Photography and Text by Terry “Travels with Terry” Zinn  t4z@aol.com

Just when you think you’ve seen it all, and can’t be awed by renown Impressionist painters, comes the Kimbell’s Claude Monet the Early Years: 1858 – 1872.
You will be illuminated to find out that Monet, mostly known for his broad strokes of mixing colors to produce a shimmering visual effect, started out as an accomplished realistic painter. Up until the 1870’s Monet produced a body of work comparable to the best of his artistic times, even though many were rejected at first evaluation by the prestigious Paris Salon.
Most affective is the The Magpie (1868-69) where in an expansive rural snow scape on a canvas of 35 by 52 inches, Monet captures our attention and imagination not only in the frosty landscape but by the technical master class with the many shades of white. Off center a back lit black magpie perches on the top rung of a primitive wooden gate. This lonely image is haunting yet peaceful. From the collection of the Musee d’Orsay, it’s only one of the many paintings pulled together from a variety of collections for this extraordinary exhibition.
Sailboats on the Seine at Petit-Gennevilliers (1874), exhibits Monet’s full fledge Impressionism with the dancing water reflections of sailboats under a wistful cloud filled sky. Other water reflections examples can be seen in Houses on the Bank of the River Zoan (1871-72), and Regatta at Argenteuil (1872).
An added delight is the free with admission hand held audio and visual self-tour appliance. The traditional numbers that coordinates with the art, is enhanced here with a visual image on your device. Not only for the painting you are currently viewing but for visual comparisons to other works of art not on display. Once such educational comparison is with Monet’s, Still Life with Flowers and Fruit (1869), compared to Renoir painting the same still life. It may not be known that Monet and Renoir occasionally painted together with plein air subjects. The two floral bouquets are easily and fascinating compared in this exhibition.
Be sure and take your time in the galleries to imprint on you mind the treasure of art you are among. A number of benches are placed throughout the exhibition giving you time to sit, view, spin, view and spin again, enabling you to take in, compare and imprint in your mind this once in a lifetime experience.
You may also want to stroll through the Kimbell’s main gallery of their permanent collection with samples of many of arts greatest artists. And if you visit the Museum Store adjacent to the Monet exhibit, say hello for me to congenial sales assistant, Alice.
This limited edition exhibition at Fort Worth’s Kimbell Art Museum is on display until January 29th. Admission for Seniors is $16 and Adults for $18 with
Tuesday’s offering half price for all. Visit more information at: kimbellart.org

Mr. Terry Zinn – Travel Editor
Past President: International Food Wine and Travel Writers Association
http://realtraveladventures.com/author/zinn/
www.new.okveterannews.com – www.martinitravels.com

