AllianceHealth outcomes change lives

by Bobby Anderson,
Staff Writer

The message sent to the Midwest City community a few months back was resounding.
More than two years of work and planning by multiple AllianceHealth Midwest departments culminated in a prestigious accolade that will benefit patients throughout the metro.
For the first time, the hospital received full Chest Pain Center with PCI (Percutaneous Coronary Intervention) Accreditation from the Society of Cardiovascular Patient Care.
“Essentially what it did was validated to our community we were serious about our cardiology program and our treatment and our evaluation of chest pain patients,” said Mark Macklin, RN, BSN, cardiology director and chest pain coordinator. “This has always been a community-based hospital and it was important for us to relay that to the community that we had committed ourselves to improving in those particular areas.”
To receive accreditation, AllianceHealth Midwest demonstrated its expertise and commitment to quality patient care by meeting or exceeding a wide set of stringent criteria and completing on-site evaluation by a SCPC review team.
AllianceHealth Midwest is the only hospital in the state of Oklahoma to receive this level of accreditation.
“This accreditation is another large step in our commitment to providing superior emergency and cardiac care to the residents of Midwest City and Eastern Oklahoma County” said Damon Brown, CEO, AllianceHealth Midwest. “This accreditation was made possible because of the dedicated work and commitment of a multi-disciplinary team that included employees, physicians and paramedics.”
Macklin has spent the last 12 of 22 years in nursing in cardiac care after an emergency medicine and trauma background.
And he’s seen cardiac care come to the forefront.
TREMENDOUS NEED
“Any community in Oklahoma, cardiovascular disease is going to be a primary focus,” Macklin said. “Particularly for the process of chest pain accreditation it was important for us because of our volume throughputs, lengths of stay and those issues that we standardized the process so patients are treated not exactly the same but at least within the same guidelines and standards … so we don’t miss small things along the way.”
Macklin stressed that the purpose of obtaining chest pain accreditation wasn’t to just put the emblem on the paperwork. The process was one the entire AllianceHealth system has committed to in order to improve its processes and insure better outcomes.
“What it tells (the community) is that along with the accreditation process is the process of ongoing performance improvement and what might be standard of care today is fluid and those standards change annually, even more often than not based on evidence-based practice and clinical research.
“We have cardiologists that embrace the recommendations that come out of the American College of Cardiology and published literature.”
Macklin likes to use the phrase “parking lot to parking lot” to describe the program.
The program simply doesn’t work if all departments don’t work together.
“It’s not just an emergency process, it’s not just a cath lab process and it’s not just an inpatient observation process,” Macklin said.
That became obvious during the entire accreditation process.
“What we identified early on in the process was we were already pretty good at the acute MI,” Macklin said. “What we identified through the process and our surveyor’s neutral eyes was that our biggest opportunity was our EMS arrivals and starting to take those EMS patients who were acutely myocardial infarcting … straight to the cath labs, shaving 20 sometimes 30-times off our perfusion times.
“That’s been our biggest improvement you can see on a daily basis. We’ve empowered EMS … that if it walks like a duck, and it quacks like a duck call it a duck and we’ll take them to the lab.”
The process is ongoing.
Macklin knows time is muscle and staff are always up against the clock.
The pride comes through the continual refinement of the process.
Representatives from every department met regularly through the accreditation process and still are called back in to maintain improvement.
“This is a group of people who aren’t afraid to call s omebody out and it’s a group that isn’t afraid to tell you what they need,” Macklin said. “This is a team sport.”
Certification lasts for two years but statistics are monitored monthly by the accreditation agency.
Ongoing employee education and community education are tenets of maintaining certifications.
And the process for recertification has already begun.
And everyone is involved.

