IHCRC Annual Report 2021

INDIAN HEALTH CARE RESOURCE CENTER OF TULSA

YEARS 1 9 7 6 - 2 0 21

ANNUAL REPORT 2021

About the Organization Indian Health Care Resource Center (IHCRC) is a community response to the funding and healthcare disparities of Tulsa’s urban Indian community. From a community survey to building a state-of-the art facility, IHCRC has remained dedicated to providing quality, comprehensive healthcare to Tulsa area Indian people in a culturally sensitive manner that promotes good health, well-being, and harmony.

More than 250,000 individuals have walked through the doors of IHCRC during its 45 years of service.

IHCRC continues to focus on its vision of eliminating health disparities, expanding innovative familyfocused practices, and embracing an approach to care that strengthens physical, mental, emotional, and spiritual wellness within the Indian community.

More than 165 staff members, approximately 60% of which are themselves Native American, provide cutting edge care for almost 12,000 Native Americans annually. The wide array of integrated services operates through a multidisciplinary, patient-centered, medical home model of care. The one-stop shop houses the following service areas: • • • • • • • • • • • • • • • • • •

Primary Care for All Ages Internal Medicine Pediatrics including Well Child Geriatrics Obstetrics Public Health Including COVID-19 and Immunization Clinic Optometry Dentistry Pharmacy Laboratory Radiology Including X-ray, Mammography, and Ultrasound Behavioral Health Substance Abuse Prevention and Treatment Systems of Care Wrap Around Services Domestic Violence Prevention and Intervention Health Education and Wellness Including Diabetes Management, Dietitians, and Exercise Transportation Programs for Youth

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. Indian Health Care Resource Center hires with an Indian preference and is an “Indian-controlled business.”

Incorporated as an Oklahoma nonprofit corporation in 1978, Indian Health Care Resource Center operates as an urban Indian health center, independent of tribal or federal control. A Board of Trustees (all of whom are Native American) meets bi-monthly to determine issues of policy and governance.

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2021 Letter from the President and the CEO As the new fiscal year began, we were all hopeful that the vaccine would end this pandemic.

Unfortunately it was not to be. Brief reprieves in transmission allowed us to open some of our most loved wellness programming, including Running Strong and summer camp. However, each time we were forced to return to virtual programming and special precautions because of a rise in COVID-19 cases.

We continued to do all we could to curb the spread of the pandemic. Our COVID team reached out through vaccination clinics at the VFW, other nonprofits, and eventually Tulsa Public Schools. Providers continued to provide in-person as well as telehealth visits, maintaining services for our patient population.

This year we celebrate 45 years in service to Tulsa area Indian people. Our focus has not changed and neither has our dedication to expanding and adding services based on patient need. The pandemic simply could not and would not stop us. We still found ways to partner with National funders and local organizations to enhance services. Some of those are highlighted in this report.

We also continued our tradition of collaboration and partnership within the community. Focusing on health and behavioral health care requires a close relationship with organizations who provide social and basic needs services.

IHCRC is lucky to be located in Tulsa, one of the strongest philanthropic and nonprofit communities in the United States.

Finally, the Board of Trustees continued their work on expansion of our facility. Additional information, including renderings of the new building are contained in this report. We are excited for the ground breaking and the eventual offering of expanded and new services.

As the President of the Board I congratulate our Chief Executive Officer on her 45th year at IHCRC. We are grateful for her leadership, wisdom, experience, and dedication. I also want to thank our corporate sponsors and dedicated donors. Your generosity did not waver even during this difficult time.

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

As Chief Executive Officer I am grateful for our IHCRC staff. The past two years have not been easy but they have all risen to the occasion. They prove daily that IHCRC believes in putting our patients first.

Wishing each of you good health, Brandon Caruso, President, IHCRC Board of Trustees

Carmelita Skeeter, CEO

IHCRC 2021 3

Protecting Our Elders

Ten percent of IHCRC’s annual patient population are ages 65 and up. Another 1,500 are ages 55 to 64. According to the U.S. Census, 14.2% or 6,387 of Tulsa County’s population are Native American ages 65+. Elders in Native American societies play a vital role in the preservation of Indian culture.

Elders teach younger generations about spirituality and history. They are considered the “wisdomkeepers” and are held in the highest regard.

Unfortunately, these same American Indian and Alaska Native elders comprise the most economically disadvantaged group in the nation and are at increasing risk of health disparities, financial exploitation, and neglect. Additionally, this group is often responsible for the raising of grandchildren.

During 2020, IHCRC received an invitation to apply for a grant from the United Health Foundation.

