There are times when family members, who have a loved one in a nursing facility or an assisted living center, are uncertain about how to advocate on behalf of the resident. Advocacy is basically problem-solving. Learning the basics of the problem-solving process and steps to take along the way will benefit both the resident and family member.
Stage 1 is defining the problem. What exactly is the issue, be able to describe the problem with as much detail as possible. Include the five “W’s” – who, what, where, when, why in your description. What information do you have from direct observation, discussion with a loved one or a staff member? Keep written notes which are dated to document your personal observations and discussions so you can refer to them as needed. Use objective, factual language to address the concern.
In Stage 2 determine what your goal is. What does the resident want to happen? What is an acceptable resolution? What outcome will benefit the resident? Make sure the goal is realistic and benefits the resident. Identify what action steps you could take to try to solve the problem at this point. Determine if there is a designated person on staff to handle concerns such as the administrator, the director of nurses or the social services director. Think through the “pros” and cons” in analyzing your approach to address a concern. Once you have taken action and addressed the issue, follow-up with the staff person you spoke to by sending a note summarizing the discussion and include any specific steps the facility said it would take to resolve the issue. Lastly, evaluate the outcome of your efforts. What was the result of your action? Is the problem resolved, partially resolved or not yet resolved? If the problem is only partially resolved or not resolved at all, repeat the above steps to re-address a second time.
If you are still not successful, identify where you could turn for assistance by contacting the local ombudsman or the state survey agency.
If your own attempts are not successful and you would like assistance with advocacy you may contact the Long-Term Care Ombudsman Program at Areawide Aging Agency (405)942-8500; search our website at www.areawideaging.org or visit us on Facebook.
Problem Solving Skills for Families in Nursing and Assisted Living Facilities
OKC Native Named President of Mercy Hospital OKC Communities
Mercy has named Bennett Geister president of Mercy Hospital Oklahoma City Communities. Geister will lead operations and strategy for Mercy’s hospitals and clinics across the Oklahoma City metropolitan area beginning June 3.
Geister, who was born at Mercy Hospital Oklahoma City, spent his early career working in health care in the Oklahoma City area. Since 2018, he has served as chief executive officer of Hillcrest Hospital South in Tulsa.
“I truly consider it a gift to have the opportunity to lead an already wonderful team at Mercy, and to do it at the hospital where I was born is a full circle moment for me personally,” said Geister, who grew up in a family of health care providers, which influenced his career path. “Professionally, I’ve always considered Mercy a really strong organization across the state with so much potential to grow and serve more people who need care. I’m excited to be a part of that growth and honored to be a part of Mercy’s legacy.”
Geister is passionate about providing safe, high-quality patient care and building a strong workplace culture. He also considers himself an advocate for co-worker engagement and community involvement.
He is a graduate of Heritage Hall, completed his bachelor’s in business administration at University of Oklahoma in Norman, and earned a master’s in health care administration at Trinity University in San Antonio, Texas.
Moving Tips and Resources If Your Senior Loved One Needs You Close By
Read more informative articles on Senior News and Living today!
If you’ve been the primary caregiver for your senior loved one from afar, then you’ll know that there will probably come a time when moving closer to them might benefit them more. Senior News and Living shares how to make that move.
Decide if the Move is Right for You Both
Making the decision to relocate in order to be closer to a loved one signifies a monumental adjustment in your life, entailing not only geographical shifts but also emotional and relational transitions. The importance of thorough communication cannot be overstated in this context, ensuring that both parties harbor a mutual understanding and agreement regarding the impending move.
By affirmatively confirming that you and your loved one are unequivocally on the same page, you safeguard against the potential pitfalls of unmet expectations and misaligned future visions. A successful transition in such a critical life choice pivots on the axis of clarity, shared goals, and a unified approach to navigating the challenges and joys that lie ahead.
Decide Whether to Buy or Rent
Embarking on the quest for suitable properties promptly is imperative, alleviating one considerable concern from the multitude that typically accompanies moving. The dilemma of choosing between buying and renting can often hinge on multiple factors, including your certainty level regarding the permanency of your relocation.
