May 2019 CSU Newsletter

May 2019

Clinton Service Unit

Inside this issue: MEASLES: What you need to know

IHS Mission 2 Since January 2019, there have been 880 cases of measles in the United
States (U.S). This is the highest number of cases in the U.S. since 1994. Mea-
Health Board 4 sles cases have been reported in 24 states, including Oklahoma, and there are
ongoing outbreaks in New York, Michigan, California, Georgia, Maryland, Penn-
Colorectal Cancer 6 sylvania, and Washington State.

Leadership 7 It is important to understand measles is one of the most contagious viruses
around. If you are not immune to measles and are exposed to someone with
Quarterly Awards 8

Nurses Week 10

PoP Awards 13

New Employees 14

Mail Bag 14

measles, you have a 90% chance of getting sick. The measles virus can linger in the air for

up to two hours after a contagious person leaves the area. (Measles continued on page 3…)

8th Annual Community Baby Event

Native American women and families of those organizations to provide accurate health infor-
who are expecting to have a baby or who have mation to positively impact factors in lowering
a child under 24 months of age attended Clinton the infant mortality rate in Oklahoma. (Baby
Service Unit’s (CSU) eight annual Community Event continued on page 7...)
Baby Event held on May 30, 2019 at the Chey-
enne and Arapaho Tribes’ Clinton Community
Center.

According to the Centers for Disease Control Members of CSU hosted the 8th annual Community Baby Event on
and Prevention, Oklahoma’s infant mortality May 30, 2019.
rate—the number of babies who do not live to
their first birthday—is among the top ten highest
in the country with a rate of seven infant deaths
per 1,000 live births. The Community Baby
Event is a partnership with tribal and community

Fulfilling the IHS Mission and Vision of CSU

Mission

To raise the physical mental, social, and spiritual health of
American Indians and Alaska Natives to the highest level.

Vision

To provide quality health care services focusing on prevention, resto-
ration and collaborative relationships that are valued and exceeds the

needs of our patients, community, and tribal partners.

“The IHS Mission is more than a statement…. It’s a practice,” said Denise Surface, supply techni-
cian/receiving agent. “To me, it is a passion to do my job to the best of my ability consistently. To
support the work force in every way so our teams can lift our patients to the highest level of care…

physically, mentally, socially, and spiritually!”
“The Purchasing, Supply, and Property are departments working behind the scenes,” said Anna
Hulsey, purchasing agent. “We are not medical professionals, but work clandestinely and privately
without being known or seen by our American Indian and Alaska Native patients. Striving to practice
on a daily basis to the highest level by providing supplies, purchases buys, services, and equipment

for direct patient care for the Clinton, El Reno, and Watonga Indian Health Centers.
“To me, as a new employee, the IHS Mission means we as IHS staff will respect and care for our
Indigenous Americans to the highest levels,” said Ashley Brownfield, supple technician/property

custodial officer. “We will exceed the needs to do so!”

Purchasing and Supply Team p (left to right): Anna Hulsey, Ashley Brownfield, and Denise Surface

Page 2

Measles continued… Before we had an ef-
fective measles vaccine, almost everyone got
sick with measles at some point in childhood. In
some parts of the world, measles is still very
common and causes severe health problems,
especially in children who are malnourished.

While people may think of measles as a harmless childhood disease, it can be very dangerous. One
out of every four people infected with measles will need to be hospitalized. Two out of every 1,000
people infected with measles die. Pneumonia is a common complication, and the most likely
cause of death from measles. One out of every 1,000 people with measles develops brain swelling
(encephalitis), which may lead to death or permanent brain damage. In rare instances, seven to ten
years after getting measles people may develop a deadly, untreatable condition called subacute
sclerosing panencephalitis (SSPE), which leads to seizures and brain damage.

Fortunately, measles is preventable. The measles vaccination is safe and very effective. Ninety-
three percent of people develop immunity to measles after just one dose of measles vaccine,
and 97% develop immunity after two doses. A very small number of vaccinated people may
not respond to the vaccine and may get sick if exposed to measles. Infants, pregnant women, and
people with certain immune system problems cannot be vaccinated against measles.

