Annual Report 2017

2017

Annual Report

INDIAN CAREResource RESOURCE Center CENTERof OFIHCRC TULSA Indian HEALTH Health Care Tulsa 2017 1

About the Organization Since 1976, Indian Health Care Resource Center has been dedicated to improving the health of Tulsa’s American Indian population. Almost 40 years after inception, Indian Health Care Resource Center (IHCRC) remains dedicated to its mission of providing quality, comprehensive healthcare to Tulsa area Indian people in a culturally sensitive manner that promotes good health, well-being and harmony. IHCRC’s commitment to quality is evident in its accreditation by the Accreditation Association for Ambulatory Health Centers (AAAHC) and its certification as a Medical Home by AAAHC. IHCRC’s services are specifically designed to address one of the most important aspects of care for American Indians, attentiveness to the four elements of an individual’s nature (physical, mental, emotional, and spiritual). This focus on the whole person requires a complete integration of services, including those that positively affect behavioral as well as physical health.

IHCRC’s medical home model of care allows patients to see the same care team on every visit. The wide array of integrated services operates through a multidisciplinary, patient-centered, medical home model of care. The one-stop shop houses: • • • • • • • • • • • • • • • •

Primary Care Internal Medicine Pediatrics Optometry Dentistry Pharmacy Laboratory Radiology Behavioral Health Systems of Care Suicide Prevention and Intervention Domestic Violence Awareness and Counseling Substance Abuse Prevention and Treatment Health Education and Wellness Transportation Programs for Youth

As a nonprofit organization, IHCRC is not an Indian Health Service program nor is it tribally affiliated.

Indian Health Care Resource Center (IHCRC) does not have tribal affiliation and as such does not receive federal funds appropriated for tribal health. As a provider of healthcare for the urban Indian population, IHCRC receives limited funding (less than 1% of its budget) from local Oklahoma tribes who concentrate their dollars on the rural Indian populations.

2017 Letter from the President and the CEO In the ever-changing world of healthcare each year brings us new rewarding stories and a new set of challenges to meet. At Indian Health Care Resource Center (IHCRC) we are blessed that our success stories always out number our challenges and we consistently work to meet our challenges with courage, strength, and positivity.

We are proud to report this year we served a record number of medical patients at our clinic. The increase in patient visitation, and the outlook for a continued growth, will require us to expand our physician staff and to remodel our medical department.

Beginning in December we plan to repurpose our medical records room which will result in an increase to our number of patient exam rooms. We believe these changes will allow our staff to continue to provide the firstclass healthcare our patients receive at our clinic.

This year also marked the beginning of the Native American Community Committee hosted by IHCRC. Representatives of Native American Employee Groups and Indian-owned businesses meet once a month to learn from one another, to share each other’s missions, and to plan joint volunteer activities, many of which benefit IHCRC. The group has been an inspiring success and we are grateful to partner with so many wonderful Indian-owned companies.

Our running club, Running Strong, has been a huge success! The club began 18 months ago as a small group of 25 and has steadily grown to more than 75 youth and adults participating in the club’s activities. The group participates in approximately eight runs per year providing exposure for IHCRC and our mission to everyone they meet.

More importantly, the club’s success is founded in the life changing stories of the club’s participants. We’ve witnessed our members losing excess weight, our youth improving their school grades and we’ve seen the personal confidence of all the participants grow. For these reasons we’re proud to say Running Strong has been a great success!

Above: Luke Essman President, IHCRC Board of Trustees Below: Carmelita Skeeter, Chief Executive Officer

Finally, we are thankful for our staff for their continued dedication to our clinic’s mission. Because of our staff’s commitment we continue to positively impact and change our patients’ lives. On the following pages you will find a brief synopsis of those we have the honor of serving.

Thank you for being a part of another successful year at IHCRC! Caring is strong medicine!

Luke Essman, President, IHCRC Board of Trustees

Carmelita Skeeter, CEO

IHCRC 2017 3

Meet Our American Indian Community Annual Patient Tribal Membership 49% Cherokee 21% Creek 9% Choctaw 3% Osage 2% Chickasaw 16% Other

In FY2017 Indian Health Care Resource Center served members from 132 federally recognized tribes.

Top Counties of Residence 90% Tulsa 4% Creek 3% Rogers 0.5% Osage 0.4% Wagoner Percentages are based on total patients.

4 IHCRC 2017

Annual Patients By Age 3500 3000 2500 2000 1500 1000 500 0 0-18

18-29

30-54

55-64

65+

57%

8,241

patients did not have insurance.

live in zip codes where more than 10% of residents live 50% below the poverty level.

