Presence: Summer 2021

a publication of Saint Francis Health System

Saint Francis Health System Board of Directors John-Kelly C. Warren, Chairman Judy Kishner, Vice-Chair Jake Henry Jr. Michael Case Michael Cooke, JD Ashley Gable, MD Reverend Gary Kastl William R. Lissau Charles McEntee, MD

Contents Purposeful Leadership

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The Children’s Hospital at Saint Francis Marks Five Years as a St. Jude Affiliate Clinic

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An Enduring Presence

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Unexpected Aftereffect of COVID-19 in Kids: MIS-C

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TeamBirth Project and Saint Francis Health System Help Improve Perinatal Care

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Don’t Wait. Vaccinate.

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Celebrating the Saint Francis Health System Values Awards Winners

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Forbes Names Saint Francis Health System Among America’s Best Employers

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Saint Francis Hospital South Announces Future Expansion

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New Guidelines Open Up Lung Cancer Screening to More High-Risk Patients

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Xavier Medical Clinic Commemorates Two Decades of Service

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President and CEO Jake Henry Jr. Retires

Saint Francis Health System Annual Community Benefit Report

Saint Francis Health System Executive Council Jake Henry Jr.

President and Chief Executive Officer, Saint Francis Health System

Barry Steichen

Executive Vice President and Chief Operating Officer, Saint Francis Health System

COVID-19 Vaccination FAQs

Eric Schick

Executive Vice President and Chief Financial Officer, Saint Francis Health System

Mark Frost, MD

Senior Vice President, Medical Affairs, Saint Francis Health System

Mike Lissau, JD

Senior Vice President, General Counsel, Saint Francis Health System

Tom Neff

Senior Vice President, Strategic Planning and Corporate Business Development, Saint Francis Health System

Doug Williams

Senior Vice President, Saint Francis Health System and Administrator, Saint Francis Hospital

Collin Henry, JD

Vice President, Saint Francis Health System, Warren Clinic Operations and Physician Recruitment

Michele Keeling

Vice President, Saint Francis Health System and Administrator, Saint Francis Hospital Muskogee

Finny Mathew

Vice President, Saint Francis Health System and Administrator, OSUMC

Todd Schuster

Vice President, Saint Francis Health System and Administrator, Saint Francis Hospital South

Letter from Jake Henry Jr., President and Chief Executive Officer This writing represents the last message I shall be sending prior to my retirement on June 30.

Cliff Robertson, M.D., will assume his role as chief executive officer on July 1, 2021. The search committee of the board worked tirelessly throughout the winter and spring to identify the next leader of the Saint Francis Health System and I have every confidence that Dr. Robertson will move the ministry to new levels of excellence.

I am leaving the company pleased that it is on a continued trajectory of growth to meet the community needs of eastern Oklahoma. With a luminous mission and vision underpinned by our values of excellence, dignity, justice, integrity and stewardship; with a comprehensive planning process that demands accountability; and with a sound balance sheet, Saint Francis is well-positioned for the future.

I am excited that the board of directors approved management’s proposal to expand needed services at Saint Francis Hospital South, adding 120 beds to that facility as well as expanding the number of operating rooms and providing more support space. At the same meeting, the board approved major improvements to Saint Francis Hospital Muskogee that are still in the planning stages. I shall always be indebted to the board for the assent they have granted allowing Saint Francis to create or expand services vital to community needs and to providing resources to weather competitive threats. Most recently the board assured that there would be adequate resources to deal with the COVID pandemic in eastern Oklahoma.

Due to the accomplishments over the past 61 years and particularly over the past 19 years, the Saint Francis brand continues to grow stronger and has never had greater depth or breadth.

I want to thank my 10,500 colleagues who see that Saint Francis, in its various locations, sets the standard for healthcare delivery in Oklahoma. They assure a culture of patient-centered care that is palpable throughout the organization. It has been a joy to work with the doctors, nurses and allied health personnel who care deeply and genuinely about the health of the communities we serve. I would also express my gratitude to the board of directors, The William K. Warren Foundation, the Warren family and the Diocese of Eastern Oklahoma for their constant and loving support of the Saint Francis enterprise.

I have been blessed to lead Saint Francis for these past 19 years. It has been the capstone of my 45-year career as a healthcare executive. Please accept my deepest thanks, warmest regards and fondest farewell. Peace.

Jake Henry Jr. President and Chief Executive Officer Saint Francis Health System

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A Great Day for Puppy Parade Due to the pandemic, it had been over a year since patients at The Children’s Hospital at Saint Francis and therapy dogs from Paw Pals had been together. That all changed on a sunny spring day in April with a unique idea: Rather than room-toroom visits as in the past, patients gazed out their hospital room windows to catch the pups as they paraded around the facility. For those young patients and families coming and going that day, some enjoyed a “high-five” or a “shake” from a furry visitor or two.

Before COVID-19 visitor limitations were put in place, therapy dogs made weekly visits to The Children’s Hospital at Saint Francis where they spent quality time with those in need of a distraction, some comfort and puppy snuggles. The patients and staff members at the hospital look forward to the day they can welcome the therapy dogs and their handlers back into the facility for visits. Until then, it was clear the puppy parade made for a lot of smiles and a funfilled diversion for all.

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“Blessing of Hands” Ceremonies Provide Strength and Grace National Hospital Week is commemorated each year as a special time to celebrate healthcare workers. Throughout that week at Saint Francis, special prayers for the Blessing of Hands were said at various locations to help inspire and strengthen staff whose healing touch provides care and renews the spirit of so many. After the prayer was recited, the hands of Saint Francis caregivers were blessed with holy water.

Prayer for the Blessing of the Hands “God, comforter of the afflicted and the strength of the weak, has brought you together to care for the sick. May He strengthen you by His grace, so that, in serving the sick with tender charity, you may serve Christ Himself.

O God, in Your wise providence You are glad to bless all human labor, the work of our hands and our minds. Grant that all those who carry out the ministry of Jesus here at Saint Francis be blessed and rewarded for their commitment to caring for those in need. And may the blessing of almighty God, the Father, and the Son and the Holy Spirit come upon you and remain with you forever.”

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Teaming up with Schools As COVID-19 vaccinations were made available to those aged 12 and older, Saint Francis Health System teamed up with Tulsa Public Schools (TPS) to help get kids vaccinated.

Throughout the month of June, vaccination clinics were scheduled for two area schools, Carver Middle School and Memorial Junior High.

Warren Clinic staff and nurses were on hand in each school's gymnasium to provide shots to the students and even their parents and family members if needed.

"We're so pleased to be able to partner with TPS and other area schools for this program," said Dr. Mark Frost, senior vice president of medical affairs for Saint Francis Health System. "We hope that this vaccination program and others in the area will pave the way for a safe return back to the classroom for kids in the fall."

Saint Francis offers ongoing access to COVID-19 vaccinations for those aged 12 and older. To schedule your appointment online visit saintfrancis.com/getvaccinated.

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PURPOSEFUL LEADERSHIP JAKE HENRY JR. RETIRES AFTER NEARLY TWO DECADES AS PRESIDENT AND CEO OF SAINT FRANCIS HEALTH SYSTEM

Jake Henry Jr.’s retirement on June 30, 2021, marks the end of an era—the turning of a page for both him and Saint Francis Health System.

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PURPOSEFUL LEADERSHIP A MAN WITH A PLAN Strategic planning was an area that Henry identified as a priority upon his arrival.

“I had a plan when I got here, but the system didn’t—that was one of my first orders of business,” he said.

Henry’s faith in the power of effective planning dates back to his days as a graduate student in healthcare administration.

A native Texan, Jake Henry Jr. had never visited Tulsa until relocating here in 2002 to begin his role as president and chief executive officer of Saint Francis Health System.

In the late 1990s and early 2000s, Saint Francis struggled to secure long-term executive leadership and had cycled through five CEOs in the 10 years prior to Henry’s arrival. “You can’t run an organization well with that kind of instability,” Henry said.

In June of 2002, the seeds of stability and sustainability were planted and the system’s years of instability were coming to an end.

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“Planning became the most important element of what leadership was all about, so I’ve made sure to embed it in the culture wherever I’ve been,” Henry said. “I think most people at Saint Francis would tell you there’s a big awareness of how our mission, vision and values influence our planning guidelines, and most of the corporate activity involving patient care is built around those guidelines.”

Within a few months of his arrival, Henry created the department of strategic planning, which released its first set of annual objectives in early 2003. “It was a top-down, bottom-up approach. Input was sought from across the system—it was a collaboration that produced a very solid plan,” he said.

That initial planning cycle revealed the need for three major projects to elevate the quality and range of Saint Francis’ healthcare services: 1) add critical care beds at the Saint Francis Hospital campus on Yale; 2) build a children’s hospital; and 3) establish a community hospital with strong obstetrical and medical/surgical programs in the south Tulsa area.

All three of these strategic priorities were accomplished, but not in the order one would expect.

2014: Kathy and Jake Henry Jr. take a moment to visit with Bishop Emeritus Edward Slattery following the consecration of the new Chapel at Saint Francis Hospital.

CHILDREN FIRST From a business perspective, the children’s hospital would have been last on the list. “You have to have a strong health system to support the heavily uninsured and unreimbursed care that frequently comes with a children’s hospital,” Henry said.

On any given day, more than 65 percent of the children and babies at The Children’s Hospital at Saint Francis are on Medicaid—which typically pays less than what it costs the hospital to provide service. “However, from a mission perspective and looking at it through the lens of community need, there were no questions in the minds of our board members as to what should come first.”

2008: Celebrating the formal opening of The Children's Hospital at Saint Francis

The health system broke ground in 2006 and The Children’s Hospital at Saint Francis opened in February of 2008. Along with the new facility came the recruitment of pediatric subspecialists that had previously not been available in eastern Oklahoma.

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2008: Saint Francis Hospital South opened to provide local residents with 24/7 emergency care, labor and delivery services, as well as primary and specialty healthcare services.

NO ROOM AT THE INN “It was a good problem to have from a business perspective, but from a mission perspective—it was a failure. There were times when we literally didn’t, and sometimes still don’t, have room at the inn for those that need our care,” said Doug Williams, senior vice president and administrator of Saint Francis Hospital.

“There are two options when our beds are full—patients either have to wait in the ER or we have to try to find them another hospital that has the capacity and clinical expertise to care for them. We don’t like either of these options—when people turn to us in their time of need, it’s our job to care for them.”

Once the children’s hospital project was in motion, attention turned to adding additional adult inpatient beds to Saint Francis’ complement of hospital services. At the time, Saint Francis had a joint venture with local cardiologists to operate a heart hospital on the south side of town. The facility was located in the area that was being considered for expansion.

As plans were developing to build a new acute care facility adjacent to the heart hospital, the idea to relocate the cardiac services at the facility to the Yale campus was introduced, approved and initiated.

The new Heart Hospital at Saint Francis and Saint Francis Hospital South both opened in 2008, checking another strategic accomplishment off of the system’s to-do list.

2018: Warren Clinic opened a new facility in Sand Springs which includes urgent care, primary care, pediatrics, lab and X-ray.

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WHEN A PLAN COMES TOGETHER Henry and Saint Francis accomplished all three goals identified in the system’s first long-term strategic plan.

Following the opening of Saint Francis Hospital South, growth and expansion continued at a steady pace.

“We’ll go where we’re needed. We don’t expand for our benefit; we do it for our patients and the community.”

“I’m proud of all that we have been able to accomplish over the past 19 years, but one project that I’m particularly proud of is the acquisition of Saint Francis Hospital Vinita,” said Henry.

In the fall of 2016, Craig General Hospital in Vinita was days away from bankruptcy and the city of Vinita was days away from losing their only hospital. Saint Francis Health System had a presence in Vinita via Warren Clinic since 1989. When the hospital

started to struggle, Saint Francis saw the impact it could have on Vinita and the surrounding areas.

“Having recently extinguished all of the system’s debt, we found ourselves in the fortunate position to be nimble when opportunities—like Vinita— present themselves that can benefit the communities we serve,” said Henry.

“We had to do something—letting that hospital close wasn’t an option for us.”

The health system also experienced a significant growth spurt in 2017 when it acquired Eastar Health System in Muskogee—now Saint Francis Hospital Muskogee.

When asked about future expansion plans, Henry said, “We’ll go where we’re needed. We don’t expand for our benefit; we do it for our patients and the community.”

2016: The health system acquired the former Craig General Hospital and opened Saint Francis Hospital Vinita.

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CONSISTENT AND PREDICTABLE

throughout the system to benefit patients and personnel.

“There are few meetings around here where the words ‘consistent and predictable’ aren’t uttered,” said Doug Williams. “They’ve become part of our vernacular and what we strive for as we extend our mission.”

“The future of healthcare is uncertain, but I know that we as a health system have to be self-sustaining as opposed to being reliant on the Foundation to survive,” Warren said.

“Jake understood that and knocked the ball out of the park. Saint Francis not only became self-sustaining but is probably one of the top five stable health systems in the country.”

Consistency builds trust and predictability reduces anxiety. “My push for this in how we do things is something that’s been part of my thought process for most of my career. You have to repeatedly do what you said you were going to do,” said Henry.

John-Kelly Warren, chairman of the Saint Francis board of directors said Henry has brought a level of consistency, transparency and responsibility that trickles down

With Henry at the helm, Saint Francis has delivered on its promises and has become the largest hospital network in the state, while at the same time extinguishing all debt and dramatically increasing its net worth.