by Bobby Anderson, Staff Writer

Growing up in the tiny borough of Hummelstown, Pennsylvania, Bruce Heikes would travel most weekends and summers to nearby Hershey around midnight to don an apron.
At age 15, he worked for Louis Memmi, who owned G. Memmi and Sons Bakery.
“Man you roll down the window on the way there and you can just smell the chocolate,” Heikes said. “It’s overpowering it smells so good.”
It was in the shadow of the Hershey’s Chocolate empire that Heikes’ career began to rise.
More than 40 years later, Heikes continues to pour his artistry and love for what he does into everything he bakes at Johnnie’s Sweet Creations in Oklahoma City.
The shop at 8419 S Western is not only Heikes’ livelihood, it’s his life.
It’s easy to see when children walk into the shop and a big smile spreads across his face.
“Who wants a cookie?,” he says, with a grin that’s always returned with one just as big.
IN IT FOR THE DOUGH
Growing up, fresh-baked goods were the norm.
The bakery where Heikes learned to bake bread had a delivery truck that made daily rounds to all the supermarkets.
There were no plastic-wrapped, preservative-laden loaves that could sit on store shelves for weeks at a time.
“You’ve got to worry when you take a loaf of bread you just bought and put it on top of the refrigerator where the heat comes up from the back and it keeps for a month,” Heikes said. “They’ve got so many preservatives in there you could die and still keep going for weeks.”
His brother-in-law brought Heikes and his brother, Ron, to Oklahoma to work for Skaggs Albertson’s.
A move to Buy For Less as a bakery and deli manager followed as did a stint in Ingrid’s Kitchen.
He eventually became a food broker for a company that sold bakery products to the warehouse that sells to many Oklahoma grocery stores.
It was a Monday through Friday job, something Heikes never had.
But for some strange reason, he wanted to own a bakery.
Heikes knew the previous owner of Johnnie’s Sweet Creations, who purchased the store in 2000. An illness forced her to put the business up for sale in 2012.
She called up Heikes and he was sold.
A few weeks later so was the business.
Now he makes less money, works Monday through Saturday – Sundays, too now through Christmas this time of year.
“Sometimes I think, why do I do this?,” Heikes said. “But mostly there is so much pleasure in making something good for these people and when they taste it and their eyes roll in their head … that stuff makes it all worthwhile. It really does.”
A RISING BUSINESS
Heikes’ daughters work at the store. His brother’s daughter works there. Both his wife and Ron’s wife – who are registered nurses – come in just before Christmas or Valentine’s Day when the store really needs the extra hands.
“We get such huge orders and I don’t want to turn them down,” Heikes said. “I don’t want to turn them down because of the money but I also don’t want to turn them down because I want to be there for them.”
With more than 40 years manning the ovens Heikes can take a loaf of bread in his hands, give it a squeeze and a quick smell and tell you what’s right – or not.
It’s why his employees come to him when something’s not quite right.
It’s truly an art.
That’s one reason he cringes every time he walks past a grocery store “bakery” aisle.
“I used to sell that stuff as a broker. Those cakes come in a box. They have a year shelf life and all of the icing comes in a bucket,” Heikes said.
Every week Johnnie’s makes six to seven 55-gallon barrels of butter creme icing from scratch.
“I probably go through at least 100 sheet cakes and just multitudes of eight-inch rounds and cutouts – not to mention the weddings,” Heikes said.
Heike’s favorite sweet in the store is his butter pecan brownies. He’s made them for 20 years at home.
“I could not show up to Thanksgiving or Christmas without bringing those butter pecan brownies,” he said with a laugh. “It’s a real simple recipe but it’s so rich and so good and it’s unique. You just don’t find them any other place.”
Ten years from now Heikes will be 67.
He hopes his son, Justin, is working the ovens.
“I hope I could bring him in here – maybe even one of my other sons – and teach him the legacy of doing this and carry this on,” said Heikes, who has eight children.
But whatever the future holds, Heikes doesn’t see himself venturing too far from the ovens.
After all, who doesn’t want a cookie?

