Annual Report 2018

INDIAN HEALTH CARE RESOURCE CENTER OF TULSA

Annual Report 2018

INDIAN HEALTH CARE RESOURCE CENTER OF TULSA IHCRC 2018 1

About the Organization Since 1976, Indian Health Care Resource Center has been dedicated to improving the health of Tulsa’s American Indian population. Over 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 Ultrasound Mammography 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.

2018 Letter from the President and the CEO “Caution. Construction under way.”

This has literally been a true statement for the majority of this year. Phase four of our remodeling project is well under way.

New flooring and lighting are also being added throughout the clinic as nonconstruction areas are updated.

The redesign of our medical clinic will greatly assist with the continuity of patient care. Teams now share a common space allowing them to work more closely together to bring an enhanced level of care. The remodel also expanded our Diagnostic Imaging Department (x-ray, mammography, and ultrasound), ultimately locating the services in one area of the clinic. The lab was also enlarged to provide increased and easier processing. Other areas of improvement include a larger scheduling department in the main waiting area and additional exam rooms.

We are grateful for our staff who have packed and moved, repacked and moved, shared offices, and dealt with sheetrock dust. Their dedication to our patients and their ability to work efficiently even in the wake of construction allowed us to maintain the number of patients served. We are both excited that the completion of the remodel and the expanded space will allow us to see additional patients in a more efficient manner.

In March, IHCRC was honored to be chosen one of 24 organizations to present at Tulsa’s first Good News Summit. The event, organized by

Leadership Tulsa, recognized the good work, positive outcomes and collaborations happening in the community. Our annual special event, Dance of the Two Moons, was chosen as a 2018 Tulsa People A-List Winner for nonprofit event. (Mark your calendars now for the 2019 event Amped Up 80’s to be held March 9 at the Hard Rock Hotel and Casino Tulsa.) The clinic was also chosen as a finalist for the Oklahoma Caring Award for Healthcare.

Several staff members received awards and recognition during the year as well.

These awards may be found later in this report.

Finally, IHCRC is excited to be part of the new community service commercials for American Electric Power and Public Service Company of Oklahoma. The commercial, filmed last fall, is set to air sometime this winter. Our drum group, run club, and powwow are featured in the commercial along with an interview with PSO employee and IHCRC Board Member, Joyce Roberts. A special thanks to our partners at PSO for including us in this wonderful project.

Above: Brandon Caruso President, IHCRC Board of Trustees Below: Carmelita Skeeter, Chief Executive Officer

Caring is Strong Medicine!

Brandon Caruso, President, IHCRC Board of Trustees

Carmelita Skeeter, CEO

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Meet Our American Indian Community

Since relocating to Tulsa in 2008 due to a work layoff and loss of insurance, IHCRC has been the best care I’ve received and have continued care here because of their concern and compassion for my health issues.

Thank you for being there for me.

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IHCRC 2018

Patient Tribal Membership 50% Cherokee 21% Creek 10% Choctaw 3% Osage 2% Chickasaw 14% Other Patients were seen from over 131 federally recognized tribes in 2018.

Annual Patients By Age 3500 3000 2500 2000 1500

4,859

1000

Patients Did Not Have Insurance

500 0

0-18

18-29

30-54

55-64

65+ IHCRC 2018

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Meet Our American Indian Community Top Zip Codes Served

74115

575 13% 8% 8%

Patients Served By IHCRC Total AI or Combo AI Only Population In Poverty

Tulsa-244 to Mohawk Park/Harvard to 97th

538 14% 9% 17%

Patients Served By IHCRC Total AI or Combo AI Only Population

74063

In Poverty

Sand Springs 6

IHCRC 2018

531 12% 7% 19%

74112

Patients Served By IHCRC Total AI or Combo AI Only Population In Poverty

Tulsa - 244 to 21st/Harvard to Mingo

508 13% 8% 32%

Patients Served By IHCRC Total AI or Combo

74127

AI Only Population In Poverty

Tulsa - North West

74107

499 15% 10% 28%

Patients Served By IHCRC Total AI or Combo AI Only Population In Poverty

Tulsa - River to W. 61st/S. 97th west to River IHCRC 2018

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Promoting Good Health

I love my son’s doctor. She is wonderful and takes very good care of him. I have recommended the clinic to several others. Thank you for such great service and care.