Most cases of measles in the U.S. are brought back from people travelling overseas. However,
measles may be passed from person to person in places with low vaccination rates. This is why
there are ongoing outbreaks in some parts of the U.S. right now. It is very important everyone who
can be vaccinated, gets vaccinated. By keeping immunity levels high, our community can
stop the spread of measles and protect our most vulnerable citizens.

Please do your part in preventing the spread of measles:

 Talk to your health care team to make sure you have had the measles vaccinations.
 Check your children's’ shot records. They should have one dose of Measles-Mumps-

Rubella (MMR) vaccine at 12 months of age and one dose at four years of age.
 If travel overseas, please let your health care team know so they may help you take any

necessary precautions. Children who are six to 12 months old should receive an extra
dose of MMR before traveling overseas.
 If you think you may have been exposed to measles and have any of the following symp-
toms, fever, bloodshot eyes, or rash; please call the clinic and speak to a member of your
medical team BEFORE you arrive.

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Meet the Cheyenne & Arapaho
Tribes’ Health Board

Allen Sutton

As an enrolled member of the Cheyenne and Arapaho Tribes, Mr. Sutton is a highly respected Arap-
aho Chief. He is from Canton, Oklahoma and has served on the Health Board for around twenty-five
years. Mr. Sutton was selected for the American Association of Retired Persons award for the Chey-
enne and Arapaho Tribes for his dedication to his tribal members.

Quinton Roman Nose

As an enrolled member of the Cheyenne and Arapaho Tribes, Mr. Roman Nose has dedicated most
of his career in the field of Indian Education to promote and develop educational initiatives and op-
portunities to improve the educational levels of the Native American students and tribal members.
He is on the Board of Trustees at Bacone College in Muskogee, Oklahoma and serves on the Board
of Directors as the Executive Director of Tribal Education Departments National Assembly. Mr. Ro-
man Nose is a moderator of the Watonga Indian Baptist Church, a member of the American Baptist
Indian Caucus, and a board member for New Baptist Covenant. He served on a board for Office of
Health Equity to study health needs of underrepresented populations.

Page 4

Phyllis Nabilsi

As an enrolled member of the Cheyenne & Arapaho Tribes, Mrs. Nabilsi has twenty years’ experi-
ence as clinical registered nurse with both IHS and in the private sector. She has worked for the
Cheyenne and Arapaho Tribes’ Indian Child Welfare department.

Charles Fletcher

As an enrolled member of the Cheyenne and Arapaho Tribes, Mr. Fletcher is a Vietnam Veteran
with forty-three years of experience with IHS in various positions. His last duty was with the Clinton
Indian Health Center as the Health Systems Administrator. His awards include the NAIHS Area Di-
rector’s Award and the IHS Director’s Award.

Jennifer Hart

As an enrolled member of the Cheyenne and Arapaho Tribes, Ms. Hart is from Hammon, Oklahoma
and a graduate of Southwestern Oklahoma State University with a Bachelor of Science in Nursing.
She has thirty years of nursing experience and served in the U.S. Army Nurse Corp and in the pri-
vate sector. Ms. Hart has served on her local school board for nine years.

CSU’s Administration team, IHS Oklahoma City Area Director, and the Cheyenne
Arapaho Tribes’ Health Board met in Watonga in early may for a monthly meeting

between CSU and the tribe.

Page 5

Colorectal Cancer

Have you been screened?

 Did you know that colorectal cancer is the second leading cancer killer in the United States?
 Did you know that even though colorectal cancer rates in the USA have gone down by 12% over

the past ten years, colorectal cancer rates in Native Americans have gone up by 24%?
 Did you know that Native American patients who develop colorectal cancer are more likely to be

diagnosed later, which makes it more likely their cancer will be deadly?

