2017 December Newsletter

December 2017

Clinton Service Unit

Inside this issue: Radiology Upgrade

IHS Mission 2 The Clinton Indian Health Center has underwent a major upgrade to the Radiology Department. The up-
Listening Event 3 grade is improving the delivery of care from diagnosis to intervention; improving clinical quality and patient
Welcome 4 experience. Radiology is better able to accommodate the needs of each of our patients from a wide range
Facilities 5 of sizes and ages.
Cervical Cancer 6
Veterans Affairs 7 The new x-ray machine helps our radiology team to capture images at a higher quality, allowing for support
Safety Goals 8 of a more accurate diagnosis. The machine has simplified and shortened every step of a patients’ exam,
Pop Awards 9 allowing for images to be captured efficiently and with ease. The machine’s table may be moved in eight
Going Electronic 9 differed directions and lowered to make it easy for children, elderly, wheelchair, or impaired patients to get
Outreach 10 on and off of.
Directory 11
The ultrasound system delivers picture-perfect images with excellent image resolution and detail. “This new
machine has opened doors to do imaging our current Radiology Reading Group prohibited us from doing
due to the age and detail of our previous machine,” said Stevi Brown, radiology supervisor. “The larger
table allows for adjustments to be made for larger patients. This new machine also came with a printer, so
we may give our expecting mothers some images for memories.”

The mammography unit recently upgraded the software system to allow for three-dimensional (3D) imaging. “This upgrade will mean
less images taken per patient,” said Brown. 3D mammograms use the same x-ray technology as regular two-dimensional (2D) mam-
mograms. The procedure is the same from the patient’s point-of-view. In 2D mammograms, which take images only from the front
and side, this may create images with overlapping breast tissue. Because 3D mammography provides images of the breast in “slices”
from many different angles, finding abnormalities and determining which abnormalities may be important may be easier with 3D tests.
(Radiology continued on page 2)

Pictured above (left to right): 160 slice Computed Tomography (CT) machine, x-ray machine, and three-dimensional mammography unit.

Fulfilling the Indian Health Service Mission

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

Earlier this year, the Acting Director of the Indian Health Service (IHS) challenged all of IHS to commit to memory our mission
statement. CSU has taken this request to heart. Our service unit is committed to providing the best quality patient care. The IHS

mission is more than a statement, it is how we care for our patients, family, friends, and coworkers each and every day.

“When reading the IHS mission statement there are a few elements that stand out to
me,” said Sara Carter, El Reno Indian Health Center Pharmacist. “The statement is spe-
cific on what we, as health care professionals, should focus our attention on—the physi-

cal, mental, social, and spiritual health of our patients. This part of the statement is
what separates IHS from other health care facilities. We go beyond meeting the imme-

diate physical needs of our patients and instead work toward reaching an all-
encompassing goal of whole-body health.”

“The second part of the mission statement catching my attention is focused on working

to reach needs at the highest level,” said Carter. “This goes above the concept of simply Pictured above: Sara Carter, El Reno
meeting the patients’ needs. It calls us to strive to do everything in our power to care for Indian Health Center Pharmacist.

our patients, persevering even through the difficult situations. This may seem like an unrealistic goal—to work toward whole

body health at the highest level of care—but I have seen it in action every day.”

“Our mission statement is being fulfilled when our pediatrician reads a book to the child who is scared to have labs drawn,
when our pharmacist working in the Hepatitis C Clinic gives out her phone number to an anxious patient with questions about
their treatment, and when our nurses take time out of their busy day to lend a listening ear. There are numerous other in-
stances where I have seen our employees demonstrate a shared passion for meeting the goals listed in the IHS mission state-
ment. I know if we continue to care for our patients with this mission in mind, they will ultimately benefit physically, mentally,

socially, and spiritually.”
(Radiology continued)

Software updates to the Computed Tomography (CT) machine has been installed.
The system, which previously generated 80 slices per rotation, may now capture
160 unique slices, giving the ability to perform a wide variety of advanced clinical
procedures. “This technology will not increase the patient’s exposure to radiation,
but improve the quality and resolution for each image,” said Brown.

