healthy lifestyle guide fall 2015

Your Care. Your Trust. Our Mission.

Kenner Army Health Clinic

LIFESTYLEGUIDE

2 • HEALTHY LIFESTYLE GUIDE • 2015

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Welcome to the Kenner Army Health Clinic Fall/Winter Healthy Lifestyle Guide. Inside you will find articles and information on the Performance Triad, which is the foundation of Army Medi-cine’s transformation from a healthcare system to a system for health. The Perfor-mance Triad is a comprehensive initiative designed to help individuals balance and sustain health through three main com-ponents: sleep, activity, and nutrition. At Kenner, we are committed to improving knowledge and behaviors in these three areas so our patients can prevent illness, improve physical/mental performance, and enhance their overall well-being.

As we enter the fall season, I challenge you to embrace the Performance Triad and begin a personal journey toward op-timal health. Research shows that adopt-ing healthy habits can yield dramatic and immediate benefits even for elderly adults. It is never too late to start living healthy and the staff at Kenner is here to help. Through the Army Wellness Cen-ter, we can offer you an individual health assessment to measure your current health/fitness level. Following this assess-ment, we will develop a tailored plan to help you achieve your health, wellness, and fitness goals. I highly encourage you to take advantage of this free resource

and schedule an appointment with the Army Wellness Center today. Appoint-ments are open to all military, family members, retirees, and Department of Defense civilians.

In closing, thank you for placing your trust in Kenner Army Health Clinic. Our team is committed to enabling your health and providing you with the pa-tient-centered services you deserve. We look forward to working with you as partners on your journey to optimal health.

COMMANDER’S WELCOME 2015

LTC Brett H. Venable, CDFM, FACHECommander, Kenner Army Health Clinic

Fort Lee, VA

BY CHARLES MOORE Deputy, Facilities Management, and Kenner Army Health Clinic

The Kenner Facilities Department have been very busy in 2015, with construction and revital-ization project activities on Medical buildings at Fort Lee and its growing needs, providing great customer support to its cliental; active duty per-sonnel, the retirement community and its depen-dents.

At the Kenner Army Health Clinic (KAHC) main facility, several seen and unseen projects have been completed or close to completion. The main FY15 project was the ren-ovation of the Active Duty Clinic to meet the imple-mentation of the Medical Home Model. This project was completed on 18 Sep-tember 2015 and frees up clinical space in address-ing the existing shortfall of provider space. The

newly renovated space is complete with a new 8 person double wall hear-ing booth. Another seen project completed was the installation of a new HVAC and Roof System at building 3219, Troop Med-ical Clinic 1.

MEDCOM has initiated a Sustainability Program as part of the Army’s Green Initiative Program. This program is design to access the functional effectiveness and opera-tional efficiency function-ality in respect to energy conservation sustainment. The Facilities Depart-ment is ensuring Kenner is complying with these initiatives by installing a new high efficient chill water system, a new HVAC system and two (2) new cooling towers. This equipment is already pay-ing major dividends by cutting Kenner’s energy savings by 35%, with an overall savings of 52.3% since MEDCOM’s baseline

inception. A less visible, but equal-

ly important project was the complete replace-ment of the Automatic Transfer Switches (ATS). These switches are in-strumental in the area of Life Safety; these switches transfer electrical power to the backup generator system in the event of a power outage ensuring electricity is continuous throughout the facility thus maintaining the class 1 and class 2 medication temperatures.

There are several proj-ects planned for Ken-ner Army Health Clinic in FY16 to include, the complete renovation of building 8200, Medical Company and Human Re-sources, the conversion of the Pediatrics Clinic into a Medical Home Model, the installation of a new green, high efficiency roof on the main facility, and the renovation of the Re-cords Section.

Elements of Success: Kenner Facilities New, Improved


Health Initiatives KAHC Event (s) Week Long National Observance (s)

2015-2016 HEALTH OBSERVANCESMonth / Year

September 2015 Pediatric AsthmaWomen’s Health

Asthma Awareness, 14-18 SepRetiree Appreciation Day, 26 Sep

Cholesterol Education MonthGynecologic Cancer Awareness

October 2015 Breast CancerMental Health

Think Pink, 12-16 OctWear Pink, 16 OctKAHC 5K Volksmarch Day, 17 Oct

Breast Cancer AwarenessNational Mammography Day, 16 Oct

November 2015 Diabetes Self-Care Skills for Diabetes, 9-13 Nov American Diabetes MonthWorld Diabetes Day, 14 Nov

December 2015 LDL, HTN Healthy Habits for the Holidays,30 Nov - 4 Dec

Kenner Wide Healthy Tips

January 2016 Cervical Cancer,Breast Cancer Screenings

Early Screening Saves Lives Cervical Health Awareness Month

February 2016 LDL (Cholesterol)HTN, Diabetes

Heart Healthy Go Red, 5 Feb(Dress in Red)

Go Red for Women (Heart Disease)

March 2016 Colorectal Cancer Screening

Dress in Blue Day, 4 March Colon Cancer Alliance Dress in Blue Day

May 2016 Women’s Health Measures

Women’s Health Week, 8-14 May Women’s National Health WeekNational Check Up Day, 9 May

BY MARY ANN CRISPIN, RN, Disease Management Clinic

Military treatment facilities including Kenner Army Health Clinic (KAHC) take an active role in developing processes to improve the health of our ben-eficiaries. Recognizing the im-portance of early detection with health screenings is a part of Kenner’s mission of care.