The United Health Foundation is the philanthropic arm of UnitedHealth Group, a diversified health care company dedicated to helping people live healthier lives and helping to make the health system work better for everyone. It is an honor to be invited to apply for a grant.

IHCRC submitted a project with the goal of reducing health disparities and disease complications in Tulsa County’s Native American community ages 65 and over. The proposed project consists of five integrated parts designed to increase access to services and improve health outcomes for the IHCRC patient community ages 65+: (1) comprehensive medical care; (2) behavioral health services; (3) fitness activities; (4) medical social work services; and (5) health education for individuals ages 65+ and their caregivers.

In September United Health Care announced that IHCRC has been awarded a $1.8 million grant for its Protecting Our Elders program. IHCRC is honored and humbled to be partnering with United Health Foundation.

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Medical Department

Duplicated Patients By Medical Department 1 Family Practice - 5,282 2 Internal Medicine - 590 3 Pediatrics - 2,749 4 Geriatrics - 983 5 Obstetrics - 204 6 Women's Health - 293 7 Laboratory - 2,185 8 Radiology - 1,087 9 Ultrasound - 993 10 Mammography - 972

6,000 5,000 4,000 3,000 2,000 1,000

1

2

3

4

5

6

7

8

9

10

855

9,250

Telehealth Medical Visits Patient Tribal Membership

In FY2021 Indian Health Care Resource Center served members from 112 federally recognized tribes. Members of ANY federally recognized tribe and their dependents under the age of 18 are eligible to receive care.

Cherokee Nation - 5,255 Muscogee (Creek) Nation - 2,048 Choctaw Nation - 993 Osage Nation - 252 Chickasaw Nation - 181 Other - 1,479

Unduplicated Patients Seen Patients By Age 65+

1,066

55-64 1,334

30-54 3,286

0-17

3,246

18-29 1,585

IHCRC 2021 5

Page Intentionally blank.

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Behavioral Health Department 1,482

Total Patients

10,357 Total Patient Visits Did You Know?

Our Director of Behavioral Health and our Associate Director of Behavioral Health both came to IHCRC through our Graduate Psychology Internship Program.

1,946

6,820

Telehealth Patient Visits

Patients Screened for Depression

115

66

Total Patients Systems of Care

Total Patients Substance Abuse

61

New Adolescent Patients IHCRC 2021 7

EAST ELEVATION

NORTH ELEVATION

WEST ELEVATION Future Expansion

IHCRC’s dental and optometry departments are always busy. Our two dentists alone saw 1,895 unduplicated patients during a pandemic year. When patient visits are considered, IHCRC’s dental department averaged 14 visits per day. Unfortunately, the current space limitations prohibit adding dentists to the department. Therefore, dental services have been limited to children and youth, pregnant women, and persons living with diabetes.

Optometry services are currently limited to children and youth, persons with diabetes and individuals with eye diseases or infections. One optometrist provided 1,789 visits for 1,185 unduplicated individuals, an average of 7 visits per day.

Dental and optometry are not the only departments reaching maximum service potential. IHCRC’s pharmacy is like no other. Filling more than 1,000 prescriptions a day in 1,140 square feet, the motion of the pharmacy staff is more like a fine tuned dance. Additionally, anyone who has tried to enter the IHCRC parking lot on a day when the pharmacy is busy knows that additional pharmacy lines are needed.

Patient needs are always on the mind of IHCRC’s Board and staff. Therefore it came as no surprise when the IHCRC Board approved the purchase of the property to the north of the current building.

Within the next two years, an expanded pharmacy, along with an expanded optometry and dental department will be available. Additionally, the new space will make room for a larger exercise facility, and some specialty services such as physical therapy. The building will also provide an opportunity for IHCRC to expand medical and behavioral health services within the current facility.

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Dental Department 1,895

Total Patients

3,456 Total Patient Visits

Optometry Department 1,185

Total Patients

1,789 Total Patient Visits

Pharmacy Department 248,166

1,035

Prescriptions Filled

Prescriptions Filled Daily

47,041

196

Total Patient Visits

Average Daily Patients

Did You Know?

IHCRC introduced a new way to manage patient medications and order refills through a mobile app called RefillPro. It is available in both the Apple and Android app store. The app connects patients to the clinic when they enter the pharmacy's phone number, 918-382-1270.

IHCRC 2021 9

The Unsung Heroes of IHCRC

Tucked away in a hallway rarely traveled by patients or staff are the hard working staff known as Patient Benefit Coordinators. We prefer to call them our unsung heroes. These individuals battle daily to ensure our patients have the health care, services, and insurance they need.

