Healthy Spirit Summer/Fall 2016

A Publication of Indian Health Care Resource Center of Tulsa

Summer/Fall 2016

Operationally Speaking

BY: EDWARD E. ROGERS, HEALTH INFORMATION MANAGER We’ve certainly had an outstanding and memorable Summer 2016 at Indian Health Care Resource Center of Tulsa. The 9th Annual Restoring Harmony Powwow was held on May 7, 2016 at the Tulsa West Side YMCA. We are thrilled that the Restoring Harmony Powwow has grown into such a rich, cultural platform from which we are able to raise awareness of the mental health issues, barriers and causes, that our children face on an ongoing basis. This year’s theme was “Secure Spirit,” which brought focus specifically onto domestic violence prevention in our community. We feel the combination of celebration and education is a perfect fit for this event. We always want to give thanks for those that help make this event a success. We couldn’t host this event each year without the collaborative efforts of the Tulsa Indian Community Advisory Team (TICAT), AEP American Indian Employee Group, Muscogee (Creek) Nation, South Plains Tribal Health Board, and Blue Cross Blue Shield of Oklahoma.

We also must recognize our outstanding Behavioral Health Department and the Systems of Care team that have boots on the ground each year to present this popular event.

June and July are a popular time each year for the Health Education and Wellness department. Nancy O’Banion, Director of Health Education and Wellness, and her team are able to provide week-long camps for many children each year. These camps are made possible, in large part, from the funds raised at the Dance of the Two Moons.

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These camps are a great vehicle for our staff and volunteers to teach the attendees about proper nutrition, the importance of staying active, team building and important aspects of their Native American heritage.

Please take a minute to read “A Homecoming Worth Mentioning” article. Tanya Cain, RN, BS, has returned to Indian Health Care Resource Center as the Clinic Administrator after a short sabbatical. Tanya brings over 35 years of experience in the medical field that helps us continue to grow and advance in our quality improvement and day-to-day operations. She is a great leader and manager and we’re glad to have her back in a lead role.

Mrs. Cain explains the importance and meaning of our Medical Home designation in the “Defining the Patient Centered Medical Home” article in this newsletter. We were very proud to achieve this designation in December 2013 by the Accreditation Association for Ambulatory Health Care (AAAHC), our accrediting body since 2001.

Being a Medical Home provides new ways and processes to enhance, organize and deliver primary care for our patients.

We look forward to continuing the Medical Home status during our AAAHC site survey later this year.

It was all smiles, laughter, memorable moments and good family fun on June 25th at Centennial Park. Many of IHCRC’s patients and their families participated in the second annual Family Fun and Fitness Day with over 155 participants. Attendees took on the challenge of a one mile fun run and participated in other activities during the day.

We are already looking forward to participating again later in the year. CONTINUED ON PAGE 10

In This Issue of Healthy Spirit IN THE CLINIC A Homecoming Worth Mentioning.....................................................10 Behind the Scenes of IHCRC’s New Commercial...............................13 A Successful Year with Our NOPIP Interns.........................................14 Defining the Patient-Centered Medical Home....................................16 HEALTH Diabetes: Why It’s Important to Test Your Blood Sugars...................18 IHCRC Combating Medication Non-Adherence...............................19 EVENTS Restoring Harmony “Secure Spirit” Powwow........................................4 Family Fun and Fitness Day.....................................................................8 Health Education and Wellness Classes................................................22

MEDICAL SERVICES HOURS Monday, Tuesday, Wednesday and Friday 8:00am-5:00pm Thursday 10:00am-7:00pm 1st Friday of the month the Medical clinic opens at 1:00pm (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 Friday of the month the Behavioral Health clinic opens at 1:00pm (closed in morning for staff training) WIC NUTRITION HOURS Monday-Wednesday; Friday 8:00am-5:00pm Thursday 10:00am-6:00pm 1st Friday of the month WIC opens at 1:00pm (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 Judy A. Gibson Chief Financial Officer Stacie Nutt Chief Human Resource Officer

Family Fun and Fitness Day...page 8

DEVELOPMENT STAFF Debbie Starnes Development Director dstarnes@ihcrc.org Tonia Gist Development Specialist tgist@ihcrc.org John Young Marketing Specialist jyoung@ihcrc.org IHCRC Summer 2016 3

Restoring Harmony “Secure Spirit” Powwow

BY KELLY MOUNCE, PROJECT DIRECTOR, SYSTEMS OF CARE Last month, over 900 people gathered at the Tulsa West Side YMCA for the 9th Annual Restoring Harmony Powwow. This year’s theme was “Secure Spirit” which focused on bringing awareness to domestic violence prevention throughout Indian Country.

