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TRUMAN TIMES

A Patient Centered Medical Home

Volume 28 July/August 2017

What’s Inside 1. Just a Note 2. Pharmacy News Clinic Information 3. Have You Heard? 4. Gay & Bisexual Men Persuading Partners to Take PrEP 5. At Your Appointment Guide for the Newly Diagnosed

6. Importance of Regular Anal Cancer Screening Did You Know? 7. Traveling With HIV 8. PAC News 9. TG Topics: Discovering Self Acceptance 10. SAGE Golf Tournament 11. We Want To Hear From You

12. Truman Times Classifieds 13. HIV Infection and Women 14. Ryan White Program UNM Truman Safety Net Program


Just

A Note

Congratulations to the UNM Truman Health Services faculty and staff for all of their hard work. We recently went through a AAAHC (Accredited Association for Ambulatory Health Care), NCQA (National Committee for Quality Assurance), and Ryan White accreditation visits successfully. Thank you to all of the artists and attendees of our first annual TRANSpire event. This amazing art show raised over $5,000 for our Gender Health Services. Be sure to stay tuned for our upcoming LGBTQ++ Healthy Living Fair, coming October 7, 2017 at Highland High School. To help us better understand your experiences at UNM Truman Health Services, we are sending Press Ganey surveys to different patients throughout the year. If you receive one in the mail please take a moment to complete it and mail it back. These surveys will help us improve the quality of your visit. We want to wish everyone a safe and Happy 4th of July!

WHAT’S HAPPENING Truman Clinic Closed July 4, 2017

Truman Clinic Closed noon to 5 pm July 11, 2017

World Hepatitis Day July 28, 2017

Mindfulness and TRANScendence

Every Wednesday from 2:00 pm to 3:30 pm in Suite B-6 All Transgender clients are welcome to join. We are focusing on mindfulness and to practice mindfulness meditations 1


Pharmacy News

Apps to Help You Stay on Top of Your Medication Adherence Plan

According to the Center for Disease Control (CDC), medication non-adherence is responsible for 30-50% of treatment failures, which causes 125,000 deaths annually at an estimated direct cost of between $100 to $289 billion to the healthcare industry. Sometimes we may need a little help in sticking to our routine. Here are five apps that can help you stick to your medication regimen. MyMedSchedule (free app) This app allows you to schedule and set reminders and set up email and text reminders. It also includes instructions for taking medications, allergy information, pictures of the medication, and the purpose of each medication. Pill Reminder by Drugs.com (free app) Pill Reminder, by Drugs.com, allows users to schedule their medication intake in a flexible and easy-to-use application. It also allows you to keep track of when your prescriptions need to be filled. Medisafe Medication Reminder, Prescription and Pill Organizer (free app) Medisafe allows users to adhere to their medication schedules with a clean and simple interface. Featuring integration with Apple’s HealthKit, Medisafe also offers an Apple Watch app giving users an additional way to receive notifications when it’s time to take their medicine. Medi-Prompt (price $3.99) Medi-Prompt is an advanced app that allows users to manage their medication schedules. Users have the ability to tell the app the max doses in 24 hours and the minimum time between doses. In return, Medi-Prompt will then schedule the next dose taking safety guidelines into account while spreading remaining doses evenly. Medi-Prompt includes multiple scheduling options such as ad-hoc (only checks safety limits), calculated doses (give the app first and last dosage time and Medi-Prompt evenly schedules intervals), and regular intervals (specify a fixed time between intervals). ntly. Pill Monitor (free app) Pill Monitor Free schedules reminders for patients with custom repeat and reminder times, and the dosage of each pill. Pill Monitor also includes comprehensive management of critical medication information such as: side effects, recommended dosage, units, pill form, and Rx number.

UNM Truman Health Services Retail Pharmacy Hours are: Monday to Friday 8:30 am to 5:00 pm Closed weekends and holidays UNM Truman Health Services Pharmacy does not carry, sell or dispense narcotics Remember: Home delivery is available. Be sure to ask your pharmacist for more information.

You are more than a prescription We are more than a pharmacy For more information on the UNM THS pharmacy contact us at THSRX@unmmg.org, 925-0996, or (844)-Truman1

Clinic Information Fragrance Free Zone

Due to health concerns for patients and staff, UNM Truman Health Services is a fragrance free zone. This includes perfumes and colognes. Please refrain from using these until after your appointment.