by Jason Chandler
Staff Writer

There is something different about assisted living at the Heaven House, a state licensed group home for assisted living in Oklahoma City, said the owner, Diane Timmerman-O’Connor.
O’Connor also serves as the administrator for all four Heaven House locations in OKC.
Heaven House began with one residential state licensed home for assisted living in 2010. The growth of the Heaven House locations is complimentary to the quality of O’Connor’s legacy for senior living.
“They are all just the same. They offer all the same things. They’re just located in different neighborhoods,” said O’Connor, who was recently married.
Heaven House gives the elderly a choice as to where they might like to live, she said.
“This is more of a family atmosphere. It’s in a home, it’s in a lot smaller environment than the bigger places, the institutional places,” she explained.
O’Connor cared for her mother at home for 13 years. Heaven House reflects the only type of environment she would have agreed to have her mother live if needed, she continued.
“But she ended up living with me until she passed away,” O’Connor said.
Her mother was part of O’Connor’s inspiration to create Heaven House. But it was really a calling.
“God just put it on my heart to do something for the elderly,” O’Connor said.
So she proceeded to do all the necessary research needed for assisted living by visiting every group home in Oklahoma County. O’Connor began all the training needed to become a licensed administrator.
She purchased and remodeled a fine house not to far from Nichols Hills so that every resident there would have their own bedroom and private bathroom, she said. Each house has five and a half bathrooms.
Michelle Freeman, an advanced medication aide and a supervisor, has been in her field for about 25 years. She said knowing that she makes a quality difference in the lives of the elderly keeps her intent on serving them.
“I love the elderly,” she said. “I love taking care of them and make sure they are taken care of.”
O’Connor said the residents have formed a close bond with Freeman. That attachment is common in all of the Heaven Houses. O’Connor is blessed to be able to retain her staff for a long time.
“At first I was doing at-home daycare,” Freeman said of her career. “At first it took some getting used to. But when you feel like you are making a difference in somebody’s life, it just keeps you coming back. I love it.”
Freeman said all the resident’s have different personality traits that are endearing to her life. They make it easy for her.
“Sometimes you’ve just got to keep going,” she said of the continuum of care offered at Heaven House. “It’s like when I come in, Ted says, ‘Oh, you’re so beautiful.’ Everybody has their own different thing.”
There is always a certified nurse aide at Heaven House or a trained and certified medication administration technician at Heaven House. All of the houses have two staff members present in the mornings for a five-to-two ratio.
O’Connor also provides a registered nurse, Vicki Bogartis, to serve residents at all of the houses. She has both scheduled hours and PRN hours and is in charge of all of the CNAs and ACMAs.
“She has certain duties during the month that only she can do,” O’Connor said. “She does all of our assessments and all of our care plans.”
Freeman was hand-picked by O’Connor for her staff when she met her at a funeral. O’Connor knew her sister and was getting ready to open her latest house.
“I went up to her at the funeral. Just talking to her at the funeral reception, you could just tell that she was intelligent. She was caring and sort of soft-spoken.”
“And I didn’t know anything about her organizational skills, but I was really ready for her to try. She came to work here and she has never ever disappointed me. She has stayed the course. She is organized and she is great with the residents. She’s just a loving, caring person who also has some office type skills that are required in keeping the paperwork straight.”
Each house has a supervisor similar to Freeman who is in charge of their staff. O’Connor and her son both serve as administrators of the four houses.
As for Bogartis, O’Connor said she is “straight-forward and tells it like it is.” O’Connor likes that quality and needs it as part of the structured environment of Heaven House.
“The other night we had a bit of an emergency and she got out of her bed and pajamas and came to the emergency,” O’Connor said. “She is just very dedicated.”

by Bobby Anderson
Staff Writer

For nearly 35 years now Sheila Swearingen has been involved in advocacy.
And for the last 15 years the president of the League of Women Voters of Oklahoma has been deeply involved in helping Oklahomans take full advantage of one of their most precious civil rights – the right to vote.
“I’m very interested in advocacy and getting more people involved in what happens after voting to be honest,” Swearingen said. “I think it’s incredibly important for people to get themselves registered and vote but that’s not the end of it. As citizens we really do, in a democracy, say that we the people are the ones upon who the government rests.”
As Oklahomans get ready to vote in the coming days, Swearingen wants to make sure everyone has the information they need before they head to the polls.
PLUGGED IN
MSNBC, Fox News, NPR, CNN, and hundreds more online – there’s no shortage of media outlets from which to receive information. Twenty-four hours a day, seven days a week voters are bombarded with a non-stop barrage of political information, covering candidates’ every single move.
While the access to information may be unprecedented, Swearingen says it’s not always a good thing.
“It comes back to the individual to take it upon themselves to get non-partisan information,” Swearingen said. “I think people are plugged in but the problem with being plugged in all day is not pulling back and getting the overview, not listening to both sides of the issue and not being able to discern. They may be plugged in and often the media, whether you’re listening to NPR or Fox News it’s appealing to our emotions. I think we need to be using some logic and think deeply about the issues when we go vote.”
GET INFORMED, GO VOTE
The League of Women Voters provides a wealth of information online at www.lwvok.org as well as on Facebook.
The League of Women Voters never supports or opposes any particular candidate.
The message simply is always be informed and exercise your right to vote.
“Take any opportunity get information that is nonpartisan and unbiased,” Swearingen said.
To that end, the League was part of a broad coalition that produced the Oklahoma Voter Guide which is available at libraries across the state.
Online you can go to www.vote411.org fill in your address and it will automatically pull up all the races that will appear on your ballot down to state representative.
The League of Women Voters has chapters in Lawton, Tulsa, Stillwater, Norman and Bartlesville. The group is also in the process of reforming the Oklahoma City Chapter.
“In the Oklahoma City area we have members who are my age, and I’m definitely AARP generation, and we also have millennials,” she said. “What we’re finding is those groups can work really well together if they listen and find out that sometimes they’re on the same page about issues but they may have different ways about communicating those issues.”
Swearingen was recently trained as a precinct official.
“One of the interesting things that was reaffirmed is that you don’t have to vote every single race,” Swearingen said. “If you have a strong preference for a candidate running for county commissioner and you just can’t make up your mind who you want to choose to be the next president you don’t have to vote for president but you can vote for county commissioner.”
“We have a wonderful system in Oklahoma. Our scanners can scan whatever races you choose to vote in. You don’t have to vote the complete ballot. You can pick and choose.”
Volunteers are always needed in helping across the 77 counties and municipalities in getting ballot information. You can go online to the group’s website to learn more.
Starting November 9 Swearingen said the attention will turn to the 2017 legislative session and what issues will likely appear.
Social events are also scheduled throughout the year as well as candidate and issue forums.
Beginning in January school board elections will come into focus and the League will begin pursuing candidate forums.
“We think that school boards are just as important, and in some cases more important than whose going to Oklahoma City,” Swearingen said.
And no matter what party you belong to or whom you support, Swearingen says it’s important to do your part in keeping America great.