Opting to buy a house undeniably signals a significant decision, embedding a degree of permanence and commitment to your new locale. Therefore, if hesitancy or unpreparedness to fully commit pervades your decision-making, embracing the flexibility of renting might emerge as the judicious choice for this juncture in your journey.
Buying and Selling at the Same Time
Embarking on the journey of buying and selling a house simultaneously can be a challenging yet exhilarating venture, demanding meticulous planning and strategic execution. Sellers often find themselves in a tightrope walk, balancing the intricacies of coordinating settlements, managing financing, and ensuring a seamless transition from one abode to another.
It’s paramount to engage a proficient real estate agent who possesses the expertise to skillfully navigate through this complex process, ensuring that both transactions progress smoothly and aligning the timelines to avoid potential pitfalls or a temporary homelessness scenario.
Prepare for the Move
BigSteelBox notes that another detail that you want to take care of sooner than later is finding a credible moving company that will assist in making your move-to-be as seamless as possible. Professional movers are notorious for scams, so be alert to things like deals that sound too good to be true, or a refusal to put estimates in writing. So take your time by checking out reviews and testimonials before making your final decision.
Speaking of moving, perhaps you need to move your business with you. Again, you’ll want to plan way in advance if you want the move to have as little impact on your business as possible. If you need to reorganize in your destination state, use a formation service for info about how to transfer an LLC to another state. It also might be helpful to have a policy drawn up of who will be responsible for what if you are not available for any reason.
Finding a reliable moving company is a must, as is labeling any and all boxes as accurately and descriptively as possible. Also, it may be helpful to have some staff members working remotely to help keep your business running as per normal while your staff adjusts to working on the move, so to speak.
Reconnect with HS Alumni
If your parents are still in your old hometown, it may be an ideal time to reconnect with friends from school, which is as easy as using an online search portal – simply input the person’s name, high school, and year of graduation. Not only is it a chance to refresh old friendships, but your peers are likely facing some of the same challenges. You can support one another as you catch up on each other’s lives.
Build a New Network
Moving your business to a new state can seem daunting, but it’s an opportunity to expand your network and explore new partnerships. To start, consider attending semi-professional meetups or joining relevant LinkedIn groups in your new location. Leveraging existing contacts for introductions to locals can also be beneficial. A key aspect of networking is the exchange of business cards.
Determine Your New Living Arrangements
Once you have relocated, you’ll have to decide on what everyone’s new living arrangements will be. Of course, it’ll probably come down to one of two options – either your loved one will live with you, or you’ll have to find a senior living community that can provide the level of care and supervision they need.
Care.com points out that if you are considering moving them to a nursing facility, then you’ll have to have a difficult conversation with them to help allay any concerns and fears they may have regarding moving somewhere new, especially if it means them losing the independence they have.
You may also feel like living with your loved one is the better option for now, so that you can get a sense of their current abilities and limitations. In this situation, hold onto items they still hold dear so that they aren’t confronted with too many drastic changes all at once. Your loved one may have difficulty with cleaning, so it’s a good idea to help out. Be sure to use carcinogen-free cleaners to avoid any sensitivity issues.
Moving a Business
Assisting a senior loved one in relocating their business to another state involves meticulous planning, covering both tangible and bureaucratic aspects of the move. The physical move entails careful packing, transporting, and setting up the business in the new location, ensuring that every item and piece of equipment is handled with utmost care to prevent any damage or loss. Concurrently, the paperwork, often an undervalued aspect of such transitions, demands equal attention; from updating the business address in all legal documents to ensuring compliance with the new state’s regulations.
Additionally, an often-overlooked component that warrants a scrutinizing eye is the business name, especially in the context of whether it coincides with a pre-existing entity in the new state. Given the intricacies of business naming rights, which fluctuate based on first-use in commerce and vary from state to federal levels, ensuring the chosen business name does not infringe upon another’s rights or violate regional or national trademarks becomes imperative to avert any potential legal entanglements.
