Mshkëkiwgëmëk

Our Health Services Team

Priscilla Gatties Director

Dr. Gerald Morris, Jr.

Medical Director

Jen Hobson Office Manager

Amanda Austin Revenue Cycle Manager

Valerie Turner

Quality Specialist

Latrice Brooks Clinic Manager

Carlos Aguayo Business Manager

Staffing

Daun Bieda Behavior Health Supervisor

Amanda Baldwin Pharmacy Manager

Elizabeth Leffler Community Outreach Supervisor

Heather Stack Dental Manager

Dean Orvis Wellness Center Supervisor

Janel Groth

Mshkiki Community Clinic Manager

COVID-19 Response

PHS continued to serve citizens with COVID-19 vaccines and boosters as they became available. In addition, the Respiratory Clinic tested patients and provided new anti viral medications for treatment that could be filled at our pharmacy. As COVID-19 hospitalizations dropped, in-person visits resumed, but we continued to offer telehealth services for those that needed them.

Strong Financial Foundation

One goal was to continue to increase grant and revenue dollars to mitigate the need for Tribal Government Funds. In 2022, PHS had the most significant recorded billing revenue to date, approximately $15 million, and for the 3rd year in a row, PHS grant and revenue income exceeded the PHS Budget. PHS saw the initiation of new and revamped patient services throughout the department with plans to grow those services even more in 2023, including Endodontic treatments and Implants for citizens at Mshkiki Community Clinic and a Health and Wellness portal for the Healthy Lifestyles Campaign.

In 2022, PHS continued its efforts to rebuild the team and return services to levels similar before the COVID-19 pandemic. There were 23 positions filled, including new positions for a Behavioral Health Counselor, a Revenue Cycle Manager, an Integrative Case Worker, a Health and Wellness Advocate, an Advanced Practitioner, a Dental Hygienist, and a 2nd Full Time Dentist for PHS. Mshkiki Community clinic was also fully staffed with the addition of a Physician and Advanced Practitioner.

Ongoing Renovations

In 2022, PHS started the process that will see some much-needed renovations to the PHS facility in the next year, including a Pharmacy drive-through and a permanent space for an expanded Respiratory clinic.

Pokagon Health Services by the Numbers

• Fully vaccinated individuals to date – 2,929

• COVID-19 vaccines administered to date – 7,245

• Behavioral Health visits – 6,939

• Clinic visits – 14,698

• Community Outreach Program visits – 3,019

• Dental visits – 4,117

• Optical visits – 1,112

• Rides provided – 915

• Mshkiki Community Clinic visits – 2,549

• Total – 33,394

Revenue

• Behavioral Health – $458,620

• Clinic – $2,263,028

• Community Outreach Program – $58,658

• Dental – $814,382

• Optical – $67,731

• Pharmacy – $10,436,885

• Mshkiki Community Clinic – $593,895

• FWCR Wellness Center – $251,508

• Occ Health – $6,810

• Total – $14,951,517

Key Performance Indicators for PHS

Behavioral Health

Behavioral Health has been the awardee of multiple grants in 2022, with these grants, we were able to fund 42 tribal citizens who were struggling with substance abuse to enter a residential treatment center. BH has created a new position titled Behavioral Health Triage Support Specialist, which will assist with telepsychiatry and the MAT program, and will play an integral part in the integration between primary care and Behavioral Health in the timeliness of new patient referrals. Finally, with the impact of COVID-19 on our tribal youth, BH successfully implemented a mixed gender interactive group designed for teenagers aged 12-16 employing a four-part training approach using a table-top role-playing game to teach 50 prosocial skills to enhance their interpersonal skills.

Behavioral Health by the Numbers

• 15 Behavioral Health staff

• 719 Behavioral Health patients

• 242 New Behavioral Health patients

• 7,114 Behavioral Health appointments

Clinic

PHS Clinic continues to grow at a rapid pace providing acute and chronic care. With our COVID grant we have been able to provide staffing for services in the respiratory care clinic and COVID-19 vaccines to citizens, employees, and the greater community. Our MAT program for opioid use disorder and Weight Management programs continue to grow and we are seeing positive results. We continue to offer books to children during well child visits as a result of our participation in Reach Out and Read.