Smoking At Truman Please remember UNM Truman Health Services is a smoke free building and there is no smoking within 20 feet of the building entrance (this includes the front door, ventilation system, and/or windows). We appreciate your help in keeping this campus smoke free for all of our patients.

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Have You Heard? Have You Heard About Truman’s Support Groups? UNM Truman Health Services offers a variety of support groups aimed at helping our patients live the healthiest life possible. MondayTuesday-

Relapse Prevention from 10 am to 11 am Smoking Cessation 11 am SMARTRecovery from 5 pm to 6 pm Wednesday- Mindfulness from 2 pm to 3:30 pm SPEAK meets the 2nd and 4th Wednesday of every month from 5:30 pm to 6:30 pm

Our thoughts go out the family and friends of Liz Canfield, who passed away peacefully on Sunday, June 26th. For over 20 years Liz has dedicated her time and efforts to the New Mexico AIDS Emergency Project, a program that has supported many of UNM Truman Health Services patients. This amazing woman has touched many people within our community and will be missed. 3


Study: Gay & Bisexual Men Persuading Partners to Take PrEP GRANT SCHLEIFER JULY 3, 2017 HIV Equal http://www.hivequal.org/hiv-equal-online/study-gay-bisexual-men-persuading-partners-to-take-prep

Are gay and bisexual men (GBM) likely to convince their partners to begin PrEP? This question is part of a new nationwide study on sexual health attitudes and behaviors. The recent study, published on June 20 in AIDS and Behavior, used data from a larger study called One Thousand Strong, which followed the behaviors and health outcomes of more than 1.000 HIV-negative men over three years. Given that several prior studies have noted partner influence on health behaviors, including diet, exercise and smoking, researchers sought to investigate how gay and bisexual men exert social control over their partners’ PrEP uptake. Sex within main partnerships, after all, gives rise to approximately one half of all new HIV infections, so GBM have a good reason to be involved in the sexual health of their partners. Researchers focused on couples in which both partners were HIV-negative and had never taken PrEP. Their results suggest that relationship status – whether GBM are in a monogamous, “monogamish” or open relationship – strongly predicts their attitude about the importance of partner PrEP use and willingness to persuade their partner to begin PrEP. Men in monogamous relationships were significantly less likely both to think that PrEP is important for their partners and to be willing to convince their partner to use PrEP compared to men in monogamish and open relationships. Popularized by sex advice columnist Dan Savage, the term monogamish refers to the relationship arrangement wherein sex with outside partners is limited to situations when both primary partners are present. This arrangement is contrasted by open relationships, wherein primary partners can have sex with outside partners independently. Participants in the study reported that their partner taking PrEP was only modestly important to them. Namely, on a scale from 1 (not important) to 4 (very important), the average response to the question, “How important would it be for your partner to take PrEP?” was 1.9. Men in the South were more likely to think that PrEP was important for their partners than those of any other geographic region in the U.S. White men, by contrast, were the least likely to think that PrEP was important for their partners compared to men of all other racial groups. Similar to the results about the importance of partner PrEP, the study found that men were only modestly willing to convince their partner to use PrEP. On a scale from 1 (“I would definitely not try”) to 5 (“I would definitely try”), men’s average response to the question, “How likely would you be to try to convince him to consider starting PrEP,” was 2.4. Interestingly, older men and those with college degrees were significantly less willing to persuade their partner to use PrEP. In keeping with this trend, men who had been in relationships for a longer period of time were less willing to initiate conversations with their partner about PrEP. Taken together, these results suggest that partner influence on PrEP uptake was not as important as personal willingness and intentions to use PrEP. As such, programs seeking to increase the PrEP uptake among GBM should target the individual directly rather than through his partner. The study’s first author, Steven A. John, is a Postdoctoral Fellow at the Hunter College Center for HIV Educational Studies and Training (CHEST). John noted that the results of this study have direct implications on how public health professionals design programs to increase the utilization of PrEP among GBM. “We found personal perceptions about pre-exposure prophylaxis (PrEP) to be the strongest indicators of PrEP outcomes among gay and bisexual men currently in relationships,” said John. “This means public health programs aiming to increase PrEP uptake by increasing positive perceptions of its use might translate into gay and bisexual men finding PrEP use more important for their partners and then being more willing to try to convince their partners to use it.” John pointed out that all of the men in this analysis were HIV-negative with HIV-negative main partners. HIV-positive GBM might have different perceptions of PrEP use for their partners compared to those who participated in this study. Without regard to PrEP, there are other important HIV prevention interventions that can involve both members of the relationship. “Programs such as couples’ HIV testing and counseling (CHTC)—in particular—are very important for partnered gay and bisexual men, especially since CHTC can help couples reassess their risk for HIV and other sexually transmitted infections based on each of their behaviors together,” noted John. Dr. John and his colleagues plan to conduct future research on how increasing individual perceptions of PrEP may lead to greater PrEP uptake by both individuals and their partners.

