1. health and fitness

Q U A R T E R LY P U B L I C AT I O N O F I N D I A N H E A LT H C A R E R E S O U R C E C E N T E R
SUMMER 2012
Annual Teddy Bear Clinic
Saturday, September 8
Operationally Speaking
By Eddie Hathcoat, IHCRC COO
As the Chief Operating Officer of
Indian Health Care, I would like to
highlight a few of the items featured
in this issue of the Healthy Spirit.
• I’m excited to announce the
rollout of our new “IPC” patient
care improvement process. The
Improving Patient Care (IPC)
model utilizes a team approach to
patient care to improve access to
care and ensure patients receive high
quality services from our staff of
health professionals. IPC is about
a focus on the patient, improving
delivery of care and teamwork.
• We certainly want to congratulate
and acknowledge our management
and staff who will be receiving a
Director’s award from the Oklahoma
City Area Indian Health Service
on July 19. Our IHCRC awardees
include Deanna Holman for an Area
Director’s Lifetime Achievement
Award, Emily Bolusky for a Merit
Award, Deni Fholer for both a
Peer Recognition award and the
Area Director’s Customer Service
Award Urban, Dr. Shea Bowling for
Exceptional Individual Performance
– Clinical Award, and IHCRC’s
School and Community Gardening
Program for the Exceptional
Group Performance Health
Promotion & Wellness Award.
• Please take a moment to read the
bios of our newest employees who
recently joined the IHCRC clinical
team. These new employees include
Below: Mental Health Commissioner Terri White is presented with a Pendleton blanket at
the Restoring Harmony Pow Wow.
Eddie Hathcoat, IHCRC COO
Steve Abernathy, PhD – Director
of Clinical Training and Clinical
Psychologist, Don Miller, LADC
– Substance Abuse Counselor,
Jamie Johnson, RN, BSN – Public
Health Nurse, Chad Stanton –
Activity Specialist and Brenda
Howell – Dental Assistant. We
want to extend a warm welcome to
all these new employees and wish
them much success at our facility.
• Our Health Education and Wellness
Department has just completed
its first round of annual Summer
Wellness Camps for Native
youth. We would like to thank all
the volunteers and community
partners who help make the
Continued to page 3
Indian Health Care
Hours of Operation
Medical services hours
Monday, Tuesday, Wednesday and
Friday 8:00 am-5:00 pm
Thursday 10:00 am-7:00 pm
1st Wednesday of the month the
Medical clinic opens at 1:00 pm
(closed in morning for staff meeting).
Behavioral Health hours
Monday - Wednesday 8:00 am-6:00 pm
Thursday 10:00 am-7:00 pm
Friday 8:00 am-5:00 pm
1st Wednesday of the month the
Behavioral Health clinic opens at 1:00 pm
(closed in morning for staff meeting).
WIC Nutrition hours
In this issue of the Healthy Spirit
2012 Dance of the Two Moons Recap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Annual Restoring Harmony Pow Wow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Unknown Heroes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Take Me Out to the Ball Game! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Facebook provides first-of-a-kind service to help prevent suicides . . . . . . . . . . . . . . . . . . . . . . . . 17
TV Star Mark Harmon’s Visit to Oklahoma City Indian Clinic is Harmony . . . . . . . . . . . . . . . . . . . 18
IHCRC Patient Satisfaction Survey Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Oklahoma Prescription Painkiller Use Is Tops in the Nation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Protect your child from the dangers of heatstroke . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Changes in Clinical Care are Coming to Indian Health Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Do you have an infant or young child that’s not receiving the benefits of WIC? . . . . . . . . . . . . . . 30
Meet the Cherokee Nation WIC Staff Members at Indian Health Care Resource Center . . . . . . . 33
Dr. Steven Ray Abernathy, Behavioral Health Psychologist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Donald Wayne Miller, LADC – Substance Abuse Counselor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Jamie Johnson, RN, Public Health Nurse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Brenda Howell, Dental Assistant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Chad Stanton, Activity Specialist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Staff at IHCRC to be Recognized for Service with IHS Awards . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Understanding the Symptoms and Implications of Prediabetes . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Are Healthy Foods Really More Expensive? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
IHCRC Summer Wellness Camp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Parents: Schedule an oral health exam for your young child today! . . . . . . . . . . . . . . . . . . . . . . . . 47
Helping to Build a Healthy Mind, Body and Spirit for All . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
What Is Big Brothers Big Sisters Native American Mentoring? . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Is Your Child Fully Vaccinated? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Meaningful Use of Electronic Health Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Monday - Wednesday; Friday
8:00 am-5:00 pm
Thursday 10:00 am-6:30 pm
1st Wednesday of the month
WIC opens at 1:00 pm (closed in
morning for staff meeting).
Scheduled appointments
To schedule an appointment, call
918-588-1900, press option 1. If
you are unable to get your preferred
appointment time, please schedule
for the first available appointment.
Patients may call back and check to
see if an opening becomes available
that better suits their needs.
Same-day/fast track
appointment policy
When you come to the clinic for a
same-day or fast track appointment
we will do our best to work you into
the schedule based on the following:
Sickest people are seen first – Patients
are not seen on a first come first seen
basis. All walk-in patients are in an order
based on the severity of their illness.
Provider Availability – A walkin patient will be seen as soon
as a provider is available. Due to
provider availability not all walk-ins
are assured to be seen that day.
Oklahoma’s no cost
Children’s Health Insurance Program
SoonerCare provides free health insurance for
Oklahoma children under age 19 who meet
financial income eligibility guidelines. You
must reapply annually. You may still qualify for
SoonerCare as a secondary insurance even if you
have private health insurance.
SoonerCare Income Guidelines
Children under the age of 19 may qualify if family
gross income is within the following guidelines:
Family
Size
Monthly
Yearly
2
$2,333
$27,991
• Social security numbers for all
household members
3
$2,944
$35,317
4
$3,554
$42,643
• Income/employment information
5
$4,165
$49,969
• Current health insurance information
(if applicable)
6
$4,775
$57,295
7
$5,386
$64,621
• Name of primary care physician
8
$5,996
$71,947
Information needed to apply:
SoonerCare Insurance
Benefits Include:
•
•
•
•
•
•
•
•
•
•
•
Basic medical care
Prescriptions
Emergency room care
Routine preventive checkups
Immunizations
Eyeglasses
Dental exams
SoonerRide medical transportation
Behavioral health care
Sports physicals
And many more specialty services!
Some applicants may even qualify at slightly
higher income! You must reapply annually.
(Income guidelines effective April 1, 2012.)
Let us help you apply!
Call 918-588-1900.
Ask for SoonerCare
550 S. Peoria, Tulsa, OK 74120
www.ihcrc.org
[email protected]
CHIPRA/SoonerCare Program
You can choose an Indian Health Care provider to be your
child’s pediatrician/primary care physician.
IHCRC Mission
Operationally Speaking | continued
The mission of the Indian Health
Care Resource Center of Tulsa,
Inc. (IHCRC) is to provide quality,
comprehensive health care to Tulsa
area Indian people in a culturally
sensitive manner that promotes good
health, well being and harmony.
Vision
The vision of IHCRC is to eliminate
health disparities, expand innovative
family-focused practices and promote
an embracing approach to care
that strengthens physical, mental,
emotional and spiritual wellness
within the Indian community.
Health Promotion Goal
The long-term health promotion goal
of IHCRC is to improve general health
status and reduce the incidence
and severity of chronic disease by
engaging the Indian community in
ongoing health promotion, prevention
and disease management programs.
summer camp program a success.
New this year are cultural camps
that provide an opportunity for
Native youth to learn about their
heritage. Camps programs also
place a strong emphasis on proper
nutrition and physical fitness.
• We had a record number of patient
satisfaction surveys completed
by patients during the month of
March. We tripled the number of
surveys that are typically turned
in by patients. These surveys help
the IHCRC staff gain a better
understanding and accurate
assessment of our services from
the patient’s perspective. Overall, I
am pleased with the results, which
reflect a favorable rating from
patients about the job we’re doing.
I offer my thanks to all of you who
participated in this process. And, I
would encourage those of you that
didn’t participate to do so next time.
• We are very pleased with the
successes we had in April with the
presentation of the Dance of the
Two Moons, our annual fundraiser
which raises funds for our pediatric
programs. In April, IHCRC staff also
assisted the Tulsa Indian Community
Advisory Team (TICAT) present
the annual Restoring Harmony Pow
Wow, which promotes awareness
of National Children’s Mental
Health Day. I would like to thank
TICAT and its members for all of
their efforts and contributions to
make this year’s Restoring Harmony
Pow Wow another big success.
Indian Health Care
Resource Center of Tulsa
Board of Trustees
Janice Edmiston, President, Choctaw
and Sac & Fox
Jim Cameron, Vice President, Cherokee
Bob Bitting, Secretary, Cherokee
Herbert P. Haschke, Jr., Treasurer
Madeline Teague, At-Large Executive
Committee member, Cherokee
Mary Ann Vassar, At-Large Executive
Committee member, Cherokee
Jay Anderson, DDS, Choctaw
Bobby Jones, Cherokee
David D. Moon, DO, Choctaw
Goldie Phillips, Comanche
Ed Pierce, Citizen Nation Potawatomi
550 S. Peoria, Tulsa, OK 74120
(918) 588-1900
www.ihcrc.org
IHCRC SUMMER 2012 3
T
A Big Success!
he annual Dance of the Two Moons
fundraising event was held Saturday, April
21 at the Hard Rock Hotel and Casino.
The annual fundraising event for Indian
Health Care Resource Center of Tulsa raises money to
support IHCRC’s pediatric programs. This last fiscal year
3,966 Native children made 29,064 visits to IHCRC health
4 IHCRC SUMMER 2012
providers! Without the health services provided by IHCRC,
many of these children would not have a medical home and
might end up in local hospital emergency rooms.
The Dance of the Two Moons featured an entertaining and
enjoyable evening of activities. The event began with a wine
and hors d’oeuvre reception, coupled with the opening of the
silent auction. In keeping with a Roaring 20’s theme, guests
IHCRC WINTER 2011-2012 3
were entertained with the musical
talents of Tulsa’s own The Zuits.
The 2012 Dance of the Two
Moons Honorees were Dr.
Thomas and Stacey McKeon. Dr.
McKeon is the President of Tulsa
Community College. TCC is a
national leader in graduates in the
field of healthcare. The McKeons
share a strong commitment to our
community and to the success and
the well-being of our children.
IHCRC would like to thank
everyone who supported the
2012 Dance of the Two Moons
and remind you to mark your
calendars for next year’s event
to be held April 20, 2013.
Left: Native Nations Youth
Council Drum Group.
Right: Julia Wakeford offered the Lord’s
Prayer Invocation in Indian sign language.
2012 Dance of Two Moon Sponsors and Donors
HONORARY CHAIRS
Delores Titchywy Sumner
Dr. Tom and Stacey McKeon
BEAR SPONSORS
BOARD CHAIRPERSON
George Kaiser Family
Foundation
Muscogee (Creek) Nation
Oklahoma City Indian Clinic
Public Service Company of
Oklahoma
St. Francis Health Systems
Tulsa Community College
EAGLE SPONSORS
BUFFALO SPONSORS
Hard Rock Hotel & Casino Tulsa
Tiger Natural Gas
Chickasaw Nation
Oklahoma City Area Inter-Tribal
Health Board
Osage Casino
Jay Anderson, DDS
PREMIER SPONSOR
WOLF SPONSORS
The Mary K. Chapman
Foundation
Choctaw Nation of Oklahoma
Jim and Sharon Ruley
TURTLE SPONSORS
Dr. Jay and Nancy Anderson
Bacone College
Jim and Janet Cameron
Janice Edmiston and Ceasar
Williams
Fire Protection Systems
Flintco
Kauffman and Associates, Inc.
Regional Medical Lab
Ken Ray Underwood Law
Offices
Seminole Nation
Summit Bank
Tahlequah Printing, Co.
AUCTION DONORS
All Star Sports Complex
Dr. Jay Anderson
Andolini’s
Andy’s Fine Portraits
The Apple Tree
BA Golf & Athletic
Tommy Lee Ball
Chris Barrow
Holly Becker
Best Electric and Hardware
Supply
Chana Bivens
Mr. and Mrs. Richard Bolusky
BounceU
Boxworks
The Brasserie
Bruce G. Weber Precious
Jewels
Mose Carey
Joseph Chamberlain
Charles Faudree, Inc.
Chelsea Gallery
Continued to next page
IHCRC
IHCRC
WINTER
SUMMER
2011-2012
2012 5
3
2012 Dance of Two Moon Sponsors and Donors | continued from page 5
2012 Dance of Two Moons Honorary Chairs Thomas and Stacey McKeon.
6 IHCRC SUMMER 2012
Cherokee National Historical
Society
Cherokee Nation WIC
CherryBerry on Brookside
Chesapeake Energy
Choregus Productions
Janie Crean
Dancing Rabbit
Mr. and Mrs. Richard Davis
Tammy Davis
Kim Doner
Angela Drews
Eli’s Cheesecake Company
Emerald Antiques and
Collectibles Mall
Eskimo Joe’s
Fine Airport Parking
Fleet Feet
Fuji
Gaetano’s Pizzeria and
Creamery
Garden Deva
Judy Gibson
Gorfam Marketing, Inc.
Shan Goshorn
Kristi Gross
Lance Gross
Jenifer Hamma
Hard Rock Hotel and Casino
Tulsa
Eddie Hathcoat
Hideaway Pizza
Brandi Hines
Mr. and Mrs. Skip Iba
Iidentity Salon
In the Raw Sushi
Jamil’s
Jobsite Couture
Joe Momma’s
Just Catering By Orr
Juniper
Dee Knight
Lake Locations, L.L.C.