The Healthcare Effectiveness Data and Information, referred

to as HEDIS, is the most widely used set of standardized perfor-mance measures for the majority of health care plans in all facili-ties – military and civilian. Many of these nationally recognized standards measure preventive screenings or management of chronic illness such as breast cancer, cervical cancer, colon cancer, diabetes and chlamydia with the goal of provided im-proved health care quality. These key concepts are developed into

a group of nine measures col-lectively termed HEDIS, a set of standardized performance mea-sures to establish accountability in health care.

For the patient, it means that the health care received at KAHC is measured against all other health plans. A facility that pro-vides care and follows HEDIS measures receives a score. A fa-cility that maintains its excess of benchmark goals receives fund-ing. If the benchmark is not main-tained no funding is received.

The revenue generated from HEDIS can increase the quality and delivery of care for the facil-ity. The increased revenue will be used for more educational programs, equipment or staff to increase the services avail-

able, all by simply maintaining good preventive screenings or management of chronic condi-tions. A successful “report card” is achieved when all agencies work together to get preventive screenings done.

Disease Management at KAHC is involved in the collection of data that is used to monitor, de-velop, implement and evaluate HEDIS measures for a specific population. The benefit of this process is helping beneficiaries maintain the necessary health screenings, lab work and follow-up care to reach optimal health.

Disease Management provides education, resources and out-reach to beneficiaries to help patients’ manager their care. Re-minder letters, birthday cards

and health fairs are just some of the ways Kenner uses to market the importance of health screen-ings.

KAHC provides ambulatory services and specialty care with services available in a robust network of providers within the community. Health screen-ings may also be done “outside” of Kenner. Beneficiaries may choose to have a network pro-vider complete health screen-ings. Please ensure you provide a copy of outside screenings to Kenner to ensure a complete re-cord of care is maintained.

Contact your clinic provider team to schedule preventive screenings by calling the Ken-ner Patient Appointment Line at 1-866-LEE-KAHC.

Health Screenings: Am I Due?


Good news for TRICARE beneficiaries living in the Fort Lee area. The next time you receive a prescription from an off-post provider, you will not have to squint to decipher the doctor’s handwriting and neither will the Kenner pharmacy team. That’s because electronic pre-scribing, better known as e-prescribing is now available at Kenner Army Health Clinic

The best part about e-prescribing is it allows civilian prescribers to electroni-cally transmit prescriptions to Kenner for dispensing, optimizing safety through the reduction of transcription errors due to illegible hand-written prescriptions.

The first and last name, date of birth, and gender must match along with one of the following identifiers on E-RX for pharmacy to validate and process all E-RX from outside.

a. Department of Defense identifier (DoD ID)

b. Patient’s Social Security number (SSN)

c. Street address, city, state, and zip code

Kenner has provider network pharma-cies with a list of formulary to ensure they are aware of medications available at Kenner.

E-Prescription saves time and helps prevent medication errors by sending prescription(s) instantaneously from doctor’s office to our pharmacy. It also helps in suggesting generic and other medications, resulting in cost effective-ness.

If you have further question regarding Tricare Formulary please visit www. Tri-care.mil/pharmacyformulary.

Effective October 1, 2015, all TRICARE beneficiaries with prescriptions for chronic health issues such as high blood pressure medicine, diabetic drugs, cho-lesterol-lowering medicines, and antide-pressants and more will have to utilize Tricare Mailing Order Pharmacy (TMOP) service or fill it at a Military Treatment Facility Pharmacy such as Kenner.

According to the new rule, it does not apply to prescriptions for generic drugs, for drugs to treat acute illnesses, and for prescription covered by other medical insurance. Under the new rule, Tricare beneficiaries will be able to save lots of money on their maintenance medica-tions because co-payments are lower and most medications are available through TMOP or at MTF Pharmacy for up to 90 day supply.

This program does NOT apply to active duty service members, beneficiaries liv-ing overseas, or those with other health insurance that includes a prescription drug benefit. Beneficiaries can still fill their new maintenance medications twice at a retail pharmacy before they need to switch to Home Delivery or a military pharmacy. Military pharmacies offer prescriptions at no cost to benefi-ciaries, but do not carry all medications. Beneficiaries should call MTF Pharmacy to make sure it carries their drug. Please visit www.express-scripts.com/TRICARE for more information.