A fallacy about Indian health care is that it is “insurance.” While health care is free for tribal citizens, the availability of specialty care (and primary care for that matter) is very limited. In Oklahoma, having a tribal card or CDIB card does not mean you can present at the nearest emergency room for care and have it paid for by the tribe or government. Neither does it mean you can see that wonderful cardiologist your co-worker recommended.

Every day IHCRC’s physicians refer patients for specialty care services such as an MRI, a visit with a cardiologist, or a biopsy. That referral passes to an IHCRC Patient Benefit Coordinator. These unsung heroes determine where they can send a patient for that specific referral. Often times they discover “contract heath” or “purchased referred care” dollars are simply no longer available. It is at this point the Patient Benefit Coordinators come alive. Their job? To find the referred service for the patient whether or not funding is available and to keep track of that referral from beginning to end.

The unsung heroes of IHCRC are also the experts on health insurance, especially SoonerCare, Medicaid, and Medicare. Being able to cover IHCRC patients with a third party payer source is just another way to ensure they receive the health care they deserve.

If anyone asks you why IHCRC is different, an answer must always be, “Because our Patient Benefit Coordinators are the absolute best at what they do!”

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COVID-19 Clinic 2,145

4,192

Patients Tested for COVID-19

COVID-19 Vaccinations Given

Crisis Response Team 3,583

Duplicated Patients Seen

6,723 Total Services Provided

Patient Benefit Coordinators 6,701 Patient Referrals

515

SoonerCare Applications

Transportation Services 410

Patients Utilizing Transportation IHCRC 2021 11

Connections: Using Our Past to Build Our Future

In order to better serve the needs of American Indian youth ages 6 to 24, IHCRC began a redesign and reinvigoration of its youth programs in early 2021. The team noted that while suicide and drug use prevention remain crucial, IHCRC’s youth programs must also be designed to address one of the most important characteristics of care for American Indians, attentiveness to the four aspects of an individual’s nature (physical, mental, emotional, and spiritual).

To this end, IHCRC’s new youth program is an innovative multi-faceted and multi-disciplined integration of services. Six primary components ensure a well-rounded, comprehensive program focused on the whole person. Those six components encompass (1) a youth leadership, mentoring and volunteer program, (2) nutrition education, (3) fitness and health, (4) family strengthening, (5) cultural connections, and (6) behavioral health including substance abuse prevention, suicide prevention and a new LGBTQ2S+ program funded by The Upswing Fund.

IHCRC will begin using Plant Teachings for Growing Social-Emotional Skills. The classes taught through this book include information on how plants teach us resilience and strength. The youth will also learn to fish with regular fishing trips added to the program. In addition to the ever popular Running Strong Club, IHCRC will offer individual youth fitness programs focusing on weight control, strengthening, and movement.

Bi-monthly family fun activities will get the entire family moving together. Each family fun activity will include nutrition education, a healthy meal (sometimes cooked by the families) and a fun activity to help get people moving. Events will range from family competition nights to outings at local parks, zoos, botanic gardens, and nature centers.

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Exercise and Fitness Program 68

1,483

Total Exercise Patients

Exercise Patient Visits

Youth Programs 296

230

American Indian Life Skills Training Participants

Native American Youth Summit Participants

101

68

Family Fun and Fitness Events Participants

Cultural Activities Participants

IHCRC 2021 13

Giving Thanks

A portion of IHCRC’s success is based on its organizational identity. We are first and foremost a health and behavioral health facility focused on the whole person. Caring for the whole person is simply not possible without the help of others. Whether it be a volunteer who teaches about culture, an organization providing food, or a corporation who shares employee’s time and talents, it takes a community to care for the patients and families of IHCRC. IHCRC was built on collaborative partnerships. Forty-five years later, we continue to forge new partnerships for the benefit of our patients. IHCRC has been an instrumental part of the American Indian Chamber of Commerce, the Native American Community Committee, the Tulsa Native American Day Committee, and the Greater Tulsa Indian Affairs Commission. Helping the American Indian community as a whole is just as important to us as providing excellent care for our patients.

Serving patients from so many tribes often requires that IHCRC reach out to Tulsa’s nonprofit community as well. They are always willing to assist in the provision of social and basic needs services for our patients. During the pandemic we have been able to give back in a very special way by offering COVID-19 vaccinations for staff and consumers alike. We also do our best to support their efforts in any way possible, including attending fundraising events or serving on boards and committees.

Our corporate partners have become one of our greatest assets. They are there with funding, with advice, with volunteers, with in-kind donations, and so much more. From helping to present the Native American Youth Summit to purchasing holiday presents for our less fortunate families, our corporate partners have made more than we ever dreamed possible - possible.

This year has been difficult for most but the support of our partners has been unwavering. As we celebrate our 45th year in operation, we give thanks for all those who help us care for Tulsa’s American Indian community.