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At Your Appointment You can make sure you get the best care possible by being an active member of your healthcare team. Being involved means being prepared and asking questions. Asking questions about your medical treatments and medications can improve the quality of your health care. Taking the following steps can help you make the most of your time with your provider. Use a notebook to keep track of appointments, results, questions for your provider (and answers), medications, etc. Keep a symptom tracker list. Let your provider know if there have been any issues with your medication or any other health concerns since your latest appointment. -This will help your appointment go faster and run more smoothly -Being prepared will also help elevate your mood because you can see your progress. If you are newly diagnosed, bring a list of questions about your diagnosis. Write your appointment date and time on the calendar so that you won’t miss it. -Keeping track of your appointments, keeps your progress on track. If you have a cell phone, use it to help you keep track of appointments and any notes from your latest appointment. Cell phone apps are also available to help you with medication adherence. Share any information on issues with your medication with your provider. While at your appointment, let your provider know how you are feeling. Be honest and don’t leave out any details. Your provider cannot give you the best care possible if you don’t share all of your health information, and don’t worry about being embarrassed, your provider has heard it all. Keep an open mind. Write everything down. This will help you keep track of your health progress and can alert your provider immediately if anything changes

HIV Guide For the People Who Are Newly Diagnosed Adapted from the Center for Disease Control and Prevention

How Can I Stay Healthy With HIV? • Take medication called ART (antiretrovial therapy) the right way, every day, regardless of how long you have had the virus. • Stay in medical care. Visit your healthcare provider regularly. • Find a local support group, talk to others who have HIV.

How Can I Get Help Paying for ART? • If you have health insurance, your insurer is required to cover some medications used to treat HIV. • If you don’t have health insurance or your can’t afford your co-pay or co-insurance amount, you may be able to get help through Medicare, Medicaid, the Ryan White HIV/AIDS program, and community health centers. Visit www.cdc/gov.hivtreatmentworks

How Can I Protect Others? • Take ART everyday. This can keep you healthy and greatly reduce your chance of transmitting HIV. • Tell your sex or drug partners that you are living with HIV. • Use condoms correctly every time you have sex. • Choose sexual activities that will minimize your risk of spreading HIV. • If you inject drugs, never share your needles or works. • Talk to your partners about taking daily medications to prevent HIV. • Get tested and treated for other sexually transmitted diseases. • Remind your friends and partners to get tested regularly.

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Study Highlights the Importance of Regular Anal Cancer Screenings in Gay Men With HIV, Even After Treatment From TheBody.com June 23, 2017

Half of HIV-positive gay or bisexual men successfully treated for anal lesions (tissue damage) that can lead to cancer had the same kind of lesions within 24 months, according to results of a recent study. The findings underline the importance of close follow-up and monitoring with your doctor after treatment of precancerous anal lesions. Gay or bisexual men with HIV run a higher risk of anal precancer and anal cancer itself than the general population, which highlights the importance of getting regular screenings. The precancer called high-grade anal intraepithelial neoplasia (HGAIN) may lead directly to anal cancer and affects 30% of HIV-positive gay or bisexual men. Researchers conducted this study (1) to identify risk factors for recurrent HGAIN after successful treatment in gay or bisexual men with HIV and (2) to compare different strategies for monitoring such men for repeat HGAIN. The study involved 100 HIV-positive men in whom examination of anal tissue samples confirmed successful treatment of HGAIN. Every three to six months, these men made follow-up visits to undergo three tests: (1) anal cell studies to look for precancer changes, (2) blood sample analysis to look for human papillomavirus (HPV), a virus that can lead to HGAIN and (3) high-resolution anoscopy (HRA), a procedure that allows health workers to look inside the anus. Men with findings suggesting new HGAIN had another biopsy so technicians could examine anal tissue samples. After an average of 17.6 months of follow-up, HGAIN recurred in 39% of men who had been successfully treated before. The researchers estimated a HGAIN recurrence rate of 23.5% in the 12 months after initially successful therapy and a 53.5% recurrence rate in 24 months. Anal cancer did not develop in any man during the study.