PHARMACY NEWS YOU CAN USE

Beautiful, spacious birthing suites

Neonatal Intensive Care Unit (NICU)

Board-certified OB/GYN physicians

Experienced nursing staff

Internet access to stay in touch with family and friends

In-room, private portrait sessions

Birthing classes and postpartum education

Advanced infant security system

Certified lactation consultants

Board-certified neonatologists and pediatricians

Southside is directly or indirectly owned by a partnership that proudly includes physician owners, including certain members of the hospital’s medical staff.

Helping deliver a bundle of joy into the world is a great

privilege. In fact, we celebrate each new arrival by playing a

lullaby throughout the hospital. If you’re expecting, you can

expect more from us. To find an OB/GYN or to schedule

a tour of The BirthPlace at Southside Regional Medical

Center, call 804-765-5381 or visit SRMConline.com.

Joy.

Minutes count.Less than 15 minutes away

from Fort Lee.


BY CPT AARON D. LEMONSChief, Managed Care DivisionKenner Army Health Clinic

TRICARE Online (TOL) is the Military Health System’s patient portal for inter-net access to available healthcare servic-es. TOL provides secure access to online features for DoD beneficiaries receiving care through a military hospital or clinic. The TOL multifunctional website allows beneficiaries to:

• Make, change, cancel, and review ap-pointments for yourself or your autho-rized family members.

• Receive email and text message ap-pointment reminders.

• Refill and check the status of your prescriptions at your military treatment facility.

• Review, print, or download your per-sonal health data from your military elec-

tronic health record.TOL users are required to register their

DoD CAC identification card prior to their first use on TOL. To register your DoD CAC, beneficiaries may use the fol-lowing steps. First, register for a MHS iAS Username and Password account by selecting the “Click Here to Register Your CAC” link on the Tricare Online main page. After registering for a Basic Logon account, use your CAC or DFAS myPay account to quickly upgrade to a Premium DS Logon account. If you do not have a DFAS myPay account, you can use the “Upgrade” icon under the “My Ac-cess Center” link on the TOL homepage. Please keep in mind that TOL users are re-quired to register their DS Logon Account prior to their first use on TOL.

Have you heard about the TOL “Blue Button” feature? The TOL “Blue Button” allows authorized users the ability to

view, print, and save their available per-sonal health data. It provides convenient access to your personal health data and offers a way for beneficiaries to partici-pate in their own health care. For exam-ple, access to the “Blue Button” feature allows beneficiaries to:

• Explore medication, allergy, and par-tial demographic profile information, lab results, problem lists, and encounter data.

• Tailor personal health data preferenc-

es; view all available personal health data or a summary of select personal health data.

• Download and save personal health data to your own computer.

• Print personal health data. For more information on the service

and support of Tricare Online (TOL), please contact TOL customer service at 1-800-600-9332 or www.tricareonline.com. Both services are available 24 hours a day, 7 days a week.

THE BENEFITS OF USING TRICARE ONLINE

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BY CELIA MURRAY, R.N., Wilkerson Pediatric Clinic

Last year at this time we presented you with an article about The Surgeon Gener-al’s new (at that time) initiative known as the Performance Triad which was created when the U.S. Army Medical Command began transitioning from a health care system to a system of health. You may re-member there were three pillars of the program intended to promote health and wellness by balancing sleep, activity and

nutrition. Keep in mind the Triad is help-ful to both children and adults. Hopefully, you were able to put this program into practice for your family.

We want to quickly recap the pillars of the Performance Triad, in hopes this helps you to evaluate if you are achiev-ing the goal of the initiative – optimal performance and health. Don’t despair if you have not yet reached success in all areas. If you find you have not made the progress you or your health care provider would like you to achieve, you can certainly continue to incorporate

changes into your daily routine to move in the right direction.

So here’s what we want to remind you.

The Triad focuses on the three pil-

lars of optimal

health – a balance of Nutrition, Activ-ity and Sleep. We know that nutrition is directly linked to school performance. Studies have shown that kids who eat a well-balanced breakfast and lunch do better in school. Kids who eat breakfast have more energy throughout the day, have improved concentration, get better grades and maintain a healthy weight.

The Dietary Guidelines for Americans describe a healthy diet as one that em-phasizes fruits, vegetables, whole grains and fat-free or low-fat milk and milk products. Your children should have at least eight servings of fruits and vegeta-bles each day for optimal performance at school or anywhere. A healthy diet is low in saturated fats, trans-fats, choles-terol, salt and added sugars. It includes lean meats, poultry, fish, beans, eggs and nuts. These serve as fuel for your body.