Leticha Kincade
LaMode Quality Cleaners
Light Opera Oklahoma
Lowe’s
Lyon’s Indian Store
Major League Baseball Players
Association
Marshall Brewing
Mary Murray’s Flowers
Mazzios Corporation
McNellie’s Group
Meigs Jewelry
Mr. and Mrs. Reed Melton
Miller Swim School
Dr. David Moon
Native American Art
NDN Art Gallery & Frame
Stacie Nutt
Mr. and Mrs. David Osburn
Panera Bread
Paschal Tile
Nikki Patternson
Pei Wei
Petty’s Fine Foods
Jemal Peyketewa
Ed Pierce
Opal Price
Philbrook Museum Shop
Queenie’s
Remington Park
Carol Rice
River Spirit Casino
Ruley & Co., Inc.
Saks Fifth Avenue
Savoy Restaurant
Shine Dental, Katie Warlick
Sacra, DDS
Sideways
Silver Dollar City
Silver Flame
Barbara Shoemake
Carmelita Skeeter
The Snow Goose
Spaghetti Warehouse
The Stock Pot
LaVerne Stone
Stone Mill BBQ and
Steakhouse
Studio Van G
Madeline Teague
Sweet Tooth Candy & Gift Co.
Theraganics
Toni’s
Trippets
Tulsa Drillers
Tulsa Fire Station #5
Tulsa Garden Center
Tulsa Runner
Tulsa Zoo Friends
TW’s-AFAB
Uncle Vinny’s NY Pizza
Urban Furnishings
Valencia Salon and Spa
Mary Ann Vassar
VIP Services
Beverly Vogel
Wyndham Tulsa
YWCA
INDIVIDUAL DONORS
Tammra Allen
BankersBank
Kada Benally
Stacy Berg
Donna Birkenfeld
Ashley Bishop
Blue Cross & Blue Shield of
Oklahoma
Debbie Bohannon
Emily Bolusky
Richard Bolusky
Eric Bolusky
Virgil Bowline
Reagan Briggs
Breanna Brumley
Amory Butler
Jim Cameron
Hope Cates
Sue Cavin
Central Oklahoma American
Indian Health Council, Inc.
J.L. Cobble
J.D. Colbert
Elizabeth Conner
Virginia Cox
Connie Cronley
Tammy Davis
Amy DeMoss
Terra Denby
Gary Dundee
Janice Edmiston
John Farris
Denise Fholer
Alison Forsyth
Judy Gibson
Gary Goss
JoAnn Gower
Shenay Gregg
Charles Grim
James Hackler
Miranda Hall
Jenifer Hamma
Eddie Hathcoat
Donna Henry
David Hicks
Debbie Hill
Brandi Hines
HoganTaylor
John Hummingbird
Skip Iba
James R Childers Architect
Jim Kaltenbacher
Robert Lawson
Becca Leath
David Marks
Dean Martin
Heather McClure
Stacy McDonald
Belinda McGee
Margaret McIntosh
Claudia Meiling
National Association of
Community Health Centers
Ken Neal
Nichols Landscape
Sharla Null Koob
Nancy O’Banion
Jennifer O’Dell
Stephen Patton
Jim Perryman
Chelsey Polhamus
Justin Postier
Phyllis Pratt
Opal Price
Public Service Company
Margaret Reeves
Ryann Richie
Ron Robertson
Edward E. Rogers
Mary Shaw
Sarayl Shumkamolah
Ashley Simon
Carmelita Skeeter
Larry Smith
Deanna Storts
Summit Bank
Tim Szejbach
Gabrielle Taylor
The Williford Companies
Karen Thomas
Tiger Natural Gas
Tribal Solutions, Inc.
Tulsa Community College
Jeannie VanVeen
Dawanna Wallace
Paulette Wamego
Kim Watson
Sean Weins
Jennifer Welch
Julie Willis
Steve Zenthoefer
National Children’s Mental Health Awareness Day celebrated in May
2012 Restoring Harmony Pow Wow
celebrated children’s mental health
O
n Saturday, April 28, 2012, the
Tulsa Indian Community Advisory
Team presented the fifth annual
Restoring Harmony Pow Wow.
With the support of its presenting
sponsor Indian Health Care Resource Center
(IHCRC), the Pow Wow is held each year to
promote National Children’s Mental Health
8
IHCRC SUMMER 2012
Awareness Day and National Children’s Mental
Health Awareness Week (May 6 to May 12, 2012).
This year’s pow wow was once again held at
the West Side YMCA. The day got underway
with a mental health awareness hike at 10am led
by IHCRC Activity Specialist Kevin Heeney.
Continued to page 10
2012 Pow Wow | continued from page 8
Following the walk and throughout the day,
youth, elder and mental health speakers gave
presentations to emphasize the importance of mental
health and its relation to overall wellness.
Attendees at the Pow Wow included dancers, singers,
volunteers, arts and crafts vendors, exhibitors – and of
course the general public. This fun, safe and familyfriendly event featured activities for all ages, including an
awareness hike, dance specials to honor our youth and elders,
educational and vendor booths and youth speak outs.
Terri White, Commissioner of the Oklahoma
Department of Mental Health and the Substance
Abuse Services Department, explained the significance
of improving the quality of services to children
and families who live with mental illness. The Pow
Wow Committee honored Commissioner White
with the presentation of a Pendleton blanket.
Emcees provide the energy and momentum necessary
for a successful pow wow and the arena directors keep the
arena in rhythm while taking care of the drums, dancers
and other arena activities. We would like to extend a special
thank you to each of the following individuals for their part
in making this year’s pow wow a memorable event: Kelly
Anquoe, Emcee; Hannah Wensmen, Youth Emcee; Fi Davis,
Arena Director ; and Gabriel Pelyao, Youth Arena Director.
The ceremonial activities got underway in the arena
with gourd dancing, led by the Osage Group. In the
arena, Red Lands served as Host Northern Drum
and KC Bills was Head Singer. Faith Harjo was Head
Lady Dancer and Thorpe Sine was Head Man Dancer.
The Head Girl Dancer was Cher Satepauhoodle
and Thunder Lieb was Head Boy Dancer.
The success of the annual Restoring Harmony Pow Wow
is due in large part to contributions from and partnerships
with Tulsa area tribal and community organizations and
agencies. A special thanks to the pow wow staff for their
tireless and dedicated commitment to the event. Together
we will continue to work with a unified focus on bringing an
awareness to children’s mental health issues and to increase
access to available mental health and social services.
2012 Pow Wow contest winners
Teen Girls – Fancy/Jingle
Teen Boys – Straight
1st – Brionna Badoni
1st – Eli Crowels
2nd – Judiki Moses
2nd – Sam West, Jr.
3rd – Heaven Pahsetopah
Teen Boys – Traditional/Grass
Golden Age Women
1st – Tsakuru Shawnee
1st – Georgia Mae Adson
2nd – Kyle Sine
2nd – Nancy Oosahwe
3rd – Daniel Sack
Golden Age Men
Teen Girls – Cloth
1st – Jess Oosahwe
1st – Hope Harjo
2nd – Lylli Ott
10
IHCRC SUMMER 2012
IHCRC SUMMER 2012 11
Unknown Heroes at Indian Health Care
By Edward E. Rogers, IHCRC Credentialing Coordinator
M
Left to right: Karly Fenscke, Karen McAhren and Beth Conner.
any of you have seen
the promos or actual
episodes of ABC’s
show What Would
You Do? The show stages different
hot topic scenarios in public places on
issues ranging from obesity, racism,
homosexuality where actors play out
a scene where perhaps a lawyer is
telling a client to lie on the stand or
a father disowns a son for being gay
12 IHCRC SUMMER 2012
to see if anyone witnessing the scene
will react, step up to the plate and
take action on behalf of the “victim.”
What would you do if you were
enjoying a holiday get together at
the lake with family and friends and
while you were eating lunch they
pulled an unconscious stranger out of
the water? There are a large number
of people standing around him but
no one is taking action. Would you
put yourself at risk and get involved?
There is only the briefest moment to
make that decision. Do I put myself
at risk by conducting mouth to mouth
resuscitation without a mouthpiece?
Do I put myself in jeopardy of being
sued if the stranger dies or becomes
incapacitated? What if it became
clear to you as the innocent bystander
that the victim was unresponsive,
clearly in serious danger of losing his
“I’m so proud of my team. I know
what a great job they do here
life and you and your friend
combined efforts to revive this younger
holidaying with you knew
adult male; this younger adult stranger.
at IHCRC and the pride they
Basic Life Support (BLS)?
What they did not know at the time
take in providing exceptional
This exact situation happened
was he had been under the water for a
services for our patients. It makes
to two of IHCRC’s staff over
minimum of 10 minutes and possibly
the holiday weekend. Karly
as much as 20 minutes. Research
me even more proud that they
Fenscke and Beth Conner are
shows that a typical person can stay
extend their caring nature and
both Diagnostic Imaging staff
underwater for between 30 seconds and
desire to help others during off
members who have received
a minute; trained divers can last for 2
BLS training sponsored
to 3 minutes; and pearl divers can last
hours,” said Karen McAhren,
by IHCRC. Recently they
for up to around 7 minutes. Experts at
Diagnostic Imaging Supervisor.
were enjoying a outing in
the scene agree that he was likely dead
northeast Oklahoma when
when he was pulled from the water.
this very scenario happened.
Although the experience ended
An unknown man was pulled from the water and they took
in tragedy and ultimately they were unable to save the
action without a moment’s hesitation. Their compassion
stranger despite all of their efforts, Karly and Beth
and humanity took over and they didn’t play out the risks in
demonstrated true heroism by getting involved and
their minds. They ran down to the edge of the water where
trying to unselfishly help their fellow man. They should
this man lay and they provided ongoing compressions and
be commended for their courage and for their bravery.
mouth to mouth resuscitation along with a nurse who joined
They are true heroes; they are IHCRC’s heroes.
them for over 45 minutes. They tried everything within their
Who can help make
staying at a healthy
weight fun?
Find We Can!
in your community!
http://wecan.nhlbi.nih.gov
A Program of the National Institutes of Health
Toll Free: 1 (866) 359-3226
IHCRC SUMMER 2012 13
Take Me Out to the Ball Game!
BBQ, Baseball, Family, Friends, Fireworks,
Gift Cards and much more!
It has become one of the most enjoyed
traditions of the employees at Indian
Health Care – the annual company
picnic. This year, the staff and their
families spent a Friday evening in
June together at the extraordinary
ONEOK field to watch the Tulsa
Drillers. It was a great evening
starting with a full BBQ buffet
and ending with the spectacular
Friday Night Fireworks Show.
As you can see from the pictures
shown here, the staff had a great
time! Many of the children were
able to enjoy the fun amenities
offered for children at the stadium.
From the playground to the splash
pad, there was never a lack of
excitement for the youngest of the
guests. If that wasn’t enough, six
employees went home with a little
extra spending money by winning
a drawing for American Express
gift cards provided by IHCRC.
Above: Deanna Holman.
Left: Stacie and Rylie Nutt.
14 IHCRC SUMMER 2012
Right: Matt and Brandi Roberts,
Ashley Hodges.
Bottom: Campbell Bolusky.
IHCRC SUMMER 2012 15
caring is Strong Medicine.
The vision of IHCRC is to eliminate health disparities, expand
innovative family-focused practices and promote an embracing
approach to care that strengthens physical, mental, emotional
and spiritual wellness within the Indian community.
HealtH ServiceS
Medical Care • Well Child Care
Health Education and Wellness
Optometry • Dental Care
Lab • X-ray • Mammography
In-house Pharmacy • WIC
Behavioral Health Care
Substance Abuse Treatment
16 IHCRC SUMMER 2012
550 S. Peoria Avenue, Tulsa, OK 74120 • 918-588-1900 • ihcrc.org
National Suicide Prevention Week is September 9-15
Facebook provides first-of-a-kind
service to help prevent suicides
Facebook has announced a new
service that harnesses the power of
social networking and crisis support
to help prevent suicides across the
nation and Canada. The new service
enables Facebook users to report a
suicidal comment they see posted by
a friend to Facebook using either the
Report Suicidal Content link or the
report links found throughout the site.
The person who posted the suicidal
comment will then immediately
receive an e-mail from Facebook
encouraging them to call the National
Suicide Prevention Lifeline or to
click on a link to begin a confidential
chat session with a crisis worker.
The National Suicide Prevention
Lifeline 1-800-273-TALK (8255)
or www.suicidepreventionlifeline.
org is a toll-free suicide prevention
hotline network comprised of
152 local crisis centers.
“We’re proud to expand our
partnership with Lifeline, and to
provide those in crisis with even more
options to seek help,” said Facebook’s
Chief Security Officer, Joe Sullivan.
“The Lifeline’s commitment to suicide
prevention has enabled people on
Facebook to get fast, meaningful
help when they need it most, and
we look forward to continuing our
work with them to help save lives.”
“Facebook and the Lifeline are to
be commended for addressing one of
this nation’s most tragic public health
problems,” said Surgeon General,
Regina M. Benjamin, MD, MBA,
who serves with Sullivan on the
National Action Alliance for Suicide
Prevention. “Nearly 100 Americans
die by suicide every day – 36,035
lives every year. For every person who
is murdered, two die by suicide.
These deaths are even more tragic
because they are preventable. We have
effective treatments to help suicidal
individuals regain hope and a desire
to live and we know how powerful
personal connections and support
can be. Therefore we as a nation must
do everything we can to reach out to
those at risk and provide them the
help and hope needed to survive and
return to productive lives with their
family, friends, and communities.”
Crisis center workers are available
24 hours a day, seven days a week
to respond to Facebook users
opting to use the chat. The Lifeline
currently responds to dozens of
people each day who have expressed
suicidal thoughts on Facebook.
