2018 February Newsletter

February 2018

Clinton Service Unit

Inside this issue: Wound Care Treatment

IHS Mission 2 Successful treatment for wounds requires assessment of the entire patient, not just the wound. The Clinton
Scholarship 2 Service Unit’s (CSU) Wound Care Clinic provides care for patients with wounds at both the Clinton and El
Flu Shot 3 Reno Indian Health Centers.

Quarterly Awards 4 At any time, approximately two percent of the population has an open wound requiring attention from a

Heart Health 6 medical provider. Some high-risk categories for wounds include those with high blood pressure, uncon-
trolled diabetes, neuropathy (decreased feeling in feet), complex medical disease process, and prior
Welcome 7 wounds.

Behavioral Health 8 The Wound Care Clinic addresses treatment of each individual wound through assessing the cause of the
wound through labs, x-rays, vascular studies, ultrasound, cultures for infection, or referrals. The course of
POP Awards 9 treatment for the wound is then decided. Wounds may be treated through any of the following means:
medications (oral, topical, intravenous, intramuscular, or a combination), cleaning of the wound to remove
Pharmacy 10 dead tissue (debridement), culture to determine if there is an infection, dressings to maintain a healthy

Pow Wow 11

Healthy Board 12

Directory 13

wound bed, nutrition to ensure a proper diet and vitamin supplements are taken to increase wound healing,

supportive footwear (if indicated), pressure relief, and patient education. The Wound Care Clinic follows a

treatment schedule for each wound until they are healed. (“Wounds” continued on page 3)

Oklahoma City Area Pharmacy of the Year

Clinton Service Unit swept the Pharmacy of the Year categories awarded amongst the Oklahoma City Area (OCA) Indian Health Ser-

vice (IHS), which highlights the work of pharmacies throughout the OCA, including federal, tribal, and urban programs. The El Reno

Indian Health Center Pharmacy was awarded the OCA Small Pharmacy of the Year and Clinton Indian Health Center Pharmacy was

awarded the OCA Large Pharmacy of the Year. Congratulations to pharmacy staff of both Clinton and El Reno Indian Health Centers!

El Reno Pharmacy, pictured above (left to right): Clinton Pharmacy, pictured above (top row, left to right): Amanda Haggard, Rebecca Geiger,
Brett Whitehead, Sara Carter, Paula Baeza, and Amber Hutson, Narcisso Soliz, April Switzer, Jamie Shaddon, and Rodger Davis . Front row (left

Bethany Johnson to right): Jo Perez, Cassandra Clark, Cody Crouch, Julie Boese, Michael Hunt, and Kasey Kinder.

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.

“The IHS mission is to let Native Americans know there is someone
out there that cares about their health and wellbeing,”

said Celia Ramirez, laboratory. “This is us at Clinton IHS.”

IHS Scholarship Program

The Indian Health Service (IHS) Scholarship Program provides quali-
fied American Indian and Alaska Native (AI/AN) health professions
students an opportunity to establish an educational foundation for each
stage of their pre-professional careers. Today, nearly 7,000 AI/AN stu-
dents have received scholarship awards and many have committed to
serving their health profession careers at IHS; some have even re-
turned to serve their own Tribal communities.
If you envision a career with a true purpose and mission, Indian health
programs are looking for people like you. If you are willing to commit to
working in Indian health communities where you can truly make a dif-
ference, we encourage you to take the next step toward realizing your
future. The scholarship program provides financial support in exchange for a minimum two-year service commitment within an Indian
health program in your chosen health professional discipline.
The IHS Scholarship Program is now accepting applications for scholarship support for the 2018-2019 academic year. The application
and required supporting documentation to the IHS Scholarship Program is to be postmarked no later than March 28, 2018.
The IHS offers three scholarships for AI/AN students in order to educate and train health professionals to staff Indian health programs.
Visit https://www.ihs.gov/scholarships/ for more information on the Preparatory Scholarship, Pre-Graduate Scholarship, and
Health Professions Scholarship.

Page 2

Have you had your flu shot?

“Have you had your flu shot”, is a common question asked to partment to provide a flu shot, the patient never has to leave
many patients who have had an appointment in the outpatient the comfort of dental!
clinic or visit with one of CSU’s public health nurses. Many of
our patients are being asked this same question in our other For those who have not received a flu shot, it’s not too late!
departments, including dental. Stop by any of CSU’s Outpatient Clinics or Pharmacy to re-
ceive a flu shot today, no appointment is needed.
The Clinton Dental Department is actively asking our patients
if they have received a flu shot this season. Patients have
been more than happy to have one of the dental assistants
arrange for them to receive a flu shot while they are awaiting
dental services. The dental assistants have worked with both
pharmacy and the outpatient clinic to come to the Dental De-

The Myths and Facts of Wound Care (continued)

FACT: Warm moist wounds are happy wounds
The goal to maintain proper dressing is to not allow for wounds to become dry by keeping the wound warm and moist. When dressing
is removed for care, the temperature of the skin cools. Once a wound is disrupted, It can take up to four hours for it to return to an
active healing status. A moist wound (not wet) allows for active cell healing.

