TRUMAN TIMES
A Patient Centered Medical Home
Volume 24 September/October 2016
What’s Inside 1. Just A Note 2. Pharmacy News Clinic Information 3. Have You Heard? 4. PrEP 5. At Your Appointment Alcohol and the GLBTQ Community 6. Aging and HIV Did You Know?
7. 5 Healthy Changes to Make Now 8. PAC News Press Ganey Survey 9. TG Topics 10. PrEP 11. The Best HIV/AIDS Apps of 2016 12. GLBTQ+ Healthy Living Fair 13. Truman Times Classifieds
14. Ryan White Program How to Have a Better Night’s Sleep 15. UNM Truman Health Serivces Safety Net Program & Ryan White
Just
A Note
UNM Truman Health Services is proud to annouce the First Annual GLBTQ+ Healthy Living Fair. We feel that focusing on occupational, physical, mental, emotional, financial, social, and spiritual health will help our patients and the community find a more well-rounded approach to having a healthier life. Join us on October 8th from 10 am to 4 pm here at 801 Encino Place NE. Don’t forget UNM THS offices will be closed for the Labor Day Holiday and will reopen on Tuesday, September 6th. And, if you haven’t noticed already, the Truman Times has a new look. Tell us what you think and let us know what information you would like to see in the publication. As a patient-centered medical home, UNM Truman Health Services focuses on you.
WHAT’S HAPPENING Labor Day (Offices Closed) September 5
National Aging and AIDS Awareness Day September 18
National Gay Men’s AIDS Awareness Day September 27
GLBTQ+ Healthy Living Fair October 8
National Latino AIDS Awareness Day October 15
GLBTQ++ Healthy Living Fair
Occupational-Physical-Mental-Emotional-Financial-Social-Spiritual
Join us on Saturday, October 8, from 10-4 for the UNM Truman Health Services GLBTQ++ HEALTHY LIVING FAIR At the Medical Arts Plaza 801 Encino Place NE in the parking lot
A Healthy Day of Food, Fun, and more! 1
Pharmacy News
Reasons For Medication Adherence Taking medication sometimes seems like a simple thing, but non-adherence (or forgetting to take your medication as directed) can compromise your health. Poor medication adherence takes the lives of about 1 in 25,000 American’s annually. There are some things you can do to help stick to your schedule: • Use a pill organizer with separate compartments for every day • Ask your pharmacist if he/she can fill blister packs with your medication, so you can break open what you need each day • Set a clock or watch alarm to go off when it’s time to take your pills • Take your medication in conjunction with part of your daily routine • Ask your pharmacist about devices like medication reminder pagers, wristwatches, and pill dispensers • There are also multiple apps available for reminders and tracking
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
Centralized Scheduling Coming Soon UNM Truman Health Services is centralizing its scheduling departments to improve efficiency, access to services, and patient satisfaction. Centralized scheduling will begin soon and will be open from 7:00 am to 5:00 pm. Centralized Scheduling will only handle follow-up appointments and rescheduling for current Truman patients. No new patient visits will be scheduled through this service. To reach Centralized Scheduling please contact us at 505-272-1623. If you have any questions about this new service please contact us at THSInfo@unmmg.org.
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Have You Heard? Have you heard that UNM Truman Health Services has a weekly blog? Every week UNM Truman Health Services publishes a blog on healthy living, HIV, Transgender topics, and more. Visit our website at www.unmtruman.org and then let us know what you think. If there are some blog topics you would like to see send us a note at THSInfo@unmmg.org.
UNM Truman Health Services has a Facebook page! https://www.facebook.com/unmtruman/ So why should I want to like it? Our Facebook page is full of information on living with HIV, the most recent news in the transgender community, healthy living ideas, and the most up-to-date PrEP information. We also have information on upcoming events, important Truman information, and things about our staff. If I like the Truman page is my personal informatio confidential? Facebook does not allow businesses access to your personal information, even if you like a
Have you heard that UNM Truman Health Services has a Facebook page?
business page or a post on that page. What does UNM Truman Health Services post on Facebook? We share or “post” information about HIV, transgender health, affirming quotes, healthy living ideas, and PrEP information. Whe I like THS on Facebook who sees it? UNM Truman Health Services’ Media and PR Coordinator, your friends and family, and our SEO organization sees who likes our Facebook page. How can I keep this information private? There is a setting on your Facebook page that will allow you to keep information private. Look for the lock on the right side of the menu bar. Click on it and a drop-down menu will appear. Go down to settings and click it; a new screen will appear. On the left find privacy and click it. You will then have options on how you want to set you page.
