Healthy Spirit Fall 2014

IHCRC FALL 2014

A PUBLICATION OF INDIAN HEALTH CARE RESOURCE CENTER OF TULSA

Operationally Speaking

BY J.R. HURT, CHIEF OPERATING OFFICER As the newest member to the IHCRC’s administrative team, I want to start by thanking Mrs. Skeeter for the opportunity to join a fantastic team and to learn from her experiences and successes. Additionally, I want to bring our patients and financial supporters upto-date on the status of operations of our wonderful facility.

As many of you know, IHCRC is a 501 (c)(3) non-profit organization and our key contract is with Indian Health Services, which represents about 1/3 of our financial support. Other financial support comes from billing third party insurances such as Medicare, Medicaid and private insurances, receiving grants, along with generous contributions from individuals, companies and foundations.

Over the last 10 years, IHCRC has provided over 1.2 million visits to

2 IHCRC FALL 2014

Native American patients in our Medical, Optometry, Dental, Behavioral Health and Health and Wellness departments; and the need continues to grow more and more each year.

After reviewing the latest patient satisfaction surveys and comments, discussed on page 22, and to better meet the needs of our patients, IHCRC is transitioning to a blended schedule of open access and scheduled patients for the medical providers. This approach will continue to use the three types of appointments; however by offering the same or next day appointments, we believe, and research has shown, that the wait time for patients is reduced and overall patient satisfaction is enhanced.

Additionally, while we sadly said goodbye to Dr. Meagan Brady earlier – in August, we are pleased to announce the additions of three new medical physicians; Valerie Howard DO, Internal Medicine; Laura Bode DO, Pediatrician; Jesicah Gilmore MD, Family Practice.

As with all of our providers, IHCRC will support these three physicians as we team together to build their practices.

Key to our medical provider’s success, is the Medical Assistants and Case Managers that make up the treatment team. By utilizing the quality skills of each of these individuals, providers can more efficiently provide patient care.

To enhance the medical team approach, the IHCRC medical department will be going through a major in-house construction project late this fall/winter to convert existing space into Pods and additional patient exam rooms. This model will enhance the utilization of resources and communication between the team members; resulting in a more efficient level of care, allowing for additional growth of new providers and having more available time for the patients.

As we draw toward the end of summer, I wanted to thank Tim Shadlow, Jennifer Howard and Kevin Heeney for representing IHCRC so well with the multiple summer camps that we hosted throughout Tulsa and the surrounding area.

Continued on page 12

HOURS OF OPERATION

IN THIS ISSUE OF THE HEALTHY SPIRIT SPECIAL EVENTS AND ACTIVITIES OPERATIONALLY SPEAKING ............................................................................ 2 DANCE OF THE TWO MOONS 2014 ................................................................... 4 IHCRC YOUTH SUMMER CAMPS ..................................................................... 8 FEATURE ARTICLES BLENDED SCHEDULING ................................................................................... 10 EVENTS CALENDAR .......................................................................................... 14 HEALTHY RECIPES ............................................................................................ 16 IHCRC WELCOME TWO NEW BOARD MEMBERS ...................................... 17 PATIENT SATISFACTION SURVEY RESULTS .............................................. 22 PSYCHOLOGY INTERNSHIP PROGRAM (NOPIP) ........................................ 24 YOGA-BASED LIFESTYLE COURSE RESULTS ............................................ 26 THE PULSE OF IHCRC EMPLOYEES OF THE MONTH .......................................................................... 18 J.R. HURT, CHIEF OPERATING OFFICER ....................................................... 18 JOHN YOUNG, MARKETING SPECIALIST ..................................................... 18 LAURA BODE, D.O., PEDIATRICIAN ............................................................... 19 JESICAH GILMORE, M.D., FAMILY PRACTICE PHYSICIAN ....................... 19 VALERIE HOWARD, D.O., INTERNIST............................................................ 19 KELLY MOUNCE, LPC, SYSTEMS OF CARE.................................................. 20 KARA KERR, PRACTICUM STUDENT............................................................. 21 DAVID HOLLINGSWORTH, PRACTICUM STUDENT ................................... 22 KIMBERLY OLIVE, PRACTICUM STUDENT .................................................. 22

MEDICAL SERVICES HOURS Monday, Tuesday, Wednesday and Friday 8:00 am-5:00 pm Thursday 10:00 am-7:00 pm 1st Wednesday of the month the Medical clinic opens at 1:00 pm (closed in morning for staff training) BEHAVIORAL HEALTH HOURS Monday-Wednesday; 8:00am-6:00pm Thursday 10:00am-7:00pm Friday 8:00am-5:00pm 1st Wednesday of the month the Behavioral Health clinic opens at 1:00 pm (closed in morning for staff training) WIC NUTRITION HOURS Monday-Wednesday; Friday 8:00 am-5:00 pm Thursday 10:00 am-6:00 pm 1st Wednesday of the month WIC opens at 1:00 pm (closed in morning for staff training) SCHEDULED APPOINTMENTS To schedule an appointment, call 918-382-1224, press option 1. If you are unable to get your preferred appointment time, please schedule for the first available appointment.

Patients may call back and check to see if an opening becomes available that better suits their needs.

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

DEVELOPMENT STAFF Debbie Starnes Development Director dstarnes@ihcrc.org Katie Burk Fundraising Specialist kburk@ihcrc.org John Young Marketing Specialist jyoung@ihcrc.org

24th Annual

T

he 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 fundraiser 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! IHCRC was pleased to showcase a total of 16 live event auction items this year, including: golf excursions, wine tours, paintings and jewelry, and sports and eating experiences. There was also close to one hundred-fifty baskets, jewelry, art, gift certificates and other items that were donated for a silent auction at the beginning of the evening.

Together, the two auctions contributed to almost a

third of the overall funds raised for the event.

Thank you to the businesses and individuals who donated these items and made a huge impact on our overall success!