Previously, bone density scans were performed on the dual-energy x-ray absorp-

tiometry (DEXA) machine, which only captured the outside of the bone. This soft-

ware purchase for the CT machine will now allow for bone density scans to be Pictured above: Karen Tubbs provides ultrasounds to
done on this machine, allowing for the inside of the bone to be viewed as well. Use patients at Clinton Indian Health Center. Tubbs has
of this technology can detect osteoporosis much earlier than DEXA.
over 32 years of experience in ultrasound and is

registered in abdomen, OB/Gyn, adult
echocardiography, and vascular technology.

Page 2

Page 3

Welcome to CSU!

Brianna Sands Lacey Laurenzana
Housekeeping Medical Support Assistant
Clinton Indian Health Center Clinton Indian Health Center

Lisa Gooday Dr. Michael Scheer
Medical Support Assistant Physician
Clinton Indian Health Center
Clinton Indian Health Center

Page 4

Health Care Facilities Program

During the week of December 11th, the Indian Health Service (IHS) Office of Environmental Health and Engineering Headquarters’
Team conduced an Oklahoma Area Healthcare Facilities Program visit. The purpose of the visit was to discuss the program and its
relationship with the Oklahoma Area and Clinton Service Unit (CSU). The Health Care Facilities Program offers a wide range of sub-
ordinate programs to provide support to each of the areas and service units within IHS, including the major facilities and realty pro-
grams, new construction, facilities operations, facilities environmental, historic properties, asset management, and medical equip-
ment.

The overall idea is for all involved in the process to increase mutual understanding of the Health Care Facilities Program. “The site
visits promote consistency in program administration and for staff within each of IHS areas to understand issues at the Headquarters
level,” said Bobbie Gonzalez, engineer with Oklahoma City Area IHS Division of Facilities Management. “The program allows for
Headquarters to understand local issues and how others operate their program.”

The team spent the day visiting both El Reno and Clinton Indian Health Centers. They noted the leadership and staff at both facilities
were focused on quality patient care, were extremely knowledgeable on their operations, and delivered quality health care. The over-
all condition of the health care facilities was very high. “This was reflective of the Service Unit’s high pride in ownership and commit-
ment to maintain the buildings in a functional state,” said Gonzalez.

Leadership of CSU discussed plans to expand and modernize clinical space within both locations to allow for additional providers and
improve services offered. “The team was impressed with CSU’s commitment to meet challenges, map out strategies to continually
improve their program, and professionalism in providing a high quality of health care.”

Pictured above: Eric Stoneroad, CSU facilities manager, discuss plans Pictured above: Stevi Brown, CSU radiology supervisor, and
with the Health Care Facilities Program for a replacement generator. Joe Bryant, CSU administrative officer, provide the Health Care

Facilities Program information on the radiology upgrades.

Page 5

Save-the-Date

Cervical Cancer Awareness Art Show
Clinton Indian Health Center
Thursday, February 8, 2018
2 pm to 6 pm

Where there is awareness, there is hope.
Community members are invited to join this free event promoting
cervical cancer awareness and women’s health. Local Native Ameri-

can artists and a chocolate festival will be featured.

Page 6

VA’s New Veterans ID Card

The U.S. Department of Veterans Affairs (VA) announced the application process for the national Veterans Identification Card (VIC)
is now available for Veterans — yet another action honoring their service. Only those Veterans with honorable service will be able to
apply for the ID card, which will provide proof of military service, and may be accepted by retailers in lieu of the standard DD-214 form
to obtain promotional discounts and other services where offered to Veterans.

“The new Veterans Identification Card provides a safer and more convenient and efficient way for most Veterans to show proof of
service,” said VA Secretary Dr. David J. Shulkin. “With the card, Veterans with honorable service to our nation will no longer need to
carry around their paper DD-214s to obtain Veteran discounts and other services.”

The VIC provides a more portable and secure alternative for those who served the minimum obligated time in service, but did not
meet the retirement or medical discharge threshold. Veterans who served in the armed forces, including the reserve components,
and who have a discharge of honorable or general (under honorable conditions) can request a VIC.

To request a VIC, Veterans must visit vets.gov, click on “Apply for Printed Veteran ID Card” on the bottom left of he page and sign in
or create an account. Veterans who apply for a card should receive it within 60 days and can check delivery status of their c ards at
vets.gov. A digital version of the VIC will be available online by mid-December.