30 %

live in rural communities.

IHCRC 2017 5

Meet Our American Indian Community Top Zip Codes Served

74115

20% 30.2% 14% 1%

Of total AI served by IHCRC Below state poverty level Below 50% of state poverty level Rural population

Tulsa-244 to Mohawk Park/Harvard to 97th

14% Of Total AI served by IHCRC 10.6% Below state poverty level Below 50% of state poverty level 6% 37% Rural population

74063

Sand Springs 6 IHCRC 2017

74107

18% 35.6% 10.6% 10%

Of total AI served by IHCRC Below state poverty level Below 50% of state poverty level Rural population

Tulsa - River to W. 61st/S. 97th west to River

22% Of total AI served by IHCRC 20.4% Below state poverty level 12.1% Below 50% of state poverty level Rural population 0%

74112 Tulsa - 244 to 21st/Harvard to Mingo

74127

22% 22.6% 11.8% 6%

Of total AI I total served by IHCRC Below state poverty level Below 50% of state poverty level Rural population

Tulsa - North West IHCRC 2017 7

Promoting Good Health Patients By Department 7,676 1,066 3,294 2,436 1,400 959 933 3,197 1,411

Family Practice Internal Medicine Pediatrics Laboratory Radiology Ultra Sound Mammography Dental Optometry

Medical Department

14,071

Ambulatory Patients Seen

35,262

Total Ambulatory Medical Visits

8 IHCRC 2017

920

Average Prescriptions Filled Daily

Top Health Issues By Visit Medical

6.3 %

Type 2 Diabetes Mellitus Without Complications

3.2 %

4.4 %

Essential (Primary) Hypertension

2.8 %

Type 2 Diabetes Mellitus With Hyperglycemia

Acute Upper Respiratory Infection

3.9

8.9

Average Ambulatory Visits By a Patient

Average Number of Diagnoses Per Patient

IHCRC 2017 9

Health Education & Wellness

1,050

Patients Diagnosed With Diabetes (Type 1 & 2)

Patients By Service

1,993

Patients Diagnosed With Hypertension

550 528 491 88 10 IHCRC 2017

Diabetes Education Case Management Nutrition Counseling Individual Fitness

Health Education & Wellness Programs

292

Family Fun and Fitness Day Attendees

134

Fitness Class Attendees

352

Duplicated Running Strong Team Members in 9 Community Runs

45

Parenting Class Attendees

99

Cooking Class Attendees

34

Healthy Start Clients IHCRC 2017 11

Promoting Well Being Behavioral Health

1,766

Total Patients

9,987

Total Patient Visits

Patients By Service

1,766 170 32 73 12 IHCRC 2017

Behavioral Health Alcohol Tobacco Systems of Care

Graduate Psychology Internship Program

349

Patients Seen

By Interns

1,573

Patients Visits For Interns

Depression Treatment Program

7,241

Patients Screened For Depression

728

Patients Treated For Depression

Depression screened for in all clinic areas.

IHCRC 2017 13

Harmony

Cultural Activities and Events

256

1,029

Youth Wellness Camp Participants

Powwow Attendees

226

64

Cultural Camp Participants

American Indian Life Skills Participants

250

1,125

Stomp Dance Attendees 14 IHCRC 2017

Stickball Players

Fundraising

$1,360,269 $178,025 $85,000 $13,498 $4,000

Federal/State Grants Special Event Private Foundations Annual Campaign Major Gifts

Dance of the Two Moons Presenting Sponsor: Tiger Natural Gas Lead Sponsors: Hard Rock Hotel and Casino Tulsa, Blue Cross and Blue Shield of Oklahoma, Meeks Group, and Osage Casino Eagle Sponsor: Delores Titchywy Sumner Bear Sponsors: Burt B. Holmes, Choctaw Nation of Oklahoma, IHCRC Jeans Pass Staff, OSU Medical Center and OSU Center for Health Sciences, and Carmelita Skeeter

Private Foundations H.A. and Mary K. Chapman Foundation: General Operating Fund N7 Fund: Youth Running Club Southern Plains Tribal Health Board: Sit Less, Move More, Learn Better and Summer Camp, Running Strong Anne and Henry Zarrow Foundation: Running Strong

Federal and State Funding Health Resources and Services Administration: Graduate Psychology Education Program Indian Health Service: Special Diabetes Program for Indians Indian Health Service: Domestic Violence Prevention Initiative Indian Health Service: Methamphetamine and Suicide Prevention Initiative Indian Health Service: Public Health Nurse Oklahoma Department of Mental Health and Substance Abuse Services: Systems of Care Tulsa County Health Department: Healthy Start

IHCRC 2017 15

A Culture of Caring Thank you! IHCRC is thankful for its generous sponsors and donors who make it possible to provide Tulsa-area Indian people with quality health care.