Thank you!

A special thank you to the Honorary Chairs, Jim and Sharon Ruley for their help in promoting and supporting this year’s Dance of the Two Moons. In addition, a special thank you to the Board Event Chair, Dr. Jay Anderson who dedicated countless hours in contacting sponsors and auction item donors. Thank you for making this event an incredible success!

IHCRC is honored to recognize Blue Cross and Blue Shield of Oklahoma as our inaugural

2014 Circle of Life Community Partner!

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2014 COMMUNITY SPONSORS PRESENTING  Blue Cross and Blue Shield of Oklahoma EAGLE LEVEL  Choctaw Nation Health Services Authority  Hard Rock Hotel & Casino Tulsa BEAR LEVEL  H.A. & Mary K. Chapman Foundation  The PENTA Building Group  Jim Ruley & Co., Inc.  Delores Titchywy Sumner BUFFALO LEVEL  Jim Cameron / Eller & Detrich  Commerce Bank  Oklahoma City Indian Clinic  Public Service Company of Oklahoma  Williams  IHCRC Staff (internal fundraiser) TURTLE LEVEL  Dr. Jay and Nancy Anderson  Barrow & Grimm, P.C.  Canyon Creek Energy  Chickasaw Nation  CommunityCare of Oklahoma  Diagnostic Laboratory of Oklahoma  Janice Edmiston & Ceasar Williams  Hillcrest Hospital South  Osage Casino  Carmelita Skeeter  Tiger Natural Gas  Ken Ray Underwood

THANK YOU to our 2014 community sponsors, individual donors and auction donors!

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Saturday, February 21, 2015 Hard Rock Hotel & Casino Tulsa Silver Sponsor: Blue Cross and Blue Shield of Oklahoma Honorary Chairs: Dr. & Mrs. Joseph Cunningham 2015 Circle of Life Community Partner: Choctaw Nation of Oklahoma Board Event Chair: Dr. Jay Anderson

Early Bird Sponsors: 

Dr. Jay and Nancy Anderson



Ruth Kaiser Nelson



Blue Cross and Blue Shield of Oklahoma



Oklahoma City Indian Clinic



Canyon Creek Energy



Osage Casino



Choctaw Nation of Oklahoma



Public Service Company of Oklahoma



The Chickasaw Nation



Jim and Sharon Ruley



Commerce Bank



Carmelita Skeeter



Hard Rock Hotel & Casino Tulsa



Williams



Hillcrest Healthcare System

Become a Sponsor Today!

Call Katie at (918) 382-1226 6 IHCRC FALL 2014

IHCRC FALL 2014

7

BY NANCY O’BANION, DIRECTOR OF HEALTH EDUCATION & WELLNESS

I

ndian Health Care Resource Center cherishes the children in our Native community. Teaching children to be healthy and fit is an important mission of our summer camps. Our camps provide extraordinary opportunities for children in elementary and middle school to learn about healthy lifestyles, leadership, teambuilding, problem-solving, and the opportunity to try new challenges and be physically active.

Thanks to our generous community sponsors and individual donors, IHCRC was pleased to provide a summer camp opportunity to 322 children this year.

Leading the charge was the 2014 Circle of Life Community Partner - Blue Cross and Blue Shield of Oklahoma. Recognized at the 2014 Dance of the Two Moons, Blue Cross and Blue Shield of Oklahoma was joined by many other community sponsors and individual donors who helped contribute to the success of the summer camp programs and other youth programs this year.

IHCRC hosted three types of camps this summer: Wellness Adventures,

8 IHCRC FALL 2014

Culture Camp, and Sports and Fitness Camp. Our camps kicked off with great excitement with a visit from Blue Cross and Blue Shield of Oklahoma and the Tulsa Shock on the first day. They provided a fun educational health lesson for the children, featuring Blaze the Dragon and the Shock’s mascot Volt. The lucky campers that participated in the opening day event talked about their experience for the entire summer!

Wellness Adventures camps, held at the Tulsa Public Schools HelmZar Challenge Course, focused on diabetes prevention, healthy lifestyles, leadership, teambuilding and problem-solving. The Challenge Course provided an outstanding setting for new challenges and adventures every day. The older campers also had a field trip to Lake Keystone for kayaking and paddle boarding.

Culture Camps provided enrichment for our urban youth, instilling Native culture in a rich, experiential setting. Youth learned traditional Indian games such as stickball, double ball, and Indian football.

Additionally, youth learned skills for Native arts and crafts. Field trips included the Cherokee Nation and Woolaroc Museum.

Victor Wildcat, United Keetoowah band of Cherokee and an Indian Education Coordinator at Fort Gibson public schools, visited camps several times and provided cultural lessons for the children.

Sports and Fitness Camps took place in Centennial Middle School in Broken Arrow, and at Clinton Middle School in Tulsa.

Participants focused on fitness activities, traditional Indian games, weekly nutrition lessons, and had a field trip each week as well.

A special thanks to Brian Nutt for donating his time to tape and produce a video of this year’s summer camp and Stacie Nutt, IHCRC’s Chief Human Resource Officer, for providing the narrative. Also, our thanks go to Broken Arrow schools for providing lunch each day for the campers at their facilities.

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We Strive to Improve With You in Mind

BY J.R. HURT, CHIEF OPERATING OFFICER

A

s the new Chief Operating Officer, my initial goal is to identify operational enhancements that will positively impact IHCRC patients and staff. Based on feedback from the recent patient satisfaction surveys, the process that has the most significant opportunity for improvement is how we schedule appointments for the medical department. After much thought, research, and input from patients and providers, IHCRC will be transitioning to a blended schedule that will include open access and scheduled appointments, on a daily basis.

appointments, IHCRC is pleased to announce the addition of new physicians: Valerie Howard, DO- Internal Medicine; Laura Bode, DO- Pediatrician, and Jesicah Gilmore, MD- Family Practice.