2011: Bill Lissau, Jake Henry Jr. and John-Kelly Warren at the groundbreaking for the Trauma Emergency Center and patient bed tower at Saint Francis Hospital

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With Henry at the helm, Saint Francis has delivered on its promises and has become the largest hospital network in the state, while at the same time extinguishing all debt and dramatically increasing its net worth.

Jake Henry Jr. pictured with the late Henry Zarrow (center), longtime Saint Francis board member and trustee, and William K. Warren, Jr., (right) current chairman, Board of Trustees.

THE VALUE OF HOMETOWN OWNERSHIP The Saint Francis board of directors is a group of men and women who live in Oklahoma and know that their actions directly affect the eastern Oklahoma communities in which they live.

“If I need an MRI machine and it costs $3 million, I don’t have to call a home office in Nashville, Saint Louis or Dallas,” Henry said.

“That decision is made in this board room with people I know. They’re people who may need that machine one day—or their family and friends. It’s personal.”

The most important advantage of being a local operation is how it adds value to the care of Saint Francis patients and employees. Less red tape and more direct access to funding and resources allows the system to focus on preventative care and other emerging aspects of the healthcare industry.

“I’m thankful for Jake and his administration for helping Saint Francis stand and grow on its own,” said Warren. “It freed up funding from The William K. Warren Foundation that previously would have gone to support health system operations, but can now be invested in other community needs such as mental health.”

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ALWAYS ADVOCATING Justice is one of Saint Francis Health System’s core values. It is defined as: advocating for systems and structures that are attuned to the needs of the vulnerable and disadvantaged and that promote a sense of community among all persons. This value extends far beyond the walls of the system’s bricks and mortar.

2013: Mr. Henry delivering his inaugural address to the Tulsa Regional Chamber.

One of the most significant community achievements that reflects the system’s value of justice involves Oklahoma’s recent expansion of Medicaid coverage. A state decision that came into the spotlight after the passage of the Affordable Care Act, Medicaid expansion was poised to generate an extra $1 billion a year for the state to provide healthcare for low-income adults and protect rural hospitals. Henry spent years, through two gubernatorial administrations and multiple legislative sessions, advocating for additional Medicaid benefits. He also promoted the expansion as chairman of the Tulsa Regional Chamber in 2013. When voters finally approved State Question 802 in the summer of 2020, he was proud of the role Saint Francis played in such impactful community change.

“To see Medicaid expansion pass was one of the greatest accomplishments we made here,” said Henry. “It will truly impact lives for generations.”

New expansion planned: A rendering of the planned expansion at Saint Francis Hospital South.

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PRIORITIZING THE COMMUNITY Thanks to the foresight and thorough planning Henry has instituted at Saint Francis, the system continues to evolve.

Next on the list of upcoming new projects and improvements is a 120-bed addition to Saint Francis Hospital South. That location will also add four operating rooms, more support space, a new chapel and other features to better serve residents in that area of the city. (Read more about this expansion on page 42.)

“Like we faced in the mid-2000s, we’re again in a situation where we’re running out of room because we don’t have enough beds to take care of patients,” Henry said. “This expansion will provide a pop-off valve for our largest facility here on Yale.”

The south Tulsa announcement is uplifting news to share after more than a year of serious COVID-19 messaging that Saint Francis worked quickly to create and diligently update as the pandemic progressed. Henry said the timely and effective work of Saint Francis demonstrated how its mission and local brand are deeply ingrained within the region. “When your nonprofit mission is to extend the healing ministry of Christ, you want to do that in a more profound and larger way than it was done before you.”

2018: Mr. Henry greets some of the Religious Sisters of Mercy as they gathered at the All-Employee Party at the Tulsa Zoo. The event was held annually for employees and their families to enjoy.

While Henry’s consecutive, five-year strategic plans have carefully guided Saint Francis Health System for the past 19 years, he is quick to express his gratitude for the Warren family’s unwavering influence and support. Henry fulfilled John-Kelly Warren’s request to help Saint Francis thrive on its own financial footing, but residents in eastern Oklahoma continue to benefit from the Warren family’s generosity.

healthcare excellence within the Saint Francis Health System. As he retires, he is comforted knowing that the system is in good hands. “I am proud of this team of dedicated, talented and extremely sharp leaders; the system is in great hands. I have no doubt that they will continue to build on our successes of the past 19 years and take us to places we couldn’t have imagined back in 2002.”

“We are grateful to the Warren family for having given so much to make this the kind of vibrant community that it is, and they do that quietly,” Henry said. “The legacy of charity and benevolence that started with William Kelly Warren, Sr., and his wife Natalie, in 1960 is alive and well today.

William K. Warren, Jr., carried on his dad’s vision and his son, John-Kelly continues to carry that torch. It’s been an honor and privilege to work with and learn from them over the years.”

“I always try to live by the credo that says, ‘always leave something better than you found it,’” Henry said. “There was a wonderful ministry here when I arrived, but I think we’ve taken it several levels higher and I’m proud of that.”

Henry’s consistent and strategic methods of management prompted a new era of

Henry and his wife Kathy plan to stay in Tulsa after his retirement. “My wife and I are Texans and we always had it in our mind that when the time came to retire, we’d head back to Texas. I guess my strategic plan missed the mark there! We’ve developed quite an affection for Tulsa and are looking forward to this next chapter of our life here.”

“I always try to live by the credo that says, ‘always leave something better than you found it.’ There was a wonderful ministry here when I arrived, but I think we’ve taken it several levels higher and I’m proud of that.”

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Saint Francis Health System 2020 Community Benefit Report According to Merriam-Webster, the definition of “presence” is simply “the fact or condition of being present.”

To us, presence means so much more. Presence means being active, compassionate, steadfast and engaged—in good times and bad.

With humility and gratitude to the God who guides us, we believe this past year brought to light just how essential our presence is to the region and state. In the same year Saint Francis Health System celebrated its 60th anniversary, we faced the first global pandemic in more than a century. It was something nobody could have predicted, but these past sixty years prepared us to lead our community through a true healthcare crisis.

As long as our neighbors need our help, we are there, extending the presence and healing ministry of Christ in all we do.

Presen An Enduring

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Fiscal Year 2020 Total Community Benefit:

$141,536,927

Community benefit is defined as programs and services offered by healthcare providers that are designed to: • improve the health of the community; • increase access to healthcare; and • advance public knowledge on issues impacting health and wellness.

While providing community benefit is the core function of Catholic, not-for-profit healthcare and the basis of their tax-exempt status, Saint Francis Health System seeks to not only meet these core functions, but to exceed them whenever possible.

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Our presence is defined by every dollar we spend in service to others.

As the needs of our communities increase, so does our reach.

Over the past five years we have grown our annual community benefit by $70 million.

Saint Francis Health System’s community benefit is represented by seven key aspects of our ministry: Charity Care $76,403,818 Uncompensated Care $28,636,926 Community Contributions $20,825,771 In-House Trauma Coverage $8,833,491 Xavier Clinic Funding $3,295,240 Community Benefit $2,973,130 Med-To-Bed Program Subsidy $568,551

Charity Care $76,403,818 Uncompensated Care $28,636,926

Med-To-Bed Program Subsidy $568,551 Community Contributions $20,825,771 Xavier Clinic Funding $3,295,240 Community Benefit $2,973,130 In-House Trauma Coverage $8,833,491

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During the darkest days of the pandemic, Saint Francis Health System employees carried the torch that lit the way for our region’s response. They made their presence felt not only on the job at one of our 100-plus locations, but in the communities they call home. No mask could ever disguise their grit and grace in the face of challenges, and these women and men continue to inspire us all.

Our people. Our strength.

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Every member of the Saint Francis Health System team played a part in our response to COVID-19:

Our physicians, nurses and other providers who never ceased to serve patients with the standard of excellence for which Saint Francis is known

The thousands of support staff in all positions who performed their duties despite the new challenges

Our local leadership team who charted the course for our entire health system

Our 600-plus volunteers, who helped facilitate social distancing by staying home—one of the most difficult things they could do

“My standard line is everyone who works here is a saint, because they wouldn’t be doing what they do without a sense of compassion and care for others.”

– John-Kelly Warren, Chairman, Board of Directors, Saint Francis Health System Saint Francis Health System