The seventh annual Cross Family Benefit for the Oklahoma Medical Research Foundation will be held on May 7 in Kingfisher. Cowboys from across the country will saddle up to raise money for cancer research and also to honor the life of Floyd Cross.
Cross battled – and defeated – recurring bouts of colon and liver cancer for 12 years before passing away in 2016. The Cross family continues to fight the disease in his honor by raising funds to support cancer research at OMRF.
“The Cross family is a great example of how Oklahomans can do something meaningful to help combat diseases like cancer,” said OMRF Vice President of Development Penny Voss. “Grassroots efforts like this one make a big difference in giving momentum to the world-class research happening right here in Oklahoma City.” In addition to the steer wrestling competition and t-shirt sales, raffle tickets will be sold for $1 or six for $5 for a wide variety of prizes. A weekend getaway to Red River, New Mexico, will be up for auction. The event will be held at 1 p.m. at the Kingfisher Rodeo Roundup Club Arena. To enter or for more information, call Sherrie Cross at (405) 375-4872 or (405) 313-1776. The books are open from 10 a.m. until noon on May 7. Admission is free.

Oklahoma’s seniors are the perfect target for con artists. Many of them have a “nest egg,” own their own home and have excellent credit. This summer the Oklahoma Insurance Department is arming seniors with the tools they need to protect themselves from fraud.
“Scam artists exploit the very traits in our older citizens that we love so much,” Oklahoma Insurance Commissioner John D. Doak said. “Seniors were taught to be polite and trusting. But we’re teaching them techniques and giving real-life examples to help them be mindful of the risks involving insurance and many other interactions and decisions.”
A panel of experts will fan out across the state to share information and advice in seven different cities in June and July. These Senior Fraud Conferences include topics on insurance fraud, Medicare fraud, investment fraud, banking fraud and current senior scams.
Some red flags that attendees will learn about include:
· Unrequested calls from Medicare or Social Security. Fraudsters claim to be with these offices asking for financial or other personal information to get beneficiaries a new card or better benefits. These are almost always a scam.
· Pressure to act quickly. If an offer is legitimate, it will still be there tomorrow.
· Unsolicited offers for free money or fast cash. A promise of lottery winnings and guaranteed returns from an unknown inheritance are likely scams.
· If it seems too good to be true, it probably is. Scam artists have a knack for making people believe they’ll be better off if they take the deal.
Each seminar is free for seniors and includes breakfast. Insurance professionals can attend a conference for four hours of Continuing Education (CE) credit. The cost for CE credit is $30.
The conferences are partially funded by the Administration on Community Living’s Senior Medicare Patrol grant. To attend, please RSVP by registering online at map.oid.ok.gov or by calling 800-763-2828.

June 1 – Pauls Valley
Donald W. Reynolds Recreation Center
1005 N. Willow
Pauls Valley, OK 73075

June 6 – Altus
Privett Event Center
1320 North Forrest
Altus, OK 73521

June 15 – Oklahoma City
Tower Hotel
3233 N.W. Expressway
Oklahoma City, OK 73112

June 27 – Tulsa
Marriott Tulsa Hotel Southern Hills
1902 E. 71st St.
Tulsa, OK 74136
June 28 – Grove
Grand Lake Event Center
26301 S. 655 Rd.
Grove, OK 74344
(Next to Grand Lake Casino Lodge and 1.5 miles south of Grand Lake Casino on Highway 10)

July 20 – Elk City
Western Technology Center
301 Western Dr., Rooms 103 & 104
Elk City, OK 73644

July 26 – Tahlequah
Go Ye Village
1201 W. 4th St.
Tahlequah, OK 74464

Can I Inherit My Parent’s Debt?

Dear Savvy Senior,

What happens to a person’s debt after they die? My mother has taken on a lot of medical and credit card over the past few years and I’m worried that my brother and I will be responsible for it when she dies. What can you tell me?