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Community Partners

Native American Community Committee Chris Barnes ONEOK, Inc. Elizabeth Battiest IHCRC Board Member GTAIA Commissioner Monica Barajas American Airlines – Global Lead, Dallas Michelle Bohannon American Airlines Crystal Brownstone Tulsa City-County Library – Central Library Belinda Bhageerutty American Airlines – Global Lead, Dallas Andre Butler AEP/PSO Sigma Beta Foundation Haley Buzzard Inspire Tribal Benefits Brandon Caruso IHCRC Board President Today Lending Lauren Cusick Blue Cross and Blue Shield of Oklahoma Lisa Day Magellan Midstream Partners, L.P. Sara Delgado Williams Brittany Dias ONE Gas Loretta Earnest ONEOK

Community Organizations AARP Centennial Park Day Center for the Homeless Domestic Violence Intervention Services Family and Children’s Services Iron Gate LIFE Senior Services Lightning Boy Foundation Leadership Tulsa Meals on Wheels Mental Health Association of Oklahoma OETA

Liliana Goodwin American Airlines Greg Hanifin American Airlines Kimberly Hughes AEP – Dallas DeAnn Johnson Williams JM Johnson American Airlines Chellie Keith Phillips 66 Niyo Little Thunder Pearson ONE Gas Deborah Perry-Chambers ONEOK, Inc. Tyler Post ONE Gas Joyce Roberts IHCRC Board Member GTAIA Commissioner AEP/PSO Teresa Runnels Zarrow Regional Library GTAIA Commissioner Brit Whittington AEP/PSO Ashley Zickefoose ONEOK, Inc.

Oklahoma Aquarium Oklahoma Tribal Education Partners Eagle Adventures Oklahoma Veteran Alliance Retired Senior Volunteer Program (RSVP) SendaRide Tulsa Botanic Garden Tulsa Health Department Tulsa Parks and Recreation Tulsa Zoo VFW Post 577 Youth Services of Tulsa

IHCRC 2021 15

Celebrating 45 Years with Carmelita Skeeter Carmelita began her career at IHCRC in 1976 when she helped survey residents to assess health needs of the local urban Indian population. Survey results showed medical needs of Tulsa’s Native Americans were not being met. When she was hired as one of IHCRC’s original four employees, the agency provided referral services only. Within a year, the first medical services were offered. During her tenure with IHCRC, Carmelita has worn many hats, including Clinic Administrator and, since 1989, Chief Executive Officer.

During the past 45 years she has been the recipient of many awards, including (1) “Outstanding Community Leadership of the Year,” presented by the Oklahoma Native American Business Development Center, 1998; (2) an award for significant contributions in improving the health of American Indian and Alaska Natives presented by the National Indian Health Board, 1999; (3) the national Council of Urban Indian Health “Outstanding Program of the Year” award, 2002; (4) Maxine Cissel Horner Spirit of Community Excellence Award, 2003: (5) a Women in Communication Annual Newsmaker, 2011; (6) a Women of the Year Pinnacle Award winner; (7) a YWCA 100 Women of Moxie, 2014; (8) a Dan Allen Social Justice Award Winner, 2016; (9) City of Tulsa “Carmelita Skeeter Day” Proclamation, 2019; and (10) Kenneth Anquoe Lifetime Achievement Dream Keeper Award, 2021.

Carmelita has dedicated her life to the issues affecting Native Americans. She is never without drive and determination to add to and enhance the many services already provided by Indian Health Care Resource Center. She is admired and respected by the IHCRC patients, former and current staff, and the Board of Trustees. Indian Health Care would not be such a vital resource to the Tulsa community without the vision and leadership of Carmelita Skeeter.

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Community Partners Continued

Corporations

American Airlines PRIDE Blue Cross and Blue Shield of Oklahoma Griffin Communications Justin Thompson Restaurants Magellan Midstream Partners, LP OMNI Lighting, Inc.