Did you know: There are over 5.4 million cases of nonmelanoma skin cancer cases a year? And, that there are more new cases of skin cancer than the combined incidence of cancers of the breast, prostate, lung, and colon? One in five Americans have the risk factors to develop skin cancer in the course of their lifetime. Knowing your risk factors can help you reduce your risk of developing a non-melanoma skin cancer: General Factors: 1. People who are of older age have a higher risk of developing skin cancer. 2. A weakened immune system can contribute to the development of skin cancer. 3. Men are more likely to develop skin cancer than women. Body Factors: 1. If you are fair skinned you have a higher risk of developing skin cancer. 2. Moles and dysplastic nevi. 3. Severe or long-term skin inflammation. Genetics: 1. If you have a personal family history of skin cancer. 2. If you have been exposed to certain chemicals. Other Factors: 1. Basal cell nervus syndrome 2. Human papilloma virus (HPV)

The researchers linked four factors to a higher risk of recurrent HGAIN:

Ways to reduce your risk of skin cancer are:

A positive antibody test for hepatitis C virus raised the risk 2.8 times. A lowest-ever CD4 count below 200 boosted the risk 2.6 times. A previous large HGAIN raised the risk 8.3 times. Having at least two cancer-causing HPV types raised the risk 2.3 times. Comparing HRA, anal cell studies and detection of cancer-causing HPV types, the researchers found that HRA offers the best chance of detecting recurrent HGAIN after previous successful treatment.

1. Seek shade, especially between 10 am and 4 pm. 2. Avoid tanning beds. 3. Cover up with clothing, including a broad-brimmed hat. 4. Use a broad spectrum (UVA/UVB) sunscreen of 15 SPF or higher every day, and apply it 30-minutes before you go outside. 5. Keep new borns out of the sun. 6. Examine yourself head-to-toe every month. 7. See you physician every year for a professional skin exam.

The researchers concluded that HIV-positive men run a high risk of recurrent HGAIN after successful treatment of previous HGAIN. Because of this high recurrence rate, the authors stressed that "regular posttreatment follow-up visits are mandatory." And their findings indicated that "HRA appears to be the best follow-up strategy."

For more information on skin cancer or other Did You Know topics, contact us at THSInfo@unmmg.org.

For gay and bisexual men living with HIV, the takeaway message is to get regular screenings for anal precancer and cancer and to continue to get screened, even after successful treatment, to make sure the precancer doesn't recur.

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Traveling With HIV Summertime brings out the travel bug in all of us. It is an opportunity to explore new surroundings, gain new skills, and find unfamiliar places to explore. But, if you are living with HIV, there are a few things you should do before you set out on your next grand adventure. 1. Talk to your primary care physician. One of the first things you should do is talk to your primary care physician about your overall health. If your CD4 cell count is below 200 cells/mm3 try to avoid traveling to areas where parasitic, bacterial, and viral diseases are common. 2. Get immunized. Ask your primary care physician what types of shots you may need to travel to a foreign country. It may take a little more time to prepare when you are living with HIV, but it is well worth the extra effort. Also, be sure to check with the CDC (Center for Disease Control and Prevention), to be sure there are no health risks involved in traveling. Remember to avoid “live vaccinations” if your CD4 cell count is below 200 cells/mm3 . Try to get vaccines with a “killed virus” and remember to bring your immunization shot records with you. Some countries require it. 3. Pack your medication first. By packing your medication first, you avoid the risk of forgetting it and the hassle of trying to get your prescription filled in another town or country. 4. Bring plenty of snacks, especially if your medication needs to be taken with food. 5. Adjust the time you take your medication, to the time zone you are in. This will help you stay on track with your medication adherence regimen. Just remember to adjust it back when you get home. 6. Do not take a holiday from your meds. By not taking your medication, you can develop drug-resistant mutations, as well as other health problems. 7. Remember to take the same precautions as you would at home to avoid transmitting HIV. 8. Bring a first aid kit. This will help you quickly take care of any small emergencies. Also speak with your primary care physician about any first aid items you should be carrying. 9. Bring your doctor’s contact information. If you begin to feel ill or have an accident, your primary care physician can speak with the attending doctor to help you through any issues. 10. Bring a list of your medications and dosing schedules. 11. If your medications are temperature sensitive bring a small insulated lunch bag to keep them at the correct temperature. 12. Be sure you know what countries restrict entry for people living with HIV. 13. Try to avoid eating food from street vendors if possible, especially in foreign countries. These foods tend to not be regulated and can contain parasites or other harmful ingredients. Your best bet is to try to eat in restaurants. 14. Find out if your insurance company covers travel.