IF YOU ARE OVER 50,
ASK YOUR HEALTH CARE TEAM ABOUT COLORECTAL CANCER SCREENING!
Colorectal cancer is most common in people over the age of 50, and affects both men and women.
Some people are more likely to get colorectal cancer, and may need earlier screening. You may be
at high risk if you have:
 Relatives with colorectal cancer or colorectal polyps (small growths in the colon that can

grow into cancer
 Chronic bowel diseases like Crohn’s disease or Ulcerative Colitis
 A genetic syndrome that may cause cancer

SYMTOMS of COLORECTAL CANCER
Many people don’t have symptoms in the early stages, which is why it is important to get your
screening done, even if you are feeling well!

 Blood in or on your bowel movements
 Stomachache that does not go away
 Weight loss
 Anemia (low blood counts) that is unexplained

WAYS to SCREEN for COLON CANCER:
Check your bowel movements for blood you can’t see. This test can be done at home with a simple
kit that you can get from the clinic. Your care team can teach you how to get your sample at home
and bring it back to the lab for testing. This test should be done yearly!

Page 6

Weatherford High School Leadership

Class Presentation

Clinton Indian Health Center’s CAPT Dana Hayworth, ambulatory Pictured above: CAPT Dana Hayworth
care nurse manager, gave a presentation to three Leadership Classes
at Weatherford High School on May 14, 2019. She presented infor-
mation on the United States Public Health Service Commissioned
Corps, including history of the Commissioned Corps, mission, service,
student opportunities, requirements for commissioning, career oppor-
tunities, and recent humanitarian missions. CAPT Hayworth highlight-
er career opportunities available in the IHS throughout the United
States. She presented a student from each class with a challenge
coin symbolic of her deployment to Liberia during the Ebola outbreak
in 2014-2015.

Baby Event Continued…

Medical experts and 22 health vendors provided educational opportunities and answered family health ques-
tions to keep both moms and babies healthy before, during, and after pregnancy. The evening’s events fea-
tured a series of short presentations by staff from both CSU and the Cheyenne and Arapaho Tribes’ Tradition
Not Addiction program. Families were informed on the importance of breastfeeding, drowning prevention,
keeping kids safe from prescriptions drugs, and baby proofing the home by developmental age.

Nationally Certified Passenger Safety Technicians (CPST) staffed by the Indian Health Service (IHS) Division
of Environmental Health and the Cheyenne and Arapaho Tribes’ Transportation Safety Program were onsite
to offer a Car Seat Checkup. The CPSTs checked and installed 22 car seats. At the end of the evening, at-
tendees were asked to participate in a community assessment conducted by the Oklahoma State Department
of Health.

The mission of the Community Baby Event is to ensure Native American babies in Oklahoma are healthy and
safe. It is modeled after an evidenced-based community initiative promoted by the National Office of Minority
Health and Department of Health and Human Services.

Page 7

Congratulations to our

Quarterly Award Recipients

Employee of the Quarter — Billie Kinoute

During the second quarter of FY19, CSU Business Office had a staff shortage in Accounts Receiva-
ble. This resulted in a backlog of various duties. Ms. Billie Kinoute immediately took the proactive
step of offering to cross train several members of the team in department processes, so there would
not be a delay in revenue stream. Throughout this time, she has assisted her department by posi-
tioning all of the Medicaid and Medicare batches as they are received. In addition to her own duties,
Billie has assisted the (A) Business Office Manager.

“Billie makes herself available for training and answers questions to her department whenever we
need,” said Michael Meeks. “If she does not know the answer, she is able to put us in touch with
someone who does. All of this has made our Accounts Receivable staff and department as a whole
a stronger team in moving forward.”

In addition to Billie’s duties in the Business Office, she has been steadfast in coordinating and rais-
ing funds for the CSU’s Youth Powwow, which serves as an outreach event to the local community.

Pictured above: Billie Kinoute, CSU’s
Employee of the Quarter.

Page 8

Above and Beyond — Juanita Benally-Morsette

“Juanita is an exemplary employee,” said Lisa Anquoe, Val Allen, and
Jessica Kodaseet. “I have had many questions on both benefits and
timekeeping. My questions are always answered swiftly and complete.”