Move Forward with Changes
This is a difficult time for you and your aging loved one, but the tips above should help make the transitions easier for you both. If you decide to rent and not buy in the interim, it’ll give both of you the time to decide what you want as far as long-term living arrangements go. If you both feel that a more structured community with the ability to transition from less to more care is best, then check out your assisted living options with your loved one.
Remember to be patient and ease your loved one into these changes. They signal a big transition in their life that can be scary and difficult to accept. The goal is to provide quality care, so keep that at the forefront of your decision-making.
SeekingLongevity ACTIVE 55+ TAKE A WALK. FEEL BETTER. LIVE LONGER.
Capulin Volcano
National Monument, New Mexico
By Marise Boehs
The longest, hardest 1.5 miles I’ve ever walked!
But one of the most rewarding.
We stopped at this National Park in northern New Mexico on our way home during a family road trip to Colorado.
My travelling partner kept saying, “Oh, it’s a quick, easy little hike. We’ll stop for an hour or so and you can see.”
And it was gorgeous! Not that easy though. Halfway up the 300’ climb I was huffing like I’d been on the StairMaster for too long already.
But there was so much natural beauty along the way it was so worth it.
The view from the top is incredible. You can see for miles and easily imagine cattle on the Sante Fe Trail driving through to Raton Pass and far off to the left you could even see Black Mesa in Oklahoma.
The knarly juniper trees have a special attraction to me and the lichens along the rocks, mixed in among vegetation, are impressive.


ABOUT THE TRAIL
The Rim Trail of Capulin Volcano offers stunning views in all directions. The mile-long trail gains 305 feet of elevation above the parking lot, with a 12% grade and provides views of the crater and the surrounding volcanic landscape.
The vent trail is .2 mile down to the bottom of the crater with an elevation change of 105 feet.
IF YOU GO
Capulin is located between Raton and Des Moines on Hwys 64 and 87 in northern New Mexico. The monument is a few miles north. Check the website for hours of operations and other information
www.nps.gov/cavo/index.htm


Guthrie’s Territorial Christmas Celebration Events Set

story by Van Mitchell, Staff Writer
Historic authenticity meets holiday festivity during A Territorial Christmas Celebration, an annual tradition for over 35 years in Guthrie.
From a costumed Christmas parade to Victorian home tours, this celebration immerses visitors in the city’s lively Territorial period.
The 2024 edition of Guthrie’s Territorial Christmas Celebration spans three weekends Nov. 30, Dec. 7 and Dec. 14.
The first event was a Gatlin Brothers Christmas and Country concert on Friday, Nov. 29 at 7 p.m. at Guthrie’s Scottish Rite Temple. Doors opened at 6 p.m.
Opening Night kicked off Saturday, Nov. 30 at 6 p.m. with the Territorial Christmas Parade.
The parade started at the Scottish Rite Temple, led by the Territorial Governor candidates. From there, a promenade of illuminated cars, trucks, dune buggies, and even be-lighted people went west along Oklahoma Avenue, which included an appearance by Santa Claus.
The parade ended at the State Capital Publishing Museum and was immediately followed by the Territorial Governor ceremonies.
The Guthrie Territorial Christmas Foundation, a non-profit 501(c)(3), operates the yearly Celebrations.
Each year Guthrie’s Territorial Christmas Foundation nominates a few citizens to run for Territorial Governor and Junior Governor. Votes are sold for $1 each, and candidates compete to buy their way to the title.
After the parade on the steps of Guthrie’s Post Office, this year’s Territorial Governor and Junior Governor was announced and the lighting of the Territorial Christmas tree.
This year’s celebration includes the “Territorial Tots: Baby Governor Photo Contest.”
Unlike the Territorial Governor and Junior Territorial Governor campaigns and activities, this is purely an online contest for Guthrie babies to dress in their Victorian best and claim the honor of Territorial Tot!
Voters had until Nov. 27, to vote for their favorite tot by donating online! You can find the name and age of each little one under their photo.
All proceeds are funded for Guthrie’s Territorial Christmas Celebrations: Opening Night, Victorian Walks, and Distinctive Homes Tour.
