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.

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.”

Ready to get outside and enjoy fall? Hikers and walkers of all levels are invited to join foresters from across the state for the annual “Walk in the Forest” event held at Turkey Mountain Urban Wilderness Area in southwest Tulsa from 10 a.m. – 3 p.m. on October 22. Foresters and natural resource professionals from across the state will be stationed along the trail to provide information about the forest, which is located in Tulsa’s backyard. There will additionally be special activities for kids at each station.
“This really is a great opportunity to plan a fun day outdoors with friends and family,” said George Geissler, director, Oklahoma Forestry Services. “Foresters enjoy being on hand to answer your questions and tell you about all of the benefits that our Oklahoma forests provide, some of which may surprise you.”
Hikers should dress appropriately for the weather and wear sturdy, comfortable shoes. The Walk in the Forest will take about an hour if participants stop at each educational station. Kids will receive a special booklet with activities to do along the way and prizes for completing them. Participants will receive a loblolly pine seedling and other giveaways while supplies last.
The Walk in the Forest program is part of a national campaign coordinated by the Society of American Foresters (SAF) and the American Forest Foundation. The Oklahoma walk is being hosted by the Oklahoma Division of SAF, in partnership with Oklahoma Forestry Services; Oklahoma State University (OSU) Department of Natural Resource Ecology and Management; the OSU Student SAF Chapter; and the City of Tulsa’s River Parks Authority. Event sponsors include Weyerhaeuser Company, International Paper, Winlectric and the Oklahoma Forestry Association.
For more information about the Walk in the Forest, contact Oklahoma Forestry Services at 405-522-6158 or visit www.forestry.ok.gov. For information and directions to Turkey Mountain Urban Wilderness Area, visit www.turkeymtn.com.

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.

The Oklahoma Insurance Department is joining forces to spread a life-saving message to drivers: “Move over. It’s the law.” The message is part of an initiative by the Oklahoma Traffic Incident Management Steering (TIMS) Coalition. The Coalition also includes representatives from the Oklahoma Highway Patrol, Oklahoma Department of Transportation, Oklahoma Sheriffs Association, Oklahoma Emergency Management and many more.
“As the holidays approach and more people will be on the road, we’re asking Oklahoma drivers to be more mindful behind the wheel,” said Oklahoma Insurance Commissioner John D. Doak. “Not only is moving over the law, it will help save the lives of first responders and lower the number of costly traffic delays.”
According to the National Highway Traffic Safety Administration, 52 law enforcement officers were killed in traffic-related incidents last year. Oklahoma Highway Patrol Trooper Nicholas Dees was hit and killed last year along I-40. His mother is featured in a new public service announcement which began airing this month. It can also be viewed here.
“Half of me died because of one man that did not move over for emergency vehicles,” said Shelley Russell, Dees’ mother.
Oklahoma’s Move Over law requires drivers approaching a parked emergency vehicle with flashing lights, including wreckers, to move over to the next lane. If the driver cannot move over, he or she is required to slow down. Troopers suggest drivers reduce speed to 15-20 mph or slower. The penalty for failing to slow down or change lanes is a ticket with a fine of more than $200.
Another benefit of drivers abiding by the Move Over law is a reduction in the number of costly traffic delays. According to the Texas Transportation Institute, for each hour a vehicle is stuck in traffic $21 is wasted per vehicle in time and fuel.
One way to ease the burden of traffic is for drivers to move over if they are involved in a non-injury car accident. This allows drivers to safely exchange insurance information and not block the flow of traffic.
“Many drivers seem to think that moving over is just an optional courtesy when they see flashing lights or have a minor wreck,” Doak said. “It’s not optional. Move over. It’s the law.”

