IHCRC Annual Report 2014

INDIAN HEALTH CARE RESOURCE CENTER OF TULSA Annual Report 2014

IHCRC 2014 1

The mission of Indian Health Care Resource Center of Tulsa, Inc. (IHCRC) is to provide quality, comprehensive health care to Tulsa area Indian people in a culturally sensitive manner that promotes good health, well being, and harmony.

The vision of IHCRC is to eliminate health disparities, expand innovative familyfocused practices, and promote an embracing approach to care that strengthens physical, mental, emotional, and spiritual wellness within the Indian community.

The long-term health promotional goal is to improve general health status and reduce the incidence and severity of chronic disease by engaging the Indian community in ongoing health promotion, prevention, and disease management activities.

The Medicine Wheel teaches us the four distinctive and powerful elements of fire, water, earth, and air are a part of the physical world.

Each of the elements is to be respected equally for its gift of life. The wheel also teaches us we have four aspects to our nature – physical, mental, emotional, and spiritual. To become a well balanced healthy individual, each of these aspects must be equally expressed through the development and use of our will.

The wheel is an ancient symbol used by most native people of the Americas. The wheel is used to express holistic, cyclical, and harmonious concepts – the four winds, the four cardinal directions, and other relationships that express balance and interrelationship.

2 IHCRC 2014

2014 Letter from the President and the CEO Reflecting back on 2014, Indian Health Care Resource Center of Tulsa, Inc. (IHCRC) has made many improvements, while positioning ourselves for substantial changes in 2015.

IHCRC has continued to expand medical services to our patients by adding three new health care providers. We are also developing a new appointment system in order to see patients in a more timely manner.

With updates to our Electronic Health Records System (EHR), IHCRC is now completely paperless in medical records.

In addition, we have updated our pharmacy software, increasing efficiencies for pharmaceutical services.

Plans are being drawn up to reconstruct the medical area into a new POD format. This POD system will incorporate central locations for providers and their team, to improve efficiencies and communication, as well as to increase the number of exam rooms in order to see more patients. Services will remain operational during this major remodel in 2015.

services, ancillary services may be relocated to the Phase III facility to create additional medical space in the main facility.

Summer Wellness Camps were once again a well-attended success, encouraging and educating youth in physical activity, wellness, communication, and team building, as well as providing lessons to be kept for a lifetime.

Make plans now to attend our annual fundraiser, Dance of the Two Moons on Saturday, February 21st. This year we will celebrate 25 years of this extraordinary event benefiting our health and wellness programs.

The mission of IHCRC is to provide quality, comprehensive health care to Tulsa area Indian people in a culturally sensitive manner that promotes good health, well being and harmony.

Above: Jim Cameron President, IHCRC Board of Trustees Below: Carmelita Skeeter, Chief Executive Officer

Thank you for sharing our mission with us. It has been, and continues to be, an amazing journey: 38 years for Carmelita with 25 as CEO, and 24 years for Jim as a Trustee.

Caring is strong medicine!

Upon completion of remodeling in 2015 there will be no space remaining for further internal expansion within the existing Jim Cameron, President, IHCRC Board of Trustees facility. Conceptual planning is beginning for Phase III of IHCRC’s campus, as promised in last year’s Annual Report. The new facility in Phase III will Carmelita Skeeter, CEO allow IHCRC to offer additional needed care and services for the Indian Community. In addition to expanded health and wellness

IHCRC 2014 3

THE PEOPLE WE SERVE Indian Health Care Resource Center (IHCRC) reports the number of patients and patient visits in two separate ways based on federal guidelines and reporting requirements. The term “active patients” refers to patients that have been seen during the past three years. The same holds true for “active patient visits.” “Annual patients” or “annual patient visits” reference patients and patient visits during the 2014 Fiscal Year (July 1, 2013 through June 30, 2014).

Annual Patients and Patient Visits

Total Visits (July 1, 2013 - June 30, 2014): 131,800 Total Patients (July 1, 2013 - June 30, 2014): 12,499

Active Patients and Patient Visits

Total Visits (July 1, 2011- June 30, 2014): 381,467 Total Patients (July 1, 2011 - June 30, 2014): 18,613

Annual Patients by Age

Active Patient Growth 19,000

3000

18,500

2500

18,000

2000

17,500

1500

17,000

1000

16,500 16,000

500 0

15,500

0-5

6-18 19-39 40-54 55-71

Male

72+

Female

Visits by Annual Patients 25000 20000 15000 10000 5000 0

0-5

6-18 19-39 40-54 55-71

Male 4 IHCRC 2014

Female

72+

15,000 14,500

2009 2010 2011 2012 2013 2014

Active Patient Tribal Membership 11% 1% Cherokee Muscogee Creek Nation

2% 2% 3%

Choctaw Osage 9%

Seminole

50%

Chickasaw Kiowa Other

22%

During the past three years, Indian Health Care Resource Center served more than 18,000 members of 183 federally recognized tribes, including 32 Oklahoma Tribes.