The day began with youth and their families participating in activities including stickball games, Cherokee marbles, and an awareness hike. After a morning of fun, the afternoon started with Gourd Dancing hosted by the Cherokee Gourd Society along with Head Staff Specials and concluded with a free supper for everyone in attendance. Grand Entry began at 7pm followed by memorial songs, round dance songs, a potato dance, and inter-tribal dancing. In conclusion, the contests, which featured dancers from tiny-tot to golden age, filled the arena with beautiful dancing for the rest of the evening. Throughout the day, speakers provided information about the effects of domestic violence on individuals, their families, and the Native community, as well as information about local resources to help victims.

Not only did the Restoring Harmony Powwow feature great dancing and singing, it also included many vendors whom were selling items such as Native American jewelry, beadwork, baskets, shawls, and blankets. Several non-profit agencies provided information about mental health and domestic violence services in the Tulsa area. Food vendors were also on hand with traditional Native food items as well as popcorn and snow cones!

Special thanks to the Restoring Harmony Powwow Head Staff, Joseph Chamberlain (Artist), the Tulsa Indian Community Advisory Team (TICAT), the TICAT Powwow Committee, the Native Nations Youth Council, Muscogee (Creek) Nation, Blue Cross Blue Shield of Oklahoma, DVIS, and the Southern Plains Tribal Health Board for all their support to the powwow and for helping us promote mental health awareness and domestic violence prevention to our youth and families. Thank you to all the vendors, volunteers, and visitors that came out and helped make this such a successful event!

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Head Man, Thunder Lieb was recently named World Champion Fancy Dancer at the 2015 Ponca Celebration and Powwow. He showed off his extraordinary dancing skills at the Restoring Harmony Powwow.

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Family Fun and Fitness Day

BY JENNIE HOWARD, FITNESS EDUCATOR

The second annual Family Fun and Fitness Day took place at Centennial Park again this year. It was a scorching day but over 155 participants braved the heat to participate in a one mile fun run as well as family activities and games. This incredibly fun event wouldn’t be possible without the support of our sponsors: The Southern Plains Tribal Health Board, Whole Foods Market Tulsa, and The Osage Casino.

Also, a huge thank you to our volunteers from IHCRC and Public Service Company of Oklahoma’s Native American Employee Group that got up early on a Saturday morning to help us set up and get people signed-in for the run. We can’t forget to mention our vendors that know how to bring the fun: Big Brothers and Big Sisters of Tulsa, Campfire Girls, The Tulsa Drillers, and Be Love Yoga. Speaking of Be Love Yoga and the Drillers, be sure to check out our video of Hornsby attempting yoga on our Youtube page: www.youtube.com/ihcrc We had so much fun we plan on having another Family Fun and Fitness Day when the weather cools down in the fall! See you there!

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IHCRC Summer 2016 9

A Homecoming Worth Mentioning

BY: EDWARD E. ROGERS, HEALTH INFORMATION MANAGER Recently, after a few months sabbatical, the Board of Trustees, management, and staff are thrilled to announce the much anticipated return of Tanya Cain, R.N. as the Clinic Administrator for the Indian Health Care Resource Center of Tulsa. Tanya took a few months away from IHCRC to expand on her management experience and to further develop her skill set in leadership and supervision. With a renewed zeal for best practices, quality improvement, and continuity of care, Tanya has quickly taken the reins at IHCRC by reviewing and updating policies and procedures, where needed. “My goals have always been focused on a foundation that centers on treating staff well, providing them with the training, support and experience they need to do their jobs well, rewarding exemplary service, and providing guidance and consultation where needed. Once the foundation has been set with a well-organized and competent staff, providing quality services and appropriate treatment to our patients and meeting or exceeding community standards are a natural progression. We simply continue to move forward and build upon our solid foundation and continuously look for ways to improve,” said Tanya.