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Adapted from You and Your Partner Having a Conversation about PrEP
BY GARY MCCLAIN, PH.D. OCTOBER 28 2014 5:00 AM EDT
Not so long ago, the only way to prevent HIV exposure was by using
condoms. So the decision was pretty clear. If you didn’t want to be exposed to HIV, you used a condom. End of story. But the story continues. Now we have per-exposure prophylaxis of PrEP. For couples, PrEP may pen up a whole new chapter in your relationship. Are you ready? PrEP is a game-changer in more ways than one. I have had many clients talk to me about PrEP. Along with the issues that are coming up for them. Issues like: Going on a daily medication for the foreseeable future. Being stigmatizes as someone who has a lot of random hookups. The level of risk from exposure that still might be present. Whether it is covered by insurance, along with the co-pays. Making the PrEP decision when you are in a relationship can be especially difficult. You have to consider not only your needs and expectations, but those of your partner. Two people. Twice as many considerations. Making the PrEP decision means having conversations about some topics that might be pretty uncomfortable. And they all revolve around a single word: Trust. Trusting yourself to stay within the boundaries you and your partner have agreed on, trusting your partner to do the same. Trusting that your partner won't be hurt or offended by introducing PrEP into your relationship. And trusting your understanding of how PrEP works to ensure you and your partner are protected from HIV exposure. Conversations about PrEP can be difficult, and downright scary. Your motives for going on PrEP-or for refusing to go on PrEP- will need to be exposed to the light of day. Let’s face it: Talking about life after PrEP can feel like negotiating safe sex all over again. So a questions: Do you trust that your relationship has a strong enough foundation to survive whatever might come up when you have this discussion? Somebody will take the lead in the PrEP conversation started. Here are some steps to kicking it off and keeping it moving forward: Start with a reminder: I love you. When you’re having a conversation about your relationship, start with reconfirming your foundation. After all, you’re together because you love each other. State your intention. This isn’t the time to be a wimp about why you’re starting this conversation. But that also doesn’t mean you’re here to lay down the law. So how about making it clear that this is a decision for you and your partner to make together? You might say something like””I’ve been thinking about PrEP and what it might mean for us. I want to talk to you about your thoughts. Is that OK?” If your partner isn’t ready to have the discussion, you may need to drop it for now and bring it up again when he/she is ready. Let your partner talk first. You might already be aware of your partner’s feelings about PrEP. Or maybe not. Either way, give your partner a chance to express their opinion first. This approach can help your partner to feel like this is really a conversation and not only an opportunity for you to express your opinion or state the decision you have already made your own. “ I’m really interested to know what you think about PrEP.” Listen. Early and often. Conversations are an exchange between two people. You take turns talking and listening. So when your partner talks, really listen to what they’re saying--instead of thinking about what you want to say next and waiting for them to take a
breath so you can jump in. If you aren’t feeling listened to, gently ask your partner to do the same. It might help to state what you just heard your partner say, in your own words, to make sure you understand: “So you are saying ____.” Listening is on of the best ways to honor another person. Offer to team up on getting informed. Make this an opportunity to look for information together. Share what you learn. Make a list of questions to get more information. You might also want to meet as a couple with your doctor to talk about PrEP. To kick off the information-gathering: “How about if we get on the Internet and do some research? Where do you want to start?” Get to the why question. OK, here goes what might be the hard part. At some point in the discussion, you’re going to need to clearly state why you want to consider going on PrEP, why you want your partner to, or why you won’t . Since you kicked off the conversation, your partner will at some point ask you the “why” question. Again, this is no time for talking around the issue. “ Here’s why I think PrEP would be a good idea for me/you/us.” Or, “here’s why I don’t think it’s a good idea.” And then state why. Keep listening. The conversation may go smoothly. Your partner may also have been thinking about PrEP and welcome the opportunity to talk about it. On the other hand, some elephants may have been wandering around your living room (one of them named “Trust”) that need to be identified and discussed. This could get uncomfortable. If so, listen with an open