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CATHRYN KYZER ARIKA KAYSI KAYCY ALETA KACY JULIANA NAO BRIANA KILEY HUBERT LENORA PRASOONKUMAR VICKY BARBARA QUALITE KAILEA AIRA REBEK LENNIS GUSSIE JOE CAROL JUNE JAMIE NATHAN LEIANNE MINNIE RYLEY NEETU SHELLIE KADI DAMON SALLIE SUN ROBERTO KENNA RODGER CATHEY PAULETT VERSIE NABEEL KEIANNA KAYLN SETH CHARLES JARED HALEIGH LINSEY JACINTA MEHTAP THERESA VARONICA TRE’LEA HOLTHANG LEE ANN MITZI VAHMONG ADELYN HARRISON MISA SANDY TERESSA ARTHUR DEANNA SUKUMAR TENNILLE SHEENAH SHANNAN YIPYO WESLEY THURMAN KAYCI KATIE RASHAYA DEBBY F GRAYSON TONJA ELSA BRAHIM AMARA LELA TENISHA IIKEEM JONELLE DYAN HELGA WILMA ARTINA LINDSY DAVID MACKENZIE CECE KALI MARCUS JOHANNA BRITTANI TENNY NAMORLINE NIKHIL CORAIMA AMIE BRADLEY OLESYA TAMESHIA GLENDA MADDILYN GABRIELLE JOCELYN D’RAYSHA DYNESEAH NATOSHA TERRA NU BAYLIE ASHLI CATHLEEN RAYMOND JAKE MASHAYLA CASSONDRA FRANKEE MYKAL CHELSI MOHAMMAD JACQULYN NASHAE LEIGH KRYSTAL SHAIKA KARLI SUZANNA BANESSA RETTA GARRETT ALEXYS BETSY JARRETT CAMERYN TERRESA 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BILLIE DAONE OLIVER DARRIEN ANA MARIE SNEHA JOANNE TRENIDA DIMCING ASHTYN ALISHIA ANEADRA COLET RACHELLE SAEN PA HOUA KAROLYN JENTRY YELENA KENDALL MIKO MACENNA DOMINIQUE LAURON TAMAR LARYSSA SHERI CHARLYNN LARINDA LIEN TYRESS F JOSUE IDA DONICIA JASON ROMY SHAWNEEN KORRINE OLUREMI ALLYSA EDWIN KERRI CHERI JERMINE TRESHAUNNA EBONY DESTINEE MELBA HANH MICHAE GWENDOLYN SRIRAMASURYATEZ MADDISON SHERRI BROOK PORSHA NENA EMILY A’CHAUNTI MOLLIE HAILEY ANNADELIA AURIELLE RYAN MARISA LYLE HYUN C TOYE SUE NIVARDY KADEE JOYE JOHN KARRIE ANNETTA TROY LUZMARIA KANDICE CHRISTEN CELINA OKEOGHENE KENNETH CAMRYN TARINA REBECKA DAWIT CHELDYN CHARLA NENO OLUTOYE TITUS KENDAL TSELEM LILLIE ISRAEL MONTOYA LIONEL ADELA WAKEELAH DYNELL NISHA MADELAINE POPPY-ANNE ROWE MADELINE DARLA EMMALEE BRODY ERICK PHILLIP MAGGIE KATHLEEN ROSS REGINA CARMELA REBEKAH AMBER SHAWNI EVETTE MYRA KYLA KAI DEMETRIUS KYNDER CASSIDY MALEA TUCKER LYNETTE TMHRTIE KALLA TEXY EVELIA ANA ODESSA MARTA KOTESWARARAO DALTON KATELAND 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BENNISA ALONDRA JOHNATHAN HAILEE ALVAN ZOHNY CONSTANCE RONI TARITA LORRI YANA NICKIE ALE APRIL LUN JAMYE STACIA TAMMY MCKALYNN MARVIN TAWNIA SHAMIM ADRIANA NGHIA NGAN DARYL CHERMARA ADETOLA AJAY ALLIE JACQUELYN KAYTLA ARAM MIRANDA BRICE CIIN DALEY FLOYD JAZMINE DANYELE MARYLEE MICHELLE DANNY RONALD DULCE ZACHARY FINNY FELICIA LYNNA TOM LIZETTE ROBER QUANTONIA CHRISANN GLADIS SHALINI LETHA ERYN CRISLY GRACE PANHIA JOHNNA CLARA ALAN-MICHAEL TAIAH BAILEE FREDERICK ANSON RAVEN IRIS OLGA ALISAN AALIYAH VITALIY RANILO CHELCIE MAI VANG SIEARRA RAENA STEPHANIA ALYA KRIS SONNY ICELY KERSTON MADALEINE COY HAIXIA TORY TRISTEN GIN BRENNA KEVAN PAULO SAMUEL RANDON ETHAN XIA SHARI AUBREE SHAYLEE MARLENE KHUAL ANU HAILIE STACY LATRISHA JULIE QUINCEE LIBERTY SHA ASHTIN DEBASISH DORIS JANNETTE REBECCA FABIOLA SYED GLORIA ROSIE SHARON CAREY BRENT DERIAN ANDRE ZAMKHAN MINA LOTTIE YI PIN CORNELIUS MAKINA ABDURRAHMAN JUSTICE EVA DREW CHELY ELYSE ASHLEIGH CLAY RANA JADRIAN ROYCEANNE JEANNE CARA JENNA TONYA GINA SHELBI GLYNDIA JACLYN KALAH ALLICIA ROBYN TUAL REYNA YANNINE RAVONDA VENESSA RICHARD RONNIE JUDITH SADIA KIPPER MARIAN JADE CHRISTIE LESLEE KIERA SAIR GRAYDON KHAILA KRISTYN DANIKA KINDRA CALEB MALORY SHAWN STEPHANEE SIBYL CORINNA DILLAN MAYCEE MARY JANE DARRIAN BENIAM ZENITA CAYDE TIFFANY KORTNI CATHY CHANTIS LONG MINH KUMIKO KENSLEY LIZULY DYLAN BERTHEOPHILUS CRISTA JAMI NIKOLAUS TISHA RAFAELA SHARA IZETTA SIDNEY OLUWAKEMI ANNICE SISTER MARY NIKA JOETTA KEITH MOLLOSEY CHECOTAH NANG KIERAN KRISTIANA CINDA MARNORA THUC JULIA SHAWNA TAYLOR CARISSA MIRIAM SABRENA MADDIE MCKYNNA KENDELL ZAHRA NAGA SUSIE RUSSELL LADENA MARSHA RYLIE STEFANY TREVER MASON PAMELA ELLOIS KATHRINE PAJIAB KAMRYN HAROLD DANNA LEA CEARRA ANNETTE EMILIE DALEA PAKOU GINNY DEMETRIA NEM SAN GEANY LYDIO ANNE SEE ASYA KAYELYN ALBERTO MINDY J ZOEY ZEN ALEX JALEESA CLAIRE RHIANNON AMOS ELVA CAMERON LEROY LAWRENCE CAROLINA CLYDE ANISA ELIZABETH SASHIRA EDYTHEDIA MECHELLE SH JAMMI MISTI VICTORIA RICKEY CARI MARY LORENA LATEKIA AIDA GAGE BRITTANEY ANN SHAWNELL BASMAH ADRIANNE MOLLY SIMONE CHEALYN JARRET ELS WHITNIE PAYTON KALLY JHONLIEN RICKY ALOISA KESAKE EMELIA SHERA SAMMY KINZY ILLETA LOTSEE MELODY DENIS ANALISVED RENAE FRAN CHANNING J DAKOTA TERRI KIMBERLEE ARIANA NEVA RUBIE ANN ALEXI ZEOLAH MERCY SUDIP SHANTI MERIDITH AMY DECODA KIRAN MEGHAN NORA DEUTER MOLLI TAMA OSBEL RAMINTA MARKI EVERETT OMOLOLA GRACIELA KELVIN TEDDI LUNAS CALLI MARION KAYLA TOWANDA MONTANA DENA STARLIT CYNDEE TAMYTREA MY KAYTIE JACQUEETA NADIA VICKIE LYNDSEY LEANDRA DAMESHA MELAYNA CHASIDY JONATHAN CONNOR SHLONDA BRADYN NESTOR J JILL MADHAVI LUCILLE M HANG ANGIE YTASHIA KYLIA BETTE TANETA AMBREA KIRSTEN BELZORA SAVANNAH VENUS VERLISA JENENE GLEN NICOLLE LOREN JOANNA CASANDRA ELI K GEMMA MIRA EVELY TILLMAN LAWANDA RUHY CRYSTAL LAQUAN KYNZI SHAHABUDEEN FEBIN ZAM CARMEN TEMITAYO MARIANGEL JOZEF HALEY NOLAN ALV PRIYANKA NICHOLE NGAI TYMANI CORY DESSIE TYIUS MCKENNA LAMETRICA LACRECIA YASSMEN JENIFER SHELLI RAJYA DEANTREA NADZEYA HARSH DAGNA AL MEAGHANN REEDERETTA ADAM MISTY COLLETTE LOURDES JANIS MAUREEN TIAWNA ALEXANDRIA MAX HAYLEE JENNIFER AYENI ED RAE-LEIGH MERRY SEAN M BRENNEN KENEDDY TEAGAN WALTER SEVAN JOHNYNE SHAYTRA OMAR ZAR TAMI SHEILA JO LORI MAYRA LARRA TODD DERICK ALYCESON ALECIA LEAH RAZIE KAYLEY BRET HARLEY YANET SHELLY JERA AUSHALEE JEFFERY AMARIS KIMBERLEY DIPTESH ZETA CONCEPCION JEREMY KATHRYN SOCONY ANJEWELLIQUE ROS KRISTI LORRIE JAYLENE GERMAINE ARREYA BRANDA SONDRA SUSANNE CHERELLE IVON SABRA KIARRA KRISTINE ABBEY BRITTNI PHONG MELONIE SAILATHA DW DIONNE BREEAN ALYXANDRA DAMIAN MELTON SHAWNRA MARIE PYPER DEIDRA TIMA EMILEE JALEN MADISON-ASHLEY GUIDO EDDY RHAELYN LUNYA THANH D MERCEDES LANCE DEGALENE CHEYANNE KRYSTINA ARIBEL CASAUNDRA KIERSTIN ANTHONY TONY LYNN RAELENE TRISTINE INSUNG NADINE SHAILA EMELY JOS LOUISA VICKREY ELIDA CAITLIN CARINA KANDI CLAYTON TEMITOPE HOUSTON HALLI KATHERYN COURTNAY KALA ROSHAN LYNDSAY SHERRIE REONA ALFONS

*Duplicate names removed

KA VALICIA PAMALA MACIE DARRION BETH BRITTINIE GABRIELA NATIEZKA BARRY ALEXANDER BANESA LEISA JENSY KERRIE GABLE COURTLEY EMALEAH JAYME TA DESTINY KRISTA NIKESHIA KEILULA HANNAH TIFFANI KERSTIN ADRA JODY TOBY ANTONIO ROXANNA SYDNEY DAMA JOAN WYATT TAMEKA LEONARD LILAN SHANICE BROOKLIN JIE SARTAJ MEREDITH DEVON LUCAS MARTINA ROKSANA KIERSTEN NATALEE JANET LAUNIE BRENDAN MARI DARWIN PRASHANT LARISSA FRANCIS MANG SHELIYAH COLEAH CHARISSA BRENDLYN SINDI CALISTA PATRICIANN ISAAC BRINLEY MARCI JALISSA TYLER NELDA ANTOINETTE KELSEA TESLA A ALLEN PHOUA KATHIE OLAKUNLE LUISA FELEISHA LUCINDA NICHOLAS DELAHNE KHRISHUNDA MARA LEONIDUS CHARITY LACY CHOULANDA ROCHELLE KALEE ACE TOMMIE JOSH SHIQUELA CAROLYN MARIO COLTON ALEJANDRO AGNES TIANNA JESSYCA DELAINE VERALYNN KARLEE HUNG MHD YASSER VANETTE GEORGE CRISTINA CARRY ELISANDRA ALLISON GABE STORMIE JACQUE NGUL TANYA NYIBA KALARANI ISAMAR BERDINA LIZA SUHANI EDINA DACIA COURTNI THAWNG Y GARY NOLA PENELOPE LONI ECE ISABELLA PATRICIA JEB LACRESSA MARRICCO ROSHNI JOANI SHENNA BENITA ERICKA SEANA DAWNISHA EILEEN RAJENDRA MACK GISLENE RAHEL ALVA SAMANTHA QUINCIE LOUIE MARKETTA KODY MARIANA NYELA GALAXY ANN SESI JERINA WARNETTA ELIANA STEPHANIE MADELYNE RUDY KALIE AKEIA SUYAO TRISHA VIRGIL AHNYKA TARRA HAWA EMILSE VERNON DEEPA RHONDI ARLENE K’AUNDREA CONNIESHA EVAN KEARA LAN AUSTIN YDNI JEANETTE YESICA D’LON CARRIE MEAGAN ABRIELLE MELINDA SUANSIAN GRETCHEN DIAN NATASHA YONG YANCY ANNA ROSE KYLI ERIK MANDA JENNI HALICE ARIEL BREAWNA MCKINZEY TOBIE LAMETRA MARICHU JAMIECE MELODIE BEE CHRISTIAN JAMEE COLANDREA MARLEY JACQUALYNN RENA TRESSA STANA NIA JUNECE DAKUI JANAY CORRINE CARLETHA CAYLAN SHERINA JOBIE VINH CHERIE KAYLYNN JEANINE TERI MUZAFFER FELISHA MONTY BRINKLEY CHARLOTTE FLORENCE KINYA HILARY FARNOUSH PAIGE SONIA SHAWNIE RON DON DOUG J’RIAH KELLI TAMATHA CHANDRAMOULI TIFINY PAULINE KIONTE DONALYN KAY CIA JONNI JOSEPH BETHANY IAN BELEN SAUSHA LIAN MUTURI BREE’ANNA TASHI MCKENZIE KELLEE FELIX KIARA CHRYSANTHA STEPHANNIE SHARYN EDGAR EY THO LARA SAHIL ELISABETH GRETA JANUARY YUEPHENG PAKU ROSANNAH LEWIS RAY MATTHEW SHANIQUA ROSEMARIE YESSENIA JON ARLAE EVYN SANA ORIE CING COLESHA SHANNA JESICA TASHA CHRISTINA TAMIKA JOCELYNE KABU GAYE STERLING TARYN BLAIR MAURICE CLIFFORD NAMIK SARAHBETH PERLA LIA LYNDA PEGGY AKI JUSTIN CRISSI BERNADIN SAVANNA ARVADA AMAYA INA CHARIS KATHRYN-VICTORIA KATHY ASHLEI RIONNA MARYBETH GLYNIS LEISHA ACKI YAJAIRA CANTLIN KESHA SHERALITA GANESA AMANDA TRICIA BILLIE JO BRANDON IMRAN LATHROP DWIGHT JULUN ADRIANNA BRANDT DEEANN CHARYBEL SSEY KARL DELLA TARRY JAMELIAH KAITLYN NIANG JOEL TERRIE SOMER ALINA GERARD SOMMER TRIXIE RAKESH NERIZA REALYNN SAMMIE LAUREN ARNITA WNY COLLEEN SERENA BRAXTON SHANE KHUP ADRIAN STEPHANI MANUEL JACCI SHUNILE KARISSA ELITA A’TONI PAMELA CHRISTI MECHELL CHANNON ODILIA E WAYNE FARZANEH MAKENZYE SOPHANNA BRANT LIBBIE MARIANNE CLAUDINE TAWANISHA MANDY JIHAD CADE MICHAL ETHEL ANTIONETTE PORTIA CHASTITY KE LIZANNE MATEAKA HOLLY MATHEW BERNARDO PRESTON LAURA JANINE ARMANDO LULONDA JULIANNAH BRADEN TARA INDIA WAYLAND SAHARI GLYNNA LUKE JUAN HEATHER JERRY DOMINICA PHILLISE LUKAS IRIDIAN YANETH LATRECE VERDELL ERNEST TREATHA RAEJEAN KADIE LODONNA KEVIN ANDRIA NIDHI A TABITHA KELLYE LANEY JACKYLIN PAISLEE DARREL DICK RUFUS SAYE KENSIE MAXEMILLIAN SUMIT VIRUS GAYLA CINDY KYLIE MANDI NAU NGOZI BROOKLYN E AMAILEE LUCINA BRIDGETTE RASHANNON ARACELI FIONA JORDYN SATIRA NIMA LYUDMYLA WHITLEE SARA OREST LYSSA KARINA MICHAEL KELSIE SERENE ONNIE ELVIRA TRACIE NELSON DEBRA PRISCILLA NATALY LYNELLE ROOPA ROBEN MOHAMAD KATRINA KELSI MAKAYLA RAVYN ALYSSA MARIAM MONICA JEROME TARLA ELAINE SKYLER CORI LYUDMILA KRYSTA FREDRICK VEENA LINDELL JANOAH JAREK THANG SEIKA STEVE STACIE WINTER KATELYN FEBE ADRIANE EDITZA AYLA MARIA MARALIE EZEDRICK EPEFANIA CHADRIC DINA MADISON TED LAURIE NKECHI PATTIE SYLVIA JAKAYLA MALISSA STEPHANY PATSINA TAYLER LATISHA G KIENG THAKSAPORN GEORGIA KORNKANOK RENE RODERICK ABISOLA KRISTEN TIMOTHE NHU KAMIE PHYLLIS ZOE ANN DALEIKA PIA CAITLYN KURK CHANDLER NI ERVEY CANDIS TERA JESSIE CARYL CANDACE TINA MIRIAM MONTIEN JIMMYE ABBIGAIL RUDEL TAREN JOURNEY KARALIE CONCHITA OSCAR ELVIA JI KAILEY MALLIE YE KARLEIGH LEONARDO JONI TREVOR KIMBERLYNN YVETTE SAMAR SHAWNDA ALYIH CRISSA TIGIST NANA ELENA DIXIE PRATIBHA MARYJANE KENNEDY DEMETRA SHANTEL ADIL GENESIS EUGENE KAYE ALISON LENA JEANNETTE CHARLIZE RACHAEL ROMAN LASHELLE HAYVEN EFFIE AARON CRYSTEL TRUDY JADEN OKA DIGENE JAYDN BRANDIE LESLEIGHT DANUEL MANUELA BENJAMIN ILEANA CHEROKEE KARI LYDIA REBECCA JOYCE CAILEY VIKARIE KENZIE NEAL JUNERHIA ZY BILLY SUVIMOL DANIAL ARIANNA KATRENA SHERYL RENICKA ROSALINDA TRAVIS CURTIS MILISA MARIAH ALBERT LUCA SVETLANA MAGDALENA LIZETH POLLY EME CHRIS DUANE DENICE JOSLYN CONNIE KODIE JOSETTE SHERYAL TANISHA MEISHA NAYELI NASARIA RANDELL AILA OLUKAYODE KASSIE MICHEAL LAKECIA REET DEV JARROD AUBRAE JANA CUNG OTTO TOMMY CHARLENE JASMINE MEGAN DEREK KHIN MARCHELL CARY KENDA DARNELL AMAIRANE KRISTOPHER GUY TON DUSTI HILARIE DAI RAMON JENAE 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JODI CHANTAL SHIRLEY TALITHA BARNABAS ATARA PENTOKA KANDISE SHAI-ANYE DOLORES BRIGITTE CHERRON DEBNA HONG AMIR JADONNA JACQUELINE CORIE BERTHA SHARIE ANN MUHAMMAD JODEEN AU TRAQUIS BREANNE TANITTI NADEZHDA SHEMIKA MIAH JOSE JESSE DONALD BUNA SHERRELL RONGSHENG SASHA BUFORD LETISHA MADONNA ALPIN KELI ALIVIA BRYCE MAI MARICELA JORDAN MAEFLOR KANDIUS MINETTE CYDNEY KAILA BEVERLY NASHELLE JULISSA T’KEYAH ADEL MARITESS GENNIFER LOU ANN SON PATTI ROSSANA ARLANDRIA LAURYN NANCE BRISTEN CALI NIKKIRA GAILA REBEKKA SUPRENA KELSY PATRICE JENIECE THUY MACY FRANCES URSULA JANIE CHUYLER ERYNN DEMI COLLIN GEIDY SHAYAN EMBROSIA MARVA ROSALBA MAYME BONNI NICKI RUBY GREGORY MICHELE FRANCENE HALLEE LEVAUGHN SALVINA KIRSTIN DAISY CATHERINE YADIRA SHARYLEN KJERISTA LAYNE HEND JUSTEN MA BELLA CLARK PATTY SHEBA KRISTY SHANEKA ALIXANDRIA SHARAY COLLINS Y TERESIA LIANA LOVIE FRANKIE SHEA COURTLYN BRIENNE AUDREY MAGALY MOHAMMED DALE DIANIKA GRECIA JAIME NONNIE DEEANNA SHELLA DARLENE EXANDRA TESS GILDA RHONDA 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To the 10,500 people we are honored to call our team,