Tanya first came to IHCRC as the Triage Nurse / Immunizations / Nursing Supervisor in the Medical department on August 3, 2009 and served as the Clinic Administrator for the last several years of her tenure at IHCRC. As a Registered Nurse with 35-years of experience in the medical field, Tanya has been a valuable resource to IHCRC since she was first hired. She took a lead role in 2013 in assisting IHCRC staff to achieve Medical Home designation through our accrediting body, AAAHC. She has brought stability to our nursing staff and expanded access to our medical services. Tanya takes a lead role with risk management, safety, and the overall operations of the clinic.

Tanya earned an Associate of Applied Science in Nursing from Northern Oklahoma College. This year Tanya completed a bachelor’s degree from Oklahoma Wesleyan University. Tanya supervises two nurse supervisors who assist her in overseeing all medical assistants in the Medical department, all Public Health Nurses, Nurse Case Managers, Lab staff, Diagnostic Imaging staff and the Medical Records staff. Tanya is the gatekeeper for all initial patient complaints in the Medical department. She is the enforcer of our clinical policies and procedures. She serves on the Leadership Team, CAC Team, OSHA Committee, C&P Committee and the Peer Review Committee.

We are excited to have your back where you belong, Tanya. Welcome home.

Operationally Speaking Continued

Lights, camera, action. It’s Tim Shadlow with up lighting and a big smile. IHCRC is pleased to announce we have a new 30-second commercial which highlights the many services and programs we are proud to offer the Native American community in Tulsa and the surrounding areas. We’re extremely appreciative of the efforts that the team at Griffen Communications, KOTV News On 6 did to make this commercial polished and ready for broadcasting.

It’s hard to believe that it’s been a year since our Northeastern Oklahoma Psychology Internship Program (NOPIP) doctoral interns first joined the Behavioral Health department to complete a year-long post graduate internship at our facility. IHCRC is proud to be an ongoing host agency for the NOPIP program and all applicable universities. Together, Rachele Floyd, Psy.D., Behavioral Health Director, Jason Menting, Psy.D., Director of Clinical Training and Joanna Shadlow, Ph.D., Staff Psychologist supervise and share their knowledge and experiences with the interns each year. We wish our current interns LaTrice Loche, Leah O’Reilly and Matthew Stapleton the very best as they turn the page and start a new chapter in their lives as licensed psychologists in the near future.

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“If it wasn’t for this Tulsa Indian Health Care facility and all the people that choose to be here and really invest their time with heartfelt care, I don’t know where my family and I would be.”

Society of the Medicine Wheel We invite you to join this caring community that provides financial strength to improve the health and well-being of literally thousands of Native Americans each year.

2016 Society of the Medicine Wheel Members Aliakber & Farida Akberali Dr. Jay & Nancy Anderson Stacy Berg Donna Birkenfeld Bob & Gloria Bitting Mary Boardman RN Katie Burk Greg Burn In honor of Bill & June Carr Donnie & Gayla Cox Zandra Drywater Elizabeth A. Duncklee Janice Edmiston & Ceasar Williams Elizabeth Fair Mr. Matthew and Dr. Rachele Floyd

Judy A. Gibson Dr. Arthur & Valerie Holleman J. R. & Stephanie Hurt Kerry James Jay & Kelly Mounce Brian & Stacie Nutt Nancy O’Banion Daniel and Julia Olson Goldie Phillips Edward E. Rogers Carmelita Skeeter Debbie Starnes Ross & Margaret Swimmer Mary Ann Vassar John Young

Thank You for providing hope, healing, and recovery!

Donors in color have given at the highest level.

Become a member online at: www.ihcrc2moons.org/medicine-wheel IHCRC Summer 2016 11

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Behind the Scenes of IHCRC’s New Commercial

BY: JOHN YOUNG, MARKETING SPECIALIST Indian Health Care Resource Center is very excited to announce the opportunity to have a commercial featured on KOTV/News On 6 and The Tulsa CW. We were approached by Griffen Communication, the parent company of the networks and given an exclusive opportunity to have a commercial produced at a significantly lower cost.

The commercial will air over 600 times during the three month period it is scheduled to run.

Commercial Shoot The amount of planning and work that goes into a 30 second commercial is astounding. We had over 25 individuals involved with the filming of the commercial. The greatest challenge we faced was how to highlight the numerous services offered at IHCRC in a 30 second period of time. We soon learned this wasn’t possible so instead we decided to capture just a few of our services while showing off our state-ofthe-art facility.

