals in dental plans. Among Connect for Health Colorado customers, 54 percent qualifi ed for fi nancial assistance. “We are pleased that so many Coloradans took the important step of getting health insurance coverage through us,” said Gary Drews, Connect for Health Colorado Interim CEO. “It is very gratifying for ev-

eryone in our organization to have a hand in enrolling more than 139,000 people in our state in coverage in the last 90 days. Those folks will be able to feel more financially secure, become healthier, and — in the case of one man I met at our downtown enrollment center who is planning to get eye surgery with his new coverage — see again.” Connect for Health Colorado will work with anyone who has started but not yet completed the sign up process to complete their enrollment for 2015 coverage. The 2016 open enrollment period runs from Oct. 1, 2015, to Dec. 7, 2015. Until then, only those who qualify for a special enrollment period through any one of a number of certain life change events – such as losing coverage pro-

vided through a job, moving to Colorado, getting married or the addition of a child to the family, will be able to sign up for new health insurance coverage. “We are pleased that Coloradans continued to be enrolled into health coverage during the second open enrollment thanks to the tireless work of county and community partners,” said Sue Birch, executive director of the Department of Health Care Policy and Financing. “Together we are working towards making Colorado the healthiest state. This year we found that our largest percentage of new Medicaid enrollees were kids, who will now have access to important health and preventive services.” Medicaid and CHP+ are year-round programs

that do not have open enrollment periods. Connect for Health Colorado customers should have received the forms they need for their taxes, Form 1095-A, in the mail. (Only individuals and families who purchased coverage will receive the form; those who have coverage provided through their employer do not need the form and can complete their tax returns without it.) The Form 1095-A enables those who received financial assistance to complete their tax forms. If you have questions about your 1095-A, please contact our Customer Service Center. Last year, Coloradans who purchased coverage through the Marketplace received more than $250 million in tax credits to help them lower the cost of their health insurance.

Health department expands marijuana education COLORADO — The Colorado Department of Public Health and Environment recently launched statewide television advertising for its Good to Know retail marijuana education campaign. The campaign focuses on retail marijuana laws and health effects, including the ban on public use, age restrictions, DUI laws, dangers of overuse, safe storage and other concerns related to marijuana and marijuanainfused products. The Good to Know campaign launched Jan. 5 with radio, print and digital advertising to educate Colorado adults and visitors about the safe, legal and responsible use of retail marijuana. It includes social media and a website, GoodToKnowColorado.com. The campaign has generated 35 million impressions through radio, print, and digital

advertising. This resulted in 220 news stories, 41,500 visits to GoodToKnowColorado.com and engaged more than 7,000 social media users. Good to Know television ads, running through March 22, continue the neighborly approach aimed at educating users and nonusers alike. “It is our obligation to spread reliable information on the safe and responsible use of marijuana to every corner of Colorado,” said Dr. Larry Wolk, health department executive director and chief medical officer. “Whether they use marijuana or not, all Coloradans will benefit from knowing more about the laws and potential health effects.” The health department recently released “Monitoring Health Concerns Related to Marijuana,” an extensive review of available

research on the health effects of marijuana. Dr. Wolk said this report and the department’s continued research into marijuana health effects through the Retail Marijuana Public Health Advisory Committee will guide strategy and messages for the 18-month education campaign. In addition to its media campaign, the health department has initiated communication with community members, marijuana store owners and consumers on safe and responsible marijuana use. Health department experts are providing local public health agencies with training and resources. Point-of-sale materials will be distributed to marijuana store owners in March to encourage them to share information and to communicate with customers about marijuana laws, safe storage and the safe

consumption of edible marijuana. Messages for youth, and pregnant and breastfeeding women will launch throughout the year. Colorado.gov/marijuana will continue to serve as the state portal for marijuana information from various state agencies and is separate from the Good to Know campaign. The Good to Know educational campaign is a part of the $5.7 million in state marijuana sales tax revenue the state health department received to conduct research and evaluation, develop media campaigns and engage the community. Approximately $4 million will be spent on educational marketing campaigns. The remaining funds are for public health trend data, evaluation of education efforts, materials development, operating expenses and training and resource dissemination.

