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Honoring and Respecting Native Traditions

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Honoring and Respecting Native Traditions Honoring and Respecting Native Traditions 2018 ANNUAL REPORT Table of Contents Clinic Overview 2 Government Performance and Results Act (GPRA) Measures 3 One Year In Action 4 Who We Serve 6 User Population Analysis 7 Medical Home Care Teams 9 Medical Services 10 Harmon-y Pediatric Clinic 12 Pharmacy 14 Public Health 16 Optometry 18 Special Diabetes Programs for Indians (SDPI) 20 Dental 22 Health Promotion and Disease Prevention (HPDP) 24 Behavioral Health 26 Administration 28 Community Involvement 32 Red Feather Gala 33 Capital Campaign Fundraising 34 10 Years in Action 35 Board of Directors and Executive Staff 53 Tribes We Serve 55 Clinic Supporters 58 2018 Financial Audit 67 Find us on: @OKCIndianClinic @OKCIndianClinic @OKCIndianClinic @Oklahoma City Indian Clinic www.okcic.com Oklahoma City Indian Clinic www.okcic.com 1 Oklahoma City Indian Clinic klahoma City Indian Clinic (OKCIC) has dramatically and all of the staff to work toward common goals: Patient Oimproved the quality of American Indian health care in Centered Focus, Great Place to Work, Operational Excellence and the past several years, mostly due to the staff’s hard work Responsible Growth. to increase third party revenue. One hundred percent of Eighty-one percent of the National GPRA (Government every dollar OKCIC collects goes towards clinic services and Performance and Results Act) targets for 2018 were met. expansion, which creates favorable circumstances for clinical OKCIC recently received the Leadership in Excellence Award advancements and additional quality programs for the over in 2018. This is the state’s highest-level recognition by the 19,000 patients we serve. Oklahoma Quality Foundation, whose purpose is to build The CEO initiative for 2018 was to ‘Excel in Service.’ Each better organizations across Oklahoma by inspiring role model department worked to meet this goal with a mission driven performance and results. Additionally, OKCIC was selected as focus, to provide excellent health care to American Indians. the grand prize recipient of the 2018 80% by 2018 National Staff worked diligently to create new and excellent services Achievement Award by the National Colorectal Cancer for patients. New services added this year include, oral Roundtable in recognition of the exemplary efforts being made cancer screenings in the dental department, women’s health to increase colorectal cancer screening. services, colposcopy services, and hormone management While it is humbling to be recognized as a leader in health for LGBTQ+ patients. OKCIC seizes the opportunities that care, it is even more important to continue to offer more are presented and focuses clinic services to meet the needs quality services to American Indian patients as a response to of the patient. Our vision is to be the national model for OKCIC’s growth. As you read through this report, we hope it is American Indian health care. We know by adding additional apparent the board of directors, executive leadership, providers services our patients need, we are well on our way to and staff all strive to offer more of these quality services and achieving this vision. to meet OKCIC’s core values: people first, quality, integrity and Currently, OKCIC is working towards a journey to excellence. This professionalism. Accredited by the journey encourages executive leaders, OKCIC Board of Directors ACCREDITATION ASSOCIATION for AMBULATORY HEALTH CARE 2 2018 Annual Report OKCIC GPRA measures Results The Government Performance and Results Act (GPRA) is a federal law. It requires Federal agencies to demonstrate that they are using their funds effectively toward meeting their missions. National OKCIC GPRA Measure Target Target FY 2018 Diabetes A1c < 8 (Good Control) 36.2% 41.5% 49.5% Blood Pressure Controlled (<140/90) 52.3% 65.0% 75.5% Statin Therapy (DM) 37.5% 48.5% 68.9% Nephropathy Assessment 34.0% 54.5% 64.1% Retinopathy Assessment 49.7% 60.8% 73.3% Immunizations Annual Influenza (6 mo-17 yrs) 20.6% 30.5% 32.0% Annual Influenza 18+ 18.8% 26.8% 27.8% Childhood IZ (4:3:1:3/4:3:1:4) 45.6% 76.0% 76.8% 65+ (1:1:1) - 7.0% 7.4% Dental Dental Sealants (2-15) 16.0% 24.9% 25.4% Topical Fluoride (1-15) 30.0% 32.0% 41.8% Prevention Pap Smear Rates (24-64 F) 35.9% 68.0% 63.5% Mammogram Rates (52-64 F) 42.0% 78.0% 71.7% Colorectal Cancer Screen (50-75) 32.6% 80.0% 57.2% Tobacco Cessation Counseling 27.5% 64.0% 58.9% Controlling Blood Pressure - Million Hearts (18-85) 42.3% 74.5% 69.2% Statin Therapy (CVD) 26.6% 47.0% 53.7% Prenatal HIV Testing - 99.0% 99.4% Universal HIV Screen - Ever (13-64) 17.3% 77.0% 78.4% Breastfeeding (2 mos exclusive/mostly) 39.0% 47.0% 40.5% Hepatitis C Screening - 64.0% 74.8% Behavioral Health Alcohol Screening (9-75) 37.0% 67.9% 63.3% IPV/DV Screening (14-46 F) 41.6% 67.5% 63.6% Depression Screen (18+) 42.2% 66.2% 