HEALTHY RELATIONSHIPS

SMALL-GROUP INTERVENTION FOR PEOPLE LIVING WITH HIV FREE FOOD AND INCENTIVES Please Contact Art for Information on Upcoming Dates and Times 505-925-7500 or arsalazar@unmmg.org

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PAC

Patient Advisory Council

PAC NEWS

Medical jargon can sometimes sound like a bunch of gibberish if you don’t know what it means, so PAC (Patient Advisory Council) created a list of the most commonly used terms and abbreviations used at UNM THS (UNM Truman Health Services)

Abbreviations

340B- The 340B Drug Pricing Program requires drug manufacturers to provide outpatient drugs to elligible health care organizations/covered entitites at significantly reduced prices. 501(c)(3)- A 501(c)(3) organization, is the most common type of tax-exempt nonprofit organization in the United States. This type of organization is exempt from federal income tax if its activitites have the following purposes: charitable, religious, educational, scientific, literary, testing or public safety, fostering amateur sports competition, or preventing curelty to children or animals. AAAHC- The Accreditation Association for Ambulatory Health Care is a private, non-profit organization formed in 1979. They have developed the standards to promote patient safety, quality care, and value for ambulatory health care through peer-based accditation processes, education, and research. ART-Anti-retrovial therapy is treatment for people infected with human immunodeficiency virus (HIV) using anti-HIV drugs. CTR-Counseling, testing, and resources DVR-Domestic Violence Resources HAB-The HIV/AIDS Bureau (HAB) adminisiters The Ryan White HIV/AIDS Program, which is the largest Federal program focused exclusively on HIV/AIDS care. The program is for people living with or affected by HIV/AIDS who do not have sufficient health care coverage or financial resources for coping with the disease. HIPAA-HIPAA is the the federal Health Insurance Portability and Accountability Act of 1996. The primary goal of the law is to make it easier for people to keep health insurance, protect the confidentiality and security of healthcare information and help the healthcare industry control administrative costs. HPV-Human Papilloma Virus is the most commonly sexually transmitted virus. There is no cure for HPV. It can cause warts or changes to our body’s cells which might lead to certain types of cancers such as mouth, throat, penile, vulvar, vaginal, cervical or anal cancers. HRA-A High Resolution Anoscopy is performed when an anal pap result comes back abnormal. The HRA is a more accurate test and is the next step to show the location of any abnormal areas. HRSA-The Health Resources and Services Administration, an agency of the U.S. Department of Health and Human Services, is the primary Federal agency for improving access to health care by strengthening the health care workforce, building healthy communities and achieving health equity. HRSA’s programs provide health care to people who are geographically isolated, economically or medically vulnerable. HSC-Established in 1994, the University of New Mexico Health Sciences Center (HSC) is the largest academic health complex in the state. It is located on the UNM campus in Albuquerque. NCQA-National Committee for Quality Assurance (NCQA) is a private, 501(c)(3) not-for-profit organization dedicated to improving health care quality. PAC-Patient Advisory Council PCMH-The patient-centered medical home (PCMH) is a way of organizing primary care that emphasizes care coordination and communication to transform primary care into “what patients want it to be.” Medical homes can lead to higher quality and lower costs, and can improve patients’ and providers’ experience of care. PCP-Primary Care Provider PCP Prophylaxis-Pneumocystis jiroveco Pneumonia (PCP) Prophylaxis PHI-Protected health information (PHI) is an information about health status, provision of health care, or payment for health care that can be linked to a specific individual.

