2016 November CSU Newsletter

November 2016

Clinton Service Unit

Community Listening Sessions & Health Care

Inside this issue: Providers and representatives from Clinton Service Unit (CSU) are set to host a series of Community
Listening Sessions and Health Care Outreach events in Seiling, Concho, and Clinton. All community
Excellence 3 members are invited to attend.

Provider spotlight 4 The listening sessions are intended to address patients’ concerns and provide information on the ser-
vices available within CSU. Podiatry, Pediatrics, Purchased and Referred Care, Dental, Benefits Coordi-
Open enrollment 5 nators, and Public Health Nursing (PHN) will be on-site to provide information and answer questions
community members may have.
Facility update 5
Those who attend may obtain a flu vaccination, blood pressure check, and/or blood glucose readings at
Welcome 6 the event. Dental will be available to provide fluoride varnish to those in need.

Calendar 7 The Community Listening Sessions and Health Care Outreach events are scheduled for the following:

Mailbag 7 November 30th — Seiling Community Building from 1 pm to 3 pm
December 7th — Concho Community Building from 10 am to Noon
Food safety 8
December 15th — Clinton Housing Authority 10 am to Noon
Exceed the need 10

ER & hospital visits 10

Purchase Referred Care Update

Provisions within the Indian Health Care Improvement Act sure a funding purchase order is issued for payment of ser-
(IHCIA) ensure a patient who receives authorized Purchase Re- vices. Should a patient receive a bill, they are encouraged to
ferred Care (PRC) services shall not be liable for the payment of bring a copy of the bill to the PRC Department at Clinton Indian
any charges or costs associated with the provisions of such ser- Health Center, fax a copy of the bill received to 580.331.3565
vice. When services are authorized, a letter is generated to doc- (Attention: Finance Division), or call to speak with our Finance
ument Indian Health Service’s responsibility to issue an authoriz- Division at 580.331.3590 (option two). Once the bill has been
ing purchase order and payment. This letter provides patients an forward to PRC, patients are strongly encouraged to follow-up
authorization detailing the language within IHCIA, and may be with PRC to ensure the bill was received by the department and
provided to vendors if the patient is ever asked to pay for their payment will be taken care of.
service or are sent to collections.
For questions regarding payment of a referral,
CSU strongly recommends for all patients to retain all cop- contact: Misty Burcum at 580.331.3455 or
ies of the IHCIA letter and turn in every bill received to en- Leslie Panana at 580.331.3417

Clinton Service Unit

Clinton, El Reno, & Watonga Indian Health Centers

Invites Community Members to Attend

Community Listening &
Health Care Outreach Events

Seiling Cheyenne & Arapaho Tribes’
Community Building

November 30, 2016
1 to 3 pm

Concho Cheyenne & Arapaho Tribes’
Community Building

December 7, 2016
10 am to Noon

Clinton Cheyenne & Arapaho Tribes’
Housing Authority Conference Room

December 15, 2016
10 am to Noon

Podiatry, Pediatrics, Purchased and Referred Care, Dental, Benefits
Coordinator, and Public Health Nursing will be in attendance.
Flu Vaccinations, Fluoride Varnish,
Blood Sugar & Blood Pressure Checks will be available.

Page 2

Congratulations El Reno Pharmacy…
continued designation as an

Anticoagulation Center of Excellence!

The Pharmacy at El Reno Indian Health Center (EIHC) is pleased to announce they have passed the Anticoagulation Forum’s as-
sessment program, and can be considered an Anticoagulation Center of Excellence. The rigorous assessment gave the El Reno
Pharmacy a chance to measure their practice against five key areas of patient care. The program also gives the pharmacy ongoing
access to a rich library of resources providing guidelines and tools to keep up with the changing field of anticoagulation.

“Participation in this program demonstrates El Reno Pharmacy’s ongoing goal to achieve the highest level of care and the best possi-
ble outcomes for our patients on antithrombotic medications,” said Brett Whitehead, El Reno pharmacy chief. “We are very proud to
have passed the Anticoagulation Centers of Excellence assessment. It is dedicated to actively participating in all aspects of our pa-
tients’ care, since working together with our patients is the best way to improve health outcomes.”

The Anticoagulation Forum is a multidisciplinary non-profit organization with a mission to improve the quality of care for patients tak-
ing antithrombotic medications. To explore the program, visit: www.excellence.acforum.org

Pictured from left to right: LT Brett Whitehead, Pharm D, BCPS, NCPS;
Paula Baeza, Pharmacy Technician; and Sara Collins, Pharm D

Page 3

Provider Spotlight

Dr. Matt Geiger, O.D.