VA Hotline Operational Around the Clock

The U.S. Department of Veterans Affairs (VA) announced the Since 24/7 coverage began in October, the hotline has served
White House VA Hotline is now fully staffed with live agents more than 10,000 callers.
working to serve Veterans 24-hours a day, 365 days a year.
Hotline agents answer inquires, provide directory assistance,
The hotline is staffed by a team consisting of 90 percent Veter- document concerns about VA care, benefits and services, and
ans or employees who have a Veteran family member, and is in expedite the referral and resolution of those concerns. Agents
response to Veterans’ requests to talk to agents who could relate undergo regular updates and training on VA services based on
to their experiences. hotline trends and are assisted by newly implemented tracking
software to help VA capture and improve its response, referral
“The White House VA Hotline provides our nation’s Veterans and resolution processes to best support Veterans.
with a direct, dedicated contact line allowing them to interact with
highly trained, live agents to answer their needs and concerns,” The hotline can be accessed at 855.948.2311 and is VA’s first
said VA Secretary David J Shulkin. non-clinical, non-emergency around-the-clock call center. It pro-
vides Veterans a supplemental option to report issues if they are
“Since the initial launch of the hotline in June, we listened to our not being addressed through VA’s normal customer service
Veterans, who indicated they prefer speaking with other Veter- channels.
ans and Veteran family members, and we adjusted our hiring
based on that feedback,” added Shulkin. The hotline’s agents are located at a VA facility in Shepherd-
stown, West Virginia. Agents have access to a multitude of re-
“We’re proud the hotline is now staffed 24/7 by a team of mostly sources and contact information to help Veterans. The hotline
Veterans or Veteran family members who have direct knowledge also generates real-time reports to VA experts who can help
of their particular concerns and can use their experience to ad- address the specific issues of Veterans as well as make better-
dress them in the best way possible wit the resources of the VA. informed decisions on where program improvements are need-
This represents a true win-win for Veterans and their loved ed.
ones.”

Page 7

2018 Ambulatory Health Care
National Patient Safety Goals

Have you ever wondered why each member of our team asks your name and date of birth? Or, maybe you were asked to observe
our staff wash their hands? These tasks are done to improve patient safety. The National Patient Safety Goals focus on problems in
health care safety and how to solve them. CSU strictly follows the National Patient Safety Goals put forth by the Joint Commission,

an accrediting body who certifies nearly 21,000 health care organizations and programs in the United States.

Identify patients correctly

NPSG.01.01.01 Use at least two ways to identify patients. For example, use the patient’s
name and date of birth. This is done to make sure that each patient gets
the correct medicine and treatment.

Use medicines safely

NPSG.03.04.01 Before a procedure, label medicines that are not labeled. For example,
medicines in syringes, cups and basins. Do this in the area where medi-
cines and supplies are set up.

NPSG.03.05.01 Take extra care with patients who take medicines to thin their blood.

NPSG.03.06.01 Record and pass along correct information about a patient’s medicines.
Find out what medicines the patient is taking. Compare those medicines

to new medicines given to the patient. Make sure the patient knows which
medicines to take when they are at home. Tell the patient it is important to
bring their up-to-date list of medicines every time they visit a doctor.

Prevent infection

NPSG.07.01.01 Use the hand cleaning guidelines from the Centers for Disease Control
and Prevention or the World Health Organization. Set goals for improving
hand cleaning. Use the goals to improve hand cleaning.

Prevent mistakes in surgery

UP.01.01.01 Make sure that the correct surgery is done on the correct patient and at
the correct place on the patient’s body.

UP.01.02.01 Mark the correct place on the patient’s body where the surgery is to be
UP.01.03.01 done.

Pause before the surgery to make sure that a mistake is not being made.

Page 8

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!

Molly Danforth, Angie Cloud, Dr. Maqbool, and Alicia Pool

“On December 7th a patient presented to the Pediatric Clinic with her grandson,” said Dr. Sarah Hartnett, medical director.
“The pediatric nurses noticed the patient was unresponsive and unwell. They immediately notified the doctor and got the patient a
wheelchair. They arranged for her to be evaluated in the adult clinic and showed excellent situational awareness in being very proac-
tive. In the adult clinic, Dr. Maqbool along with the nursing staff, immediately evaluated and stabilized the patient. He kept the patient
through he morning to ensure she was stable. Dr. Maqbool was responsive to the immediate need and provided excellent care to kept

the patient out of the emergency room.”