The Distinctive Homes Tour offers you an opportunity for an exclusive look inside some of Guthrie’s most impressive homes and historic buildings that are specially selected by Guthrie’s Territorial Christmas and are dressed up for the holiday season.
According to the GTCC Facebook page “The tour is our largest fundraiser and, as such, we only invite the best and most beautiful homes in Guthrie to participate!”
This year’s Homes Tour is Dec. 7 from 10 a.m. to 4 p.m. Tickets are $20 each.
Proof of purchase is required for entry into the homes/buildings.
Reserve your tickets online for pickup on the day of the event, or purchase in person on Dec. 7 between 9 a.m. to 3 p.m. at Guthrie City Hall located at 101 N 2nd Street.
Guthrie’s Territorial Christmas Victorian Walks will be held Saturday Dec. 7 and Saturday Dec. 14.
During Guthrie’s Victorian Walk Evenings, visitors will step back into the Victorian era with carolers in early-1900s dress and decorated store windows complete with re-enactors depicting Victorian-era Guthrie. Participants can enjoy treats from peanut vendors lining the downtown streets.
Guthrie’s Christmas Market will open three weekends at 117 E Oklahoma Avenue on the corner of Wentz and Oklahoma Avenue with vendors and food trucks.
The Christmas Market will be open Saturday, Nov. 30 from noon to 6 p.m.; and Saturday, Dec. 7 and Saturday Dec. 14 from 3 p.m. to 9 p.m.
Over 30 years, 1,000 performances, and 150,000 patrons “A Territorial Christmas Carol” is back in this reimagining of Dickens’ classic tale at Guthrie’s Pollard Theatre.
The show runs Nov. 22 through Dec. 22.
As a not-for-profit organization, the Pollard Theatre’s mission is to produce meaningful, entertaining, and diverse theatre within the City of Guthrie and the greater state of Oklahoma. Honoring the legacy of the Guthrie Arts and Humanities Council, their work strives to engage and inspire audiences within their community and beyond.
“These events are so special because our downtown absolutely comes to life with visions of times gone past,” Economic Development Director Shawnda Rooney said. “The Victorian talent along the street closures and the Victorian talent that make up all of the live windows create such a magical atmosphere for visitors and locals alike.”
For more information about Guthrie’s Territorial Christmas Celebration visit www.guthriesterritorialchristmas.com or visit www.thepollard.org

Paint in Abstract and be Happy
Story and photo by Vickie Jenkins
Meet Carol Lorance, retired nurse of 46 years and presently an artist and owner of Dragonfly Silks. What a fascinating person! Working in the medical field for so long, she retired and traded in her passion for nursing into passion for art.
Lorance was born in Joplin, Missouri. Her first job was at a hospital, working as a CNA. At that time, she was doing pretty much the same things nurses were doing; taking care of the patients, medication and vital signs. Enjoying being a CNA, she decided to further her career and become a nurse. After she became an RN she worked for several hospitals, Home Health, as a private duty nurse and was also a traveling nurse. She enjoyed traveling to Las Vegas, Florida and Hawaii. When she returned to Oklahoma, she worked at several hospitals, including Guthrie, Deaconess and Mercy. She was fond of being in the medical field but now, it was time for her to retire.
“What was your favorite thing about being a nurse?” I ask. “I enjoyed the closeness that I developed to the patients. My favorite moment was when the patient got better and got to go home.” “What is your favorite thing about being an artist?” “It’s the love I feel, like an inner glow. I am my own person and I don’t have to be anywhere else. It’s fun and it keeps me busy.”
‘What is the most important lesson you learned when you were a nurse?” “I learned to be patient with the patients,” she laughed. “Be a reliable worker and show up on time,” she added.
Before retiring, Lorance knew that she wanted to stay busy and do something else in her life. She had always been fond of photography and painting. It was one night when she came home from a late shift at the hospital. Flipping through the channels on TV, she came upon a demonstration of silk painting on an art show. She was instantly captivated by it, wondering if she could do silk painting. She ordered supplies, bought an instruction DVD and joined the silk painting guild in the UK via the internet. “My first two pieces weren’t great but they weren’t too bad either,” she comments.