“We have been partnering with
Facebook since 2006 to assist at-
risk users and are thrilled to launch
this new service,” said John Draper,
PhD, the Lifeline’s project director.
“Although the Lifeline on average
handles 70,000 calls per month, we
have heard from our Facebook fans
and others that there are many people
in crisis who don’t feel comfortable
picking up the phone. This new service
provides a way for them to get the help
they need in the way they want it.”
The Lifeline is funded by the
Substance Abuse and Mental Health
Services Administration (SAMHSA)
and administered by Link2Health
Solutions, a wholly owned subsidiary
of the Mental Health Association
of New York City. The Lifeline
provides free and confidential crisis
counseling to anyone in need 24/7
and has answered over 3 million
calls since its launch in 2005.
For more information on this topic
please visit the SAMHSA blog at
http://blog.samhsa.gov/2011/12/13/
facebook-provides-first-of-a-kindservice-to-help-prevent-suicides.
SAMHSA is a public health agency
with a mission to reduce the impact
of substance abuse and mental
illness on America’s communities.
Edited from a SAMHSA special
report for National Children’s
Mental Health Awareness Day
IHCRC SUMMER 2012 17
News from IHCRC’s Sister Urban Clinic in OKC
TV Star Mark Harmon’s Visit to
Oklahoma City Indian Clinic is Harmony
By David Toahty, OKCIC CDO and Steve Barse, MEd, OKCIC Community Liaison
F
or the fourth consecutive year, the Oklahoma
City Indian Clinic (OKCIC) hosted television
and movie actor Mark Harmon and his celebrity
baseball team, the Bombers, at the 12th Annual
Mark Harmon Celebrity Weekend. The annual fundraising
event was presented by Oklahoma Kidz Charities founder
Dr. Michael Wright. Since 2003, Mark Harmon has starred
as Leroy Jethro Gibbs in the hit CBS series NCIS.
The celebrity weekend event started Friday morning
with Harmon and the Bombers touring the OKCIC’s
newly acquired 38,000 square foot medical building,
located adjacent to the main clinic. The additional building
will include the Harmon-y Pediatric Clinic, as well as
other clinic services. OKC CEO Robyn Sunday-Allen
provided the guests with an update on the progress of
“tripling the size” of the Harmon-y Pediatric Clinic. The
clinic was named after Mark Harmon for his fundraising
efforts that have helped provide quality health care
and expand services to 4,000 children annually.
The OKCIC guests were treated to three Native songs
Reporter interviewing Janice Ballou, Kenwood School teacher and children’s choir director.
18 IHCRC SUMMER 2012
OKCIC Board Member Carolyn Maxwell, Mark Harmon and OKCIC Board Member John Daugherty.
performed by the Kenwood School Cherokee Singers, led
by teacher Janice Ballou. The children invited Harmon and
the Bombers to join them in a song and then presented
Harmon with a handmade Cherokee basket. Several
United Keetoowah Cherokee members made the journey
from northeast Oklahoma to welcome Harmon.
Later that evening the fundraising began with
bowling followed by silent and live auctions. During
the auctions, the room became lively and the bidding
was very competitive when guests competed for auction
items that included Toby Keith nationwide concert
packages, Oklahoma City Thunder floor tickets and
luxury box seats to see a Dallas Cowboys football game. The next day followed with a Saturday afternoon baseball
game where the Bombers faced Dr. Wright’s Oklahoma
Sports Science and Orthopedics (OSSO) Outlaws. This
year’s Bombers included Coach Chuck Olsen, Frank
Marshall, Peter Dubrawski, John Sciarra, Steve Klausen,
Don Manning, Barry Axelrod, Steve Klosterman, Wally
Joyner, Deacon Nausler, Rick Sutcliffe, Scott Wedman, Rusty
Van Dam, Jim Ryan, Mickey Hatcher and Jim Peterson.
The Mark Harmon Celebrity Weekend benefits
the Oklahoma City Indian Clinic and Anna’s House
Foundation, a faith-based, nonprofit organization that
works to develop foster homes in Oklahoma County.
To learn more about the Oklahoma City Indian Clinic
visit its website: okcic.com; or “Like” us at Facebook.com/
okcindianclinic or follow us on Twitter.com/okcindianclinic.
Mark Harmon with Kenwood School Cherokee singers.
IHCRC SUMMER 2012 19
Teddy Bear Clinic
550 S. Peoria Ave
10 am-12 noon
Saturday
September 8
First 125 children
get a free teddy bear!
What is a teddy bear clinic? Children bring their teddy bear, favorite stuffed
animal or doll to get a well-bear check-up and see how everything in the clinic works. Don't worry if you forget your bear, we will have one for you.
Numerous activities for the children and great door prizes for the parents.
Call 918-382-1206 for more information.
IHCRC Patient Satisfaction Survey Results
I
By: Edward E. Rogers, IHCRC Credentialing Coordinator
ndian Health Care Resource Center of Tulsa
(IHCRC) takes an active interest in the quality
of care and the delivery of services that’s provided
at our facility. With process changes occurring
regularly, we survey patients twice a year to gauge the
level of patient satisfaction on issues ranging from wait
time to satisfaction with our hours of operation.
We want to provide transparency for our patients and
funders and therefore we routinely publish the findings
from these surveys. Throughout the month of March, we
conducted patient satisfaction surveys throughout the
clinic asking patients their opinion of how we’re doing.
During that time period we received 641 completed
surveys. The breakdown of the results follows.
Of the 641 IHCRC patients who responded to the survey,
65.4% were women and 34.5% were men. Of those, over
52% have been a patient at IHCRC for over five years. A
total of 73% of respondents had a scheduled appointment,
16.5% were walk-in patients and 10% of respondents
were visiting IHCRC only to pick up a prescription.
Patients completing the surveys were seeking services
in the following departments the day they completed
the survey: 39% from Behavioral Health, 5% from
Dental, 13% from Health Education and Wellness,
32% from the Medical Department including Adult,
Pediatrics, Lab and Diagnostic Imaging services,
5.5% from Optometry and 5.5% from Pharmacy.
Over 39% of respondents indicated they had visited
IHCRC two to five times within the past twelve months
and 28% had been to our facility more than 10 times during
the same time period; 85.5% of respondents indicated
IHCRC is their Primary Care Provider (PCP). A total
of 47% of respondents indicated their wait time between
the scheduled appointment time and actually seeing the
provider was less than 15 minutes and 26% responded
with a wait time of 15 to 30 minutes. When asked if it is
easy to get an appointment at IHCRC, 29% of patients
indicated “Always,” and 40% indicated “Usually.”
A total of 95% of respondents indicated the hours of
operation at IHCRC are convenient for them; 95.5%
felt comfortable talking to staff about their problems;
95.6% specified they felt the staff are interested in their
problems and treat them with respect; and 96% stated
they would recommend IHCRC‘s providers and services
to their friends and family members. A total of 53% of
respondents gave IHCRC an overall rating of “Excellent”
and 39% rated services at IHCRC as “Good.”
We would like to thank IHCRC’s Patient Billing
staff for all of their hard work in getting the survey
response rate up from an average of 210 respondents
per quarter to a record 641 responses. This represents a
305% increase over any previous survey results. And, we
certainly want to thank all of the patients who participated
in the surveying process. We value your feedback and
we will factor in all applicable feedback when making
future changes and improvements, when feasible.
IHCRC SUMMER 2012 21
September: National Recovery Month
Oklahoma Prescription Painkiller Use
Is Tops in the Nation
Source: Substance Abuse and Mental Health Services Administration
Oklahoma ranks near the top of the
list in several categories of substance
abuse and addiction, bringing to light
a problem that state and national
authorities say is too often overlooked
by the public. According to Substance
Abuse and Mental Health Services
Administration (SAMHSA),
Oklahoma is the No. 1 state in the
nation for the percentage of persons
aged 12 and older who use prescription
painkillers for non-medical purposes.
Oklahoma ranks among the top 10
states for prescription painkiller sales
and overdose deaths. In addition to
prescription drugs, Oklahomans battle
addictions to methamphetamine,
alcohol and other dangerous substances.
Oklahoma tops all states for
non-medical use of painkillers. A
federal survey determined that 8.1
percent of Oklahomans age 12
and older used painkillers for nonmedical reasons during in 2009. The
national average was 4.8 percent.
Oklahoma’s rate was considerably
higher than those of surrounding
states; next in line were New Mexico
and Colorado, both 5.7 percent.
Oklahoma is ninth in
the nation for total
prescription painkiller sales
Oklahoma has the ninth highest
sales of prescription painkillers in
the United States with 9.2 kilograms
of medication sold for every 10,000
Oklahomans in 2010. Florida has the
highest sales, with 12.6 kilograms
of prescription painkillers sold
for every 10,000 Floridians. The
national average is 7.1 kilograms.
According to SAMHSA, the top 10 states with the
highest percentage of persons age 12 and older who use
painkillers for non-medical purposes are as follows:
1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
Oklahoma – 8.1 %
Oregon – 6.8 %
Rhode Island – 6.1 %
Washington – 6.1 %
Arizona – 6.0 %
Kentucky – 6.0 %
Nevada – 5.9 %
New Hampshire – 5.9 %
West Virginia – 5.9 %
Idaho – 5.8 %
Source: Substance Abuse and Mental Health Services Administration
22 IHCRC SUMMER 2012
A Response to the
Epidemic of Prescription
Drug Abuse
The Office National Drug Control
Policy seeks to foster healthy
individuals and safe communities by
leading the nation’s effort to reduce
drug use and its consequences.
Prescription drugs are the second-most
abused category of drugs in the United
States, following marijuana. When
taken as directed for legitimate medical
purposes, prescription drugs are safe
and effective. However, they are just as
dangerous and deadly as illegal drugs
when used for non-medical reasons.
Because prescription drugs are
legal, they are easily accessible, often
from a home medicine cabinet.
Further, some individuals who abuse
prescription drugs, particularly teens,
believe these substances are safer
than illicit drugs because they are
prescribed by a healthcare professional.
According to the 2009 National
Survey on Drug Use and Health among
people age 12 or older who reported
using pain relievers non-medically in
the past year, 70 percent got the drugs
from a friend or relative (either for
free, purchased, or by theft). Another
18 percent reported getting the drug
from one doctor. Only about 5 percent
reported obtaining pain relievers
from a drug dealer or other stranger,
and less than half of one-percent
bought the drugs on the Internet.
Among those who said they obtained
pain relievers free from a friend or
relative, 80 percent reported that
the friend or relative had obtained
the drugs from just one doctor. It is
important for prescription drugs to be
disposed of properly and not left where
they can be easily diverted and abused.
Groups at Greatest Risk
Certain groups are more likely to abuse
or overdose on prescription painkillers:
• Many more men than women
die of overdoses from prescription
painkillers.
• Middle-aged adults have the highest
Classes of
Prescription Drugs
• People in rural counties are about
two times as likely to overdose
on prescription painkillers
as people in big cities.
The most commonly misused
prescription drugs fall into three classes:
• Opioids include oxycodone
(Percocet, Tylox, OxyContin),
hydrocodone (Vicodin, Lortab)
and methadone (Dolophine).
prescription painkiller overdose rates.
• Whites and American Indian or
Alaska Natives are more likely to
overdose on prescription painkillers.
• About 1 in 10 American Indian
or Alaska Natives age 12 or older
used prescription painkillers
for nonmedical reasons in the
past year, compared to 1 in 20
whites and 1 in 30 blacks.
Top 10 states for prescription painkiller sales
(kilograms per 10,000 population):
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Florida – 12.6 kg
Nevada – 11.8 kg
Tennessee – 11.8 kg
Oregon – 11.6 kg
Delaware – 10.2 kg
Maine – 9.8 kg
Alabama – 9.7 kg
West Virginia – 9.4 kg
Oklahoma – 9.2 kg
Washington – 9.2 kg
Source: Centers for Disease Control and Prevention
• Central nervous system (CNS)
depressants include butalbital
(Fiorinal/Fioricet), diazepam
(Valium) and alprazolam (Xanax).
• Stimulants include methylphenidate
(Ritalin) and amphetamine/
dextroamphetamine (Adderall).
Prescription Drug
Abuse Fast Facts
• Among 12th graders, pharmaceutical
drugs used non-medically are six
of the ten most used substances.
• From 1998 to 2008, the proportion
of all substance abuse treatment
admissions age 12 or older who
reported any pain reliever abuse
increased more than fourfold.
• Prescription painkillers are
considered a major contributor to the
total number of drug deaths. In 2007,
Continued to page 25
IHCRC SUMMER 2012 23
National Helpline
1-800-662-HELP (4357)
English and Spanish
samhsa.gov/treatment
24 IHCRC SUMMER 2012
September: National Recovery Month
Oklahoma Prescription Painkiller | continued from page 23
for example, nearly 28,000 Americans
died from unintentional drug
poisoning, and of these, nearly 12,000
involved prescription pain relievers.
• Nearly one-third (29 percent)
of people age 12 or older who
used illicit drugs for the first time
in the past year began by using
prescription drugs non-medically.
• According to a 2008 Department
of Defense survey, about one in
nine active-duty service members
(11 percent) reported past-month
prescription drug misuse.
about the same as the number
of first-time marijuana users.
• The estimated number of
emergency department visits
linked to non-medical use of
prescription pain relievers nearly
doubled between 2004 and 2009.
• Approximately two million adults
age 50 and older (2.1 percent of
adults in that age range) used
prescription-type drugs nonmedically in the past year.
• In 2009, the number of firsttime, non-medical users of
psychotherapeutics (prescription
opioid pain relievers, tranquilizers,
sedatives, and stimulants) was
• Substance abuse treatment
admissions for individuals age 50
or older nearly doubled from 1992
to 2008, climbing from 6.6 percent
of all admissions to 12.2 percent.