Worried Daughter

Dear Worried,
In most cases when a person with debt dies, it’s their estate, not their kids, that is legally responsible. Here’s how it works.
When your mom dies, her estate – which consists of the stuff she owns while she’s alive (home, car, cash, etc.) – will be responsible for paying her debts. If she doesn’t have enough cash to pay her debts, you’ll have to sell her assets and pay off her creditors with the proceeds.
Whatever is left over is passed along to her heirs as dictated by the terms of her will, if she has one. If she doesn’t have a will, the intestacy laws of the state she resides in will determine how her estate will be distributed.
If, however, she dies broke, or there isn’t enough money left over to pay her “unsecured debts” – credit cards, medical bills, personal loans – then her estate is declared insolvent, and her creditors will have to eat the loss.
“Secured debts” – loans attached to an asset such as a house or a car – are a different story. If she has a mortgage or car loan when she dies, those monthly payments will need to be made by her estate or heirs, or the lender can seize the property.
There are, however, a couple of exceptions that would make you legally responsible for her debt after she passes away. One is if you are a joint holder on a credit card account that she owes on. And the other is if you co-signed a loan with her.
NOTE TO SPOUSES: These same debt inheritance rules apply to surviving spouses too, unless you live in a community property state – Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Texas, Washington or Wisconsin. In these states, any debts that one spouse acquires after the start of a marriage belongs to the other spouse too. Therefore, spouses in community property states are usually responsible for their deceased spouses debts.
Protected Assets
If your mom has any IRAs, 401(k)s, brokerage accounts, life insurance policies or employer-based pension plans, these are assets that creditors usually cannot get access to. That’s because these accounts typically have designated beneficiaries, and the money goes directly to those people without passing through the estate.
Settling Her Estate
You also need to be aware that if your mom dies with debt, and she has no assets, settling her estate should be fairly simple. Her executor will need to send out letters to her creditors explaining the situation, including a copy of her death certificate, and that will probably take care of it. But, you and your brother may still have to deal with aggressive debt collectors who try to guilt you into paying.
If your mom has some assets, but not enough to pay all her debts, her state’s probate court has a distinct list of what bills get priority. The details vary by state, but generally estate administrating fees, funeral expenses, taxes and last illness medical bills get paid first, followed by secured debts and lastly, credit card debts.
Need Help?
If you have questions regarding your situation, you should consult with a consumer law attorney or probate attorney. Or, if you just need a question or two answered, call your state’s legal hotline if available (see LegalHotlines.org), or legal services provider.

Dear Savvy Senior,

What types of products can you recommend to help people with hearing problems? My 65-year-old husband has some hearing issues, but doesn’t think he needs a hearing aid, so I’m looking for some alternative devices that can help.

Loud Talker

Dear Loud,
If your husband feels he’s not ready for a hearing aid but needs some hearing help, there are dozens of “assistive listening devices” on the market today that can make a big difference.
Assistive listening devices are over-the-counter electronic products (they are not FDA approved hearing aid devices) that can amplify and improve sound to help your husband in different listening situations. It’s also important to know that these products are best suited for people with mild to moderate hearing impairment, and they usually aren’t covered by insurance or Medicare.
Here’s a breakdown of some of the different devices that can help.
Personal amplifiers: For better hearing, especially in noisy environments, there are personal sound amplification products that can be worn in the ear like a hearing aid, and are designed to amplify sound while reducing background noise. Two top rated products to consider that were recently recommended by Consumer Reports are the SoundWorld Solutions CS50+ and the Etymotic Bean.
The CS50+, which costs $350, looks like a Bluetooth cell phone headset, and has customizable settings that can be programed with a smartphone. The Etymotic Bean, which costs $399 a pair or $214 for one, is ready to use right out of the box and is best suited for those with high-frequency hearing loss.
If these are too pricy, there are also a number of small hand-held or body-worn amplifiers – like the Williams Sound Pocketalker ($139) and Bellman & Symfon Mino Personal Amplifier ($188) – that have a microphone and headphones or earbuds that are very effective too.
TV amplifiers: To hear the television better, there are TV listening devices that will let your husband increase the volume and adjust the tone to meet his needs, without blasting you out of the room.
Some of the best options include wireless infrared, radio frequency or Bluetooth devices that come with standard or stethoscope headphones. Sennheiser makes a variety of quality products with prices running between $130 and $450. Or, for a more affordable solution, consider the Serene Innovations TV Sound Box for $120. This is a wireless amplified TV speaker that would sit near your husband, and provide clear stereo sound from the TV without the need for headsets.
Amplified telephones: To have clearer phone conversations, there are a wide variety of amplified telephones that offer enhanced volume and tone adjustments, and they usually come with extra loud ringers and flashing ring indicators to alert him when a call is coming in.
Some top makers of these products are Clarity, ClearSounds and Serene Innovations, and a top seller today is the Clarity XLC2+ Amplified Phone ($144), which is a cordless phone that provides three tone settings and 50 decibels of amplification.
Alerting devices: There are also a variety of alerting devices that can help people who have trouble hearing the doorbell, phone, alarm clock, smoke detector or even weather radio. These products use flashing lights, multi-tone ringers or vibrating devices as a means to alert you.
Some popular products in this category include: The Bellman & Symfon Care Home Alerting Solution that provides door and phone notification with a flashing alert ($198); the Silent Call Weather Alert Radio with strobe and bed shaker ($165); and the all-in-one Serene Innovations CentralAlert CA-360 Clock/Receiver Notification System, which provides alarm clock, doorbell, phone, motion and storm warning alerts ($180).
To locate these and any other hearing loss products visit Harris Communications (HarrisComm.com, or call 866-476-9579), which offers more than 2,000 assistive devices and provides customer support services to assist you.
Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book.