Patient Satisfaction Indian Health Care Resource Center takes an active interest in quality of care and delivery of services. To ensure patient feedback and gain insight into possible process changes, patient satisfaction surveys are implemented biannually. Patients were surveyed in December 2013 and June 2014. Of the 1,680 IHCRC patients and clients who completed the June surveys, 67% were women and 33% were men. Of these, over 53% have been a patient of the facility longer than five years. A total of 55% of respondents had a scheduled appointment, 14% were walk-in patients, and 31% of respondents were visiting IHCRC to pick up a prescription. The following charts represent their voice.

overall, what rating would you give ihcrc for the services you have received?

would you recommend ihcrc and its services to your family and friends?

60.00%

100.00%

50.00%

80.00%

40.00%

60.00%

30.00%

40.00%

20.00%

20.00%

10.00% 0.00%

Excellent

Good

Okay

Poor

0.00%

Yes

No IHCRC 2014 5

MEDICAL DEPARTMENT

Healing Through Caring: Patricia’s Story

Patricia is a 65 year old woman with a positive attitude and a lot of life to live. She is a survivor in more ways than one.

Patricia was diagnosed with breast cancer twice in two years. “I was encouraged to get my mammograms because of the general friendliness and respect of the IHCRC staff members” says Patricia. “I learned that having a mammogram was not a scary thing and that early detection helps a person recover better.”

Patricia was first diagnosed in 2012. The cancer had already spread to her lymph nodes. IHCRC staff members were diligent in finding Patricia the help she needed. Two years later, during a routine mammogram encouraged by IHCRC’s reminder system, Patricia was again diagnosed with breast cancer; this time on the other side and at an early stage. Patricia kept up her spirits with a little help from IHCRC mammographer, Karen McAhren and the rest of the IHCRC staff. Patricia says, “The staff always treated me with respect and kindness.” Today, after 33 radiation treatments, Patricia is cancer free and celebrating. “I found comfort in the warmth and kindness of the IHCRC staff. Because of them, I believed I could beat this and I did!”

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The Voice of Our Patients “My family loves this clinic, couldn’t ask for a better one. Everyone is polite, respectful, and cares about the people.”

2014 Patient Satisfaction Survey Respondent

“I am extremely proud of IHCRC. The staff is absolutely wonderful.

They take care of us as if we were their own.”

2014 Patient Satisfaction Survey Respondent

“I have used the IHCRC as long as I’ve been with my CDIB card. They have always given me everything I need and even offered me other services. I’m very happy here. Thank you very much.”

2014 Patient Satisfaction Survey Respondent

Accomplishments • Received our fifth, three-year accreditation through the Accreditation Association for Ambulatory Health Care (AAAHC).

Department Overview

• Achieved Medical Home On-Site Certification through the AAAHC. This certification demonstrates IHCRC’s dedication to patient-centered medical care, focus on patient rights, the patient and care team relationship, accessibility, comprehensiveness, and quality of care.

SERVICES

• Converted more than 80% of paper charts to an electronic health record system. Meaningful use of the electronic health record ultimately results in improved quality and efficiency, reduced health disparities, improved care coordination, and better clinical outcomes.

• • • • • • • • • •

Acute Care Pediatrics Well Child Health and Wellness Screenings Women’s Health Prenatal Care and Family Planning Adult Medicine Geriatrics Care for Chronic Conditions Testing, Immunizations, and Treatment • Lab, Radiology, and Mammography FY 2014 VISITS Total Visits: 49,394 Total Patients: 10,679 Medical Visits – Diabetes Total Visits: 3,992 Total Patients: 1,027 Medical Visits – Women’s Health Total Visits: 2,405 Total Patients: 1,133

Patients By Service Type 11%

10%

Medical Visits – Pediatrics Total Visits: 5,519 Total Patients: 2,404

Family Practice Pediatrics

11% 57%

Diagnostic Imaging Laboratory Mammography

19%

Laboratory Visits Total Visits: 3,424 Total Patients: 1,982 Diagnostic Imaging Visits Total Visits: 2,799 Total Patients: 2,157

Women’s Health Diabetes 20% 23% Totals exceed 100% due to service usage overlap.

Mammography Visits Total Visits: 1,405 Total Patients: 1,225

IHCRC 2014 7

BEHAVIORAL HEALTH

Healing The Whole Person: Scott’s Story

The Voice of Our Patients “Yoga and practicing chakra awareness has brought me closer to my native roots and encouraged me to delve deeper into healing through tribal methods rather than medication.”

Yoga-based Lifestyle Course Participant

“The Behavioral Health Department has been so important to me. Before I was on the right medication and dosage, I was in a really bad place.

