September 2020 CSU Newsletter

INDIAN HEALTH SERVICE SEPT 2020

Clinton Service Unit Partnering with the
Cheyenne and Arapaho Tribes

for Rural COVID-19 Testing

The COVID-19 pandemic has hit many Tribal communities, particularly in rural areas, very
hard. Indian Health Service, Clinton Service Unit and the Cheyenne and Arapaho Tribes have
partnered to take necessary steps to protect the vulnerabilities of this population and bring mo-
bile COVID-19 testing sites into rural communities.
The Cheyenne and Arapaho Tribes’ received $300,000 in funding through the U.S. Department
of Health and Human Services, Health Resources and Services Administration (HRSA) to pro-
vide critical support to fight against the COVID-19 pandemic and boost testing capacities.
The Cheyenne and Arapaho Tribes’ Emergency Medical Service and Community Health Rep-
resentatives received training to perform nasal and nasopharyngeal swabs used in COVID-19
testing. The programs are able to go into rural communities throughout western Oklahoma,
interview community members to determine if they have been exposed to COVID-19 or if they
have been in close contact with someone with COVID-19, and perform COVID-19 testing.
Once the COVID-19 tests are collected, they are brought to Clinton Service Unit. The speci-
mens are prepared and either processed at a Clinton Service Unit facility or sent to an outside
laboratory for testing.
The funding received by the Cheyenne and Arapaho Tribes was part of the $15 million HRSA
awarded to 52 Tribes, Tribal organizations, urban Indian Health organizations, and other health
services providers to Tribes across 20 states to combat the COVID-19 pandemic in rural Tribal
communities. These awards are funded through the Coronavirus Aid, Relief and Economic
Security Act. For more information about COVID-19, visit www.coronavirus.gov.

Cheyenne and Arapaho Tribes Emergency Medical Services Medics

Inside this issue: INDIAN HEALTH SERVICE
MISSION
Drive-Thru COVID Hours 4
To raise the physical, mental, social, and spiritual health of
COVID Update 6 American Indians and Alaska Natives to the highest level.

College Students 7 CLINTON SERVICE UNIT
VISION
Prevent the Spread 8
To provide quality health care services focusing on prevention,
restoration and collaborative relationships that are valued and
exceeds the needs of our patients, community, and tribal partners.

Retirement 10

Contact Tracing 10

Suicide Prevention 11

Alzheimer’s 12

New Employees 13
PoP Awards
14 Information Technology Specialist Daniel Hibbert and daughters.
“The mission statement of IHS means creating a better place for our
children,” said Daniel Hibbert, information technology (IT) specialist.

“If we strive every day to exceed the need, the only outcome is success.
This success will not only benefit and strengthen our current patients, but
prepare us to care for the future generations. As an IT specialist, I strive
to exceed the need by helping keep the systems up and running. Another

important aspect of my job is working with our medical providers to
identify where and how technology can help them perform their jobs

more efficiently. This role has been especially important since the
outbreak of COVID-19. With the increased need for telemedicine
services, I have found myself additionally assisting patients and
connecting them with their providers. This opportunity has truly opened

my eyes to the impact this facility has on our patients.
I am proud of the difference we are making.”

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DRIVE-THRU

FLU SHOT CLINIC

Date Location Time
October 3rd
October 5th Concho NAC Building 9:30 am — 12:30
October 6th Clinton Lucky Star Casino 1:00 pm — 4:00 pm
Canton Community Building 1:00 pm — 3:00 pm
October 9th Concho Community Building 10:00 am — 2:00 pm

October 13th Clinton Independent Living 1:00 pm — 3:00 pm
Center
October 14th Watonga Lucky Star Casino 9:00 am — 11:00 am
October 15th Canton Lucky Star Casino 1:30 pm — 3:30 pm
October 16th Clinton Housing Authority 11:00 am — Noon
October 20th Clinton Community Building 1:00 pm — 3:00 pm
October 21st Concho Lucky Star Casino 9:00 am — 1:00 pm
Watonga Community 10:00 am — 1:00 pm
El Reno Indian Health Center 2:00 pm — 5:00 pm
Geary Community Building 2:00 pm — 5:00 pm
Kingfisher Community 2:00 pm — 5:00 pm

Roll Down Your Windows,
Roll Up Your Sleeve!

