Volume 2, Issue 2 www.myfhc.org Summer 2016

Telemedicine: Expertise in Every Room

See page 8

FHC gets qualityimprovement

funds

See page 7

Common footproblems in seniors

See page 4

Oral HealthExpansion

at FHC

See page 3

Programs YouShould Know

About

See page 2

Get Ready forflu season

FHC is now accepting newpatients and

providing flu shots

Prevent the spread ofgerms-cover coughs andsneezes. An annual flu vac-

cination is animportant stepin stayinghealthy andkeeping othershealthy as well.

The mobile units are fullyequipped medical facilitiesavailable to patients of FHC.

Can't travel? No worries,call FHC for all of youroptometry and dental needs.

The mobile units travel toall FHC satellite centersbringing basic primaryhealth care, eye exams anddental exams into your com-munities. Call FHC at 803-531-6900 for more info onour mobile units.

FHC Gets 2 New Mobile Units

FHC has two new mobile units - Optometry and Dental.

The EconomicImpact of FHC

At FHC, the goal is to pro-vide cost effective, patient cen-tered care to vulnerable popula-tions. Nationally, two thirds ofhealth center patients are mem-bers of racial and ethnic minori-ties, which places health cen-ters like FHC at the center ofthe national effort to reduceracial disparities in health care.

FHC served over 21,000patients with a total economicimpact of $20,467.202 in 2015.FHC created jobs, tax revenuesand savings to the health caresystem.

2 www.myfhc.org

FHC also participates in a Medicare SharedSavings Program called Accountable CareOrganization (ACOs). An ACO is a group ofdoctors, hospi-tals, and/or otherhealth careproviders workingtogether withMedicare to giveyou better, morecoordinated service and health care.

Connecting Kids to CoverageMedicaid and the Children’s

Health Insurance Program(CHIP) offer free or low-costhealth coverage for kids andteens up to age 19. You can apply for andenroll in Medicaid or CHIP any time of year. Ifyou qualify, your coverage can begin immedi-ately. Enroll now. Why wait?

Visit HealthCare.gov or call 1-877-KIDS-Now

Our Million Hearts Program is designed toidentify those who may be at risk for strokeand/or heart disease.The goal of this programis to include preventivestrategies into your treat-ment plan that will reduceyour risk of having a stroke and/or heart dis-ease.

FHC provides Screening, Brief Intervention,and Referral to Treatment (SBIRT) to all ourMedicare patients, SBIRT is an approach to

the delivery of earlyintervention and treat-ment to people withsubstance use disor-ders and those at risk

of developing these disorders.

Dual Eligible, you may qualify for Medicaidbenefits upon reaching age 65. We will assistyou with applying for Medicaid. If you qualifyfor Medicaid, you may not have to pay a co-payment/or pay a very small amount for healthcare.

Care Coordination Program will help coor-dinate your appointments with other doctors,

specialists, labs, radiologyor other testing. A regis-tered nurse will beassigned to you to pro-vide one on one servicesto talk to you about yoursymptoms, help you withprescription medicationmanagement, and provideyou with a Care Plan formanaging your condi-tions.

We know your time and your health are valuable and we hope that youwill consider participating. Please call or stop by one of FHC's satelliteoffices to learn more about these exciting programs.

Programs you should know about

3www.myfhc.org

Retired educator and administrator atSouth Carolina State University, Dr. KennethD. Mosely, is the new board member atFHC. Mosely is the former Dept., chair ofHPE (Health and Physical Education) atSCSU. He received his BS degree in physi-cal education from Morgan State University,MS from Kansas State University, and Ph.din physical education from Indiana Universityat Bloomington. Mosely also served on theboards of Orangeburg YMCA, Orangeburg

Special Olympics, and the Orangeburg national youth sports pro-gram. Mosely said he is an advocate for healthcare and is con-cerned with one's quality of life and believes one can't have aquality of life without the physical component. Mosely adds thatboth of his parents received excellent healthcare at FHC and it ishis honor to serve on FHC's board.

FHC New Board Member, Dr.

Kenneth D. Mosely, PED,

Cilantay Wilsonis the new FNP-Cin Holly Hill

Cilantay Wilson is the newfamily nurse practitioner atFHC's Holly Hill center. Ms.Wilson received her MS fromWalden University, BS fromChamberland College ofNursing, and ABN, AS fromTrident Technical College inCharleston, SC. Ms. Wilsonsaid she is delighted to workwith Family Health Centers andenjoys taking care of patients inrural communities.