Circle of Life and Four Elements recognizes donors who have shown their commitment to sustaining IHCRC’s mission by consistently giving to the programs that support our Native American community. Value placement is based on donor’s cumulative giving within the past five years (July 1, 2011 – June 30, 2017).

Circle of Life ($50,000 or more) American Cancer Society, Inc. Blue Cross and Blue Shield of Oklahoma H.A. and Mary K. Chapman Charitable Trust Choctaw Nation of Oklahoma Flint Family Foundation

Hard Rock Hotel and Casino Tulsa Susan G. Komen Tulsa Affiliate Delores Titchywy Sumner The Anne and Henry Zarrow Foundation

Four Elements Fire ($25,000-$49,999) The Notah Begay III Foundation Southern Plains Tribal Health Board

Telligen Community Initiative Tiger Natural Gas

Tulsa Community Foundation

CommunityCare Diagnostic Laboratory of Oklahoma Janice Edmiston and Ceasar Williams Meeks Group Muscogee (Creek) Nation Oklahoma City Indian Clinic

Osage Casino Public Service Company of Oklahoma Jim and Sharon Ruley Carmelita Skeeter Ken Ray Underwood Law Office Williams/The Williams Foundation

Ruth Kaiser Nelson Nike, N7 Fund OSU Medical Center OSU Center for Health Sciences The PENTA Building Group

Phoenix Plumbing Works, Inc. Larry and Janet Smith Ross O. and Margaret S. Swimmer Urban Inter-Tribal Center of Texas

Bob and Gloria Bitting Richard and Emily Bolusky Teresa and Robert Burkett Dr. Robert Burlingame - Hunt Mill Hollow Ranch The Cherokee Nation of Oklahoma James R. Childers Architect Inc. Dr. & Mrs. Tom Colpitts

Conner & Winters, LLP Cox Businesses Donnie and Gayla Cox Evolution Foundation Fire Detection Systems, Inc/David Osburn Flintco, LLC Mr. Matthew and Dr. Rachele Floyd

Earth ($10,000-$24,999) Dr. and Mrs. Jay Anderson CamGlass Canyon Creek Energy II The Chapman Foundations The Chickasaw Nation Commerce Bank

Wind ($5,000-$9,999) First National Bank of Broken Arrow Hillcrest Healthcare System Burt B. Holmes IBM Employee Service Center Interior Logistics

Water ($1,000-$4,999) Dr. Aliakber and Farida Akberali American Airlines, Inc. AmericanChecked, Inc. Alison Anthony and Mark Wilson Ark Wrecking Company of Oklahoma Mr. Chris and Dr. Leigh Barrow Barrow & Grimm, P.C. Dr. Jami Bartgis

16 IHCRC 2017

Water ($1,000-$4,999) continued Judy A. Gibson Global Scaffolding & Insulation LLC Lance and Colette Gopffarth Jenny Graham Heart Care Of Tulsa Dr. Arthur and Valerie Holleman Robert S. Lawson, D.O. David and Lee Marks Dr. & Mrs. Dean Martin Dr. David Moon

Oklahoma City Area Indian Health Service Osage Nation Osteopathic Founders Foundation Prescor, Inc. Edward E. Rogers Seminole Nation of Oklahoma RL Shears Company Transit Advertising, Inc. Two Feathers Media Consultants

The University of Oklahoma-Anne and Henry Zarrow School of Social Work The University of Oklahoma Foundation, Inc. The University of Oklahoma - Tulsa University of Pittsburgh Hank and Jeannie Van Veen Mary Ann and Andrew Vassar Bill Wamego and Carol Hinkley Mollie Williford

Thank you to all the 2017 Donors who help support the day to day operations of the clinic, as well as, the educational and health programs that have served our Native American community within the past fiscal year.

