2018 October Newsletter

October 2018

Clinton Service Unit

Inside this issue: Big Event Health Fair & Monster Dash 5K Fun Run

IHS Mission 2 The sixth annual Big Event Health Fair was held at Clinton Indian Health Center on Friday, October 12th.
The event, hosted by Clinton Service Unit (CSU) and the Cheyenne & Arapaho Tribes’ Department of
Concho Outreach 3 Health, brought health care information, services and resources to patients and community members.

Breast Cancer 4

Flu 5 Attendees were encouraged to get acquainted with what Indian Health Service (IHS), county, state, tribal,

PRC 5 and community organizations can do to promote wellness and healthy living. Participants were encouraged

Ask Me Three 6 to obtain a retinal eye exam, foot exam, mammogram, bone density screening, and flu vaccine. Blood glu-

Pharmacy Month 8 cose, cholesterol, and blood pressure screenings were offered by the students of Southwestern Oklahoma

Welcome 9 State University College of Pharmacy.

Domestic Violence 10 Various community organizations, tribal and social programs provided health information booths throughout
the clinic. Representatives from Blue Cross Blue Shield’s Tribal Relations Specialists were onsite to field
Pop Awards 11 questions. A cooking demonstration was provided by the Cheyenne & Arapaho Tribes’ Diabetes Wellness

Medical CPO Visit 12

Program. Safe Kids Oklahoma hosted a child passenger safety event in the parking lot. Trained technicians taught participants every-

thing they needed to know to make sure their car seat was fitted and installed correctly.

For those who wanted a more interactive experience, the Cheyenne and Arapaho Tribes’ Emergency Response Service, in conjunc-
tion with the American Heart Association, offered the life-saving skills of Basic Life Support. This half-day course taught both single-
rescuer and team basic life support skills for adults, infants, and children.

More than 94 runners and walkers, from less than a year of age to 80 years old, braved the rain for the third annual Monster Dash 5K
Fun Run & Walk on Saturday, October 13th. Partici-
pants came dressed in costume for the annual Hallow-
een Costume Contest following the race. The Chey-
enne & Arapaho Tribes provided prizes for the first
through third place winners in five age categories. The
overall grand prize winner received four tickets to the
Water Zoo in Clinton. For those whose costume were
in need of a finishing touch, the Cheyenne & Arapaho
Tribes’ Health Education Program offered face paint-
ing. Kids under the age of 12 were entertained by pick-
ing their own pumpkin from the patch to decorate with
stickers.

Thank you to the Cheyenne & Arapaho Tribes for their Pictured above: Participants of the 3rd annual Monster Dash 5K brave the rain as
continued support and collaboration in making these they head out on their run from the start line.
annual events a success!

Fulfilling the Mission and Vision

Indian Health Service Mission

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

Clinton Service Unit Vision

To provide quality health care services focusing on
prevention, restoration and collaborative relationships that

are valued and “exceeds the needs” of our patients,

CSU is committed to providing the best quality patient care. The Indian Health Service (IHS) mission
and CSU vision are more than statements; it is how we care for our patients, family, friends, and
coworkers each day.

“When I chose to become a nurse, my goal was to work at Clinton Indian Health Center to care for
our Native American people of all ages,” said Angela Cloud (also known as Angela Littleman). “I
wanted to follow in the footsteps of my mother, Sandra Littleman, who was a nurse. Her passion and
gentle hands are pretty big shoes to fill. I want to work hard with all of my coworkers and for all of
our patients 100 percent!”

Pictured above: Angela Cloud,
Clinton Indian Health Center nurse.

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Concho Community Outreach

Community members of the Concho area were invited to attend a Community Listening & Health
Care Outreach the evening of September 27th at the R.E.Sp.E.C.T. Gym. CSU and the Cheyenne
and Arapaho Tribes’ Health Board hosted the event to provide patients and care givers a chance to
voice concerns and meet with administration and departments of CSU.

Keynote speakers for night were the Program Director for the Cheyenne and Arapaho Tribes’ Sub-
stance Abuse Program, Kateri Fletcher and Jerome
Maxey of CSU’s Behavioral Health Department.

“What a great example of a strong IHS and Tribal
partnership working together for the benefit of our
patients,” said RADM Michael D. Weahkee, IHS prin-
cipal deputy director.

