story and photo by Traci Chapman

Outreach Health Services might be new to the Oklahoma City metropolitan area, but it’s a company that brings with it more than four decades of caregiving for seniors and individuals with disabilities.
“As the company has this depth of experience, so do we,” said Karen Mangan, Outreach Health RN director of patient care. “We have bonded over our shared outlook of patient care and service.”
Mangan forged that bond with Outreach Administrator Ginger Meyers, a home health administrators of more than 30 years’ experience, the last 20 in Oklahoma City, she said.
“I’ve just always been in the business of caregiving,” Meyers said.
Mangan has been in nursing for about 40 years – 10 as an LPN, 30 as RN, working in virtually every aspect of healthcare.
“I was at my doctor’s office and they offered me a job as a file clerk, and it just went from there,” she said. “It’s always just been my calling, what I knew I was meant to do.”
Their backgrounds were a natural fit, then, for Outreach Health, Meyers said. Founded in 1975 in Texas by William Ball, Outreach was one of the first home health agencies in that state, according to company literature. Today, more than 8,000 employees across Texas – and now in Oklahoma City – provide home care, self-directed and personal emergency response services, assistance to women, infants and children, pediatric and behavioral health services.
“We have some really significant differences to other companies in this field – not only our long-range track record, but the fact we are both family owned and operated and our philosophy is faith-based,” Meyers said. “That’s something that really called to me, and it’s illustrated in everything we do.”
That includes not only patients, but employees, Mangan and Meyers said. Outreach makes how staff see themselves as a part of the firm’s crucial mission a priority, helping them to reach new professional levels while empowering patients and their families, Meyers said.
“It truly is a positive, supportive environment,” she said. “We support each other while we support those we work to help every day.”
“That kind of environment is positive for everyone,” Mangan said. “When you have the right people, dedicated employees who really live for this kind of service, you want to make sure they’re happy.
“That, then, makes the care they give even more significant – not just technically superior, but with a kind of care that comes from the heart, as well as through skills,” she said.
Outreach Health works hard to ensure just that, Meyers said. In addition to standard benefits like health insurance, the company offers emergency assistance funds, scholarship and loan programs, as well as counseling and outreach programs that include a library for employee growth, chaplains and Bible studies. That type of care extends to Outreach’s patients, Mangan said. Beyond physical care and assistance, caregivers provide friendship and companionship, a sense of safety and a symbol of faith. Chaplains are also available to those clients who need or ask for their services, while caregivers fulfill duties ranging from bathing and hygiene, mobility assistance, home safety assessments, shopping, housekeeping and meal preparation, transportation and escort to community events and other activities, medication and doctor’s appointment reminders and more, she said.
“Of course, there are so many other things we offer, including RN visits and assessments, pre- and post-operative care assistance, hospital sitting and much more,” Mangan said.
Many of those Outreach Health seeks to serve are older individuals, although some might be dealing with disabilities at a younger age, chronic conditions and the like, Meyers said.
“Normally we’re looking at geriatric, multiple diagnosis patients unable to care for themselves,” she said.
Beginning July 1, Outreach will begin its ADvantage Waiver contract, a program designed for “frail elderly and adults with physical disabilities age 21 and over who do not have intellectual disabilities or a cognitive impairment,” according to Oklahoma Health Care Authority.
Services available under ADvantage Waiver include: * Case management * Adult day health, including personal care * Skilled nursing in a home health setting; * Physical and respiratory therapy * Hospice * Speech/language therapy * Specialized medical equipment/supplies and environmental modifications * Respite and Restorative home delivered meals.
As Meyers and Mangan count down to the July 1 ADvantage kick-off, their first focus is to continue their efforts to build up their staff, individuals who will bring the care and commitment that has been a way of life for each of them.
“We’re very strong advocates for people having their own choice, and we like being a part of making that possible,” Meyers said. “Having the right staff is how we do that.”
For more information about Outreach Health, go online to its website at www.outreachhealth.com or contact Mangan or Meyers via email at info@outreachhealth.com or by phone at 405-256-2998.

