Winter 2015 Newsletter - Pit River Health Service

PIT RIVER HEALTH SERVICE, INC.
To provide the highest quality healthcare services to our patients, making all possible efforts to raise the
standards of healthcare
for our Tribal
members and others we serve
Quarterly
Newsletter
Winter Quarterly 2015
Meet the new Executive Director:
Adult Diabetic Class
Mondays 12:30pm2pm
Kids Diabetic Class
Fridays 2pm-3:45pm
Renewing Native
Health-Introduction
Mtg January 11th
Red Roads Tues,
Thurs 1:30-2:30pm
Anger Mgmt Wed
10-11:30am
Upcoming Holidays
and Office Closures:
New Years Day
Martin Luther King Jr.
Day 1/18
Presidents Day 2/16
The clinic will be
closed on these days,
if you have an emergency during the
closures, call 911 or
go to the nearest
hospital.
Glenna Moore is an enrolled member of the Hoopa Valley Tribe and
has many year of experience working in Native communities. Glenna
comes to PRHS with experience as a
dedicated leader with solid administrative experience in rural primary health care
delivery systems.“In keeping with the mission
and values of Pit River Health Service, my priorities are to provide quality care and a safe environment for patients and staff. My initial goal is
to work with staff to review systems of care,
identify areas for improvement or change, and
re-engineer ourselves in ways to stay ahead of
the curve with the rapidly changing healthcare
environment. I believe Pit River Health Service
is currently in a good place as an organization to
move forward with accreditation as a quality
healthcare organization and eventually with Patient-Centered Medical Home (PCMH) certification.”
I’m happy to be here!
This edition, the Employee Spotlight
falls on Marla Wolfin. Marla has
been here with PRHS for 19 years!
More recently Marla has obtained
her Medical Assistant certification
and is planning to attend an RN program in the fall. We are very proud of her and
encourage you to help congratulate her accomplishments !
Pit River Health Service Inc., in conjunction with the Indian Health Service, will
be implementing a new information technology called RPMS DIRECT and Personal
Health Record (PHR) DIRECT. RPMS DIRECT messaging is a secure, web-based
messaging service. It is set up for use by
registered providers, patients and patient
representatives to securely share medical
information. Registered patients will be
able to send and receive questions and
answers with clinic staff. Additionally, patients will have secure access to their
medical information such as medication
lists, lab results, health summaries and
appointment schedules.
PHR is intended to increase patient
awareness of their healthcare along with
eliminating or reducing the use of fax,
mail and other documentation that may
be misplaced, compromised or viewed by
unauthorized users.
Using the PHR is as simple as surfing the
web. Patients will have to initially register
for use at the clinic. They will be instructed regarding the functionality and
use of the system. PHR works on all kinds
of electronic devices including: Windows
and Mac PCs as well as Android and iOS
mobile devices with a web browser. We
will keep you updated with the progress
of this exciting new technology, which
will become available later in 2016.
“Every accomplishment starts with the decision to try”
-Gail Devers
P A G E
New Employees
Need a car seat? Call us now!
Need Smoke alarms, carbon monoxide detectors, fire extinguishers,
water containers and bicycle helmets? Call us now!
For additional information on services provided by the outreach dept
please give us a call.
Yarely- 530-335-0349
Patsy– 530-335-0348
Barbara-530-335-0347
Burney Clinic
Glenna Moore-Executive Director
Dr. Joey Chen-Dental Director
Raqueal Puim-Administrative Receptionist
Laurah Hodge-Medical Records
Christopher Villarruel-PT Groundskeeper
Marisella Cardenas-On Call Kitchen Worker
XL Clinic
Corina Cavasso-PT Housekeeper
Janice Savage-CHR
Tami Ertle-Escort Driver
Renewing Native Health
Introduction Meeting
When: January 11th @ 5:30 pm
Where: Senior Nutrition Center
Target Age: 19-49
Senior Nutrition Hours
8 am to 3 pm
Lunch Served from
11:30am to 12:30pm
Jessica Jim, Senior Nutrition
Coordinator has
plans to bring
BINGO to our
Seniors who
participate in
our lunch program! To inquire
about program
eligibility please
contact Jessica
at (530)3355301.
All Emergency services covered by P/RC
must be reported to P/RC Dept within 72
Hours. Elder and disabled patients have
30 Days to report the visit. You must also
apply for an alternate resource as soon as
possible from the time of ER Visit; you
must provide P/RC dept proof of application on file within 30 days of ER visit.
Come and join us in our efforts to better the
health within our native community by letting
us know what we can do to help you achieve
your health and fitness goals.
 Snacks Provided
 Fruit/Vegetable vouchers per Eligible family
For info contact:
Behavioral Health Department
530.335.0340
If you have a concern or complaint , please ask
any one of our Receptionists for a
Patient Grievance Form
Complete it and return it to the Administration
office.You may also download a form and submit
it electronically at
www.pitriverhealthservice.org
P I T R I V E R H E A L T H S E R V I C E , I N C .
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P A G E
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Drug abuse
What to look for…
Physical warning signs of drug abuse
 Bloodshot eyes, pupils larger or smaller than usual
 Changes in appetite or sleep patterns
 Sudden weight loss or weight gain
 Deterioration of physical appearance, personal grooming habits
 Unusual smells on breath, body, or clothing
Tremors, slurred speech, or impaired coordination
Diabetic Program News
The Adult Diabetic Class of 2015
lost a combined weight of 205lbs
by choosing healthier eating
habits and exercise! Way to go
class!!!
Behavioral signs of drug abuse
 Drop in attendance and performance at work or school
 Unexplained need for money or financial problems;
may borrow or steal to get it.
 Engaging in secretive or suspicious behaviors
 Sudden change in friends, favorite hangouts, and hobbies