mind. Try to understand your partner’s concerns without being defensive: “I really want to know how you are feeling about this.” Again, it might help to restate what you think you just heard: “So what I think you are saying is _____.” Keep your head in the game even when you’d rather tune out. Get clear on life with PrEP. PrEP may not make much of a difference at all beyond providing an additional barrier against HIV exposure. But it may also mean renegotiating some boundaries, or at least being up-front about boundaries that you have kind of been avoiding talking about. As the saying goes, put your cards on the table. Get specific with each other about what your relationship would be like with PrEP. Consider this conversation a work in progress. You may need to consider the PrEP discussion from a variety of angles before you can come to a decision that you can both be comfortable with. Remember: Patience is a virtue. Give your partner time and space to work through his/her concerns on their own as well as with you. Keep the conversation going. Talking about PrEP. This may be one of the most important conversations you and your partner have had so far. Approach the PrEP conversation with honesty and with an open mind. Hear each other out. Share information. Try to understand each other’s concerns and expectations. Be patient and kind. Keep talking. 4
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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
Alcohol and the GLBTQ Community A widely accepted cultural norm, alcohol is an intoxicant and central nervous system depressant like many other substances of abuse, but it is legal, readily available, and widely socially accepted. Like other drugs, alcohol changes the way we think about, perceive, and react to things. Moderate drinking, as defined by the National Institutes on Alcohol Abuse and Alcoholism, is no more than one drink per day for women and no more than two drinks per day for men; which equates to seven or fewer drinks per week for women and 14 or fewer drinks per week for men. The average size of a drink is a 12 -ounce beer, 8-ounces of malt liquor, a 5-ounce glass of wine or 1.5-ounce shot of liquor. Binge drinking, which is especially problematic, is four in two hours for women and five drinks in two hours for men.
Dangers of binge drinking Drinking in excess is dangerous and can quite easily lead to death. Overdose of alcohol can occur when a person has blood alcohol content sufficient to produce impairments that increase the risk of harm. Age, drinking experience, gender, the amount of food eaten and even ethnicity can influence binge drinking. Critical signs of alcohol poisoning include: -Confusion -Vomiting -Seizures -Slow breathing -Hypothermia Even small amounts of alcohol can decrease coordination, make a person feel sick and impair judgment. This can lead to injury from falls or car crashes, leave someone vulnerable to sexual assault or other acts of violence, and increase the risk for unplanned, risky sexual behavior. Higher amounts may sometimes cause amnesia or blackouts. Studies have shown that when compared with general population, the GLBTQ populus is more likely to use drugs and alcohol, have a higher rate of substance use, and continue heavy drinking into later life.
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Aging and HIV 30-years ago, at the beginning of the HIV/AIDS epidemic, people who were diagnosed with the virus could expect to live one to two years after the diagnosis. Because of this issue aging was not a major focus. Now, with the improvement of antiretroviral therapy (ART), people diagnosed in the early stages of the disease, who stay on ART can keep the virus suppressed, and may live as long as their HIV-negative peers. For this reason, there are a growing number of people 55 and older living with HIV in the U.S. They account for more than one-quarter (26%) of the 3.2 people living with HIV in the U.S. As for most people aging with HIV, there are some additional complications. The longer life expectancy shows many signs commonly observed in aging. Signs of multiple chronic diseases or conditions, the use of multiple medications, changes in physical and cognitive abilities, and increased vulnerability to stressors. Non-AIDS illnesses are more common in individuals with long-standing HIV infection; these conditions include cardiovascular disease, lung disease, certain cancers, HIV-associated neurocognitive disorders (HAND), and liver disease (including Hepatitis B and Hepatitis C). Other risks include chronic inflammation. Chronic inflammation is associated with cardiovascular disease, lymphoma, and type 2 diabetes. There are also many profound effects on the brain that can affect attention, language, motor skills, memory and other aspects of cognitive function which can affect a person’s quality of life. One problem is that older Americans who are infected are more likely to be diagnosed in the later stages of the virus because of lack of education, stigma, and medical professionals are less likely to include them in a high-risk category. Because older Americans have a higher risk of facing social isolation, loneliness, and stigma support groups and organizations focused on supporting the elderly living with HIV are recommended. The Center for Disease Control and Prevention (CDC) recommends that all sexually active adults ages 13-64 be tested every year for HIV. Organizations that support older people living with HIV are: Services and Advocacy for Gay, Lesbian, Bisexual, and Transgender Elders (SAGE) 1-212-741-2247 info@sageusa.org www.sageusa.org