Recovery Defined
Nationally, the federal Substance Abuse
and Mental Health Administration
(SAMHSA) has worked with the
behavioral health field to develop
a working definition of recovery
that captures the essential, common
experiences of those recovering from
mental and substance use disorders,
along with 10 guiding principles that
support recovery.
One of the key events that led
to the current working definition
of recovery was a 2010 meeting of
behavioral health leaders, including
mental health consumers and people
in addiction recovery, who developed
a draft definition and principles of
recovery to reflect common elements
of the recovery experience for those
with mental/substance use disorders.
The current working definition and
principles of recovery are as follows:
Recovery from Mental and
Substance Use Disorders
A process of change through which
individuals work to improve their
own health and wellbeing, live a selfdirected life, and strive to achieve their
full potential.
Through the Recovery Support
Strategic Initiative, SAMHSA has
delineated four major dimensions that
are essential to a life in recovery:
• Health: overcoming or
managing one’s disease(s) as
well as living in a physically and
emotionally healthy way;
• Home: a stable and safe place to live;
• Purpose: meaningful daily activities,
such as a job, school, volunteerism,
family caretaking, or creative
endeavors, and the independence,
income and resources to participate
in society; and
• Community: relationships and social
networks that provide support,
friendship, love and hope.
10 Guiding Principles
that Support Recovery
• Recovery is person-driven.
• Recovery occurs via many pathways.
• Recovery is holistic.
• Recovery is supported by peers
and allies.
• Recovery is supported through
relationships and social networks.
• Recovery is culturally based
and influenced.
• Recovery is supported by addressing
trauma.
• Recovery involves individual, family,
and community strengths and
responsibility.
• Recovery is based on respect.
• Recovery emerges from hope.
IHCRC SUMMER 2012 25
CHILDREN IN CARS
Heatstroke Prevention Tips
For Parents and Caregivers
Keeping
Kids
SAFETY TIPS
Safe
Parents and caregivers are urged to take steps to remember not to leave children in
vehicles. A National Highway Traffic Safety Administration review of child hyperthermia
cases noted that a majority of the fatalities occurred due to a change in the driver’s
routine.
Protect your child from the
dangers of heatstroke
z
Make a habit of looking in the vehicle – front to back – before walking away.
Source:
The National
Highwayyour
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(NHTSA)
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and
z
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zany Do
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if the outside temperature is in the
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likely to happen when you, your
low 80s Fahrenheit, the temperature
vehicle; placing your purse, briefcase or something else you need in the back
spouse/partner, or caregiver who helps
inside a vehicle can reach deadly
seat so that you will have to check the back seat when you leave the vehicle;
with your children, forgets that a
levels as
in only
10 minutes.
or keeping an object in the car seat, such
a stuffed
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windows are partly open or the engine
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including
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trunk.
for dinner. So, you leave your child
body temperature rises rapidly. In
unattended, thinking, “I’ll just run into
fact, when left in a hot vehicle, a
the store for a minute,” which is illegal
Additional Resources:
young child’s body temperature may
in many states. Even cool temperatures
increase three to five times as fast
60s canHighway
cause the Traffic
temperature
to Administration National
Safety
zin the
an adult. High body temperatures
rise www.nhtsa.dot.gov/keepingkidsafe
well above 110° Fahrenheit inside
can cause permanent injury or even
car. The
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death.
rise www.ggweather.com/heat/index.htm
almost 20 degrees within the first
Safe Kids - www.safekids.org
Dangers of Extreme Heat
z10 minutes.
Some children die in hot cars after
Kids and Cars - www.kidsandcars.org
z
• Symptoms of heatstroke: Warning
climbing into an unlocked vehicle
signs vary but may include: red, hot,
Children’s Hospital of Philadelphia - www.chop.edu
z
without an adult’s knowledge. Once in
and moist or dry skin, no sweating,
the vehicle, they may become confused
a strong rapid pulse or a slow
by the door opening mechanism or
weak pulse, a throbbing headache,
trapped in the trunk, and unable to get
dizziness, nausea, confusion, being
out before heatstroke occurs.
grouchy or acting strangely.
zthe
• If you see a child alone in a hot
vehicle, call the police. If they are
in distress due to heat, get them
out as quickly as possible. Cool the
child rapidly. Call 911 or your local
emergency number immediately.
Prevention Tips
• Never leave a child
unattended in a vehicle.
• Do not let your children play in an
unattended vehicle. Teach them that
a vehicle is not a play area.
• Never leave infants or children in a
parked vehicle, even if the windows
are partially open.
• Make a habit of looking in the
vehicle – front and back – before
locking the door and walking away.
• If you are dropping your child off
at childcare, and normally it’s your
spouse or partner who drops them
off, have your spouse or partner call
you to make sure the drop went
according to plan.
• Ask your childcare provider to call
you if your child does not show up
for childcare.
• Always lock vehicle doors and trunks
and keep keys out of children’s reach.
If a child is missing, check the vehicle
first, including the trunk.
• Do things to remind yourself that a
child is in the vehicle, such as:
- Writing yourself a note and putting
the note where you will see it when
you leave the vehicle;
- Placing your purse, briefcase or
something else you need in the back
seat so that you will have to check
the back seat when you leave the
vehicle; or
- Keeping an object in the car seat,
such as a stuffed toy. When the child
is buckled in, place the object where
the driver will notice it when he or
she is leaving the vehicle.
If you see a child alone in a hot
vehicle, call the police. If they are
in distress due to heat, get them
out as quickly as possible.
IHCRC SUMMER 2012 27
Improving Patient Care at Indian Health Care Resource Center
Changes in Clinical Care are
Coming to Indian Health Care
By Dr. Shea Bowling, IHCRC Pediatrician
IHCRC has joined several other
Indian Health Service (IHS) facilities
to implement a new health care
improvement process called IPC. This
is a whole new way to look at the way
health care is delivered to patients. IPC
stands for “Improving Patient Care.”
The principles of IPC encourage
health facilities and providers to
look at how we are doing through
the eyes of our patients. The goal
28 HCRC SPRING 2012
is to provide better patient care
everyday – to continuously improve
with a patient-focused perspective.
Through this change in the way
we provide health care, we hope to
improve access to appointments,
decrease time in the clinic waiting for
care, improve continuity (seeing the
same provider each time you come in)
of care, and become more efficient in
the way we deliver care. At IHCRC,
the Pediatrics Department is leading
the effort to implement IPC.
We have begun to measure how
long it takes from the time you
check-in at the clinic to the time you
see your provider. Additionally, we
are measuring how quickly you can
get an appointment when you need
it and if you get to see the provider
you requested. These are small steps
to become more patient focused.
One of my favorite parts of IPC is
“doing today’s work today.” This means
when patients come to the clinic
with a need, we will do everything
we can to meet that need today.
The next big step in implementation
will be to improve access for
appointments. To accomplish this, we
will ask patients to call one month
before they need a non-urgent
appointment. If you have an urgent
appointment, our goal is to get you in
for an appointment that day. This is a
very big step and we are very excited.
We, of course, will be collecting data
to see how the changes are working.
Next on the implementation list are
patient surveys. We want to improve
the care we provide. We will need help
from our patients to know how we need
to get better. What changes could we
make to improve your experience here at
IHCRC? Please be looking for these in
the coming months and share your ideas.
Once we have collected enough
data, we will start to display PDSA
projects. PDSA are part of the IPC
way of thinking. We look at what needs
to be improved and we plan (P) what
to do, then we do (D) what we think
will work, then study (S) the change
to see if it worked or not, lastly we act
(A) change the way we do things or
try again because nothing improved.
Lastly, IPC will be rolled out to
the other areas of the clinic once the
nuts and bolts have been worked
out in Pediatrics. For our patients,
hopefully you will begin to see
improvements in your ability to
schedule an appointment when you
need it and have less wait time.
Shea Bowling, MD
Pediatrician Dr. Shea Bowling, is known
for her commitment to her patients
and providing the best in healthcare,
Dr. Bowling has served as the Medical
Director for the University of Oklahoma’s
Pediatric Clinic at the Schusterman
Center in Tulsa.
Dr. Bowling first came to IHCRC in May
2003 as staff pediatrician. Previously, she had worked at the Claremore
Indian Hospital and the W. W. Hastings Indian Hospital in Tahlequah.
She received her medical degree from the University of Oklahoma
in 1999. While attending OU, Dr. Bowling received the Daniel C.
Plunkett award in Pediatrics, an IHS Health Professional Scholarship,
and was nationally recognized with the Humanism in Medicine award.
In June 2012, Dr. Bowling received an IHS Oklahoma City Area
Director’s Exceptional Individual Performance - Clinical award.
Previously she has received a Crimson Apple Teaching Award from
the University of Oklahoma, and an Urban Merit award and the
Rookie of the Year award both from the Indian Health Service.
She is a charter member of the Gold Humanism Honor Society.
Kim Watson, APRN-CNP
A Certified Pediatric Nurse Practitioner,
Kim Watson earned a Master of Science
degree in Nursing from the University
of Oklahoma in 2011. She earned a
Bachelor of Science degree in Nursing
from the University of Tulsa in May
2007, where she graduated on the
President’s Honor Roll and Cum Laude.
Ms. Watson is licensed through the Oklahoma Board of Nursing
and is certified in Pediatric Advanced Life Support and Basic Life
Support. She is a member of the National Association of Pediatric
Nurse Practitioners and the Sigma Theta Tau – Honor Society of
Nursing. Previous to joining IHCRC, Ms. Watson was on staff at
the Children’s Hospital at Saint Francis in Tulsa where she held the
positions of Clinical Nurse III, Charge Nurse and Nurse Technician.
IHCRC SUMMER 2012 29
WIC services at Indian Health Care Resource Center
Do you have an infant or young child
who is not receiving the benefits of WIC?
By Edward E. Rogers, IHCRC Credentialing Coordinator
If not, find out
what you may
be missing.
Who in today’s economy couldn’t
benefit from a package of nutritional
foods valued at near a $100 per month
for each of their children under the age
of five? Interested? You and your family
may qualify for the services provided
by the WIC personnel working for the
Cherokee Nation Women, Infants and
30 IHCRC SUMMER 2012
Children (WIC) program at Indian
Health Care Resource Center of Tulsa
(IHCRC), located at 6th Street and
Peoria Avenue.
The Cherokee WIC employees
are supervised by Margie Hembree,
WIC Clinic Supervisor, who
offices in Tahlequah. The WIC
staff at IHCRC include Barbara
Coppock, Dee Knight, Rebecca
Nagy and Rosemary WhiteWater.
The WIC program provides
assistance for program categories that
include infants and children under five
years of age, women who are pregnant,
six months postpartum or breastfeeding
who are determined to be at nutritional
risk by the WIC staff during the
WIC assessment appointment.
The WIC program provides
nutritional support to eligible
individuals, regardless of race, ethnicity
or nationality. The healthy food benefits
of the WIC program are available
for all kinds of families: married
and single parents, working or not
working. If you are a father, mother,
grandparent, foster parent or other
legal guardian of a child under five,
you can apply for WIC for the child.
WIC is a nutrition program
that provides nutrition and health
education, healthy foods and
breastfeeding education to eligible
women, infants and children. “It never
ceases to amaze me how many clients
are surprised that they qualify for our
services,” comments Rebecca Nagy.
The food benefits participants
receive from WIC are loaded onto an
Electronic Benefits Card or eWIC.
The eWIC card gives participants
flexibility to purchase allowed foods as
they need them versus the old paper
voucher method of purchasing all of
the foods on the paper food instrument.
Continued to page 32
How to qualify for the Women, Infants and Children (WIC) program
at Indian Health Care Resource Center
Applicants for the WIC program need to provide
identification and proof of income and residency. If
an applicant currently receives SNAP, SoonerCare,
Food Distribution Program or TANF assistance, the
family members are automatically income eligible.
Participants must have a nutritional need, be a
child less than five years of age, be a pregnant
or breastfeeding mother or have been pregnant
within the past six months and have a family
income less than the WIC guidelines listed below.
Make a WIC appointment by calling
(918) 382-1290, (918) 382-1291,
(918) 382-1293 or (918) 382-1295.
Walk-ins are always welcome.
550 S. Peoria, Tulsa, OK 74120
www.ihcrc.org
Oklahoma WIC Income Eligibility Guidelines for 2012
Family
Size
Annual
Income
Monthly
Income
Twice
Monthly
Biweekly
Weekly
Income
1
$20,665
$1,723
$ 862
$ 795
$ 398
2
27,991
2,333
1,167
1,077
539
3
35,317
2,944
1,472
1,359
680
4
42,643
3,554
1,777
1,641
821
5
49,969
4,165
2,083
1,922
961
6
57,295
4,775
2,388
2,204
1,102
7
64,621
5,386
2,693
2,486
1,243
8
71,947
5,996
2,998
2,768
1,384
9
79,273
6,607
3,304
3,049
1,525
10
86,599
7,217
3,609
3,331
1,666
IHCRC SUMMER 2012 31
IHCRC Wellness
Calendar
Discovering Diabetes
Wednesdays 2-4 pm. Classes
are held at IHCRC main clinic
Wellness Kitchen, 550 S. Peoria
Avenue, Tulsa. Please pre-register
by calling 918-382-2222. Classes
are taught by IHCRC Wellness
staff members Karen Rodgers,
RD/LD, Diabetes Dietitian, Gabrielle
Taylor RD/LD, Diabetes Dietitian,
and Stacy Berg, LPC, Diabetes
Case Manager. We will present
information and hands-on activities
for any patient that wants to learn
about pre-diabetes, risk factors
for diabetes, or learning how to
manage life with diabetes.