 Frequently getting into trouble (fights, accidents, illegal
activities)
The Kids Diabetic Class has been
an ongoing success in participation and educates the kids on
healthy habits. If your children
are not a part of the class,
please contact the Behavioral
Health Dept receptionist for registration forms.
Psychological warning signs of drug abuse
 Unexplained change in personality or attitude
 Sudden mood swings, irritability, or angry outbursts
 Periods of unusual hyperactivity, agitation, or giddiness
Lack of motivation; appears lethargic or “spaced out”
Appears fearful, anxious, or paranoid, with no reason
In 2008, 50 Shasta County Medi-Cal patients entered treatment for heroin, with an additional 29 saying it was their
main drug. By 2013, those numbers had jumped to 218. In
2008 Heroin made up just 2.3 percent of admissions in
treatment centers by 2013, heroin was the main drug in
15.3 percent of admissions, ranking third behind meth and
alcohol. In the same period, heroin went from causing four
visits to Shasta County hospitals for overdoses to 18. Meth
overdoses fell from 37 to 21, according to the Office of
Statewide Health Planning and Development.
If you or someone you know suffers from substance abuse
and would like to discuss options for recovery, please contact Onita Viramontes, Substance Abuse Counselor at (530)
335-0340 .
P I T R I V E R H E A L T H S E R V I C E , I N C .
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A note from a diabetic class participant: “Thanks for providing health care
for my people. Thanks for the Diabetic
class, store days, cooking contests and Dr.
Goodwin and his cooking for good health.
His meals are good to the taste. We appreciate Dr. Goodwin and Angie Diaz,
CHR’s, we support the Diabetic Class,
we’re getting excellent information, materials and how to monitor our blood
sugar and blood pressure.”
P A G E
THE FOLLOWING POSITIONS ARE OPEN FOR HIRE
AND AVAILABLE UNTIL FILLED:
Family Nurse Practitioner; Must be licensed to practice in
Ca. Responsible for providing medical services in conjunction
with the Medical Director and in accordance with Medical
protocols/standardized procedures of the organization. Must
be a graduate from an Accredited Family Nurse Practitioner
school/program and a Licensed Family Nurse Practitioner.
Behavioral Health Director; Must possess a Masters Degree from
an accredited college or university. License req. Clinical Psychologist, L.C.S.W, (L.M.F.T considered). Responsible for providing prevention, intervention, and mental health treatment services to clients.
Diabetes/Outreach Coordinator; emphasizes the prevention
of illness, promotion and maintenance of health. Assesses and
identifies individual, family and community needs, promotes
consumer participation in establishing health goals, plans programs to meet identified needs and coordinates community
health programs and services. Must be licensed RN.
Public Health Nurse: Responsible for coordinating and supervising the Community Health Service and Environmental
Health programs. Employee assesses and identifies individual,
family and community needs, promotes consumer participation in establishing health goals. Must be a Graduate of an
accredited college or university in nursing. Licensed as Registered Nurse and Certified as Public Health Nurse, three years
experience or equivalent, at least one year in supervisory role.
Part Time Diabetic Program Assistant: Will support the day
to day activities of the Diabetes Program, including but not
limited to coverage of Diabetes Events, physical activities,
data entry, transportation of patients, etc.
Medical Assistant: The Medical Assistant maintains patient
flow to ensure patient care in an orderly and timely manner.
Prepares the patient for the Physician or mid-level Provider
and assists with treatment/exam. Assigned other duties such as
laboratory procedures, maintains medical supplies and maintain treatment rooms and equipment.
PT Office Receptionist (XL Clinic): Coordinate patient care
services, reception duties, supply ordering, and benefits coordination and patient intake. Must have knowledge of alternate
resources available and application process to enroll.
ALL applicants must be willing to submit to and pass a pre-employment
drug screening and background check. Preference will be given to
Native Americans in accordance with P.L. 93-638. Benefits after successful completion of 90 day initial trial period include: Health Insurance, paid holidays, accumulative vacation and sick time.
For applications and to send a resume please contact Sophia
Villarruel @ sophiav@pitriverhealthservice.org
or call 530-335-3651 ext. 132
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and Pit River Health Service wants you to
know that there’s a lot you can do to prevent cervical cancer.
HPV (human papillomavirus) is a very
common infection that spreads through
sexual activity. It’s also a major cause of
cervical cancer. About 79 million Americans currently have HPV, but many people with HPV don’t know they are infected.
The good news?
The HPV vaccine (shot) can prevent
HPV.
Cervical cancer can often be prevented
with regular screening tests (called Pap
tests) and follow-up care.
In honor of National Cervical Health
Awareness Month, Pit River Health Service encourages:
 Women to start getting regular Pap
tests at age 21
 Parents to make sure pre-teens get
the HPV vaccine at age 11 or 12
Teens and young adults also need to get
the HPV vaccine if they didn’t get it as pre
-teens. Women up to age 26 and men up
to age 21 can still get the vaccine.
Thanks to the health care reform law, you
and your family members may be able to
get these services at no cost to you.
Check with your insurance company to
learn more.
Taking small steps can help keep you
safe and healthy.
For more information, visit your provider
at Pit River Health Service (530)335-3651
P I T R I V E R H E A L T H S E R V I C E , I N C .
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P A G E
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Following are the Pit River Health Service policies and procedures for obtaining eyeglasses.
Eyeglasses Policy:

To ensure the highest possible level of eye care for our clients with a medical condition.

Persons requesting vision and/or eyeglass care must be eligible for Purchase /Referred Care Services and
first be evaluated and referred by a PRHS medical provider.

Alternate resources for providing care must be utilized prior to requests for P/RC payment. If patients
insurance covers all cost of exam/glasses, P/RC will not be a payer.

Prior authorization for all non-emergency care is mandatory.

(Notification within 72 hours after care is started for emergencies).

P/RC Program does not cover lost, broken and/or stolen glasses.

Eyeglass care for persons in custody of non-Indian law enforcement agencies is not the responsibility of
PRHS, but rather that of the law enforcement agency.

The P/RC Department will not pay for a second pair of glasses or contact lenses.

Frequency of examinations and replacement of frames shall be determined by individual needs of each
client.

P/RC Eligible clients will receive one eye exam and one pair of eyeglasses every two years. Tints, frameless lenses, progressives, anti-reflective coating and other extras are allowed but not exceeding the total
cost of $450.00. Any balance remaining is the client’s responsibility to pay.

P/RC Diabetic clients will receive one eye exam and glasses annually not to exceed $450.00. Any balance
remaining is the clients’ responsibility.

Standard warranties for eyeglasses are allowed to be included within the $450.00 but not to exceed
$450.00.
Exceptions that would necessitate more frequent examination and/or glasses:
 Signs or symptoms of acute or chronic eye disease/condition (changes eye care from
the annual exam/glasses to medical need)
 Instructed by doctor to return for a specific reason, such as diabetes, glaucoma, hypertension or other conditions.
 Referral from doctor, school nurse or school screening indicating a medically necessary reason for an eye exam. Exam results and reports must be received by PRHS.
Medical necessity will be approved by a PRHS provider prior to ordering or billing the
client for any eyeglasses resulting from a prescription change.
 Apparent significant visual symptoms or significant eye changes necessitating an eye
exam and possibly new eye glasses as determined by a PRHS provider.
NOTE: Prior authorization for other medically required examinations, such as “Threshold
Fields” fundus photography, other types of tints, and/or extended opthalmoscopy, will be required. Need for these procedures must be in writing from Optometrist/Ophthalmologist
and approved by a PRHS medical provider prior to being ordered by requesting provider.

For a copy of the complete Vision Care policy and procedures, please contact the P/RC Department. (530)335-3651
P I T R I V E R H E A L T H S E R V I C E , I N C .
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P I T R I V E R H E A L T H S E R V I C E , I N C .
W I N T E R Q U A R T E R L Y N E W S L E T T E R
Pit River Health Service, Inc.
36977 Park Ave.
Burney, CA 96013
Winter Car Seat safety tips:
 Bulky winter coats can pose a serious threat when worn under the straps of car seats and even booster seats, by
creating too much space in between your child’s body and the harness itself.
 Toys can injure your child in a crash, so be extra careful to choose ones that are soft and will not hurt your child. A
small, loose toy can be dangerous and harm your child in an accident.
 Pinch Test. Make sure the harness is tightly buckled and coming from the correct slots with the chest clip placed at
armpit level, pinch the strap at your child’s shoulder. If you are unable to pinch any excess webbing, you’re good to go.
 Buckling up the right way on every ride is the single most important thing a family can do to stay safe in the car.