Lorance has a degree in Graphic Design from Oklahoma City, OK and has shown her paintings at 50 Penn Place, Art Gallery in Oklahoma City, the Frontier Museum and G Gallery and Glass in Guthrie, OK. She is currently at the Red Dirt Gallery when she is not participating in arts festivals and other shows. Asking Lorance where she gets her inspiration for her art work, she replies, “I get different ideas from the environment and try to do things a little different than most people. If you have noticed, most artists paint flowers and garden scenes. Not that those paintings aren’t pretty but I just try to paint things a little different. I look at lots of images on the computer and study them.”
“How would you describe yourself in 3 words?” I ask. “I am a hard worker, very reliable and an artist.” “What is the most important lesson you have learned as an artist?” “Don’t take life too seriously, have fun and loosen up. Paint in abstract and be happy.”
Lorance’s hobbies include traveling, computers, photography and of course, art. “I was in sixth grade when I became interested in photography. I even had a dark room,” she said. When asked if Lorance’s daughter went into the medical field or into art work, she gave me a no. “My granddaughter is getting a degree in business and art,” she replied. “Just about every time my granddaughter came to my house when she was little, I always made sure we would make a craft or paint or do a cute little project. I think she got her artistic abilities from me,” she grinned.
Asking if Lorance stayed in contact with any of the nurses she worked with over the years, she told me there are quite a few that get together once a month for dinner and catch up on the many memories that they share.
Carol Lorance is a wonderful artist and it is apparent that she puts her feelings and passion into her unique work. Her beautiful paintings, gorgeous silk scarves, colorful pillows, decorative coasters and cutting boards can be found at Dragonfly Silks at Red Dirt Gallery, 13100 Colony Pointe Blvd. Piedmont, OK.
SPECIAL TO SNL: CELEBRATE AUTUMN BY “FALL PROOFING” YOUR HOME
Story by Joyce Clark, Executive Director – Saint Ann Retirement Center
Senior living communities are a popular choice for people with a history of falling down because typically the building has design features to help reduce fall risk. Minimum thresholds, walk-in showers, handrails, contrasting colors, low-pile flooring, and non-glare lighting are examples of some senior living building amenities that help to lower fall incidents. You can implement these and other safety enhancements in your own home.
As people age they experience physical and lifestyle changes that can also lead to falls. Health conditions such as Parkinson’s disease, stroke, heart arrhythmias, dehydration, inner ear problems, vertigo, and urinary tract infection can increase a person’s chance of falling. Other risk factors include: * Dizziness * Foot problems like numbness, corns, bunions, ingrown nails, or ulcerations * Cataracts, glaucoma, depth perception and vision problems * Weak muscles or poor balance * Confusion or memory loss * Drinking too much alcohol * Vitamin D deficiency
It is a good idea to show a complete list of all medications, herbs, and remedies to your physician at each visit to help maintain safety and good health. Medication side effects or taking a number of medications at the same time can also increase fall risk. Even some over-the-counter medicines can affect balance and walking steadiness. Medications that most commonly cause blurred vision, dizziness, unsteadiness, drowsiness, or difficulty thinking include: * Blood pressure lowering medications * Sleep aids and sedatives * Antidepressants and psychotropics * Anticonvulsants for epilepsy
Some other general tips to reduce fall risk are: * Have your eyes and vision examined annually. * Stay physically active. Exercise helps to prevent falls, especially activities that enhance balance and coordination. A lot of exercise and stretching can be done from or using a sturdy chair for balance. * Wear shoes with non-slip soles. Socks can be a slipping risk. * Wear pants and clothing that are properly hemmed and don’t drag on the ground. * Take your time moving from a lying or sitting position to standing. * Use the arms of sturdy furniture when you sit down, reach, or stand up. * Use a reacher to retrieve items from the floor without bending over and from high shelves without using a footstool. You can use a reacher to wipe up spills while seated or standing. * Keep a mobile telephone nearby in an easy to reach location. * Wear an emergency call pendant or have “Alexa” in different rooms programmed to call for help when requested.