Patients in need of help are promptly assisted by Juanita. She takes time
with each individual and is always ready to help patients with anything
she can. Juanita is here for her coworkers and is always in a positive
mood.

“It is a joy to be around Juanita,” said Benally-Morsett’s co-workers. “She

is always going above and beyond and never complains about doing her

job. She makes sure our vets get the services they need and will walk Pictured above: Juanita Benally-

them step by step through benefits. One of our elder vets was homeless Morsette, recipient of CSU’s Above and
Beyond Award.

and was not receiving any benefits from Veterans Affairs. Juanita made sure she helped him and

helped to get him back on his feet.”

Outstanding Customer Service — Satin Deer

“What impresses me most about Satin Deer is how quick she is to get
tasks taken care of,” said Johnelle Lamar. “I’m in need of a replacement
PIV, once I inquired of Satin what needed to be done, she immediately
sent me the form to fill out and sent it straight to Area for processing.”

Lamar went onto say on another occasion, her daughter’s school was
needing verification she worked on government property. Stain was una-
ble to sign the form, but worked for several weeks to get answers as to
who it needed to be signed by.

Pictured above: Satin Deer, recipient of “Usually I receive monthly emails about OPM charges,” said Lamar. “I
CSU’s Outstanding Customer Service have to verify the employees the spreadsheet states are ours. There
are some employees we’re unable to identify which service unit they
Award.

belong. When I received charges and sent to HR, Satin responded within an hour to let me know

which ones I could not identify as ours. Not only this, but she had looked into all of the ones Area

didn’t know where they belonged. She not only assisted me, but Area Office as well. We are very

grateful for her assistance.”

Page 9

4 Million Reasons to Celebrate!
National Nurse’s Week

May 6 - 12, 2019

Four million registered nurses provide daily life–saving care to people in the United States (ANA,
2019). Over 2,380 of those nurses provide health care in the Indian Health Service (IHS) and over
500 of these nurses work in IHS, Tribal, and Urban programs within the Oklahoma City Area. Nurs-
es comprise the largest health care provider group in IHS and form the foundation of high quality
health care.

“Thank you to all of our nurses at CSU for your hard work and dedication as we continue to im-
prove the health status of the people we serve,” said Joe Bryant, CSU chief executive officer.

IHS nurses have a proud and rich history. In 1924, Elinor Gregg established the first nursing divi-
sion at the Bureau of Indians, forerunner of the nursing program in the IHS. In the early 1970’s, IHS
was among the first health care programs to hire advanced practice nurses such as nurse-midwives
and nurse practitioners.

In 1927, Susie Walking Bear Yellowtail ( Apsáalooke/Lakota ) became the first Native American to
become a registered nurse. Susie dedicated her life to improving the health of American Indians/
Alaska Natives (AI/AN) and became an outspoken leader for changes to improve AI/AN health care.
She was one of the original organizers to develop the Native American Nurses Association. From
1930-1951, Sage Memorial Hospital in Ganado, Arizona established the first all-native American
school for registered nurses. In 1951, the Kiowa School of Practical Nursing opened in Lawton, Ok-
lahoma and in 1955 moved to Albuquerque, New Mexico to become the Indian School of Practical
Nursing operating from 1955 to 1974.

“Nurse’s Week provides an opportunity to give recognition to nurses and educate the public about
the impact nurses have on health and disease prevention,” said Susan Wood, CSU chief nurse ex-
ecutive. “Please take the opportunity to tell a nurse how much he/she is appreciated.”

Now is a great time to become part of the IHS nursing team. Information on current nursing oppor-
tunities can be found on the IHS website: https://www.ihs.gov/nursing/jobops/ job opportunities.

Page 10

Pictured above: Clinton Indian Health Center Nursing Team

Pictured above: El Reno Indian Health Center Nursing Team

Pictured above: Watonga Indian Health Center Nursing Team

Page 11

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CSU “POP” Stars

Personal Outstanding Performance

The “POP” Award recognizes CSU employees who exhibit
“Personal Outstanding Performance”. It is designed to encourage and acknowledge

employees for their everyday efforts and customer service.
Congratulations to all of our POP Stars!