By Angela Brice-Smith, MPA, RN – Regional Administrator, Centers for Medicare and Medicaid Services, Region VI (AK, LA, NM, TX, OK)

Medicare is taking steps to remove Social Security numbers from Medicare cards. Through this initiative the Centers for Medicare & Medicaid Services (CMS) will prevent fraud, fight identity theft and protect essential program funding and the private healthcare and financial information of our Medicare beneficiaries.
CMS will issue new Medicare cards with a new unique, randomly-assigned number called a Medicare Beneficiary Identifier (MBI) to replace the existing Social Security-based Health Insurance Claim Number (HICN) both on the cards and in various CMS systems we use now. We’ll start mailing new cards to people with Medicare benefits in April 2018. All Medicare cards will be replaced by April 2019.
CMS is committed to helping providers by giving them the tools they need. We want to make this process as easy as possible for you, your patients, and your staff. Based on feedback from healthcare providers, practice managers and other stakeholders, CMS is developing capabilities where doctors and other healthcare providers will be able to look up the new MBI through a secure tool at the point of service. To make this change easier for you and your business operations, there is a 21-month transition period where all healthcare providers will be able to use either the MBI or the HICN for billing purposes.
Even though, your systems will need the capability to accept the new MBI format by April 2018, you can continue to bill and file healthcare claims using a patient’s HICN during the transition period. We encourage you to work with your billing vendor to make sure that your system will be updated to reflect these changes as well.
Beginning in April 2018, Medicare patients will come to your office with new cards in hand. We’re committed to giving you information you need to help your office get ready for new Medicare cards and MBIs.
Here are 5 steps you can take today to help your office or healthcare facility get ready:
1. Go to our provider website and sign-up for the weekly MLN Connects® newsletter.
2. Attend our quarterly calls to get more information. We’ll let you know when calls are scheduled in the MLN Connects newsletter.
3. Verify all of your Medicare patients’ addresses. If the addresses you have on file are different than the Medicare address you get on electronic eligibility transactions, ask your patients to contact Social Security and update their Medicare records.
4. Work with us to help your Medicare patients adjust to their new Medicare card. When available later this fall, you can display helpful information about the new Medicare cards. Hang posters about the change in your offices to help us spread the word.
5. Test your system changes and work with your billing office staff to be sure your office is ready to use the new MBI format.
We’ll keep working closely with you to answer your questions and hear your concerns. To learn more, visit: cms.gov/Medicare/SSNRI/Providers/Providers.html

Blue Cross Blue Shield of Oklahoma has submitted a Qualified Health Plan application, along with rates, for certification in the federally-facilitated exchange for 2018. This is an initial indication that, for the second straight year, only one insurer in Oklahoma will offer exchange products in the individual market.
“There is an incredible amount of uncertainty in the market right now,” said Oklahoma Insurance Commissioner John D. Doak. “Insurers participating in Obamacare have experienced major losses. While we expect a full repeal of this disastrous experiment, insurers have to go by the regulations in place right now. That’s why we’ve seen so many insurers dropping out of exchanges across the country or resorting to double digit premium increases.”
The Oklahoma Insurance Department does not have statutory authority to approve or deny rate increases filed by insurers on the federal exchange. Oklahoma, along with Texas and Wyoming, is a direct enforcement state with no authority to enforce provisions of the Affordable Care Act.
The Centers for Medicare and Medicaid Services (CMS) intends to post information on proposed rate filings for consumers to review on https://ratereview.healthcare.gov on Aug. 1, 2017. In compliance with state statutes, OID cannot release or comment on the rates until that time. CMS officials will review the proposed rate changes, determine if they are justified and post final rate information on Nov. 1, 2017 in time for open enrollment.
According to the American Academy of Actuaries, individual market stability, including insurer decisions on participation for 2018, hinges on:
* Continued funding of cost-sharing reduction (CSR) reimbursements.
* Enforcement of the individual responsibility penalty.
* Risk mitigation mechanisms aimed at lowering premiums, increasing enrollment and improving the risk pool.
* Avoiding legislative or regulatory actions that could increase uncertainty or threaten stability.
State Question 756, passed in 2010, amended the Oklahoma Constitution to prohibit laws which compel individuals, employers and providers to participate in health care systems. Because of that legislative change, insurers offering products on the Oklahoma exchange are required to submit rate filing justifications to CMS for evaluation and approval.
History of Oklahoma Exchange Carrier Participation
2017 – Blue Cross Blue Shield
2016 – Blue Cross Blue Shield, United Healthcare
2015 – Blue Cross Blue Shield, Community Care, Global Health, Assurant
2014 – Blue Cross Blue Shield, Community Care, Global Health, Aetna, Coventry

