1. health and fitness
2. dental care

Provide Medical Service
Regardless of abili
Fall 2012
d free by SBNC
ny nutritional classes offere
Children attending one of ma
Diabetes – a life-long disease
A
ccording to the American Diabetes Association
our partnership with Sansum Diabetes Research Institute
(ADA), diabetes affects the lives of nearly 26 million
which provides us with a registered dietitian and nutrition
children and adults in this country and another 79
educator at no charge. These classes are offered through our
million with pre-diabetes. If current trends continue, one in
Health Promotion Department as well as cooking classes that
three children will face a future with diabetes. It’s a tragedy
help prepare attendees to make educated food choices and
that doesn’t have to happen. Nutrition is directly linked to the
create delicious and satisfying meals. The 8-week nutrition
health and well-being of diabetic patients and can be the key
program is open to all the Santa Barbara community for free,
to battling this disease. However many patients find it difficult
not just our patients. At the end of each class, thanks to our
to know the best nutritional course of action. At SBNC, we
partnership with the Food Bank of Santa Barbara county, each
have more than 1,200 diabetic and pre-diabetic patients who
attendee is given a bag of produce to start practicing healthy,
have varying nutritional needs. We offer individual nutrition
balanced eating. Knowing the basics is what our patients say
consultations and an 8-week nutrition program, thanks to
helps them to manage their disease well.
Continued on page 9
In This Issue:
The Affordable Care Act
4
How this can affect low-income families
here in Santa Barbara.
Ways to Give
6
There are several ways to contribute to this
much needed service in Santa Barbara.
Featured Donor
7
Women’s Fund has been an invaluable
donor this year. Thank you for your support.
A message from our CEO
Welcome to the first issue of “Pulse,” a new Santa
Barbara Neighborhood Clinics’ publication aimed at
Officers
Eileen Bunning
Chair
Paul Jaconette
Vice-Chair
Gary Gray, CPA
Treasurer
Mark Palmer
Secretary
sharing health-related stories and the good work of the
clinics with you, our supporter. As many of you know,
the mission of Santa Barbara Neighborhood Clinics
(SBNC) is to provide high quality, affordable, comprehensive healthcare to all people regardless
of their ability to pay, especially those uninsured and otherwise underserved, while maintaining a
welcoming environment and treating patients with compassion, dignity, and respect.
Part of our mission is to provide education about health topics that are of concern to us all. In
Board Members
Deborah Babineau
Enriqueta Garcia
this issue you will read about the profound ways diabetes is affecting the lives of nearly 26 million
children and adults in this country, certainly something we see at SBNC on a regular basis. You will
learn more about the steps we are taking to transfer all patient files to electronic health records and
Jeffrey Kupperman, MD
the advantages patients will see once it’s complete. We invite you to get to know our clinicians by
Chris Lambert, MD
reviewing their educational backgrounds—we are so very proud of each and every one of them!
John Lewis, PhD
Finally, learn about the Affordable Care Act and the implications of the Supreme Court ruling.
Kathleen McMahon
Michael O’Kelley, CPA, CFE
Healthcare in our nation is changing. At SBNC we have expanded our hours to serve more patients
Brian Knowles
and meet the ever-growing demand for quality patient care. We are preparing for the future and are
Nathaniel Reinke
proud to be at the cutting edge providing patient-centered, quality and efficient care. Together with
Kathleen Rodriguez, MPH
your support we can serve thousands more patients each year, most of whom are struggling to make
Austin Sexton
Melinda Staveley
Candice Nyholt, MBA
Henry O. Ventura
ends meet in this economy. On behalf of all those who receive our services, thank you for caring and
thank you for your support.
Best Regards,
Carmen Young, M.Ed, PA-C
Leadership
Cynder Sinclair, DM
Chief Executive Officer
Cynder Sinclair, DM
Chief Executive Officer
Santa Barbara Neighborhood Clinics
Charles Fenzi, MD
Chief Medical Officer
Clinics
Polly Frances Baldwin, MD
Isla Vista Neighborhood Clinic
Dorothy Wong Holmes, MD
Eastside Neighborhood Clinic
Susan Lawton, MD
Eastside Neighborhood Clinic
915 N. Milpas Street
Santa Barbara CA 93103
(805) 963-1641
Isla Vista Neighborhood Clinic
970 Embarcadero del Mar
Isla Vista CA 93117
(805) 968- 1511
Westside Neighborhood Clinic
Quynh Nguyen, DDS
Chief Dental Officer
Eastside Family Dental Clinic
Eastside Family Dental Clinic
923 N. Milpas Street
Santa Barbara CA 93103
(805) 884-1998
Westside Neighborhood Clinic
628 W. Micheltorena Street
Santa Barbara CA 93101
(805) 963-1546
Page 2
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Santa Barbara Neighborhood Clinics
Leaders in Medicine
PEDIATRICS
Susan Bartolini, MD
A
t the heart of what we do at Santa Barbara Neighborhood Clinics
are our clinicians, dedicated professionals who could work just
about anywhere, but choose to work in a community clinic setting.