by Bobby Anderson
Staff Writer

Integris Canadian Valley Hospital is using technology to make a giant leap forward in improving outcomes of its stroke patients.
And thanks to a computer screen on wheels with high resolution cameras patients are getting the help they need anytime day or night.
Christine McMurray, RN-PCCN, serves as an administrative supervisor at Canadian Valley, and has served as the clinical coordinator for getting the new telestroke program off the ground.
“It’s kind of like a fancy-FaceTime where the physicians we have, the neurologists can beam in on the screen … and lenses can zoom all the way into their pupils and check pupil responses,” McMurray said.
Attached is a wired stethoscope that allows both the onsite clinician as well as the remote clinician to hear lung and heart sounds in real-time for those patients presenting with stroke symptoms.
The robot is controlled remotely and can be moved around the patient. The 360-degree microphone also captures sound from all directions inside the room.
The attached monitor screen allows both patient and doctor to have a face-to-face conversation as well as examination even if the doctor is hundreds of miles away.
“We were taking all of our stroke patients that required tPA to Southwest Medical and Baptist,” McMurray said. “Now what we can do after they are seen in the ER with telestroke we can give them tPA on a stable patient and bring them here for a neurology consult.
“Now, rather than shipping them out of Yukon they can stay here in town, in the community and neurology will beam in if there are no complications within 24 hours … they can prescribe the discharge medications, change any anti-coagulations medicines without physically being here but being present.”
Integris Canadian Valley Hospital Chief Nursing Officer Teresa Gray, RN, BSN, MBA said the technology offers immediacy for both doctor and patient.
“The doctor can basically do a full assessment from any device – iPhone, iPad, computers from anywhere anytime,” Gray said. “This technology allows for when you may not have services 24/7 in your facility and the patient has a change in their condition or you need a different level of care we have immediate access.”
“When you talk about neurology in the state of Oklahoma and there is a shortage of neurologists, this allows them to provide access to smaller communities that may not normally have neurologists and various high-level specialities that are hard to recruit. This gives the opportunity to bring that kind of service back to the smaller communities.”
Stroke is the fourth-leading killer in the United States and the leading cause of long-term disability.
Approximately 800,000 people experience a stroke each year in the US. Successful management of acute ischemic stroke is extremely time-dependent.
According to the American Heart Association, ideally, the only Food and Drug Administration-approved treatment for acute ischemic stroke should be administered within 3 hours of the onset of stroke symptoms.
The American Heart Association estimates that only 3% to 5% of ischemic stroke patients are treated with thrombolysis (a clotbuster known as tPA).
“They don’t have to be transferred out anymore. They don’t have to wait for a bed,” McMurray said of the major benefits of telestroke. “Baptist and Southwest have both been on delay several times. Then they have to go to the ER and they are put on hold there or are waiting in a hallway. Where here we’ve got eight ICU beds and they can come right over. They are treated with the same protocols and the same order sets. Everything is the same. If there is any problem all the physician has to do is come in over (Telestroke).”
The program is done in collaboration with the hospital’s hospitalist program which follows the plan of care throughout the course of a patient’s stay.
McMurray said the technology has already been used by the hospital’s two hospitalists to dial in remotely to check on other non-stroke patients who are experiencing changes in condition or acuity.
On average, Gray said Canadian Valley transfers out 7-8 stroke patients per month with lower-level patients not requiring tPA kept.
Gray said Canadian Valley continues to evolve its service offerings as it becomes the mainstay for healthcare for those living in Western Oklahoma.
“This is something cardiology and nephrology can use – any of our services that are not onsite 24/7,” Gray said. “That’s what we hope to expand is increase our complexity of patients, add additional services to the community we haven’t had and incorporate new technology.”