MYTH: Betadine and Hydrogen Peroxide may be used at any time on open wounds
These products are ONLY used at certain times during treatment. Betadine and Hydrogen Peroxide may kill and damage healthy skin
tissue and slow down the healing process.

MYTH: Alcohol disinfects wounds
Alcohol damages the tissue and increases bleeding and pain.

MYTH: Small wounds are not as important to treat
All wounds, no matter the size, should be addressed for proper care in a timely manner to promote healing.

MYTH: A scab means the wound is healing
A scab does not always mean a wound is healing. A person could have underlying tissue with infection under the covering of the
scab.

MYTH: Putting kitchen butter on the wounds will help the heal-
ing process
Butter will keep heat in the wound and will not help the healing process.

MYTH: Soak a wound in hot water and use tap water to wash
around a wound
Wounds need to be cleaned with supplies that will not re-infect the wound
bed. The Wound Care Clinic will instruct each patient on what supplies are
needed to keep their wound(s) clean.

Page 3

Quarterly Award Winners

Employee of the Quarter

Billie Kionute

Billie Kionute of CSU’s Business Office has gone above and beyond in training her coworker for
the accounting tech position. She has proven over time to be a great team leader of the Busi-
ness Office staff. Whenever the staff is in need of assistance, she stops her work to offer help.

Over the course of several months, Kionute has provided training in insurance payment / adjust-
ment posting; helped to restructure and streamline the debt management and collections pro-
cess; and has demonstrated posting payment credit processes, A/R duties and responsibilities,
and provided additional hands-on training.

Ms. Kionute has answered numerous questions (and some questions a dozen times each). Pictured above: Billie Kionute,
While staff is off-site assisting the satellite clinics, she makes herself available whenever they are CSU business office.

in need of help or have questions. As tiresome as training can be, Kionute has never stalled in offering help.

Above & Beyond

Clinton Housekeeping

Clinton Indian Health Center Housekeeping staff Howard Haunpo, Jordan
Yeahpau, and Arthur Lloyd have gone above and beyond in housekeeping duties
and assignments. They have used synergy to the extreme and have been able to
accomplish the work load of a five staff crew. This team never complains about
the things needing to be done, they just do it. They all have taken over several
extra assignments of areas while maintaining their regular assigned areas.

The housekeeping team have all worked several weekends to ensure the floors
are in excellent shape. Howard has traveled two weekends to help work on the
floors in the Watonga facility. Authur has volunteered to adjust his shift in order to
help take the workload off of everyone until a new staff member was able to come
on board and to train them. Jordan has taken over in all areas on a regular basis
when someone needs to be out and never complains.

Clinton Indian Health Center Housekeepers pictured These gentlemen are ready and willing to do whatever needs to be done. They all
above (left to right): Arthur Lloyd, Jordan Yeahpau, and take their jobs seriously and do the best they can each and every day.

Howard Haunpo

Page 4

Outstanding Customer Service

Clinton Pharmacy Technicians

Collectively, the Clinton Indian Health Center Pharmacy Technicians, April Switzer, Jo Perez and Amber Hutson, have provided over
30 years of outstanding customer service to the CSU. Their dedication, knowledge and desire to help shows no limits.

Recently, the Pharmacy spent several weeks asking patients to fill out the patient satisfaction surveys in an effort to increase the over-
all Net Promoter Score for the service unit. The results were outstanding. One-hundred percent of the surveys reflected a positive
experience at the Clinton Pharmacy, and fifty-one percent contained positive comments specifically about the technicians.

Tobacco cessation has become a major focus of the Pharmacy. The technicians have played a key role in spreading awareness on
the programs officered at CSU. They have worked closely with state and local organizations to get information added to the prescrip-
tion bags provided to our patients with resources needed to quit smoking.

The pharmacy technicians have provided facility-wide departmental inspections to ensure proper storage of medications and to keep
each department aligned with Joint Commission goals and standards. Ancillary staff rely on the technicians for information about spe-
cial products and medications for their specific departmental needs.

Attention to detail and desire to increase services provided have led the technicians to be some of the best in the area at cost avoid-
ance and pharmacy collections. The technicians work diligently to ensure all avenues lead to decreased spending and increased col-
lections are identified and implemented. Together, April, Amber, and Jo make a phenomenal team. They are a true asset to both the
Clinton Indian Health Center Pharmacy and CSU. Their compassion and commitment to our patients is remarkable.