Discovering Diabetes Class Wednesday, July 11, 18, 25,
2-4 pm; Wednesday, August
8, 15, 22, 29, 2-4 pm
Type 2 Diabetes Discussion
Group - Thursday, July 5, 12,
19, 26, 10-11 am; Thurs, August
2,9,16,23,30, 10-11 am
Cooking Classes
Cooking classes are held at IHCRC
main clinic Wellness Kitchen, 550
S. Peoria Avenue, Tulsa. Please preregister by calling 918-382-2222.
Adult Heart Healthy Cooking –
Friday, July 20, 11 am-12 noon;
Wednesday, Aug 22, 11 am-12 noon
The Case For Breakfast Thursday, July 12, 1-2 pm
Farmers’ Market Tour Thursday, July 19, 4-5 pm
Focus On Fiber -Tuesday,
August 7, 1-2 pm
Super Foods For A Super You
Thursday, August 16, 1-2 pm
Kid’s Cooking 101
A great opportunity for kids and parents
to learn the basics of cooking safely
and properly while preparing great
tasting healthy snacks and dishes.
Please pre-register by calling
918-382-2222. Fridays, July 27,
4-5 pm August 31, 4-5 pm
32 IHCRC SUMMER 2012
Cherokee Nation WIC program | continued from page 30
Each qualifying participant is assigned
a food package based on USDA
guidelines per age group of the child.
“A primary objective of WIC’s
emphasis on healthier foods is an
attempt to eliminate iron deficiencies
which directly leads to anemia.
Although it has been reduced in
recent years, a significant percentage
of children are anemic due to the
lack of proper nutrition in their diet.
WIC participants have an opportunity
through our program to reduce that risk
and improve their overall health,” Dee
Knight explains. These purchases must
be made at an authorized WIC grocer.
A WIC food packages for women
and children include specific foods that
are packed with essential nutrients,
lower in fat and sugar, and higher in
fiber. Food packages for women and
children include milk, cheese, eggs,
juice, dried beans and peas, peanut
butter, whole grain foods such as 100%
whole wheat bread, oatmeal, whole
wheat and soft corn tortillas, and
fresh or frozen fruits and vegetables.
Applicants for the WIC program
need to provide identification and
proof of income and residency. If an
applicant currently receives SNAP,
SoonerCare, Food Distribution
Program or TANF assistance, the
family members are automatically
income eligible. Participants must
have a nutritional need, be a child less
than five years of age, be a pregnant
or breastfeeding mother or have been
pregnant within the past six months
and have a family income less than the
WIC guidelines listed on page 31.
A Short History of the WIC Program
Source: USDA Economic Research Service
The origins of WIC date back to the 1960s when the researchers began to recognize that many low-income Americans were suffering from malnutrition. Various
studies identified hunger as a major problem in this country and events such as the
Poor Peoples’ March on Washington DC, and the CBS documentary “Hunger in
America” helped to publicize the problem.
In 1969, the White House Conference on Food, Nutrition, and Health was
convened with the intention of focusing national attention and resources on the
problem of malnutrition and hunger due to poverty. Among the recommendations
stated in the conference report was that special attention be given to the nutritional needs of low-income pregnant women and preschool children (White House
Conference on Food, Nutrition and Health, 1970). On September 26, 1972, WIC
was formally authorized by an amendment to the Child Nutrition Act of 1966.
Left to Right: Rosemary WhiteWater, Dee Knight, Rebecca Nagy and Barbara Coppock.
Meet the Cherokee Nation WIC staff members
at Indian Health Care Resource Center
Barbara Coppock
(Cherokee)
A former restaurateur, Barbara
Coppock has worked for the Cherokee
Nation WIC Program for 12 years
and says she’s enjoyed every minute of
it because she likes to see people help
themselves by participating in the WIC
program.
Dee Knight (Cherokee)
When you pass by the WIC office
of Dee Knight, you usually see and
hear the sounds of happy children
playing with the vintage toys that Dee
has a passion for. Nutrition is most
important, but the importance of play
and imagination is another important
aspect of a child’s early years. Coming
with a background in education and
nutrition, Dee is qualified to give some
advice on positive ways to nourish
and love a child. WIC staff attends
quarterly trainings as continuing
education to keep current on policies,
nutrition and breastfeeding information
to teach to their participants.
Rebecca Nagy
(Muscogee Creek)
Rebecca Nagy is a knowledgeable
resource for the Supplemental
Nutrition Program for Women,
Infants and Children (WIC) with
the Cherokee Nation. She provides
breastfeeding and nutrition education
to mothers (new and experienced)
and their children. She’s been with
the Cherokee Nation since November
2010. Rebecca is a graduate of
Oklahoma State University with a
Bachelor of Science in nutrition. She is
currently pursuing a Master of Public
Health degree from the University of
Oklahoma. She enjoys seeing parents
use the nutrition information and tools
that they get from WIC staff and apply
it to how they teach their children
about healthy foods. “I love hearing
kids talk about their favorite foods
and how excited parents get telling
me that their kids are eating healthier
foods by choice and not coercion! I also
love educating new moms about the
benefits of breastfeeding and providing
support throughout their breastfeeding
experience,” says Rebecca.
Rosemary WhiteWater
(Kickapoo Sioux)
Rosemary WhiteWater is a
Cherokee Nation WIC staff member
and has been with this program
for the past 16 years. Originally
from Shawnee, Oklahoma, she
currently resides in Tulsa.
IHCRC SUMMER 2012 33
The Who and What That’s Making News at Indian Health Care Resource Center
THE PULSE OF IHCRC
By Edward Rogers, IHCRC Credentialing Coordinator
The IHCRC Board of Trustees, senior management and staff
welcome all five of these new employees to our care team and
extend our support to them as we work together to provide
the very best quality health care to Tulsa area Indian people.
Caring is strong medicine.
Dr. Steven Ray Abernathy
Behavioral Health Psychologist
Steven Ray Abernathy, Ph.D. (Cherokee) joined Indian
Health Care’s Behavioral Health Department as the Director
of Clinical Training and staff psychologist on June 4, 2012.
Dr. Abernathy comes to IHCRC from the Apalachicola
Forest Youth Camp in Bristol, Florida where he served
as the Clinical Services Director and Chief Psychologist
in a juvenile competency program. He also maintained
a private practice in psychology during this same time
period. Previously Dr. Abernathy has worked as the Clinical
Director and Forensic Psychologist for a medium security
prison in Atlanta, Georgia, a Consulting Neuropsychologist
for a Gero-psychiatric facility in Miami, Oklahoma and was
the founder and owner of a private practice specializing in
clinical, school and forensic psychology in Grove, Oklahoma.
Dr. Abernathy earned a Ph.D. in Clinical Psychology
and a Master of Science degree in Clinical Psychology
from the Oklahoma State University (Native American
program). He earned a Master of Science degree
in Developmental Psychology from Vanderbilt
University; and he earned a Bachelor of Arts degree
in Psychology from the University of Arkansas.
Dr. Abernathy has served as Adjunct Professor at the
University of Tulsa, Oklahoma State University and the
Northeastern Oklahoma State University. Previously,
he worked as a biostatistician and as health programs
34 IHCRC SUMMER 2012
director for the Eastern Shawnee Tribe of Oklahoma,
and authored the document “Special Report to Congress:
Barriers to Health Care for Indians in the Oklahoma
Service Area” at the request of the Indian Health Service.
Dr. Abernathy is a Viet Nam war veteran,
honorably discharged as a Sergeant (E-5) from
the USMC in 1974. Dr. Abernathy is married to
his wife of 25 years, Melissa (Chickasaw), and has
two adult children and two grandchildren.
Donald Wayne Miller
(Cherokee)
LADC – Substance Abuse
Counselor
Donald Wayne Miller, LADC (under
supervision) joined Indian Health
Care’s Behavioral Health Department
as a substance abuse counselor on April
16, 2012.
Mr. Miller comes to IHCRC from
the Keetowah Cherokee Treatment
Center and Family & Children
Services of Tulsa where he served as
a substance abuse therapist. He also
serves as Pastor for the Lewis Avenue
Free Will Baptist Church in Tulsa.
Jamie Johnson, RN
(Cherokee)
Public Health Nurse
Jamie Johnson, RN joined Indian
Health Care’s Medical Department as
a public health nurse on March 5, 2012.
Recently IHCRC management created
a new RN Case Manager position and
filled it with one of the existing public
health nurses, Dayna Goines, RN
which created this vacancy.
Ms. Johnson comes to IHCRC
from the Robinson Medical Resource
Group in Tulsa where she contracted
her services and worked on a per diem
basis primarily in the labor and delivery
units throughout Oklahoma. She also
worked nursery and post-partum as
well. In this position she provided
quality nursing care to patients
Mr. Miller has extensive experience in
Chemical Dependency Group Therapy,
Individual Counseling, Pastoral Family
Counseling, Pre-Marital Counseling
and Bereavement Counseling.
Mr. Miller earned a Bachelor of
Science degree in Industrial Operations
Management from Northeastern State
University; he earned a Bachelor of
Arts degree in Leadership Ministries
from Hillsdale Free Will Baptist
College; and he earned a Master of Arts
degree in Marriage and Family Therapy
from Southern Nazarene University.
Mr. Miller is a member of the PSI
CHI International Honor Society.
including intervention, documentation,
medication administration, fetal
monitoring and evaluation.
On a contractual basis, Ms. Johnson
has previously worked at Integris
Clinton Regional and Mayes County
Medical Center. Per diem locations
included OSU Medical Center, Integris
Grove General Medical Center, St.
Johns Owasso, Bailey Medical Center
and Tahlequah City Hospital.
Previously, Ms. Johnson worked for
Cherokee Nation Hastings Hospital
in Tahlequah, Oklahoma where she
provided nursing services in Labor
and Delivery, the Newborn Nursery
and for postpartum patients.
Ms. Johnson earned an Associate’s
degree in Applied Science degree
in Nursing from Bacone College
in Muskogee, Oklahoma and a
Bachelor of Science degree in
Nursing from Oklahoma Wesleyan
University in Bartlesville.
Continued to next page
IHCRC SUMMER 2012 35
IHCRC General
Calendar
Nurturing Families Talks
Held every first and third Wednesday
of the month at IHCRC at 1 pm
in the middle room of the Jim
Cameron Event Center.
•
Wednesday, July 18, 2012, “Hope
Pregnancy Center Services,”
presented by Valeska Littlefield,
Director of Hope Pregnancy Center.
•
Wednesday, August 1, 2012,
“Birth Control Methods,”
presented by Yvette Abbott,
Health Educator, Planned
Parenthood of the Heartland.
•
Wednesday, August 15, 2012,
“Getting the Most Out of Your
Dollar,” presented by Susan
Dudley, IHCRC Maternal & Early
Childhood Case Manager.
•
Wednesday, September 5,
2012, “Parents As Teachers,”
presented by Chris Miracle,
Lead Parent Educator, CAP.
•
Wednesday, September 19, 2012,
“Breast Feeding,” presented
by Karen Stockwell, Lactation
Consultant, Hillcrest.
•
•
Wednesday, October 3, 2012,
“Tulsa Works Program,”
presented by Sabrina Ware,
Tulsa Works Coordinator,
Goodwill Industries of Tulsa.
Wednesday, October 17,
2012, “Nurturing Families
Halloween Carnival”.
36 IHCRC SUMMER 2012
The Who and What | continued from page 35
Brenda Howell (Creek)
Dental Assistant
Brenda Howell joined Indian Health
Care’s dental team as a dental assistant
on May 3, 2012. She comes to IHCRC
from the Tulsa dental offices of Dr.
Barnum where she worked as a dental
assistant and supervisor. Previously
she has worked for Oklahoma Smiles
Dental Center as a dental assistant and
for Prague Dental located in Prague,
Oklahoma where she also worked as a
dental assistant.
Ms. Howell is a graduate of Platt
College where she earned a Dental
Assistant Certification. She had the
distinction of graduating as a member
of the Director’s Honor Roll and
also receiving a Key 95 Attendance
Club for perfect attendance.
Chad Stanton (Choctaw)
Activity Specialist
Chad Stanton (Choctaw) joined Indian
Health Care’s Health Education and
Wellness Department as an activity
specialist on April 2, 2012. Mr. Stanton
has over 12 years of professional
health promotion, fitness and wellness
experience. He comes to IHCRC from
Tulsa Community College where he
served most recently as the Fitness
Center Manager and previously as
the Fitness Center Specialist and as a
member of the adjunct faculty.
Mr. Stanton successfully completed
a health and wellness internship at
East Central University where he also
earned a Bachelor’s degree in Exercise
Science with a minor in Counseling.
He obtained an Associate’s degree in
Arts from Carl Albert State College.
Staff at IHCRC to be recognized
for service with IHS awards
By: Edward E. Rogers, Credentialing Coordinator
The Oklahoma City Indian Health
Service (IHS)Area Director’s Awards
Ceremony will be held July 19, 2012
at the National Cowboy and Western
Heritage Museum in Oklahoma City.
These annual awards are given
as a means to honor and recognize
Oklahoma City Area Indian Health
Service, Tribal and Urban (I/T/U)
employees whose outstanding
performances and hard work have
improved the health and quality of
life of American Indian and Alaska
Native people. The Oklahoma City
Indian Health Service Area includes
all the I/T/U facilities within
Oklahoma, Kansas and part of Texas.
Judy Gibson, Indian Health Care
CFO, has served on the IHS awards
planning committee for several years.
“I enjoy being a part of a group
that facilitates recognition for staff
members from all facilities throughout
the OKC service area who have gone
above and beyond in their work
performances, regardless of their roles.
It’s a very meaningful way to show
appreciation to these individuals who
work so hard throughout the year.