Measles outbreak underscores the importance of immunizations Unvaccinated children and adults vulnerable to dangerous disease COLORADO– There were 102 cases of measles reported in 14 states during the first two weeks of 2015, according to the Centers for Disease Control and Prevention. The outbreak continues to grow. Colorado had one confirmed case reported Jan. 5. “If you or your children haven’t had the measles vaccine – or don’t know whether you have been vaccinated – the best thing you can do to protect yourselves and those around you is to contact your health care provider and get vaccinated,” said Dr. Larry Wolk, chief medical officer and executive director at the Colorado Department of Public Health and Environment.

The majority of people who got measles were unvaccinated. Measles still is common in many parts of the world including some countries in Europe, Asia, the Pacific and Africa. Measles spreads easily in a community where groups of people are unvaccinated. Symptoms of measles generally appear seven to 14 days after a person is infected. Measles typically begins with a high fever; cough; runny nose and red, watery eyes. Measles is a highly contagious virus that lives in the nose and throat mucus of an infected person. It spreads to others through coughing and sneezing. A rash appears three to five days after symptoms begin. Common measles complications include ear infections and diarrhea. As many as one out of every 20 children with measles gets pneumonia, and about one child out of every 1,000 who get measles will develop encephalitis (swelling

of the brain). For every 1,000 children who get measles, one or two will die from it. The measles virus can live up to two hours on a surface or in the air where an infected person coughed or sneezed. When other people breathe the contaminated air or touch the infected surface, then touch their eyes, noses or mouths, they can become infected. About 90 percent of people who are not immune and are close to a person with measles will become infected. Infected people can spread measles to others from four days before to four days after the appearance of the rash. One dose of measles vaccine is about 93 percent effective at preventing measles if exposed to the virus, and two doses increase effectiveness to about 97 percent. Children should receive one dose of measles vaccine at 12-15 months and a second dose at 4-6 years of age. All children who have not

previously been vaccinated should get vaccinated as soon as possible. Adults who don’t have immunity need at least one dose of measles vaccine. Adults in settings that pose a high risk for measles transmission – including students at post-secondary schools, health care personnel and international travelers – should make sure they have had two doses of measles vaccine separated by at least 28 days. If you’re unsure whether you’re immune to measles, try to find your vaccination records or documentation of measles immunity. If you do not have written documentation of measles immunity, you should get a measles-mumpsrubella (MMR) vaccine. There is no harm in getting another dose of the MMR vaccine even if you already may be immune to measles, or mumps or rubella. Visit the CDC for more information on measles and vaccination.