By John D. Doak, Oklahoma Insurance Commissioner

Retirement can be a new beginning for us, but planning for your golden years can be daunting. This week is National Retirement Planning Week© (NRPW). The goal of NRPW is to promote the importance of comprehensive retirement planning.
While retirement planning was once thought of as an issue for older people, the truth is that you must start preparing for a secure future as soon as you enter the work force.
Check out this retirement checklist to help you plan for a comfortable and secure retirement.
Review Your Finances
If your workplace offers a 401(k), 403(b), ESOP, profit sharing plan, IRA or Roth IRA, you should take advantage of their plan. Many employers will match contributions up to a certain amount. The sooner you start saving, the more money you’ll have for retirement. Consider at least contributing the amount needed to obtain the employer match.
Review your finances to see how financially prepared you are for retirement. Track down and value your assets including cash, investments and anything else you can exchange for cash such as your house, savings bonds and even fine jewelry. Find the retirement accounts you have put money into throughout your career. You might want to think about consolidating some accounts so your money is easier to manage. If you decide to consolidate retirement accounts, seek advice on how to implement a rollover to avoid immediate taxation of your funds.
Assess Your Life Situation
Life insurance, like retirement, is something to consider at the beginning of your working years. Life insurance policies can provide benefits throughout life including whole life policies that build cash value. Whole life policies also allow you to take a loan, or borrow from them, but doing so does reduce the amount your beneficiaries will receive if you haven’t repaid the loan. Please note: you will pay interest on the amount you borrow. Do your research carefully to determine if such a policy is right for you at your current life stage.
Also, review your specific needs for health insurance and long-term care insurance. Your need for various coverages will change throughout your life. Insurance can help provide financial security in your retirement years if a catastrophe happens.
Annuities
An annuity is a contract or policy between you, the policyholder, and an insurance company. An annuity pays a periodic (monthly, quarterly, semiannual or annual) income benefit for the life of a person (known as the annuitant). Annuities can also be purchased for a specified time period. Annuities can play an integral role in a financially secure retirement. There are four main types of annuities:
*Variable annuities with guaranteed lifetime withdrawal benefits: Long-term, tax-deferred insurance products that contain investment and insurance components with optional guaranteed withdrawal benefits.
*Fixed and fixed-indexed annuities: Long-term, tax-deferred insurance vehicles which offer a guaranteed minimum interest rate.
*Single premium immediate annuities products: Provide a guaranteed income for life or a specified period in exchange for a one-time lump sum payment.
*Deferred income annuities: Provide for guaranteed income but don’t begin until a specified age, such as 80 or 85.
Please note that annuities are not for everyone. Research your options thoroughly before purchasing one. Also, consider the costs associated with the annuity, such as the broker commissions.
Grow Your Nest Egg
Having a clear financial plan is important. A rule of thumb: 80 percent of your current annual income is a good amount to save up for retirement. Consider if you’ll receive a pension and Social Security and subtract that amount from your annual income. Use that number to calculate a financial plan running out to age 100 for how much you’ll need every year based on the year you retire.
Learn about investing and consider paying a certified financial planner for help. You might be keeping your money in accounts that have low rates of return and could earn more simply by moving the money.
A professional can help you invest your money for the best rate of return.
It is possible to retire on your own terms if comprehensive retirement plans are properly developed and managed. Visit www.RetireOnYourTerms.org for retirement resources such as a retirement calculator, basics on investing and information on how to find the right financial advisor.
For insurance information, contact the Oklahoma Insurance Department at 1-800-522-0071 or visit our website at www.oid.ok.gov.