Clinic by the Numbers

• 27 Staff

• 2,800 Active patients

• 222 New patients

• 1,396 Visits to the respiratory clinic

• 47,667 Clinic calls, incoming and outgoing

• 14,698 Patient visits

Community Outreach Program

In 2022, we implemented our health and wellness advocate, enabling us to improve patient cancer screenings, get HLC back up and running, offer Libre continuous glucose monitoring, and restart our monthly fresh fruit and veggie and nutrition education with the school. We implemented the Food Farmacy program that provides education and vouchers for people to add fresh fruits and vegetables into their diet. We hosted several great classes and events and implemented the Smart Moves virtual program partnering with Yale University. We also completed several visits with patients providing family education, lactation education, nursing nail trims, nutrition education, SSDI applications, five wishes, assessments, care coordination, and much more.

Community Outreach Program by the Numbers

• 7 Staff

• 3,019 Visits

• 435 Diabetes-related visits

• 975 Immunizations

• 6 Blood drives with 80 donors

• 197 Participants in Light the Way 5k

• 250 Food vouchers distributed

• 36,667 Miles driven

Community Outreach Program Events and Classes by

the Numbers

• 12 Children trained in babysitting course

• 34 Families enjoyed the Annual Baby Celebration

• 180 Attendees, including staff, at A Healthy Step

• 86 Smiling faces at the Father’s Photo Booth

• 12 Citizens (average per class) learned cooking tips at Cooking Matters

• 25 Educated at the Fruit and Veggie monthly at the school as well as Healthy Nutrition Education Month

Dental

2022 was a very busy and productive year for Dental. We welcomed new members to our team including a dentist, dental assistant, and dental hygienist, greatly improving access to care for our patients. We also implemented various new pieces of technology including four new autoclaves, a new intraoral scanner for our Cerec crowns, as well as a Dental hard and soft tissue laser. New services offered in 2022 include Myofunctional Therapy/Myobrace and Frenectomies for tongue and lip tie releases. October was an all-time recordbreaking month for dental billing revenue totaling $61,627.

Dental by the Numbers

• 11 Staff

• 3,427 Patients

• 228 New patients

• 4,117 Visits

Optical Services

In 2022, optical served our patients by offering a wide range of selections and always striving to have new inventory.

Optical Services by the Numbers

• 1 Staff

• 1,112 Patient visits

• 530 Glasses ordered

Pharmacy

Pharmacy continues to increase in prescription volume from year to year. On October 11, we had a new record day filling 508 prescriptions. Our revenue surpassed $10.4M with the addition of tribal pharmacies receiving the all-inclusive rate from the State of Michigan.

Pharmacy by the Numbers

• 5 Staff

• 56,046 Prescriptions filled

• 75 Blister packs

Purchased/Referred Care

In 2022, PRC processed a record 3,269 referrals. We continue to sign up patients to Medicare Part D in conjunction with pharmacy to increase revenue and help patients meet their needs. We also continue to sign up patients through the ACA to help offset cost of patient needs.

Purchased/Referred Care by the Numbers

• 7 Staff

• 3,269 Referrals

• 5,082 Clinic

Transportation by the Numbers

This year our transportation department exceeded the previous year with 915 transports for patients to appointments.

• 3 Staff

• 915 Transports

Wellness Center

The Wellness Center expanded hours to 6:00 a.m. – 7:00 p.m., Monday through Friday, and 8:00 a.m. – 12:00 p.m. on Saturdays. We offered certified personal training, group classes, swim lessons, sports clinics, outdoor activities, cardiovascular or strength training, flexibility session, and relaxation techniques. The Healthy Lifestyles Campaign (HLC) and weight loss management programs also resumed. We averaged more than 500 visits per month from our patients. We offered two fitness classes a week, virtual classes, an elder’s program, youth activities, and an adult open gym for various games and events.

Wellness Center by the Numbers

• 3 Staff

• 4,488 Visits

Mshkiki Community Clinic

Mshkiki Community Clinic continues to grow at a rapid pace providing acute and chronic Medical and Dental care. The purchase of the endodontic microscope at end of 2022 will enable the Dental clinic to start offering root canal and implant services in 2023 to community as well as tribal members. We added a part time dentist and dental assistant to assist with expansion of services.

The Medical clinic is starting to grow as well with the addition a fulltime physician and physician assistant. We continue to work with the Communications Department to introduce the community to the clinic.

• 12 Staff

• 2,108 Dental patients served

• 390 New dental patients

• 486 Medical patients served

• 115 New medical patients

• 3451 Incoming calls tracked (starting in March)