Clinton Indian Health Center Pharmacy Technicians pictured above (left to right):
April Switzer, Jo Perez, and Amber Hutson

Page 5

Heart Health

Cardiovascular (heart) disease is America’s leading killer for both men and women among all racial and ethnic groups, including
American Indians and Alaska Natives. A simple test offered through Clinton Indian Health Center’s Radiology Department can assist
in detecting heart problems.

Radiology offers Computerized Tomography (CT) Cardiac Calcium Scoring to detect plaque in the coronary arteries. CT Cardiac Cal-
cium Scoring is one of the most advanced methods available today to detect heart disease in its earliest stages. The procedure identi-
fies the calcified plaque present in the coronary arteries. While other forms of plaque may exist, only calcified plaque is detected.

Calcification in the coronary arteries is the earliest indicator of heart disease. Every 29 seconds, an American suffers a heart attack.
Over fifty percent of men and sixty-three percent of women who die suddenly of heart disease have no previous symptoms. The fol-
lowing factors may increase the risk of heart disease if:

□ You are a Male and over 45 years of age

□ You are a Female and over 55 years of age, or had your ovaries removed and are not taking estrogen

□ Your father or brother had a heart attack before age 55, or your mother or sister had one before the age of 65

□ You smoke or you live/work with someone who smokes daily

□ You have a cholesterol level of 240 or higher

□ You’ve been told your blood pressure is high

□ You do NOT exercise at least three times a week for at least 30 minutes each time

□ You are 20 pounds or more overweight

□ You have diabetes or you need medicine to control your blood flow

If you checked two or more boxes, you may be at risk for heart disease. A CT Cardiac Calcium
Score would help assess your risk more completely. Talk to your provider for more information.

Heart-to-Heart

Public Health Nurses, Rita Hunnicutt of Clinton Indian Health The classes encouraged those in attendance to have a “heart-to-
Center and Niki Baker of El Reno Indian Health Center, teamed heart” with loved ones about heart
with the Cheyenne and Arapaho Tribes’ Health Education Pro- disease and improving health together,
gram to deliver a series of wellness classes to tribal employees. as a family. To learn more how you and
The classes were held in both Concho and Clinton at multiple your family can become heart healthy,
tribal buildings to celebrate the month of February as Healthy visit the American Heart Association at
Heart Month. https://healthyforgood.heart.org/

Page 6

Lifesaving Gift of Blood

The Oklahoma Blood Institutes’ Bloodmobile made a stop at Clinton Indian Health Center on February 9th. Twenty-five of our local
heroes donated blood to help save the lives of fellow Oklahomans.

Only ten percent of people in the United States who are eligible to give blood actually do.
Blood donation takes just about an hour, and each donation can save the lives of up to
three patients. Whole blood can be donated every 56 days. Platelet donations can be
made as often as every seven days, up to 24 times a year.

The Oklahoma Blood Institute’s donors provide every drop of blood needed for patients in
more than 160 hospitals statewide. Approximately 1,200 volunteer blood donors are
needed each day to maintain the supply. Visit https://obi.org to find a mobile blood drive
or donation center near you.

Welcome to CSU!

Jennifer Kennedy Susan Moore
Medical Support Assistant Dental Hygienist
Clinton Indian Health Center Clinton Indian Health Center

Dr. Nika Nakia Macy King
Family Practitioner Medical Support Assistant
Clinton Indian Health Center El Reno Indian Health Center

Page 7

Behavioral Health Consultation Service

The Behavioral Health Consultation (BHC) Service offers assistance when habits, behaviors, stress, worry, or emotional concerns
about physical or other life problems are interfering with a person’s daily life or overall health. The BHC works with the patient’s prima-
ry care provider (PCP) to evaluate the mind-body-behavior connection and provide brief, solution-focused interventions.

The BHC has specialty training in the behavioral management of health problems. Together, the BHC and your PCP can consider the
physical, behavioral, and emotional aspects of your health concern and help determine a course of action that will work best for you.

What kind of health concerns does a BHC see?

The BHC can help patients reduce symptoms associated with various chronic medical conditions by assisting patients with stress
management. Stress plays a major role in many of our lives and can have a negative impact on health and longevity. Medical condi-
tions that may negatively impact stress are migraines, insomnia, high blood pressure, heart disease, asthma, diabetes, obesity, chron-
ic pain, irritable bowel syndrome, among others.

