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

by Bobby Anderson,
Staff Writer

Food drives, donations and bake sales run rampant in hospitals when it comes to raising money for community service projects.
But a group of nurses at Integris Canadian Valley Hospital took something near and dear to their hearts and their community to make a difference recently.
“The Council of Nurse Excellence is a committee made up of all of the nurse of the year winners each year and during National Nurse’s Week we always do a community project that week,” said Kaci Brosh, RN and one of the organizers. “We are all animal lovers and this was something we thought would be fun and a little different.”
So the group decided to raise awareness and supplies to help combat the growing population of dogs and cats in the community.
Christine McMurray, RN, explained the mission of the Council of Nurse Excellence is to improve the health of the people and the community the hospital serves.
During Nurse’s Week, a pet donation drive collecting puppy pads, food, toys, bowls, collars and other items was also held at ICVH with staff bringing items each day.
At the end of the drive, local rescue agencies were invited to come and select items that they needed.
“They were so appreciative,” said McMurray, who has a rescue puppy of her own at home courtesy of fellow coordinator Megan Gorham, RN.
The event also culminated with an adoption event on a Saturday where people could come and add a member to their family.
Megan walked away from the event with a little something special.
“I’m a crazy animal person,” said Gorham, who adopted a Chiweenie mix named she named Koda.
Gorham swore she had no idea she would be coming home with a new baby.
“Oh, we did,” McMurray laughed. “I think she had to pretend she was in denial because of her husband.”
Gorham and her husband already have two large dogs and Koda, which means little bear, spoke to both their hearts.
The week went so well the group has plans for the future.
“We’re hoping to make this an annual event and get bigger. We learned about more agencies for the future to make it better,” McMurray said.
The group found out that national pet adoption week immediately precedes National Nurses Week.
A new cat rescue called Nine Lives was able to accept donations of cat supplies.
“We’re a pathway to excellence hospital so part of our designation is really focused on what the nurses do and their input,” McMurray said. “We don’t just do things here. We like to get out and volunteer and help the community.”
The nurses agreed that the fundraiser spoke both to their hearts and to the community they serve.
“I heard someone say nursing is the most trustworthy profession,” McMurray said. “When you’re sick, depressed or whatever you turn to your nurse and you turn to your pets.”
Bosh said people just showed up to help or donate during the process including Big D’s Barbeque in El Reno and Kona Ice.
Volunteers showed up from the hospital along with their family members.
“It was very laid back,” Bosh said. “It was a fun day. The weather was beautiful. It was just perfect.”
“I think the great part about our hospital is it felt just like you were at a picnic with your family,” Gorham said.
When she’s not adopting animals Gorham is a house supervisor at ICVH. Bosh is a lead nurse in the Women’s Center in labor and delivery.
Formerly a house supervisor, McMurray is transitioning to ICU and Telemetry clinical nurse manager.
Brosh, who has a 10-year-old Chihuahua at home, said it’s not a rare sight to see service dogs brought to the hospital for therapeutic support on a regular basis.
Gorham said the council promotes continuous improvement throughout the hospital.
“It’s to let nurses have a voice in the way things happen and the things that are changing based on what we hear from our patients and co-workers,” Gorham said. “It’s to allow nurses be heard.”
And it’s a great way to bring home new family members.