Thank you.

The Mission of Saint Francis Health System At its core, Saint Francis Health System is a ministry of Christ.

Named in honor of Saint Francis Xavier—a missionary who spent his life extending Christ’s loving presence to new lands. Inspired by this saint’s missionary spirit, the women and men of Saint Francis Health System carry our mission into the region and into the future as we grow and expand to meet the needs of the communities we serve.

Core to our mission is recruiting and retaining the best healthcare providers and staff, introducing new technologies and expanding into markets where our services are needed. The healthcare industry has changed dramatically since our doors opened in 1960. What has not changed—what will not change—is our mission: To extend the healing ministry and presence of Christ in all that we do.

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Our culture of service starts at the top.

Saint Francis Health System’s local leadership team has cultivated a culture of preparedness and planning that has helped Saint Francis extend Christ’s healing presence into the region with new facilities, clinics and hospitals.

Hundreds of Saint Francis employees helped distribute food boxes in Muskogee and other sites in eastern Oklahoma for Saint Francis Serves Day.

For fiscal year 2020, we are honored to have invested $818,211,150 in our employees in the form of salaries and benefits.

Additionally, Saint Francis is proud to be the largest private employer in eastern Oklahoma; the largest healthcare system in Oklahoma; and to have been named one of the 500 Best Employers in America by Forbes in 2020.

Filling the gap.

Serving a need.

Twenty years ago we saw a need—women, men and children who were uninsured or underserved and lacking access to quality healthcare. The consequences were dire not only for these individuals, but to our community as a whole.

In 2001, Xavier Medical Clinic was founded. Twenty years and thousands of patients later, their work continues. Every week physicians, pharmacists, nurses and other healthcare professionals volunteer their time at the clinic. Their services include: Outpatient primary care services, a pregnancy clinic, medication assistance, health education, interpretation services and specialist referrals, as needed. Over the years, Xavier Medical Clinic has provided free healthcare services to thousands of people who may have never gotten the care they needed.

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MASKS MAKE A DIFFERENCE.

KEEP YOURSELF AND YOUR NEIGHBORS SAFE. Since COVID-19 vaccinations became available, Saint Francis and Warren Clinic have provided more than 80,000 doses within the community.

As Oklahoma’s largest healthcare provider, we have seen the impact that COVID-19 is having on our patients, our staff, our neighbors, friends and families.

It is essential to remain vigilant about reducing the spread of this potentially fatal illness by practicing social distancing, washing your hands frequently and wearing a mask when you’re out in public places such as shopping areas, special events and social gatherings.

The people pictured in this ad are your neighbors. They are all Oklahomans; they live, work and worship in our community. Oklahoma is strong, but Oklahomans are stronger when we work together.

For more information and guidelines for use of face masks, please visit cdc.gov/covid19.

saintfrancis.com/masks SAINT FRANCIS HOSPITAL | THE CHILDREN’S HOSPITAL AT SAINT FRANCIS | WARREN CLINIC | HEART HOSPITAL AT SAINT FRANCIS | SAINT FRANCIS HOSPITAL SOUTH | LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL SAINT FRANCIS HOSPITAL MUSKOGEE | SAINT FRANCIS HOSPITAL VINITA | SAINT FRANCIS BROKEN ARROW | SAINT FRANCIS CANCER CENTER | SAINT FRANCIS HOME CARE COMPANIES | SAINT FRANCIS GLENPOOL

Community advertising campaign to encourage mask wearing to help stop the spread of the virus.

Stopping the spread of COVID-19 by spreading information and care.

It’s been a long-standing philosophy within Saint Francis to prepare for the hard times, but nobody could have predicted what 2020 would bring. So we did what we do best: adapt, plan and take action.

In the summer of 2020 as community spread of COVID-19 was on the rise, the health system distributed 40,000 free masks through a local community partnership. To improve access for COVID-19 testing, Warren Clinic opened the first comprehensive testing site in the area. And, once the vaccine was made available to the public in early 2021, we had the infrastructure in place for mass vaccination clinics.

To date, Saint Francis has provided more than 80,000 doses of COVID-19 vaccine to the community.

October 27, 2020: Jake Henry Jr., and Saint Francis physician Dr. Roger Gallup provided a COVID-19 update at the Tulsa mayor's press conference.

Photo credit: Tulsa World Saint Francis Health System

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Saint Francis Serves Day On Saturday, December 5, more than 500 employees from our hospitals and clinics in Tulsa, Broken Arrow, Vinita, Muskogee, McAlester and Glenpool volunteered their time to distribute free food boxes. This partnership with Catholic Charities of Eastern Oklahoma and the USDA Farmers to Families Food Box Program. The boxes included fresh produce, meat and dairy products. Thanks to our employees’ incredible generosity, we were able to feed approximately 5,000 families in need.

“I love the fact that the company I work for, my health system, has the opportunity to give back, just like this.”

– Nicole McNamara, Saint Francis Information Technology

“Everybody that day received a lot of blessings.”

– Stephanie Gwartney, Saint Francis Hospital Muskogee

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In less than a year, Warren Clinic providers have conducted more than 100,000 virtual care visits.

Pictured is family medicine physician Dr. Brad Hardy.

Expanding our virtual presence.

Injury and illness don’t follow a schedule. To meet patient needs around-the-clock, Warren Clinic introduced 24/7 virtual urgent care in 2020. Patients anywhere in Oklahoma can now connect with local healthcare providers within the Saint Francis Health System. Virtual care expanded significantly during the pandemic due to limited face-to-face interactions. In less than a year, we have conducted more than 100,000 video visits to 60,000 patients. With the pandemic gradually subsiding, virtual care now allows homebound patients or patients in rural areas to receive care without significant travel time or taking time off work. With the lack of accessible healthcare in many parts of rural Oklahoma, 24/7 virtual urgent care is an opportunity to provide care to patients who may not otherwise receive it.

“No matter where you live in Oklahoma, patients can access Warren Clinic Urgent Care anytime, day or night.”

– Dana Davis, MD, Warren Clinic urgent care physician

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One family’s vision became our shared mission.

In 1960, Natalie O. and William K. Warren, Sr., founded Saint Francis Health System to give back to the community that gave so much to them.

We believe this shared sense of purpose is the reason we have expanded our presence beyond even the Warren’s biggest dreams over the past 60 years.

William K. and Natalie O. Warren

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What started as a pink hospital on a hill south of town has become central to our community. And as a timely evolution during a year of unprecedented change, the health system adopted a new vision statement for the future. This new statement builds on our successes and defines our aspirations for the future.

We are inspired by our past, excited by our future and guided as always by God’s loving grace, and we believe the torch of Saint Francis will shine brighter than ever.

SAI NT FR AN CIS H E ALTH SYS TEM

VI S IO N “Inspired to create a sustainable and just healthcare system, Saint Francis will be the technology-enabled health ministry that delivers integrated, market-leading, high-quality, affordable care through engaged caregivers to the people of eastern Oklahoma.”

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TeamBirth Project and Saint Francis Health System Help Improve Perinatal Care Who knew a strategy so simple and straightforward could deliver far-reaching benefits to so many?

Such has been the case with the Delivery Decisions Initiative and TeamBirth—a project in which Saint Francis Hospital has served as a pilot hospital site since 2018. This initiative was developed and administered

by Ariadne Labs, a joint health system innovation center of Brigham and Women’s Hospital and the Harvard T.H. Chan School of Public Health in Boston.

Primary Goals From the outset, the primary goal of the TeamBirth project has been to provide new approaches to perinatal care, as well as to reduce the number of medically unnecessary cesarean section (C-section) deliveries.

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“From the last generation of new mothers to the current one, we saw that C-sections had become 500 percent more common.

And, though C-sections can be lifesaving surgeries in some cases, they also increase the risk of complications during and after delivery, such as infection, hemorrhage and hysterectomy,” said Neel Shah, MD, MPP, who has championed the TeamBirth project since its inception and who serves as assistant professor of obstetrics, gynecology and reproductive biology at Harvard Medical School, and as director of the Delivery Decisions Initiative at Ariadne Labs.

According to Dr. Shah, research also revealed that in most settings, 80-90 percent of

“It turns out in 2019, putting a dry-erase board in a labor and delivery room is an innovation. There’s no technology, there’s no Artificial Intelligence (AI) involved; but the idea of restructuring how the team talks ended up being quite an innovation.”

Neel Shah, MD, MPP Director, Delivery Decisions Initiative, Ariadne Labs and Assistant Professor of Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School

adverse outcomes of delivery—including maternal mortality—are rooted in challenges around communication and teamwork. This clearly indicated significant room for improvement.

“When we first started working on this challenge, we recognized how important it was to create a new system of communication and teamwork,” Dr. Shah said. “We also realized ‘simplicity’ had to be the guiding principle. This is because we know how hard nurses, obstetricians and midwives work on the front line. It seems like so many efforts to improve care can feel like yet another ‘thing’ you have to do on top of a really challenging job. We wanted to do something with—and not to—our hospital partners.”

Can We Talk?

Designed to impact the whole delivery process and lead to clearer communication between moms and delivery staff members, the TeamBirth plan goes something like this: The expectant mother isn’t admitted to the hospital until she is in active labor. A one-page guide is used during obstetrical triage to prevent premature admission of women in the latent stages of labor.

Upon admission, expectant moms will find a large, white dry-erase board hanging in their room that displays the names of everyone on the “team,” including themselves, the nurse and the doctor. The board also lists the mother’s preferences—for example if she wants the baby’s father to cut the cord and whether she prefers immediate skin-to-skin contact with her baby. Another part of the board

lists the care plan for the mother and baby, including whether the mother wants an epidural. The lower section of the board shows the next step and where the mother is in the delivery process.

In every stage of labor, for every update, for every potential decision-making moment, the entire team huddles. Again, the beauty is in the simplicity: all it takes to create this inclusive, empowering experience is to gather around the mother and include her in conversations between the doctor and nurses caring for her; a literal huddle.

“It turns out in 2019, putting a dry-erase board in a labor and delivery room is an innovation. There’s no technology, there’s no Artificial Intelligence (AI) involved; but the idea of restructuring how the team talks ended up being quite an innovation,” said Dr. Shah.

A simple white board in every labor and delivery room serves as the key communication tool for TeamBirth.

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Premonition of Success

On the Right Path

Saint Francis was one of only four hospitals in the country to take part in the two-year pilot program. The other hospitals were South Shore Hospital in Massachusetts, and Overlake Hospital and Evergreen Hospital, both in Washington.