One-Stop Shop: Going Electronic

The management of patient information, both medical and administrative, is top priority at Clinton Service Unit (CSU). The large
amount of patient information received through fax, mail, or hand-carried into one of our facilities can be a big task to manage.
CSU has a process in place to store patient information electronically. Documents are scanned into our system and uploaded
directly into their electronic health record (EHR). Information such as: medical notes, emergency room discharge notes, medical

bills, utility bills, or other documents required for Purchase Referred Care (PRC) eligibility, can now be brought to any of the
three facilities within CSU (Clinton, El Reno, or Watonga Indian Health Centers) and scanned into the system for access

amongst any facility. Patients are now able to bring their personal information to the facility closest to them and their information
will be updated throughout the entire CSU.

Here’s an example of how the system can work:
A patient who lives in Yukon receives a letter from Clinton PRC requesting proof of residency. This patient can bring a utility bill

with their name and address to the El Reno Indian Health Center to be scanned. Once this information is scanned into our
system, a paper copy is no longer needed. PRC is able to verify the document and attach it to the patient’s EHR.

Page 9

Community Outreach

Throughout the months of November and December Clinton Service Unit (CSU) has provided health care outreach to over twenty

holiday community dinners hosted by the Cheyenne and Arapaho Tribes. Purchase and Referred Care provided representatives to

answer questions on the department and provide information on services available. The Dental Department delivered fluoride varnish

treatments and promoted good oral hygiene to prevent tooth decay, and Public Health Nursing was onsite to administer flu vaccines.

Pictured top to bottom, left to right: CSU staff provide
health care outreach at Community Dinners hosted by the

Cheyenne & Arapaho Tribes.

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.

Page 10

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

Michelle Beshaw Dr. Maqbool & Jessica Van Den Berg Dr. Egan & Dr. Hartnett
Appointments: (580) 331-3424 Appointments: (580) 331-3412 Appointments: (580) 331-3466
Nursing: (580) 331-3424 Nursing: (580) 331-3412 Nursing: (580) 331-3466
PRC: (580) 331-3363 PRC: (580) 331-3513 PRC: (580) 331-3408

Audiology: (580)331-3482 DEPARTMENTS Chiropractic: (580) 331-3439
Dental: (580) 331-3423 Optometry: (580) 331-3413
Pharmacy: (580) 331-3351 Behavioral Health: (580) 331-3485 Podiatry: (580) 331-3439
PHN: (580) 331-3471 Nutrition: (580) 331-3458 Radiology: (580) 331-3415
Release of Info: (580) 331-3377 Physical Therapy: (580) 331-3439
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 Pediatrics

(Dr. Garcia) (Dr. Renshaw) (Dr. Mejias)
Appointments: (405) 234-8411 Appointments: (405) 234-8411 Appointments: (405) 234-8411
Nursing: (405) 234-8411 Nursing: (405) 234-8411 Nursing: (405) 234-8411
PRC: (580) 331-3420 PRC: (580) 331-3419 PRC: (580) 331-3405

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)
Appointments: (580) 623-4991 Appointments: (580) 623-4991
Nursing: (580) 623-4991 Nursing: (580) 623-4991
PRC: (580) 331-3420 PRC: (580) 331-3405

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

PHN: (580) 623-4991

Page 11

Have you received your flu shot?

Fight the flu by protecting yourself and those around
you by getting a flu vaccine. Stop by any CSU clinic or

pharmacy to receive a flu shot today!

Appointments are not needed.

Clinton
Service Unit

CLINTON Tell us how we’re doing...

10321 N. 2274 Road We invite you tell us how we’re doing and take
Clinton, OK 73601 our short online patient survey.
(580) 331.3300
For a paper copy, please stop by registration.
Cedar (580) 331.3424
Sage (580) 331.3389 2017 CSU Patient Survey
SweetGrass (580) 331.3376
Peds (580) 331.3466 https://www.surveymonkey.com/r/CSUPatientSurvey
Fax (580) 323.2579
Hours of Operation CSU VISION

Monday—Friday Provide quality health care services focusing on prevention, restoration and
8 am to 5 pm collaborative relationships that are valued and “exceed the needs” of our
Saturday patients, community and tribal partners.

Convenient Care Clinic
9 am to 1 pm

EL RENO

1801 Parkview Drive
El Reno, OK 73036

(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