Foundations

Bass Pro Shops and Cabela’s Outdoor Fund The Upswing Fund The Anne and Henry Zarrow Foundation

ONE Gas, Inc. Public Service Company of Oklahoma Tiger Natural Gas 3 Sirens Restaurant Group, LLC Williams

Tulsa Community Foundation United Health Foundation Williams Foundation

Tribal and American Indian Organizations American Indian Chamber of Commerce Cherokee Copper College of the Muscogee Nation Greater Tulsa Area Indian Affairs Commission IllumiNative Southern Plains Tribal Health Board Muscogee Nation Department of Health Wewoka Indian Health Center Community Health Miss Native American USA

Schools

Broken Arrow Public Schools Indian Education Berryhill Public Schools Indian Education Glenpool Public Schools Indian Education Northeastern State University

Individuals

Nico Albert – Burning Cedar Indigenous Foods Robert Anquoe Elizabeth Battiest

Miss Indian Oklahoma Miss Cherokee Jr. Miss Cherokee Sr. Choctaw Nation Princess Jr. Miss Comanche Princess Miss Osage Nation 2021 Miss Osage Nation 2020 Ponca Tribal Princess Pawnee Nation Princess Owasso Public Schools Indian Education Sand Springs Public Schools Indian Education The University of Tulsa Tulsa Public Schools Indian Education

Janice Edmiston Michael Loman Sam Phillips

IHCRC 2021 17

Recognizing a Culture of Caring

Circle of Life

($50,000+) Lifetime cumulative giving American Cancer Society, Inc. Blue Cross and Blue Shield of Oklahoma H.A. and Mary K. Chapman Charitable Trust Chickasaw Nation Choctaw Nation of Oklahoma Flint Family Foundation Griffin Communications Hard Rock Hotel and Casino Tulsa Susan G. Komen Tulsa Affiliate

Public Service Company of Oklahoma Jim and Sharon Ruley Southern Plains Tribal Health Board Delores Titchywy Sumner Tiger Natural Gas Tulsa Community Foundation (LARC) University of Pittsburgh Williams/Williams Foundation The Anne and Henry Zarrow Foundation

Four Elements Cumulative giving between July 1, 2014 – June 30, 2021 Fire ($25,000-$49,999)

The Notah Begay III Foundation Ruth K. Nelson

Carmelita Skeeter Telligen Community Initiative

Earth ($10,000-$24,999) Dr. and Mrs. Jay Anderson CamGlass, Inc./Jim Cameron Canyon Creek Energy/Luke Essman Childers Architect CommunityCare Diagnostic Laboratory of Oklahoma Janice Edmiston and Ceasar Williams Commerce Bank Eller & Detrich, P.C. First National Bank of Broken Arrow Flintco/Flintco Foundation Interior Logistics

Meeks Group Muscogee Nation Department of Health Muscogee Nation Nike, N7 Fund Oklahoma City Indian Clinic Osage Casino OSU Medical Tulsa Community Foundation (Take Control Initiative Fund) Ken Ray Underwood Law Office Urban Inter-Tribal Center of Texas

Wind ($5,000-$9,999) Global Scaffolding & Insulation LLC Burt B. Holmes Mabrey Bank Magellan Midstream Partners, LP Dr. & Mrs. David and Lee Marks ONE Gas ONEOK

James R. Phillips Phoenix Plumbing Works, Inc. Edward E. Rogers Larry and Janet Smith Ross O. Swimmer United Healthcare C&S OK University of Colorado

Water ($1,000-$4,999) Aetna Inc. Dr. and Mrs. Akberali Larry and Linda Almanza American Airlines, Inc. American Indian Chamber of Commerce Oklahoma

18 IHCRC 2021

AmericanChecked Inc Alison Anthony and Mark Wilson Tom and Sherry Askew Mr. Chris and Dr. Leigh Barrow Dr. Jami Bartgis

Stacy Berg Donna Birkenfeld Bob and Gloria Bitting Russell Brown Dr. Robert Burlingame - Hunt Mill Hollow Ranch Greg Burn Larry and Tanya L. Cain Citizen Potawatomi Nation Lupe Cole College of the Muscogee Nation Dr. & Mrs. Tom Colpitts Conner & Winters, LLP Virginia Cox Donnie and Gayla Cox Crowe & Dunlevy Michael and Heidi Dawson Devol & Associates Brittany Dias Dr. Jose and Mrs. Cheryl Echevarria Trilla Frazier Dr. Jesicah Gilmore and Dane Bowin Tonia D. Gist Lance and Colette Gopffarth Jo Ann Gower Jenny Graham Great Plains Lending Kelly E. Henderson Hillcrest Healthcare System Hogan Taylor, LLP Deanna Holman Homeguard Construction, Inc./Pat Hummingbird IBM Employee Giving Program DeAnn Johnson Kaw Nation of Oklahoma Kimberly-Clark Kayla Kramer Megan R. Leath, D.Ph.