As the TeamBirth project got underway and the new methods of communication were adopted, it became apparent patients were taking notice. Without question, the subtle, yet highly effective shifts in protocols were making a noticeable difference.

“We scoured the whole country to find the right hospitals for this project,” Dr. Shah said. “We knew we wanted to work with community hospitals that not only had the opportunity to improve care, but also the will and capacity to do so. There are very, very few hospitals that possess all three of these qualities. The more time we spent at Saint Francis Hospital—working with Dr. Donald Loveless, perinatal safety nurse Trisha Short and the rest of their team— the more convinced we became they could pull this off. We believed the Saint Francis leadership team would become a model for other hospitals across the country to follow—and that is exactly what has happened!”

“The further we got into this process, the clearer it became that it was more than improving our primary C-section rate, but truly about empowering mothers and ensuring they know their voice matters,” said Trisha Short, RN. “We soon knew we were on the right path from the feedback we began receiving. Our labor and delivery patients have truly raved about the incredible experiences they’ve had. It’s been so exciting to hear this and to think that a few simple modifications in communication have completely enhanced patient care.”

Dr. Loveless added: “For some time, our team had actively pursued a chance to work with Dr. Shah and his team on this project.

So, when we found out we had been chosen for the pilot project, we were of course very proud.”

One Good Turn Deserves Another As patient satisfaction scores continued to soar, the number of C-sections performed at Saint Francis Hospital began a downward trend.

In 2017, 33 percent of the babies born at Saint Francis Hospital were delivered

via C-section. In 2020, the total number of C-sections performed at Saint Francis dropped to just over 26 percent. And, as for 2021, the C-section data is currently tracking at around 24 percent. The lower instances of C-sections and high patient satisfaction ratings are indubitably the result of communicating and working together as a team.

“It’s important to understand that when it comes to measuring the incidence of C-sections, the desired number is definitely not 0 percent. This is because there are instances when C-sections are necessary to save lives,” Dr. Shah said. “It is amazing to consider the sheer number of patients that Saint Francis takes care of every year—and the vast number who were able to avoid surgery. The difference between an annual C-section rate of 33 percent and 24 percent is astounding!”

High Marks As to the collaboration between Saint Francis and TeamBirth, Amber Weiseth, DNP, RNC-OB, associate director of the Delivery Decisions Initiative, had this to share: “I’d like to brag about the Saint Francis team. From the beginning, they devoted their time and attention to understanding the project. Dr. Loveless and Trisha were truly ‘present’ leaders who were

“The further we got into this process, the clearer it became that it was more than improving our primary C-section rate, but truly about empowering mothers and ensuring they know their voice matters.”

Trisha Short, RN Perinatal Safety Nurse, Saint Francis Hospital

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“The whole TeamBirth approach acknowledges our patients’ humanity by seeking out their input and empowering them every step of the way.”

Donald Loveless, MD OB/GYN Hospitalist, Saint Francis Hospital (right, with Trisha Short, RN, Perinatal Safety Nurse, Saint Francis Hospital)

key in encouraging their staff to embrace the project, as well as the project’s overall success.”

Dr. Loveless added: “The whole TeamBirth approach acknowledges our patients’ humanity by seeking out their input and empowering them every step of the way.

When patients are discharged from the hospital feeling they had a role in the healthcare they received and that their input mattered, we know the work we are doing is important.”

The Road Ahead Now that the two-year TeamBirth pilot project is complete—and word regarding its encouraging outcome is out—other hospitals have joined the ranks.

“We recently learned Hillcrest Medical Center and OSU Medical Center are adopting the TeamBirth labor and delivery

protocol. And, internally at Saint Francis, training is currently underway at Saint Francis Hospital South and Saint Francis Hospital Muskogee,” said Short.

As far as Dr. Shah is concerned, this solidifies the significant role Saint Francis has played in the TeamBirth project. “Saint Francis successfully led the way for the rest of the city, state— and ultimately, the country,” he said.

“We have begun conversations with the Oklahoma Department of Health and the Oklahoma Perinatal Quality Improvement Collaborative (OPQIC) about what implementing the program will look like across the state. We are hopeful that by this time next year, many women who are giving birth will benefit from this program.

‘Blessed’ is the best word to describe our work with Saint Francis. We are so grateful for this partnership.”

For more information on the TeamBirth Project and Ariadne Labs, please visit ariadnelabs.org

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CELEBRATING THE SAINT FRANCIS HEALTH SYSTEM

VALUES AWARDS WINNERS Over the past six decades, the values of excellence, dignity, justice, integrity and stewardship have formed the bedrock of how the women and men of Saint Francis Health System care for patients, family members and colleagues.

These values are practiced and upheld throughout the health system—which makes it even more remarkable that each year a mere five of Saint Francis Health System’s 10,500 employees are chosen as Values Awards recipients. And, as if these odds weren’t impressive enough, the individuals selected for this honor certainly are.

FOR THE GOOD OF THE PEOPLE A committee comprised of representatives throughout the health system sits down to the serious business of reviewing the nominations sent in. Throughout this selection process, the identity of the winners remains unknown until the final five have been chosen.

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According to Sister Marie Josepha Kluczny, who was among this year’s judges, the process can be quite emotional.

“To see the words spelled out so clearly about these extraordinary people is very moving. A common trait they all seem to share is an intuitive understanding that the work they do is for the good of the people that God has entrusted into our care. I am reminded of that worthy person in scripture who said, ‘I’ve done only what I should have done,’’’ Sister Marie Josepha said. “It was abundantly apparent to us that it is much more than that. They also never seem to recognize excellence in themselves—even though those around them see it so clearly.”

SHINING EXAMPLES Nominated by their colleagues, the following Values Awards winners are living proof that the health system’s values are as alive and well today, as when Saint Francis Hospital was first established 60 years ago.

PROMOTING HIGH STANDARDS OF SERVICE AND

SIANNA BATES, RN SAINT FRANCIS HOSPITAL Comments on her nomination form included:

PERFORMANCE

EXCELLENCE WILLIAM STEVENS CORE LAB SUPERVISOR, SAINT FRANCIS LABORATORY Comments on his nomination form included:

“During the pandemic, William took it upon himself to begin compiling metric data on our COVID testing. The data he generated is seen at many levels in the organization and has proven invaluable to our data-driven approach to this pandemic.

It is imperative to understand this was not a duty or job given to him—it was solely based on his desire to understand and adapt to the situation in an empirical way.”

“William was instrumental in installing and updating the lab automation line to the extent that he has become a nationallyrecognized expert in the field of total lab automation.”

“I really appreciate this honor and am gratified to know the skills I have were helpful to so many as we faced COVID-19. To me, it was fun because I love data analysis and problem solving,” Stevens said. “I utilized these skills to better understand what we were dealing with when the pandemic came along. Fortunately, these efforts were successful. It makes me proud and very happy to know the data our department provided to administrators and managers throughout the health system proved helpful during those challenging times. I’m also grateful to my co-workers in the lab. I don’t think this would’ve been possible for one individual to make this all happen—we have a great team.”

“Sianna has a unique gift of helping patients feel valued and confident in regaining a level of independence. I truly have never met another nurse who is more deserving of this value award.”

“I am always thrilled to see this nurse assigned to our stroke patients. She cares for patients in a way that far exceeds many others. She is a valued member of our team who always treats patients with the highest level of respect.”

“Patients who have had a stroke have experienced a life change and are struggling with how they look; how they are adapting to their new normal; or just how they feel about themselves in general,” Bates said. “I want to do far more than just provide medication to my patients. I want to be there to help them feel more like themselves again, and not just like another patient in a bed. I love people and I guess that is what motivates me to dig deep and try to find ways to help each individual. You can find out a lot about a patient’s needs just by paying close attention to their demeanor. Also, I’ve found that sometimes just the smallest things—like taking the time to have a conversation with them—can go a long way toward helping someone feel better again.”

DIGNITY RESPECTING EACH PERSON AS AN INHERENTLY VALUABLE MEMBER OF THE HUMAN COMMUNITY AND AS A UNIQUE EXPRESSION OF LIFE Saint Francis Health System

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ADVOCATING FOR SYSTEMS AND STRUCTURES THAT ARE ATTUNED TO THE NEEDS OF THE VULNERABLE AND DISADVANTAGED

JUSTICE AND THAT PROMOTE A SENSE OF

COMMUNITY AMONG

DAVID LEWIS

ALL PERSONS

ENGINEERING, SAINT FRANCIS HOSPITAL Comments on his nomination form included:

“There are not enough words in my vocabulary to describe this man. On a normal basis, this nominee receives calls from all over the facility; yet every time he responds to a work order or a call, he has the kindest and most caring persona about him.”

“It is so important in healthcare that we maintain our belief of ‘One Team, One Mission.’ This nominee is absolutely setting that example daily. I couldn’t be more grateful for his time, wisdom and caring personality. Our organization is lucky to have him.”

“I am so flattered and honored to receive this recognition. It’s a great feeling to know the work I do here is noticed,” Lewis said. “Providing a safe environment for our patients has been emphasized even further this past year due to COVID—and an important part of my job has been to ensure every patient’s room (particularly those with COVID) maintains the proper airflow balance. Sure, it’s been challenging, but I don’t think it’s been any more so than what our nurses and doctors deal with every single day. Here at Saint Francis, we are a team and I believe we all want to do the best we can to make everyone feel as comfortable and safe as we possibly can.”

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ERNESTINA BRAVO ENVIRONMENTAL SERVICES, LAUREATE EATING DISORDERS PROGRAM Comments on her nomination form included:

“The Laureate Eating Disorders unit is very specialized and requires a unique set of challenges for our housekeeping staff.

This is due to frequent activities and a constant flow of patient discharges and admissions. There are many moving pieces to list regarding the housekeeping in our unit. This nominee is attentive to detail and is an important part of maintaining the safety and security of the unit.”

“Before we bring families and new patients to the unit, we know that each room will be perfect: the bed will be beautifully made; the floors and bathroom will be spotless. We see how hard this employee works every day. She is honest, self-directed, selfmotivated, pleasant and a true part of our team.”

“I’ve always stayed in my area focusing on doing my job—I had no idea people were noticing. I did not expect this honor and am so proud to work here. I feel I am the lucky one!” Bravo said. “I’ve been working here for nine years and have always taken a lot of pride in the work I do. I find joy in making sure everything in the area is as safe and clean as it possibly can be for our patients and their families.”

INTEGRITY ENCOURAGING HONESTY, CONSISTENCY AND PREDICTABILITY IN ALL RELATIONSHIPS

ENSURING PRUDENT USE OF TALENTS AND RESOURCES IN A COLLABORATIVE MANNER

STEWARDSHIP JOY CORDOVA, RN PATIENT CARE SERVICES, SAINT FRANCIS HOSPITAL Comments on her nomination form included:

“During the temporary transition of a unit due to COVID last summer, this nominee filled in as the charge nurse and as a resource to a number of other nurses. She used her time and skills during this time to collaborate with and empower the nurses to create the best possible experience for both patients and staff.”

“She is an absolute joy to work with and her attitude reflects her genuine care and obvious call to serve the broken and the ailing.”

SAINT FRANCIS HEALTH SYSTEM’S VALUES

EXCELLENCE Promoting high standards of service and performance

DIGNITY Respecting each person as an inherently valuable member of the human community and as a unique expression of life

JUSTICE Advocating for systems and structures that are attuned to the needs of the vulnerable and disadvantaged and that promote a sense of community among all persons

INTEGRITY Encouraging honesty, consistency and predictability in all relationships

STEWARDSHIP “Oh my gosh! I was so surprised and touched by this honor,” Cordova said. “Each day

Ensuring prudent use of talents and resources in a collaborative manner

when I come to work, I am motivated to do whatever I can to help out—and to take the time to make sure my patients (and co-workers) fully understand and are comfortable with what’s going on. It means so much to know that people notice and value the work I do and that they believe I really am making a difference in the lives of others.”

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Saint Francis Hospital South Announces Future Expansion

Rendering image of future expansion at Saint Francis Hospital South

As a hospitalist physician, Temitayo Oyekan, DO, has played a pivotal role in numerous life-changing stories during her 11 years at Saint Francis Hospital South.

However, one patient experience was especially moving to her. “I was working in the ICU just before COVID hit when a lady came up to me and asked: ‘Are you Dr. O?’ I said ‘Yes,’ and then she left. I wondered: ‘Who was that?’”

Later that afternoon, a nurse brought Dr. Oyekan a card the woman had left for her. “It was a beautiful watercolor of a coastal scene. Inside, she wrote: ‘I know you don’t remember me, but two years ago you cared for my husband. Your care and encouragement to him made a real difference in his life.”

“Not only did the patient and his wife remember my name, but they mentioned everyone else at the hospital that helped him as well,” said Dr. Oyekan. “Patients form a bond with us.”

Dr. Oyekan’s story is not unique at Saint Francis Hospital South. Now even more lives will be changed for the better as the hospital launches its largest expansion ever, with the facility scheduled to nearly double in size by 2025.

“The current space has served us well, but in order to serve the population growth and expand our mission and ministry, we have to grow too,” said Todd Schuster, vice president and administrator of Saint Francis Hospital South and Saint Francis

“The current space has served us well, but in order to serve the population growth and expand our mission and ministry, we have to grow too.”