As part of the enhancement processes in the medical department, the Physicians, Physician Assistants, Nurse Practitioners, Case Managers and Medical Assistants have all been placed into Care Teams. Our goal is to have every patient see the provider they are empaneled to, however, if the provider does not have an available slot, then the patient will see another provider on the same team.

This process will provide 50-60 open appointment slots on a daily basis which patients can call the scheduling department and obtain a same or next day appointment. The types of appointments that will be available are as follows: Our Care Teams include the following providers:

Team 1: Dr. Cobb, Dr. Scott, Dr. Howard and Claude Denize, PA-C Team 2: Dr. Pond, Dr. Gilmore and Emily Vo, PA-C

“45s”

- Scheduled for 45 minutes past the hour, these 45 minute appointments will be for new patients, established patients with new conditions, and patients who need medication refills that have five or more medications to refill.

Scheduled at 30 minutes “30s” -past the hour, these 30 minute appointments are primarily available for follow-up exams or prescription refills for four or less prescriptions.

Scheduled at 15 minutes “15s” -past the hour, these 15 minute appointments are for acute conditions that can be quickly assessed and treated.

The transition to a blended schedule represents one of our biggest challenges, however this process has already begun with the three new physicians. In an effort to provide more timely 10 IHCRC FALL 2014

Team 3: Dr. Bode and Marisa Feuerman, APRN-CNP Remember, our staff members are available to assist you and are happy to discuss these exciting changes with you. Thank you again for allowing IHCRC to be a part of your medical team and we are honored to provide your medical care.

How to qualify for the Women, Infants and Children (WIC) program at Indian Health Care Resource Center.

Applicants for the WIC program need to provide identification, proof of income, and residency. If an applicant currently receives SNAP, SoonerCare, Food Distribution Program or TANF assistance, the family members are automatically income eligible. Participants must have a nutritional need, be a child less than five years of age, be a pregnant or breastfeeding mother or have been pregnant within the past six months and have a family income less than the WIC guidelines listed below.

Make a WIC appointment by calling (918) 382-1290, (918) 382-1291, (918) 382-1293 or (918) 382-1295.

Walk-ins are always welcome.

550 S. Peoria, Tulsa, OK 74120 www.ihcrc.org

WIC Income Eligibility Guidelines* April 1, 2014—June 30, 2015

*Annual WIC income guidelines were obtained by multiplying the Annual Federal Poverty Guidelines by 1.85 and rounding the results upward to the nearest dollar.

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Operationally Speaking | Continued from page 2 The overall theme was eating right and exercising, and IHCRC teamed up with Blue Cross and Blue Shield of Oklahoma and the Tulsa Shock, to provide a fun filled learning opportunity for over 300 Native American children.

Without these teaming partners and donations received during the 2014 Dance of the Two Moons, this would not have been possible.

In early September, IHCRC will be upgrading the software for our Pharmacy department which will enhance the prescription ordering processes. The new software will support a link to the electronic health record used by our

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prescribing providers and with a bi-directional interface, will reduce the front-end workload as well as update prescription information such as refills remaining and last date filled. This bi-directional interface will also allow our clinic to provide information to our patients by updating the medication list on the Patient Wellness Handout and the upcoming Patient Portal. In addition to these benefits, this new software also allows for the usage of a notification board that will be placed in the pharmacy waiting area to inform patients when their prescriptions are ready to be picked up.

MEN’S HEALTH GROUP Would you like to live a healthier lifestyle?



Have you ever struggled to make a change toward a



healthy lifestyle?

If you answered yes to either of these questions, this group may help you along that journey.

This group is intended to help men learn more about healthy life choices, including having a good diet, exercising regularly, avoiding substance abuse, and getting regular medical checkups. It will also provide support to those who have struggled to implement a healthier way of living.

When: October 9 – November 13, 2014 Thursdays at 5:00pm – 6:30pm Where: Behavioral Health Department What: A different topic will be covered each session Who: Men over the age of 18 and are current IHCRC patients How: You can sign up at the Behavioral Health reception desk. It is a first come first serve basis. By signing up you are committing to attend all 6 group meetings. For more information, please contact Jason Menting, Psy.D. at 918-588-1900, ext. 3239.

IHCRC FALL 2014

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IHCRC Fall Calendar IHCRC CLINIC CLOSINGS MONTHLY STAFF TRAINING First Wednesday of the month Clinic opens at 1:00 pm HOLIDAYS CLOSED Monday, September 1, Labor Day Monday, October 13, Columbus Day Tuesday, November 11, Veteran’s Day Thursday, November 27, Thanksgiving Day Friday, November 28, Thanksgiving Holiday Thursday, December 25, Christmas Day Friday, December 26, Christmas Holiday

CLINICS DRIVE-THRU FLU CLINIC Saturday, October 4 9:00am-12:00pm We encourage patients of all ages to take advantage of this convenient and easy process. To save time at the flu clinic, required vaccine forms are available at the clinic and can be filled out ahead of time.

September 2014 Sunday 31

Monday 1

CHEMICAL DEPENDENCY TREATMENT PROCESS GROUPS Every Thursday 5:30pm-7:30pm Behavioral Health Department Clients can identify common goals of alcohol/drug recovery work. Ongoing work of abstinence and relapse prevention is the underlying theme.

Call Heather at (918) 382-2206.