Clinton Indian Health Center is pleased to announce Dr. Matt Geiger as Chief of Optometry.
Dr. Geiger is a graduate of Northeastern State University College of Optometry in
Tahlequah, OK. Soon after graduation, he began work for the Cherokee Nation as an Op-
tometrist primarily in Nowata, OK.
“As a Native American myself, I am particularly honored to practice in this setting,” said Dr.
Geiger. “Largely, because it doesn’t seem too long ago where an eye exam I received from
and IHS facility changed my life.”
While Dr. Geiger is relocating from Northeast Oklahoma to join the CSU team, he is no
stranger to the area. He spent nearly ten years in Weatherford, where he attended under-
graduate school at Southwestern Oklahoma State University and began his “first career” in
manufacturing maintenance/automation at the now closed Imation building located east of
Weatherford.
“I’m excited to get to work,” said Dr. Geiger. “My top priority is to get to the back log of patients needing eye appointments. I look for-
ward to meeting each and every one of you!”

To schedule an eye appointment,
call the Optometry Department at 580.331.3413.

Page 4

Getting Coverage and Peace of Mind
Open Enrollment for the Health Insurance Marketplace

While you may be healthy, it does not mean you’re invincible, as we do not
know what tomorrow may hold.

American Indians and Alaska Natives have the opportunity for health insur-
ance coverage through the Health Insurance Marketplace. The Affordable
Care Act (ACA) was created to expand access for health care coverage,
control health care costs, and improve health quality and coordination.

Open Enrollment for the Health Insurance Marketplace started on November
1, 2016. American Indians and Alaska Natives are eligible to purchase cov-
erage through the Health Insurance Marketplace and may find they qualify
for Medicaid. The Marketplace is a destination where consumers can com-
pare health insurance options in simple, easy-to-understand language. At the Marketplace, consumers are able to compare insurance
options based on price, benefits, quality, and other factors with a clear picture of premiums and cost-sharing amounts to help them
choose the insurance to best fit their needs.

The ACA provides American Indians and Alaska Natives with more choices; depending on your eligibility, you can:

 Continue to use IHS, tribal, and/or urban Indian health programs,

 Enroll in a qualified health plan through the Marketplace, and/or

 Access coverage through Medicare, Medicaid, and the Children’s Health Insurance Program.

To learn more about the Affordable Care Act benefits for American Indians and Alaska Natives, visit the IHS Affordable Care Act web-
site, at: https://www.ihs.gov/aca/. Or, visit a CSU Patient Benefit Coordinator to assist in applying for health insurance coverage and to
take advantage of any tax credits of which you may be eligible for.

Patient Benefit Coordinators may be contacted, at:
Clinton — Julie Cox at 580.331.3402

Clinton — Teresa Murray at 580.331.3364

Facility Updates

Clinton Indian Health Center is improving the patient experience by
renovating the counter space in the restroom facilities. The laminate
countertops were replaced with a quartz surface. Quartz surfacing is
almost non-porous and stain-resistant, which requires less routine
maintenance and never requires sealing. Quartz has an antimicrobial
surface, which is mold and mildew resistant, making it ideal to be
used in a clinic setting.

Page 5

Welcome to Clinton Service Unit!

Afton Luttrell Carol Poolaw
Medical Support Assistant Audiology Health Technician

Clinton Clinton

Dr. Matt Geiger Dr. Udaykumar Patel
Optometrist Dentist
Clinton Clinton

Page 6

Clinton Service Unit’s

Community Activity Calendar

November

30th Community Listening & Health Care Outreach Event / Seiling Comm. Build.

December

1st Dental Screening / Geary Elementary
2nd Dental Screening / Geary Elementary
7th Community Listening & Health Care Outreach Event / Concho Comm. Build.
15th Community Listening & Health Care Outreach Event / Clinton Housing Authority

From the Mailbag...

“This place has changed in the past ten years. I can’t believe what great care I just
received. I quit coming here years ago, but after the care I just received, I’m going

to start coming back. I was in and out the door in no time.”
~ Saturday Convenient Care Patient

“The staff listened carefully, acted quickly, and genuinely felt concern for my son.”
~Clinton Pediatrics Parent

“Love coming to the El Reno Clinic. Everyone is amazing!” ~ El Reno Patient
“All of the staff are friendly and always willing to help.” ~Watonga Patient

Page 7

Food Safety During the Holidays and Throughout the Year

Information adapted from United Stated Department of Agriculture Food Safety and Inspection Service

The food supply in the United States (US) is one of the safest in the world. However, each year over 48 million Americans get sick
through eating or drinking contaminated foods or beverages. Chronic conditions such as diabetes, arthritis, cancer and heart disease
can weaken the immune system, making persons more likely to fall victim to sickness if harmful bacteria from food and beverage are
consumed.

Unfortunately, foodborne illness is sneaky! You can’t tell by looking, smelling, or even tasting a food whether it contains harmful bac-
teria. The holidays are festive times for giving and sharing, but sharing should not include sharing a foodborne illness. Fight
BAC(teria) this holiday season and anytime through the year by following some simple tips to cut down the chance of spreading food-
borne illness through four basic steps to food safety: 1) clean, 2) separate, 3) cook, 4) chill.