National Institute on Aging Information Center PO Box 8057, Gaithersburg, MD 20898 1-800-222-2225 (toll-free) 1-800-222-4225 (TTY/toll-free) niaic@nia.nih.gov www.nia.nih.gov
Did you know getting too little sleep may cause your body to be more at risk for getting illnesses like cardiovascular disease? Studies have shown there is a difference getting too little and the right amount of sleep. It is still recommended you get at least eight hours of sleep per night. How does the right amount of sleep help? 1. You have better overall health. 2. Your sex life will be better. 3. You have less pain and your tolerance improves. 4. You have a lower risk of injury. 5. Your moods improve and your stress levels go down. 6. You have better weight control. You aren’t feeding your body to stay awake. 7. You have clearer thinking. 8. Your memory is better (you will remember where you put those darn keys). 9. Your immune system is stronger. People who get less than seven hours of sleep a night have a higher risk of getting sick compared to their peers who get at least eight. For more information on heart disease or other Did You Know topics, contact us at THSInfo@unmmg.org. 6
Adapted from-5 Healthy Changes to Make Now Jillian Michaels Jillianmichaels.com Change doesn’t happen overnight and it takes a lot of dedication and hard work. If you’re ready to start living a happier, healthier life try these changes today. 1. Change your mind. This step is easy. Realize you have the power to change your life by changing your mindset. Look closely at how your emotions and behaviors are affecting your health. Minimize the negative-self talk. The challenge is believing you can. 2. Set Attainable Goals What is your vision of the ultimate you? Take time to imagine it, break it down, and then write it down. To make a permanent change you need long-term and short-term goals. Next create an action plan and write down how you want to achieve them. Don’t forget to reward yourself, but be sure to skip the food rewards. 3. Set up a support system You are responsible for your success, but we can all use a little help from our friends. Share your goals and how you plan to accomplish them. Let your friends and family know how important it is that you have their support. You can also try to get support from you coworkers. You never know, you may find someone else in your circle with the similar goals. 4. Make healthier choices Restock your pantry and fridge to remove temptation. Dump all the junk food immediately to make room for nutritious, energy boosting fruits, vegetables, lean meats, and whole grains. 5. Start moving Exercise is the BEST way to burn calories and fat. Find activities that will allow you to burn the most calories. Stick with it. Set up a workout schedule and mark it on your calendar, then follow the schedule.
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
Welcome to Your Medical Home In a Patient Centered Medical Home: • You are the center of your health care team • We want to know what is important to you • We want to help you learn about your health • Your care is planned, coordinated and based on your needs • You’ll get your appointment when you need it • You will make goals to improve your health and stay healthy
The goal of your team of providers, nurses, pharmacists, medical assistants, behavioral health professionals and medical case managers is to
HELP YOU STAY HEALTHY
What Press Ganey Survey and What You Need to Know UNM Truman Health Services measures all aspects of patient satisfaction. To ensure that we are holding ourselves to the highest standards, we partner with an independent patient satisfaction company, Press Ganey of South Bend, Indiana. For more than 25 years, Press Ganey has been the industry’s recognized leader in health care patient satisfaction. Press Ganey works with more than 10,000 health care organizations nationwide, including 50% of all U.S. hospitals, to improve clinical and business outcomes. Press Ganey was founded in 1985 by Dr. Irwin Press, PhD. and Dr. Rod Ganey, PhD. Who Receives the Survey? The electronic Medical Practice survey is emailed to UNM Truman Health Services patients within a few days of their appointment. Patients take a 20 question survey and provide comments regarding specific aspects of care. We use this feedback to improve all aspects of the clinic experience. Our goal is to provide each patient with an exceptional experience of care. Do you review all comments? We are committed to reviewing positive and negative feedback. However, we do not post comments.