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IHCRC 2018

Patients By Medical Department 5,845 938 2,510 6,189 1,169 1,122 837 3,126 1,410

Family Practice Internal Medicine Pediatrics Laboratory Radiology Ultrasound Mammography Dental Optometry

Medical Department

7,779

23,703

Ambulatory Patients Seen

Total Ambulatory Medical Visits

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3

Average Number of Diagnoses Per Patient

Average Ambulatory Visits By a Patient

Did you know?

There are over 987 prescriptions filled daily within the pharmacy department with the aid of two prescription filling robots. That is over 221,000 per year.

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Promoting Good Health

I absolutely love the care I get at Health Education and Wellness! The cooking classes are great. They teach me how to cook foods that help me manage my diabetes.

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IHCRC 2018

Health Education & Wellness Patients By Service

533 487 358 102

Diabetes Education Case Management Nutrition Counseling Exercise Education

Health Education & Wellness Programs

67

Healthy Start Clients

125

Run Club Members

57

Parenting Class Attendees

44

Cooking Class Participants

Did you know?

Native Americans have a greater chance of having diabetes than any other US racial group (CDC). In 2018, IHCRC saw over 1,065 patients with Type 2 Diabetes or Pre-Diabetes.

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Promoting Well Being

I have seen the confidence in my children grow each year that they attend summer camp. It is great that they are able to learn about their culture. They are proud to be Native!

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Behavioral Health Patients By Service 1,985 195 31 86

Behavioral Health Alcohol & Drugs Tobacco Cessation Systems of Care

Behavioral Health Services

1,985

12,917

Total Patients Total Visits

7,203

Patients Screened For Depression

978

Patients Treated for Depression

Did you know?

IHCRC participates in the Northeastern Oklahoma Psychology Internship Program (NOPIP). In 2018, the three NOPIP Interns saw 361 patients and had 1,623 patient visits.

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Promoting Harmony

Cultural Activities and Events Cultural Activities and Events

212

Youth Wellness Camp Participants

206

American Indian Life Skills Participants

1,100

42

Powwow Attendees

Cultural Camp Participants

456

1,678

Stomp Dance Attendees

Stickball Players

Did you know?

Suicide is the second leading cause of death among American Indian youth age 10-24 (SAMHSA). IHCRC aims to lower these numbers through a suicide prevention program and activities that connect youth to their culture.

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Lincoln’s Story

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IHCRC 2018

Lincoln Learns to Hear

It’s good news for the Coleman family after two years of struggle and disappointment. Lincoln Coleman was born profoundly-deaf, meaning he is unable to detect sound at all. A cochlear implant was his best chance at being able to hear. More expensive than a hearing aid, the total cost of a cochlear implant, including evaluation, surgery, device, and rehabilitation can cost as much as $100,000.

Determined to give Lincoln every possible opportunity, the family exhausted every resource imaginable.

Repeatedly they were told they did not qualify for assistance because they were “slightly over the financial requirements” or because “they would need to move in order to live within tribal jurisdictional boundaries.”

Lincoln began receiving care at IHCRC and our Benefit Coordinators went to work finding ways to overcome the obstacles faced by the family. First, Lincoln’s Benefit Coordinator, Whitney, was able to negotiate a lowered fee for testing prior to surgery and the subsequent surgery. Secondly, thanks to a limited special fund set aside by the IHCRC Board of Trustees for specific purposes, IHCRC was able to assist financially with Lincoln’s surgery.

“When IHCRC called we didn’t expect much because our track record wasn’t very good. On the phone I was asked whether Lincoln had or needed a CT scan to determine whether he was a candidate for a cochlear implant. I answered that yes he needed a CT scan, but why? I was told I think we can help Lincoln get his cochlear implant. I just broke down crying. In tears, I told Lincoln he was going to learn to hear.” - Monica Coleman (Lincoln’s mother) Lincoln’s surgery is scheduled for November 2018. We look forward to sharing his progress as he recovers from the surgery and learns to hear for the first time.

How Does a Cochlear Implant Work?