Tis the season for toy shopping, but Easter Seals Oklahoma has a request for special toys for their boys and girls. Therapeutic and sensory toys help students with disabilities work on hand-eye coordination, fine and gross motor skills and social interaction. It can also be used to help increase attention and focus during instructional time.
“Teaching a lesson while a child’s hand is actively engaged in a fidget has been shown to result in more information being retained by the child than if the same lesson were taught without the sensory element”, says Mia Dianda, Director of Medical Rehabilitation.
Easter Seals Oklahoma is accepting donations of therapeutic toys such as koosh balls, light up toys, and fidgets. Social and turn taking improvement items are also needed like: Twister, Chutes and Ladders, Mouse Trap, Head-band, toy cars, super heroes, baby dolls, and related items. Donations may be brought to 701 N.E. 13th Street, Oklahoma City, Ok 73104 between the hours of 8:00 a.m. -5:00 p.m. Monday through Friday or donate by calling 405-239-2525.
The Medical Rehabilitation Program at Easter Seals Oklahoma helps individuals with disabilities gain greater independence some thought to be unachievable. It is our goal to empower children with atypical development by helping to build their self-esteem and self-efficacy through therapy services.
For more than 90 years, Easter Seals Oklahoma has provided services to children and adults with disabilities and other special needs and support to their families. Services include an early learning and inclusion academy, adult day health center, medical rehabilitation, and financial assistance. For more information, please visit www.eastersealsok.org.

Today, the Social Security Administration announces the launch of a new Health IT initiative with the Department of Veterans Affairs (VA) that enables all Social Security disability case processing sites to receive medical records electronically from all VA facilities. Veterans will receive a faster decision on their Social Security disability claim, speeding them and their dependents through this new process. Both agencies will save time and money with an automatic request through the eHealth Exchange.
“President Obama has said, ‘we must maintain the sacred covenant we share with our veterans by ensuring they have the care and benefits they deserve,’ and I could not agree more,” said Carolyn W. Colvin, Acting Commissioner of Social Security. “We are committed to providing our veterans with the world class service they so richly deserve and improving the speed and efficiency of our disability program.”
The new Health IT program was tested successfully at Social Security locations around the country. On Veteran’s Day, November 11, the eHealth Exchange will go live, nationally, to all Social Security disability case processing sites.
Social Security requests nearly 15 million medical records annually from healthcare providers and organizations to make medical decisions on about three million disability claims. Medical documentation is essential to make a disability determination. Historically, the agency obtained medical records through a manual process (mail, fax, secure mail). This new national initiative puts in place an automated process to obtain medical records electronically without human intervention.
“VA is currently improving quality of life by enabling Veterans to share their health information with federal partners and integrating their data into a safe and secure health-related consumer application,” said Dr. David Shulkin, Under Secretary for Health of the Department of Veterans Affairs. “Currently, when eligible Veterans apply for Social Security Disability Insurance benefits the average wait time for Social Security to receive paper records from VA can take months; this partnership allows Social Security and VA to share the Veteran’s health information electronically in minutes. The Social Security and VA partnership allows VA to continue to be a leader in interoperability efforts among federal partners while improving overall quality of life for our Veteran patients.”
This partnership adds the VA to Social Security’s more than 50 other Health IT partners, including the Department of Defense, in approximately 7,000 facilities across the United States providing electronic health records. Social Security’s goal is to continue expanding the number of healthcare organizations and federal agencies providing electronic health records within a safe and secure environment.
To learn more about Health IT, please visit www.socialsecurity.gov/disabilityssi/hit.
Social Security offers two other programs to expedite disability claims filed by veterans. Wounded Warriors and veterans with a VA disability compensation rating of 100% Permanent & Total have their Social Security disability claims treated as high priority and receive expedited decisions. For more information about these programs, please visit www.socialsecurity.gov/people/veterans.