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What is a Patient-Centered Medical Home?

SAGE Albuquerque 3rd Annual Golf Tournament

A Patient-Centered Medical Home (PCMH) is a care delivery model where patient treatment is coordinated through their primary care physician to ensure they receive the necessary care when and where they need it, in a manner they can understand. It is a model of achieving primary care excellence so care is received in the right place at the right time, in a manner that best suits the patients needs. A patient-centered medical home is a place where patients are treated with respect, dignity, and compassion, and enables strong and trusting relationships with their providers and staff. Patient-Centered: It is a partnership among practitioners, patients, and their families that ensures that decisions respect patients wants, needs, and preferences, and that patients have the educational support they need to make the decisions and participate in their own care.

Friday, September 15, 2017 at the Santa Ana Golf Club (288 Prairie Star Rd. Bernalillo, NM 87004) For more information on teams or sponsorships contact Havens Levitt (295-5868) or Nancy Oriola (345-5529)

Grab your clubs and support Aging with Pride Programs!

Comprehensive: A team of care providers is wholly accountable for a patient’s physical and mental health need, including prevention and wellness, acute care, and chronic care. Accessibility: Patients are able to access services with shorter waiting times, “after hours” care, 24/7 electronic or telephone access, and strong communication.

GLBTQ+ Healthy Living Fair

Saturday, October7th at Highland High School

Committed to quality and safety: Clinicians and staff enhance quality improvement to ensure that patients and their families make informed decisions about their health. For more information about a Patient-Centered Medical home visit http://www.ncqa.org/about-ncqa

Stay tuned for more details! 10


TG

Discovering Self-Acceptance

Bombarded with the media’s view of what our bodies should . look like, many people today have body image issues. This view tends to be especially so in the transgender community. Although not every transgender person experiences issues with body image, there is still a vast majority of the population that does. Eating disorders, body dysmorphia, and identity issues can develop and make it more difficult for trans people to accept who they are. Learning how to accept and appreciate ourselves is not always a straightforward process, but by recognizing that we need to work on self-appreciation, we can begin to see ourselves in a way that is healthy. Some of the ways we can develop a self-appreciation are: 1. Celebrate your strengths. We are all amazing creatures, and each of us has things we excel at. By focusing on our strengths, we can begin to let go of what we perceive as our short-comings. And, by developing these strengths, we start to look at ourselves differently. 2. Who do your surround yourself with? One way to help us accept ourselves is to consider who we hang around. Are there people who speak negatively to you? Or reinforce the negative self-talk? Use this time to clear these people out and focus on the people who encourage and support you. 3. Create a support system. A strong support system can lead to a stronger you. 4. Forgive yourself. We all make mistakes it is part of being human, but don’t let these mistakes rule your thought processes. Use them as a learning opportunity and take the time to forgive yourself. 5. Quiet your inner critic. We are all our own worst critic, no doubt about it, but we can silence that little voice. Take a moment to determine why you are thinking this way; is it because you are scared to try something new or that you just don’t feel like you are ready to change? Take a moment to breathe deeply and analyze your feelings. 6. Let go of who we thought we were supposed to be. Sometimes our unrealized dreams of our childhood can interfere with who we are now. Instead of being sad about what could have been, focus on what is working now. 7. Volunteer. Helping other people can sometimes show us who we are and contribute to improving the community where we live. 8. Remember that acceptance is not resignation. We are not resigning ourselves to who we are, we appreciate ourselves for who we are. 9. Speak highly of yourself. 10. Be kind to yourself. Most people today don’t take time for themselves. We all have busy lives and feel like we have to please everyone, but that isn’t the case. Take a moment for yourself. Read a book, take a walk, take a nap, whatever it is used it as a time to give yourself a break. 11. Fake it until you make it. Changing our self-appreciation habits doesn’t happen overnight. It takes time and practice.