2017 Donors $25,000 or more H.A. and Mary K. Chapman Charitable Trust Choctaw Nation of Oklahoma

Susan G. Komen Tulsa Affiliate Anne and Henry Zarrow Foundation

$10,000-$24,999 American Cancer Society, Inc. Southern Plains Tribal Health Board Tiger Natural Gas

Delores Titchywy Sumner N7 Fund

$5,000-$9,999 Blue Cross and Blue Shield of Oklahoma Burt Holmes

Carmelita Skeeter

$1,000-$4,999 AmericanChecked Inc Dr. and Mrs. Jay Anderson CamGlass Canyon Creek Energy II Chickasaw Nation James R. Childers Architect Inc. Commerce Bank CommunityCare Diagnostic Laboratory of Oklahoma Janice Edmiston and Ceasar Williams Eller & Detrich, P.C.

First National Bank of Broken Arrow Interior Logistics Ruth Kaiser Nelson David and Lee Marks Muscogee (Creek) Nation Oklahoma City Indian Clinic Osage Casino OSU Medical Center OSU Center for Health Sciences Public Service Company of Oklahoma Jim and Sharon Ruley

Larry and Janet Smith Ross O. and Margaret S. Swimmer Two Feathers Media Consultants Ken Ray Underwood Law Office The University of Oklahoma-Anne and Henry Zarrow School of Social Work Urban Inter-Tribal Center of Texas Williams

Dr. Jami Bartgis Stacy Berg Donna Birkenfeld Catherine Bishop

Bob and Gloria Bitting Randy & Tammy Blair Chelsey Brady Russell Brown

$50-$999 Dr. Aliakber and Farida Akberali Larry and Linda Almanza Ellen Archie Tom and Sherry Askew

IHCRC 2017 17

$50-$999 Mrs. Joy Burnidge Larry and Tanya L. Cain Robyn Campbell Lou and Don Carmichael Misty Carter Harry and Monica Champ Whitney Champan Terry Cline Cloudboy Consulting Lupe Cole Greg Burn Virginia Cox Donnie and Gayla Cox Mark Daniel Tammy Davis Heidi Dawson Paul Demuro Dee Ann Dickerson Crystal Dombrovski Elizabeth A. Duncklee, LCSW Afsar and David Emery Ann and Luke Essman Deni Fholer Amanada Fousek Tia Fowler Trilla Frazier Judy A. Gibson Dr. Jesicah Gilmore Tonia Gist Lance and Colette Gopffarth Jo Ann Gower Jenny Graham Gloria and Charles Grim Amy Groves Kristi S. Grubb Patricia Gail Hamilton Jenifer Hamma Herbert P. Haschke Adrienne Hefner Kelly E. Henderson Brandi Hines Dr. Arthur and Valerie Holleman Deanna Holman Valerie Howard, DO Mary Howard Kyahi Howard Jennie Howard

18 IHCRC 2017

Teresa Huggins Pat & Katherine Hummingbird Molly Hurst Amy Johnson Dorothy J. Jones Kasi Ketcher Kimberly-Clark Miranda Kohut Angie Lanning Fatima Lara-Rodriquez Lawns By Randy, LLC Megan Leath Dr. Pat and Patti Lester Kimberly W. Lohman Jim Lyon Dr. & Mrs. Dean Martin Amber Martin Bridget McClendon Dr. Gene and Bonnie McCormick Margaret McIntosh Jason and Stefanie Menting Jennifer Miller Kortney Mills Dee Dee Mims Jay and Kelly Mounce Dotti Murdock Jacquelyn Nickel Joshua Nooner Brian and Stacie Nutt Nancy O’Banion Dr. Jennifer Jones, OD Daniel and Julia Olson Alicia Kay Ortman Bill Osburn Elizabeth Parrott Vivian Phillips Destiny Pollak Jennifer Porritt Opal Price Cindy Reed Mary Revels Monique Rice Ryann Richey Arden and Joyce Roberts Yolanda Robinson Edward E. Rogers Floyd Rogers and Luzana Graff

Mary Rule Ryan and Katie Sacra Tim and Joanna Shadlow Becky Sheofee Charmayne Shorty Stacey Shuman Dreama Smith Leah Speer Sandra Stanford Dr. Erica Starkey Debbie Starnes Brittany Stephens Rodney & Patti Sumner Judy Supernaw G. Renee Sweeden Lori Sweeney Brenda Taylor, LPN Julie Taylor Patrick and Madeline Teague Bridget Teel TEQ4 Angela Thacker Karen Thomas Alisha Tibbles Therese Tierce Hank and Jeannie Van Veen Mary Ann and Andrew Vassar Emily Vo Steven and Marcy Wakeford Dawnna Wallace Bill Wamego and Carol Hinkley Paulette A. Wamego and Michael L. Tiner Tony and Jan Wamego Cathryn Wamego Robert and Pam Wamego Dr. Jill Warnock Shawna Webb Lisa Weiche Kendra Welborn LaToyia and Eucild Williams Stacey Wilson Nicole Woodmansee John J. Young Lisa Young

Society of the Medicine Wheel members are committed to providing financial strength to improve the health and well-being of IHCRC patients on an annual basis. Thank you for being a part of our Caring is Strong Medicine team!