Participants were able to visit the health booths pro- Staff of CSU and the Cheyenne & Arapaho Tribes join together to
vided by Pharmacy, Public Health Nursing, Dental, provide a Community Listening Event to the Concho area.
Nutrition, Purchased/Referred Care, among others.
Flu vaccines, fluoride varnish, blood sugar and blood
pressure checks were available.

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Breast Cancer Awareness

October is National Breast Cancer Awareness Month. Have you got a mammogram? If not, stop by
the Radiology Department to see our Mammographer or call 580.331.3415 to get set up for a 3D
mammogram or answer any questions you may have about mammograms.

Breast cancer is the second most common cancer among women in the United States (U.S.) and
the second most common death from cancer in American Indian and Alaska Native (AI/AN) women.
According to the Centers for Disease Control and Prevention, there are 237,000 women diagnosed
with breast cancer and 41,000 deaths each year in the U.S. In men, there are 2,100 diagnoses and
450 deaths annually. An estimated 12.4% (one in eight) U.S. women will develop invasive breast
cancer over the course of her lifetime, compared to a one in 1,000-lifetime risk for men. About 85%
of women diagnosed with breast cancer have no family history of breast cancer.

Mammograms are an essential prevention measure against breast cancer deaths. Today’s advanc-
es in technology have made mammograms much less uncomfortable than in the past. It is recom-
mended for women to begin getting mammograms at age 50 years. If you are a woman, 40 to 49
years old, it is a good time to talk to your provider about when to start and how often to get a mam-
mogram screening. Early detection of breast cancer increases survival!

Symptoms of breast cancer include:

 Any change in the shape or size of the breast

 Thickening or swelling of part of the breast

 Redness or flaky skin in the nipple area or the
breast

 Pulling in the nipple

 Pain in the nipple area or an region of the breast

 A new lump or knot in the breast or underarm

 Nipple discharge other than breast milk; including
blood

Pictured above: Tammy Mongold, CSU mammographer.

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Flu Shots Now Available!

Influenza (flu) is a serious disease that can lead to hospitaliza-
tion and sometimes even death. Every flu season is different,
and flu infection can affect people differently. Even healthy peo-
ple can get very sick from the flu and spread it to others. Flu
season in the United States can begin as early as October, and
can last as late as May. An annual seasonal flu vaccine is the
best way to reduce your risk of getting sick with seasonal flu and
spreading it to others. When more people get vaccinated against the flu, less flu can spread through
the community.

Flu vaccines cause antibodies to develop in the body about two weeks after vaccination. These anti-
bodies provide protection against infection with the viruses in the vaccine. The seasonal flu vaccine
protects against the flu viruses that research indicates will be most common during the upcoming
season.

The flu vaccine is recommended for all people six months of age and older. The Centers for Disease
Control and Prevention recommends for people to get a flu vaccine by the end of October, if possi-
ble.

Improving PRC Scheduling

The Purchased/Referred Care (PRC) program medical/dental care provided away from an IHS
is continuously working to reform their process facility. PRC is not an entitlement program and
to improve the patient experience. Over the an IHS referral does not imply the care will be
past year, the CSU team has steadily improved paid. If IHS is requested to pay, then a patient
the way we do business to reduce the average must meet the residency requirements, notifica-
days from when a request enters the system to tion requirements, medical priority, and use of
the date of the appointment to less than 20 alternate resources. PRC program requirements
days. are based on specific legislation, Federal regu-
lations, policy, and guidelines to maintain the
Medical/dental care provided at an IHS facility is needs of American Indian/Alaska Natives.
called Direct Care. The PRC program is for

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Health Literacy

Health literacy is the knowledge it takes to be able and confident in one’s health care. Talking about
health care literacy with your health care team is important, so everyone can be on the same page.

“Just because a patient has had diabetes for ten years does not mean they know how to use a new
glucometer, feel confident in knowing what food has sugar in it, or know how to give themselves in-
sulin,” said Jessica Van Den Berg, CSU nurse practitioner.

“We are working to enhance our patients’ visit by using the Ask Me Three campaign created by the
Institute for Healthcare Improvement. We want our patients leave the clinic feeling more confident in
managing their health needs.”

Now located in each clinic room is a clipboard with a questionnaire asking patients: what is your
main problem; what do you need to do; and why is it important for you to do this. Answering these
questions gives patients a chance to tell our team what they would like help in managing. It allows
our providers to help each patient and come up with a plan to work for them. By finding out what is
important to the patient, CSU’s team may assist our patients in developing SMART goals to work for
them.