A cochlear implant is very different from a hearing aid. Hearing aids amplify sounds so they may be detected by damaged ears. Cochlear implants bypass damaged portions of the ear and directly stimulate the auditory nerve. Signals generated by the implant are sent by way of the auditory nerve to the brain, which recognizes the signals as sound. Hearing through a cochlear implant is different from normal hearing and takes time to learn or relearn. However, it allows many people to recognize warning signals, understand other sounds in the environment, and understand speech in person or over the telephone.

Source: NIH/NIDCD IHCRC 2018

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Fundraising

Funds Raised $1,379,131 $177,826 $55,000 $13,353

Federal/State Grants Special Event Private Foundations Annual Campaign

Dance of the Two Moons

Presenting Sponsor: Public Service Company of Oklahoma Lead Sponsors: Hard Rock Hotel and Casino Tulsa, Blue Cross and Blue Shield of Oklahoma, Meeks Group, and Interior Logistics Eagle Sponsors: Hard Rock Hotel and Casino Tulsa, Delores Titchywy Sumner, and Tiger Natural Gas Bear Sponsors: Chickasaw Nation of Oklahoma, Choctaw Nation of Oklahoma, IHCRC Jeans Pass Staff, Meeks Group, and Carmelita Skeeter

Private Foundations

H.A. and Mary K. Chapman Foundation: General Operating Fund Southern Plains Tribal Health Board: Sit Less, Move More, Learn Better and, 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 Oklahoma Department of Mental Health and Substance Abuse Services: Systems of Care Tulsa County Health Department: Healthy Start

Did you know?

People with diabetes incur average medical expenditures of $16,752 per year (American Diabetes Association). IHCRC’s Diabetes Program is entirely funded by grants and private donations allowing 100% of those costs to be absorbed by the clinic.

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A Culture of Caring

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IHCRC 2018

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 918382-1226 so corrections can be made in future publications.

Circle of Life 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, 2012 – June 30, 2018).

($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 Public Service Company of Oklahoma Tiger Natural Gas Tulsa Community Foundation The Anne and Henry Zarrow Foundation

Four Elements Fire ($25,000-$49,999) Griffin Communications The Notah Begay III Foundation

Southern Plains Tribal Health Board Delores Titchywy Sumner

Telligen Community Initiative University of Pittsburgh

Interior Logistics Meeks Group Muscogee (Creek) Nation Ruth Kaiser Nelson Nike, N7 Fund Oklahoma City Indian Clinic

Osage Casino Jim and Sharon Ruley Carmelita Skeeter Williams/The Williams Foundation

Hillcrest Healthcare System Burt B. Holmes OSU Medical Center The PENTA Building Group Phoenix Plumbing Works, Inc.

Larry and Janet Smith Ross O. and Margaret S. Swimmer Ken Ray Underwood Law Office Urban Inter-Tribal Center of Texas

Teresa and Robert Burkett Russell Brown Dr. Robert Burlingame - Hunt Mill Hollow Ranch Greg Burn The Chapman Foundations Dr. and Mrs. Tom Colpitts Conner & Winters, LLP Cox Businesses

Devol & Associates Fire Detection Systems, Inc./David Osburn Judy A. Gibson Global Scaffolding & Insulation LLC Great Plains Lending AmericanChecked Inc. Heart Care Of Tulsa Dr. Arthur and Valerie Holleman

Earth ($10,000-$24,999) Dr. and Mrs. Jay Anderson Canyon Creek Energy Chickasaw Nation Commerce Bank CommunityCare Diagnostic Laboratory of Oklahoma

Wind ($5,000-$9,999) CamGlass, Inc. James R. Childers Architect Inc. Janice Edmiston and Ceasar Williams Eller & Detrich, P.C. First National Bank of Broken Arrow

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

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Water ($1,000-$4,999) continued Hogan Taylor, LLP IBM Employee Service Center Kimberly-Clark Robert S. Lawson, D.O. Mabrey Bank Dr. David and Mrs. Lee Marks Dr. and Mrs. Dean Martin Dr. David Moon ONE Gas Osage Nation Osteopathic Founders Foundation

OSU Center for Health Sciences Prescor, Inc. Arden and Joyce Roberts Edward E. Rogers Seminole Nation of Oklahoma RL Shears Company Mrs. Louise Short 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 Hank and Jeannie Van Veen Mary Ann and Andrew Vassar Bill Wamego and Carol Hinkley Mollie Williford