Wednesday Thursday 3 1:00-5:00 4 10:00-7:00 Staff Training

Friday

Saturday

5

8:00-5:00

6

(Clinic Opens at 1:00)

7

8

8:00-5:00

9

8:00-5:00

10

8:00-5:00

11

10:00-7:00

12

8:00-5:00

13

14

15

8:00-5:00

16

8:00-5:00

17

8:00-5:00

18

10:00-7:00

19

8:00-5:00

20

21

22

8:00-5:00

23

8:00-5:00

24

8:00-5:00

25

10:00-7:00

26

8:00-5:00

27

28

29

8:00-5:00

30

8:00-5:00

1

2

3

4

October 2014 Sunday 28

Monday 29

Tuesday 30

Wednesday Thursday 1 1:00-5:00 2 10:00-7:00 Staff Training

Friday 3

8:00-5:00

5

6

12

13

8:00-5:00

Saturday 4

Drive-Thru Flu Clinic

(Clinic Opens at 1:00)

7

8:00-5:00

8

8:00-5:00

9

10:00-7:00

10

8:00-5:00

11

14

8:00-5:00

15

8:00-5:00

16

10:00-7:00

17

8:00-5:00

18

Clinic Closed 19

20

8:00-5:00

21

8:00-5:00

22

8:00-5:00

23

10:00-7:00

24

8:00-5:00

25

26

27

8:00-5:00

28

8:00-5:00

29

8:00-5:00

30

10:00-7:00

31

8:00-5:00

1

MEDICAL SERVICES HOURS

Monday-Wednesday 8:00am-5:00pm Thursday 10:00am-7:00pm Friday 8:00am-5:00pm

14 IHCRC FALL 2014

8:00-5:00

Clinic Closed

FAMILY HEALTH CLINIC (FHC) Thursday, October 30 3:00pm-6:00pm Bring the entire family for an educational afternoon including healthy snacks.

GROUPS/MEETINGS NATIVE NATIONS YOUTH COUNCIL (NNYC) Meets monthly IHCRC Satellite Office, 1630 S. Main St, Tulsa Dinner meeting held with the Tulsa Indian Community Advisory Team (TICAT). For upcoming dates or more information, please call Tim Shadlow at (918) 382-2219 or email NNYC@ihcrc.org.

DRUM GROUP PRACTICE Immediately following the NNYC meeting.

Tuesday 2

FHC

BEHAVIORAL HEALTH HOURS

Monday-Wednesday 8:00am-6:00pm Thursday 10:00am-7:00pm Friday 8:00am-5:00pm

November 2014 Sunday 26

2

Monday 27

3

9

10

Tuesday 28

8:00-5:00

8:00-5:00

Wednesday 29

4

8:00-5:00

11

5

Thursday 30

8:00-5:00

6

Friday 31

10:00-7:00

7

Saturday 1

8:00-5:00

8

12

8:00-5:00

13

10:00-7:00

14

8:00-5:00

15

10:00-7:00

21

8:00-5:00

22

Clinic Closed 16

17

8:00-5:00

18

8:00-5:00

19

8:00-5:00

20

23/30

24

8:00-5:00

25

8:00-5:00

26

8:00-5:00

27

28

Clinic Closed

29

Clinic Closed

December 2014 Sunday 30

Monday 1

Tuesday 2

Wednesday Thursday 3 1:00-5:00 4 10:00-7:00 Staff Training

Friday

Saturday

5

8:00-5:00

6

12

8:00-5:00

13

(Clinic Opens at 1:00)

7

8

8:00-5:00

8

8:00-5:00

10

8:00-5:00

11

14

15

8:00-5:00

16

8:00-5:00

17

8:00-5:00

18

21

22

8:00-5:00

23

8:00-5:00

24

8:00-5:00

25

10:00-7:00

10:00-7:00

19

26

Clinic Closed 28

29

8:00-5:00

30

8:00-5:00

31

8:00-5:00

1

8:00-5:00

20

27

Clinic Closed 2

3

WELLNESS CLASSES Classes are held in the Wellness Kitchen.

Please sign up in person at the Wellness reception office, or by calling Kelly at (918) 382-2222.

HEART HEALTHY COOKING October 8, November 19 11:00am-12:00noon Each class will have new ideas for delicious, heart-healthy foods that are easy to prepare.

Call Alison to sign up (918) 382-2216.

KID’S COOKING Friday, October 24 4:00pm-5:00pm Youth participants, ages 6-16, learn easy and healthy recipes and try new foods. Please specify which classes you wish to attend.

Parents must stay at class with the children.

Call Alison to sign up (918) 382-2216.

HEART SAVERS MEMBERS Must be a Heart Savers participant to enroll in these classes. Cooking Light Class—you won’t believe these delicious recipes!

Call Kelly to check the schedule or sign up (918) 382-2222.

DIABETES SELF-MANAGEMENT EDUCATION Recommended for newly diagnosed patients, this important program teaches the skills needed in the day-to-day management of diabetes. This series of individual appointments is customized to meet your needs and your schedule. Call Kelly at (918) 3822222.

FITNESS CLASSES Various times Mondays, Tuesdays, Wednesdays & Thursdays Call Jennie for an appointment at (918) 382-2212.

CIRCLE OF PARENTS Every Thursday, 1:00pm-2:00pm Enabling parents to gather, discuss parenting in their own words, network with others and have a support structure to grow as parents.

Participants set the agenda and topics vary by week. For more information, call LaToyia at (918) 382-1275.

TOBACCO CESSATION Every Wednesday, 5:00pm-6:00pm For the schedule, call the Behavioral Health Department at (918) 382-1241.

MEN’S HEALTH GROUP Thursday, 5:00pm-6:30pm October 9– November 13 For more information please contact Dr. Jason Menting, Psy.D. at (918) 588-1900, ext. 3239.

WIC NUTRITION HOURS

SCHEDULED APPOINTMENTS

Monday-Wednesday 8:00am-5:00pm Thursday 10:00am-6:00pm Friday 8:00am-5:00pm

To schedule an appointment call (918) 382-1224 Press option 1 IHCRC FALL 2014

15

Ramen Oriental Supper Makes 3 servings

Fruit Kabobs Makes 3-6 servings

5. Take an egg and break it into 1 package ramen noodles a bowl, scramble it well.

1 cup edamame (frozen soy beans, shelled) 2 cups Oriental Stir Fry frozen 6. Once your soup has returned to a full boil, slowly pour the vegetables egg into the soup in a slow 1 medium egg or Âź cup egg whites stream. Move the stream (for lower cholesterol & low fat) around the pan to get little 2 tablespoon cilantro, fresh leaves ribbons of egg that cook on stem to garnish quickly in the boiling water.