There are so many worthy, deserving
nominees, I hate that we are unable
to recognize them all,” said Judy.
Indian Health Care’s staff makes
every effort to provide quality services
and exceptional care for the Native
American population in the Tulsa
and surrounding areas. Judy explained
“IHCRC is proud that our staff has
historically made a good showing
at this event. We have a great team
and we believe they deserve to be
recognized for all they do.” This
year is no exception. We are very
proud to announce the following
staff members who will receive
recognition at this year’s ceremony:
Jennie Howard, Courtney Barkley
and the late Steve Eberle)
Congratulations to all of the IHCRC
staff who were nominated and
to those who will receive awards
in July. Good job! Well done.
Below: Judy Gibson, Indian Health
Care CFO.
• Deni Fholer, LMSW, Medical Case
Manager – Area Director’s Individual
Excellence in Customer Service
Award and Peer Recognition award
• Emily Bolusky, Public Relations
Manager – Merit Award
• Shea Bowling, MD, Pediatrician
– Exceptional Individual
Performance – Clinical award
• Deanna Holman, CPA, Accounting
Supervisor – Area Director’s
Lifetime Achievement Award
• IHCRC’s School & Community
Gardening Program - Exceptional
Group Performance Award Health
Promotion & Wellness Award
(Group members: Nancy O’Banion,
Kevin Heeney, Tim Shadlow,
IHCRC SUMMER 2012 37
Understanding the Symptoms and
Implications of Prediabetes
By Kay Meek, RD/LD, IHCRC Dietitian
Prediabetes is when a person’s blood
sugar levels are higher than normal,
but not high enough for a physician to
diagnose the condition as diabetes. The
condition used to be called borderline
diabetes. Most people with prediabetes
don’t have symptoms, but they have
a high risk of eventually developing
diabetes and may have some problems
from diabetes already.
However, there is good news.
People who have prediabetes have the
opportunity to improve their health
and delay – or even prevent diabetes.
Healthy lifestyle changes, such as eating
healthy foods, being physically active
and losing a modest amount of weight
can bring sugar levels back to normal.
Symptoms
People with prediabetes often do not
have symptoms, so it’s important to
follow the screening guidelines for
people at risk. People diagnosed with
diabetes often have symptoms such as
frequent urination and excessive thirst,
lack of energy, weight loss, constant
hunger and blurred vision.
Causes
The exact cause of prediabetes is
unknown, although family history,
excess abdominal fat and inactivity
38 IHCRC SUMMER 2012
seem to be important factors in
the development of prediabetes.
What is clear is that people who
have prediabetes aren’t processing
sugar (glucose) properly anymore.
This causes sugar to build up in the
bloodstream instead of doing its
normal job of fueling the cells that
make up muscles and other tissues.
Most of the glucose in your body
comes from the foods you eat that
contain carbohydrates. Any food that
Studies show that
most people with
prediabetes will
develop type 2
diabetes within
10 years if they
don’t make some
lifestyle changes.
eat, insulin enters your bloodstream
from your pancreas. Insulin acts like
a key that unlocks the doors that
allow sugar to enter your cells.
When you have prediabetes, the
balance between glucose and insulin
has been thrown off. Instead of fueling
your cells, sugar builds up in your
bloodstream. The pancreas may not
be able to produce enough insulin
after a meal to “clear” the incoming
glucose from the blood. Or cells may
be insulin resistant. When cells are
insulin resistant, they won’t allow
the insulin to escort glucose from
the bloodstream to them. Too much
glucose in the blood is also called
high blood sugar or hyperglycemia.
Risk Factors
Those who should be regularly screened
for prediabetes include overweight
adults age 45 and older and those under
age 45 who are overweight and who
have one or more of the following risk
factors:
• They are physically inactive.
contains carbohydrates can affect your
blood sugar levels, not just sweets.
During digestion, sugar enters your
bloodstream and with the help of
insulin is then absorbed into the body’s
cells to give them energy. When you
• They have had previous high blood
glucose levels.
• They have a family history of
diabetes.
• They are members of high risk
ethnic populations (including Asian
Americans, African-Americans,
Latinos and American Indians).
• They have had gestational diabetes
or have given birth to a baby
weighting more than 9 pounds.
• They have elevated blood pressure.
• They have an HDL cholesterol
level (the “good” cholesterol) of 35
mg/dl or lower and/or a triglyceride
level of 250mg/dl or higher.
• They have polycystic ovary
syndrome.
Prediabetes usually occurs in adults
who are middle-aged or older. But
a worrisome increase in the number
of children and teenagers who are
overweight has led to an increase in
the condition among younger people.
Children who are overweight and
have two of the following risk factors
should be screened:
children be screened beginning at
age 10 or at the onset of puberty.
If the test is normal, they should
be screened again in two years.
• They have a family history of type 2
diabetes.
Complications
• They are a member of a highrisk population (including Asian
Americans, African-Americans,
Latinos and American Indians).
• They show signs of insulin
resistance, including acanthosis
nigricans (velvety brownish-gray
skin patches that are often on the
neck or in skin folds).
The American Diabetes Association
recommends that high-risk
Studies show that most people
with prediabetes will develop type
2 diabetes within 10 years if they
don’t make some lifestyle changes.
They also have a higher risk of
developing heart disease. Type 2
diabetes complications include:
heart disease, stroke, kidney disease,
blindness and amputations.
Continued to next page
IHCRC SUMMER 2012 39
IHCRC Wellness
Calendar continued
Understanding Prediabetes | continued from page 39
Heart Savers
Do you have diabetes? To learn
more about how to become a
participant in the Heart Savers
Program for Type II Diabetes,
call Stacy Berg, CVD Case
Manager at 918-382-2228.
Tobacco Cessation
IHCRC main clinic Wellness
Kitchen, 550 S. Peoria. The
IHCRC Health and Wellness
Department offers a six-week
smoking cessation class. We
ask participants to attend all six
sessions. Interested participants
are eligible to receive Chantix®
nicotine replacement therapy
patches if they attend at least
four of the six sessions.
IHCRC will see patients on
a one-on-one basis as well,
if schedule permits. Contact
the Wellness Department at
918-382-2222 for
more information.
Fit Kids Healthy
Futures Camps
July 16-20 Grades 1-4
July 23-27 Grades 5-8
8:30 am - 3:00 pm
Preparing Native kids to live strong
and healthy futures! Our goal is to
teach kids how to make the healthy
choice the easy choice. These camps
will offer a combination of fitness,
circuit training, sports, experiential
learning, traditional Indian games,
garden and nutrition lessons, and
more! There’s something fun for
everyone. Each group will also take
a special field trip as well. Location:
Clinton Middle School, 2224 West
41st Street, Tulsa. Call Indian Health
Care Resource Center of Tulsa at
918-382-2219 or 382-2218
for questions.
Tests and Diagnosis
Blood tests are commonly used to
determine if you have diabetes or
prediabetes. A blood test called
glycated hemoglobin (A1c) indicates
your average blood sugar level for the
past two to three months. It works
by measuring the percentage of
blood sugar attached to hemoglobin,
the oxygen-carrying protein in red
blood cells. The higher your blood
sugar levels, the more hemoglobin
you’ll have with sugar attached. An
A1c level between 5.7 and 6.4 is
considered prediabetes.
Treatment
Prediabetes should not be ignored.
If you have prediabetes, healthy
lifestyle choices can help you bring
your blood sugar level back to normal
or at least keep it from rising toward
the levels seen in type 2 diabetes.
If prediabetes does become type 2
diabetes, these lifestyle changes –
nutrition, activity, weight loss and
blood pressure control – build the
platform for managing diabetes for
life:
• Eat healthy foods. Choose foods
low in fat and calories and high in
fiber. Focus on fruits, vegetables
and whole grains. Variety can help
you achieve your goals without
giving up taste or nutrition.
• Get more physical activity. Find
40 IHCRC SUMMER 2012
an activity you enjoy doing and
aim for 30 to 60 minutes a day 5
days a week. It’s okay to break up
your activity into smaller sessions
throughout the day.
• Lose some weight. Losing 5 to 10
percent of your body weight can
reduce your risk of developing type
2 diabetes. Focus on permanent
changes to your eating and
activity habits. Motivate yourself
by remembering the benefits of
weight loss, such as a healthier
heart, more energy and improved
self-esteem.
• Take medications as needed. Ask
your doctor about medications
you should be taking including
those to control cholesterol
and high blood pressure.
Prevention
Healthy lifestyle choices can help
you prevent prediabetes and its
progression to type 2 diabetes – even
if diabetes runs in your family. You
can lower your risk of developing
diabetes by making changes in your
lifestyle. Ask your doctor if you
should be screened for prediabetes.
Your doctor might refer you to a
dietitian to help you make healthy
lifestyle changes.
You may find more information
at www.diabetes.org or contact Kay
Meek, RD/LD at (918) 382-2226 or
[email protected].
IHCRC SUMMER 2012 41
Are Healthy Foods Really More Expensive?
It Depends on How You Measure the Price
Published by the Economic Research Service of the U.S. Department of Agriculture: Economic Information Bulletin No. (EIB-96) May 2012
Most Americans consume diets that
fall short of the recommendations in
the Dietary Guidelines for Americans
2010. A common perception is
that diets consistent with the
recommendations are not affordable.
This perception may be influenced
by studies that found many healthy
foods to cost more per calorie than less
healthy foods. This is one way, but not
the only way, to measure the cost of a
healthy diet.
42 IHCRC SUMMER 2012
For a balanced assessment, this
study compares the prices of healthy
and less healthy foods using three
price measures: the price per calorie,
per edible gram, and per average
portion. Study authors Andrea
Carlson and Elizabeth Frazão also
calculated the daily cost of meeting
the food group recommendations on
the ChooseMyPlate.gov website.
For this study healthy foods were
defined as food items that contain an
amount of a food in at least one of the
major food groups (vegetables, fruits,
grains, dairy and protein foods) and
contain only moderate amounts of
saturated fats, added sugars and sodium.
What Were the Major
Findings of the Study?
The study found that the type of
measure used to rate the price of
food items has a large effect on
which foods are more expensive:
• Foods low in calories for a given
weight appear to have a higher
price when the price is measured
per calorie. For example, vegetables
and fruits, which are low in calories,
tend to be a relatively expensive
way to purchase food energy.
• Conversely, less healthy foods (or
“moderation foods”) – especially
those high in saturated fat
and added sugar – tend to be
high in calories and to have
a low price per calorie.
• When measured on the basis of
edible weight or average portion
size, grains, vegetables, fruit and
dairy foods are less expensive
than most protein foods and
foods high in saturated fat,
added sugars, and/or sodium.
Cost of Meeting Dietary
Recommendations
None of the metrics discussed above
provide information on how much it
would cost to meet Federal dietary
recommendations. So the researchers
translated the Dietary Guidelines
for Americans (USDA and U.S.
Department of Health and Human
Services, 2010) into more consumerfriendly recommendations about
the types and amounts of foods to
consume. For the study, price per
cup or ounce equivalent was used to
esti¬mate the cost of meeting the
food group recommendations in the
Dietary Guidelines for Americans,
2010. This metric provides a guide
to consumers and policymakers
on the range of prices consumers
might face in meeting each of the
food group recommendations.
In summary, the study provides
important information for
understanding the cost of using
healthy versus less healthy foods to
fully meet dietary recommendations.
For example, an average portion of
potato chips might be cheaper than
an average portion of baked potato,
but if it takes two average portions
of potato chips to make up a cup
equivalent of starchy vegetables, then
the baked potato might be a cheaper
way to meet the recommendation.
IHCRC SUMMER 2012 43
The Fit Kids Healthy
Futures Camp will take place
IHCRC is offering another great year
of summer camps for Native children
in grades 1-8. A new addition to the
program in 2012 was “Native Cultural
Camp.” This camp was developed at
the request of parents who want their
children to learn more about their
Indian heritage at our camps.
At Native Cultural Camp,
the children learned how to play
stickball through instruction provided
by the Cherokee Nation. They also
learned to make moccasins and
listened to a traditional storyteller.
The highlight of the week was a set of
field trips to the Cherokee Nation, the
Creek Nation and the Osage Nation.
Campers learned about the history
and culture of the three tribes.
Campers attended the Wellness
Adventures Camp at the Tulsa
Public Schools HelmZar Challenge
Course. Campers enjoyed the team
building games and activities and
learned about diabetes prevention
and nutrition. The high elements are
the favorite part of camp, in which
campers are allowed to choose their
level of challenge. When asked about
44 IHCRC SUMMER 2012
their favorite part, campers always say,
“The zip line was the best part!”
Broken Arrow Indian
Education program requested
IHCRC to bring our camps to
Haskell Middle School for two
sessions. The campers learned to
make stickball sticks from the
Cherokee Nation staff. Campers
also participated in physical fitness
activities, experiential learning games
and traditional Indian games.
in late July. These camps focus on
physical activity, nutrition, diabetes
prevention, games and activities. The
youth will also learn about growing
plants and gardening, learning how
to grow healthy food. Campers at all
camps receive healthy lunches and
snacks. Summer camps are provided at
no cost to Native American children
in the Tulsa area through the support
of IHCRC and generous donors.
Below: Broken Arrow Youth Camp.
Broken Arrow Camp where kids made
sticks with which to play stickball.
Kayaking at Spring Lake in Sand Springs
during Wellness Adventures Camp.
Native Cultural Camp where kids learned the
game of stickball and other traditional Indian ways.
IHCRC SUMMER 2012 45
Health & Wellness Classes
Classes below are held at the IHCRC Wellness Kitchen, 550 S. Peoria Ave., Tulsa.
Please pre-register by calling 918-382-2222. Classes limited to clinic patients
ages 18 and over with the exception of Kid’s Cooking 101 where kids are
welcome. Class registrations left by voicemail will not be accepted.