Voiceover and Edits KOTV/News on 6 invited us to the station to record the voiceover portion of the commercial. Pat Kroblin of PK Promotions made the voiceover part look easy. She had to read the entire script and keep the recording within one second of her alloted time. After we finished the voiceover we were given a tour of the station and got to see all the high-tech features. It truly is incredible! We returned that afternoon to provide feedback and make any final changes to the commercial.

Thank You! We want to give a very special thank you to all of the individuals who helped make this commercial come together in such a short period of time. We also want to thank Griffen Communications, KOTV/News On 6, and The Tulsa CW for providing us with such a great opportunity. The commercials will begin airing the first of July. Keep an eye out and let us know what you think!

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A Successful Year with Our NOPIP Interns

BY: JASON MENTING, PSY.D, DIRECTOR OF CLINICAL TRAINING It has been another successful year for the pre-doctoral psychology students at IHCRC. LaTrice Loche, Leah O’Reilly, and C. Matthew Stapleton have effectively integrated themselves into our Behavioral Health department and provided vital services to the community.

IHCRC offers three internship positions through the Northeastern Oklahoma Psychology Internship Program (NOPIP), an American Psychological Association (APA) accredited internship consortium.

During the year, the interns primarily provide individual psychotherapy and psychological assessments. However, the interns also contribute in other ways.

They co-facilitate a school group that teaches the American Indian Life Skills Curriculum to area youth and are actively involved with the Tulsa Indian Community Advisory Team (TICAT), including helping to plan the annual powwow.

The interns provide a valuable service to the community, as they allow the Behavioral Health Department to expand the therapy and assessment services provided. They treat patients of all ages and are able to administer tests that require doctoral level training. The assessment services are particularly helpful for the community because they would be very expensive at other agencies and can often be a requirement for receiving services at school or through social service agencies. The relationship between IHCRC and the interns is reciprocal. The interns receive valuable training and intensive supervision during this last stage before receiving their doctoral degree. During the year, the interns learn how to provide effective treatment in an integrated care facility and to work with Native American communities in a culturally appropriate manner.

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“My year at IHCRC was quite a rewarding experience! My most memorable experiences involve participating in various traditional Native events. It meant so much to me that the community was so open to allowing me to learn and practice their Native dance at an annual Stomp Dance. I remember being invited to sit with a family, enjoy fried bread, and hear various stories related to their family. I enjoyed working and volunteering with adolescents within the Native American community through the American Indian Life Skills program and spring break cultural camp, which gave me the chance to experience traditional games such as stickball, Indian football, and Cherokee marbles. Having other interns to share this process and comradery with was the best part! Training at IHCRC showed me the importance and benefits of integrative care, which provided the opportunity for me to connect with various providers for the betterment of our client’s wellbeing. I learned ways to truly advocate for an underserved community. I plan to move back to my home state of Texas and obtain a position within the juvenile justice system. The IHCRC community will truly be missed.”

-LaTrice Loche “I have a lot of favorite memories at IHCRC and it is hard to pick just one! So, instead I’ll name a few – I really enjoyed leading laughter yoga during one of the All Staff meetings, learning how to play Cherokee Marbles and Stickball, participating in the YMCA All Staff outing, soaking up wisdom from my supervisors, and getting to know my fellow interns from across the U.S. The most rewarding thing about this experience has been being a witness to the tremendous stories we hear. It is a great honor to see and hear the stories of those we serve and facilitate their motivation to reach their goals. Additionally, it has been rewarding to grow in my own personal and professional life. One thing I have learned this year would be the benefits of working in an integrated health care facility and having a sense of community. It has been a privilege to have several providers under one roof working together to benefit our patients. As for the upcoming year, I will be returning to the Wisconsin tundra to complete my dissertation and work with a former supervisor at her outpatient neuropsychology clinic. My goal is to eventually specialize in neuropsychology, so I believe I am off to a good start!”

-Leah O’Reilly “I have two favorite memories at IHCRC. One was participating in the lulu call competition at the Restoring Harmony “Secure Spirit” Powwow. Kudos Dr. Menting for tricking us! The other was organizing and coleading with Dr. Floyd The Building Spiritual Strength Program for women survivors of domestic violence.

These memories illustrate the great strengths of this internship program: the ability to participate in cultural activities as an outsider, and the ability to join with others both in laughter and sorrow.