FLOORS AND FURNITURE
* Clean up clutter. Move newspapers, furniture, plants, and electrical cords out of traffic areas.
* Store clothing, towels, and household items where you can safely reach them.
* Eliminate uneven floor surfaces. Replace high doorway thresholds between rooms with low, beveled ones, or remove them.
* Replace thick carpets with dense, low-pile carpet or leave the floors uncovered.
* Arrange furniture to give you plenty of room to walk freely.
* Secure carpets to the floor and stairs. Remove throw rugs. Use non-slip rugs or attach rugs to the floor with double-sided tape.
* Put non-slip tape strips on steps, bathtub, and floors.
BATHROOM
* Use a shower chair / bench.
* Rinse all soap from tub / shower before getting out.
* Install adjustable height or hand-held showerhead.
* Mount grab bars with secure reinforcement at the toilet, bath, and shower walls.
* Secure bath mats with non-slip, double-sided rug tape.
* Install a night-light to help you get to the bathroom safely. There are also motion detector versions that automatically light up as you approach the area.
BEDROOM
* Sit in a sturdy armchair to dress and undress.
* Use a long-handled shoehorn to put on shoes without bending over.
* Use a dressing stick to pull on pants or skirts, take off socks, and reach hanging clothes.
* Place a portable commode or a plastic urinal near your bed.
KITCHEN
* Keep clean pans on the stove or in a countertop rack instead of hanging or putting them in a cabinet.
* Store plates, bowls, cups, and other frequently used items in an easily accessible drawer or shelf.
* Sit in a sturdy chair when you cut vegetables or do other kitchen tasks.
* Install slide-out shelving or a lazy susan.
* Use a wheeled cart for extra storage and to help move heavy items. For example, use it to move a dish from the refrigerator to the oven.
* Keep the floor dry. Have paper towels and a reacher handy for cleanup.
STAIRWAYS
* Make sure handrails are securely fastened.
* Install handrails on both sides of steps.
* Put non-slip tape on steps.
* Turn on lights before going up or down stairs.
* Take a pause before going up or down stairs.
LIGHTING
* Place nightlights in hallways, bedrooms, bathrooms, kitchen, and stairways.
* Install light switches at the top and bottom of stairs.
* Place a lamp near your bed. Touch on/off lamps are easier to use.
* Add lighting to dark spaces, entrances, and walkways. Motion detector lights can be a good option when they are set to stay on for a while.
* Keep a flashlight by your bed and in other easy to find locations in case the power goes out.
* Use light bulbs that have the highest wattage recommended for the fixture.
About Joyce: Joyce Clark is the Campus Director of Saint Ann Retirement Center, which offers independent and assisted living. She says watching people regain their strength, balance, and health is one of her team’s greatest rewards.
Clark encourages people to be extra careful at home getting in and out of the bathtub, where many people tend to fall. Call Lisa at Saint Ann Retirement Center, (405) 721-0747 Ext #322, if you would like more tips and helpful information.

Researchers find that a “good guy” has a darkside
The Rheumatology Research Foundation has named Oklahoma Medical Research Foundation scientist Darise Farris, Ph.D, as a recipient of its Research Foundation Innovative Research Award.
The award will provide Farris with $400,000 in funding over a two-year period to continue promising research in understanding the origins of the autoimmune disease Sjögren’s syndrome.
Sjögren’s syndrome is a painful autoimmune disease in which a person’s immune system attacks the body’s own moisture-producing glands, inhibiting the ability to produce tears or saliva. The most common symptoms include severe dry eyes and dry mouth, as well as arthritis, fatigue and others.
The disease is believed to affect as many as 3 million people in the United States and, like many autoimmune diseases, disproportionally affects women by a 9-to-1 ratio. There is no known cure and current treatments only address symptoms, not the root cause.
In her lab at OMRF, Farris is trying to identify the proteins in patients that are causing the abnormal autoimmune response in the glands that produce tears and saliva.