In order to enhance the patient experience and better serve the surrounding community, St. Anthony Healthplex East is pleased to announce the opening of St. Anthony Pharmacy East.
The pharmacy is located on the first floor of St. Anthony Healthplex East, and is opened from 8 a.m. to 5:30 p.m., Monday – Friday. The pharmacy will accept most insurance prescription plans including Express Scripts, Tricare, CVS Caremark, Humana, BlueCross and many others.
The benefits of the pharmacy include convenience for ER patients and patients of St. Anthony Physicians Group, St. Anthony Healthplex East, as well as professional patient counselling services.
St. Anthony Healthplex East is pleased to offer these expanded services to patients and the community, in an effort to make health care more accessible and convenient.
St. Anthony Healthplex East is located at 3400 S. Douglas Blvd., in Oklahoma City. To contact the pharmacy please call 405-772-4034.

by Bobby Anderson, Staff Writer

It’s Friday morning heading into Memorial Weekend and Tim Ingram has been up since 4 a.m.
The general manager of Yukon’s Smith & Turner Mortuary rose early to make sure the finishing touches were in place for that day’s service.
Later in the day, Ingram and his staff would open their doors to the family and friends of a beloved husband, father and grandfather.
Celebrating the life of a career truck driver with more than two million miles was on everyone’s minds.
Pictures, clothing, memorabilia, a love of John Deere tractors, farming and cans of A&W root beer were all pieces that seamlessly would weave this individual’s story together.
There would be tears for sure, but Ingram wanted to make sure there would be smiles and even some laughter inside.
“We’re taking the funeral industry into a whole new area that most people haven’t seen,” Ingram said. “It’s a whole new way. You don’t have to be mournful through the entire service. A lot of these people have struggled for months or years and so now it’s time to take a deep breath and celebrate their life.”
A SERVANT’S HEART
While many Oklahomans would spend the holiday weekend at the lake, Ingram would be visiting local cemeteries making sure Smith & Turner grave sites were properly adorned for visiting families and friends.
It’s not just a business it’s a calling for Ingram and his family.
Ingram has also been a registered nurse for the past 18 years. Working in the ICU and then hospice, Ingram remembers feeling devastated.
“I was handing families over to funeral homes that weren’t even doing their own work. The funeral home wouldn’t even come to pick them up, they were sending some service out to meet with these families,” Ingram said. “I had just spent all this time with these families and (funeral homes) weren’t even caring.”
The sound of his patient’s name being mispronounced or wrong information given during a service grated on him.
“My wife and I prayed about it and decided this was a mission field that needed to be filled,” said Ingram, who earned a degree in Mortuary Science. “This is a ministry for us. We look at it as a way to get people through the grieving process. We not only help our families but we’re here for the community.”
Ingram serves on the board of Compassionate Hands, which serves Yukon as a clearinghouse, networking service, and referral agency to provide services, support and to foster hope for self-sufficiency.
“It’s pouring back into the community,” Ingram said.
CELEBRATING LIFE
Taking care of people through nursing and funeral services just seemed to go hand-in-hand.
“It’s the same,” Ingram said of the two fields. “I feel it’s just like taking care of a patient but you’re taking care of the family. You think of the nursing process as assessing, diagnosing and treating. You’re always looking at what’s going on with that body. The same thing happens here as soon as you meet that family. You’re assessing the situation, family dynamics, who’s getting along and who isn’t, what did they like and what do you see around you.”
Smith & Turner Mortuary dates back to 1925, serving four generations of Oklahomans in that time.
It’s a business that has to be ready 365 days a year and has to be flexible enough to serve families on their terms.
“A lot of our families don’t go to church anymore and so the tradition of the ladies at the church preparing a meal has kind of gone by the wayside,” Ingram said. “We have a gathering room that accommodates large families.”
From cookies, punch and tea and coffee to catered meals, Ingram makes sure families can choose.
“We want to serve all families,” Ingram said. “Families that don’t want (a traditional service) you shouldn’t put them in that mold. If they want to go out to the farm and have something at the pond we go to the pond.”
“If they want to go to the bowling alley and grandpa liked to bowl and was on a league let’s get out of the building and go to the bowling alley and let’s bowl.”
“Whatever it takes for that family to get through the grieving process is what we want to do.”
Walk through the halls at Smith & Turner and you’ll notice the attention to detail Ingram and his staff have maintained.
Smith & Turner Funeral Director Andy Shoaf has helped guide families through the process for 44 years.
Large rooms open to smaller sitting areas for one or two people to take a moment to themselves and work through the process.
Fresh-baked cookies great guests.
It’s a place for families.
“We want spaces where families don’t feel on top of each other and where they can come in here and socialize,” Ingram said.