Dr. & Mrs. Dean Martin Mike McBride III and Dawnette Brady Teresa and Robert Burkett Mr. and Mrs. Jay Mounce Jack and Donna Murray Brian and Stacie Nutt Nancy O'Banion Daniel Olson Omni Productions Osteopathic Founders Foundation Elizabeth Parrott Karen Payne The PENTA Building Group Prescor, Inc. Arden and Joyce Roberts Floyd Rogers Drs. Emmanuel and Divina Roman Tim and Joanna Shadlow Becky Sheofee Louise Short Mr. David Krapff and Dr. Geeta Silas Debbie Starnes Brenda Taylor, LPN 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 Joseph Williams LaToyia and Eucild Williams Mollie Williford Nicole Woodmansee

2021 Donors July 1, 2020 – June 30, 2021 Aetna Inc. Aflac Dr. and Mrs. Akberali Connie Allen Faith Allen Larry and Linda Almanza Dr. and Mrs. Jay Anderson Jennifer Ashlock Tom and Sherry Askew Jennie Barnes

Stacy Berg Amanda Billetdoux Donald Bingham Donna Birkenfeld Ginessa Blake Carolyn Bode Katelyn Britton Kristi Brown Kirby Brown Donna Cagle

IHCRC 2021 19

Larry and Tanya L. Cain Jim Cameron Titus Carwy Harry and Monica Champ Chickasaw Nation Childers Architect Choctaw Nation of Oklahoma Dr. Jan and Susan Cobble Chesney Cochran Cheryl Cohenour Lupe Cole Katherine Coleman College of the Muscogee Nation Commerce Bank CommunityCare Virginia Cox Ashley Dailey Michael and Heidi Dawson Diagnostic Laboratory of Oklahoma Southern Plains Tribal Health Board Interior Logistics Rachel Dugan Elizabeth A. Duncklee, LCSW John and Carol Durkee Dr. Jose and Mrs. Cheryl Echevarria Janice Edmiston and Ceasar Williams Jessica Elam Eller & Detrich, P.C. Jeremy and Crystalle Evans Flintco Ashley Flurry Sarah Gaza Michelle Geld Dr. Jesicah Gilmore and Dane Bowin Tonia D. Gist Global Scaffolding & Insulation LLC Mannie Golden Elena Gore Bethany Gower Steve Gregg Anthony Gresham Cassey Gutierrez Jenifer Hamma Christina Harris Ray Hawthorne Adrienne Hefner Kelly E. Henderson Sequoyah Herd Bill & Kathy Hixon Harriett Hobbs

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Deanna Holman Jessie Holmes Homeguard Construction, Inc. Jennie Howard Valerie Howard, DO Dr. Melissa R Hudmon Denise Hudmon IBM Employee Service Center Cassie Irving Taylor Irving Norman Jackson Ruth K. Nelson Dawanna Keller Sarah and Joe Kennedy Kimberly-Clark Ranie Kirk Angie Lanning Megan R. Leath, D.Ph. Anne Lisko Quannah LittleAxe Harold Blackston Lofton Gwendolyn Ludewick Mabrey Bank Magellan Midstream Partners, LP Dr. & Mrs. David and Lee Marks Marrow, Lai, & Kitterman Mike McBride III and Dawnette Brady Margaret McIntosh Kimberly McReynolds Ashlee Metcalfe Faith Miller Brandy Miller Cory Moore Tracy Nicole Moore-Hill Mr. and Mrs. Jay Mounce Mike and Vivian Murphy Muscogee Nation Department of Health Amanda Narboe Jennifer Neal Jacquelyn Nickel Brian and Stacie Nutt Nancy O'Banion Oklahoma City Indian Clinic Omni Productions ONEOK Alicia Kay Ortman Bill Osburn OSU Medicine Elizabeth Parrott Latiffany Patrick

Karen Payne Kendall Payne James R. Phillips Toni Potts Prater's Propane Co. Opal & Ronnie Price Public Service Company of Oklahoma Ivalee Quetone and Lisa Presley Christina Ralston Cindy Reed Mary Revels Stephanie Rhyne Ryann Richey Arden and Joyce Roberts Edward E. Rogers Drs. Emmanuel and Divina Roman Kristy Roper Alyssa Rowan Mary Rule Jim and Sharon Ruley Michael Salazar Cheryl Sanders Jeffrey Schnorrenberg Stephen Scott Becky Sheofee Aneisha Shores Charmayne Shorty Mr. David Krapff and Dr. Geeta Silas Carmelita Skeeter Larry and Janet Smith Debbie Starnes

Rodney & Patti Sumner Judy Supernaw Beth Svetlic Brenda Taylor, LPN Julie Taylor Anna Templin Angela Thacker Therese Tierce Tiger Natural Gas Today Lending Tulsa Community Foundation Crystal Turpin Ken Ray Underwood Law Office University of Colorado University of Pittsburgh Urban Indian Health Institute Chelsea Valdez Hank and Jeannie Van Veen Nikita Walker Bill Wamego and Carol Hinkley Robert and Pam Wamego Shawna Webb Renee Wesson Kristi Whitaker Williams Shelly Williams Sherry Williams Annette Williams LaToyia and Eucild Williams Shannon Woodstock Rachele Young