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Clinton Service Unit

CORONAVIRUS UPDATE

As the virus causing COVID-19 spreads, Clinton Service Unit is tracking how it affects our
patients throughout our service unit.*

CSU Positive Patients CSU Positive Patients CSU Positive Patients
by County by Age by Gender

Beckham 4 0 - 4 years 3 Male 131
Bernalillo 5
Blaine 24 5 - 17 years 68 Female 192
Caddo 8
Canadian 110 18 - 35 years 121
Cleveland 1
Custer 113 36 - 49 years 60
Dewey 5
Garfield 1 50 - 64 years 56
Grady 1
Greer 2 65+ years 15
Kingfisher 4
Major 1
Oklahoma 29
Roger Mills 8
Washita 3
Woodward 1

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ALL INDIVIDUALS, INCLUDING THOSE ON COLLEGE CAMPUSES, SHOULD TAKE PROPER PRECAUTIONS, INLUCDING:

 Social distancing
 Wearing a mask whenever social distancing is not possible
 Frequent handwashing
 Using outdoor venues whenever possible and avoiding crowds and crowded indoor spaces
 Adhere to CDC mitigation protocols

IF YOU ARE SYMPTOMATIC OR TEST POSITIVE FOR COVID-19:

 Alert appropriate college or university officials
 You should self-isolate for at least 10 days after symptom onset and at least 24 hours after the resolution of any fever

(without the use of fever-reducing medications).

 You should strictly adhere to CDC mitigation protocols in circumstances in which you cannot self-isolate, especially if you

are interacting with a vulnerable individual (for example an elderly person or an individual with an underlying health condi-
tion). You should adhere to CDC guidelines to protect vulnerable individuals with whom you live.

 If you symptoms are severe or become severe, you should contact your health care provider immediately or seek emergency

care.

 You should not visit a nursing home, senior center, or other senior facility under any circumstances.
IF YOU ARE AN INDIVIDUAL AT HIGH-RISK FOR NEGATIVE OUTCOMES FROM COVID-19, BUT NOT CURRENTLY
INFECTED:
 Adhere to CDC mitigation protocols.
 Take precautions to avoid close contact with people who are not wearing masks.
 Consider exercising options for distance learning, teaching, or working, or other accommodations that may be

available from your college or university.
IF YOU DO NOT HAVE SYMPTOMS, YOU STILL NEED TO PROTECT THE MOST VULNERABLE BECAUSE YOU
COULD HAVE COVID-19. AS A RESULT, PLEASE TAKE PARTICULAR PRECATION AND ADHERE TO
CDC MITIGATION PROTOCOLS WHEN INTERACTING WITH HIGH-RISK INDIVIDUALS INCLUDING:
 Students who may be at high-risk
 College or university staff, who may be at high-risk
 Those operating within the broader community in which you are living, including those at any indoor gathering
 If you know you have been exposed to someone with COVID-19, you should alert the appropriate college or

university officials.

In general, we encourage you to remain on or near campus as much as possible and minimize your exposure to
higher risk individuals. If you commute to campus, be sure to follow CDC mitigation protocols and
stay home if you are sick.

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Retirement

Caroline Plummer

Registration Clerk | Clinton Indian Health Center

Caroline Plummer began her career in the Business Office of Clinton Service Unit in 1991, when Clinton Indian Health Center
was the Clinton Indian Hospital. She assisted with billing and admissions and worked in the clinic waiting area as the first regis-
tration clerk Clinton ever had. Caroline, a member of the Cheyenne and Arapa-
ho Tribes, grew up in the Woodward area and attended college at San Francis-
co State in California. After college, she returned to western Oklahoma where
her family resides and settled in Clinton with her husband. Caroline is known as
the “Registration Lady” and many members in the community know her as
“Caroline at the clinic” or “Caroline Cavanaugh”. Caroline will be missed by pa-
tients and coworkers alike for her knowledge of the registration process, advice,
and friendship. She has been a dedicated “above and beyond” employee to
Clinton Service Unit for 29 years.

CDR Jamie Shaddon

Pharmacist | Clinton Indian Health Center

CDR Jamie Shaddon, PharmD, MPH came to Clinton Indian Health Center as staff pharmacist in 2004, where she initially
served in pharmacy point-of-sale and later transitioned to clinical pharmacist. For the past 15 years she served Clinton

Service Unit in multiple capacities, including counseling patients in
tobacco cessation, integrating pharmacists into the outpatient clinic
for medication reconciliation review, organizing health fairs, leading
basic life support class, and serving as a preceptor to pharmacy stu-
dents. CDR Shaddon served multiple Public Health Service mis-
sions, including responding to Hurricane Harvey in Louisiana, Hurri-
cane Ike in College Station, Texas, and served the acute health care
needs to unaccompanied minors in McAllen, Texas.