1. Boil 2 cups of water to cook 7. Add some flavoring from the the noodles. packet, not too much, or make your own with some soy Remove the little seasoning packet sauce, sesame oil, salt, before duping the noodles in the vegetable bouillon, etc. etc. boiling water.

2. Here’s the unconventional part: once your noodles are a little over halfway cooked, (still aldente) dump the cooking water out and drain the noodles. Put another two cups of water on the stove.

You just discarded a lot of gross starch and a fair amount of fat!

3. Put your noodles back into the second batch of water.

4. Add your veggies (frozen or not) now, and let them cook a bit while you work on the egg.

16 IHCRC FALL 2014

Now you have a good source of protein and some vegetables in your ramen. You probably feel healthier already.

Choose two or more canned or fresh fruits 1. Open cans of fruit or wash and cut fresh fruit.

2. Drain juice from the canned fruit.

3. Place fruit slices on paper towel or plate.

4. Thread two or more pieces of fruit onto toothpicks.

The result is a quick and healthy snack.

IHCRC Welcomes Two New Board Members

Dr. Charles D. Knife Chief, M.D. OB/GYN

Mr. Donnie Cox, BBA

Dr. Charles Knife Chief re-joins our board after being away for several years. He is currently an OB/GYN with St. John Women’s Health Specialists.

Certified in obstetrics and gynecology, Dr. Knife Chief has spent nearly 30 years practicing medicine. He has served with Scripps Clinic and Research Foundation in La Jolla, California, as a private practice physician, as a staff OB/GYN physician at Claremore Indian Hospital, and as Medical Director for Blue Cross and Blue Shield of Oklahoma.

A member of the Pawnee tribe, Dr. Knife Chief has been active in Native American culture his entire life, attending powwows and competitively dancing in Oklahoma and throughout the United States.

A graduate of Magnolia High School in Anaheim, California, Knife Chief earned his bachelor's degree from the University of Utah, and his medical degree from the University Of California San Diego School Of Medicine. We welcome Dr. Knife Chief back to IHCRC!

Donnie Cox is currently the Chief Lending Officer and Executive Vice President at First National Bank of Broken Arrow, responsible for all commercial and consumer lending activity. Donnie has more than 25 years of banking experience with previous lending positions at First Fidelity, Stillwater National Bank and BOK in Tulsa. Prior to First National Bank of Broken Arrow, he was the Senior Lending Officer and Executive Vice President at Summit Bank; responsible for loan management and leadership of four commercial loan officers.

In addition to being a graduate of Northeastern State University, Donnie received a degree from the Southwestern Graduate School of Banking at Southern Methodist University. In 2012 he was named Financial Services Champion at the Tulsa Metro Chamber's Small Business Awards celebration. He an active member of the Cherokee Nation and in his free time he enjoys spending time with his family, playing golf, and watching sports. We are excited to welcome Donnie to our board!

2014 IHCRC Board of Trustees Officers 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

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 IHCRC FALL 2014

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BY EDWARD E. ROGERS, CREDENTIALING COORDINATOR

This edition of The Pulse profiles the new staff who recently joined the IHCRC team. We are especially excited to welcome three new providers who will enhance, expand, and add new services to our Tulsa Native community. Also, congratulations to those individuals who have recently been recognized as “Employee of the Month” for their outstanding contributions and patient care at IHCRC.

Employees of the Month March - Jenifer Hamma April - Opal Price May - Jamie Johnson June - Dr. Meagan Brady July - Elizabeth Duncklee August - Christina Harkey

New Administrative Staff: Darrell G. “J.R.” Hurt, MBA – Chief Operating Officer J.R. Hurt joined our management team as the Chief Operating Officer in June 2014. J.R.’s healthcare career began in 1989 and has included providing clinical care, managed care, business development, revenue cycle management, and operations management. Having served in these various roles for physician owned, hospital based, publicly owned, and private practice settings; J.R. has led teams that have increased patient satisfaction rates and enhanced clinical outcomes, all while creating operational efficiencies resulting in higher revenues. Most recently, J.R. worked for Cherokee CRC, a division of Cherokee Nation Business, where he managed the business and proposal development team. During his tenure with CCRC, revenues increased significantly. While he enjoyed serving fellow tribal members in this role, his strengths and passion are in the healthcare industry. J.R. is excited to join the IHCRC team and looks forward to continued growth and building on the legacy of providing quality care for urban Native Americans. J.R. earned a Bachelor of Science degree in Exercise and Fitness with an emphasis in Sports Medicine from the University of Tulsa and a Master of Business Administration degree from the University of Phoenix.

John J. Young, BBA – Marketing Specialist John Young, BBA joined our Development team at IHCRC as a Marketing Specialist in August 2014. John earned a Bachelor of Business Administration degree from Rogers State University where he was a Dean’s Honor Roll student. During his academic career John was a member of the Alpha Chi National Honor Society for Undergraduates, Sigma Beta Delta International Honor Society for Business, Management and Administration, and was selected as the Rogers State University School of Business and Technology Outstanding Graduate (2013-2014). John has expertise in developing business and marketing plans and the usage of social media to increase brand awareness. He comes to IHCRC from Cherokee Nation Business where he completed an internship with Internal Audit Services.