Society of the Medicine Wheel 2021 Drs. Emmanuel and Divina Roman

Annette Williams

Circle of Blue 2021 Agitsi Stained Glass Dr. Jesicah Gilmore and Dane Bowin Sarah and Joe Kennedy Mike McBride III and Dawnette Brady in memory of Donnie G. Brady

Arden and Joyce Roberts Mr. Sean Roberts - Graphic Resources and Reproduction Drs. Emmanuel and Divina Roman Mrs. Carmelita Skeeter

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 Debbie Starnes, Director, Development and Programming at dstarnes@ihcrc.org or 918-382-1203 so corrections can be made in future publications.

IHCRC 2021 21

Board Officers

Brandon Caruso

Janice Edmiston

President, Cherokee

Vice President, Choctaw/Sac and Fox

Jim Cameron

David Spring

Secretary, Cherokee 22 IHCRC 2021

Treasurer, Choctaw

Board Members

Brent Allison

Dr. Jay Anderson

Elizabeth Battiest

Bob Bitting

Goldie Phillips

Cherokee

Comanche

Joyce Roberts

Madeline Teague

Dr. Matt Wilkett

Chickasaw

Cherokee

Choctaw

Kiowa

Choctaw

Choctaw

IHCRC 2021 23

People.

By Stacie Nutt, Chief Human Resources Officer The last year and a half has been all about separating ourselves from… you know… people. Other people. Those people. Them. As much as I want to believe, still, that pre-pandemic normalcy is surely right around the corner, I struggle with a pragmatic belief that we probably are living our new normal and must adapt. I miss the people. And I know you do too. I think the biggest change every single one of us people had to adapt to was the isolation and separation from other people. This was required of us all. All ages. Globally. In both physical and psychological ways, it’s taken a toll and impacted our lives and relationships. We need to get our peopling opportunities back. The energy created, the understanding achieved, the motivation sustained, the respect appreciated, all feed off our ability to be present with our people. We have an amazing group of 161 people. (That active staff number is as of the writing of this piece.)

As we start looking towards 2022, let’s prioritize putting other people first, taking care of our people, serving other people, and appreciating our need for people. If not for our people, our 161 amazing

24 IHCRC 2021

healthcare-providing people we have at IHCRC, we wouldn’t be where we are today…45 years into an amazing existence. An existence excitedly on the edge of second expansion and an existence only attributable to the people who come to IHCRC every day and care about other people.

Let’s get to know each other, let’s get to know our people again. This is what the people at IHCRC are made of. Enjoy the demographics!

Of the 161 employees who are active this day, 135 of those are women. We are an organization who truly appreciates and strives for diversity and appreciation of women in the workforce, in healthcare!

84% of our workforce are made up of amazing women! One of which has been with IHCRC for our entire 45 years of service to Indian people, Carmelita Skeeter. Carmelita started with IHCRC in August of 1976 and has dedicated her life to the mission of providing healthcare services to Indian people in the Tulsa area. Carmelita has provided leadership to our IHCRC community, to our people, for 45 amazing years that have been full of growth and achievement. In her 45 years, in the clinics 45 years, we’ve seen the workforce, the people, grow to a staff of 161 and growing. We have all 5 generations represented with our largest being Generation X. Generation X represents 43% of our workforce, followed by our Millennials at 37%, and Baby Boomers making up 17% of our people. Interestingly, the remaining 3 percent belong to 3 young IHCRC professionals in the newest generation, Generation Z, and one amazing leader of the Traditionalist Generation, also known as the Greatest Generation and for good reason.

Demographically, today our workforce people are comprised of 57% salaried professionals and 43% hourly professionals. 97% are considered full time status. 32% of our current staff have advanced education and are Licensed to perform the health services we provide to our patient population, with an additional 18% having training Certifications to either assist in or perform certain other health services.

The remaining staff is comprised of both management and support staff whose function is to support the service providers by maintaining the infrastructure and leading the people.

Our workforce people are made up of many tenured individuals who have more stories and memories of the growth and development of our organization than we could ever capture in entirety. Thank goodness for a trove of old photo negatives and slides we have kept safely in administration all these years.

Interestingly 32% of our people have worked for IHCRC between 1 and 4 years with an additional 19% of our current staff having been with us for under one year. That means half of our staff, due to both healthy turnover and adding new positions, have a history of less than 5 years with IHCRC and bring so many new, creative, ideas and experiences with them to add to our talents. 29% of our staff have a tenure between 5 and 9 years and 17% have been with our organization between 10 and 19 years.