It was very rewarding to hear everyone’s stories – both client stories and co-worker stories – and in a small measure become a part of their story as the greater story unfolds. In addition, I consider myself a cultural psychologist and most of what I read about cultural psychology is detached from my clinical work. But for me this internship allowed me to marry the part of me that is a cultural psychologist and the part that is a clinical psychologist. Now I can leave as a cultural clinical psychologist.

I’ve learned so many things about Native American culture such as the variety of religious beliefs represented by the nations, the particular ways mental health issues impact Native communities, and the issues facing Native women. This experience has emphasized a truth that I have long known: there are many universals and commonalities among the peoples on this planet, but these universals are uniquely expressed and given more attention in some cultures. And one of these universals that I think Native American culture cares for in a beautiful way is the need for balance.

My plans are still tentative for this upcoming year. Personally, the thing I look forward to the most is developing the relationships in my family that mean so much to me. Professionally, in the future I hope to pursue a career that combines teaching at a university, with supervision and therapy. I am currently applying for a teaching position. If I receive a job offer to teach I would be likely to take it. If I do not receive the teaching job then I will return to Memphis to work as a therapist and apply for teaching jobs the following year.”

-Matthew Stapleton IHCRC Summer 2016 15

Defining the Patient-Centered Medical Home BY: TANYA CAIN, CLINIC ADMINISTRATOR

Indian Health Care Resource Center (IHCRC) adheres to the Patient-Centered Medical Home model as a way to provide the highest quality of care to our patients. This model holds promise as a way to improve health care in America by transforming how primary care is organized and delivered. Building on the work of a large and growing community.

The medical home encompasses five functions and attributes: (provided by Patient Centered Medical Home Resource Center) 1. Comprehensive Care

The primary care medical home is accountable for meeting the large majority of each patient’s physical and mental health care needs, including prevention and wellness, acute care, and chronic care. Providing comprehensive care requires a team of care providers. This team might include physicians, advanced practice nurses, physician assistants, nurses, pharmacists, nutritionists, social workers, educators, and care coordinators. Although some medical home practices may bring together large and diverse teams of care providers to meet the needs of their patients, many others, including smaller practices, will build virtual teams linking themselves and their patients to providers and services in their communities.

2. Patient-Centered

The primary care medical home provides health care that is relationship-based with an orientation toward the whole person. Partnering with patients and their families requires understanding and respecting each patient’s unique needs, culture, values, and preferences. The medical home practice actively supports patients in learning to manage and organize their own care at the level the patient chooses. Recognizing that patients and families are core members of the care team, medical home practices ensure that they are fully informed partners in establishing care plans.

3. Coordinated Care

The primary care medical home coordinates care across all elements of the broader health care system, including specialty care, hospitals, home health care, and community services and supports. Such coordination is particularly critical during transitions between sites of care, such as when patients are being discharged from the hospital. Medical home practices also excel at building clear and open communication among patients and families, the medical home, and members of the broader care team.

4. Accessible Services

The primary care medical home delivers accessible services with shorter waiting times for urgent needs, enhanced in-person hours, around-the-clock telephone or electronic access to a member of the care team, and alternative methods of communication such as email and telephone care. The medical home practice is responsive to patients’ preferences regarding access.

5. Quality and Safety

The primary care medical home demonstrates a commitment to quality and quality improvement by ongoing engagement in activities such as using evidence-based medicine and clinical decision-support tools to guide shared decision making with patients and families, engaging in performance measurement and improvement, measuring and responding to patient experiences and patient satisfaction, and practicing population health management.

To best meet these five functions and attributes, IHCRC developed three teams: the blue team, the red team, and the pink team. IHCRC’s patients are assigned to a team and that team will provide care to the patient each time he or she visits the clinic.

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BLUE TEAM

Michael Scott, M.D.

Valerie Howard, D.O.

• Dr. Scott’s nurse is Chelsey.

• Dr. Howard’s nurse is Mical L.P.N. • Dottie Murdock N.P.’s nurse is Tia. • The case manager is Bridget R.N. • The referral specialist is Sandra • The pharmacist for the team is Becca

RED TEAM • Dr. Gilmore’s nurse is Brenda L.P.N. • Dr. Ray’s nurse is Alicia L.P.N., • Shannon L.P.N , Faith R.N., and Jomora L.P.N are the case managers • Ellen and Gail are the referral specialist • The pharmacist for the team is Becca Jesicah Gilmore, M.D.