The time I am able to spend with my therapist helps a lot.”

Scott represents the holistic care provided by IHCRC. He has been able to effectively manage his mental illness by utilizing individual therapy, the yoga groups, and the community garden beds. For years, he has struggled to manage his life and the effects continue to have a negative impact on him. However, he is now in a stable place and is able to effectively cope with challenging life situations. He attributes this stability to having a supportive home environment, eating well, attending therapy regularly, and engaging in activities, such as yoga. As Scott points out, he is aware that his mental illness continues to effect his thoughts and feelings at times, but he recognizes that he can reduce the negative influence that these episodes have on his life.

8 IHCRC 2014

2014 Patient Satisfaction Survey Respondent

Accomplishments • Awarded continued funding for the following programs: (1) the psychology internship program (NOPIP – Northeastern Oklahoma Psychology Internship Program) through Health Resources and Services Administration; (2) the Methamphetamine and Suicide Prevention Initiative (MSPI); and (3) the Systems of Care program.

SERVICES

• Continued collaboration with Oklahoma State University’s American Indians into Psychology program and Oklahoma State University College of Osteopathic Medicine’s psychiatry program.

• Individual, group, family, and couples counseling • Child developmental screenings

• Five staff trained in motivational interviewing, a treatment that focuses on respect for the client and his or her choices, thereby putting the client in charge of life changes.

• Psychological assessment for children and adults

• Two staff trained in Eye Movement Desensitization and Reprocessing (EMDR), an evidence based treatment for Post-Traumatic Stress Disorder.

• Five staff trained in a new autism assessment measure, the ADOS-2.

• More than 200 youth, school personnel, and IHCRC staff trained in QPR (Questions, Persuade, Refer), an evidenced based suicide prevention method.

• Established Friday morning walk-in clinic for on-site child psychiatrist and began bi-monthly outreach at Iron Gate.

Department Overview

• Psychiatric care and medications for children and adults • Comprehensive care and support for families of children with emotional and behavioral problems • Substance abuse counseling and assessments • Recovery support services • Addiction treatment • Tobacco prevention and cessation services FY 2014 VISITS Mental Health Total Visits: 8,054 Total Patients: 1,639 Alcohol and Substance Total Visits: 1,052 Total Patients: 256 Tobacco Cessation Clinic Total Visits: 134 Total Patients: 45 16% of FY 2014 patients received mental health services.

“IHCRC is a reflection of Carmelita Skeeter’s vision for her community that has strengthened my passion to work in advocacy for culturally grounded holistic health services for the Native American community to which I belong.”

Anita Mihecoby, 2014 NOPIP Intern IHCRC 2014 9

HEALTH AND WELLNESS

Healing Through Confidence: Dennis’ Story

The Voice of Our Patients “The diabetes educators and staff are great to work with. They have helped me tremendously to manage my diabetes.”

2014 Patient Satisfaction Survey Respondent

“The classes for diabetes and health concerns are so nice and informative.

Thank you each and every one.”

2014 Patient Satisfaction Survey Respondent

Dennis has been a patient at Indian Health Care Resource Center since 2003. He has been diagnosed with diabetes, “two bad knees” and depression. This is his story in his own words. “In 2003 I lost a job I had for 23 years through no fault of my own. I had a nervous breakdown and couldn’t function. Through the years I became a diabetic, was put on meds, and gained 50 pounds. The Indian Health Care Resource Center has a team of specialists that are really helping. The exercise program has helped my confidence and my flexibility. Before I couldn’t walk without pain, now I can walk on a treadmill for 20 minutes. I could only lift 20 pounds. Now I lift 50 pounds. I know it doesn’t sound like much but when I go home I can feel good about myself. At this time I have a caring doctor, nutritionist, and exercise therapist which surprisingly the last one is really helping my confidence which means a lot to an old man of 64 years.”

10 IHCRC 2014

“My dietitian I see is wonderful. She is always thorough and helpful when needed – even when it’s just through a phone call.”

2014 Patient Satisfaction Survey Respondent

Accomplishments • Continuous quality improvement program highlighted the role of case management in reducing the HbA1c scores in patients with diabetes.

Patients receiving case management are seen by diabetes educators more frequently. This consistent patient contact resulted in more rapid improvements in the patient’s lab value. Patients also learned to manage diabetes and reduce the risk for complications.

• During the past fiscal year, IHCRC medical providers made 1,158 patient referrals to the Health Education and Wellness department.

These referrals resulted in extensive education, as well as distribution of glucometers and blood pressure monitors for the patients.

• The “Sit Less Move More Learn Better” training reached over 60 participants, representing eight Tribes/Indian clinics, nine community agencies, one university, and 17 schools. This training empowered teachers and youth workers to implement games and physical activities to teach children health concepts, and to use movement to help children learn.