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New Active Staff: Laura L. Bode, D.O. – Pediatrician Laura Bode, D.O. joined the Medical department at IHCRC in August 2014 as a Pediatrician. She is licensed through the Oklahoma State Board of Osteopathic Examiners and earned a Bachelor of Science degree in Biology from Kansas State University and a Doctor of Osteopathic Medicine degree from Oklahoma State University Center for Health Sciences. Dr. Bode completed a Pediatric Residency and served as Chief Resident at Oklahoma State University Medical Center and The Children’s Hospital at Saint Francis in Tulsa. Dr. Bode is a member of the American Academy of Pediatrics and the American College of Osteopathic Pediatricians. She was a recipient of the Howard Hughes Medical Institute Research Grant (2005-2006). Dr. Bode participated in the Empowering Haiti – Medical Mission trip in May 2011 and served as the Vice President of the OSU-COM Chapter of the American College of Osteopathic Pediatricians (2007 – 2011).

Jesicah M. Gilmore, M.D. – Family Practice Physician Jesicah Gilmore, M.D. joined the Medical department at IHCRC in August 2014 as a Family Practice Physician. Dr. Gilmore is licensed through the Oklahoma State Board of Medical Licensure and Supervision and she is board certified by the American Board of Family Medicine. She earned a Bachelor of Science degree in Biology from the University of Tulsa, and a Doctor of Medicine degree from University of Oklahoma’s College of Medicine. She served as Chief Resident while completing a Family Medicine Residency through the OUHSC School of Community Medicine. She also completed a Preliminary Residency in General Surgery through the OUHSC School of Community Medicine. Dr. Gilmore has served as the House Officer for the Oklahoma Surgical Hospital and a Physician in the Quality of Life Clinic at the Cancer Treatment Centers of America in Tulsa. Dr. Gilmore has submitted a Help Desk Answer entitled “What is the most effective treatment for hirsutism in a patient with PCOS” pending publication in the Evidence-Based Practice Journal. Dr. Gilmore was chosen for the Paul Tietze Award for Excellence in Patient Care in residency for 2014. Dr. Gilmore is a member of the Chickasaw Nation.

Valerie M. Howard, D.O. – Internist Valerie Howard, D.O. joined the Medical department at IHCRC in August 2014 as an Internist. Dr. Howard is the first Internist IHCRC has hired as part of the active staff. She is licensed through Oklahoma State Board of Osteopathic Examiners and earned a Bachelor of Science degree in Zoology-Biomedical Science from the University of Oklahoma in Norman and a Doctor of Osteopathic Medicine degree from the Oklahoma State University Center for Health Sciences. Dr. Howard completed an Internal Medicine Residency at the Oklahoma State University Medical Center and the Jack C. Montgomery VA Medical Center in Muskogee. Dr. Howard is a member of the American Osteopathic Association and the American College of Osteopathic Internists. She has served as the President of the Student Osteopathic Academy of Sports Medicine – OSU-COM (2007-2011) and the National Liaison for the Undergraduate American Academy of Osteopathy – OSU-COM (2007-2011) and the Treasurer for the American College of Osteopathic Family Physicians – OSU-COM (2007 – 2011). Dr. Howard is a member of the Wyandotte Nation.

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Kelly R. Mounce, LPC – Director of Systems of Care Kelly Mounce, LPC joined the Behavioral Health department at IHCRC in August 2014 as the Director of Systems of Care. Mrs. Mounce is licensed in Oklahoma and Illinois as a Licensed Professional Counselor. She earned a Bachelor of Arts degree in Psychology Mental Health from Northeastern State University (NSU) in Tahlequah and a Master of Science degree in Counseling Psychology from NSU in Broken Arrow. Kelly comes to IHCRC well qualified in the mental health field. She previously worked for Heritage Behavioral Health Center in Decatur, Illinois as the Quality Administrator; for Laureate Psychiatric Clinic and Hospital as a LPC and Intake Clinician; for Red Rock Behavioral Health as a LPC and Certified Dual Case Manager; and for the Associated Centers for Therapy as a Certified Case Manager and Behavioral Health Rehabilitation Specialist.

About Systems of Care: IHCRC’s Gathering Strength and Restoring Harmony Wraparound (Systems of Care) services program serves children with emotional or behavioral disorders who are also at risk of being removed from either school or the home. The goal of Wraparound is to maintain emotionally and behaviorally challenged children with their family and communities in the most accommodating and least restrictive environment. Families work closely with IHCRC’s Wraparound Team to identify friends, family members and professionals to form a Family Team. The team works with the family to develop a plan to assist in meeting the youth’s emotional, educational, intellectual, physical, family, cultural and social needs. The approach is strengths-based, focusing on the family’s previous achievements and positive attributes.

WHAT: It is an oppor tunity for par ents to come together , discuss par enting in their own wor ds, network with other parents, and have a support structure to engage in and grow as parents.

Parents set the agenda and the topics vary weekly.

The topics are appropriate for parents of children any age! D.H.S. Approved

Sponsored by Tulsa Health Department and Indian Health Care Resource Center of Tulsa, Inc.

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New Practicum Students: Kara L. Kerr, M.A. – University of Tulsa Kara Kerr, M.A., started a psychology practicum placement in the Behavioral Health department at the Indian Health Care Resource Center of Tulsa in August 2014. Kara is pursuing a Doctor of Philosophy (Ph.D.) degree from the University of Tulsa where she previously completed a Bachelor of Arts degree in Psychology Summa Cum Laude and a Master of Arts degree in Clinical Psychology. Kara is a member of the Academy of Eating Disorders and the Society for Neuroscience. She served as President of the University of Tulsa Psi Chi Chapter (2009-2010).

David Hollingsworth, M.S. – Oklahoma State University David Hollingsworth, M.S. started a psychology practicum placement in the Behavioral Health department at the Indian Health Care Resource Center of Tulsa in August 2014.