The US Dept. of Health andHuman Services has awardedFHC a $525,000.00 grant toincrease access to oral healthservices and improve oralhealth outcomes.

"Oral health is an importantpart of our overall physicalhealth and well being. The

funding awarded will reducebarriers to quality dental carefor thousands of individuals inrural communities by bringingnew oral health providers toFHC," said Health and HumanServices Secretary Sylvia M.Burwell.

Oral Health Expansion at FHC

KudosCongraulations goes out to

FHC'saccountsupervisorand projectdirector of thefarmers mar-ket- SylvettePorter! Mrs.Porterreceived her

MBA from Capella Universitywith a 4.0 GPA. Porter hasbeen with FHC 11 years.FHC dental hygenists- Brenda Whitehurst and Tiffany Williams.

4 www.myfhc.org

The Centers for Medicare & MedicaidServices (CMS) provided FHC with 1 milliondollars in funding to enroll eligible children inMedicaid and the Children's Health InsuranceProgram (CHIP) as part of the ConnectingKids to Coverage campaign. The awards wereauthorized under the Medicare Access andCHIP Reauthorization Act (MACRA) designedto build on the historic progress already madeincreasing the number of children who havehealth coverage.

The Connecting Kids to Coverage outreachand enrollment awards will support targetedstrategies needed to enroll eligible childrenwho do not have health coverage. FHC pro-vides access to health cov-erage where healthcare islagging, including amongAmerican Indians, childrenwith learning disabilities,children living in rural com-munities, and teens.

1 Million forConnecting Kids toCoverage-Medicaid.

Shasonda AmousNew ChiefFinancial Officer

Shasonda Amous is the new Chief FinancialOfficer with FamilyHealth Centers, Inc. Ms.Amous has been withFHC for over 3 years asPurchasing Manager.For more than one year,she served as InterimChief Financial Officer.She holds a Mastersdegree in BusinessAdministration fromClaflin University and aMaster of Arts degree inProcurement andAcquisitions

Management from Webster University. Sheobtained her Bachelor of Science degree inOrganizational Management from Claflin University,and her Associates of Business, Officer SystemsTechnology from Orangeburg-Calhoun TechnicalCollege.

In older adults, the foot complaintsencountered most often are:

• Bunions. A bony growth or misaligned boneat the base of the big toe or sometimes on the

small toe. ...• Calluses and corns. ...

• Hammertoes. ...• Toenail problems. ...

• Foot problems related to diabetes. ...• Foot problems associated with deformities. ..

• Heel pain.Call FHC today to schedule an appointment.

Common foot problems in seniors

FHC's Dr. Byron Jacksonexamines patient

Dr. Jackson, is based at Orangeburg FHC, but sees patients at the following:• Denmark FHC 1st Wed. of every month 8am-5pm• Vance FHC-2nd Tues. every month 8am-5pm

• Holly Hill-FHC-3rd Tues. 8am-5pm• St. George-FHC-3rd Wednesday 8am-5-pm

5www.myfhc.org

AT 107 years young, FHC Patient has no chronic illnessesHe credits God, FHC health

care for longevityAt 107 years young, Clifton

Thomas is not resting on hislaurels.

He spends his days on hismotorized wheelchair checkingout the neighborhood at hisfamily's home in St. Mathews.He receives health care atFamily Health Centers, wherethe centenarian said he lovesthe doctors and staff becausethey care.

According to Orangeburg-based Care Coordinator SharonHarley at FHC, Thomas has nochronic diseases such as highblood pressure and diabetes.

He credits his great health toGod and the care he receivesat FHC.

He says the care and hisstrong belief in God even gavehim back his eyesight. Afterpraying for God to please takehim to heaven if he couldn't seeanymore, Thomas awoke thenext day to see his family andthe lush greenery that sur-rounds his modest home.

Thomas, who has a seniorcompanion and a loving family,said his checkups at FHC pro-vide him with sufficient healthcare and the FHC staff makessure all of his needs are takencare of.

His only health issue isarthritis.

As to what Thomas eats tostay so trim and in good shape,his daughter exclaims, "pig feet,bologna sandwiches and cere-al!" Thomas chimes in, "I eatvegetables too."

Thomas worked as a farmlaborer all of his life, findingwork anywhere he could to sup-port his family in rural St.Mathews.