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Suicide Prevention

Every year, mental health organizations and Indian Health Service across the U.S. raise awareness of suicide prevention dur-
ing September, National Suicide Prevention Month.
According to the Centers for Disease Control and Prevention, the rate of suicide for American Indian/Alaska Native adoles-
cents and young adults ages 15—34 is 1.3 times the national average. Suicide is the 8th leading cause of death across all
ages among all American Indian/Alaska Native.
#BeThe1To is the National Suicide Prevention Lifeline’s message, which helps spread the word about actions we can all take
to prevent suicide. The Lifeline network and its partners are working to change the conversation from suicide to suicide pre-
vention, and actions that can promote healing, help and give hope.
Ask. Research show people who are having thoughts of suicide feel relief when someone asks after them in a caring way.
Findings suggest acknowledging and talking about suicide may reduce rather than increase suicidal ideation.
Be there. Individuals are more likely to feel less depressed, less suicidal, less overwhelmed, and more hopeful by after speak-
ing to someone who listens without judgment.
Keep them safe. A number of studies have indicated that when lethal means are made less available or less deadly, suicide
rates by that method decline, and frequently suicide rates overall decline.
Help them stay connected. Studies indicate that helping someone at risk create a network of resources and individuals for
support and safety can help them take positive action and reduce feelings of hopelessness.
Follow up. Studies have also shown that brief, low cost intervention and supportive, ongoing contact may be an important part
of suicide prevention, especially for individuals after they have been discharged from hospitals or care services.
If you’re thinking about suicide, are worried about a friend or loved one, or would like emotional support, the Lifeline
network is available 24/7 across the U.S. at 1.800.273.8255.

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World Alzheimer’s Month

September is World Alzheimer’s Month. Alzheimer’s disease is the most common form of dementia, a group of disorders
impairing mental functioning. Alzheimer’s is a specific disease. Dementia is not. Dementia is a general term for a decline
in mental ability severe enough to interfere with daily life.

Alzheimer’s is a degenerative brain disease caused by complex brain changes following cell damage. It leads to dementia
symptoms that gradually worsen over time. The most common early symptom of Alzheimer’s is trouble remembering new
information because the disease typically impacts the part of the brain associated with learning first.

Though the greatest known risk factor for Alzheimer’s is increasing age, the disease is not a normal part of aging. While
most people with Alzheimer’s are 65 years and older, approximately 200,000 Americans under 65 have younger-onset
Alzheimer’s disease. If you or a loved one are experiencing signs and symptoms of Alzheimer’s, schedule an appointment
at a Clinton Service Unit facility to speak with a provider.

10 Early Signs and Symptoms of Alzheimer’s

1. Memory loss that disrupts daily life

One of the most common signs of Alzheimer’s disease, especially in the early stage, is forgetting recently learned information. Oth-
ers include forgetting important dates or events, asking for the same questions over and over, and increasingly needing to rely on
memory aids or family members for things they used to handle on their own.

2. Challenges in planning or solving problems

Some experience changes in ability to develop and follow a plan or with numbers. They may have trouble following a familiar recipe
or keeping track of monthly bills. Some may have difficulty concentrating and take much longer to do things than they did before.

3. Difficulty completing familiar tasks

Often find it hard to complete daily tasks, including driving to a familiar location, organizing a grocery list or remembering rules of a
favorite game.

4. Confusion with time or place

May lose track of dates, seasons, and the passage of time. They may have trouble understanding something if it is not happening
immediately. Sometimes they may forget where they are or how they got there.

5. Trouble understanding visual images and special relationships

Having vision problems may be a sign for some. This may lead to difficulty with balance or trouble reading. They may also have
problems judging distance and determining color or contrast, causing issues with driving.

6. New problems with words in speaking or writing

May have trouble following or joining a conversation. They may stop in the middle of a conversation and have no idea how to continue or they may
repeat themselves. They may struggle with vocabulary, have trouble naming a familiar object or use the wrong name (e.g., calling a “watch” a “hand-
clock”).

7. Misplacing things and losing the ability to retrace steps

A person living with Alzheimer’s disease may put things in unusual places. They may lose things and be unable to go back over
their steps to find them again. He or she may accuse others of stealing, especially as the disease progresses.

8. Decreased or poor judgment

Individuals may experience changes in judgment or decision-making. For example, they may use poor judgment when dealing with
money or pay less attention to grooming or keeping themselves clean.

9. Withdrawal from work or social activities

May experience changes in the ability to hold or follow a conversation. As a result, they may withdraw from hobbies, social activities
or other engagements. .They have trouble keeping up with a favorite team or activity.

10. Changes in mood and personality

May become confused, suspicious, depressed, fearful or anxious. They may be easily upset at home, with friends, or when out of
their comfort zone.