Day in and day out they work tirelessly offering quality, affordable healthcare
to thousands. We commend them for providing services with integrity,
dignity and respect.
FAMILY MEDICINE
Mark Cohoon, PA-C
Graduate of Western University of Health Sciences,
Primary Care Physician, Assistant Program, Chico;
Undergraduate of California Polytechnic University, SLO
Katherine R. Howell, PA-C
Graduate of Pacific University in Forest Grove, Oregon;
Undergraduate of Southern Oregon University
Patrick A. Krejdovsky, PA-C
CHIEF / LEAD PHYSICIANS
Charles Camillo Fenzi, MD
Chief Medical Officer
Family Medicine
Residency at St. Joseph Hospital, Stamford, CT ;
Graduate of the University
Libre de Bruxelles in Brussels, Belgium;
Undergraduate of University of Arizona
Polly Frances Baldwin, MD
Lead Physician--Isla Vista
Family Medicine
Residency at Sutter Memorial Hospital, Sacramento;
Graduate of UC Davis School of Medicine;
Undergraduate of UC Los Angeles
Dorothy Wong Holmes, MD
Lead Physician--Eastside Clinic
Internal Medicine
Residency at Good Samaritan Hospital & Health Center;
Graduate of Dr. Niconar Reyes Medical Foundation
Institute of Medicine, Phillipines;
Undergraduate of Far Eastern University
Susan Lawton, MD
Lead Physician--Westside Clinic
Family Medicine
Residency at University of Colorado;
Graduate of University of Colorado
School of Medicine, Denver;
Undergraduate of St. Lawrence University
Page 3
Graduate of Western University
of Health Sciences, Pomona;
Undergraduate of UC Santa Barbara
Residency at Saint Louis Children’s Hospital;
Graduate of New York University School of Medicine;
Undergraduate of University of Ilinois
Andria Barnes Ruth, MD
Residency at Children’s Hospital, Boston;
Graduate of Harvard Medical School;
Undergraduate of Yale University
Anupama Sharma, MD, MPH
Residency at Montefiore Medical Center, New York City;
Graduate of Louisiana State University School of Medicine;
Columbia University School of Public Health; Undergraduate
of Louisiana State University, Baton Rouge
PODIATRY
Reuel Estes, DPM
Residency at California College of Podiatric Medicine;
Graduate of California College of Podiatric Medicine;
Undergraduate of San Francisco State University
WOMEN’S HEALTH
Meg Goetz de Gaona, NP, MBA
Residency at Ventura County Medical Center;
Graduate of Stanford University
Primary Care Associate Program
Harbor General Hospital/UCLA Dept. OB/GYN,
N.P. Women’s Health
Thunderbird School of Global Management, MBA
Cal State Long Beach, BSN
Neil Patrick Sullivan, MD
DENTISTRY
Residency at St. Joseph’s Hospital, Flint, MI;
Graduate of University of So. Florida College of Medicine;
Undergraduate of Rollins College, Winter Park, FL
Quynh Nguyen, DDS
Lynn A. Shoemaker, PA
INTERNAL MEDICINE
Savelly B. Chirman, MD
Residency at University Hospital, Oklahoma City; Kaiser
Foundation Hospitals, Oakland & San Francisco;
Graduate of Harvard Medical School;
Undergraduate of Indiana University of Pennsylvania;
University of Oregon
William Jay Edelstein, MD
Residency at Santa Barbara Cottage Hospital;
Graduate of University of Missouri,
Columbia School of Medicine;
Undergraduate of Indiana University
Raymond Kristopaitis, MD
Residency at VA Wadsworth/UCLA;
Program in Internal Medicine;
Graduate of University of Illinois Medical School;
Undergraduate of Loyola University, Chicago
Chief Dental Officer
Graduate of the University of Texas
School of Dentistry, Houston, TX;
Undergraduate of the Catholic University of America,
Washington DC; Georgetown University, Washington DC
May Hsu, DDS
Advanced Education in General Dentistry;
Residency at Lutheran Medical Center, New York;
Graduate of UC Los Angeles School of Dentistry;
Undergraduate of UC Irvine
Vu Tuan Le, DDS
Advanced Education in General Dentistry;
Residency at Lutheran Medical Center, New York;
Graduate of New York University College of Dentistry;
Undergraduate of UC Santa Barbara
Kevin Miller, DDS
General Practice Residency at VA Medical Center
San Francisco Dental Clinic;
Graduate of UCSF School of Dentistry;
Undergraduate of California Polytechnic University, SLO
Provide Medical Service
Santa Barbara Neighborhood Clinics
The Affordable
Care Act
What Does It Mean To Us?