1) Clean — Bacteria can spread throughout the kitchen and get onto cutting boards, utensils, countertops and food. A simple step

to cut down on the spread of bacteria is by washing your hands in warm soapy water for at least 20 seconds. Be sure to wash
cutting boards, dishes, utensils, and countertops with hot soapy water after preparing each food item and before going on to the
next. Consider using paper towels to clean up kitchen surfaces. If using cloth towels, be sure to wash them often in the hot cycle
of the washing machine. Wash all fruits and vegetables under running tap water and clean the lids of canned goods before open-
ing.

2) Separate: Don’t cross contaminate — Bacteria can be spread from one product to another when foods or handling of

foods and their juices come into contact with one another. Consider use of separate cutting boards for fresh produce, meat, poul-
try and seafood. When shopping at the grocery store, try to keep raw meats separate from other food items in the cart and gro-
cery bags.

3) Cook: Right Temperatures — The color of food is not a reliable indicator of safety or doneness. Use of a food thermome-

ter will help to ensure foods are done to a proper temperature. Cook all poultry to 165º F; ground beef, pork, and egg dishes to
160º F; and steaks, roasts, and seafood to 145º F. When microwaving food, ensure it is cooked evenly by covering, rotating, and
stirring the foods once cooking time is complete.

4) Chill: Refrigerate — Cold temperatures can slow the growth of harmful bacteria. Appliance thermometers may be used to

ensure refrigerators are set to the temperature of 40º F or below and freezers are set to 0º F or below. Perishable foods should
be placed in the fridge or freezer within two hours of cooking or purchasing.

Another way to cut down the chance of spreading foodborne illness is to ensure foods are
thawed properly. Food should never thaw at room temperature, such as on the countertop. It
may take a little planning, but safe ways to thaw food include: in the refrigerator, under cold run-
ning water, and in the microwave (when this thawing method is used, be sure to cook foods im-
mediately).

When it comes to the health and food safety of you and your family, it’s better to error on
the side of caution. When in doubt, throw it out!

Page 8

“Exceeding the Need”

CSU is passionate about improving the health of our patients. Everyday, our employees “Exceed the Need” in providing
excellent customer service and great care. Below are just a few highlights from staff and patients:

“The Public Health Nurses have been out in the community two to three nights per week,” said Bonnie Kraft, PHN director.
“This team of nurses are providing flu shots and health information. We have many events scheduled in the coming weeks,

including the Community Listening Events and Cheyenne & Arapaho Tribes’ Community Dinners.”
“My son was scheduled for surgery when Purchase and Referred Care (PRC) realized the surgeon he was scheduled to see
would not accept his insurance,” said mother of CSU patient. “PRC quickly realized he needed to be directed to a surgeon to
accept his insurance plan. They quickly found a surgeon, call the surgeon’s office, and got all records needed sent to his

office. Within an hour my son had an appointment with a surgeon who accepted his insurance plan.”
“While on lunch break El Reno’s Licensed Clinical Social Worker Jonell James, received a urgent call from Watonga stating a
patient was in great need of assistance from Behavioral Health,” said Andrea Jackson, facility unit director. “Without hesi-

tation, Ms. James immediately stopped what she was doing to head to Watonga to take care of the patient’s needs.”

ER Visit and Hospitalization Notification

Patients who make a trip to the emergency room (ER) or have a hospital stay, must reported the visit to CSU’s Purchase and Re-
ferred Care (PRC) Department within 72 hours of the care provided. Those 55 years and older or disabled, have up to 30 days to
report this visit.

“Any family member, friend, or neighbor of the patient may call to provide information for ER and hospitalization notice,” said Julie
Hoover, PRC supervisor. “The ER and hospitalization notice call line may be reached at 580.331.3590 (option two). Those who call
are asked to provide the patient’s date of service, name of hospital, how they arrived to the facility (private vehicle or EMS), chief
complaint (why they went there), and if the patient has any alternate resources available.

“Once this information is received, patients are asked to sign a release of information to have their medical record faxed to Clinton
PRC at 580.331.3565,” said Hoover. “Medical records should be received to CSU PRC within three weeks of the patient’s visit to the
hospital, or services could be denied. Patients should verify all eligibility documents are on file, including: Certificate Degree of Indian
Blood, identification, and proof of residency. Please provide a physical proof of residence, as PO Boxes are not valid proof.”

Once an ER visit or hospitalization has been called in, patients are encouraged to follow-up a week after the call has been made to
ensure all records have been received. “Until a referral has been either approved or denied, we encourage patients to continue to
follow-up with our department,” said Hoover.

If a patient should receive a bill for their ER visit or hospital stay, it should be brought to the PRC office to be processed immediately.

PRC ER Visit & Hospitalization Notification Line
580.331.3590

Page 9

Page 10

Halloween Costume Contest
Thank you to all those who participated in the October Halloween Costume Contest. You made a fun atmosphere for the
Head Start Trick-or-Treaters who visited the facilities.

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 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 2016 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