Todd Schuster, vice president and administrator of Saint Francis Hospital South and Saint Francis Hospital Vinita 42

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“We are a hospital that strives for excellence because these are our neighbors. We all live in this community and are vested it. We’re proud to serve them now and to serve them even better in the future.”

Temitayo Oyekan, DO, hospitalist

Hospital Vinita. “This is truly life-changing, not just for me personally and each of our employees, but for our entire health system and the community as a whole.”

Expanding the mission to meet demand

As with everything Saint Francis does, the goal with the expansion is to continually improve on the patient experience. Key to that goal is lowering the number of transfers out of Saint Francis Hospital South to Saint Francis Yale campus, as well as expanding Saint Francis Hospital South’s ability to serve patients from outlying areas.

Since it opened in 2008, Saint Francis Hospital South has gone through several renovations over the past several years.

As the population in south Tulsa, Bixby, Broken Arrow and the surrounding areas has grown, the facility has grown as well, providing suburban and rural patients with award-winning, mission-driven care closer to home.

“People want to be able to get the best care close to home. Expanding enables us to serve them,” said Dr. Oyekan. “Whenever you go to the hospital and are able to stay under one roof and have all the service lines in one place, you’re happier and less stressed, and your providers are too.

Most importantly, it can lead to improved outcomes.”

As an anesthesiologist with Saint Francis Hospital South since 2011, Gisele Wilke, MD, has seen firsthand much of this growth and how important the hospital has been to the communities it serves.

“It’s a very exciting time,” said Dr. Wilke.

“We’re striving to expand our care capabilities to every patient that comes to this hospital.”

“It’s hard to believe how fast the south campus has grown. Every facet of it has grown,” said Dr. Wilke. “Saint Francis Hospital South is a wonderful place, and this expansion project is very welcome and needed in order to maintain the values of the health system.”

“This hospital was built as a specialty hospital, so we have an opportunity to take fresh ideas and make this space work in new ways,” said Schuster. “There’s lots of excitement among the team. Employees are always asking: ‘When are we getting started?’”

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Saint Francis Hospital South Expansion Details “We’re growing our campus to basically double its present size by 2025,” said Todd Schuster, vice president and administrator of Saint Francis Hospital South and Saint Francis Hospital Vinita.

“We’re expanding by approximately 200,000 square feet, and are very excited by what we’re doing with the renovations.” The scheduled renovations include the following: • A new hospital main lobby • A new chapel where Mass will be celebrated daily • Construction of a new patient tower that will add 120 new beds • Expansion of inpatient physical medicine and rehabilitation services • Renovation of surgery services and expanding to eight operating rooms • Consolidation of the pre- and post-anesthesia units • Central utility plant upgrades to accommodate the expanded facility • Creation of a linear corridor connecting the main lobby, the patient bed tower, the emergency department and the parking garage.

Rendering aerial image of Saint Francis Hospital South expansion

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A hospital where everybody knows your name While there are many exciting changes planned at Saint Francis Hospital South over the next five years, what will not change is the characteristic that makes the hospital so special—the community feel of the place.

“I really love that as we’ve grown, I still know all the people who work here and a lot of the patients and families who come in,” said Dr. Oyekan. “I love knowing there’s help when you need it. Everyone is here because they want to be here and get the best results for the patient.”

To maintain that comfortable, community feel, the development team is taking practical steps— literally. Schuster said they are trying to minimize the number of steps patients and employees need to get around, including building a corridor that runs from the main lobby, to the new, five-story tower, to the emergency department and the parking garage. Patients will be able to travel the length of the facility without ever going outside.

Timeline of Saint Francis Hospital South Expansion of diagnostic capabilities with MRI, CT and endoscopy services

2008

Saint Francis Hospital South opens

2011

Expansion of third floor and the creation of a new postpartum area and additional medical-surgical space

2012

Expansion of emergency department and creation of new observation unit

2016 2017 2018

Cardiac catheterization service added

“Continuing the community feel will be an important part and the staff will have a lot to do with that,” said Dr. Wilke. “We know the history, mission and values and how people feel about Saint Francis—we will work to maintain that. It will be so good for patients to see that. Thanks to this new expansion we’re offering the same experience, but better.”

Expansion of surgical services and the addition of robotic surgery

Planned completion of the new expansion

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Saint Francis Glenpool opens as a department of Saint Francis Hospital South

Built for the community For the women and men who work at Saint Francis Hospital South, meeting the needs of patients is not just their duty as professionals — it is personal. Because south Tulsa and the surrounding area is not just where they work, it is home.

“We’re all here to serve the community. It’s what we do,” said Dr. Oyekan.

“Healthcare access is critical, especially in areas that don’t have access,” said Schuster.

“We are growing to serve this population without duplicating services. We’re not just

building a smaller version of the Saint Francis Hospital on Yale, we’re focused on taking care of everyone.”

“Everybody in my family goes to Saint Francis Hospital South. I am not just a physician, I am a patient. My husband, my kids, my whole family—we have all used Saint Francis Hospital South,” said Dr. Oyekan. “We are a hospital that strives for excellence because these are our neighbors. We all live in this community and are vested it. We’re proud to serve them now and to serve them even better in the future.”

“It’s a very exciting time. We’re striving to expand our care capabilities to every patient that comes to this hospital.”

Gisele Wilke, MD, anesthesiologist

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20 X AV I E R M E DIC A L C L I N IC

Commemorates two decades of service in Tulsa

Since Xavier Medical Clinic first opened its doors 20 years ago, it’s difficult to quantify the full impact it has had on the community—as well as on those who work and volunteer there.

Operated by Saint Francis Health System, the clinic is staffed by volunteer physicians, pharmacists, nurses and other healthcare professionals who provide care at no charge to women, children and men who are uninsured or underserved in our area.

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A Life-Changer

How it Began

By all accounts, Saint Francis Xavier Medical Clinic is distinctly different.

Conversations about establishing such a clinic began several years before it officially opened in 2001.

“Xavier Clinic truly is a special place and I think that’s due to the people we have here. Our staff and volunteers share a passion about what we do and I believe that’s something our patients can sense the minute they walk in the door,” said Dr. Rose Sloat, medical director. “The work we do here is rewarding and our patients are so appreciative of the care they receive—care they would not have access to if not for our clinic. This place truly is a life-changer.”

“It really began years ago when Saint Francis strived to further its mission and presence in the community by offering free medical care to adults and children,” said Dr. Phyllis Lauinger, who served as the clinic's medical director until 2009. She now continues at the clinic as a volunteer. “At one time, Xavier Medical Clinic was jointly operated by Saint Francis and Catholic Charities of Eastern Oklahoma—the philosophy being that the two institutions would complement each other in helping those with no access to healthcare.”

A Significant Need

Continued Growth

The clinic was first located in a small house just north of St. Francis Xavier Church in the Kendall-Whittier neighborhood in Tulsa. This location was key since it was accessible to the growing Hispanic population, most of whom were without health insurance. From the first day the clinic opened, there was never a shortage of patients. In fact, patients would come early in the morning and line up around the building in order to be seen by a healthcare provider.

As with every successive year in the clinic’s history, growth in services, staff and volunteers has been the norm. For example, it first opened with a total of four volunteers. Today, approximately 30 volunteers serve at the clinic. This versatile group includes physicians, specialists, nurse practitioners, interpreters and clerical volunteers.

Initially, patients were seen on a first-come, firstserved basis on Wednesdays. “Before long, it became obvious we needed to extend our services to include care for chronic illnesses. This was because a growing number of our patients were affected by conditions such as diabetes, heart disease and high blood pressure. We evolved from being open once a week, to five days a week—as well as requiring appointments, rather than seeing patients on a drop-in basis,” Dr. Lauinger said.

“There is no typical day at the clinic—in fact, I’d say every day is a big adventure,” said clinic supervisor, Katrenna Gomez. “At the end of a busy day, we often feel emotionally and physically exhausted—but our hearts are full. We take good care of our patients and also of each other. We are a very close-knit group— much like a family. I am so proud to work here and of the impact we are making in this community.”

In 2010, the clinic became solely operated by Saint Francis and moved to its current location on 11th Street near Highway 169. “From day one, Xavier Medical Clinic has been a group effort. The collaboration between Saint Francis and Catholic Charities is what launched and carried forward the success of the clinic,” Dr. Lauinger said.

Sahari Camacho, a certified medical interpreter also welcomes patients at the Xavier Clinic front desk.

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Doing the Lord’s Work Kathleen Clarke

One needn’t look far to understand why Xavier Clinic volunteers love what they do. They not only enjoy their time there, but they also appreciate the chance to share how they feel about the clinic and the patients they serve: “In my work at Xavier, I have the opportunity to see many of the same patients year after year—so, of course meaningful relationships are built. It has been such a privilege to gain an understanding of our community. Our patients are a delight.”

–Kathleen Clarke, volunteer

Trish Sherry

“I remember the early days when we would often be here until 7:00 p.m. on Wednesdays—and that was OK with me because it was nice to come here and do whatever I could to help. I started out volunteering one day a week. It wasn’t long before I began coming three days a week and have been doing that ever since. It’s great to know we are providing this service for people who wouldn’t have healthcare if it weren’t for this place.”

–Dr. John Kauth, volunteer and retired radiologist “I have loved it here from the get-go. When I was a kid, I wanted to go off somewhere and be a missionary. With the work we do here at Xavier, I feel like the missions came to me! I once told my mom that of all the volunteer work I’ve done, this is my absolute favorite. She said that’s because we are doing the Lord’s work.”

–Trish Sherry, staff member

Dr. Michael Tanner

“Volunteering at Xavier has been a beautiful experience and aside from my family and my religion, it is the most important thing in my life. Our patients are wonderful people who simply want our presence and someone to listen.”

–Dr. Michael Tanner, volunteer and retired orthopedic surgeon “Xavier Medical Clinic is as good as it gets. To know that I’m contributing in this way means a great deal to me. It is so rewarding to be able to provide this service to our patients—many of whom had never had healthcare before. Their smiles say it all. We get a lot of smiles around here.”

–Jan Keegan, family nurse practitioner

Jan Keegan

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A thank you note left for the staff and volunteers of the Xavier Medical Clinic.

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X AV I E R M E DI C A L C L I N IC

A Blessing from God By providing a delicious luncheon for the entire Xavier team every month, one particular patient has found a certain way to express her heartfelt appreciation.

Gilma has been a patient at Xavier since it first opened 20 years ago. Following her first appointment, she encouraged others to also visit the clinic. It wasn’t long before her mother, children, nephews, nieces and many, many friends were also patients.

Longtime Xavier patient Gilma often brings a meal once a month to the volunteers in gratitude for the care they provide.

A Special Place As for all the reasons cited as to what makes Xavier Medical Clinic so special, topping that list is the wide array of medical services it provides.

“It is so rare to have a free clinic that is as well funded and highly prioritized by an institution such as Saint Francis Health System. Our patients benefit by having access to a broad-based, comprehensive range of family medical care. In essence, our patients have access to anything insured patients have—including hospital visits,” Dr. Sloat said. “Even during the pandemic, our visit count was actually a little higher than the year before. Through video visits and assistance from our interpreters, patients were able to receive care from the safety of their homes. Our clinic has been open for COVID-19 testing, as well as for vaccinations. So, yes, even COVID-19 didn’t manage to slow Xavier Medical Clinic down. When I came on board a year and a half ago, I knew it was going to be amazing. And even though my expectations were high, they have been far exceeded.”

“I first heard about the clinic through St. Francis Xavier Church. Every single experience I’ve had at here through the years has been excellent. Everyone—the doctors, staff and volunteers—are all great and the care they provide for all of the people living in this area has been a blessing from God,” she said. “The care we receive at Xavier has made a huge difference in the lives of so many. Without the clinic, we’d have nowhere to go for the healthcare we need. Bringing the staff lunch once a month is my way of thanking them for the difference they have made in my life—and countless others.”

Rose Sloat, MD, medical director of Xavier Medical Clinic

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MarkiangMilestone : The Children’s Hospital at Saint Francis Marks Five Years as a St. Jude Affiliate Clinic

Oftentimes when pediatric oncologist Dr. Greg Kirkpatrick strolls through the St. Jude Affiliate Clinic at The Children’s Hospital at Saint Francis, he thinks to himself how lucky he and his fellow staff members are. “We have the greatest patients ever. And, as corny as that may sound, I think these kids are a gift placed in our care—we are just so lucky to be with them,” he said. Which is all the more reason why Dr. Kirkpatrick and the rest of the team are celebrating a momentous five-year anniversary—one that has made a difference in the lives of many children and families.

A Shared Commitment July 1, 2016, marks the day when the pediatric hematology and oncology services at Saint Francis officially affiliated with St. Jude Children’s Research Hospital—making it the eighth hospital in the nation to do so.

By affiliating with St. Jude, pediatric hematology and oncology physicians at the children’s hospital have been able to directly connect with the world leader in pediatric cancer care—giving their patients access to some of the best treatment, clinical trials and support services available anywhere.

“This partnership has been such a blessing for our patients and their families. From the start, we have shared a commitment to learn all we can about the process of pediatric cancer so we can find a cure,” Dr. Kirkpatrick said. “Collegially, it’s been great to work with the St. Jude physicians and the rest of their staff. Five years in, and I’m still amazed.

St. Jude is an incredible place with people and goals that are awe-inspiring.”

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Hazel's Beads of Courage that she received throughout her treatment.