Outpouring of Care and Support Brings Endangered Porpoise Closer to Safe Waters

When just 30 animals of a specific species are left in the world, the zoo and aquarium communities accredited through the Association of Zoos and Aquariums (AZA) are compelled to act. The Oklahoma City Zoo and Botanical Garden has partnered with over 100 other AZA-accredited institutions to help save the vaquita (Vah-KEE-tah) porpoise from extinction. Vaquitas, or “little cows” in Spanish, are the smallest and most endangered cetacean in the world.
To date, AZA organizations have contributed over $1 million toward the emergency rescue of the Vaquita. AZA and its members are joining the Mexican government, which today announced that it is pledging up to $3 million to support the VaquitaCPR emergency rescue plan. VaquitaCPR (Conservation, Protection and Recovery) is an emergency action plan led by the Mexican government, with the input of an expert group of conservation scientists and marine mammal veterinarians. The Zoo has pledged $5,000 from its Round Up for Conservation emergency intervention funds, collected from Zoo guests who volunteer to “round up” to the next dollar amount on purchases made at the Zoo.
“Without these combined rescue efforts, the vaquita will soon be extinct,” said Dr. Rebecca Snyder, Zoo curator of conservation and science. “We are fortunate to have these funds from our home-base conservation fundraising effort for emergencies such as the VaquitaCPR emergency rescue plan.”
Vaquita can easily become entangled and subsequently drown in gill nets used to illegally catch other species, including the endangered totoaba fish, found off the coasts of the northwestern corner of the Gulf of California, Mexico. The fish’s swim bladder is used in traditional Chinese medicine. In addition to securing funds, AZA is teaming up with other conservation organizations to capture the remaining vaquita and place them in sea pens to try to establish a protected assurance colony.
The Zoo is a founding member of the AZA’s Saving Animals From Extinction (SAFE) program and the vaquita is one of the 10 signature SAFE species. AZA institutions have played a key role in bringing back other species from the verge of extinction by establishing protective housing and breeding programs, such as for the California condor, Arabian oryx, golden lion tamarin and American bison. This expertise provided by AZA members is very valuable to the Vaquita Rescue Effort. The Zoo has other SAFE species in its animal collection, including the Asian elephant, gorilla, cheetah and shark.
Donations to the VaquitaCPR emergency rescue plan can be made through the Zoo by calling the ZOOfriends’ office at (405) 425-0611 or can be made online at www.VaquitaCPR.org.. A complete list of the AZA-accredited facilities that have contributed to the AZA SAFE Vaquita Rescue Plan can be found online at https://www.aza.org/donors-to-the-aza-safe-vaquita-rescue-project. To review the AZA SAFE Vaquita Conservation Action Plan, visit https://www.aza.org/safe-vaquita-conservation-projects.
Show your support for all the little and large animals of the world. Round Up for Conservation with every purchase at the Zoo!