Questions Do We Ask? - Sample of Survey
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TG
Topics
Adapted from Bone Health and Osteoporosis Written by Asa Radix, MPH and Madeline B. Deutsh, MD, MPH
Currently recommendations for transgender osteoporosis screenings are affected by the existing recommendations for non-transgender people. Osteoporosis screening is age- and sex- based, and also individualized on the basis of risk factors. There are a number of lifestyle, genetic, endocrinologic, hematologic, rheumatoid and autoimmune diseases, as well as medications that contribute to osteoporosis. Known risk factors for osteoporosis include Caucasian or Asian race, older age, alcohol >10 drinks/week, low body mass index, smoking, chronic corticosteroid use, hypogonadism, rheumatoid arthritis, hyperthyroidism, immobility, vitamin D deficiency and HIV infection.
Osteoporosis risk in transgender women In one study, researchers found that transgender women had factors which may contribute to an increased risk of osteoporosis, independent of and existing prior to hormone use, such as reduced levels of physical activity, lower muscle mass and grip strength, and lower levels of vitamin D. Studies show that transgender women receiving hormones have both lower, higher and no change in bone density after initiating hormones. The differences in results may be due to the regimens used (some used unopposed androgen blockers for a period of time before initiating hormones) and length of follow-up.
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 Health Resources and Helpful Apps
Looking for a safe place to use the restroom? Try the new app refugerestrooms.org. This app was created to help transgender, intersex and gender non-conforming individuals find near by restrooms that are safe.
The TransHealth app for iPhone and Android measures things like your weight or blood pressure by connecting to your blood pressure cuff.
Osteoporosis risk in transgender men Most published studies to date have shown either no change or an increase in bone mineral density in transgender men treated with testosterone.
Current screening guidelines in non-transgender populations There are no consistent guidelines on the optimal frequency of screening in non-transgender people. The WHO (World Health Organization) guidelines suggest every 10 years. Recommended screening for transgender women and men. Transgender people (regardless of birth-assigned sex) should begin bone density screening at age 65. Screening between ages 50 and 64 should be considered for those with established risk factors for osteoporosis. Transgender people (regardless of birth assigned sex) who have undergone gonadectomy and have a history of at least 5 years without hormone replacement should also be considered for bone density testing, regardless of age. www.transhealth.ucsf.edu
Gendertalk.com is a website devoted to gender issues both inspiring and informative. It covers topics like activism, Intersexuality, personal issues, and more. http://www.gendertalk.com/
The National Center for Transgender Equality offers information on transgender rights, health care issues, HIV, and transgender youth. http://www.transequality.org
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The Best HIV/AIDS Apps of 2016 Written by Elea Carey and Jared Fields Medically Reviewed by Timothy J. Legg, PhD, CRNP, ACRN on June 13, 2016 http://www.healthline.com/ We’ve selected these apps based on their usability, user reviews, frequent updates, and overall impact in offering support and information to people affected by HIV. If you’d like to suggest an app for this list, email us at nominations@healthline.com.
price for any prescription you need to fill. And, if you are taking multiple medications, it has a tool that will find the best price for all of your medications in one place. That way you don’t have to run all over town to save money.
There is a lot of information and terminology you have to learn and keep track of if you or a loved one has HIV or AIDs. From all the medications used to treat these conditions, to learning about new research, it can be hard to keep up. These apps can remind you to take your medications, teach you terms related to HIV, and even find the services you need nearby.
HIV ATLAS HIV ATLAS logoAndroid rating: 4.5 stars Free This app compiles information relating to HIV, tuberculosis, and malaria, and puts it into an easy format. Search for articles, blog posts, and videos by classification and location. Simple alarm tools can be configured to multiple medications and remind you when to take them, meaning that you don’t miss a dose if you’re busy watching or reading something else on the app.
AIDSinfo HIV/AIDS Glossary iPhone rating: 4 stars Free Android rating: 4.5 stars Free Created by the U.S. Department of Health and Human Services, this app provides definitions of all the terminology relating to HIV/AIDS in both English and Spanish. It features an audio tool so you can actually hear how the word should be pronounced in either language. This is a great tool for patients, students, and health professionals.