Rachel Ray, D.O.

PINK TEAM

Marisa Resnik, APRN

Emily VO, P.A.-C.

• Dr. Hopkin’s nurse is Terra • Marisa Resnik A.P.R.N.’s nurse is Treece L.P.N. • Emily VO P.A.-C.’s nurse is Jennifer L.P.N. • The case manager is Michelle R.N. • Brandy and Sherry are the referral specialists • The pharmacist for the team is Becca

Others that support all teams:

Deni L.M.S.W. , Allison L.P.N. Triage, Faith R.N.-Public Health, Crystal R.N.-Public Health, and Candace L.P.N. In the near future we are hoping to add staff from the Behavioral Health and Health and Wellness departments.

There are a number of other support staff members that help with patients. IHCRC could not provide the highest quality of care without them.

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Diabetes: Why It’s Important to Test Your Blood Sugars

BY STACY BERG MS, LPC, CDE, DIABETES EDUCATOR/CASE MANAGER As a diabetes educator I often have patients ask me why they need to test their blood sugars at home.

Testing blood sugar is the primary way to know if you are keeping blood sugars controlled. Using a glucometer (blood sugar meter) to check one’s blood sugar is the most fundamental management tool a person has to self-manage his or her diabetes. Glucometers these days require a very small drop of blood, preferably from the finger and tell us what our blood sugar is in real time.

If you have type 2 diabetes and are on no medications or only take oral medications the typical recommendation is to check your blood sugars 2 times a day. This usually includes a fasting blood sugar reading and a 2 hour post meal blood sugar reading. If you have type 1 diabetes or type 2 diabetes and use insulin, it is best to check blood sugar before each meal and 1-2 hours after the beginning of each meal.

Self-monitoring blood glucose provides useful information for diabetes management. It can help you understand the following: • • • • • •

How food affects your blood sugar levels How medications affect your blood sugar levels How physical activity affects your blood sugars How illness, injury or stress affects you blood sugars Identify when blood sugars are too high and too low Know if blood sugars are in a safe range before driving a vehicle.

If you have diabetes you should have a glucometer to check your blood sugar levels. Even though your medical provider can have your blood sugar checked in the lab, tests like the Hemoglobin A1c can only tell you what your average blood sugar was over the previous 60-90 days. The lab cannot show when the blood sugar was high or low, how many times it was in a certain range and give you the opportunity to make an immediate decision that can raise or lower blood sugars at the time they may be out of the target rage that is recommended for you.

Monitoring blood sugar should have relevance for the person testing his or her blood sugar. Know what your goals are: blood sugar range, when and how often to test, recording your readings and reviewing your levels. Keep track of factors that impact your blood sugar, such as how many carbohydrate servings eaten, type, intensity and length of time exercised, stressors and illnesses, and medication doses taken or missed.

Share the data you collect at your appointments with your dietitian, diabetes educator, and medical provider. Make sure your testing supplies are kept sanitary and are not expired. Always wash your hands before testing your blood sugar as any trace of food or dirt on your hands will likely make your reading not be accurate. Rotate what finger you poke for a blood sample and test on the side of the finger rather directly on the fingerprint area for a less painful experience. Store you glucometer and testing supplies at room temperature as hot and cold temperatures can affect accuracy of the testing supplies.

When it comes to controlling diabetes, nothing can top the information you get from self-monitoring blood sugar. It is critical to know if your treatment plan is working for you. It allows your medical provider to fine tune your medication regimen to best get and keep your diabetes well controlled. For those individuals that have been trained on how to self-adjust your insulin, it gives you the opportunity to fine-tune your blood sugars between visits to your doctor.

Educators often hear from patients that they can ‘feel’ if their blood sugars are in or out of range, high or low. The truth is that most of the time it is hard to tell what your blood sugar readings are just based on how you feel. So start now and be proactive with self-managing your diabetes. The first and most important step you can take is testing your blood sugars every single day.

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IHCRC Combating Medication Non-Adherence

BY: DEBBIE STARNES, DEVELOPMENT DIRECTOR Medication non-adherence poses a very real risk for patients and their providers. According to the American Heart Association, it is estimated that three out of four Americans do not take their medication as directed.

Poor medication adherence takes the lives of 125,000 Americans annually. In 2013, the Centers for Disease Control reported that medications are not taken as prescribed in about 50% of cases.