What do you hope to find under the Christmas tree? Salvation Army Central Oklahoma

I hope to find a new cast iron skillet with a lid.  Jeff Lara

Just to be home. That will be my only day off. Maj. Carlyle Gargis

Really, I’m not looking for gifts. I’m just the type of person who enjoys serving and doing for others.

James Dixon

I have everything I need. God has blessed me with everything. Meiing Ong

by Bobby Anderson
Staff Writer

Christmas is coming. All you have to do is close your eyes and listen.
Amid all the hustle and bustle and mall parking lot tussles you can can hear the ringing of a familiar bell.
Some 127 years ago the Salvation Army started hanging kettles from Thanksgiving to Christmas.
Legend has it it first began as a fundraiser to feed people on Christmas Day.
A San Francisco Salvation Army officer remembered that during his days in the Navy a pot was kept on the dock.
The pot had a sign on it that read “Keep the pot boiling.”
“It started a tradition and it spread quickly across the United States,” said Maegan Dunn, development marketing manager for the Salvation Army Central Oklahoma Area Command.
And for the last quarter century, John Dobson has manned his post and rung that bell.
Full disclosure – Dobson serves on the group’s board of directors.
But it’s more than an obligation.
“Twenty five, twenty six, thirty – I don’t keep track of it. It’s just an act of love,” Dobson said of how many years he’s run that familiar bell and worn that red apron.
Dobson credits his volunteer spirit to a former boss.
“He told me I needed to take a look at life,” he said.
So as an accountant by trade he started picking up the annual financial reports of the various charities.
“Salvation Army just stood out there all by itself,” Dobson said. “It doesn’t pay its national president $2 million a year. It’s because they’re committed to Christ.
“Literally, it’s a church.”
Dobson quickly learned that every one of those employees wearing the military-looking uniforms are ordained ministers.
It speaks volumes.
Dobson rings for two organizations each season. The first is the Rotary Club of Oklahoma City. The second is as a Salvation Army board member.
“I promise, give me someone for an hour and I’ll make believers out of them,” Dobson said of the annual campaign. “The people you just know because of your life’s issues you just think these people can’t pay and they put these pennies and nickels in these kids hands and they come running up. You pick them up so they can drop them in there.
“They just thrive for that and they remember from year to year.”
Dobson always rings the bell at the same location each year – the Belle Isle Wal-Mart.
“It’s significant but it’s nothing close to everything we need,” Dobson said. “The Salvation Army goes on 24 hours a day, seven days a week 365 days a year. A lot of people just think of us as just Thanksgiving and Christmas but it’s full time for everybody.”
At any time during the holiday season the Salvation Army literally has thousands of bell ringers at the nearly 80 locations.
Rotary groups, businesses, churches – there’s groups that come out of the woodwork to get their hands on a bell.
But some of those positions can’t be filled with volunteers so some positions are paid.
“It’s not only to man the kettle but it’s also a ministry for us,” Dunn said. “There are individuals who have seasonal jobs where they don’t have work in the winter and it helps give them a little extra money. We also have some homeless individuals and it makes extra cash for them to help keep them through the next few months.”
It’s in his nature to be a bottom-line type of guy, but Dobson knows there’s much going on here than nickels, dimes and spreadsheets
“It’s a life-altering experience,” Dobson says. “It is amazing.”
There will be several volunteer opportunities this month with the Salvation Army including:
• Angel Tree Workshop: You can come help prepare each Angel’s gifts at the distribution center. For ages 13 and up. Dates: December 5-17
• Angel Tree Distribution: Help Angel Tree families collect their gifts and assist them to their vehicles. For ages 13 and up. This is a great opportunity for corporations, businesses and individuals. Dates: December 19-23
• Ring the Bell: Schedule your family, club or business to ring the bell at one of the red kettle locations for a four-hour shift or adopt a whole a day. This raises funds for The Salvation Army’s programs like the food pantry, senior centers, homeless shelter, youth and after-school programs, and soup kitchen. Dates: Through December 24.
To volunteer, contact Lt. Kyle Madison at kyle.madison@ uss.salvationarmy.org or 405-246-1063.
To find out more about how you can get involved, visit www.salvationarmyokcac.org/volunteer today. Questions about volunteering can be answered by contacting the volunteer coordinator, Liz Banks, at 405-246-1107 or liz.banks@ uss.salvationarmy.org.