“We know that Sjögren’s selectively attacks these glands, but nobody understands why those glands are targeted,” said Farris. “We believe there are unidentified salivary gland antigens, which are proteins that are the target of an immune response.”
Farris is currently pursuing two related paths of Sjögren’s research.
First, her lab is attempting to identify the proteins that incite the disease. Using special tools, scientists have isolated specific receptors from immune cells called T cells from the salivary tissue of Sjögren’s patients. They have isolated the immune cell receptors that directly touch the unknown proteins, and they hope to use them to explain why salivary tissues are targeted in the disease.
If this work is successful, it could provide the knowledge needed to better identify individuals who either have Sjögren’s syndrome or are susceptible to the disease.
The second aim is to follow up on the discovery of a relationship between the degree of activation of those T cells and reduced saliva production. Farris said. “We think this might lead to an understanding of why saliva production is defective in these patients,” said Farris.
The award was a result of research published with colleagues at OMRF in the journal JCI Insight. Farris earned her Ph.D. in immunology at the University of Oklahoma Health Sciences Center and has spent 18 years at OMRF researching Sjögren’s and other autoimmune diseases.
“This award is very exciting for us because it’s going to permit us to follow up on what we believe to be a fruitful line of investigation,” said Farris.
“It will allow us a bigger budget to collect needed data in order to answer these pressing questions and work toward solutions for patients suffering from this painful disease.” The Rheumatology Research Foundation was created by the American College of Rheumatology and is based in Atlanta, Ga.
“Dr. Farris’ research uses cutting-edge molecular tools to probe the causes of Sjögren’s disease that could lead to innovative therapies,” said OMRF Vice President of Research Rodger McEver, M.D.
VA Town Hall a way to reach out
story and photo by Traci Chapman
Oklahoma Department of Veterans Affairs administrators say a lot has improved in the VA’s reboot, but there is a long way to go – for patients and employees alike.
“We are very much on a learning curve, working to make the VA experience the best we possibly can for our veterans and their families, while we make sure our employees are happy and fulfilled, because that’s the way to make sure they are dedicated to giving the best care possible to our patients,” Oklahoma City VA Medical Center Director Wade Vlosich said.
The director’s comments were made during a Sept. 21 Town Hall, attended by dozens of veterans and staff members. Aimed at addressing both patient and staff concerns, the meeting was part of an effort to help move beyond years of bad press involving long wait times for care, employee concerns about hospital leadership and more at VA centers across the country. And, while the Town Hall gave individuals a chance to air ongoing issues, it was also a sign of a change in philosophy at the center, staff said.
“We are all working to make sure we are an active part of what we’re calling the ‘New VA,’” said Darrell Long, hospital specialty clinic float nurse. “We all know there is a bad perception out there, and we’re working to change that.”
Vlosich is a big part of that change, staff said. Joining the Oklahoma City VA facility in May, Vlosich is the first “permanent” director named in more than four years. With staff having no stable leadership to look to or lean on, Vlosich said it was difficult to provide both the kind of atmosphere needed for happy and quality employees, as well as the best in patient care.
“You just can’t make it work without stable and dedicated long-term leadership,” Vlosich said. “The quality of care we do offer is a testament to our employees – but now we owe them more too.”
That staff cares for more than 61,000 veterans annually, this year that number jumping by more than 3,000 over the number of patients seen two years ago, Vlosich said. The center’s $460 million budget funds a 192-bed hospital and emergency room operations, as well as a myriad variety of specialty clinics, including extensive mental health facilities. The VA also administers community centered outpatient clinics in north Oklahoma City, Lawton, Ada, Wichita Falls, Blackwell, Ardmore, Altus, Enid and Stillwater.
Employees have worked hard to address issues with wait times in all areas of the facility, something that’s been a longtime problem, Vlosich said. But, while the director has his work cut out for him in his new position, the challenge isn’t anything new. Before coming to Oklahoma City, he served as director of Harry S. Truman Memorial Veterans’ Hospital in Columbia, Missouri, for more than two years – a facility that before his arrival had been under “significant” fire for serious patient care issues.