July
The Case For Breakfast*
Thursday, July 12
1-2 pm
Farmers’ Market Tour and
Adult Heart Healthy Cooking
Tour – Thursday, July 19
Class – Friday, July 20
Kid’s Cooking 101
Friday, July 27
4-5 pm
Discovering Diabetes Class
Wednesday, July 11, 18, 25
2-4 pm
Type 2 Diabetes
Discussion Group
Thursday, July 5, 12, 19, 26
10-11 am
4-5 pm
11 am-12 noon
August
Focus On Fiber
Tuesday, Aug. 7
1-2 pm
Super Foods For A Super You*
Thursday, Aug. 16
1-2 pm
Adult Heart Healthy Cooking
Wednesday, Aug. 22
Kid’s Cooking 101
Friday, Aug. 31
4-5 pm
Discovering Diabetes Class
Wednesday, Aug. 8, 15, 22, 29
2-4 pm
Type 2 Diabetes
Discussion Group
Thursday, Aug. 2,9,16, 23, 30
11 am-12 noon
10-11 am
*Please do not register for this class if you previously attended,
which will allow others to attend.
42 IHCRC SUMMER 2012
Parents: Schedule an oral health exam
for your young child today!
Dr. Arthur Holleman with patient.
The IHCRC Dental Department
encourages Native American parents
to schedule an appointment for an oral
health exam for their children. Children
as young a one year old can be seen.
All children and adults are encouraged
to get an oral health exam every six
months.
The Indian Health Care pediatric
oral health program places priority on
providing preventive and corrective
oral health care to prevent disease and
reduce tooth loss. The prevention of
tooth and gum problems is emphasized
by promoting regular check-ups at
the clinic before problems develop.
At each pediatric oral health
screening session, a Registered
Dental Hygienist (RDH) will clean
and examine the patient’s teeth
for caries, gum disease and any
pediatric developmental issues. The
dental hygienist and dentist will
conduct a dental hygiene plan of
care (assessment, diagnosis, planning,
implementation and evaluation).
The dentist will discuss with the
child and the parent any corrective
procedure that may be needed and why.
When treatment needs are identified,
an appointment will be scheduled for
the child with an IHCRC dentist.
Dr. Arthur Holleman, IHCRC
Dental Director, explains, “Early
intervention is important to prevent
and manage Early Childhood
Caries (ECC, also known as early
childhood tooth decay). ECC is the
most common chronic disease of
childhood and can lead not only to
pain and loss of teeth but it also affects
Continued to page 56
IHCRC SUMMER 2012 47
Minority Health Community Partner Profile
Helping to Build a Healthy Mind,
Body and Spirit for All
F
or more than 100 years in
Tulsa the YMCA has been
implementing and conducting programs that teach the
four core values of respect, honesty,
caring and responsibility to YMCA
members and program participants.
These values are reflected in the youth
48 IHCRC SUMMER 2012
programs offered at YMCA locations
this summer. Youth programs vary from
location to location, making for a good
variety of selections for families and
kids alike.
Two of the YMCA locations – the
W.L. Hutcherson Family Branch
and the Westside YMCA are within
the zip codes that are supported
by Indian Health Care’s Office of
Minority Health (OMH) grant. Via
a contract with the YMCA, IHCRC
provides OMH grant funds to help
support the summer programming
offered at these two locations.
Lamar Brown, Executive Director
of the YMCA W.L. Hutcherson
Family Branch, said the programs
offered this summer place a strong
emphasis on youth and teens. Some
of the programs offered at the
YMCA Hutcherson branch include
a youth basketball program, swim
lessons, family time activities and
canoeing and additional activities
from which they can choose.
The 13-17 year old campers
attend the Counselors in Training
Camp, which is a 9-week program
involving shadowing counselors,
learning about different jobs
at the YMCA, performing
Fort Gibson Lake where campers
participate in activities similar to
those at Day Camp, providing
them with a varied choice of
activities from which to choose.
One of the greatest attributes of
the camp is a scholarship program to
ensure that no child is turned away
Respect. Honesty. Caring. Responsibility.
a Youth Leadership Program. The Youth Leadership Program
is held by Friends of Greenwood
for Tulsa Master’s International.
This eight-week program teaches
life skills such as public speaking
and job interview preparation to
youth ages 10-16. The Hutcherson
branch is not offering summer
camps this year, however they are
raising money for their Strong Kids
campaign to provide scholarships
for summer camp next year.
Summer camps will be a main
component of youth activities offered
by the Westside YMCA branch. The
Westside branch offers two different
summer camps – the Westside Day
Camp and the Takatoka Residence
Camp. The Westside day camp is
open to youth ages 5-17 and takes
place over a 14-week period. The
campers are placed into one of two
camps, depending on their age.
The 5-12 year olds attend a
traditional day camp and are given a
daily schedule of activities consisting
of archery, swimming, fishing,
teambuilding activities and preparing
campers for the workforce.
The Westside YMCA branch
is unique in that it has various
outdoor facilities that the campers
can use to enhance their learning
experiences including a lake, a
ropes course, a zip line, volleyball
courts, archery space and more.
Specialty camps are also available
for campers with specific areas of
interest. Last year, the Westside
branch held an Iron Chef Camp
and the participants visited the
IHCRC kitchen, a local food pantry
and local restaurants to be educated
on food safety and preparation.
This summer one of the specialty
camps is a basketball camp, which
will kick off with the Tulsa Shock
basketball team making a visit to
the Westside YMCA, followed by
the kids making a trip to see a Tulsa
Shock basketball game. These events
will hopefully inspire the campers to
work hard to achieve their dreams.
Camp Takatoka is an overnight
camp held on property next to
due to inability to pay. The Strong
Kids Campaign, which is funded
by donations from local companies,
YMCA staff and community
members, provided $150,000 last
year alone in scholarship funds to
help children attend the Westside
Day Camp and Camp Takatoka.
Westside Day Camp Director
Nicole Thompson states that one
of the most rewarding outcomes of
the camp is the story of one child
who was having difficulty with
learning and behavior in school
when he entered camp. He started
attending the YMCA summer camp
and afterschool program and after
working one on one with members of
the YMCA he was able to get back
into a regular second grade class, his
behavior problems had resolved, and
he had a positive shift in his mentality.
Ms. Thompson is passionate about
her job at the YMCA and strongly
supports the YMCA mission with
programs that build a healthy
spirit, mind and body for all.
IHCRC SUMMER 2012 49
I WILL NOT BE PART OF THE
GENERATION XXL
At Indian Health Care Resource
Center we are committed to
make sure our children are
strong and healthy. Children
can easily gain too much
weight, and run the risk of
diabetes and cardiovascular
disease at a young age.
Our team of health educators can help you and your
family make healthy lifestyle choices, so everyone is
strong and healthy!
For information about our youth wellness programs,
call2012
918-382-2217 or 918-382-2220.
50please
IHCRC SUMMER
550 S. Peoria Ave., Tulsa, OK 74120.
What Is Big Brothers Big Sisters
Native American Mentoring?
By Brian Carr, Recruiter, Big Brothers Big Sisters of Oklahoma
For at least 100 years, Big Brothers Big
Sisters has focused on the belief that all
children are capable of being successful
and prospering in life. As the nation’s
biggest volunteer and donor backed
coaching community, Big Brothers
Big Sisters (BBBS) strives to help
children meet their potential. This goal
is obtained through matching adult
mentors and kids, aged six to eighteen,
in neighborhoods around the nation.
It creates constructive relationships
that have enduring and immediate
impacts on the young people’s lives.
BBBS vision is for all kids to
attain success in life while it hopes to
supply kids dealing with difficulties
with long lasting and powerful,
one-on-one relationships, which
can alter their lives for the better. By
joining up with guardians/parents,
volunteers and other people in the
neighborhood, the center is responsible
for every kid in its program.
With a community of supporters,
partners and donors Big Brothers Big
Sisters is located in all fifty states. Big
Brothers Big Sisters focuses on the kids,
whom are the neediest including those
dealing with parental incarceration,
growing up in poverty and residing
in single parent households. To
begin the whole process, the center
starts with searching for an excellent
match between a Little and a Big.
Big Brothers Big Sisters manages
various unique programs to assist in
fulfilling the requirements of areas
facing difficulties. These programs assist
in concentrating the work with partners
and contributors in prospecting
new Bigs, support communities
affected by conditions like military
deployment or parental incarceration,
and fulfill the requirements of
typically underserved areas.
Native American Mentoring Project
Big Brothers Big Sisters understands how essential it is for
Native American kids to have good role models in their
lives. Volunteers who realize their conditions assist them
so that they can look forward to a more optimistic future.
This is primarily the reason why the center has developed
the Big Brothers Big Sisters Native American Mentoring
Project in order to sponsor and motivate a higher number
of Native American kids and adults to get involved.
The program is managed under the assistance of
American Indian/Alaskan Native (AI/AN) Advisors
and elders, area organizations and AIAN BBBS board
members to help ensure programmatic methods are
self-sufficient, ideal and culturally appropriate.
Big Brothers Big Sisters one-on-one matches are the
driving force behind generating influence on kids. A Big
Brothers Big Sisters match is meticulously implemented and
kept to the strictest specifications. An agency staff aims for
matches that are not only suitable and dependable to every
kid’s requirements, but also beneficial and developed to last.
The whole matching process, from the preliminary
screening to the ultimate pairing, is made feasible through
monetary assistance from donors. It also offers continuous
assistance and guidance not only to the Big and to the
Little, but to each of their family as well. Training, as
well as guidance, is provided to help guarantee that
the match is functioning for everybody concerned.
Source: http://www.bbbs.org/ Native_American_Mentoring
IHCRC SUMMER 2012 51
August is National Immunization Awareness Month
School Starts Soon –
Is Your Child Fully Vaccinated?
Source: Centers for Disease Control and Prevention
In August, and throughout the year,
the Centers for Disease Control
and Prevention (CDC) encourage
parents to make sure that children of
all ages receive all their vaccinations
on time. Keeping up-to-date with
immunizations is one of the most
important things parents can do to
ensure their children’s long-term
health – as well as the health of
friends, classmates and others in the
community. Because children are
particularly vulnerable to infection,
most vaccines are given during the
first five to six years of life. Some
immunizations are recommended
throughout adolescent and adult
years.
country in 2010. Twenty-six deaths
were reported – 22 of these deaths
in the U.S were in children younger
than one year old.
From January 1 to May 20, 2011,
there were 118 cases of measles
reported in the United States – more
than any year since 1996. Measles
comes into the United States from
countries where the disease still
circulates, including many European
countries. Measles spreads easily
and it can be serious, causing
hospitalization and even death.
Young children are at highest risk for
serious complications from measles.
Avoiding
vaccinepreventable
diseases
It’s true that some vaccinepreventable diseases have become
very rare thanks to vaccines. However,
outbreaks still happen. For example,
preliminary data from the CDC
showed more than 21,000 cases of
“whooping cough” (pertussis) in this
FIGURE 1: Recommended immunization schedule for persons aged 0 through 6 years—United States, 2012 (for those who fall behind or start late, see the catch-up
schedule [Figure 3])
Vaccine ▼
Age ►
Birth
Hep B
Hepatitis B1
1
month
2
months
4
months
6
months
HepB
9
months
12
months
15
months
RV
RV2
DTaP
DTaP
DTaP
Haemophilus influenzae type b
Hib
Hib
Hib
Hib
Pneumococcal5
PCV
PCV
PCV
PCV
Inactivated poliovirus6
IPV
IPV
Diphtheria, tetanus, pertussis3
4
19–23
months
2–3
years
4–6
years
HepB
RV
Rotavirus2
18
months
Influenza7
Measles, mumps, rubella8
Varicella9
Hepatitis A10
Meningococcal11
DTaP
see footnote3
4
Range of
recommended
ages for all
children
DTaP
PPSV
IPV
IPV
Range of
recommended
ages for certain
high-risk
groups
Influenza (Yearly)
MMR
see footnote8
MMR
Varicella
see footnote9
Varicella
Dose 110
MCV4 — see footnote 11
HepA Series
Range of
recommended
ages for all
children and
certain highrisk groups
This schedule includes recommendations in effect as of December 23, 2011. Any dose not administered at the recommended age should be administered at a subsequent visit, when indicated
and feasible. The use of a combination vaccine generally is preferred over separate injections of its equivalent component vaccines. Vaccination providers should consult the relevant Advisory
Committee on Immunization Practices (ACIP) statement for detailed recommendations, available online at http://www.cdc.gov/vaccines/pubs/acip-list.htm. Clinically significant adverse events that
SUMMER
followIHCRC
vaccination
should be 2012
reported to the Vaccine Adverse Event Reporting System (VAERS) online (http://www.vaers.hhs.gov) or by telephone (800-822-7967).
52
1.
7.
Hepatitis B (HepB) vaccine. (Minimum age: birth)
At birth:
• Administer monovalent HepB vaccine to all newborns before hospital discharge.
Influenza vaccines. (Minimum age: 6 months for trivalent inactivated influenza
vaccine [TIV]; 2 years for live, attenuated influenza vaccine [LAIV])
• For most healthy children aged 2 years and older, either LAIV or TIV may be
Required Immunizations for Oklahoma School Children
As you help your kids get ready for school, make sure
they are fully vaccinated. Web tools from CDC can
help parents and doctors keep children up-to-date
with the vaccines they need and protected from serious
diseases. All children entering kindergarten through
the 12th grade in Oklahoma are required to have:
• 2 doses of hepatitis A vaccine
• 2 or 3 doses of hepatitis B vaccine (adolescents 11
through 15 years of age can receive a two-dose
series)
• 4 or 5 doses of DTaP (diphtheria, tetanus and
pertussis) vaccine
• 3 or 4 doses of polio vaccine
• 2 doses of MMR (measles, mumps and rubella)
vaccine
Children birth to age six
During the early years of life, children are
recommended to get vaccines to protect
them from 14 diseases that can be serious,
even life-threatening. Parents who choose
not to vaccinate their own children increase
the risk of disease not only for their
children, but also for other children and
adults throughout the entire community.