T
he federal Affordable Care Act (ACA), intended
to reform our country’s healthcare system to
provide healthcare for 50 million uninsured
Americans, was enacted in March 2010. Its implementation
is planned to roll out in stages through 2020. Recently
the constitutionality of this legislation was challenged
and on July 28, 2012, the Supreme Court ruled that it is
constitutional. Therefore, its implementation continues
on track. Some provisions have already taken place and
others are scheduled to be enacted in the coming years.
The complexity and timeline of this legislation creates
many questions. Below are answers to a few of the more
common questions.
Who will benefit directly from this law?
Individuals who earn less than 133% of the federal
poverty level ($29,327 a year for a family of four) and
have no health insurance will benefit directly from the
ACA due to the expansion of Medi-Cal. In Santa Barbara
County, this represents approximately 25,000 individuals
who will qualify for Medi-Cal in 2014. Many of these
people refrain from seeking medical care when they are
sick, even though SBNC will serve anyone regardless
of their ability to pay, because they are uncomfortable
accepting a “hand out.” Sometimes holding on to dignity
is one of their few options in life. Even paying at the
sliding fee scale rate offered at SBNC means that many
of these individuals would have to choose between
healthcare and food or rent. So they wait . . . they wait
until they are “sick enough” to go to a doctor. Often this
means they go to the hospital emergency department,
which dispenses excellent but costly care. Going to one
of SBNC’s clinics would be a much more cost-effective
way to receive quality healthcare, especially if patients go
when they first get sick. Of course, the best scenario is for
patients to use our wide variety of prevention services
that result in a healthy lifestyle.
Who are these people and how does their lack of
access to healthcare affect others?
Many low-income people living on the South Coast are
the ones who prepare and serve our meals at restaurants;
they clean our homes and keep our gardens beautiful;
they care for our children; they clean our hotel rooms.
Most hold down three or more jobs—they are the
working poor who live among us. Lack of access to
healthcare often means they are too sick to go to work
or school. People who go to their jobs or schools in
spite of being sick, spread illness to others and often
perform at substandard levels. Clearly lack of healthcare
has a negative economic impact on local businesses
and schools and a detrimental effect on community
health. But there is another more powerful implication.
What does it say about a community or a country that
allows large numbers of people to suffer from lack of
healthcare? I have heard that a community’s value can
be measured by the way it cares for the most vulnerable
among them. Using this yardstick, healthcare reform will
raise our communities to a much higher level of value.
Our own community can be proud that we provide
access to excellent healthcare to everyone regardless of
their ability to pay.
Cynder Sinclair D.M.
CEO
Page 4
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Santa Barbara Neighborhood Clinics
Dental Tips
Floss, Chew Gum & Relax
• When it comes to dental problems:
prevention is key. Remember,
flossing twice a day keeps the
dentist away!
• The most important time to clean
your teeth is before bedtime. Your
saliva doesn’t circulate to help
neutralize the acid during the
night, so if you fall asleep with food
around your teeth, bacteria will
have “a party” in your mouth, using
the plaque to produce cavities and
gum disease.
• It’s not how much, but how often
and when you eat or drink that
determines the amount of damage
to your teeth.
For example:
If you drink a
can of soda, it’s
better to gulp it
down all at once
or during a meal
(lunch or dinner
when you are
already exposing
your teeth to carbohydrates) than
to sip on it a little bit at a time
bathing your teeth in acid all day
long!
• Xylitol: A natural sugar substitute (in
gum such as: Ice Cube™ and mints)
inhibits the growth of bacteria and
helps prevent tooth decay. When
you can’t floss and brush after
snacks, chew Xylitol gum.
teeth by other
means such as clenching them
or chewing ice to relieve stress,
then remember not to take pain
medication before you go to
the dentist. Analgesics mask the
symptom of pain, which doesn’t
help the dentist diagnose your
problem.
Quynh Nguyen,DDS
Chief Dental Officer
• If you self-inflict pain to your
Steven Ainsley – Poise and Purpose
M
agazine publisher—volunteer—
philanthropist—Steven Ainsley
does it all with polish and style.
Known for his soft-spoken, precise and
effective communication style, Ainsley is
the kind of supporter who makes it all look
easy. As a loyal donor and supporter of
Santa Barbara Neighborhood Clinics (SBNC),
Ainsley is a one-of-a kind volunteer. Along
with running a very busy magazine, he
manages to find the time to arrange for new
supporters to tour the clinics, discuss SBNC
priorities and champion the case for why
electronic health records are so important
Page 5
in today’s world. His commitment
to healthcare in our community
is commendable. It is because of
the dedication of volunteers like
Ainsley that we can continue to
provide the necessary healthcare
to the most vulnerable among us.