“It was certainly a challenge, but we made some real improvement, and I know we will do the same – and better – here,” Vlosich said.
Like the Missouri facility, Vlosich said Oklahoma City has a major asset, its employees, and they are the primary key in hastening the forward strides needed to improve service.
“We are very lucky to have people with amazing dedication and talent, people like our specialty clinic chief, Terri Sharp,” the director said. “She and her staff have elevated our nursing services and make a huge difference in the lives of their patients.”
Those efforts have made a difference, with primary care waits dropping from seven days to three days, mental health from three days to two days and specialty care decreasing from 12 days to 11 days, Vlosich said.
“Obviously, that’s an improvement, but we have lots of room for more advancement,” he said.
Another frustration has been aged facilities, including inadequate parking for both staff and patients. Crews are working on a first and second floor clinic expansion, which will add 8,000 square feet and renovate another 16,000 square feet. A major parking addition should add 300 spaces and ease a situation that causes headaches on a daily basis, Vlosich said. The clinic project is slated for completion March 2017, while the new parking spaces should be ready by May 2017.
“We are also working to improve our facilities, which are a direct patient benefit but also is positive for our staff,” Vlosich said. “That allows us to keep the excellent employees we have happy, while allowing us to appeal to quality staff because, of course, we are only as good as the quality of our nursing/medical and other staff.”
That is an area that has seen forward momentum, staff said.
“There is a lot of excitement, a lot of commitment to the VA family,” said Leann Denney, a chemotherapy nurse navigator. “We have the greatest patients, and we are so committed to them because there is that additional component that they have served, they’ve sacrificed for all of us.
“That’s always been there, but there is also a new feeling that we are more of a coordinated team, that we will be able to better work together for the good of our patients,” she said. “We are a family here, all of us – nurses and staff, patients and their families – and we’re looking for things to just get better and better.”
Budget Crisis Threatens Health and Safety of Vulnerable Oklahomans
For more than 20 years, many frail, elderly and disabled Oklahomans with limited means have relied on the ADvantage Waiver Program to receive at-home care. Without a line item in the next state budget, funding for these services may be cut, putting the lives of these Medicaid beneficiaries in jeopardy.
The ADvantage Waiver Program enables more than 23,000 Oklahomans to retain their independence and stay at home as long as possible, instead of being institutionalized. Under the program, qualified Oklahomans receive assistance that includes:
· Picking up groceries and medicine
· Assisting with bathing and grooming
· Providing housekeeping to maintain a clean, safe environment
· Giving respite care for other caregivers
“The ADvantage Program has been a vital part of my life, and I truly believe I would not have lived without it,” said Sarah Hadyn Smith of Norman. “It has given me a life worth living in a difficult time of serious illness.”
Funding cuts to the ADvantage Waiver Program could be devastating. Frail and elderly Oklahomans would be forced into institutions at greatly increased cost. More than 10,000 employees will struggle to deliver quality care and Oklahoma businesses will leave the program. In addition, these employees may have their wages cut or lose their jobs and turn to other state services.
“Many of our members do not have family to care for them and just need a little extra help to remain in their home. Under this program, providers deliver needed care at a much more affordable rate than nursing homes,” said Steve Goforth, president and founder of Tulsa-based Oxford HealthCare and legislative officer for the Home and Community Based Services Council (HCBSC).
“Preserving the ADvantage Waiver Program is the financially conservative and responsible choice. It prevents overuse of the emergency room and unnecessary institutionalization,” said Lola Edwards, president of HCBSC. “Cuts will create serious health and safety risks to the most vulnerable Oklahomans and cost the state more in the long run.”
The Council will hand-deliver over 500 member letters of support to legislators at the capitol on March 30.
HCBSC is asking the Oklahoma Legislature to sustain current funding to the ADvantage Waiver Program through a line item in the state budget.
About the Home and Community Based Services Council-
The Council is comprised of 10 provider agencies delivering services to Oklahoma’s elderly and disabled in 38 communities. The agencies represent 80 percent of all services delivered in the ADvantage Waiver Program and State Plan Personal Care Program.