In 2015, almost 6% of IHCRC’s 10,540 active patients were taking 10 or more medications; 19.4% had 6 to 10 visits during the year; and 18.2% had visited the clinic more than 10 times. In her seven years as a staff pharmacist for IHCRC, Becca Leath, D.PH. witnessed the steadily increasing complexity of IHCRC patient health issues at the clinic.

Becca, now the Medication Reconciliation Pharmacist, quickly developed a comprehensive, methodical selection process to recruit patients who would receive the most benefit from her services.

She also realized that a simple medication reconciliation program was not enough to make a difference.

She studied medication therapy management programs and combined an extensive adherence program with the educational aspects of medication therapy. A cutting edge program was born.

During each appointment, patients are presented with their actual refill history obtained from IHCRC’s pharmacy system. In addition to reviewing medication adherence history, patients also receive the following services: • • • •

Information and training on how to best take each medication; Appropriate dosages and information on whether they have been taking the medication correctly; Education on how to properly utilize medication dosage devices such as inhalers; Suggestions and tools for better compliance, including utilization of pill boxes and medication adherence phone applications; • Education regarding the valuable health outcomes that result from proper use of medications; and • Development of a plan for better medication adherence.

It quickly became apparent that the benefits of this cutting edge medication adherence and medication therapy management program were numerous. In her first review of patients, the Medication Reconciliation Pharmacist found that nine out of ten patients (seen at least twice by her) had increased their medication compliance.

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All Things Comanche

Caring and Sharing is Our Culture and Tradition Members of the Comanche Tribe Sumner Family Delores, Rodney, Patti, Larry, Pam, Blanche Phillips Family Goldie, Vivian, Brian, Eric, Jessica

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Health Education and Wellness Classes July-September Cooking your own meals is a great step towards improving your health. Cooking at home allows you to have more control over what you eat to improve the quality of your food. Cooking classes at IHCRC are a great way to help you feel more comfortable in the kitchen. You will feel confident in your ability to whip up healthy meals your friends and family will love! Our cooking classes always feature several healthy recipes that are easy to make and taste delicious. If you are a beginner in the kitchen or just too busy to spend a lot of time preparing meals be sure to check out our “30 Minute Meals” classes to learn tricks to save you time on those busy days!

JULY July 27th 11 am: Cooking Lower Carb “Pasta” Some call it a spiralizer, some call it a zoodler, or a spiral shaped vegetable slicer. Whatever you call them, these nifty kitchen gadgets are a great way to turn your favorite vegetable into a lower carb and lower calorie “pasta” that you’re sure to love! Come learn some great veggie “pasta” dishes to add to your dinner menu. Instructed by Katie Knoll, RDN. AUGUST August 11th 5:30 pm: 30 Minute Meals In a rush? Need a quick dinner? Skip the drive thru and make a fast dinner at home. Join us as we prepare 30 Minutes Meals that can save you time on those busy days. Instructed by Jackie Nickel, RDN. August 18th 5:30 pm : Kids Cooking Class- Healthy Breakfasts A class for kids ages 5 and up. Instructed by Katie Knoll, RDN and Jackie Nickel, RDN. August 24th 11 am: Cooking with Late Summer Vegetables Cooking with produce that is in season is a great way to guarantee great taste, awesome nutrition, and a lower grocery bill. Join us as we create and sample some tasty recipes featuring yummy late summer vegetables.

Instructed by Katie Knoll, RDN. SEPTEMBER September 7th 11:00 am: 30 Minute Meals In a rush? Need a quick dinner? Skip the drive thru and make a fast dinner at home. Join us as we prepare 30 Minutes Meals that can save you time on those busy days. Instructed by Jackie Nickel, RDN. September 15th 5:30 pm: Kids Cooking Class: Back to School Lunches A class for kids ages 5 and up. Instructed by Katie Knoll, RDN and Jackie Nickel, RDN. Some classes fill up early. Please register at least two (2) days in advance by visiting the Health Education and Wellness reception desk or by calling Kelly at 918-382-2222.

22 IHCRC Summer 2016

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Thank you for being an integral part of our “Caring is Strong Medicine” Team. If you have any questions or would like to be removed from our mailing list, contact John Young at 918-382-1206 or jyoung@ihcrc.org.

918-588-1900 | www.ihcrc.org