In this issue of Pulse, we invite you
to learn a little more about Steven Ainsley.
Ainsley is President and Publisher of Pacific
Standard Magazine, a 100,000 circulation
bimonthly magazine with a national and
international circulation based in Santa
Barbara, California. He was named to this
position in 2011. Prior to assuming this
role Ainsley worked for The New York
Times Company for 31 years, publishing
newspapers throughout the United States
owned by the Company before retiring in
early 2010.
He served as publisher of the Santa Barbara
News-Press from 1992 – 1999 before moving
to Tampa, Florida to become President and
COO of The New York Times Regional Media
Group, at that time a group of 21 newspapers
located primarily in the southeast United
States and California. Prior to retirement
Ainsley was serving as president and
publisher of The Boston Globe and Boston.
com, the Globe’s web site, also owned by
The New York Times Company. At the time
The Globe was the 15th largest newspaper in
the country and Boston.com the sixth largest
newspaper web site. During his time at
The Globe the newspaper won two Pulitzer
Prizes.
In his spare time he enjoys reading history,
outdoor cooking and photography and is an
avid runner, cyclist and a reluctant swimmer.
He has a passionate interest in visiting the
battlefields of The Civil War.
Ainsley attended The University of Virginia
and graduated from New York University. He
and his wife Ann have two adult daughters,
both living in Atlanta, Georgia.
Provide Medical Service
Santa Barbara Neighborhood Clinics
“We honestly consider the Neighborhood Clinics one of
the greatest blessings of our time here in Santa Barbara.
We knew this was going to be short term. My husband’s
a grad student. We came with four children; we’re soon to
have six and we honestly could not have done this without
them. They’ve kept our family happy and healthy and we’re
grateful, extremely grateful to them.
– Clarice Goodwin
Patient
M
any Santa Barbara Neighborhood Clinics’ patients are not covered by any government program or private insurance,
so they pay what they can afford for services. In addition, Medi-Cal and Medicare reimbursements, for those who are
covered, continue to be reduced through government cutbacks. This creates a gap between the cost of care and
the reimbursements we receive. Santa Barbara Neighborhood Clinics relies on contributions to fill this gap. Contributions allow
us to sustain, grow and launch innovative programs to help patients. Your donation today can help provide quality, affordable
healthcare to thousands of patients who are uninsured and underserved. They are often the working poor who work multiple
jobs to make ends meet. A contribution, in any amount, can make a large difference to
those in need of quality affordable healthcare.
onitor
ed to m
eter us lood sugar
m
o
c
lu
nt’s b
One G
tic patie
a diabe
Ways to Give
•
•
•
•
•
•
Cash gifts are the most direct way to make an immediate
difference.
By making a gift of your appreciated securities including
stocks and bonds, you can avoid paying capital gains tax
that would otherwise be due if you sold these assets.
A gift of your real property (such as your home, vacation
property, vacant land, farmland, ranch or commercial
property) can make a great gift. If you own appreciated
real property you can avoid paying capital gains tax by
making a gift.
A gift of your retirement assets [IRA, 401(k), 403(b),
pension, or other tax deferred plan or a charitable
remainder trust] are excellent ways to donate.
If your life insurance policy is no longer needed or will no
longer benefit your survivors, consider making a gift and
help further our mission.
A bequest gift is an excellent way to leave a lasting legacy.
$200
Sponsor a fa
mily of six fo
ra
10-week diab
etes progra
m&
nutrition clas
ses
Asthm
& famil a treatment
y educa
medica
tio
tion for
3 childre n
n
$300
$500
t’s
patien
eless
m
o
h
One
l visit
denta
$400
Help fu
nd HIV
/A
outrea
ch & te IDS and Hep
sting fo
C
r2
risk ind
ividuals 5 high
for
ment
treat swelll
a
t
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d
de
an
pain
gency
ns
Emer ults with extractio
d
a
g
in
d
two
lu
c
ing in
$800
$600
Sponsor
twen
Teen Hea ty kids for the
lth Ad
Program vocate
2011
$1 000
Provide extended dental care for
5 kids under 5 years old
(Children 3-5 years of age typically
come in with at least 6 cavities!)
$1 000
For more information on Ways to Give, contact
Director of Development, Tanya Gonzales, CFRE.