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Emma Rary

Sanitarian | Clinton Service Unit

Originally from Atlanta, Georgia, Emma Rary studied public health at Tulane Univer-
sity in Louisiana. She received a Masters of Public Health in Environmental Health
from Emory University in Georgia, where she focused on water, sanitation, and hy-
giene. While in grad school, Emma worked in health communications at the Centers
for Disease Control and Prevention and worked mobile COVID-19 testing sites
around Atlanta. In her spare time, Emma enjoys outdoor activities and trying new
restaurants.

Jade Lanier

Medical Support Assistant/Dental | Clinton Indian Health Center

Jade Lanier grew up in Weatherford, Oklahoma. She served as a certified nursing
assistant for four years and worked in Oklahoma City. She is currently enrolled in
classes for health care administration and is passionate about helping both people
and animals. Jade has two children and three step children who are her life!

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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.

Amber Hutson & Pattie Fourier

“Amber Hutson and Pattie Fourier delivered over 40 prescription by 2 pm in the pouring rain,” said
LT Amanda Haggard, Clinton pharmacist. “They take each prescription to the patient’s car and veri-
fy information. They spent the majority of their day soaking wet. In between deliveries they continue
to complete their daily tasks and filling prescriptions. Neither complained about the circumstances

and both have continued to have a smile on their face!”

Ronda Redshin

“Ronda makes VistA QA easy,” said Tonya Billie, Health Information Management supervisor. She
often has no errors and scans every document to the correct titles and dates.”

Cheyenne and Arapaho Tribes’
Clinton Head Start

Health Screening Fair

October 8, 2020
9 am to 1 pm

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Have you signed up for your

Personal Health Record

The Indian Health Service Personal Health Record
(PHR) is a website where patient’s may access
their personal health information with access to:

Medications
Lab Results
Track Health Issues
Shot Records
Health Information
Contact Health Care Team

All may be accessed from the privacy of your
personal computer, phone, and/or tablet.

For more information, visit the website below and/or contact a CSU registration clerk.

https://phr.ihs.gov

Don’t be a “No Show”

Please make
the call!

When you cancel the
appointment you can’t keep, even

if this is a telemedicine visit,
we can provide care to another patient.

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For the privacy of our patients, visitors, and staff,
no photography and no video is allow ed

in the facilities or grounds of Clinton Service Unit.
Thank you for your cooperation.

For when the unexpected happens...

Saturday Convenient Care Clinic

Clinton
Indian Health Center

9 a.m. — 1 p.m.

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. Ineke Moak Dr. Maqbool, Dr. Garner Dr. Egan, Dr. Hartnett, & Dr. Mejias
Ginger Woodall & Michelle Beshaw & Jessica Van Den Berg Apts: 580.331.3466
Apts: 580.331.3424 Apts: 580. 331.3412 Nurse: 580.331.3466
Nurse: 580.331.3424 Nurse: 580.331.3412 PRC: 580.331.3307
PRC: 580.331.3363 PRC: 580.331.3513
Chiropractic: 580.331.3439
580.331.3420 DEPARTMENTS Optometry: 580.331.3413
Audiology: 580.331-3482 Podiatry: 580.331.3439
Dental: 580.331.3423 Behavioral Health: 580.331.3485 Radiology: 580.331.3415
Pharmacy: 580.331.3351 Nutrition: 580.331.3458
PHN: 580.331.3471 Physical Therapy: 580.331.3439
Release of Info: 580.331.3377 PRC: 580.331.3590
Wound Care: 580.331.3439

EL RENO INDIAN HEALTH CENTER 405.234.8400
1801 Parkview Drive ~ El Reno, OK ~ 73036
Request to establish chart: 405.234.8427

Eagle Medical Home Otter Medical Home Pediatrics

Dr. Garcia & Monica Holcomb 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: 580.331.3307

Behavioral Health: 405.234.8426 DEPARTMENTS PHN: 405.234.8430
PRC: 580.331.3590
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: 580.623.4991 DEPARTMENTS PRC: 580.331.3590

PHN: 580.623.4991
Release of Info: 580.623.4991

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Text Message Tell us how we’re doing...
Appointment
We invite you tell us how we’re
Reminders doing and take our short online
patient survey. For a paper copy,
please stop by registration.

Receive fast and convenient https://www.surveymonkey.com/r/CSUPatientSurvey
communication on your next
appointment at the tip of your Join CSU on Facebook
for up-to-date information
finger tips. To receive text on events and clinic services at
message appointment
reminders, patients may Clinton
Indian Health Service
self-enroll into the system
through calling 580.331.3533.

Simply follow the spoken
instructions and enter your

health record number.

Those who opt in for a text
message appointment

reminder will not receive a
phone call reminder in

conjunction with the text.

Parents may also enroll to
receive a text message
reminder for their child’s
appointments.