Fueling the body well also helps to ex-ercise it. An ever increasing number of children are overweight or even obese. Lack of proper diet and physical activity paired with improper sleep habits are as big a problem for young people as they are for adults. There really is something to that old adage that what you get out of your body (general health and opti-mal performance in this case) is only as good as what you put into it by way of food and exercise. You have to fuel your body well enough for it to sustain your activities and to restore and rejuvenate you when you sleep. The previous rec-ommendations still apply – vigorous-intensity physical activity at least three days a week.; muscle-strengthening

activity such as, playing on playground equipment, climbing trees, playing tug-of-war, lifting weights or working with resistance bands at least three days per week; bone strengthening physical ac-tivity such as running, jumping rope, basketball, tennis and hopscotch a mini-mum of three times per week. The im-portant thing is that children should get a minimum of an hour of exercise either during or after school every day. Moderate or vigorous-intensity aerobic physical activity such as run-

ning, hopping, skipping, jumping rope, swimming, dancing and bicycling should compromise most of the 60 minutes or more a day. Studies show that children who are more active score better on tests and get better grades. Developing an active lifestyle when we are young has lifelong benefits. Again, studies prove that children who are active from a very early age have lower rates of injury, bet-ter bone health, and are less likely to be-come overweight or obese as adults.

As important as it is to fuel the body, resting it is as important as well. Ade-quate sleep is needed for a child to per-form his or her best. Children aged 3-5 years require the most amount of sleep: 11-13 hours; children aged 5-10 need 10-11 hours of sleep and adolescents and teens aged from 10 to 17 need 8.5 to 9.5 hours each night.

One study in The Journal of School Health reported that fifth grade stu-dents who got adequate sleep had bet-ter weight statuses. Studies continue to emerge that link the relationship be-tween length of sleep and being over-weight or obese. If you take time out of your busy schedule to think about it you will find this is true for yourself as well. You are at your best when you are well rested.

While children generally get plenty of exercise during their summer vacation some may slip a bit when it comes to getting adequate rest. They will quickly get back into a set routine with the re-turn to school and as we noted in last year’s article this is an opportune time to institute changes using the Perfor-mance Triad’s three pillars of sleep, nu-trition and physical activity. Your staff at the Wilkerson Pediatric Clinic is here to help mothers and fathers with keeping their children healthy and performing at peak levels. Feel free to reach out to us at any time.

Lastly, remember you can find a multi-tude of resources available to help you or your children learn about healthy liv-ing. We recommend you visit Army Medi-cine at http://armymedicine.mil.

A Review of the Performance Triad


BY TEREASA WADE Public Affairs Officer,Kenner Army Health Clinic

Tackling weight loss to-gether is the name of the game for Connie and Mar-vin Johnson. The couple has lost a combined 119 pounds since beginning their joint effort of dieting and exercising just over a year ago. Connie has lost 61 pounds and Marvin is down 58 pounds.

“I started out eating around 1,200-1400 calories a day and I am now eating around 1,400-1600 calo-ries a day to maintain my weight loss,” said Connie.

Tackling weight loss to-gether, exercising has be-come a huge part of their lives. Marvin quickly got onboard with the weight loss, “I liked what I saw,” said Marvin. “Connie looks amazing,” he said.

Connie spends an hour to an hour a half in the gym five days a week. They try to spend time in the gym together as often as pos-sible.

In August last year, Mar-vin began meeting with Kathleen Viau, Kenner Di-etitian. Tackling weight loss together is the key to their success. Medical issues made Marvin real-ize that losing weight was a “must.” Knowing how much knee pain he was suffering from helped him stay motivated to make healthy choices until the habits became second na-ture.

“One and a half years ago, I had all sorts of pain,

especially in my knees, be-fore losing my weight,” said Marvin. “After dropping the weight, I no longer suf-fer from knee pain and I have more energy,” he said.

The Johnson’s have been married 28 years.

Their relationship re-volved around their eating habits. They would go out to eat and indulge in one unhealthy meal after an-other.

They knew that in order to get healthy, they needed someone to steer them in the right direction. So they sought help from Kenner’s dietitian, Kathleen Viau.

Ms. Viau began first with Connie. “Connie came to see me almost two years ago, having tried every-thing from supplements to extreme dieting to lose weight and keep it off, said Ms. Viau. “We started with small changes, such as sim-ply increasing her aware-ness of her food choices. I wanted Connie to realize that those food products she was eating would nev-er really satisfy her nutrient needs or her hunger, but would just drive her to eat more and more calories.”

“I started eating a whole lot more fruits and veg-etables, instead of sweets and processed snacks,” said Connie. “But I wasn’t really tracking calories the first few months and I had a lot of lose a few, gain a few weeks, even though I was making healthier choices overall and exercising. It wasn’t until I really started tracking calories that I saw the weight steadily come

off. Plus, I was seeing Kathy every week for accountabil-ity, encouragement and ad-vice for managing difficult food environments or situ-ations. After five months I had lost 31 pounds and there was no stopping me after that,” she said.