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

The Fountains at Canterbury, in northwest Oklahoma City, is known for its thriving campus of residents keeping busy with new, exciting activities and programs.
While brainstorming fresh, extraordinary outings for her residents, The Fountains at Canterbury associate Kaitlan Kenworthy came up with an idea for a delicious notion to add to the group’s famed bucket list outings, something she fondly calls ‘Diners, Drive-Ins and Dives, Canterbury-style.’
“I wanted to create new, exciting, fun excursions for residents,” said Kenworthy.
The inspiration for her delicious idea was derived from the hit Food Network show “Diners, Drive-Ins and Dives” with host Guy Fieri, and specifically the nine locations he visited in Oklahoma. The group has been to nearly all of the featured locations, including Clanton’s Café in Vinita, Eischen’s Bar in Okarche, the Rock Café in Stroud and Oklahoma City culinary legends Cattlemen’s Steakhouse, Ingrid’s Kitchen, Leo’s BBQ and Mama E’s Wings and Waffles.
Their most recent excursion was to Nic’s Place Diner and Lounge. The new location offered natural light cascaded into a large, dark-wood room as several residents waited eagerly to order. They commented on the lovely décor, discussed who wanted to split the large portions with whom and reminisced on their previous outings.
“I’m excited to try [Nic’s]. We’ve been to a little bit of everything,” said Ann Forester, resident of The Fountains at Canterbury. “I have not missed a trip since we started making them to various restaurants.”
As Forester finished the first bite of her ‘Old School Burger’ she remarked, “It’s very good.”
Kenworthy said the program has been a hit with residents and she hopes to continue taking them to new places, even after they’ve completed the current series of outings.
“I think the residents have really enjoyed getting out, visiting new places and trying new food.” said Kenworthy. “It would be amazing if Guy Fieri would come back to Oklahoma and go to a restaurant with our group to give them a live rendition of his show!”
As the residents of The Fountains at Canterbury are approaching the last outing in their ‘Diners, Drive-Ins and Dives, Canterbury-style’ series to The Diner in Norman this July, they are excited about the location, but sad to see the series come to a close. However, residents should not fear boredom as Kenworthy is already planning their next adventure.
The Fountains at Canterbury is dedicated to being the first choice in senior living, providing a continuum of care including independent living, assisted living, memory care, innovative rehabilitation therapies and skilled care. The Fountains at Canterbury is managed by Watermark Retirement Communities and is committed to creating an extraordinary community where people thrive. To learn more, please call (405) 381-8165 or go online to www.watermarkcommunities.com.

A local art show raised more than $3440 for Mercy’s stroke education, treatment and prevention programs. The benefit, which was organized by Oklahoma Artists Invitational (OAI), featured original works from 24 artists, including Mercy’s Dr. Dustan Buckley. To date, OAI has donated more than $16,617 to Mercy’s stroke center.
Mercy Hospital Oklahoma City is currently home to the state’s largest group of neuroscience specialists in the southwestern United States, and the state’s largest number of neurohospitalists – physicians dedicated solely to providing neurological care for patients admitted into the hospital. In February, Mercy was named a top stroke center in the nation.

I stay indoors in the A/C. Pauline Richardson

I stay inside anytime it’s above 85. My thermometer doesn’t work like it used to. Sandy Scroggins

Drink something cool – iced tea if I have to be nice. Donna Reese

Go to the pool. My daughter-in-law and son have one in their neighborhood so I play with my grandchildren. Connie Oubre

The Oklahoma City Community Foundation recently awarded $97,500 to six charitable organizations in central Oklahoma providing services for elderly citizens.
“Seniors are in need of programs that help them to live happy, healthy lives,” says Whitney Moore, development director for recent grant recipient Oklahoma City Ballet. “Remaining active as seniors age is very important in maintaining their independence and health.”
The Community Foundation’s Services for the Elderly iFund program supports organizations that provide direct services for our community’s older citizens who still live in their homes. By supporting wellness and exercise activities, this program helps to allow independent living to continue and provides positive social and recreational opportunities improving their quality of life.
“Oklahoma City is continually listed as one of the nation’s least healthy cities. The Oklahoma City Community Foundation is actively working to change this by creating a culture of health and wellness in central Oklahoma,” Oklahoma City Community Foundation President Nancy B. Anthony said. “We are pleased to work with charitable organizations that share our vision and provide creative solutions to improve the lives of citizens in our community.”
The following grants were awarded through the Services for the Elderly iFund:
American Red Cross of Central Oklahoma – $12,500 for a campaign to prevent home fires among elderly residents.
NewView Oklahoma – $20,000 for a medication management program for seniors who are vision-impaired.
Oklahoma City Ballet – $10,000 for the Golden Swans program providing ballet classes to help improve senior mobility.
Rebuilding Together OKC – $20,000 to provide critical heating, cooling and electrical repairs to low-income seniors allowing them to remain safe, warm and dry in their homes.
Regional Food Bank of Oklahoma – $20,000 to provide nutritious food and healthy living resources to low-income seniors.
The Salvation Army Central Oklahoma Area Command – $15,000 to support the Senior Watch program that provides immediate, short-term assistance for seniors in need of additional household, emotional or spiritual support.
An initiative of the Oklahoma City Community Foundation Trustees, the iFund program utilizes gifts from donors to support services for children and elderly, as well as provide access to health care. Since 2011, the iFund program has awarded more than $2.5 million to charitable organizations serving central Oklahoma. For more information, visit www.iFundokc.org.
Founded in 1969, the Oklahoma City Community Foundation is a 501(c)(3) public charity that works with donors to create charitable funds that will benefit our community both now and in the future. To learn more about the Oklahoma City Community Foundation, visit www.occf.org.

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 [email protected] or by phone at 405-256-2998.