He said he stayed out oftrouble because of the goodname of his father. Whenfriends would get in trouble, hewas often told to go homebecause of his good familyname.

But Thomas said he owes itall to the man above. "Withoutthe Lord, I wouldn't be here, "he said.

At FHC, not only are carecoordinators available for thosein need, but the Million Heartsprogram is designed to identifythose at risk for stroke or heartdisease. The program is proac-

tive and includes preventivestrategies into treatment pro-grams to reduce the risk ofstroke and heart disease.

In addition, for those individ-uals who want another medicalopinion, there's telemedicineat FHC. This means that if aperson wants to travel out oftown to see a specialist, thevisit can take place in front of acomputer monitor at any FHClocation.

FHC strives to understandthe health needs of its patients,including those who needSBIRT (Screening, BriefIntervention, and Referral toTreatment to all Medicarepatients). SBIRT delivers earlyintervention and treatment topeople with substance use dis-

With 107-year-young Clifton Thomas, seated, are, from left, BridgettMcKnight, caretaker; grandson Denver Roach; daughter Odell Thomas,great-grandson Lamont Roach, and daughter Emma Roach.

continued on page 7

6 www.myfhc.org

Black Men Have Highest Rate of Prostate Cancer

Cancer is the #1 leadingcause of death in SouthCarolina. Do you know whichone? You probably guessedLung cancer. Am I right? That'swrong. The leading cancers onthe list are Breast cancer andProstate cancer. Remember toget those check-ups. They areimportant. You are important

Prostate Cancer: What EveryMan Should Know

Prostate can-cer is one of themost commonforms of canceramong men.Prostate canceris the second leading cause ofcancer death in American menresulting in approximately31,000 deaths each year.Prostate cancer is twice ascommon among African-American men than it is amongmen of European (White)descent.. Additionally, African-American men have the world'shighest prostate cancer deathrate.

Prostate cancer is foundmainly in older men. As menage, the prostate may get big-ger and block the urethra orbladder. This may cause diffi-culty in urination or can inter-fere with sexual function. Thecondition is called benign pro-static hyperplasia (BPH), andalthough it is not cancer, sur-gery may be needed to correctit. The symptoms of benign pro-static hyperplasia or of otherproblems in the prostate maybe similar to symptoms ofprostate cancer. (Source:

National Cancer Institute)Cause and PreventionSince the actual cause of

prostate cancer is unknown, itis currently not possible to pre-vent most cases of this dis-ease. However, men can takesteps to protect themselves. Bylearning to recognize the riskfactors and the symptomsassociated with this diseaseand by getting early screeningtests, many cases of prostatecancer can be detected andtreated before spreading toother areas of the body.Additionally, eating a diet low infat and high in fruits and veg-etables may help men lowertheir chances of developingprostate cancer.

Risk FactorsA risk factor is anything that

increases a person's chance ofdeveloping a disease. The fol-lowing is a list of risk factors forprostate cancer. Remember,many men develop this diseasewithout having any of these riskfactors. Likewise, men whohave one or more of the riskfactors may never develop thisdisease.

• Advancing age • African-American men have

higher risk • Most common in men from

North America andNorthwestern Europe

• High Fat Diet • Smoking • Family history of cancerPossible SymptomsWhen prostate cancer is in

its earliest stages there are

generally no symptoms present.However, as the cancerexpands and begins to spreadto other parts of the body, thefollowing may or may not bepresent.

• Weak or interrupted flow ofurine.

• Frequent urination (espe-cially at night).

• Trouble urinating. • Pain or burning during uri-

nation. • Blood in the urine or

semen. • A pain in the back, hips, or

pelvis that doesn't go away.The most common tests

used to detect prostate cancerare:

• Digital Rectal Exam (DRE) • Prostate-Specific Antigen

(PSA) blood testDiagnosisIf the result of the PSA blood

test or the DRE indicates apossibility of prostate cancerbeing present, tests that exam-ine the prostate and blood canbe used to detect (find) anddiagnose prostate cancer. Theearlier prostate cancer is found,the better the chances are thatit can be treated. The mostcommon tests are listed below.Additional tests to determinethe stage and grade of the can-cer will then be performed.Staging indicates whether ornot the cancer has spread toother parts of the body. Gradingthe cancer will indicate whetherthe cancer is fast growing(more likely to spread) or slowgrowing:

Continued on page 7

7www.myfhc.org

T&D Staff ReportFamily Health Centers is

among the South Carolinagroups sharing $1.6 million infederal fundsfor health cen-ter qualityimprovements.