The couple started us-ing a smartphone app, “My Fitness Pal” to track the calories they consumed. In the beginning, they ate at restaurants only on special occasions and prepared all meals at home.

Connie found recipes for healthier versions of the foods they loved. Their diet primarily consists of lean meats with lots of fruits and vegetables. Even today, everything they eat goes into a food journal.

The weight came off quickly for Marvin dur-ing the first month alone. Connie has maintained her weight loss and then some for almost 1 year.

They tried to keep the weight loss steady af-ter that, knowing they couldn’t expect to see such a big number month after month without being disappointed.

Weekly meetings with the dietitian helped keep them on track.

“Marvin was the perfect patient, commented Ms. Viau. He was highly moti-vated and once he saw that it was a matter of know-ingly eating fewer calories, he started tracking from day one.”

“We use the app to help determine if we should partake in that cheat or opt

out for a healthy snack,” Marvin said. And going to the Dietitian was fun! The first meeting she asked what I ate and I told her Dove. ‘Like the bird?’ she said. “Yes,” I told her, I hunt.”

“I remember that,” said Ms. Viau. “The next visit they showed up bearing a gift wrapped in foil and told me since I had never eaten Dove; they wanted me to try it. I was really hesitant to open up the package, but, well, I need-ed to be polite. I was very pleasantly surprised and relieved to find two bags of Dove chocolates! Work-ing with Marvin and Con-nie over the past two years and being witness to their transformation has been such a great experience. They are a testimony to changing lifestyle habits to feel better, be healthier, can- be-done.

As they begin to move into the maintenance phase of their diet, the cou-ple has allowed themselves to indulge and Marvin’s birthday is one time they plan to treat themselves.

“August 31, Marvin’s birthday, we will treat our-selves to all you can eat crab legs,” Connie said.

They still give in to crav-ings from time to time.

Connie says she has a sweet tooth, but she con-trols cravings by distract-ing herself with activities such as walks or opting for a healthy alternative, like strawberries with cool whip. “Typically, we do not have starches very often and do not keep breads in the house.”

What keeps her on track is understanding that “No matter how many times you slipped or messed up, you just make your very next choice a healthier one, and eventually you’ll get there,” she said. “You have to stay positive and remind yourself that you’re human and nobody is per-fect.”

Even though they’ve managed to lose a substan-tial amount of weight the couple still face daily strug-gles, that’s where their weekly meetings with Viau helps them stay focused.

“I don’t see myself as quite as small as what Mar-vin tells me I look,” said Connie.

Through both the strug-gles and triumphs they have found support in each other. They say that doing this as a team has brought them closer together, and they feel like they are al-most newlyweds again.

“We are a lot more ad-

venturous and outgoing now that we have dropped weight. Our outlook has changed almost complete-ly thanks to the guidance and support from Ms. Viau and our own persever-ance” said the couple.

To learn more about Kenner’s nutrition counsel-ing services for diet, and health, weight manage-ment, stress and emotional eating, vegetarian guid-ance, building muscle, and more, please contact your provider team for a referral.

WEIGHT LOSS SUCCESS – COUPLE LOSES WEIGHT TOGETHER

One and a half years ago, I had all sorts of pain, especially in my knees, before losing my weight. After dropping the weight, I no longer suffer from knee pain and I have more energy.”

- Marvin Johnson


BY KIMBERLY SCHOEN, Chief Nurse in Charge, Family Medicine Clinic

For the Past three years, Kenner Army Health Clinic has welcomed you into our “Patient Centered Medical Home” seeing patients uti-lizing smaller care teams, which are able to provide you with greater continu-ity and coordination of care. We are further expanding our services by offering you an alternative to seeing your provider face to face; iIt is called a virtual office visit.

Virtual office visits are simply provider-patient in-teractions that occur via e-mail or through a Web-based portal. They offer our patients an alternative way of communicating with their providers regarding health issues that do not require face-to-face contact, such as simple urinary tract infections, upper respira-tory infections or routine follow-up of chronic dis-eases, that we may be able to take care of without in-conveniencing you.

Virtual visits satisfy pa-tients’ thirst for timely ac-cess to care and allow them to communicate with their provider when it’s conve-nient for them, whether from home or work, regard-less of the time of day. With a virtual visit, patients don’t have to wait on hold to schedule an appointment, they don’t have to miss work and they don’t have to waste time in a waiting room. This type of informa-tion exchange allows our patients to describe their problem and formulate their questions without feeling rushed, and because they have their provider’s

response in writing, they can reread the information as often as they like to un-derstand the content.

“I think it is a great way to communicate with the patients/parents to provide anticipatory guidance and simple advice,” said Dr. Syl-via Lee, Wilkerson Pediatric Clinic.