Topics TGRCNM Support Groups

The Transgender Resource Center of New Mexico is hosting a series of support groups for the Transgender community. Transfeminine support group: 1st and 3rd Tuesday of each month starting at 7 pm Transmasculine Support Group: 1st and 3rd Thursday of each month starting at 7 pm The Transgender Resource Center of New Mexico is located at 149 Jackson Street NE. Albuquerque, NM 87108 For more information please call 505-200-9086

Transgender Resource Center of New Mexico Need Help? Call or Come By 149 Jackson St NE Monday-Friday 1pm-6pm tgrcnm.org

505-200-9086

trevorproject.org The Trevor Project is one of the leading national organizations providing crisis intervention and suicide prevention services to LGBTQ young people ages 13-24

Daily Strength Dailystrength.org/group/transgender Daily Strength is an Online community for transgender people to share their experiences and feelings, and speak to others going through similar things. transequality.org The National Center for Transgender Equality is an organization fighting for transgender rights. Get information on your rights, ID documents, and more. 9


TRUMAN Times CLASSIFIEDS Midsummer Nights Alternative Growing Group Interested in growing plants and herbs from seeds? Midsummer Nights is a patient run gardening/growing group. Meetings begin May 14th. For more information on times and location contact David at (505)565-0273

New Time!

SPEAK, our men’s support group is meeting the 2nd and 4th Wednesday of every month from 5:30 pm to 6:30 pm. This is your opportunity to enjoy good company in a positive healing environment. For more information please contact us at THSOutreach@unmmg.org.

SMART Recovery® sessions are Tuesdays from 5 pm to 6 pm Support groups will be in the UNM Truman Health Services Conference Center B-6 For more information please contact Adam, Behavioral Health Therapist at 505-272-1312

We now offer you a way to see your medical information on-line! MyHealth UNM is a new patient portal you can use any time, day or night, as long as you have Internet access. Through MyHealth UNM you can: • View future appointments • View clinic notes • View lab results • Send a message to your care team. Find out how you can get an account from UNM Truman Health Services today!

My Health UNM Patient Portal myhealthunm.iqhealth.com

Notice of Privacy Practices

Your providers and staff members at UNM Truman Health Services want you to know your rights, and our responsibilities when it comes to your health information.

YOUR Rights include…

• Copies of your electronic or paper medical record—submit requests to Health Information Management • Corrections to your medical records—if you find incorrect information in your record, let us know so we can assist • Request confidential communications—you can ask us to contact you in a specific way; for example, home or office phone, or by mail • Ask us to limit what we use or share about your health information—there are specific guidelines to this request so please ask for assistance • Get a list of those with whom we have shared information—again, there are specific guidelines to this request so please ask for assistance • Get a copy of the UNM Health Sciences Privacy Notice—copies of this document are kept at our reception desk, and are available in English, Spanish and Vietnamese • File a complaint if you feel your rights have been violated—please ask us for assistance

OUR Responsibilities include…

• We are required by law to maintain the privacy and security of your protected health information • We will let you know promptly if a breach occurs that may have compromised the privacy of security of your information • We must follow the duties and privacy practices described in the UNM Health Sciences Privacy Notice, and offer you a copy • We will not use or disclose your information without your written consent. Please see your case manager for assistance with the, “AUTHORIZATION TO USE OR DISCLOSE HEALTH INFORMATION” form. Reference Information: UNM Health Sciences Center & UNM Health System, Notice of Privacy Practices, September 23, 2013. Visit: hsc.unm.edu/admin/privacy

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HIV Infection and Women Infection Throughout the world, HIV is most often spread through sex. Women may be at a greater risk of being infected with HIV during sexual contact than men are. This is because the fragile tissues of the vagina can tear slightly during sex and let the virus enter the body. (This is especially likely among girls under age 18.) The vagina also has a large surface area that can be exposed to the virus, thus increasing the risk of infection. Similarly, anal tissues are also fragile and prone to tearing slightly during sex. Women are at higher risk of infection via anal sex than by vaginal sex with an infected man. Most women around the world and in the United States who have HIV were infected through sex with a man. Forced sex, transactional sex, and marriage to much older men increase women’s risk of infection in many places around the world. Having multiple sex partners can also increase the risk of exposure to the virus that causes the disease. Injection drug use is another way HIV can be acquired by women.