• The fitness program its expanded services, ultimately preparing to offer special activities, as well as group and individual sessions for youth and their families.

Department Overview SERVICES • American Association of Diabetes Educators accredited diabetes education program • Diabetes and cardiovascular disease prevention programs • Individual diabetes management counseling • Fitness classes and education • Nutrition and weight management education FY 2014 VISITS Diabetes Education Total Visits: 1,337 Total Patients: 734 Dietary Total Visits: 619 Total Patients: 520 Education Classes Total Visits: 319 Total Patients: 50 Fitness Specialist Total Visits: 357 Total Patients: 51 11% of FY 2014 patients receive Health and Wellness services.

IHCRC 2014 11

YOUTH PROGRAMS

Caring For Our Future: Jenna’s Story

The Voice of Our Patients

“I was a single mom with three kids and I used to get calls from the teacher about my 2nd grader on a daily basis.

My daughter didn’t want to get up and go to school, she cried and stomped all the way to the bus stop every day.

She would have letters from the teacher stating “Jenna is DEFIANT!” I felt helpless as a mother. Every day was a bad day for Jenna, she was accused of cheating and being defiant and the calls from the teacher became daily.

One day the teacher told me “I asked Jenna to stand up and read and she refused, so I told her if she was going to act like a kindergartner then I would make her sit with the kindergarten class!” and that is what she did. She humiliated my daughter in front of her classmates and another classroom full of children.

“Just a huge thank you to you and all your staff for the Summer Camps this year! It is such a blessing to me as a parent to have these programs available.”

I was worried about Jenna, so I brought her to IHCRC Medical Dept. and it was suggested to see Behavioral Health Dept. They scheduled her for testing and suggested outside resources such as a parent child advocate to help me deal with problems at school. At the end of the testing I was given results. Come to find out…my daughter couldn’t read. She wasn’t trying to cheat; she was being resourceful.

She has several learning disabilities including severe dyslexia. My daughter wasn’t trying to be defiant, she simply could not do what she was being asked and humiliation was an everyday occurrence. IHCRC was there for my daughter and me. She now has a better chance at success and is a happier child. I wish I had known earlier about testing children for learning disabilities. It still hurts my heart to think of the humiliation and frustration she had to go through and I couldn’t imagine what it would been like if we didn’t have the care we got from IHCRC team.”

12 IHCRC 2014

IHCRC Summer Wellness Camp Parent

Accomplishments • Almost 2,000 Native youth and families attended activities organized

by Indian Heath Care Resource Center, Native Nations Youth Council, and the Tulsa Indian Community Advisory Council during 2014.

Activities included stickball games, family picnics and gatherings, camps, and the annual Restoring Harmony Powwow.

• Approximately 200 Native youth have completed the American Indian Life Skills curriculum. The curriculum incorporates experiences relevant to Native American adolescent life, including: (1) building self-esteem; (2) identifying emotions and stress; (3) increasing communication and problem-solving skills; (4) recognizing and eliminating self-destructive behavior; (5) advancing knowledge about Native adolescent suicide behavior; (6) practicing how to ask for help; and (7) engaging in individual and community goal-setting.

• IHCRC’s annual summer camp programs received a boost from our partnership with Blue Cross and Blue Shield of Oklahoma and the Tulsa Shock. Over 300 children benefited from the sponsorship of BCBSOK, offering exciting camp experiences at no cost to the families. Children learned about engaging in a healthy lifestyle and how to prevent diabetes through games and physical activities.

Department Overview SERVICES • Suicide Prevention Programs for Youth • American Indian Life Skills Curriculum training • Native Nations Youth Council • Drum Group • Spring Break Camp • Summer Wellness and Cultural Camps • Fitness programs • Traditional games PROGRAM ATTENDANCE Restoring Harmony Powwow – 850 Spring Break Camp – 40 Summer Wellness Camps – 320 American Indian Life Skills Training – 200

IHCRC 2014 13

DENTAL

Dental Accomplishments Area Indian Health Service Director’s Awards Exceptional Group Performance – Clinical: Arthur Holleman III, DDS, Dental Director, and his team were awarded the Exceptional Group Performance – Clinical Award during the Eleventh Annual Oklahoma City Area Indian Health Service Awards Ceremony held on July 20, 2014 in Oklahoma City. Individuals working at federal Indian health, tribal health and urban health facilities within Kansas, Texas and Oklahoma were recognized at the awards ceremony for excellence in job performance. IHCRC’s dental team focuses on providing preventive and restorative dental care for IHCRC patients. This past year, the dental team achieved three major accomplishments leading to the Exceptional Group Performance Award: (1) provided dental screenings during children’s well child visits; (2) implemented state-of-the-art electronic dental records without disrupting patient services; and (3) increased the number of patients served by 25% from 2012 to 2014. The dental department places patient safety as a major priority, reviewing infection control measures monthly and looking for any areas of potential improvement.