We offer three different ways to obtain medical advice. Army Messaging Secure Messaging Service powered by Relay Health® is an email portal that you can register for in the clinic and allows you to go online and directly message your care team with questions, request appointments, and receive periodic messages from Kenner about upcom-ing events and services pro-vided. This option is com-pletely secure and Health Insurance Portability and Accountability Act (HIPAA) compliant.

Tricare Online is a web portal that is available for booking appointments di-rectly with your health care facility, and offers you the ability to view certain diag-nostic results within 7 days after having them done.

The Nurse Advice Line can be reached by dialing 1-800-874-2273, option1. There is a live Nurse avail-able 24/7 to answer ques-tions, and direct patients to either an urgent care facil-ity, or an Emergency room if needed.

It is important to note, that virtual visits are not for urgent matters such as chest pain, and that you should call 911 in case of an emergency. You should also be aware that physicians can take up to 24 hours to respond to your secure message.

Your Virtual Office is Now Open

BY COL LARRY ROTHFUSSStaff Dentist

Dental readiness supports three of the Army’s four ARFORGEN impera-tives, namely Sustain, Prepare, and Reset. Dental problems may impair a Soldier’s ability to function on the bat-tlefield or in garrison. Consequently the lack of dental readiness may negatively affect a service member’s ability to complete a mission. Some-thing as unpretentious as a tooth-ache, resulting from an untreated cavity, can escalate into a significant inconvenience for the patient and his/her unit. Obtaining annual dental exams and necessary dental care can help avoid dental emergencies and improve readiness in addition to the dental wellness of the unit.

The current oral health status of military personnel is classified as the following:

• Dental Class 1: Indicates pa-tients with a dental exam that is cur-rent (within one year) who do not require dental treatment or re-evalu-ation. These patients are worldwide deployable.

• Dental Class 2: Patients with a current dental exam, which re-quire non-urgent dental treatment or re-evaluation for oral conditions which are unlikely to result in a den-tal emergency within 12 months. Examples of non-urgent dental treatment are minor defective res-torations and dental decay, as well as cleanings. Class 2 patients are worldwide deployable.

• Dental Class 3: Patients require urgent or emergent dental care. Class 3 patients are not worldwide deployable. These patients require treatment for large dental decay, tooth fracture involving pain or de-fective restorations that cannot be

maintained by the patient and also, chronic oral infections associated with wisdom teeth.

• Dental Class 4: Patients require an annual dental exam or those with unknown dental classifications. These patients are not worldwide deployable.

The Colonel Bull Dental Clinic is located at 2601 C. Ave. Bldg. 8204, with operating hours of: 7:30 a.m. to 4:30 p.m. Sick Call hours are 7:30-10:30 a.m., walk-in exam hours are 7:30-10:30 a.m. and from 12:30- 4 p.m. For more information, call the clinic at (804) 734-9607 or 734-9608.

The Mosier Dental Clinic is located at 300 Central Ave., Bldg. 18036 on the Ordnance Campus. Hours of op-eration are 7:30 a.m. to 4:30 p.m., sick call is from 7:30-10:30 a.m., walk-in exam hours are 7:30-10:30 a.m. and 12:30-4 p.m. For more information, call 734-5365 or 734-5454.

FORT LEE DENTAL CLINIC COMMAND SAFEGUARDS MISSION READINESS

BY SGT JOSHUA K. GREEN,Healthcare Specialist, Active Duty Clinic

The Active Duty Clinic, Kenner Army Health Clinic, provides care for the active duty personnel on and surrounding the Fort Lee area.

One of those services provided is the periodic health assessment; a yearly requirement for every service member. The process starts with the service member filling out a survey online on AKO. After the survey has been completed, the next step entails the service members go to the Active Duty Clinic and fill out the appropriate form stating age. The ages are ei-ther under or over 35 years of age.

The PHA process varies with age, but with some similarities.

One similarity is the hearing test which is adminis-tered yearly, prior to the scheduling of the face to face health assessment.

After the hearing test is administered and cleared by the hearing technician, the service member, if less than 35, will be checked to see if all of their medical readiness prerequisites are green and then be sched-uled to see the provider at a later date.

If the service member is a male 35 – 39 years of age, they will need to have a lab test done to test for cholesterol.

If the service member is between the ages of 40-49,

they require labs testing for cholesterol, diabetes and HIV. All service members require an EKG to look for irregu-larities in their heart. The EKG must be performed every 5 years and will be done prior to the face to face exam.

If the service member is a male, they also need a Prostate blood test prior to their exam.

Female service members are required to have a Mammogram and a well woman exam must be cur-rent and on file with the clinic

Service members over the age of 50, require a chest x-ray and male service members are required a stool test (yearly) or a colonoscopy every ten years.

Once all prerequisites have been completed by the service member, their part two exam is scheduled with their provider. The part two appointment will not be the same day as the prior testing and will also include a vision test prior to seeing their provider.

The provider evaluates all the tests performed in addition to the online questionnaire to determine the overall health of that service member.