Society of the Medicine Wheel $500 or more Dr. Aliakber and Farida Akberali Larry and Linda Almanza Tom and Sherry Askew Larry and Tanya L. Cain

Heidi Dawson Luke and Ann Essman Judy A. Gibson Dr. and Mrs. Dean E. Martin

Jennifer Miller Carmelita Skeeter

Jo Ann Gower Dr. Arthur and Valerie Holleman Deanna Holman

Kerry James

Kelly E. Henderson Brandi R. Hines Dr. Valerie M. Howard Jennifer L. Howard Kimberly W. Lohman Dr. and Mrs. Jason Menting Jay and Kelly Mounce Brian and Stacie Nutt Nancy O’Banion Daniel Olson Elizabeth Parrott

Sandra Stanford Debbie Starnes Renee Sweeden Patrick and Madeline Teague Therese Tierce Andrew and Mary Ann Vassar Shawna Webb LaToyia and Eucild Williams Stacey Wilson John Young

$250 - $499 Donna J. Birkenfeld Catherine Bishop Dr. Jesicah Gilmore

$50-$249 Dr. & Mrs. Jay and Nancy Anderson Nicholas Barusulai Stacy Berg Bob and Gloria Bitting Robyn Campbell Virginia F. Cox Elizabeth A. Duncklee, LCSW Janice Edmiston and Ceasar Williams Denise Fholer Tonia Gist Kristi S. Grubb

Thank you to our donors and supporters. Accurate donor recognition is important to us. Please accept our apology and contact us if there has been an exclusion or inaccuracy. Contact Tonia at tgist@ihcrc.org or 918-382-1226 so corrections can be made in future publications.

IHCRC 2017 19

Board of Trustees Officers

Luke Essman

President, Osage

Vice-President, Choctaw

Jim Cameron

Donnie Cox

Secretary, Cherokee 20 IHCRC 2017

Dr. Jay Anderson

Treasurer, Cherokee

Members

Bob Bitting

Brandon Caruso Janice Edmiston Cherokee

Choctaw/Sac and Fox

Goldie Phillips

Joyce Roberts

Madeline Teague

Mary Ann Vassar

Dr. Matt Wilkett

Cherokee

Comanche

Cherokee

Choctaw

Cherokee

Cherokee

IHCRC 2017 21

Awards Deni Fholer

Excellence in Customer Service, Urban Oklahoma City Area Director’s Awards

Becky Sheofee

Exceptional Individual Performance Non-Clinical Oklahoma City Area Director’s Awards

Erice Shaw

Facility Peer Award

Dr. Dean Martin

Facility Merit Award

22 IHCRC 2017

IHCRC Administration Carmelita Skeeter, Chief Executive Officer Judy Gibson, Chief Financial Officer Michael Scott, MD, Medical Director Stacie Nutt, Chief Human Resource Officer Tanya Cain, RN, Chief Operating Officer

IHCRC Department Heads Carmelita Skeeter, Chief Executive Officer Judy Gibson, Chief Financial Officer Stacie Nutt, Chief Human Resource Officer Tanya Cain, RN, Chief Operating 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 Judy Gibson, Chief Financial Officer Stacie Nutt, Chief Human Resource Officer Tanya Cain, RN, Chief Operating Officer Rachele Floyd, PsyD, Director of Behavioral Health Arthur Holleman, DDS, Dental Director Jennifer Jones, OD, Optometrist Miranda Kohut, PharmD, Pharmacy Director Nancy O’Banion, Director of Health Education and Wellness Debbie Starnes, Development Director Michael Scott, MD, Medical Director Jenifer Hamma, Patient Business Office Manager Deanna Holman, Accounting Supervisor Darryl Hurley, Facilities Manager Kelly Mounce, LPC, Systems of Care Project Director Edward Rogers, Health Information Manager Jason Menting, PsyD, Director of Clinical Training Mitchell Dodd, Network Systems Supervisor Julie Taylor, Accounts Receivable Supervisor Bridget McClendon, RN, Nursing Supervisor Lori Sweeney, RN, Nursing Supervisor IHCRC 2017 23

24 IHCRC 2017

550 South Peoria Ave., Tulsa, OK 74120 918-588-1900 • www.ihcrc.org