FHC willreceive $10,000in the area ofelectronichealth recordreporters and $65,000 forachieving patient-centeredmedical home recognition for itsservice delivery sites.

The centers are receiving thefunds based on their high levelsof performance, according tothe U.S. Department of Healthand Human Services.

“Health centers are evaluat-ed on a set of performancemeasures emphasizing healthoutcomes and the value of care

delivered,”HealthResourcesand ServicesAdministrationActingAdministratorJim Macraesaid. “These

measures provide a balanced,comprehensive look at servicesto manage conditions amongthe vulnerable populationsserved by health centers.”

Nationally, more than $100million was awarded to 1,304health centers in the UnitedStates.

FHC gets qualityimprovement funds

• Digital Rectal Exam (DRE) • Prostate-Specific Antigen

(PSA) blood test • Transrectal ultrasound • BiopsyTreatmentThe choice of treatment

depends on several factors: theindividual's overall health, age,life expectancy, the grade andstage of the disease, the effectsof treatment, and personal pref-erences. Treatments include:

• Watchful waiting • Surgery • Radiation therapy

• Hormone therapy • Chemotherapy • New types of treatment are

being tested in clinical trials.Patients can enter clinical trialsbefore, during, or after startingtheir cancer treatment.

SurvivalSurvival rates for all stages

of prostate cancer haveimproved over the years and atleast 89% of men diagnosedcan expect to live at least 5years from the time of theirdiagnosis and 63% survive 10years. If the cancer has notspread beyond the prostategland the 5 year survival is99%.

Prostate CancerContinued from page 6

The centers are receivingthe funds based on theirhigh levels of performance

U.S. Department of Health and Human Services.

orders and those at risk ofdeveloping these disorders.

A person may qualify forMedicaid benefits upon reach-ing age 65. FHC will assist withapplying. When qualified, a per-son may not have to make aco-payment or he or she maypay a very small amount forhealth care for the programsavailable at FHC.

FHC also participates in aMedicare Shared SavingsProgram called AccountableCare Organizations (ACOs). AnACO means doctors, hospitalsand other health care providerswork together with Medicare togive better, more coordinatedservice and health care.

Care coordinators at FHCadmit that at 107, Thomas is ananomaly because he doesn'thave one or more chronichealth problems such as dia-betes, heart disease or hyper-tension. An estimated 90 per-cent of adults over 65 have oneor more chronic conditions.

However, older adults likeThomas often have complexneeds. The Care CoordinationManagement team at FHC mayinclude physicians, direct-careworkers, physical therapists,dentists and others. Care coor-dinators at FHC provide accessto essential information aboutthe disease process.

For more information onCare CoordinationManagement, the Million Heartsprogram and other FHC pro-grams, call 803-531-6900.

AT 107 years youngcontinued from page 5

8 www.myfhc.org

Telemedicine Putting Expertise in Every Room

Dr. Kenneth Mosely, newboard member at Family HealthCenters, Inc., looks over tele-health equipment at FHC inOrangeburg, SC.

Telemedicine today uses infor-mation and communication tech-nologies (ICTs) to help addresssome of our challenges to helpovercome geographical obsta-cles.

FHC is working with MUSC toprovide patients with Telehealth.Telehealth is the delivery ofhealthcare via computer, tabletand phone.

Orangeburg3310 Magnolia StreetOrangeburg, SC 29115

Denmark1241 Solomon Blatt BlvdDenmark, SC 29042Fax: (803) 793-6346

Holly Hill922 Holly StreetHolly Hill, SC 29059Fax: (803) 496-7928

Neeses7061 Norway RoadNeeses, SC 29107Fax: (803) 263-4097

St. George401 Ridge StreetSt. George, SC 29477Fax: (843) 563-8229

St. Matthews558 Chestnut StreetSt. Matthews, SC 29135Fax: (803) 874-1998

Vance10278 Old #6 HighwayVance, SC 29163Fax: (803) 492-9156

BambergBamberg Job Corps19 Job Corps AvenueBamberg, SC 29003Fax-803-245-6310

DentalMobile Unit

3310 Magnolia StreetOrangeburg, SC 29115Fax-803-531-6907

OptometryMobile Unit

3310 Magnolia StreetOrangeburg, SC 29115Fax-803-531-6907

Family Health Centers Convenient locations803-531-6900