Once all the information has been verified the pro-vider will sign off on the periotic health assessment, thus completing the process. Once the process has been completed it may take 2-3 weeks to reflect the service member’s medical readiness.

If you have further questions, regarding the PHA process, please feel free to contact the Kenner Active Duty Clinic.

Periodic Health Assessment (PHA)


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Time... Cost… Flavor. Three of the main reasons Ameri-cans say is the reason they do not adopt healthier eating habits.

For the Fort Lee Community, those barriers are easily removed with one trip to the Fort Lee Commissary or the Commissaries.com website.

Healthy Living is an online resource designed to sup-port patrons in meeting their health, nutrition and well-ness goals. On that site, you will find health and nutrition information and resources along with tips to help you de-velop healthy habits and maintain a healthy lifestyle.

• Healthy Habits: This page features timely articles on health and nutrition along with related recipes that are both tasty and nutritious.

• Healthy Eats: This is where you’ll find “Quick Meal So-lutions” and healthy recipe suggestions to help in develop-ing your meal plan and shopping list.

• Resources: On the Resources page you’ll find an ar-chive of past Healthy Habits articles, along with links to related resources.

• Cooking Tips: Under Cooking Tips you’ll find articles, tips and more, including time-saving shopping techniques and advice to help you tackle your everyday challenges in preparing healthy meals for you and your family.

Just in time for back-to-school and eating on the go, the current Healthy Habits article features ideas and sugges-tions for putting together quick, nutritious, and a bit non-traditional, lunches and snacks.

The link to Mason Jar Salads is the creative solution to transporting salads and veggies without worrying about any messy dressing leaks, soggy lettuce or veggies losing their freshness. Simply pour your dressing at the bottom of the jar and pile on your favorite veggies, salad greens and goodies on top. These salads keep for days in the re-frigerator. With a little time spent in preparation, The Ma-son Jar Salad method makes having a healthy salad every day easy and economical.

To further make healthy eating convenient, affordable and good tasting, the Commissary links its sales flyer to those items currently on promotion in the store. Addition-ally, those sales items are featured in recipes in the Healthy Eats “Thinking Outside the Box” section on their website.

Be sure to check out the sales flyer every two weeks at commissaries.com. There will be a new “Thinking Outside the Box” and quick and healthy meals solution.

To stay in the know about sales and events and receive nutrition information and recipe suggestions, be sure to like their Facebook page and follow them on twitter.

Website: www.commissaries.comFacebook: www.facebook.com/YourCommissaryYouTube: https://www.youtube.com/user/DefenseCommissaryTwitter: www.twitter.com/YourCommissaryFlickr: www.flickr.com/photos/commissary/Commissary Connection: www.commissaries.com/subscribe.cfm

Fort Lee Commissary Committed to Healthy Living

BY KATHLEEN VIAU, Kenner Dietitian

Plain, fat free, Greek yogurt makes a great healthy swap in many ways:

Fruit purees are also ways to de-crease calories and boost nutrition in many recipes:

Substituting applesauce for oil will quickly become your favorite healthy swap! It saves on calories and fat without altering the taste. Use the same amount of apple-sauce as you would oil. But, note that most cookbooks say that you shouldn’t use more than 1/4 a cup of applesauce as a substitute for oil. Using more can change the chem-istry of a recipe and it might flop.

To keep that from happening, start with 1/4 a cup and increase it incrementally if the recipe calls for more oil. For example, if a recipe calls for 1/2 a cup of oil, then the first time use 1/4 cup applesauce and 1/4 cup of oil. If the recipe works, increase the applesauce by 1/8 a cup the next time. If it works again substitute applesauce for the the entire amount of oil.

For some recipes, you can safely substitute the entire amount and

FOOD SUBSTITUTIONS FOR HEALTHIER COOKING

for some only half the amount still results in a delicious outcome. This substitution method may also work with other purees such as prunes, pears, pumpkin, bananas or even black beans!! Experiment with some of your own!

For the more adventurous and health conscious cooks concerned about the trans fat and sodium in condensed soups, here is the per-fect substitute:

Ingredients:1 cup non-fat dried milk¾ cup cornstarch¼ cup bouillon (if you have

cubes, you have to smash them up)4 Tablespoons freeze dried

minced onions1 teaspoon dried thyme1 teaspoon pepper

Directions:Mix all ingredients up. Multiply

ingredients to make a larger batch.

To use: Mix 1/3 cup dry mix with 1/1/4 cup water for the equiva-lent of one can of condensed cream soup. Cook until thick. Add additional flavorings as needed (chopped mushrooms, celery.)

To substitute sugar with an alter-native sweetener that is not artifi-cial, experiment with the different

stevias and stevia-blends. Domino has a light sugar/stevia baking blend and Truvia has a stevia/sugar baking blend and a brown sugar/stevia baking blend. These blends are a one-to-one ratio substitution.