Page 6
Provide Medical Service
Santa Barbara Neighborhood Clinics
Women’s Fund Makes $100,000 Grant
T
he Women’s Fund of Santa Barbara granted Santa
Barbara Neighborhood Clinics $100,000 for our
Electronic Health Records project! This lead gift has
raised the sights of all volunteers and staff involved and will
make a huge difference toward meeting our fund-raising goal.
vulnerable is what makes this grant so meaningful.” We look
forward to thanking each member when they visit our clinics
on October 2nd during their annual site visit. Thank you,
Women’s Fund, for this outstanding contribution!
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The Women’s Fund is made up of hundreds of ladies whose
sole purpose is to be philanthropic. They research the
needs of nonprofits in the community, identify what is most
urgent, and vote for the projects they believe to be a high
priority. “We have been fortunate to be the recipients of their
generosity three times,” said CEO Cynder Sinclair. “The fact that
so many women chose to commit to our community’s most
IB
E
S
The Santa Ynez Chumash Foundation
– A tradition of caring
As the lead sponsor of this year’s Healthcare Heroes we are proud to
highlight The Santa Ynez Band of Chumash Indians Foundation for
their generosity to SBNC and to our community at large.
G
iving back has been a tradition of the Santa Ynez
Band of Chumash Indians. Chumash elders taught
many important lessons in life — including the
fact that a distinguishing characteristic of the Chumash
people is a spirit of generosity.
The Chumash people even had a term for this generosity in
their native Samala language: ‘amuyich.
In the beginning, the Chumash used bead money as
currency, made from small disks shaped from the Olivella
shell. We can imagine thousands of beads circulating
in villages as Chumash ancestors made significant
contributions that enhanced the quality of life for many in
the community.
In the days when the tribe had not traveled far on the
road to economic stability, Chumash ancestors still were
generous with what they did have. Today, the Chumash
tribe continues with this tradition of giving.
Page 7
Governed by the Business Committee of the Santa Ynez
Band of Chumash Indians, the Chumash Foundation has
reached out to hundreds of local organizations and schools
by donating more than $16 million. In addition to those
donations, the annual Chumash Charity Golf Classic has
raised more than $600,000 for local nonprofits.
There once was a time when the Chumash people received
donations from members of the community, whose
generosity was appreciated by tribal members in need.
Today, the Santa Ynez Band of Chumash Indians is proud
and grateful to be in the position to return this kindness by
contributing to many charities in the community.
To learn more about the Santa Ynez Band of Chumash
Indians, please visit www.santaynezchumash.org.
Provide Medical Service
Santa Barbara Neighborhood Clinics
After years of abuse, one
mother makes a difference
in the lives of others.
D
enise Salazar is a quiet, soft-spoken mother. She
has a delightful young son, Nathan, who is 10
years old. She has a fulfilling life volunteering her
services each day for Catholic Charities food pantry while
Nathan attends Franklin School. She always seems to have
a smile on her face these days.
But this was not always the case. Denise grew up in a
violent home in which a relative abused her regularly.
She was burned, beaten and tortured ultimately losing
multiple teeth and suffering a broken nose as a result.
Denise arrived in Santa Barbara approximately four years
ago. She and her son had limited means and began their
stay in Santa Barbara at Transition House. That is where she
learned about Santa Barbara Neighborhood Clinics (SBNC).
She learned that she and Nathan could see our clinicians
and dentists for a variety of health and dental needs.
Denise had much dental damage due to the abuse. Our
dentists were able to save some of her teeth and prepare
partial dentures for her. Soon her smile shone through
constantly! Once she was timid, but now she is overjoyed
with her new smile. Having this dental work has changed
her life. Denise said she feels so at home at SBNC. She
feels respected and is treated with dignity. She also learns
a lot from SBNC staff who center our care on prevention
education. “The clinics show me how to appreciate that
every day is a learning experience—never stop learning,
your mind has to grow every day,” she said.
When asked what she would like to do
with her life, Denise responds with a selfless comment, “I’d
like to be an example of someone that didn’t stop living
because of issues, challenges, or disabilities. I want to tell
people to keep busy and help people.”
Denise volunteers every day at Catholic Charities food
pantry where she has the opportunity to make a difference
in the lives of others. Each day she can see those in need
and she knows that her efforts are going to good use. One
could think that Denise would be bitter for all the trouble
of her past, but she has no time for bitterness. She is a
mother and mothers have an important role to play. She
said, “It’s beautiful to have a child, but you have to live each
day being positive—that’s where the elegance comes in—
the beauty of being a parent.”
As a parent she is extremely proud of her son, Nathan, who
won 1st place in the Science Fair at Franklin School, and
won an award for healthy eating and being active from the
Parks & Recreation Department. He also finds time to take
karate and play the cello in the Incredible Children’s Art
Network (ICAN) music program. Sounds like Denise and
Nathan have a positive future ahead of them, thanks in
part to SBNC!