Oklahoma City ballet dancers Valerie McDonald and Christina Wornick are the recipients of Watermark for Kids scholarship awards. The scholarships are presented by The Fountains at Canterbury and Watermark for Kids, a non-profit organization committed to empowering underserved kids, helping them pursue their passions and thrive. Watermark for Kids was founded by Watermark Retirement Communities, which manages The Fountains at Canterbury.
McDonald, a 17-year-old ballet dancer, will use the scholarship award to continue her Level 5 classes at the Dance Center of Oklahoma City Ballet. The school provides classical ballet technique instruction and prepares dancers for a professional role in the arts. McDonald hopes to pursue dance on the professional level after her formal training.
Wornick is a previous recipient of the scholarship award who has been dancing since the age of four. The 12-year-old dreams of becoming a famous ballerina. The Watermark for Kids scholarship will allow Wornick to continue her training at the Dance Center of Oklahoma City Ballet as a Level 4 student.
“Watermark for Kids is an amazing program that The Fountains of Canterbury is proud to facilitate in support of local students,” said Jim Story, liaison for Watermark for Kids at The Fountains at Canterbury. “Our community is passionate about Watermark for Kids because it provides children an opportunity to pursue their dreams. We are looking forward to watching our two recipients thrive while working towards their long-term goals.”
Residents and associates at The Fountains at Canterbury host fundraisers throughout the year to donate funds to the Watermark for Kids program.
For more information about Watermark for Kids visit www.watermarkforkids.org. To learn more about The Fountains at Canterbury please call (405) 381-8165 or go online to www.watermarkcommunities.com.

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.

story and photos by Bobby Anderson, Staff Writer

Mark Hamm knows that someday in the not-too-distant future, central Oklahoma will be one giant metroplex.
“In the next 20 years they’re projecting another 20,000 people moving to Moore,” the Moore City Councilman said. “They’re all brand new and they don’t know anything about this and it will just be forgotten.”
Hamm was referring to Moore’s history, which dates back before statehood.
And as he discussed the city’s constant progress he was standing on the porch of Myron January’s family home, built in 1895 and believed to be the oldest structure in Moore.
The town’s history – and Myron January’s childhood home – are something Hamm and community members want to preserve for all to see.
In November Moore voters approved the continuation of a quarter-cent sales tax. Part of that money will go the development of an Old Town park, similar to what Norman has near its train depot.
The vision is much bigger than the old January home.
An interactive trail, a sitting area and hopefully a visitor center located near the railroad tracks will spring up some day soon. City officials already have their eye on procuring the original train depot, which is currently being used as an office on Shields Boulevard in south Oklahoma City.
Right in the middle is expected to be the January house, which Myron is giving to the city.
“It’s great. I think it’s a miracle,” January said of home’s impending move. “It’s going to have to be done pretty soon because you can tell it’s getting in bad shape.
JURY AND JANUARY
When you look back in the annals of Moore history you’ll see a couple names stick out – Jury and January.
The Land Run led to the Jury family settling on 160 acres in what now is southeast Moore. Next door was the January family.
“Two Jurys and two Januarys married – two brothers and two sisters,” January said. “So the Januarys and the Jurys have been very close all their lives.”
So close in fact that the Jury home now sits on January property, at least until the City of Moore can get it moved and preserved.
Even though it’s bare wood and has an addition missing, January still navigates the 400-square-foot, two-room house like it was yesterday.
“It wasn’t a whole lot more than this … but you would come in a door here and this was the back porch where (his grandmother Artie) did the washing,” January said. “There was a wall here and a built-in cabinet there.”
Myron January moved to Moore at age three. He left home as a teenager when he got married at 17. He’s lived within two miles of the current house ever since, keeping cattle on the remaining 75 acres.
Things have changed, as subdivisions have sprang up all around.
A new Sam’s Club sits less than a mile away. Target, Home Depot, JC Penny’s, Lowe’s and the busiest IMAX theatre in the world are just across I-35.
“I’ve dreaded it for many years,” January said with a laugh. “That’s life. Progress.”
Just down the street dairy silos dating back to the 1940s still stand as Moore’s only skyscrapers.
At one time, 400 head of cattle were milked at the Mathesen Dairy, which dispatched trucks daily to grocery stores across the county delivering fresh milk with cream on the top.
WHEN MOORE WAS LESS
Moore was founded during the Land Run of 1889. The early settlers came on train, horseback, wagons, and some on foot.
According to local historians, the town’s original name was Verbeck as designated by the railroad company.
However, a railroad employee named Al Moore, reported to be either a conductor or a brakeman, lived in a boxcar at the camp and had difficulty receiving his mail.
He painted his name “Moore” on a board and nailed it on the boxcar.
When a postmaster was appointed, the name stuck and he continued to call the settlement Moore.
Hamm got into politics to preserve that small-town feel, even though the city is now the state’s seventh-largest.
“I like politics but I’ve always liked local politics more than national,” Hamm said. “It’s where things happen, people see their government working for them. You call me about a problem in Moore, hopefully, we can get it fixed before you get home.”
And Hamm knows the past should play a part in Moore’s future. That’s why the city and a team of volunteers have set out to preserve it.
One of the first efforts is inviting people to help document that story online at www.historyofmoore.com.
Currently, there’s lots of gaps and missing stories.
And it’s in need of more people like Myron January to help fill in the blanks.