A SMART goal is one that is specific, measurable, attainable, relevant and timely. Instead of stating,
“I am going to quit smoking”. A SMART goal would state, “I am going to decrease my 20 cigarettes
per day by one cigarette per week for 20 weeks”.

At the end of each clinic visit, a nurse will come in to make sure the patient feels comfortable man-
aging their health care problem and make sure they know what will happen next.

“Whether you are getting a blood pressure cuff or going to radiology, the nurse will put a reminder in
for you if you have a follow-up visit,” said Van Den Berg. “We hope these small changes will have
our patients walking away from their visit feeling confident and connected in managing their health
alongside their health care team”.

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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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American Pharmacist Month

October is American Pharmacists Month — CSU recognizes our pharmacists for their contributions
to health care and all they can do in our communities.
From distributing medications to providing patient care during a clinic visit, a short conversation with
a pharmacist can make a big difference. Pharmacists simplify care with easy access to answers that
bring relief. Thank you to all of CSU’s Pharmacy Team!

Clinton Indian Health Center Pharmacy Team pictured above (top row, left to right): Michael Hunt, Amber
Hutson, Rodger Davis, Amanda Haggard, Cody Crouch, Narcisso Soliz, Rebecca Geiger, Jamie Shaddon,

Kasey Barton, and April Switzer. (bottom row, left to right): Julie Boese, Cassandra Clark, Joanna Perez

Watonga Indian Health Center El Reno Indian Health Center Pharmacy Team
Pharmacy Team pictured above (left to right): pictured above (left to right): Brett Whitehead, Bethany
Johnson, and Sara Carter. Not pictured: Paula Beaza
Annie Frymire and Kim Kidd.
and Kim Williams

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WELCOME!
CSU’s Newest Team Members

Kara Golden Sarah McDaniels
Medical Assistant Housekeeping Aid
El Reno Indian Health Center Clinton Indian Health Center

Zachariah Smith
Housekeeping Aid
Clinton Indian Health Center

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OCTOBER IS DOMESTIC VIOLENCE AWARENESS MONTH

Love Shouldn’t Hurt!

October is National Domestic Violence Awareness Month. According to the National Institute of Jus-
tice, more than four out five American Indian/Alaska Native adults (83%) have experienced some
form of violence in their lifetime.

When one person uses physical, emotional or sexual violence to gain power and control over his or
her intimate partner, it is called domestic violence. Domestic violence is not just punches and black
eyes — it’s yelling, humiliation, stalking, manipulation, coercion, threats and isolation. It is stealing a
paycheck, keeping tabs online, nonstop texting, constant use of the silent treatment, or calling some-
one stupid so often they believe it.

If you think a family member, friend, or co-worker is being hurt by their partner, it can be hard to
know what to do. But you can make a difference. Breaking the silence is the first step and you can
start by reaching out to the person who you feel is being abused.

Talk to your friend or family member in private. Let them know you are worried and want to help. Lis-
ten. Do not jump in with advice or assume you know what’s best. Don’t judge or blame. Let your
friend or family member know there are people who can help and provide resources to them.

Ultimately, a person who is being abused will need to make his or her own choices about what to do.
It is important to let them know you will support them no matter what they decide. Let them know
they are not alone and ask what you can do to help. Do not give up. It can take many tries for a per-
son to leave an abuser. Give it time. If the person is in immediate danger, call 9-1-1.

For more information, or to get help for yourself, a friend, or loved one, call either the Nation-
al Domestic Violence Hotline at 1.800.799.7233 or the Cheyenne and Arapaho Tribes
Domestic Violence Program at 405.295.1525.

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!

Delana Cowan

“I was recently rear ended at the entrance of our clinic (Watonga Indian Health Center),” said Kim
Kidd. “Delana was notified of the accident right after it occurred. She took charge immediately as he
responded with her stethoscope, pen, paper, and phone. She asked if I was okay and if I felt that I

could be injured in any way. Being that I hit my head, she checked it and asked a few questions.
She checked on the other driver, waited until the ambulance arrived, and stayed with us on this very

hot day after her shift as police did their job. Not only did Delana stay until the scene was cleared,
she waited for someone to come cut a piece of my muffler off that was stuck to my tire keeping me
from taking my vehicle home. She even followed me home to make sure I made it without problems.
Her compassion for people is unmeasurable. She is a spectacular nurse and a tremendous asset to

our facility!”