Dr. Andria Ruth Wins Award
The Pacific Coast Business Times awarded SBNC pediatrician,
Dr. Andria Ruth, the distinguished honor of “Champion of
Primary Care” for the tri-counties. “Dr. Ruth is an exceptional
physician dedicated to quality, compassionate patient care,”
said Cynder Sinclair, CEO. Ruth graduated magna cum
laude from Yale University with a degree in molecular
biophysics. She attended Harvard Medical School and was
trained in pediatrics at the Children’s Hospital of Boston.
She practiced medicine at the
Children’s Hospital of Philadelphia prior to returning to
California with her husband.
“What I love about pediatrics
is children want to be well.
They want to be healthy,”
said Dr. Ruth.
Page 8
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Diabetes
(cont. from pg. 1)
SBNC has a robust Health Promotion Department which plays a
central role in assisting patients in understanding their disease.
Diabetic educators are available at each clinic and are actively
involved in helping patients remember to get to their routine
appointments and to have their routine labs, eye exams and foot
exams. Programs like this are an example of what SBNC does to
help our patients remain strong and healthy, productive members
of our community.
Diabetes is a lifelong disease, and health care providers have little
control over the extent to which patients engage in the dayto-day treatment regimen. The role of the health care provider
is to serve as a coach to the patient, who must assume primary
responsibility for their delivery of daily care. As a result, health
care providers must carefully engage patients as partners in the
SBNC patient sp
eaks to class ab
out his blindnes
by diabetes educ
s that could have
ation.
been prevented
therapeutic process. It is critical for the health care professional to
understand the context in which patients are taking care of their
•
Using medications for therapeutic effectiveness
disease. A prescriptive approach, in which patients are told what
•
Monitoring blood glucose to improve control
•
Preventing, detecting, and treating acute complications
such as hypoglycemia
•
Preventing, detecting, and treating chronic
complications
•
Goal-setting to promote health and problem-solving
to do, can work in some situations but fails more often than not
because of unrecognized barriers to the execution of a particular
plan. For long-term success, diabetes self-management education
is critical.
As defined by the ADA, diabetes self-management education is
the process of providing to the person living with diabetes the
for daily living and integrating psychosocial adjustment
knowledge and skills needed to perform self-care, manage crises,
into daily life
and make lifestyle changes. As a result of this process, the patient
must become a knowledgeable and active participant in the
•
Promoting pre-conception care during pregnancy, and
gestational diabetes management.
management of his or her disease. To achieve this task, patients
There are many more specialized topics relevant to almost all
and physicians work together in a long-term, ongoing process.
patients, such as how to adjust therapy when eating out or
Minimal diabetes education should be universally provided and
during travel, review of available local health care resources such
individualized with emphasis on the core issues such as:
as support groups, and insurance issues. Although there are only
•
•
Page 9
Pathophysiology of the patient’s diabetes and its
relationship to treatment options
limited studies, they do provide support for the concept that
Incorporating appropriate nutritional management and
physical activity into lifestyle
outcomes.
diabetes education is cost-effective and can improve health
– Dr. Charles Fenzi
Chief Medical Officer
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Santa Barbara Neighborhood Clinics
Electronic Records
– Health Records at a glance
E
ver wondered how your doctor can read through
your medical record and remember every time
you’ve had an x-ray? Or what medications you
might have tried in the past? Can you imagine trying
to pull that information out of your chart, which often
is inches thick with paperwork? Well, doctors do have a
system, but if they could easily search your file for that
information you can imagine how much more efficient
your visit would be.
Once all relevant data has been transferred to an
electronic health record, SBNC patients can begin to
see just how much more meaningful their visit will be.
Doctors will be able to tell you the last time you had a
tetanus shot, an x-ray, whether you have tried the latest
antibiotic, or whether you had a cold last winter—all at
their fingertips. Your record now becomes a database of
valuable information. Information that can be life-saving!
Think about medication management. As we age, many
people begin to take several medications. Knowing the
interactions of those medications is extremely important.
With the electronic health records, the computer alerts
clinical staff if a prescribed medication doesn’t work
effectively with other medications.
Dental Assistant Su
sanna Guerrero ex
plains the benefis
dental records, whi
of the new electro
ch were successfu
nic
lly implemented in
June.
There are many benefits to moving in the direction
of having all records electronic. Of course, there is a
government mandate for health professionals to have the
electronic health records in use by 2014. Providers like
SBNC will not be able to bill for services if we do not move
to electronic patient records. So we are busy transferring
all data into a specifically designed software program.
Staff and clinicians are being trained and equipment is
being purchased.
While we can see the benefits of electronic records, all
of this preparation does not come without a high cost.