David is pursuing his Doctor of Philosophy (Ph.D.) degree from Oklahoma State University where he previously completed a Master of Science degree in Clinical Psychology. David earned a Bachelor of Arts degree in Psychology Magna Cum Laude with Departmental Honors from Morehouse College in Atlanta, Georgia. He is a member of the Association of Behavioral and Cognitive Therapies, Oklahoma State University Psychology Graduate Student Association, Oklahoma State University Black Graduate Student Association, Psi Chi International Honor Society in Psychology, Association of Black Psychologists Student Circle, and the American Association of Suicidology. He served as Mentorship Chair for both the OSU Black Graduate Student Association and the Association of Black Psychologists Student Circle.

Kimberly D. Olive, B.A. – Wichita State University Kimberly Olive, B.A., started a Social Work Practicum Placement at IHCRC through Wichita State University (WSU) in Wichita, Kansas. Kimberly earned a Bachelor of Arts degree in Social Work from the University of Maine and she is pursuing a Master of Arts degree in Social Work from WSU. Kimberly comes to IHCRC from the Western New York Independent Living Center located in Niagara Falls, New York where she was an Independent Living Specialist and offered benefits advisement to clients. Kimberly is a member of the National Association of Social Workers (NASW).

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You speak…We listen

Patient satisfaction survey results for June 2014

BY EDWARD E. ROGERS, CREDENTIALING COORDINATOR

M

anagement and staff at the Indian Health Care Resource Center of Tulsa (IHCRC) take an active interest in the quality of care and the delivery of services provided by clinic staff. Therefore, with improvement process changes occurring regularly, IHCRC surveys patients biannually to gauge the level of patient satisfaction with the staff and services provided. Senior management read each written comment and reviewed all of the data and trending results. “I realize we can’t improve our services or move forward unless we take a hard look at the feedback we receive in the survey process”, explains Carmelita Skeeter, Chief Executive Officer.

“85% of patients indicated that IHCRC is their medical home” IHCRC has made a concerted effort to further develop the Improving Patient Care Made Simple (IPCMS) model of care which is an integral part of our medical home initiative. Therefore, patients were asked if IHCRC is their medical home and if they know the name of their Primary Care Physician (PCP). Of the respondents, 85% indicated IHCRC is their medical home and the top three providers named by respondents were Dr. Brady (21%), Dr. Pond (24%) and Dr. Scott (18%).

Additional survey results showed that over 48% of respondents had visited During the month of June 2014, surveys regarding IHCRC performance IHCRC two to five times within the past twelve months and 22% had been were provided to patients in all to the facility more departmental areas. During this time, than 10 times during the same time 1,680 completed surveys were period. When asked if it’s easy to get submitted (up 25% from the surveys an appointment at IHCRC, 61% of submitted in December 2013). Of the “92% of patients gave IHCRC patients indicated “Always” or 1,680 respondents, 67% were women an Excellent or Good for “Usually.” A total of 48% of patients and 33% were men; over 53% have been a patient of IHCRC for more than indicated their wait time for a walk-in quality of services” or scheduled appointment was less than five years; 55% of respondents had a 15 minutes and 35% indicated a wait Patients gave IHCRC’s quality of scheduled appointment; 14% were time of 15 to 30 minutes. services and competency of providers walk-in patients; and 31% of and overwhelming 52% as “Excellent” respondents were visiting the IHCRC “80% of patients marked their and 40% “Good”.

Pharmacy.

Patients who completed the surveys were seeking services in the following departments that day: 37% from Pharmacy 32% from Medical 12% from Behavioral Health 7% from Dental 6% from Health Education and Wellness 6% from Optometry

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wait time for a walk-in or scheduled appointment as being less than 30 minutes”

Thank You!

Thank you to all of the patients and clients who took the time to participate When asked about IHCRC staff, 96% in the open survey process during the of patients feel comfortable talking to month of June. IHCRC values your staff about their problems; 98% feel the feedback and will factor in all staff are interested in their problems applicable comments when making and treat them with respect; and 98% future changes and improvements, indicate they would recommend when feasible.

IHCRC‘s providers and services to their friends and family members.

“I realize we can’t improve our services or move forward unless we take a hard look at the feedback we receive in the survey process.”

--Carmelita Skeeter Chief Executive Officer

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IHCRC Psychology Internship Program

BY DR. RACHEL FLOYD, PSY.D. DIRECTOR OF BEHAVIORAL HEALTH

It is once again time to say “good-bye” to our psychology interns. Each year, three students are chosen from across the country to complete their doctoral internship in psychology in our behavioral health department.

These students have already completed a four-year Bachelor’s degree, as well as four more years of doctoral coursework. The internship is a very intensive year, as students are expected to carry a large caseload of therapy clients as well as conduct at least ten psychological evaluations throughout the course of the year.

Many times students are also spending their evening and weekend hours working on their dissertation, a research project that must be completed as part of the doctoral program. This year we had three outstanding students – Anita Mihecoby, Jameson Kelly, and Stephanie Parisien.

Each of these women brought something to the department, and they will be missed by patients and staff alike. In addition to an opportunity for us to provide more services to our clients, we hope that the internship year is a positive learning experience for our students. Anita, Jameson, and Stephanie were happy to share their experiences over the course of the past year and answer some questions. Their answers are as follows:

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What is your favorite memory from IHCRC? Stephanie: While volunteer ing at IHCRC’s teddy bear clinic I enjoyed talking with many families and children as well as bringing children’s mental health into awareness. A second favorite memory was volunteering at IHCRC’s Restoring Harmony Strengthening Your Spirit Powwow. It was very rewarding to experience the local Native American culture and traditional food. It was also wonderful to see the various dances and regalia as well as the beautiful jewelry and artwork.

Anita: Facilitating a yoga cour se for patients with a beautiful view of the par k.

Jameson: I’ve had many gr eat memor ies her e—too many to sort through. The best ones always involve meeting people, interacting with them, and learning about their lives.

What was the most rewarding thing about this experience?