by Bobby Anderson, Staff Writer

More than two years of work and planning by multiple AllianceHealth Midwest departments culminated recently 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.
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.”
Cardiology Director and Chest Pain Coordinator Mark Macklin, RN, BSN has spent the last 12 of his 22 years in nursing in cardiac care after an emergency medicine and trauma background.
“The most important reason to pursue this is it’s the right thing to do for patient care,” Macklin said. “It’s a standardized system for evaluating and treating patients from the lowest risk patients to the care and treatment of the STEMI patient.”
“It encompasses the entire gamut of cardiology and chest pain.”
It is estimated that over 60% of all cardiac arrests are directly caused from an acute myocardial infarction.
The addition of the Resuscitation designation to Chest Pain Center with PCI accreditation enhances outcomes because the facility will have initiated early strategies such as early recognition, CPR and defibrillation, early intervention with Primary PCI simultaneously with post arrest hypothermia treatment.
“It standardized our practice, making sure we used evidence-based practice, best practice protocols and we’re all doing it the same way, every time with no deviation,” said Amy Baden, RN, BSN, MBA, and AllianceHealth’s network director of cardiology services. “It’s our roadmap that every patient will be given the exact same care no matter who their cardiologist is.”
Baden said that resuscitation element is one all employees are trained in.
“Any type of employee is also educated in the signs and symptoms of an early heart attack,” Baden said. “From a kitchen worker to a nurse on the floor – even the valets – have all been educated. It’s a multi-faceted education process.”
That education has been introduced to the surrounding communities. AllianceHealth Oklahoma, in partnership with the American Heart Association, donated CPR kits to high schools throughout Oklahoma.
Locally, AllianceHealth Midwest donated one to the Mid-Del School District and one to the Choctaw school district.
Nurses are also going into the schools and educating students and teachers on how to properly perform CPR.
Macklin said each week the board room was filled with representatives for nearly all departments.
“We were empowered to do that,” Macklin said. “Our administration and the board signed off … and we went in there every Monday with a sense of empowerment that we need to get from here to there and who’s best to drive the bus to get there.”
“Some days it was our Chief Nursing Officer (Gloria Ceballos, PhD, RN) who could roll out to all of nursing what needed to be done. Sometimes it was the Chief Medical Officer (Dr. Rockey Talley) who needed to get our hospitalist team on board with the protocols we were rolling out. It changed from Monday to Monday to get from where we started to where we ended.”
“It really kind of brought our whole hospital around that table with a single focus.”
By achieving SCPC’s Chest Pain Center with Primary PCI with Resuscitation Accreditation status, AllianceHealth Midwest demonstrated expertise in the following areas and others:
– Integrating the emergency department with the local emergency medical system
– Effectively treating patients at low risk for acute coronary syndrome and no assignable cause for their symptoms
– Supporting community outreach programs that educate the public to promptly seek medical care if they display symptoms of a possible heart attack
Baden said with the help of AllianceHealth Midwest’s EMS service door-to-balloon intervention time has dramatically decreased.
“We’ve had STEMI’s that come directly to the cath lab,” she said. “There’s a lot of elements … and we’re trying to rule in these patients quicker. We’re decreasing the amount of damage and decreasing the length of stay.”
“Through this we’re all doing it the same way and the patients are happier. We’re all talking the same talk. Patient satisfaction scores in these units have elevated as well so we’re excited about that.”
The SCPC is the accreditation services arm of the American College of Cardiology.
AllianceHealth Midwest, located in Midwest City on the eastern edge of Oklahoma City, is a 255-bed acute care facility with nearly 300 primary care and specialty physicians.