The total cost of the electronic system implementation
includes the cost of the software, hardware, the
information technology infrastructure to support it,
development of new work processes required by the
project, and training of clinicians and staff. This missioncritical project is estimated to cost SBNC nearly $3.5
million.
This investment in our patient care through electronic
records will improve the quality of care for thousands
of patients each and every year. We are committed to
efficiently and effectively making the transfer and reaping
the many benefits of coming into the 21st century with
electronic health records by the end of 2014. While staff
is setting up the system, we are launching a campaign to
help fund the cost of this project. Look for the next issue of
Pulse to give you more details on our fund-raising efforts.
Page 10
Leaders of the Heart
Special thanks to our generous donors whose gifts help SBNC provide quality affordable healthcare to thousands each year.
Marshall & Carol Ackerman
Sue Adams
Peter & Rebecca Adams
Steve Ainsley
Lesley Alexander
American Riviera Bank
Mortimer & Bea Andron
Kurt & Marion Anker
Ann Jackson Family Foundation
David & Cynthy Ardell
Dr. Michele Armet
Arthur Ayres
B & B Foundation
Deborah Babineau
Margaret Baker
William & Virginia Baker
Bank of America Charitable Foundation
Margery Baragona
Ann Bermingham
Burt & Judith Bernstein
Dr. Larry Bickford
James & Bonnie Blakley
Dr. Rita Blau
Terry & Patty Bliss
Geoff & Polly Bloomingdale
Vicky Blum
Jorgia Bordofsky
Dr. Susan Bower
Dr. & Mrs. Gary & Maggie Bradley
Brittingham Family Foundation
Michael S. Brown
Donald & Carrie Brown
Brown & Brown Insurance
Joyce & Roland Bryan
Bob & Patty Bryant
Eileen Bunning
Doug & Rachel Burbank
California Pizza Kitchen
Bonnie Campbell
Congresswoman Lois Capps
Robert & Dolores Cathcart
CenCal Health
Natasha Chamberlain
David C. Chapman
City of Goleta
City of Santa Barbara
Carnzu Clark
Rand & Susan Clarke
Stephen Cohen
Beatrice & Addison P. Cook
Cottage Health System
Dr. & Mrs. Tom & Deborah Cox
Crawford Idema Family Foundation
Oliveira Dairy
Nourollah Hassanpour Damavandi
Melissa Dase
Andrew & Adrianne Davis
Angelique Davis
Margaret Dawes
SB/VC Dental Care Foundation
Claude Desponds
Barbara S. Deutsch
John Devore
Direct Relief International
Della Jean Elden
Bruce Emmeluth
Dr. & Mrs. Charles & Vera Fenzi
Joel & Vasanti Fithian
Page 11
Richard & Miriam Flacks
Hon & Mrs.Paul G. Flynn
Steven Foley
Betty Fouse
Tish Gainey
Catherine Gainey
Enriqueta Garcia
Janet Garufis
Dr. & Mrs. Harris & Bernice Gelberg
Dr. & Mrs. Lorenz Gerlach
Jerry Gibson
Bill Gielow
Ghita Ginberg
Arnie & Anne Flett Giordano
Ivan & Amy Girling
Randy Glick
Joel Goldberg
Robert & Tanya Gonzales
Good Works Health Inc.
Andrew Gottlieb
Alice Grant
Gary Gray
The Green Well
Norman & Jane Habermann
Dr. Gary Hanson
Harold Simmons Foundation
Dr. Peter Hasler
Stan & Betty Hatch
Jerry Hatchett
Rand Hayes
Thomas Hendrick
Judi Henteloff
Herbert & Gertrude Latkin Charitable
Paul Hernadi
Hildegard H. Balin Charitable Foundation
Hirsch Family Foundation
Mary Ellen Hoffman
Robert Holmes
Home Improvement Center
Michael Honer
Terence & Jane Honikman
David Hoskinson
Hutton-Parker Foundation
Robert & Joan Jacobs
Paul Jaconette
Elizabeth Bixby Janeway Foundation
John & Mary Johnson
Desmond & Monica Jones
Mary Ann Jordan
M. Julian
Joel & Dawn Kaufman
Richard & Connie Kennelly
James Kennett
Brian Knowles
Dan & Diane Krieger-Carlisle
Dr. & Mrs. Jeffrey & Nancy Kupperman
Dr. & Mrs. Chris & Connie Lambert
David & Jennifer Lamkin
David Landecker
Walter & Lorna Larsen
Robert H. Le Gassick
Lenvik & Minor Architects
Susan Levin
Albert & Barbara Lindemann
Paul Longanbach
Jacqueline Lunianski
Terrence Lydon
Peter & Leslie MacDougall
Tomas & Muriel Machin
Yessenia Marroquin
Michael & Priscilla Marshall
Bruce Maurer
Emma Mayer
Patrick McCarthy
Jim McClure
Lorraine McDonnell
J. Sears & Marni McGee
McGee Surveying Consulting
Kathleen McMahon
MedBridge Development Company LLC
Medtronic Foundation
Michael & Nancy Meissner
Sophia Melvin
Eva Menkin
Vincent & Susan Mezzio
Dr. Larry Mietus
Warren & Marlene Miller
Dr. & Mrs. Mark & Shira Musicant
Dr. & Mrs. Jim & Marilyn Myerly
Net No Limits Inc.