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Wednesday, March 4, 2015

SLV crisis services embrace expansion

SAN LUIS VALLEY — After the tragic theater shooting in Aurora, Colorado Governor John Hickenlooper set into motion a plan to improve mental health capabilities in the state. The $10.3 million plan includes a statewide crisis hotline and Mental Health Crisis Stabilization Units across the state to help bridge the gap that currently exists in the care for people who are experiencing a mental health crisis which could include situations like: thinking about ending their life or hurting others, needing a break from a stressful situation, making choices that put them or a loved-one in serious danger, becoming unable to care for themselves, struggling with addiction or substance use issues. San Luis Valley Behavioral Health Group (SLVBHG) is excited to be able to expand its emergency services as part of this statewide initiative. SLVBHG has a mobile response team that will respond to crisis calls 24-hours-a-day, seven days a week and is available for all ages, regardless of ability to pay. Individuals, family members, schools, community agencies, medical and emergency response personnel can call for consultation and for emergency support and evaluation. Staff will provide an assessment/evaluation with recommendations to promote the safety and emotional stability of individuals with mental illness or individuals currently in emotional crises. SLVBHG Chief Operating Officer Kristina Daniel said, “Staff members providing these evaluations are MA level clinicians that travel throughout the SLV to discuss crisis issues with community members and family members. SLVBHG staff will respond to any crisis within the SLV where there are not supportive services already in place.” The recommendations and services will include: education on psychiatric and addiction conditions, referral for continuing care following the immediate crisis resolution and also other community services as needed. Other services may include seeing a behavioral health provider for counseling to address anxiety, depression or substance abuse. SLVBHG staff will also connect individuals to programs that can help with domestic violence issues, housing and physical health concerns when needed. Clinical Services Director Jennifer Silva said her staff “will work with other social serving agencies (i.e. law enforcement, departments of social/human services, counselors, hospitals, health centers, universities, etc.) to provide the appropriate level of care and support for the individual in crisis.” If a community member needs some additional time or services in order to feel more stable SLVBHG has additional supportive programming that includes a crisis living room: which is a safe, calm house where community members receive immediate support and treatment to focus on recovery. Many people struggling with a mental illness can be treated in locally and stay in the community without the need to travel for inpatient treatment. The more quickly someone receives treatment the less likely his or her condition will worsen. The crisis living room, a converted house that still provides a home atmosphere, offers such rooms as the “pillow room,” art therapy/ play therapy room, calming room with very little light except for light tubes designed to dial in awareness and reduce anxiety, a kitchen, living room with comfortable couches and big screen television, a garage that will be converted into an exercise room and a back yard that will be utilized during warm weather. Emergency Services Supervisor Matt Carlson, who designed much of the space, explained that the crisis living room can be used for all ages and varied situations. Daniel said some folks might be in the throes of crisis when they come to the crisis living room, and the home will provide a safe place to de-escalate, calm down and relax. “The emergency team can make assessments,” she explained. “Our team will come

Courtesy Photo From left are Rick Esquibel, Jennifer Silva, Mills Cawley, Mathew Carlson, Tammy Obie, Ginny Bond and Kristina Daniel. in the safe space and can talk about what they need to do.” Daniel added, “This has been one of the biggest needs we have had in the Valley.” Perhaps someone does not need to be hospitalized but should not be alone. The crisis living room can fill that need. This will greatly decrease the transportation and trauma of going to the state hospital in Pueblo. That was one of the goals of the behavioral health team, Daniel said. She said hospitalization rates are already low for the Valley, but this will decrease the need for hospitalization even further. “We know how important it is to keep people in our community,” she said. “With extra supports and resources, that number will continue to decline.” “We are very proud of this place,” Silva said. “I am just really excited about this. It’s going to be awesome,” said Mills Cawley, who is part of the crisis team. SLV BHG is also working on the ability to provide overnight support to the community member that is safe and provides support while allowing them to stay in their community close to natural supports and personally known resources. Carlson said, “If it is determined that a community member is in a serious enough emotional or other crisis to need psychiatric inpatient care or a higher level of care than can be provided locally, the SLVBHG team will assist the client in finding appropriate placement. This could be in a psychiatric hospital or Alternative Treatment Unit (ATU).” SLVBHG is part of a consortium of behavioral health centers in the state, with SLVBHG providing services to this part of the state. “We have a very caring, very well-educated team,” Daniel said. “I know where this team’s heart is. It’s about the community and keeping people safe. We are very fortunate to have the team that we have. We have very caring, very dedicated, very knowledgeable staff. Every day they come in and give 110 percent.” Those who are experiencing a mental health crisis or know someone in need of crisis services should call: 844-493-TALK (8255), or call SLVBHG directly at 719-589-3671. “We are available 24/7 for anybody who needs us,” Daniel said. She said those who are involved in a crisis or dealing with someone in a crisis and are not sure who to call, are welcome to call SLVBHG, and the team can help the caller navigate the system.

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