Jonelle Lamar

“I would like to recognize Johnelle for continuously responding to every email in a quick response
time,” said Satin Deer. “I email her about multiple CAN numbers for PIV cards, fingerprints, approve
job recruits in Capital HR, and emergency travel. Not only does he respond quickly to all inquiries,

but she is well organized! No matter what the situation is, Johnelle has proven her hard work and
dedication. She is a huge asset to the CSU family and her hard work does not go unnoticed.”

Brianna Sands

“I would like to recognize Brianna, said Sheila Fuller, housekeeping supervisor. “The document
shredding company came to Clinton Indian Health Center to pick up all of the documents in need of
shredding. Facilities was unavailable at the time to assist the vendor. Brianna knew where facilities

kept the list of all the shred bins. She located this list and escorted the vendor to all of the depart-
ments.

William Littlecalf

“I would like to compliment William,” said Afton Luttrell, patient advocate. “I observed William escort-
ing a mother and daughter to another department . On his way back to his department, he saw an
elder standing in front of Purchase/Referred Care. He asked if she was okay and if she needed a
wheelchair. He then ran to retrieve the chair and assisted her into it. It’s the small things that make
our patients experience memorable. Good job William for going above and beyond!”

Gary Smith

“On the evening of May 6 after five, I was informed of an accident in the front lobby restroom,” said
Cheryl Lamb-Groves. “The restroom required clean-up with chemicals to make the facilities usea-
ble. I called Gary, El Reno housekeeper, and told him of the problem. He agreed to come in early to
address the problem. He answered his phone, even though he was on annual leave at the time. He

didn’t complain about the mess!”

Page 13

Meet CSU’s Newest Team Member

Maci Brooks

Maci Brooks, ultrasound technician for Clinton Indian Health Center, is from Hinton, Oklahoma. She
attended Arkansas State University and graduated with a bachelor’s degree in Radiological Science.

From the Mailbag...

“I received a telephone message from a patient earlier in the month,” said
Andrea Klimo, (A) administrative officer. “The patient stated Mr. Brien Weston,

audiologist, was just awesome and helped him so much. He went onto say we’re
lucky to have someone like Mr. Weston on our staff and he thanked us!”

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Don’t be a “No Show”

Please make the call!

When you cancel the appointment you can’t keep,
we can provide care to another patient.

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For the privacy of our patients,
no photography or video is allowed
in the facilities of Clinton Service Unit.

Thank you for your cooperation.

For when the unexpected happens...

Clinton’s Saturday Convenient Care Clinic

9 am to 1 pm

Walk-ins Only
No appointment needed

Clinton’s Saturday Convenient Care Clinic provides treatment for minor medical needs:

Sore Throat Eye and Skin Infections Earaches
Insect Bites and Rashes Sinus Congestion Minor Cuts and Wounds
Cough Nausea, Vomiting, Diarrhea Fever
Pregnancy Tests Bladder Infections Allergies

Chronic health needs such as diabetes, follow-up appointments, routine prenatal care, pain management, and chronic medication refill renewals
will require an appointment in the primary care clinic, and will not be seen in the Saturday Convenient Care Clinic.

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Clinton Service Unit

Phone Directory

CLINTON INDIAN HEALTH CENTER (580) 331-3300
10321 N. 2274 Road ~ Clinton, OK ~ 73601