64.1% Depression Screen (12-17) 27.6% 65.0% 59.9% Oklahoma City Indian Clinic www.okcic.com 3 One Year in Action Oklahoma City Indian Clinic (OKCIC) received the grand prize for the 80 percent by 2018 National Achievement Award by the National Colorectal Cancer Roundtable with recognition in New York City Times Square. OKCIC was honored with the Oklahoma Turning Point Council’s Community Health Champion Award. OKCIC received six awards at the 2018 Fifteenth Oklahoma City Area Director’s Indian Health Service, Tribal, Urban (I/T/U) Awards Ceremony. OKCIC staff was honored with: Peer Recognition Award, Urban Merit Award, Exceptional Individual Performance Award Non-Clinical, Group Area Impact Award, Excellence in Customer Service Individual Award and OKCIC’s Chief Medical Officer received the John J. Farris Award. 4 2018 Annual Report 2018 Oklahoma City Indian Clinic was honored for the eighth year by being recognized OKCIC held the grand opening for a newly as one of the Best Places To Work in constructed Mary Ann Brittan Pharmacy Oklahoma by Best Companies Group and addition to the Corrine Y. Halfmoon The Journal Record. Medical Building. OKCIC received the Leadership in Excellence Award; this is the state’s highest-level recognition by the Oklahoma Quality Foundation. Oklahoma City Indian Clinic www.okcic.com 5 Who we Serve Patient Gender Active Patient Age Distribution 16% 16% 26% 26% 40% 60% 28% 28% 30% 30% 0 - 17 years 18 - 39 years 0 - 17 years 18 - 39 years 40 - 59 years 60 & older 40 - 59 years 60 & older 2018 Top Ten Active Patients (By Tribe) Choctaw Nation of Oklahoma 24% Cherokee Nation 19% Muscogee (Creek) Nation 11% Chickasaw Nation 8% Seminole Nation of Oklahoma 6% Cheyenne and Arapaho Tribes 4% Kiowa Tribe 4% Comanche Nation of Oklahoma 2% Caddo Nation 2% Citizen Potawatomi Nation 2% Other Tribes 17% 0% 5% 10% 15% 20% 25% 30% Fiscal Year 2017 2018 Fiscal Year 2017 2018 Active Users 18,752 19,504 Tribes Served 196 199 6 2018 Annual Report User Population Analysis Patient Visits Per Department Medical 25,989 BRAID/STAR 11,888 Behavioral Health 11,852 Case Management Services 9,361 Dental 9,184 Pediatric 9,093 Wellness Center/ HPDP 4,391 Physical Therapy 3,917 Lab 3,908 Optometry 3,432 Public Health 3,387 Nurse Clinic 2,285 Radiology 2,097 Podiatry 1,179 Obstetrics 368 0 5,000 10,000 15,000 20,000 25,000 30,000 Top 5 Patient Insurance Coverage Purpose6% of Visit6% 6% Distribution 6% 9% 9% 9% 6% 25% 9% 9% 38% 38% 25% 38% 38% 38% 22% 22% 22% 49% 22% 22% 49% 20% 26% 26% 26%20% 6% 26% 26% 6% ChronicChronic conditions conditions ChronicBehavioralBehavioral conditions Health Health Behavioral Health Chronic conditions ChronicWellness/Prevention/Follow-up conditionsWellness/Prevention/Follow-upBehavioral Health BehavioralWellness/Prevention/Follow-upAcute conditionsAcute Health conditions AcutePrivate conditionsMedicare Wellness/Prevention/Follow-upWellness/Prevention/Follow-upDental DentalAcute conditions AcuteDental conditions PrivateMedicaid MedicareUninsured Dental Dental Oklahoma City Indian ClinicMedicaid www.okcic.comUninsured 7 User Pop. Analysis Cont. Total Cost of Services: Medical Billing revenue $49,670,336 8% (Excluding Pharmacy) 26% 14% 14% 49% 37% 37% 66% PrivatePrivate Insurance Insurance Revenue Income Medicaid Revenue RevenueRevenue Uncollectable UninsuredUninsured Medicaid Income MedicareMedicare Revenue Income Where Our patients live by County in Oklahoma Count by County 15,000 0 8 2018 Annual Report Medical Home Care Teams Gold Specializes in care for adults, including acute and chronic conditions, women’s health and minor surgical procedures, Care with an emphasis on preventative health. Team Specializes in care for adults, including acute and chronic Red conditions, minor surgical procedures and low risk prenatal care, with an emphasis on preventative health. Care Team Blue Specializes in primary health care services from young adult to geriatrics, emphasizing the care of patients with diabetes, Care women’s health, low risk prenatal care and general preventive Team health care services. Specializes in complicated medical problems, such as diabetes, Sage heart disease, kidney disease, lung disease, liver disease, cancer monitoring and follow-up. Care Team Gray Specializes in diabetes and thyroid conditions with emphasis on preventative health, contraception, nutrition Care and exercise; along with primary health care services for Team patients, ages 18-21. Provides thorough women’s health assessments, annual well Pink woman exams, preventative screenings, birth control services and low risk prenatal care for women 18 and older. Care Team Oklahoma City Indian Clinic www.okcic.com 9 Medical Services Oklahoma City Indian Clinic (OKCIC) is a patient-centered medical home. A physician-directed team of health care providers, nurses and support staff who provide comprehensive, accessible, continuous and organized care to meet the needs of patients and families.
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