Excellence in Customer Service: Lindsay Sottong, RDH, was awarded the prestigious Area Director’s Individual Excellence in Customer Service Award during the Eleventh Annual Oklahoma City Area Indian Health Service Director’s Awards Ceremony. Sottong joined Indian Health Care Resource Center in January 2012. She received her A.S. in Dental Hygiene from Wichita State University.

Sottong plays a key role in providing preventative dental care services and education to our patients. In addition to her regular duties in the dental department, Sottong assumed the added responsibility of conducting dental screenings during children’s well child visits.

During these visits, Sottong provides oral hygiene instruction, nutritional counseling related to caries prevention, and fluoride varnish treatments. Parents are informed of findings, provided guidance, and referred to the dental department for a full exam and treatment as needed.

14 IHCRC 2014

OPTOMETRY

Department Overview

• Utilization of state-of-the-art computerized diagnostic equipment to assess eye health and vision.

DENTAL SERVICES

Optometry Accomplishments

• Promotion of routine exams to help patients with diabetes preserve their eyesight.

The Voice of Our Patients “I feel very comfortable with the doctor. She is very easy to talk to.”

2014 Patient Satisfaction Survey Respondent

“I refer people here all the time. I have always been happy with the service.”

2014 Patient Satisfaction Survey Respondent

“The staff is committed and caring. I receive very good care here.”

2014 Patient Satisfaction Survey Respondent

“All the doctors and nurses are very polite and helpful. They answer questions and take time to help me understand.”

2014 Patient Satisfaction Survey Respondent

• Dental check-ups with digital radiographs • Cleanings, flouride treatments, and sealants • Scaling and root planning • Oral hygiene instruction and dietary counseling related to the prevention of cavities • Tooth extractions • Screenings for oral cancer and other diseases • Nitrous oxide sedation for children FY 2014 DENTAL VISITS Total Visits: 6,561 Total Patients: 2,836

Department Overview OPTOMETRY SERVICES • Vision testing and eyeglass prescriptions • Testing for glaucoma and diabetic retinopathy • Treatment of eye infections and other eye diseases FY 2014 OPTOMETRY VISITS Total Visits: 2,201 Total Patients: 1,300 11% of FY 2014 patients were served by the Optometry Department

IHCRC 2014 15

PHARMACY

Pharmacy Accomplishments • The Indian Health Care Resource Center pharmacy filled 75% more prescriptions during 2014 than one of the major chain drug stores (174,517 vs. 99,939).

• Two robotic prescription filling units generate 85% of the pharmacy’s volume.

The Voice of Our Patients “Pharmacy is very helpful and polite and answers questions promptly.”

2014 Patient Satisfaction Survey Respondent

“The pharmacy clerk went above and beyond to make certain I had everything before I left. Thank you.”

2014 Patient Satisfaction Survey Respondent

“Pharmacy always does a good job of taking care of our needs.”

2014 Patient Satisfaction Survey Respondent

16 IHCRC 2014

OTHER SERVICES

Eligibility and Referral

Indian Health Care Resource Center’s Referral Specialists are the behind the scenes patient advocates. Their job is to ensure that IHCRC patients have what they need for improved health and well-being. Services include: (1) assistance with Medicaid and Medicare eligibility; (2) referrals and referral tracking for specialty care and other service outside IHCRC; (3) assistance with resource utilization; (4) assistance with enrollment in the Affordable Care Act; and (5) service authorization.

Maternal/Child Health

Department Overview PHARMACY SERVICES • Prescriptions • Medication Counseling • Provider Consultation FY 2014 PHARMACY Total Prescriptions Filled: 174,517

Indian Health Care Resource Center partners with the Tulsa Health Department and the Healthy Start program to provide case management and educational services for pregnant women. Services are also provided for expecting fathers. IHCRC’s program provides a variety of ongoing parenting education classes.

Transportation Free transportation is available in Tulsa County for patients and clients without a means to get to Indian Health Care Resource Center.

Women Infants and Children (WIC) IHCRC partners with the Cherokee Nation to offer the Women, Infants and Children (WIC) program at our facility. WIC provides nutrition and health education, supplemental food benefits, and breastfeeding education to eligible women, infants and children. Eligible clients include children under the age of five, pregnant women, breastfeeding mothers, and women up to six months postpartum.