Network for Good
Dr. Quynh Nguyen & Mr. Hung Tran
Dale Nutter
Michael O’Kelley & Maeda Palius
Dr. & Mrs. Thomas & Kay Ochsner
Raymond Ogella
Oreana Winery
Outhwaite Foundation
Jack & Sheri Overall
Pacific Diagnostic Laboratories
Mark & Barbara Palmer
Victoria Pauley
Charles H. Perlo
Bradley Pinkernell
Reilly & Jan Pollard
W. A. Pollock
Amalia Priego
Ira Purdy
Amy Ramos & Thomas Mates
Nat Reinke
George Relles
Robert S. Rheem
James J. & Evelyn B Ricci
Richard & Linda Ring
J. A. Riparetti
Tom Rizk
Dorothy Roberts
Lee Robertson
Kathleen Rodriguez
Mark & Regina Rodwell
R.R. & Ruth Roes
Edward & Rosemarie Romero
Rick & Regina Roney
Sybil Rosen
Dr. Ian Ross
Marian & Steve Rothstein
Dr. & Mrs. Clifford & Phyllis Ruddle
Russell Rumberger
Dr. Andria Ruth
Dr. & Mrs. Paul R. Ryack
Steve M. & Susan K. Sakauye
Dennis Sands
Sansum Clinic
Santa Barbara Asset Management
Santa Barbara Bank & Trust
Santa Barbara Foundation
A Partial List of Donors
(Dec 1 2011 - Aug 31 2012)
Richard & Maryan Schall
Phyllis Schechter
Christiane Schlumberger
Carol Schroeer
Jean Schuyler
Austin Sexton
Kate Silsbury
Stephen & Jacqueline Simons
Dr. Cynder Sinclair
Carol Lee Skinner
Rob Skinner
Andrea Slevin
Dr. Leslie Solomon
South Coast Emergency Medical Group Inc
David & Carolyn Spainhour
Lynne Sprecher
St. Francis Foundation
Michael Stackpoole
Jack & Judy Stapelmann
Margaret Staton
Melinda Staveley
Dr. Martin Stein
K. Martin Stevenson
Elizabeth Stewart
Louise Stewart
Kristin Story
Doris Sturgess
Doreen Suchman
Robert & Joan Sugar
Dr. & Mrs.Neil & Joan Sullivan
Jean Svoboda
Candice Tang-Nyholt
Damon Taugher
Barry & Nora Taugher
Tom Thomas
Thomas & Carrie Tighe
The Timothy & Bernadette Marquez Foundation
John Lewis & Carrie Towbes
Trinity Lutheran Church
Dr. & Mrs.Vincent & Nancy Tubiolo
Barbara Turner Sachs
George B. Turpin
Union Pacific Foundation
Unitarian Society of Santa Barbara
United Way of Santa Barbara County
Dr. Thomas A. Van Meter
Venoco Inc.
Henry Ventura
Wallis Foundation
Mary Walsh
W. Wright Watling
Harold & Stephen Wayne
Jonathan Weg
Weingart Foundation
Thomas & Diane Weisenburger
Julian & Theresa Weissglass
William P. Neil Foundation
Williams-Corbett Foundation
Wilshire Health & Community Services
William Wise
Women’s Fund of Santa Barbara
Wood-Claeyssens Foundation
Gordon Wright
Jason & Robin Yardi
Carmen Young
James & Beverly Zaleski
Eugene F. Zannon
Charles & Nina Zimmer
Alison Zuber
Nonprofit
U.S. Postage
PAID
Santa Barbara CA
Permit No. 800
1900 State Street Suite G
Santa Barbara CA 93101
1900 State Street, Suite G
Santa Barbara, CA 93101
Ph: 805-617-7869 Fax: 805-845-7006
www.sbclinics.com
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Congratulations 2012
Healthcare Heroes!
Aw
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Chris Lambert, MD
2012 Healthcare Hero
HONOREE
2012 Healthcare Hero
HONOREE
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SOUTH COAST
emergency medical group
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Sue F. Vincent
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Thank you to our sponsors that
made this event a huge success!
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Visit our website for event pictures at sbclinics.com