The Body iPhone rating: 4.5 stars Free Android rating: 4.5 stars Free With this app, you have access to all the content on TheBody.com on your mobile device. Get all the latest news, find out about ongoing research, and research other topics of interest connected to HIV and related illnesses. An easily navigable menu allows you to connect to the topic of your choice, including personal stories from others with HIV. Care4Today iPhone rating: 4 stars Free Android rating: 4 stars Free When you have to take multiple medications every day, things can get confusing. You might miss a dose or even take the wrong amount. With this app, you can input all your medications, with dosage and timing information. Then, it will remind you when it’s time to take one. With a click of a button, the app will populate a chart showing your family, doctor, or care provider that you are taking everything as prescribed. GoodRx GoodRx logoiPhone rating: 4.5 stars Free Android rating: 4.5 stars Free Many people don’t realize that medications can cost different prices depending on where you get them. This app can work wonders if you’re juggling numerous, pricey medications, making it quick and easy to find the cheapest
HIV Risk Calculator HIV Risk Calculator logoAndroid rating: 4 stars Free If you’ve ever wondered how at risk you are for getting or transmitting an STD while performing a sexual activity, worry no more. Whether you may or may not have HIV/AIDS or you think your partner might, this app can answer all your questions. Learn the level of risk for all types of sexual contact, from kissing to intercourse, as well as steps for prevention. HIV Testing Sites & Care Services Locator HIV Testing Sites logoiPhone rating: 3.5 stars Free Android rating: 3.5 stars Free Developed by AIDS.gov, this app is a search tool based on your location. It helps you find a number of different HIV/AIDS related services within a given radius of your current location or any location you input. These services include: housing, testing sites, health centers, and more. Simply input what you need, and get all of the options within your area, all in an easy to read map format. Liverpool HIV iChart Liverpool HIV iChart logoiPhone rating: 5 stars Free When you’re taking multiple medications for HIV/AIDS, or any other condition, drug interactions are a major concern. This app outlines the risks and potential side effects of combining many medications, whether they’re prescription drugs, over-the-counter medications, or natural supplements. If you have a headache, want to take a multivitamin, or have seasonal allergies, you need to know what medications may Or may not be OK to take with everything else.
“There is a lot of information and Terminology you have to learn and Keep track of if you or a loved one Has HIV or Aids.” 10
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GLBTQ++ Healthy Living Fair
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Join UNM Truman Health Services Saturday, October 8th 10 am to 4 pm in the Medical Arts Plaza for the First Annual GLBTQ+ Healthy Living Fair Food, Fun, Demonstrations, Entertainment, and More! Some of the participating organizations include: • ABQ Center for Spiritual Living • Blue Cross Blue Shield • Centro Savilla • First Congregational Church of Christ • First Nations Community Health Source • Molina Healthcare • Masterpiece Medical Massage • Rape Crisis Center • SAGE • And more!
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TRUMAN Times CLASSIFIEDS 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.
SPEAK, our men’s support group is meeting the 2nd and 4th Wednesday of every month from 5:00 pm to 6:00 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 Fridays 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 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
How to Get a Better Night’s Sleep
These days most of us feel too busy to do anything but go home and watch TV at the end of the day. But, studies have shown that watching TV or being on the computer before we go to sleep actually affects the quality of our sleep. To help improve your sleep take one hour ever night before you head to bed and try one of the ideas below. You will thank yourself in the morning. 1. Listen to an audio book or a podcast. Your local library has a good list of books on tape you can check out, so there is no excuse. 2. Do something mildly artistic like drawing or paiting. Adult coloring books have become all the rage because they help us reduce stress and boost our creativity. Or, have even more fun and color in a children’s coloring book.
What is TSNP? UNM TSNP is a program that provides financial assistance to patients who are uninsured, underinsured 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
3. The art of letter writing is almost lost. Help keep it alive by writing a letter to a family member or a friend. Keep your writing supplies together to make it easier for you. 4. Spend time with your family and friends by playing a new game. 5. Have friends over for dessert. Loose the stress of making a large meal and invite people over for a simple dessert. 6. Read. Our brains function better when they are challenged. Take the time to read a book, a newspaper, or even some poetry. Remember though, you are trying to unplug so why not check a book out of the library and read the old-fashioned way. 7. Spend time looking through old photos of family and friends. Think of all the memories we forget about. 8. Talk. Talk to your family and friends. Share the events of your day. 9. Spend time playing with your pet. Pets love us unconditionally, this is a great time to give back and share yourlove with them by
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 underinsured. 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.
playing with them, talking to them, or cuddling with them before you go to bed.
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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 receipt(s). 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 level 3 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