For example, vulnerable newborns too
young to have received the maximum
protection from the recommended doses
of vaccines or people with weakened
immune systems such as some people
with cancer and transplant recipients
are also at higher risk of disease.
Flu vaccines are recommended for
kids in pre-school and elementary school
to help keep them healthy. In fact, all
children six months and older should
get flu vaccines. Getting all of your
children vaccinated – as well as other
family members and caregivers – also
can help protect infants younger than
six months old. Ask your family doctor
• 1 dose of varicella (chickenpox) vaccine
or nurse about getting flu shots or the
nasal spray to protect them against flu.
Parents can find out what vaccines
their children need and when the
doses should be given by reviewing
the nationally recommended Childhood
Immunization Schedule at: cdc.gov/
vaccines/schedules/easy-to-read/child.html
Children and teens age
7 to 18 years
Older children need vaccines, too! Of
course, everyone older than six months of
age is recommended to receive a yearly
flu vaccination, and older children are no
exception! It’s important to know that flu
can be serious, even for healthy young
people. So older kids should get at least
one flu shot every year.
As kids get older, they are more at risk
for catching diseases, like meningococcal
meningitis, so they need protection that
vaccines provide. The recommended
immunization schedule is regularly updated
to include new vaccines and reflect current
research. So, it has probably changed since
your child was first immunized. Specific
vaccines, like human papillomavirus
vaccine (HPV), are recommended to be
given during the preteen (11-12) years
and teen (13-18) years. If kids don’t get
these vaccines on time, they should
get caught up as soon as possible.
For other diseases, like whooping
cough, the protection from vaccine doses
received in childhood wears off over
time. That’s why 11- and 12-year-olds are
also recommended to get the booster
shot called Tdap. Teens – and adults,
too – who have not gotten Tdap should
get this booster as soon as possible.
Tdap is a version of the DTaP vaccine
given to infants and young children.
CDC provides an immunization schedule
for people ages 7 through 18 years for
parents and doctors to protect children
and teens from vaccine-preventable
disease; follow this link to view the
schedule: cdc.gov/vaccines/schedules/
easy-to-read/preteen-teen.html
FIGURE 2: Recommended immunization schedule for persons aged 7 through 18 years—United States, 2012 (for those who fall behind or start late, see the
schedule below and the catch-up schedule [Figure 3])
Vaccine ▼
Age ►
7–10 years
11–12 years
13–18 years
1 dose (if indicated)
1 dose
1 dose (if indicated)
Human papillomavirus2
see footnote2
3 doses
Complete 3-dose series
Meningococcal
See footnote3
Dose 1
Tetanus, diphtheria, pertussis1
3
See footnote 5
Pneumococcal5
Hepatitis A6
Booster at 16 years old
Influenza (yearly)
Influenza
4
Complete 2-dose series
Hepatitis B7
Complete 3-dose series
Inactivated poliovirus8
Complete 3-dose series
Measles, mumps, rubella9
2-dose series
Complete 2-Dose
Series
Varicella10
Complete 2-dose series
Range of
recommended
ages for all
children
Range of
recommended
ages for
catch-up
immunization
Range of
recommended
ages for certain
high-risk
groups
This schedule includes recommendations in effect as of December 23, 2011. Any dose not administered at the recommended age should be administered at a subsequent
visit, when indicated and feasible. The use of a combination vaccine generally is preferred over separate injections of its equivalent component vaccines. Vaccination providers
should consult the relevant Advisory Committee on Immunization Practices (ACIP) statement for detailed recommendations, available online at http://www.cdc.gov/vaccines/
IHCRConline
SUMMER
2012
pubs/acip-list.htm. Clinically significant adverse events that follow vaccination should be reported to the Vaccine Adverse Event Reporting System (VAERS)
(http://www.
vaers.hhs.gov) or by telephone (800-822-7967).
1.
Tetanus and diphtheria toxoids and acellular pertussis (Tdap) vaccine.
• For children aged 6 months through 8 years:
53
10
tips
Nutrition
Education Series
smart shopping for
veggies and fruits
10 tips for affordable vegetables and fruits
It is possible to fit vegetables and fruits into any budget. Making nutritious choices does not have to
hurt your wallet. Getting enough of these foods promotes health and can reduce your risk of certain diseases. There
are many low-cost ways to meet your fruit and vegetable needs.
1
celebrate the season
Use fresh vegetables and fruits that are in season.
They are easy to get, have more
flavor, and are usually less expensive.
Your local farmer’s market is a great
source of seasonal produce.
2
7
stick to your list
8
Plan out your meals ahead of time and make a
grocery list. You will save money by buying only what
you need. Don’t shop when you’re hungry. Shopping after
eating will make it easier to pass on the tempting snack
foods. You’ll have more of your food budget for vegetables
and fruits.
4
try canned or frozen
Compare the price and the number
of servings from fresh, canned, and
frozen forms of the same veggie or fruit.
Canned and frozen items may be less
expensive than fresh. For canned items, choose fruit
canned in 100% fruit juice and vegetables with “low sodium”
or “no salt added” on the label.
5
For fresh vegetables or fruits you use often, a large
size bag is the better buy. Canned or frozen fruits or
vegetables can be bought in large quantitites when they are
on sale, since they last much longer.
why pay full price?
Check the local newspaper, online, and at the store
for sales, coupons, and specials that will cut food
costs. Often, you can get more for less by visiting larger
grocery stores (discount grocers if available).
3
6
buy small amounts frequently
Some fresh vegetables and fruits don’t last long. Buy
small amounts more often to ensure you can eat the
foods without throwing any away.
buy in bulk when items are on sale
store brands = savings
Opt for store brands when possible. You will get the
same or similar product for a cheaper price. If your
grocery store has a membership card, sign up for even more
savings.
keep it simple
Buy vegetables and fruits in
their simplest form. Pre-cut,
pre-washed, ready-to-eat, and processed foods are convenient,
but often cost much more than when purchased in their
basic forms.
9
plant your own
Start a garden—in the yard or
a pot on the deck—for fresh,
inexpensive, flavorful additions to meals.
Herbs, cucumbers, peppers, or tomatoes
are good options for beginners. Browse
through a local library or online for more
information on starting a garden.
10
plan and cook smart
Prepare and freeze vegetable soups, stews, or
other dishes in advance. This saves time and
money. Add leftover vegetables to casseroles or blend them
to make soup. Overripe fruit is great for smoothies or baking.
DG TipSheet No. 9
June 2011
United States
Department of Agriculture
Center for Nutrition
Policy and Promotion
54
IHCRC SUMMER 2012
Go to www.ChooseMyPlate.gov for more information.
USDA is an equal opportunity
provider and employer.
Meaningful Use of Electronic Health Records
The Indian Health Service has long
been a pioneer in using computer
technology to capture clinical and
public health data. The Indian Health
Service (IHS) clinical information
system used by medical staff to manage
health records is called the Resource
and Patient Management System
(RPMS). Its development began nearly
30 years ago.
The Patient Care Component of
RPMS was launched in 1984. The
RPMS Electronic Health Record
(EHR) graphical user interface
represents the next phase of clinical
software development for the IHS.
The IHS Electronic Health Record
is intended to help providers manage
all aspects of patient care electronically,
by providing a full range of functions
for data retrieval to support patient
review, encounter and follow-up.
By moving data retrieval and
documentation activities to the
electronic environment, patient care
activities and access to the record
are able to occur simultaneously at
multiple locations without dependence
on availability of a paper chart.
Meaningful Use
The goal of meaningful use of EHRs
is to improve the safety, quality and
efficiency of care. Meaningful use
of EHRs can improve health care
processes through the use of software
applications that provide secure access
to health information for both patients
and providers, the ability to document
patient care services, clinical decision
support, performance reporting and
exchange of information with other
providers of care.
Meaningful use of EHRs will help
clinicians make better decisions and
avoid preventable errors. Systems
such as these help avoid preventable
errors and allow for making better
and more consistent decisions.
The vision which drives the
achievement of meaningful use of
EHR is one in which patients are
fully engaged in their healthcare,
providers have real-time access to
all medical information and tools to
help ensure the quality and safety
of the care provided. EHRs also
can facilitate improved access and
elimination of health care disparities.
The intent of meaningful use
is to use EHR technology to:
• Improve quality, safety and efficiency
of health care to reduce health
disparities
• Engage patients and their families in
their health care
• Improve coordination of care
• Improve population and public
health
• Maintain privacy and security of
patient information
The Indian Health Service has become
the first federal agency to have its
health information system certified
for meaningful use based upon criteria
established by the Department of
Health and Human Services. The
IHS RPMS is a comprehensive health
information system that supports the
patient care and public health mission
of IHS. The IHS provides health care
to a service population of 2 million
American Indians and Alaska Natives
who reside in 35 states. The RPMS
EHR is operational at over 280 IHS,
tribal and urban Indian health care
facilities nationwide.
IHCRC SUMMER 2012 55
IHCRC General
Calendar
Schedule an Oral Exam | continued from page 47
IHCRC Clinic closings
Monthly Staff Training – Closed the
first Wednesday morning of every
month; clinic opens at 1:00 pm on
the first Wednesday of the month.
Native Nations
Youth Council
Monthly meetings are held on
the third Wednesday of the
month. Dinner meeting is held
with the Tulsa Indian Community
Advisory Team from 6-7 pm.
Drum Group Practice from 7-8 pm.
Meetings are held at the IHCRC
Satellite Office, 1630 S. Main St.
For more information call Tamara
Newcomb at 918-382-2205 or send
an email to [email protected].
Teddy Bear Clinic
IHCRC, 550 S. Peoria. Mark
your calendars for the 2012
IHCRC Teddy Bear Clinic on
Saturday, September 8
from 10 am-12 noon. Call
918-382-1206 for
more information.
56 IHCRC SUMMER 2012
self-esteem, speech development,
nutrition and school attendance.
“Over 50 percent of American
Indian and Alaska Native children
between ages two to five years old
have ECC. Here at IHCRC, we
recommend scheduling a dental
appointment for your child soon after
their first teeth erupt. At this visit the
dentist will check for any disturbances
in development and discuss proper
oral hygiene and diet for your
child. The goal is to avoid early
childhood tooth decay by stressing
prevention as early as possible.”
Prevention and diagnosis services
provided by the dental hygienist
include dental screening (routine oral
health exam, including taking and
interpreting oral digital x-rays) and
conducting an oral health assessment
of carries, baby bottle tooth decay,
developmental eruption patterns
and any periodontal disease.
During your child’s visit to the
dental clinic at IHCRC, the dental
hygienist will conduct teeth cleaning
and removal of plaque, calculus
and stains from the surfaces of the
teeth. Application of dental sealants,
fluoride and tooth polishing can
also be performed as a preventive
measure to control the future
accretion of plaque and tartar.
Patient education on oral hygiene
will be provided on brushing and
flossing techniques, a review of healthy
nutritional guidelines and sports
safety. Oral health education includes
the promotion of sound nutritional
habits to avoid excessive consumption
of sugared beverages and foods.
Comprehensive health services offered at no cost to you
Medical Care
By working closely together with our medical staff, you can improve your quality of life, prevent potential health problems,
manage chronic health conditions and reduce health risks. Women’s health care includes prenatal care, family planning and
mammography.
Lab, X-ray and Mammography
An in-house lab, x-ray and mammography department supports the delivery of comprehensive health care.
Health Education and Wellness
Free health promotion and disease prevention classes and individual counseling sessions provide helpful information about
nutrition, cooking, exercise, diabetes, heart disease, smoking and various other topics.
Optometry
Routine eye exams help individuals living with diabetes preserve their eyesight. Optometry services include vision testing and
eyeglass prescriptions.
Dental Care
Preventive and restorative dental services are provided by our team of dentists and a registered dental hygienist.
Behavioral Health Care
A professional staff of psychologists, psychiatrists, social workers and a developmental specialist provides comprehensive
mental health care, including pediatric developmental screenings and individual, group and family counseling.
Chemical Dependency Treatment
Outpatient substance abuse and alcohol treatment includes group and individual counseling and supportive counseling for
family members affected by a parent or spouse’s substance abuse.
Pharmacy
Our pharmacy provides medications and counseling for prescriptions written by clinic physicians. Two drive-thru lanes help
streamline the process. A pharmacy phone line is available for prescription refills.
WIC Nutrition Program
Participants in the Cherokee Nation WIC (Women, Infants and Children) supplemental nutrition program receive nutrition
education and free food instruments to purchase nutritious foods.
Patient Transportation
Free transportation is available if you need help getting to our health center.
550 South Peoria Avenue, Tulsa OK 74120 – 918-588-1900 – www.ihcrc.org
550 S. Peoria Avenue, Tulsa, OK 74120
If you would like to be removed from our mailing list, contact Emily Bolusky at 918-382-1206 or [email protected]
918-588-1900 • www.ihcrc.org
The George Kaiser Family Foundation
Salutes the Maternal and Early Childhood programs
of Indian Health Care Resource Center of Tulsa
We are proud to support Indian Health Care’s
Maternal and Early Childhood programs through a $90,000 Annual Grant
The George Kaiser Family Foundation invites the community to make a donation
to IHCRC of Tulsa in support of its Maternal and Early Childhood program.
To make a donation to IHCRC or for more information, please contact
Emily Bolusky, IHCRC Public Relations Manager at
918-382-1206 or by email at [email protected]