Signs and Symptoms Most signs and symptoms of HIV/AIDS are the same in men and women. However, there are some that are specific to women. For example: • Vaginal yeast infections. These infections can be more sever and difficult to treat in women with HIV infection thank in other women. Yeast infections can also be chronic in women with HIV, which means that the infection is long-lasting or keeps coming back. • Pelvic inflammatory disease. This infection of the female reproductive organs may be more frequent and severe in women with HIV infection. • Human papillomavirus (HPV) infections. HPV causes genital warts and can lead to some cancers, especially cancer of the cervix. HPV infections may be more likely to cause warts or pre-cancerous changes in the cervix in HIV-infected women than in HIV-uninfected women. Information from the U.S. Department of Health, National Institute of Health

What is TSNP? UNM TSNP is a program that provides financial assistance to patients who are uninsured, under insured or do not have adequate financial resources to pay for healthcare services. TSNP covers co-pays, deductibles, co-insurance, and non-covered care for qualified patients of UNM Truman Health Services (UNMTHS). It does not cover inpatient, emergency department and ambulance services. This program is available to all patients of UNMTHS that meet the New Mexico residency and income (less than/equal to 750% Federal Poverty Level) guidelines set by UNMTHS. Contact an eligibility specialist to enroll.

The Ryan White Program The Ryan White HIV/AIDS Program (RWHAP) provides a comprehensive system of care that includes primary medical care and essential support services for people living with HIV who are uninsured or under insured. To qualify to receive Ryan White benefits, you must be HIV+, you must be a New Mexico resident and you must meet income qualifications. UNMTHS is required to certify that patients meet these criteria before offering Ryan White benefits.

https://www.nichd.nih.gov/health/topics/hiv/condition info/Pages/women.aspx

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UNM Truman Health Services Safety Net & Ryan White Programs

UNM Truman Health Services, in an effort to eliminate barriers and meet federal legislation requirements, has a Sliding Fee Scale and Cap on Out of Pocket Charges* available to Ryan White and/or Truman Safety Net Program enrolled patients. * Only available for Ryan White enrolled patients.

Sliding Fee Scale

Patients enrolled in Ryan White and/or Truman Safety Net Program will be charged a nominal fee based on their Federal Poverty Level. Patients will not be denied service for inability to pay the fee. Individual FPL ≤

Nominal Fee

100% of FPL

$0

101% to 200%

$1

201% to 300%

$2

301% to 400%

$3

401% to 750%

$5

Outside Services paid by THS (excluding patients ≤ 100% of FPL)

$10

*Outside services excludes inpatient, emergency department and ambulance.

Cap on Out of Pocket Charges

Patients that qualify for the Ryan White Program will have a Cap on Out of Pocket Charges. Cap on Out of Pocket Charges includes (but not limited to): insurance premiums, insurance co-payments, co-insurance and deductibles; office visits, labs, radiology, diagnostic testing, prescriptions and over-the-counter medications, glasses and hearing aids. UNM THS cannot pay inpatient, emergency room and ambulance charges, but these expenses can be applied to the patient’s Cap on Out of Pocket Charges. Patients are responsible for tracking Cap on Out of Pocket Charges. All UNM Truman Health Services charges will be tracked on behalf of the patient. If you would like outside service charges added, please bring in your applicable bills. Patient FPL )3/

100% of FPL

Annual Cap on Out of Pocket Charges

No out of pocket expenses

101% to 200%

Actual patient gross income multiplied by 5%

201% to 300%

Actual patient gross income multiplied by 7%

301% or greater

Actual patient gross income multiplied by 10%

Truman Safety Net Program

For information on the TSNP and the Ryan White Programs call 272-1312 and ask to speak to your Medical Case Manager or an Eligibility Specialist 14


UNM Truman Health Services is a Patient Centered Medical Home (PCMH)! What does that mean for you? You will continue to receive the highest quality of care and service at every visit. This widely recognized symbol of quality shows the hard work and dedication UNM Truman Health Services provides to our patients.

UNM Truman Health Services and the UNM Medical Group are now accredited by the Accreditation Association for Ambulatory Health Care, Inc. Be sure to take a moment and congratulate our providers and staff for all of their hard work to make UNM THS the best place for your healthcare.

At UNM Truman Health Services you are the center of your health care

July/August Newsletter  

July/August 2017 Newsletter

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