2018 Donors (fiscal year July 1, 2017-June 30, 2018) Accent Real Estate Inc. Lisa Alexander Larry and Linda Almanza Dr. and Mrs. Jay Anderson Ellen Archie April Arruti Jennifer Ashlock Tom and Sherry Askew Danielle Baker Mr. Chris and Dr. Leigh Barrow Stacy Berg Paul Betow Amanda Billetdoux Donna Birkenfeld Catherine Bishop Bob and Gloria Bitting Randy and Tammy Blair Blue Cross and Blue Shield of Oklahoma Ashley Brewer Lisa Broam Russell Brown Greg Burn Donna Cagle Larry and Tanya L. Cain Ginny Camel Jim Cameron CamGlass Robyn Campbell Canyon Creek Energy Misty Carter Whitney Champan Chickasaw Nation James R. Childers Architect Inc. Choctaw Nation of Oklahoma Lupe Cole

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IHCRC 2018

Dr. and Mrs. Tom Colpitts Commerce Bank CommunityCare Joe and Rainy Cooper Virginia Cox Lauren Cusick Tammy Davis Shannon Davison, LPN Heidi Dawson Devol & Associates Diagnostic Laboratory of Oklahoma Rachel Dugan Elizabeth A. Duncklee, LCSW Cheryl Echevarria Janice Edmiston and Ceasar Williams Eller & Detrich, P.C. Deni Fholer Fire Detection Systems, Inc./ David Osburn First National Bank of Broken Arrow Mr. Matthew and Dr. Rachele Floyd Amanada Fousek Tia Fowler Trilla Frazier Judy A. Gibson Dr. Jesicah Gilmore and Dane Bowin Tonia Gist Global Scaffolding & Insulation LLC Jo Ann Gower Jenny Graham Great Plains Lending Anthony Gresham Griffin Communications Matt and Sara Griffin Jenifer Hamma

Hard Rock Hotel and Casino Tulsa Jeff and Shari Harjo John and Esther Harper Adrienne Hefner Kelly E. Henderson Hogan Taylor, LLP Deanna Holman Jennie Howard Kyahi Howard Molly Hurst IBM Employee Service Center Integrity Bio Med Interior Logistics Glenitria Johnson Dorothy J. Jones Kendra Scott Kasi Ketcher Gregory Kidder Kimberly-Clark Ranie Kirk Miranda Kohut Angie Lanning Fatima Lara-Rodriquez Kimberly Lawrence Megan Leath Mariah Lee Jim Lyon Mabrey Bank Dr. and Mrs. David Marks Dr. and Mrs. Dean Martin Amber Martin Meeks Group Bridget McClendon Dr. Gene and Bonnie McCormick Jason and Stefanie Menting

Jennifer Miller Karen Miller Kortney Mills Jay and Kelly Mounce Muscogee (Creek) Nation Ruth Kaiser Nelson Jacquelyn Nickel Joshua Nooner Brian and Stacie Nutt Nancy O’Banion Oklahoma City Indian Clinic Daniel Olson ONE Gas Osage Casino Bill Osburn OSU Tulsa Elizabeth Parrott Kendall Payne Taylor Phillips Jennifer Porritt Prescor, Inc. Pamela Preston Opal Price Public Service Company of Oklahoma Cindy Reed Mary Revels Rochelle Richerson Ryann Richey Jessica Rimer Arden and Joyce Roberts Yolanda Robinson Floyd Rogers and Luzana Graff

Edward E. Rogers Mary Rule Jim and Sharon Ruley Joetta Russell Nancy J. Ruth David and Martha Schmitt Tim and Joanna Shadlow Becky Sheofee Louise Short Charmayne Shorty Stacey Shuman Carmelita Skeeter Larry and Janet Smith Dreama Smith Southern Plains Tribal Health Board Leah Speer Sandra Stanford Dr. Erica Starkey Debbie Starnes Jennifer Stell Mr. and Mrs. David Stone Delores Titchywy Sumner Robyn Sunday-Allen Judy Supernaw Lori Sweeney Ross O. and Margaret S. Swimmer Mana Tahaie Brenda Taylor, LPN Julie Taylor Bridget Teel Angela Thacker Karen Thomas