Angela Silverhorn

“I called Angela in PRC,” said Clinton patient. “She immediately gave me assistance in questions I
had on my mother’s visit to the specialists office. She was very helpful and took care of the paper-

work needed at that very moment.”

Delana Panana

“Delana is always willing to take part in outside community events,” said Elverna Spottedwolf, den-
tal assistant supervisor. “Her knowledge in dental health promotion and disease prevention encour-

ages our customers to take advantage of their dental and oral health care.”

Page 11

USPHS Chief Professional Medical Officer
Visits Clinton

The Chief Medical Officer of the United States Public Health Service (USPHS) Commissioned
Corps, CAPT Brian Lewis, payed a visit to Clinton Indian Health Center on October 1st.
CAPT Lewis is a Senior Regulatory Review Officer at the Food and Drug Administration’s (FDA)
Center for Devices and Radiological Health in cardiac pacemakers and implantable cardioverter
defibrillators. He is board certified in cardiology and provides lead clinical regulatory FDA guidance
to industry to facilitate clinical trials collecting the right data and answering the right questions to
provide a meaningful picture of pacemaker, defibrillator and lead safety and effectiveness to sup-
port market approval.
In his role as Chief Medical Officer of the USPHS, CAPT Lewis is visiting medical officers stationed
in Indian Country. He is taking the time to learn about the issues officers in the field face and how
he can provide better representation for them through learning about their experiences.

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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Oklahoma Blood Institute (OBI) brought their mobile bloodmobile to Clinton Indian Health Center on
October 12th. Patients, visitors, and staff were encouraged to make a life-saving difference for their
fellow Oklahomans by giving blood.

Oklahoma Blood Institute got in the spirit of football season by providing Bedlam t-shirts free to
blood donors. “No matter what color you bleed, we love our football here in Oklahoma,” said John
Armitage, M.D., president and CEO of Oklahoma Blood Institute. “But saving the lives of our neigh-
bors and friends through blood donation is what really defines
the spirit of our community.

The Oklahoma Blood Institute relies solely on about 1,200

volunteer blood donors a day to meet the needs of patients at

more than 160 hospitals and medical facilities statewide. CSU

donated 27 units of blood during the drive. Those who were

not able to participate are encouraged to give blood at any of

Oklahoma Blood Institute’s donor centers or blood drives in

their area. To find a donation site near you, visit https:// Leslie Panana of Clinton Indian Health Center donated
her blood to support the Oklahoma Blood Institute
obi.org.

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From the Mailbag...

“The Audiology Department is always understanding of my concerns.”
The Dental Department is friendly and took great care of my teeth!”
“William Littlecalf (Clinton Outpatient Department) is very nice, professional and

all around great!”
“I just love how the facility (pharmacy) is a one stop shop for my health care needs.”

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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 Pediatrics

Dr. Nakia & Michelle Beshaw Dr. Maqbool & Jessica Van Den Berg Dr. Egan & Dr. Hartnett
Apts: (580) 331-3424 Apts: (580) 331-3412 Apts: (580) 331-3466
Nurse: (580) 331-3424 Nurse: (580) 331-3412 Nurse: (580) 331-3466
PRC: (580) 331-3363 PRC: (580) 331-3513 PRC: (580) 331-3307
(580) 331-3420
DEPARTMENTS Chiropractic: (580) 331-3439
Audiology: (580)331-3482 Optometry: (580) 331-3413
Dental: (580) 331-3423 Behavioral Health: (580) 331-3485 Podiatry: (580) 331-3439
Pharmacy: (580) 331-3351 Nutrition: (580) 331-3458 Radiology: (580) 331-3415
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: (580) 331-3369

Eagle Medical Home Otter Medical Home Wolf Medical Home Pediatrics

Dr. Garcia Dr. Renshaw Monica Halcomb Dr. Mejias
Apts: (405) 234-8411 Apts: (405) 234-8411 Apts: (405) 234-8411 Apts: (405) 234-8411
Nurse: (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 PRC: (580) 331-3419

Behavioral Health: (405) 234-8426 DEPARTMENTS PHN: (405) 234-8430
PRC: (580) 331-3590 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

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Happy Halloween!

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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
2018 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