Hazel Morris (left) and her sister, Hattie

A Birthday Like No Other During the past five years, scores of patients and families have come to the St. Jude Affiliate Clinic for pediatric cancer care.

The story of one such patient, Hazel Morris, began three years ago, coinciding with her birthday, on April 5, 2018. It was on her 6th birthday in fact, that Hazel received her first bone marrow aspirate, first lumbar puncture, a port placed in her chest and her first round of chemo. “We were devastated this day. But my husband and I kept thinking about how this birthday’s troubles were going to allow her to celebrate so many more birthdays in the future,” said Kristin Morris, Hazel’s mom.

A few days before that birthday, Hazel had been admitted to Saint Francis where she

was diagnosed with Acute Lymphocytic Leukemia (ALL). “This is a very common type of childhood cancer; but it turned out our daughter’s diagnosis came with a genetic abnormality of the Philadelphia chromosome, which is a much rarer type of cancer,” Kristin said. “Fortunately, this was a type of pediatric cancer St. Jude had thoroughly researched. We were told that had if it been six years or so earlier, Hazel would have needed a transplant and may have faced a grim outcome.”

Dr. Kirkpatrick added: “Any time there is even the slightest bump in the road, it can be terrifying for the parents. While this presented a bit of uncertainty in Hazel’s overarching plan of care, we were able

to adapt her care with a targeted therapy drug, as well as an additional phase or two of chemotherapy. As much as I am sure this stressed out her parents, I really don’t know how much it affected Hazel. She is terribly sweet and a complete bundle of joy.

Throughout her journey with us, she would leave little notes with positive sayings such as, ‘today I have hope,’ or ‘heaven is for everybody.’ When I asked her mom if she had helped Hazel with these, she said, ‘no, that’s all Hazel.’ Hazel is one of the reasons I get up in the morning and come to work.”

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Headed to Memphis After a week at the clinic, it was time for Hazel, her mom and dad to head to the St. Jude Children’s Research Hospital in Memphis, Tennessee, for the next phase of her treatment. “We had been welcomed with open arms at The Children’s Hospital at Saint Francis and were anxious about leaving and going to Memphis,” Kristin said. “But once we arrived, we realized there was no need for concern. At St. Jude, we immediately felt like we had entered this ‘mega safety bubble’ and felt an amazing sense of focus and encouragement. We were embraced and supported from our very first appointment.”

Throughout Hazel’s three-month induction period of treatment in Memphis at St. Jude, the Morris family could never quite get over the level of support their entire family received. “They thought of absolutely everything! The housing on the St. Jude campus had everything we could ever have imagined with a staff that anticipated our every need. And, most importantly, during our entire stay we were comforted knowing our daughter was receiving the best possible treatment available anywhere,” Kristin said.

Upon returning home to Tulsa, Hazel began the next phase of her treatment with the pediatric hematology and oncology team at Saint Francis. “For a long period of time, we went to the clinic twice a week, with occasional inpatient stays here and there,” Kristin said. “Their wonderful staff always made us feel safe and secure—just as we had felt in Memphis. We were regulars at the clinic and the doctors, nurses, secretaries, ‘lunch ladies’—everyone—became like family to us.”

Cancer-free!

This past March, Hazel completed her course of treatment after nearly three years and was duly declared cancer-free!

“She is doing wonderfully and feels great!”

Kristin said. “Now, we are going to the clinic only once a month—and it’s funny, but I never thought we would miss a hospital so much! We had a cancer diagnosis and then this crazy thing called a pandemic—and for so long our main source of support was the nurses who became our best friends and the doctors who became like our parents.”

As is often done when a patient reaches the end of cancer treatment, the Morris family took part in a rite of passage ‘honk and drive-by’ to celebrate at their home. “As cars passed us outside our home, I looked over at Hazel and noticed she looked upset.

I asked her what was wrong, and she said, ‘is it bad that I don’t really want this to be over?’ Kristin said. “Hazel went on to say

Children's Hospital pediatric oncologists Greg Kirkpatrick, MD, Martina Hum, MD, and Shilpa Shukla, MD

Child life specialist Elizabeth DeMarco and Hazel back in 2018 during a visit to The Children's Hospital at Saint Francis.

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Hazel visits with some of the nurses that were part of her care team at The Children's Hospital at Saint Francis.

she was going to miss everyone at the hospital and that there had been a lot of good things and fun times.

That’s when it really hit me how extraordinary this entire journey was. We experienced so many positives and met so many people who changed our lives. The doctors, nurses and other staff members at the St. Jude Affiliate Clinic at The Children’s Hospital at Saint Francis were there not only to give our daughter a chance at life, but also instilled in our family a passion and a drive to be and do everything we needed to move forward and have a joyful life.”

Dr. Kirkpatrick added, “I think parents are often surprised by the tenor of our clinic which tends to be a pretty fun and active place to be. Above all, I hope parents and our patients find hope in us. I always want to convey to families that no matter what we are treating their child for, there are answers and there are always things we can do to help. Our hope for the future is that through our collaboration with St. Jude and as we further accelerate telemedicine, fewer families will have to leave the area for extended periods of time and can be treated closer to home here in Tulsa.”

More About St. Jude The mission of St. Jude Children’s Research Hospital is to advance cures, and means of prevention, for pediatric catastrophic diseases through research and treatment.

Consistent with the vision of its founder Danny Thomas, no child is denied treatment based on race, religion or a family’s ability to pay.

Since first opening in 1962 in Memphis, Tennessee, St. Jude has forged a path in translating research discoveries into lifesaving cancer treatments. It is the world leader in pediatric oncology treatment and research and also serves as the nation’s go-to resource for children with hard-totreat cancers and blood disorders.

In addition to The Children’s Hospital at Saint Francis in Tulsa, the other affiliate clinics are located in Baton Rouge, Louisiana; Huntsville, Alabama; Johnson City, Tennessee; Peoria, Illinois; Shreveport, Louisiana; Springfield, Missouri; and Charlotte, North Carolina.

To learn more about St. Jude Children’s Research Hospital, please visit stjude.org.

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THE CHILDREN’S HOSPITAL AT SAINT FRANCIS CONFRONTS AN

UNEXPECTED AFTEREFFECT OF COVID-19 IN KIDS: MIS-C Dr. Phil Barton has seen a lot in his tenure as a pediatric critical care specialist and medical director of the Pediatric Intensive Care Unit (PICU) at The Children’s Hospital at Saint Francis. But unlike his colleagues in the adult ICU of Saint Francis, the PICU has been less affected by the worst cases of COVID-19. The reason: Children and teens are less likely to exhibit symptoms of COVID-19, though they can be asymptomatic carriers, according to the US Centers for Disease Control and Prevention (CDC).

“He was a patient with a temperature of 102 degress who we were working up for sepsis,” said Dr. Barton.

“I went up to general pediatrics and noticed his red eyes and rash, just like Kawasaki Syndrome.”

But Dr. Barton and the team at the PICU have faced a rare, but pernicious aftereffect of COVID-19 — Multisystem Inflammatory Syndrome in Children or MIS-C. “COVID-19 didn’t cause pneumonia as much in kids,” said Dr. Barton. “But it did cause MIS-C.” (See sidebar “What is MIS-C?”)

“I thought: ‘This looks like MIS-C.’ Then lo and behold the patient tested positive for COVID-19 antibodies,” said Dr. Barton. “I remember saying: ‘I bet we’re going to see a lot more of this.’”

MIS-C was first discovered early last year in the United Kingdom and then later appeared in the United States in upstate New York. Dr. Barton remembers every detail of the PICU’s first case of MIS-C in March 2020.

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Kawasaki Syndrome is diagnosed in roughly 6,000 children each year, with symptoms including high fever, red eyes and rash, just like Dr. Barton’s patient.

However, while MIS-C shares many of the same symptoms as Kawasaki Syndrome, it is a different disease.

Dr. Barton’s prediction turned out to be true. While Saint Francis saw a cluster of MIS-C cases last spring and summer, Dr. Barton said there was a “wave” in the fall and winter, coinciding with the rise in COVID-19 cases in northeastern Oklahoma. While MIS-C is a very concerning complication of COVID, Dr. Barton stresses that it is a rare condition.

WHAT IS “We saw 30 to 40 cases at our hospital over an 18-month period,” said Dr. Barton. “The number of patients we’ve seen probably accounts for less than 1 percent of the kids exposed to COVID-19 in northeastern Oklahoma. But in the PICU, we see that 1 percent of cases. It’s a rare illness, but very real.”

Dr. Barton said patients with MIS-C have had a significant exposure to COVID-19. While most patients did not show outward symptoms, they did test positive for COVID-19 antibodies. “Only a handful of the 30 to 40 children we’ve seen were actually sick with COVID-19,” said Dr. Barton.

Typically children with MIS-C who are diagnosed and treated within 48-72 hours have an “incredible response,” though roughly half of the patients need intensive care. One of these children was a 10-year old boy named Robert Finley “Finn” Fouch.

Finn had zero COVID symptoms.

We weren’t even aware he had it.

We never had it either.

Finn’s father, Robert Fouch

MIS-C? The US Centers for Disease Control and Prevention says multisystem inflammatory syndrome in children (MIS-C) is: “A condition where different body parts can become inflamed, including the heart, lungs, kitdneys, brain, skin, eyes or gastrointestinal organs.

Many children with MIS-C had the virus that causes COVID-19, or had been around someone with COVID-19.”

The symptoms of MIS-C are similar to Kawasaki Syndrome, including high fever (102 degrees and above), skin rash, red eyes, abnormalities with cardiac function, renal failure and even altered mental states, including lethargy, seizures and encephalitis (inflammation of the brain). However, MIS-C is a different disease from Kawasaki Syndrome and is most commonly associated with the presence of COVID-19 antibodies.

The research suggests that in rare instances children may develop MIS-C from COVID-19 antibodies, which attack the blood vessels, causing inflammation throughout the body. If left untreated, MIS-C can cause multiple organ failure and shock.

Should parents be worried?

The CDC notes while MIS-C is rare, it is serious with 3,742 cases nationwide and 35 deaths as of May 2021. Parents of children aged 3 to 18 should take note of the following symptoms: • t rouble breathing; • l ingering pain or pressure in the chest; •n ew confusion; • i nability to stay awake; •p ale, gray or blue-colored skin, lips or nail beds; and/or • s evere abdominal pain.

If your child exhibits the above symptoms, please contact their physician, visit your nearest emergency room or call 911.

Source: cdc.gov

Finn with his parents Ashley and Robert Fouch.

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“Finn’s lungs had filled with fluid,” said Ashley.

“He was hallucinating and his chest was concaving because he couldn’t breathe. Nurses rushed in and took him to the PICU.” “Finn was really sick. He was one of our sickest MIS-C patients,” said Dr. Barton. “We put him on a ventilator and dialysis as well as medication—a combination of IV-Corticosteroids, intravenous immune globulin (IVIG) and baby aspirin—what we call the ‘MIS-C antidote’.”

“Finn had zero COVID symptoms,” said his father, Robert Fouch. “We weren’t even aware he had it. We never had it either.”

“In January, Finn started running a high fever and had stomach pains, but we knew something was really wrong when a rash appeared,” said Finn’s mother, Ashley Fouch. “We talked to his pediatrician and brought him into The Children’s Hospital at Saint Francis, where they told us he had MIS-C.”

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“Finn’s name means ‘fair-haired warrior’ so while he was in a coma we kept saying: ‘Finn, you’re a fairhaired warrior. You’re going to fight it’,” said his mom.

“And he did. His body fought it.”

“It was when he was on the ventilator that I realized this is the right place for Finn to be, at the right time,” said Robert. “His body was finally getting a chance to heal.”

“I’d never been to the hospital before, so I was kind of scared,” said Finn. “I remember them trying to make me eat, but I wasn’t hungry. I don’t remember much after that.”

“Most of the time when kids are taken off a ventilator they ask for something to drink because their mouths are so dry,” said Dr. Barton. “I’ll never forget what Finn said when we took the tube out. He said: ‘Thank you so much for taking care of me.’ He was so appreciative. That meant so much to us.”

From his hospital bed Finn watched his beloved Kansas City Chiefs play in the AFC Championship for a spot in Super Bowl LV when his situation took a turn for the worst.

“A few of our friends know Chiefs players,” said Ashley. “As Finn was coming off the ventilator some players sent him ‘Get Well’ video messages, three days before the Super Bowl. That was very special to him.”

Despite the ongoing pandemic, Finn is one of many success stories at the PICU. Dr. Barton said the PICU has not lost any patients to COVID-19 or MIS-C, which he credits to the team of nurses, physicians and staff at The Children’s Hospital at Saint Francis.

Photo courtesy: the Fouch family

Despite the ongoing pandemic, Finn is one of many success stories at the PICU. Dr. Barton said the PICU has not lost any patients to COVID-19 or MIS-C, which he credits to the team of nurses, physicians and staff at The Children’s Hospital at Saint Francis.

“We followed the latest medical research, followed the guidelines, and when patients came in with symptoms, we tested for COVID-19 antibodies to confirm they didn’t have Kawasaki,” said Dr. Barton.

“We did what we always do: We adapted quickly to changing situations and got our patients the critical care they needed.”

“The doctors and nurses at the PICU are like Jedis.

They’re just knowledgeable and focused,” said Robert.

“I told them: ‘You guys are angels.’ Our job as parents is to walk in faith and their job is to be God’s hands.”