story and photos by Bobby Anderson, Staff Writer

With more than a decade in law enforcement, Oklahoma County Sheriff’s Deputy Kim Lopez knows criminals have nothing but time to figure out new ways to prey on society.
Nationwide, and in the Heartland in particular, seniors are quickly becoming a favorite target.
That’s why Lopez is passionate about taking the message of awareness to seniors across the metro through the TRIAD Program.
TRIAD is a collaborative effort between the sheriff’s office, local police departments and senior citizens working together to reduce and prevent crimes against seniors.
The Oklahoma County TRIAD program began in 1997 and has developed into the strongest program in the state and one of the best in the country.
S.A.L.T. (Seniors and Law Enforcement Together) Council is the group which carries out the TRIAD activities and Lopez says there are currently 19 councils.
Vickie Hogan was one of the first members of the Valley Brook S.A.L.T. Council.
A former town trustee, she remembers when Southeast 59th St. was still a dirt road and when someone came to her grandmother’s home offering to seal her tin roof garage.
“There’s a lot of fraud with seniors,” Hogan said, unfolding the story of why she got involved.
“All they did was spray paint (the roof) and when the two of them went in to get their money they took whatever money she had left. I had to take all of her jewelry off because she was always walking around talking and shaking hands with everybody because she was so friendly.
“Seniors are so friendly and the older you get the more trusting you are of other people.”
Lopez says the goal is to educate seniors on crimes directed at their age group and how to prevent becoming a victim.
The program offers educational seminars on frauds, scams and personal safety issues.
“It’s given us a lot of information on how to avoid (fraud),” Hogan said.
Through the program, Hogan says she’s learning to be more vigilant when she’s out.
And it’s a constant process since criminals move from scam to scam.
Lopez said the goal is to arm seniors with information on new scams as they arise.
A current scam is people calling homeowners to verify that they’ve filed their homestead exemption. The caller requests a copy of your driver’s license to verify that you are indeed receiving the tax credit.
Seniors have also reported individuals calling and posing as law enforcement and notifying them they are involved in a civil suit and did not show.
Callers threaten them with jail that can be avoided in lieu of a prepaid debit card or cash payment.
“The thing you learn in S.A.L.T. is 99 percent of those you’re not going to fall prey to if you don’t answer your phone,” Lopez says. “We preach that and we teach that. Let it go to voicemail.”
Lopez stresses to seniors that current technology allows callers to manipulate the number and description of the call that appears on caller ID.
“They can make it look like it’s coming from the IRS, the Pentagon or the police department when they’re asking for funds to fingerprint children,” Lopez said. “Don’t answer your phone unless you know exactly who it is.”
“The other one is don’t call numbers back. A lot of these incoming messages are left as a coercion to have you call back.”
Listening to how criminals can “wash” checks and reuse them or steal PIN numbers through special heat-sensitive cameras on their cell phones was an eye-opener for Hogan.
“I was shocked. I had no idea,” she said.
Lopez says resources are available for seniors through the various S.A.L.T councils.
A few of these include:
* The Refrigerator Information Card Program gives emergency responders immediate information to help serve you better in case of an emergency. Cards are available at no charge upon request.
* Oklahoma Seniors Against Fraud – An innovative educational campaign to inform seniors and other consumers on how to detect telemarketing fraud. Contact Southwestern Bell Pioneers 1-800-585-7448.
* Smart Alert Light Program – Light bulb flashes to help emergency responders find your home when seconds count. No special equipment or electrician needed. Available at the Light Bulb Store for $5.00 located at 3940 NW 10th St, Oklahoma City.
* Remembering When-Fall and Fire Prevention Program for the elderly.
* Bridges Program-Bridging the gap between the generations. Brings youth and senior citizens together bridging the gap of understanding.
“People that aren’t coming to S.A.L.T. aren’t getting this information,” Lopez said. “So much of this can be prevented.”
For more information you can contact Lopez at 405-713-1950 or by email at kim.lopez@oklahomacounty.org.