Request to establish chart: (580) 331-3369

Cedar Medical Home SweetGrass Medical Home Willow Medical Home

Dr. Nakia, Ginger Woodall, & Michelle Beshaw Dr. Maqbool & Jessica Van Den Berg Dr. Egan, Dr. Hartnett,
Apts: (580) 331-3424 Apts: (580) 331-3412 & Dr. Mejias
Nurse: (580) 331-3424 Nurse: (580) 331-3412 Apts: (580) 331-3466
PRC: (580) 331-3363 PRC: (580) 331-3513 Nurse: (580) 331-3466
(580) 331-3420 PRC: (580) 331-3307
DEPARTMENTS
Chiropractic: (580) 331-3439
Audiology: (580)331-3482 Behavioral Health: (580) 331-3485 Optometry: (580) 331-3413
Dental: (580) 331-3423 Nutrition: (580) 331-3458 Podiatry: (580) 331-3439
Pharmacy: (580) 331-3351 Physical Therapy: (580) 331-3439 Radiology: (580) 331-3415
PHN: (580) 331-3471 PRC: (580)331-3590
Release of Info: (580) 331-3377 Wound Care: (580) 331-3439

EL RENO INDIAN HEALTH CENTER (405) 234-8400
1801 Parkview Drive ~ El Reno, OK ~ 73036

Request to establish chart: (580) 331-3369

Eagle Medical Home Otter Medical Home Pediatrics

Dr. Garcia & Monica Halcomb Dr. Renshaw & Fayth-An Hope Gray Dr. Mejias
Apts: (405) 234-8411 Apts: (405) 234-8411 Apts: (405) 234-8411
Nurse: (405) 234-8411 Nurse: (405) 234-8411 Nurse: (405) 234-8411
PRC: (580) 331-3336 PRC: (580) 331-3419 PRC: (580) 331-3419

Behavioral Health: (405) 234-8426 DEPARTMENTS PHN: (405) 234-8430
PRC: (405) 234-8432 Specialty: (580) 234-8402
Pharmacy: (405) 234-8423
Release of Info: (405) 234-8403

WATONGA INDIAN HEALTH CENTER (580) 623-4991
1305 S. Clarence Nash Boulevard ~ Watonga, OK ~ 73772

Request to establish chart: (580) 623-4991 ext. 3000

Turtle Medical Home Pediatrics

Dr. Ali Dr. Mejias

Apts: (580) 623-4991 Apts: (580) 623-4991
Nurse: (580) 623-4991 Nurse: (580) 623-4991
PRC: (580) 331-3336 PRC: (580) 331-3307

Pharmacy: (405) 623-4991 DEPARTMENTS PRC: (580)331-3590

PHN: (580) 623-4991
Release of Info: (405) 234-8403

Page 21

Sign up for Text Message
Appointment Reminders

Clinton Patients may opt-in to text message appointment reminders at any of
Service Unit Clinton Service Unit’s three clinical facilities. Receive fast and convenient

CLINTON communication on your next visit at the tip of your finger tips.

10321 N. 2274 Road To receive text message appointment reminders, request the text
Clinton, OK 73601 message “opt-in” form from registration. Those who opt in for a text
(580) 331.3300 message appointment reminder will not receive a phone call reminder in
conjunction with the text. Parents may opt-in to receive a text message
Cedar (580) 331.3424
Sage (580) 331.3389 reminder for their child’s appointments as well.
SweetGrass (580) 331.3376
Peds (580) 331.3466 Tell us how we’re doing...
Fax (580) 323.2579
Hours of Operation We invite you tell us how we’re doing and take
our short online patient survey.
Monday—Friday
8 am to 5 pm For a paper copy, please stop by registration.
Saturday
2019 CSU Patient Survey
Convenient Care Clinic
9 am to 1 pm https://www.surveymonkey.com/r/CSUPatientSurvey

EL RENO CSU VISION

1801 Parkview Drive Provide quality health care services focusing on prevention, restoration and
El Reno, OK 73036 collaborative relationships that are valued and “exceed the needs” of our
patients, community and tribal partners.
(405) 234.8400
Eagle, Otter & Peds

(405) 234.8411
Fax (405) 234-8435
Hours of Operation

Monday—Friday
8 am to 5 pm

WATONGA

1305 S Clarence Nash Blvd.
Watonga, OK 73772
(580) 623-4991
Turtle & Peds
(580) 623-4991
Fax (580) 623-5490
Hours of Operation
Monday — Friday
8 am to 5 pm