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Don’t Wait. Vaccinate.

With more than 1.6 million Oklahomans receiving at least one dose of the COVID-19 vaccine so far, the state started off strong in terms of getting people vaccinated. But our progress has slowed. If you still have questions about getting vaccinated, we’ve shared some information provided by the CDC.

FREQUENTLY ASKED QUESTIONS ABOUT THE COVID-19 VACCINES

What are the most common side effects of the COVID-19 vaccines?

Most people do not have any side effects from the vaccine. The most common side effects include some pain, redness or swelling in the arm where you received the shot; fatigue; muscle pain; chills; fever; and nausea. If you have these side effects, they should subside within a few days and are all normal signs that your body is building protection against the virus.

How long am I protected from COVID-19 once I get the vaccine?

COVID-19 is a novel (or new) coronavirus, so we are still learning about it. In much the same way, experts do not know exactly how long the vaccine protects you, but what is known is that the vaccine can provide significant protection from the worst effects of COVID-19 and helps stop the spread of

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the virus to others. For example, research shows the Pfizer-BioNTech vaccine is more than 90 percent effective for up to six months.

I have already had COVID-19.

Should I still get the vaccine?

Yes. Experts are still learning how long you are protected from getting sick again after recovering from COVID-19. While it is rare, you could still get sick again even after recovering from it.

If you currently have COVID-19: You should not get the vaccine yet.

Please wait until you meet the criteria for discontinuing isolation before getting vaccinated. This applies to those who may get COVID-19 after their first dose of vaccine, but before their second dose.

Saint Francis Health System is providing COVID-19 vaccinations in Tulsa and Muskogee for those age 12 and older.

Visit saintfrancis.com/getvaccinated to schedule a date, time and location for your vaccination.

If you were treated for COVID-19 with monoclonal antibodies or convalescent plasma: Please wait 90 days before getting a COVID-19 vaccine and consult with your healthcare provider if you are unsure what treatments you received.

Can I get the vaccine based on my condition?

If you have an underlying health condition or are pregnant, you are at higher risk to become severely ill from COVID-19.

It’s a good idea to have a conversation with your healthcare provider before you get vaccinated.

Can I skip the second vaccine dose?

If you receive the Pfizer-BioNTech or Moderna vaccine, you will need to get a second vaccination to have the most protection. According to the CDC, you should get the second vaccination unless your healthcare provider advises you not to get it as result of a severe allergic reaction to the first dose.

What’s next for booster shots for those previously vaccinated?

Health experts are currently reviewing whether fully-vaccinated people might require a booster vaccine for added protection. According to the CDC, the need and timing for a booster dose has not yet been established.

For more information and updates about COVID-19, disease variants and vaccines please visit CDC.gov.

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Forbes Names Saint Francis Health System Among America’s Best Employers

Saint Francis Health System was recently named on the Forbes list of America’s Best Employers 2021. This prestigious award is presented

by Forbes and Statista Inc., the world-leading statistics portal and industry ranking provider. Saint Francis Health System was the only healthcare organization in Oklahoma to make the list and one of only two companies based in Tulsa to be recognized.

Forbes reviewed companies across 25 industry sectors throughout the country. Of these, 1,000 employers were awarded—500 large employers and 500 midsize employers. Saint Francis falls into the large employer category with more than 10,500 employees.

“After such a challenging year this is a wonderful recognition of the women and men of this health system who came together to care for our community—and each other—in ways we could have never imagined,” said Jake Henry Jr., president and chief executive officer, Saint Francis Health System.

This is the second time the health system has been named by Forbes as a top employer. Other recognitions this year include being recognized as #1 in Oklahoma in the 2020-21 Best Hospital Rankings by U.S. News & World Report.

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“Saint Francis has a great reputation in the community which has been earned by our employees who work hard to provide quality services and care for our patients.”

Madonna Newcomer, executive director of surgical services at Saint Francis

Henry continued, “Earning a spot on the various ‘best’ lists locally and nationally is always an honor. However, at the core of these various awards and rankings are our people. They are who make this organization great, and they are the ones who created and cultivate the culture being honored by Forbes.”

services and care for our patients,” she said. “It says a lot that many employees have dedicated their entire careers to this one place. There are many employees who can attest there’s no better place to work than Saint Francis. It offers every employee a stable, secure working environment that is constantly growing, changing and challenging.”

“No Better Place to Work”

Bradley McDaris, director of nursing at Laureate Psychiatric Clinic and Hospital, said, “I believe Saint Francis is a true hidden gem. About 15 years ago, this organization literally saved—and changed—my life, which is why I chose to work here. I was extremely sick and had been in and out of Saint Francis Hospital’s ER for about 10 months. One day, my surgeon entered my room and asked if he could pray with me and my wife. As he was praying, I still clearly remember an overpowering sense of peace and knew that taking care of others was what I wanted to do. Saint Francis is a place where you can walk down any hall in any of its entities and people

Without question, Saint Francis’ employees are its finest asset.

It is those who work there day in, day out and year after year, who have unique insight on what truly makes Saint Francis Health System stand apart.

As for Madonna Newcomer, executive director of surgical services at Saint Francis, the national recognition the health system has received comes as no surprise. “Saint Francis has a great reputation in the community which has been earned by our employees who work hard to provide quality

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“We are here to take care of our patients, as well as each other. It is a beautiful organization with a great team. I am so proud to be here. Saint Francis is my home.” look you straight in the eye and smile. From my experience, that is rare and just goes to show that people really care and want to be here for all the right reasons. We are here to take care of our patients, as well as each other. It is a beautiful organization with a great team. I am so proud to be here. Saint Francis is my home.”

Bradley McDaris, MSHCA, BSN, RN, director of nursing, Laureate Psychiatric Clinic and Hospital

The Ultimate Goal Despite the fact the executive director of human resources, Jamie Payne, has only been at Saint Francis for several months, it took her no time at all to understand what a special place it is.

“Saint Francis has a rich culture that is steeped in legacies, families and generations. It is also a forwardfocused organization that ensures employees have many opportunities for challenges and continued growth,” Payne said. “No matter where an employee works within

the health system—whether it’s at the bedside, or in support or administrative services—we all share the ultimate goal of providing excellent care for patients. Once you become a part of this organization and gain an understanding of its commitment and culture, you realize how unique it is. There is such a shared sense of belonging here. At Saint Francis Health System, we are intrinsically motivated and guided by the meaningful work we do.”

“Once you become a part of this organization and gain an understanding of its commitment and culture, you realize how unique it is.”

Jamie Payne, executive director of Human Resources

For more information about careers at Saint Francis Health System, please visit saintfrancis.com/careers.

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2021 Virtual Summer Series Make plans to join us for our continuing series of virtual Medical Town Hall events, where Saint Francis Health System physicians discuss a wide range of healthcare topics

Thursday, June 24

Thursday, July 15

Orthopedic Care

Stroke Risk, Prevention and Intervention

Join Dr. Ryan Gursky to learn about the latest advancements in bone and joint care.

As a surgeon with the Saint Francis Joint Replacement and Spine Center, Dr. Gursky will discuss surgical and non-surgical treatments for arthritis, general orthopedic concerns, care for sports injuries and more.

Learn about stroke risk factors, signs, symptoms and more at this session with Saint Francis interventional neurologist Dr. Vijay Pandav. Find out why quick medical attention is vital for survival and recovery, and learn about the latest interventions and treatment for stroke patients.

Ryan Gursky, DO

Vijay Pandav, MD

Thursday, August 19

Ask a Primary Care Physician Learn about the benefits of open communication with your primary care provider.

Join Warren Clinic physicians Dr. Rebekah Kriegsman and Dr. Brad Hardy as they discuss the importance of primary care, annual screenings, how to ask the right Rebekah Kriegsman, DO

All virtual sessions are free to the public.

Event time is 6:00 – 7:30 p.m.

Moderator: Dr. Kenneth Piper

Bradley Hardy, DO

Registration for these online sessions is required, and space is limited.

Visit saintfrancis.com/medicaltownhall or email events@saintfrancis.com to make a reservation.

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New Guidelines Open Up Lung Cancer Screening to More High-Risk Patients Lung cancer kills more Americans than any other type of cancer every year. It also affects more Oklahomans than any other kind of cancer, as it’s the most commonly diagnosed in the state. In addition to that, the American Cancer Society says 90 percent of cases are in people who smoke, and a current smoker’s risk of developing the disease is about 20 times that of a nonsmoker.

Those are some grim statistics. But new screening guidelines could help save more Oklahomans from becoming part of those statistics.

Earlier this year, the US Preventive Services Task Force (USPSTF) announced the following new guidelines: Annual lung cancer screening with low-dose computed tomography (LDCT) is recommended for adults aged 50 to 80 who have a 20 pack-year smoking history, who currently smoke or have quit within the last 15 years. (For reference, 20 pack-years would include people who smoked two

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packs a day for 10 years, or half a pack a day for 40 years.)

“This is exciting for everyone in the lung cancer screening community—and such important news for smokers and former smokers aged 50 to 80,” said Libby Stewart, oncology nurse navigator. “While Saint Francis has offered this screening for several years, these new guidelines have lowered the eligibility age from 55 to 50, as well as a person’s packyears from 30 to 20. By doing so, the number of those now eligible for this lifesaving screening will actually double—going from approximately 8 million to 16 million people.”

Warren Clinic primary care physician, Dr. Kimberly Ashlock, added, “There is building evidence that CT lung cancer screenings can really save a lot of lives. And, detecting cancer earlier—before there are any symptoms— can make a dramatic difference in the outcome, as well as the length and course of the treatment.”

BROADENING SCREENING ELIGIBILITY

“Of the lung cancers we have diagnosed in the past eight years, 70 percent were detected in the early stages of the disease when it is potentially curable.”

These new guidelines will also make more women, Black and Native Americans eligible for screening, all of whom have higher incidents of lung cancer than white males with equivalent smoking histories. Exactly why the risk differs by race and gender is unknown. Some studies have alluded to hormonal influences in women.

Population-based data shows some minorities tend to develop lung cancer younger and with less exposure to tobacco.

“We are so pleased to offer CT lung cancer screenings to more people who may be at risk,” Stewart said. “Of the lung cancers we have diagnosed in the past eight years, 70 percent were detected in the early stages of the disease when it is potentially curable.”

“There is building evidence that CT lung cancer screenings can really save a lot of lives. And, detecting cancer earlier—before there are any symptoms—can make a dramatic difference in the outcome, as well as the length and course of the treatment.”

Kimberly Ashlock, DO Family Medicine, Warren Clinic

Libby Stewart, RN, BSN, OCN, ONN-CG(T) Oncology Nurse Navigator

EARLY DETECTION SAVES LIVES The goal of the expanded screening is to find lung cancer early enough to cure it in more people at high risk because of smoking. In those individuals, annual CT scans can reduce the risk of death from lung cancer by 20 to 25 percent.

“It seems people are willing to bring up the need for a colonoscopy, mammogram or Pap test with their physician, but are reluctant to ask about lung cancer screening—which is every bit as important. Part of that may be that they’re not as familiar with lung cancer screenings. But I also suspect it’s because some patients feel there is a stigma and are embarrassed to admit they smoke, or have smoked in the past,” Dr. Ashlock said. “I strongly encourage patients who qualify for the lung cancer screening to please move past that and talk to your physician about it. Please don’t delay because having this screening could save your life.”

DO YOU QUALIFY FOR A LUNG CANCER SCREENING? Since the guidelines have been updated and more people qualify for a lung cancer screening, now is the time to check with your physician to see if you qualify. When making appointments for your other annual screenings, add lung cancer screening to the list to determine if you are eligible.

For more information or to determine your eligibility, please call the Saint Francis Lung Cancer Screening Program Coordinator at 918-494-6467.

Scan this code for more information.

Medicare covers CT lung cancer screenings for those who meet specific eligibility criteria; otherwise, coverage varies by insurance plan. If your screening is not covered by insurance, a discounted fee will apply.

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6161 South Yale Avenue • Tulsa, Oklahoma 74136

a publication of Saint Francis Health System

MISSION

To extend the presence and healing ministry of Christ in all we do

VISION

Inspired to create a sustainable and just healthcare system, Saint Francis will be the technology-enabled health ministry that delivers integrated, market-leading, highquality, affordable care through engaged caregivers to the people of eastern Oklahoma.

VALUES EXCELLENCE Promoting high standards of service and performance DIGNITY Respecting each person as an inherently valuable member of the human community and as a unique expression of life JUSTICE Advocating for systems and structures that are attuned to the needs of the vulnerable and disadvantaged and that promote a sense of community among all persons INTEGRITY Encouraging honesty, consistency and predictability in all relationships STEWARDSHIP Ensuring prudent use of talents and resources in a collaborative manner

SAINT FRANCIS HOSPITAL | THE CHILDREN’S HOSPITAL AT SAINT FRANCIS | WARREN CLINIC | HEART HOSPITAL AT SAINT FRANCIS | SAINT FRANCIS HOSPITAL SOUTH | LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL SAINT FRANCIS HOSPITAL MUSKOGEE | SAINT FRANCIS HOSPITAL VINITA | SAINT FRANCIS BROKEN ARROW | SAINT FRANCIS CANCER CENTER | SAINT FRANCIS HOME CARE COMPANIES | SAINT FRANCIS GLENPOOL

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