BHC can help patients and their PCP develop an action plan to stop smoking cigarettes, drinking alcohol, or using illicit drugs. The
BHC and PCP can assist patients to develop an exercise program to promote healthy lifestyle change and weight loss. They may also
help in developing skills to manage emotional issues such as morning the loss of a loved one, anxiety, depression, or anger.

Who is eligible to receive these services?

Any patient who is eligible to receive care at CSU may receive services through BHC.

What to expect when working with BHC

Patients may expect the BHC to ask questions about their stress levels, physical symptoms, and emotional concerns. Moreover, how
stress contributes to their medical condition and/or the behavior they are trying to change. Appointments with the BHC last between
20-30 minutes. The BHC will provide a brief assessment and solution-focused intervention. Patients’ can expect the BHC to have a
close working relationship with the PCP. The patient remains in charge of decisions regarding their health care. The BHC is there to
help the patient and their PCP to develop and put the best health plan into
place.

How is BHC service different form mental health services?

Services provided by BHC compliment a patient’s overall health care. Every-
one struggles to manage the stress in their daily lives. Sometimes stress
may be too overwhelming to bare alone. Take care of yourself and ask for
help. The BHC performs brief targeted interventions, not traditional psycho-
therapy and counseling. Traditional psychotherapy and counseling services
are offered in CSU’s Behavioral Health Department. Call 580.331.3485 if
you are in need of an assessment and traditional behavioral health services.

How to schedule a BHC appointment

Contact the Clinton Indian Health Center at 580.331.3552, or ask your nurse
about BHC services during your next appointment.

Pictured above: Aaron Edenshaw, behavioral health
consultant

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!

Physical Therapy

“I was approached by a patient who was very pleased with the services of Physical Therapy,” said Joe Bryant, administrative officer.
“The patient complimented on how the department made them feel at home, and how they have helped them tremendously through
three different surgeries. The patient complimented the vision and level of services added over the past five years, which have includ-

ed the addition of physical therapy assistants, scheduler, massage therapy, and chiropractic services. The patient could go else-
where, but loves coming to IHS because of the staff and services.”

Jenna Schmidt

“During a call with McManis & Monsalve for oversight of the Oklahoma City Area (OCA) coding/billing audit, the lead for McManis
noted how well Jenna Schmidt prepared her list of providers and visits,” said Joe Bryant, administrative officer. “She complemented
Jenna for her organization of the data and considered it a best practice. McManis requested if they could forward the format to the
other OCA sites for them to streamline the data collection process. This coordination allowed McManis to effectively and efficiently
begin their coding/billing review and as a result, the service unit was the first to receive Q4FY17 report. Ms. Schmidt’s efforts are now

considered the gold standard.”

Alyssa Barcindebar & Tracy George

“I had a young mother in my office with bills from her stay at the hospital,” said Angie Vaughan. “The mother was very worried be-
cause she had several bills and the vendor was threatening they would send her to collections. I called Alyssa to the front office and

she got on the computer and knew what to do to help the patient. She called and got the bills straightened out and I could see the
relief on the patient’s face. The patient called us angels and thanked us for the help.”

Another patient called in and asked about bills that were faxed in. I took the information to Tracy and she got on the phone to call the
vendor. IHS had paid on the bill. The amount left on was not a large amount, but the vendor wanted for the patient to pay it. Tracy

explained to the vendor this amount would be a write-off from them and the patient is not responsible for paying the left-over amount.
Tracy then faxed all of the paperwork to the vendor with the information on payments made by both the patient’s private insurance
and IHS. The paperwork was then brought back to me so I could give the patient all of the information about the bill. Most important,

the patient was not responsible for paying the balance left on the bill. In both cases, Alyssa and Tracy went above and beyond to help
our patients. I am so proud to be a part of the Purchase Referred Care team.”

Page 9

2018 IHS Pharmacy Leadership Training Program

The IHS Pharmacy Leadership Program trained 23 pharmacy leaders from across the nation in its January 2018 meeting. The training
program was designed to prepare future pharmacy leaders for key positions throughout the agency. Participants had the opportunity to
gain knowledge from subject matter experts in their respective field. Narcisso Soliz, CSU chief of pharmacy and Michael Hunt, Clinton
pharmacist, were invited to present during the training. Soliz presented on IHS Pharmacy Inventory Management and Drug Supply
Chain Security Act and Hunt presented on Point-of-Sale. Hunt has been scheduled to train the IHS Phoenix Area Pharmacists in their
Area of Point-of-Sale training in March.

Pictured above (left to right): Eric Chosa, Billings Area pharmacy consultant;
Becky Reyes, Phoenix Area pharmacy consultant; Narcisso Soliz, CSU

chief of pharmacy; and Michael Hunt, CSU pharmacist.

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 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) 331-3405

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

Release of Info: (405) 234-8403

Page 13

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