We have a total of 4 people who have been with us between 20 and 29 years, with one person having dedicated the last 37 years of their career to IHCRC, and one other, 45.

In the last year and a half that we have been avoiding people, we have had amazing and incredible stories of resilience and tragedy and celebration among our people. Many of these experiences need to be shared in person to be truly respected and appreciated with the compassion and empathy we people need. We’ve had marriages and divorces, births and deaths…too many deaths. We’ve had promotions, terminations, office moves, and plexiglas grooves. We had program growth and facility expansion hopes, and we’ve again run out of office space. And we had a really amazing street party. In all of it, remember the most important part, are the people.

On a purely entertaining aside, 44%, almost half of our staff, prefer the Fall season, with both Spring and Summer seasons each being preferred by 22% of staff. Winter is the preferred season of only 3% of our staff and 9% of our staff fell into another season category by answering with new seasons including Hunting, My Birthday, Vacation, and Monsoon season. Very funny people, very funny.

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Recognizing Success and Service External Awards

Journal Record Health Care Hero COVID Champion Tanya Cain, BSN, RN

Oklahoma City Area Director’s Awards COVID-19 Pandemic Response Award Indian Health Care Resource Center of Tulsa

Oklahoma City Area Director’s Awards Length of Service - 45 Years Carmelita Skeeter

NAMI Oklahoma Professional Organization Award IHCRC Behavioral Health Department

Tenure Awards 5 Years Jennifer Ashlock Sherry Askew Heidi Dawson Tonia Gist Kasi Ketcher Jacquelyn Nickel Elizabeth Parrott Jennifer Porritt Rochelle Richerson Mary Rule Angela Thacker Therese Tierce Shawna Webb

10 Years Virginia Cox Jenifer Hamma Opal Price Mitchell Dodd 15 Years Stacy Berg Jennifer Howard Latoyia Williams Karen Winfree

20 Years Nancy O'Banion Edward Rogers 45 Years Carmelita Skeeter

Special Awards “Shining Star” of the Year Dawanna Keller Appointment Clerk

Provider of the Year Heidi Dawson, PA-C Physician Assistant

“Lift My Spirits” Award Stacie Nutt Chief Human Resource Officer

Employee of the Year Tracy Moore-Hill Appointment Clerk – Behavioral Health

Physician of the Year Award – Medical Dr. Valerie Howard Internal Medicine Physician

Leader of the Year Jenifer Hamma Patient Business Services Director

Physician of the Year Award – Behavioral Health Dr. Emmanuel Roman Psychiatrist

Did You Know?

IHCRC was appointed a seat on the Greater Tulsa Area Indian Affairs Commission. Board Member Elizabeth Battiest is representing the clinic.

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Administration

Carmelita Skeeter, Chief Executive Officer Deanna Holman, Chief Financial Officer Stacie Nutt, Chief Human Resource Officer Tanya Cain, RN, Chief Operating Officer Michael Scott, MD, Medical Director

Department Heads

Carmelita Skeeter, Chief Executive Officer Deanna Holman, Chief Financial Officer Stacie Nutt, Chief Human Resource Officer Tanya Cain, RN, Chief Operating Officer Michael Scott, MD, Medical Director Jason Menting, PsyD, Director, Behavioral Health Nancy O’Banion, Director, Continuous Quality Improvement Debbie Starnes, Director, Development and Programming

Leadership Team

Carmelita Skeeter, Chief Executive Officer Deanna Holman, Chief Financial Officer Stacie Nutt, Chief Human Resource Officer Tanya Cain, RN, Chief Operating Officer Michael Scott, MD, Medical Director Jason Menting, PsyD, Director, Behavioral Health Nancy O’Banion, Director, Continuous Quality Improvement Debbie Starnes, Director, Development and Programming Arthur Holleman, DDS, Dental Director Jennifer Jones, OD, Optometrist Miranda Kohut, PharmD, Pharmacy Director Jesicah Gilmore, MD, Associate Medical Director David Bright, PsyD, Associate Director of Behavioral Health Jenifer Hamma, Patient Business Services Director Edward Rogers, Credentialing, Privileging, Accreditation Director Steve Gregg, Manager, Facilities Kristi Brown, Manager, Accounting Mitchell Dodd, Manager, Information Technology Julie Taylor, Manager, Accounts Receivable Shannon Woodstock, LPN, Manager, Nursing Stacy Berg, LPC, Health & Wellness Program Director Heather Moore, LPC, Systems of Care Program Director Opal Price, Human Resources Coordinator

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550 S Peoria Ave, Tulsa OK 74120