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.”

Eric Olsen Executive Director HELPS nonprofit law firm. www.helpsishere.org

Sometimes seniors with lower incomes find themselves owing past due income taxes. Taxes they can’t afford to pay. As the Executive Director of HELPS, a 501 c nonprofit law firm that assist seniors with debt problems, I regularly talk with seniors distressed about past due taxes owed. Seniors want to pay their taxes, but sometimes there simply is insufficient income. Seniors need to know that laws and regulations have been enacted to assist persons with lower incomes to protect them from tax collection.
Most seniors don’t understand that social security, pensions, VA benefits and other forms of retirement income are protected by federal law. This income cannot be garnished for old debts such as credit cards or past due loans. An exception is the IRS occasionally will garnish 15% of a senior’s social security for past due taxes. However this will not happen without the senior being first notified. Steps can be taken to prevent a garnishment by the IRS.
For seniors that can afford to pay their taxes if the sum is less than $50,000 they can arrange for monthly payments over five years almost automatically. Lower income seniors can often be placed on uncollectable status with the IRS and pay nothing. An existing garnishment by the IRS can even be stopped. Seniors can apply for uncollectable status with the IRS over the phone or online. The IRS website provides budget guidelines to qualify for uncollectable status. These budget guidelines are not normally volunteered when applying for uncollectable status with the IRS. If you say you can pay something each month, the IRS will gladly take your money. Many lower income seniors underestimate their needs and pay a monthly payment they can’t afford to the IRS because they think they have to pay something. When according to IRS budget guidelines they could pay nothing.
Almost all seniors don’t realize that their local state tax collector cannot garnish social security and retirement income for past due state income taxes. Even when this money is deposited into a bank account, as long as it is traceable to social security and pension income it is exempt. If an account is garnished a claim of exemption can be filed for the money to be returned. State taxing agencies unfortunately will never tell seniors their income is protected. Instead they often will badger and intimidate in order to collect from seniors who don’t know their rights. If a state tax collector calls, a lower income senior can simply advise his income is federally protected social security, pension, VA benefits, or disability and they can’t afford to pay the tax.
Sometimes seniors are worried when they receive a “tax lien.” Language in the written lien notice makes them worry they are going to lose their home, car and other possessions. Tax collectors are not in the business of selling peoples homes. It just doesn’t happen in real life. Many seniors have little or no equity in a home for a lien to attach anyway. The taxing agency files the lien and hopes the tax gets paid if and when the home is sold. Tax collectors do not go after personal possessions, especially persons with lower incomes.
Bankruptcy is generally unnecessary for lower income seniors because their income is already protected. However taxes often can be eliminated through bankruptcy. The general rule is that the tax must be over three years old and have been assessed for at least two years in order to be eliminated through bankruptcy.
Certainly we should strive to pay our taxes. However laws and procedures are in place protecting lower income and poor seniors from tax collection. America wants seniors to have the food and medicines they need. If there is a choice between basics and paying taxes, seniors can take steps to stop tax collection action. Seniors income is in almost all instances protected and available for their needs.