My work is important to me because I can still do it. And I love all kinds of sports. Glenn Boyer

Music and art. My family was full of musicians. Liliana Schechter

Believe it or not it’s the sunrise I get to watch every morning. Gwyn Walters

The fact I have a washer and dryer in my apartment. I’m easy to please. Sandy Dolan

If you’re heading north out of Tulsa and don’t know what to look for, you could pass right by R & G Family Farm and never know it. However, nestled back in the woods off of State Highway 11 you can often find Katie Plohocky gardening, feeding the livestock and organizing her latest proposal to bring agriculture and food to the communities around her.
Born on a 400 acre centennial farm in Croswell, Michigan, Katie Plohocky has been playing in the dirt since she could crawl. Upon graduating high school Katie headed for the business world. She earned a bachelor’s degree in business leadership from Baker College as well as a master’s and MBA from University of Phoenix. Already a well-seasoned commercial real estate agent, in 2000 she moved to Oklahoma to continue her career. It wasn’t until she got involved with the Indian Healthcare Resource Center’s ‘Food for Life’ in 2008 that she realized the food scarcity that many Oklahomans face.
“We are in a food desert,” she said. “People in this area have to travel several miles to access food. We grow more than enough food in the state, but access and distribution of that food is a different story. Seventeen percent of households in this area do not have transportation, so food access is a problem. We help with community gardens, help people grow in their backyards and assist mobile farmers markets.”
In addition to her selfless attitude, Plohocky’s entrepreneurial spirit and work ethic set her apart. The projects and service organizations she has developed did not come with an instruction manual, nor were they a guaranteed success. One thing that is guaranteed, however, is that when Katie recognizes a need with Oklahoma food and agriculture she takes action. Take for example her mobile grocery store.
Founded in 2010, R & G Family Farm’s mobile grocery store was just the first of many different ways Plohocky is striving to increase access to food and having a lasting impact on agriculture in Oklahoma. The mobile grocery store served over 10,000 people in only its second year of operation.
“We started a mobile grocery store to serve food deserts about four years ago,” she said. “We converted a nine-horse trailer into a grocery store that we can transport to different neighborhoods each day. We have 16 acres that consist of chickens, goats, aquaponics, fruit trees and vegetables that we stock the store with. We also have partner farms that grow produce for us as well as let us utilize the food they do not sell. Our customer base continues to expand significantly each year.”
With a portfolio which shows over 100 percent growth in food sales each year, her selfless attitude and entrepreneurial mindset is working well to benefit others. It is easy to see how her volunteer base is growing with individuals that want to give back.
In 2015 R&G Family Farm started ‘Hands to Harvest”, which redirects unsold produce to those who need it most. With this program, Plohocky takes volunteers to partner farms, grocery stores and restaurants to harvest unwanted food and leftover food waste. This food is either distributed through R&G Family Grocers’ mobile store, Food on the Move, Food Bank of Eastern Oklahoma, or taken back to their commercial kitchen for preservation. Between her farm, gardens, mobile grocery store and volunteering it can be hard to see how Plohocky has any free time to do anything else. However, Plohocky understands the importance of educating people across Oklahoma on our food needs at both the local and regulatory level.
Don’t be surprised if you see Plohocky out of her work clothes on the steps of the state capitol building. She has become a resounding voice for Oklahoma food security and has traveled to the state capitol several times to discuss policy related to food growth and distribution. Each year she coordinates the Oklahoma Food Security Summit which brings together national, state, tribal, and local food policy experts and community members to discuss food insecurity and develop solutions to take action. On the local level, she began the “Cooking for Health” program which teaches people how to grow and prepare fresh, healthy food all the while reducing food waste.
“We currently work with Tulsa Food Security Council, Lacy Park Community Center, Tulsa City-County Health Department, OSU Health Sciences, Tulsa Public Schools, Tulsa Community College, and many others to provide community classes around healthy food,” she said.
Listening to Plohocky describe all of the different facets of food and agriculture with which she’s involved can be challenging to keep up with. However, she claims it’s all more than worth it at the end of every day.
“By doing what we do, we hope to change lives for the better. Healthy diets can only be possible through diverse farming systems that ensure everyone has adequate access to local foods. Any day we get to do that is a day well spent,” Plohocky said.