Alisha Tibbles Therese Tierce Tiger Natural Gas Aisha Traylor Tulsa Community Foundation Ken Ray Underwood Law Office University of Pittsburgh Urban Inter-Tribal Center of Texas Hank and Jeannie Van Veen Mary Ann and Andrew Vassar Dennis and Tamara Walden Dawnna Wallace Paulette A. Wamego and Michael L. Tiner Robert and Pam Wamego Tony and Jan Wamego Joia Washington Shawna Webb Lisa Weiche Rene Wesson Dr. Matt and Mrs. Cyndi Wilkett LaToyia and Eucild Williams Shelly Williams Sherry Williams Stacey Wilson Nicole Woodmansee Lisa Young John J. Young Youth Services of Tulsa

Society of the Medicine Wheel

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!

Dr. Aliakber and Farida Akberali Tom and Sherry Askew Stacy Berg Donna Birkenfeld Larry and Tanya L. Cain Heidi Dawson Rachel Dugan Elizabeth A. Duncklee, LCSW Deni Fholer Judy A. Gibson Dr. Jesicah Gilmore and Dane Bowin Tonia Gist Jo Ann Gower Kelly E. Henderson

Robyn Jones Karen Knight Angie Lanning Dr. and Mrs. Dean Martin Karen Miller Jay and Kelly Mounce Brian and Stacie Nutt Nancy O’Banion Daniel Olson Elizabeth Parrott Edward E. Rogers Dr. and Mrs. Emmanuel Roman KiAnna Sam Mr. David Krapff and Dr. Geeta Silas

Carmelita Skeeter Leah Speer Debbie Starnes Brenda Taylor, LPN Patrick and Madeline Teague Karen Thomas Dr. Charles Van Tuyl Joia Washington Shawna Webb Annette Williams Shelly Williams Sherry Williams Stacey Wilson Nicole Woodmansee

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Board of Trustees Officers

Brandon Caruso

Luke Essman

President, Cherokee

Vice-President, Osage

Jim Cameron

Secretary, Cherokee

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IHCRC 2018

Donnie Cox Treasurer, Cherokee

Members

Dr. Jay Anderson Elizabeth Battiest

Bob Bitting

Janice Edmiston

Cherokee

Choctaw/Sac and Fox

Choctaw

Kiowa

Goldie Phillips

Joyce Roberts

David Spring

Madeline Teague

Comanche

Choctaw

Choctaw

Cherokee

Mary Ann Vassar Dr. Matt Wilkett Cherokee

Cherokee IHCRC 2018

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Awards Area Directors Awards

Jennie Howard Peer

Julie Taylor Merit

Years of Service

5 Years

Kelly Mounce Area Impact

Carolyn Cobb, MD KD Coleman Shelby Mathew Barbara Osborne Cindy Reed Sandra Stanford Chelsea Valdez Lisa Young

10 Years Tammy Davis Elizabeth Duncklee Jo Ann Gower Molly Hurst Linda McBride

15 Years Robyn Jones

Systems of Care Group Excellence Non-Clinical

Judy A. Gibson Lifetime Achievement

Special Awards Elder of the Year Lupe Cole

Youth of the Year Kaitlin Richerson

Patient of the Year Kevin Casey

Volunteer of the Year Patient Benefit Individual Customer Coordinator Team Robyn Jones Service Urban

Group Service

Adam Warren

Employee of the Year Sandra Stanford

Board Member of the Year Brandon Caruso

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IHCRC 2018

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 Jason Menting, 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 Arthur Holleman, DDS, Dental Director Jennifer Jones, OD, Optometrist Miranda Kohut, PharmD, Pharmacy Director Jason Menting, PsyD, Director of Behavioral Health Nancy O’Banion, Director of Health Education and Wellness Debbie Starnes, Development Director Michael Scott, MD, Medical Director David Bright, PsyD, Director of Clinical Training 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 Mitchell Dodd, Network Systems Supervisor Julie Taylor, Accounts Receivable Supervisor Bridget McClendon, RN, Nursing Supervisor Lori Sweeney, RN, Nursing Supervisor Editorial Photo Credit (Cover): Gregory Johnston / Shutterstock.com

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