Department Overview ELIGIBILITY & REFERRAL • Assistance with Medicaid and Medicare eligibility • Referrals and referral tracking • Assistance with resource utilization • Assistance with Affordable Care Act enrollment • Service authorization MATERNAL/CHILD HEALTH • Case Management • Education for pregnant women • Education for “expectant fathers” WIC • Nutrition and health education • Supplemental food benefits

IHCRC 2014 17

HEALTH AND WELL-BEING

Dance of the Two Moons

The 24th annual Dance of the Two Moons commenced on Saturday, April 26th, 2014 at the Hard Rock Hotel & Casino Tulsa. With almost 300 people in attendance, this year’s event raised over $103,000 for our Summer Youth Programs! Many thanks to the community sponsors and individuals who helped to exceed previous event goals and for making this year our BEST ONE YET! Special thanks to Blue Cross and Blue Shield of Oklahoma, Inaugural Circle of Life Community Partner and to Jim and Sharon Ruley, 2014 Honorary Chairs.

18 IHCRC 2014

IHCRC’s “Running Team” Under the coordination of IHCRC’s Fitness Specialist, several fitness program clients have become avid community “walkers.” The team participated in the Susan G. Komen Walk for the Cure and the Step Out: Walk to Stop Diabetes.

Restoring Harmony Powwow Taking Care of Our Patients Focused on teen suicide prevention, the 2014 Restoring Harmony Powwow was attended by approximately 850 individuals. Speaker David Gurule addressed the crowd regarding this important concern for our Native youth.

Traditional food and dance rounded out the day. Special thanks to the Creek Nation and American Airlines for their support of this important community event.

Throughout the year, IHCRC staff members host a variety of activities and events for our patients and the community. During 2014 these activities included: (1) the angel tree; (2) the Nurturing Families Christmas party; (3) the food drive for Iron Gate; (4) the drivethru flu shot clinic; (5) the teddy bear clinic; (6) the back-to-school immunization clinic; and (7) the family health fair.

IHCRC 2014 19

AWARDS

2014 YMCA of Tulsa 100 Women of Moxie: Carmelita Skeeter, CEO

2014 AARP Oklahoma Indian Elder: Carmelita Skeeter, CEO

Additional Indian Health Service Area Director’s Awards Exceptional Group Performance Non-Clinical Award: Carmelita Skeeter, CEO and the AAAHC Preparedness and Quality Improvement Team received the Exceptional Group Performance Non-Clinical Award during the Eleventh Annual Oklahoma City Area Indian Health Service Director’s Awards Ceremony held on July 20, 2014 in Oklahoma City. Additional members of the team include: Stacie Nutt, CHRO; Tanya Cain, RN, Clinic Administrator; Michael Scott, MD, Medical Director; and Edward E. Rogers, Credentialing Coordinator.

The AAAHC Preparedness and QI Team are a group of individuals tasked with taking the lead to assist in achieving Accreditation Association for Ambulatory Health Care (AAAHC) reaccreditation every three years.

The team also assumed responsibility for assisting staff in meeting requirements for the AAAHC Medical Home accreditation, the highest achievement for primary care.

20 IHCRC 2014

Merit Award: Jenifer Hamma received the Merit Award during the Eleventh Annual Oklahoma City Area Indian Health Service Area Director’s Awards Ceremony. Hamma joined IHCRC as the CHIPRA Project Coordinator in February 2011 and assumed the role of Referral Specialist in May 2013.

Hamma received the Merit Award for excelling in two job positions during 2013. As The Children’s Health Insurance Program Reauthorization Act (CHIPRA) Project Coordinator, she successfully facilitated coordination of CHIPRA outreach and enrollment activities. Under her direction, the CHIPRA grant exceeded CHIP grant enrollment goal by more than 1,200. Hamma then moved into the Referral Specialist position where she currently assists patients with effective utilization of resources, eligibility, referrals, and service authorization.

Thirty Year Service Award: Deanna Holman received a Thirty Year Service Award during the Eleventh Annual Oklahoma City Area Indian Health Service Director’s Awards Ceremony. Deanna joined IHCRC’s Accounting Department on July 1, 1984. She currently serves as the Accounting Supervisor, overseeing the accounting, budgeting, cost allocation, and reporting for all grants and contracts. In addition, she supervises the Accounting Clerk, Staff Accountant, and Purchasing Agent. Holman serves on the Leadership Team, the Continuing Education and Training Committee, and the Document Retention and Destruction Committee at IHCRC. Holman also serves on the Retired Senior Volunteer Program (RSVP) Board of Directors and is a key member of that agency’s Executive Committee. She served as the RSVP Board of Directors Secretary in 2013 and currently serves as Treasurer.

IHCRC 2014 21

DONOR RECOGNITION LIST

IHCRC is thankful for its generous sponsors and donors who continue to support the mission to provide quality, comprehensive health care to Tulsa-area Indian people in a culturally sensitive manner that promotes good health, well-being and harmony. Circle of Life and Four Elements recognition is given to donors who have demonstrated a commitment to sustaining IHCRC’s mission by consistently* giving to the organization (*gifts received in at least three of the last five years; July 1, 2009-June 30, 2014). Recognition for Annual Giving is given to donors who have given to IHCRC with a one-time gift, multiple gifts supporting different programs, or through a pledged commitment paid out within the past year (July 1, 2013 – June 30, 2014). IHCRC relies on its donors to help support the day to day operations of the clinic, as well as, the educational and health programs that we provide to the Indian community. Thank you!