by Bobby Anderson
Staff Writer

Five years ago, a developer invited Roland J. Chupik’s Neighborhood Housing Services Oklahoma group to help rehabilitate Wesley Retirement Village located at NW 12 and Harvey.
The 85-unit apartment complex was formerly Wesley Hospital, which later became Presbyterian Hospital from 1911 to 1964.
“The marketing study that went along with that showed the need for senior independent living is just incredible,” said Chupik, the general manager of NHS Oklahoma. “There’s no way we’re meeting that need.”
In an effort to do just that the group turned its attention to the heart of the city, in particular along Classen Drive just north of St. Anthony Hospital.
The result is an astounding 48-unit complex that wows before you even make it through the door.
The Commons, located in a residential area in downtown Oklahoma City, already looks like a fixture between the booming Midtown District to the south and the coveted Mesta Park neighborhood to the north.
The newly-constructed, energy-efficient complex is designed for those 62 and older.
One-bedroom, two-bedroom and efficiency offerings come fully equipped with washer and dryer, microwave, stove/oven, garbage disposal, refrigerator and dishwasher.
“It’s amenity-rich in terms of providing what residents need,” Chupik said.
Over-delivering was the hallmark of the project.
“It was extremely important because we encounter that all the time – ‘not in my backyard,’” Chupik said of the affordable-living concept. “We wanted to show not only the neighborhood but the city and whoever was interested that affordable housing particularly for seniors doesn’t have to be what people think that might be.
“I think we nailed it on the head.”
The Commons gives residents quick access to several shopping locations.
Family and friends are welcome to enjoy the splash pad, tot lot and patio grills for an afternoon or evening.
Property staff attends to those day-to-day tasks that residents no longer have to concern themselves with such as lawn care and maintenance.
A fitness facility, computer lab and library are all located within the building.
“It goes back to our mission,” Chupik said.
The Commons is actually the group’s former headquarters.
“It’s just exceeded our expectations,” Chupik said. “When you talk to the residents they’ll tell you it’s the best place they’ve ever lived.”
A lot of time and effort – along with meetings with local neighborhood organizations – went into making sure the building and its footprint would fit seamlessly into the area.
Resident Manager Shannon Hitchcock said the interest in the property has been strong.
“(The waiting list) is going to be fairly long but right now I still have openings,” Hitchcock said. “I anticipate there will be a two or three-year waiting list.”
To help residents on a budget, the property was constructed with energy efficiency in mind. Foam insulation inside walls helps prevent energy loss while higher R-value windows help block excess heat from entering.
HISTORY OF HELPING
In the late 1970s, the country was facing a decline in the economy. The oil embargo hit Oklahoma particularly hard and neighborhoods began to turn into ghost towns as people fled homes they could no longer afford. The abandoned houses began to deteriorate and crime began to rise as a result.
A group of dedicated Oklahoma City residents fought to combat this by banding together and forming “Residents for Capitol Hill Improvement.” This organization petitioned the city to provide funding to help provide quality-housing options, which would help alleviate the decline.
Eventually this grassroots organization merged with NeighborWorks America, an organization dealing with the critical need for affordable housing across the country.
Over time, the grassroots organization evolved into Neighborhood Housing Services Oklahoma.
In 2016, the group celebrated its 35th anniversary and continues its dedication of helping create affordable, quality housing options and to help families create wealth.
Potential Commons residents must be 62 or older and meet income guidelines. The application process can usually be completed in less than a week.
Hitchcock said the majority of residents are active adults who are downsizing or coming from a less energy-efficient property.
“It’s important this process continues,” Chupik said. “This is the beginning but I don’t think we’ll end our mission for affordable housing. If it’s possible to build even better we’ll do that but I’m not so sure it’s possible.”