Stephanie: Being able to shar e my inter nship exper ience with my co-interns and having the opportunity to work in a multidisciplinary environment where I was able to learn valuable information through multiple perspectives. It was also very rewarding to be able to serve the Native American community of Tulsa.

Anita: The most r ewar ding thing about this year was being pr ivileged with the opportunity to learn of the lived experiences of the Tulsa Native American community members. Understanding the ways in which personal strengths are used to confront the oppression that prevails in the daily lives of Native Americans will further help me in my professional development as a Native American representative and advocate.

Jameson: The individuals at IHCRC ar e passionate and tr uly dedicated to the organizational mission of providing holistic care. I have had the great fortune of being a part of this team and seeing our work alter people’s lives for the better.

What is one thing you learned this year?

Stephanie: To apply new concepts and theor ies in my wor k and to be flexible and adapt to change yet still r emain tr ue to my values.

Anita: Wor king at IHCRC pr ovided many lear ning oppor tunities r egar ding the passion r equir ed for Native Amer ican healthcare advocacy that attends to culturally relevant treatment. 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 communities in which I belong.

Jameson: How to be a par t of a community—not just serve a population.

What are your plans for this coming year?

Stephanie: I will be r etur ning to the Midwester n r egion wher e I will be r eceiving post -doctoral training experience from the Minnesota Consortium of Advanced Rural Training (MCARPT) program. I am excited to return to my hometown region; however, I will greatly miss Tulsa, its art deco style, and great music scene!

Anita: My plans for this coming year ar e to vacation and to focus on my per sonal life. I will fir st head to the beaches of California and go from there. Professionally, I plan on becoming a licensed psychologist to serve the Native American community through community oriented research and action.

Jameson: I will be moving back to Souther n Califor nia and hope to wor k at an IHS facility.

To Jameson, Stephanie, and Anita: Good luck on your future endeavors!

NOPIP Internship Program

BY DR. JASON MENTING, PSY. D. -DIRECTOR OF CLINICAL TRAINING

Indian Health Care Resource Center (IHCRC) is dedicated to training psychologists to serve Native American people.

Earning a doctoral degree in clinical or counseling psychology is a long process that is capped by a one year internship. IHCRC is a member of the Northeastern Oklahoma Psychology Internship Program (NOPIP), which is a collection of internship sites (known as a consortium) that is accredited by the American Psychological Association (APA). Each year, three interns complete their pre-doctoral training at IHCRC. It has been our fortune to receive funding to support this program from Health Resources and Services Administration (HRSA), as recipients of the Graduate Psychology Education (GPE) grant. The aim of the GPE grant is to fund training programs that work with medically underserved populations. Funding from the GPE grant is used to pay for the intern’s annual stipend, administrative costs, and training resources. Those resources include things like clinical materials used as part of their training and the supervision provided by licensed psychologists. To ensure that the internship program can be funded if the grant is no longer avail-

able, the cost of the internship is accounted for in the annual budget. However, the funding from HRSA is guaranteed through the 2015-2016 internship year and it is a strong likelihood that we will continue to receive this funding going forward. In May of 2014, a representative from HRSA visited IHCRC to review the internship program. The feedback from this visit was overwhelmingly positive, which bodes well for continuing to receive funding into the foreseeable future. On August 2, three new interns will be joining the behavioral health department. Merrill Jones, M.S. (Navajo) will be coming from Utah State University. Mr. Jones has a wide range of experience working with children, adolescents, and adults. J. David Bright, M.S. received his graduate training at Nova Southeastern University in Florida. The majority of Mr. Bright’s clinical experience has been with ethnically diverse adults in community behavioral health settings. Edward Hunt, M.A., LPC is returning to Tulsa after completing his graduate work at the American School of Professional Psychology at Argosy University in Washington D.C. Mr. Hunt brings with him a lot of experience working with children and adolescents, both during his doctoral training and as a licensed counselor.

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Yoga-based Lifestyle Course Results

BY ANITA MIHECOBY & STEPHANIE PARISIEN

The Yoga-based Lifestyle Course was an attractive therapeutic service that caught the attention of many. Due to the popularity of the first round of the course, three more courses were offered in the spring and summer of 2014.

As well as being popular with patients, the Yoga-based Lifestyle Course held at IHCRC was selected for a program evaluation by the Northeastern Oklahoma Psychology Internship Program (NOPIP). Indian Health Care Resource Center of Tulsa is part of a doctoral level psychology internship consortium in which eight doctoral students fulfill their training requirements for one year in the Tulsa area. One of the requirements of the internship is that students identify a treatment program to evaluate, conduct research on the intervention, and implement a program evaluation. The innovative and holistic nature of the Yoga-based Lifestyle Course sparked the interest of the NOPIP interns who decided to ask the participants of the last two courses about the benefits of this multi-modal therapeutic course.

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“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.”

After the 8-week course, participants responded to questions about what was most helpful about the course, the benefits they perceived, and the changes they made to their healthcare practices.

The participant responses served as evidence that Yoga-based therapeutic interventions can provide a holistic modality for healing the mind, body, soul, and spirit.

Holistic modalities toward health can change the way we think, feel, and participate in our healthcare practice. In recent years, there has been an increase in -IHCRC YOGA PARTICIPANT awareness of how culturally congruent perspectives to healthcare can make significant differences in one’s healing process. The participants in this group The Yoga-based Lifestyle Course was served as great models for how an an 8-week 75-minute culturally tailored alternative perspective to health can intervention designed to promote the initiate inspired action for healing the relaxation response as a coping strategy mind, body, soul, and spirit. to help participants better manage stress.

The course incorporated breathing techniques, psycho-education, yoga Acknowledgements to the NOPIP Interns: Jameson Kelly, Annie Nguyen, routines, meditations, and mindfulness Ross Davis, Jennifer Lucas, Laura exercises as a means of promoting Horton, and Nicole Snowden balanced lifestyles.

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550 S. Peoria Avenue, Tulsa, OK 74120

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