Circle of Life/Four Elements CIRCLE OF LIFE $50,000 and over Blue Cross and Blue Shield of Oklahoma Choctaw Nation of Oklahoma George Kaiser Family Foundation Susan G. Komen Tulsa Affiliate The Anne and Henry Zarrow Foundation FOUR ELEMENTS Fire $25,000 and over The Chapman Foundations Hard Rock Hotel & Casino Tulsa Delores Titchywy Sumner Earth $10,000 and over Dr. Jay and Nancy Anderson The Chickasaw Nation Muscogee (Creek) Nation Oklahoma City Indian Clinic Public Service Company of Oklahoma Roche Diagnostics Jim and Sharon Ruley Tiger Natural Gas Wind $5,000 and over Jim Cameron/CamGlass Commerce Bank CommunityCare 22 IHCRC 2014

Wind, Continued Flintco, LLC Janice Edmiston and Ceasar Williams Osage Casino Osage Nation Ken Ray Underwood Water $1,000 and over Bacone College Barrow & Grimm, P.C. Bob and Gloria Bitting Cherokee Nation James R. Childers Gary and Donna Dundee Eller & Detrich Evolution Foundation Hogan Taylor Robert S. Lawson, D.O. Lee Lobeck-Marks Ann and Vernon Long Marrs Electric, Inc. Dr. David and Vicky Moon Regional Medical Laboratory Seminole Nation of Oklahoma Carmelita Skeeter Hank and Jeannie VanVeen Mollie Williford

Annual Giving HARMONY $25,000 and over Choctaw Nation of Oklahoma Tulsa AFF Susan G. Komen Breast Cancer Foundation $10,000 and over Hard Rock Hotel & Casino Tulsa George Kaiser Family Foundation The Anne and Henry Zarrow Foundation $5,000 and over Blue Cross and Blue Shield of Oklahoma H.A. & Mary K. Chapman Charitable Trust Jim Ruley & Co., Inc. The PENTA Building Group Delores Titchywy Sumner $1,000 and over Dr. Jay and Nancy Anderson Ark Wrecking Company of Oklahoma Barrow & Grimm, P.C. CamGlass Canyon Creek Energy Chickasaw Nation Commerce Bank CommunityCare of Oklahoma Diagnostic Laboratory of Oklahoma Janice Edmiston and Ceasar Williams Eller & Detrich Hillcrest Hospital South

Muscogee (Creek) Nation Ruth K. Nelson Oklahoma City Area Inter-Tribal Health Board Oklahoma City Indian Clinic Osage Casino Public Service Company of Oklahoma Carmelita Skeeter Larry Smith Tiger Natural Gas Ken Ray Underwood Williams Mollie Williford Other Annual Gifts ($50 to $999) Dr. & Mrs. Aliakber Akberali Melinda Anthony L.L. and Connie Becker Russell and Holly Becker Kada Benally Kryste Benge Stacy Berg Donna Birkenfeld Jo Blower Eric Bolusky Richard and Emily Bolusky Dr. Meagan Brady Bridget Bright Katherine Brown Russell Brown Dr. & Mrs. Gary D. Burnidge Cameron & Associates, Realtors Cherokee Nation James R. Childers Dr. Carolyn Cobb Dr. J.L. and Susan Cobble Dr. & Mrs. Tom Colpitts Melanie Conant Virginia Cox Connie Cronley John and Susan Daugherty Tammy Davis Dayspring Behavioral Health Services Amy DeMoss Claude Denize

DomesticAide of Tulsa Zandra Drywater Julie Durham Denise Fholer Mr. Matthew and Dr. Rachele Floyd Lindsay Fry-Geier Judy A. Gibson Cynthia D. Giddings John E. Gladden JoAnn Gower Eddie Hathcoat Kelsey and Seth Hendrix Henry Schein, Inc./Leslie Tatum Jessica Herod Brandi Hines Hogan Taylor/Jack and Donna Murray Dr. Arthur and Valerie Holleman Deanna Holman Jennifer Howard Teresa Huggins Darryl Hurley Carrie Hurst Skip and Priscilla Iba Interior Logistics, Inc. Kate and Elon Jeffy Don Jernigan Dr. Valarie Jernigan and Tvli Jacob Erik Johnson Jamie Johnson Rebecca Johnson Dr. Jennifer Jones C. Jameson Kelly Conor D. Kelly Sarah and Joe Kennedy Derrick Kiel Kimberly-Clark Miranda Kohut Robert S. Lawson, D.O. Megan Becca Leath Donna Lekites Craig C. LRoy Marrs Electric, Inc. Dr. & Mrs. Dean Martin Dr. David and Vicky Moon Morton Comprehensive Health Service Diddy Nelson

Nichols Landscape, Inc. NPI Cherokee Stacie Nutt Nancy O’Banion Oklahoma Primary Care Association Molly Parker Stephanie Parisien Jim Perryman Goldie Phillips Opal Price Margaret Reeves Ryann Richey Rives Enterprises, Inc. Ronald Robertson Edward Rogers Karen Rose Myron Rubinstein Ryan and Katie Sacra Stephen Scott George A. Shannon RL Shears Company Linda Sights Jeffrey and Stacy Strow Lawrence and Judy Supernaw Lori Sweeney Ross O. and Margaret S. Swimmer Gabrielle Taylor Patrick and Madeline Teague Lucille Tiger Janice Kay Vassar Mary Ann Vassar Emily Vo Gayle Wagner Paulette A. Wamego Bill and Carol Wamego Katie Larue Warlick Matt and Christie Warlick Lisa Weiche The Julia Ann Weinkauf Revocable Trust Jennifer Welch Dr. Ron and Barbara Winder Dr. & Mrs. William B. Wynn, IV Lisa Young Anonymous Donor Anonymous Donors from IBM

The generosity of our donors and supporters is important. We apologize if there is an exclusion or inaccuracy that may have occurred in acknowledging those who are important to us. Please contact Katie at kburk@ihcrc.org or 918-382-1226 so corrections can be made in future publications.

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BOARD OF TRUSTEES

IHCRC Board of Trustees- L to R, back row: Joe Neely, Dr. Jay Anderson, Bob Bitting, Ed Pierce, Dr. David Moon, Herbert P. Haschke, Jr., and Jim Cameron. Front row: Janice Edmiston, Madeline Teague, Goldie Phillips and, Mary Ann Vassar.

2014 IHCRC Board of Trustees Executive Committee

New Board Members

Jim Cameron, President, Cherokee Luke Essman, Vice-President, Osage Herb Haschke, Treasurer Joe Neely, Secretary, Creek Dr. Jay Anderson, At Large Executive Committee, Choctaw Bob Bitting, At Large Executive Committee, Cherokee

Board Members Donnie Cox, Cherokee Janice Edmiston, Choctaw and Sac and Fox Kerry James, Creek Dr. Charles Knife Chief, Pawnee Dr. David Moon, Chickasaw Goldie Phillips, Comanche Madeline Teague, Cherokee Mary Ann Vassar, Cherokee Ed Pierce, Citizen Nation Potawatomie

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Dr. Knife Chief

Donnie Cox

Kerry James

Luke Essman

INDIAN HEALTH CARE RESOURCE CENTER OF TULSA, INC. CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2014 AND 2013 WITH INDEPENDENT AUDITOR’S REPORTS

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See notes to consolidated financial statements.

See notes to consolidated financial statements.

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See notes to consolidated financial statements.

See notes to consolidated financial statements.

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See notes to consolidated financial statements.

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IHCRC Administration Carmelita Skeeter, Chief Executive Officer J.R. Hurt, Chief Operating Officer Judy Gibson, Chief Financial Officer Stacie Nutt, Chief Human Resource Officer

IHCRC Department Heads Carmelita Skeeter, Chief Executive Officer J.R. Hurt, Chief Operating Officer Judy Gibson, Chief Financial Officer Stacie Nutt, Chief Human Resource Officer Rachele Floyd, PsyD, Director of Behavioral Health Nancy O’Banion, Director of Health Education and Wellness Debbie Starnes, Development Director Michael Scott, MD, Medical Director

Leadership Team Carmelita Skeeter, Chief Executive Officer J.R. Hurt, Chief Operating Officer Judy Gibson, Chief Financial Officer Stacie Nutt, Chief Human Resource Officer Rachele Floyd, PsyD, Director of Behavioral Health Nancy O’Banion, Director of Health Education and Wellness Debbie Starnes, Development Director Michael Scott, MD, Medical Director Tanya L. Cain, RN, Clinic Administrator Elizabeth Fair, Medical Records Supervisor Arthur Holleman, DDS, Dental Director Deanna Holman, Accounting Supervisor Darryl Hurley, Facilities Manager Jennifer Jones, OD, Optometrist Karen McAhren, Diagnostic Imaging Supervisor Kelly Mounce, Systems of Care Project Director Miranda Kohut, PharmD, Pharmacy Director Phyllis Pratt, Patient Business Office Manager Ron Robertson, Network Systems Supervisor Edward Rogers, Credentialing Coordinator Jason Menting, PsyD, Director of Clinical Training

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