Additional healthy substitutions include:

• 2 egg whites for one whole egg• Whole wheat or whole wheat

white flour for white flour• Cottage cheese for sour cream• Evaporated skim milk for heavy

cream or full fat evaporated milk• Avocado or bananas mashed

for butter

For kid-friendly, healthy recipes visit: SuperHealthyKids.com

KATHLEEN VIAU


BY CAPT ERIN JOHNSON, DPT, SP, Chief, Orthopedics and Physical Therapy, Kenner Army Health Clinic

Fall is a great time of year to enjoy exer-cise outdoors. Temperatures begin to cool down and the changing of leaves make it is the perfect time for a walk, bike ride, run or just enjoying the beautiful scenery.

Schedules experience a change as well, whether it is drastic with sending kids back to school, getting involved with sports or just minor shifts. As all of these changes are occurring, it is important to keep yourself on track with your exercise and diet so that you can continue to en-joy all of the activities that come available during the fall season.

Here are a few tips to help you do just that.

PLAN AHEAD – Planning out or sched-uling your work-outs like you would a business meeting is important, but es-pecially during the fall. If you have kids this can be a very busy time of year with school as well as after school activities. Make sure to plan some time for yourself. Not only will it be good to continue to get recommended amounts of physical activity, but you may also find it to be a very effective stress reliever. Addition-

ally, it starts to get darker earlier, so keep yourself accountable and make sure you are able to complete your chosen form of physical activity with the changing day-light hours.

OUTDOOR ACTIVITY PREPARA-TION – If you are planning on partak-ing in one of the many outdoor activities available during the fall season make sure you prepare accordingly. Temperatures are cooling, especially with daylight dissi-pating earlier. Wear or bring an extra layer to make sure you can stay warm enough. Hydration is also an important consider-ation. With cooler temperatures you may not realize that you are thirsty as readily as you would in the summer months, but make sure you are continuing to get your water intake.

TAILGATES AND FESTIVALS – Fall is a great time of year when you get togeth-er with friends to cheer on your favorite teams or experience the local fare and festivals of the surrounding areas. Often times these events bring food choices that may not fit in with your healthy diet. It is important to remember that eating healthy is not all or nothing. You can have a bad day and then revert back to your healthier habits. Additionally, you can plan ahead to help limit temptation. If you have a healthy snack prior to going to these events you may not be as hungry or tempted to over-consume the less healthy options. You can also challenge yourself to pick the healthiest choice within the offerings, i.e. grilled instead of fried food.

UPDATE YOUR GOALS – Take time to review old goals or start by creating new SMART (Specific, Measurable, Action-based, Realistic, Time-sensitive) goals. This will help give you direction, and keep you motivated to continue with your fitness activities through the fall.

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BY MARY ANN CRISPIN, Disease Management CoordinatorALSO BY JOANNA BATEMAN, Industrial Hygienist, Kenner Army Health Clinic

There are an estimated 45 million Ameri-

cans living with allergies and 25 million with asthma. Being aware of what’s in the air and things you can do to reduce the risks are important to living an active and healthy life.

The air we breathe, both indoors and out-doors, may contain irritants and substances which can threaten our health, especially those individuals with asthma and allergies. Allergies are diseases of the immune system which cause the body to overreact to sub-stances called allergens. The most common allergy “triggers” include pollen, pet dander, mold, dust, smoke, grass, and chemicals or fragrances. Symptoms include sneezing, nasal congestion, runny nose, and itchy, wa-tery eyes. Asthma is a disease of the lungs in which the airways become blocked or

narrowed causing difficulty with breathing. If you have asthma, a reaction to an allergen can worsen your asthma symptoms. People with asthma are particularly sensitive to out-door air pollutants, which include ozone or “smog” and particulates (soot) from vehicle exhaust, wood smoke and fumes.

Staying active is very important to your overall health and wellbeing, especially for those with asthma. If exercising causes asthma symptoms, use your prescribed medication 15-30 minutes before any physi-cal activity. Remember to monitor the air quality if you plan to exercise outside. Daily pollen counts for your particular area can be found at: http://www.pollen.com/aller-gy-weather-forecast.asp

According to the American Lung Associa-tion:

• 1 in 12 adults has asthma. • Around 11 million workers are exposed

to at least one asthmagen, a substance that causes asthma symptoms, in their work-place.

Management Tips for Asthma and Allergies

• 1 in 6 asthma cases is caused or made worse by occupational exposures.

• 21.5% of working adults with asthma report that their asthma is made worse from exposures at work.

Kenner Army Health Clinic’s Industrial Hygiene Section serves as a consultant on indoor air quality issues in the workplace, focusing on airborne contaminants and ventilation requirements to achieve accept-able indoor air quality. Fort Lee uses a team approach to investigate indoor air quality complaints, utilizing the expertise from the Directorate of Public Works (Engineering, Operations & Maintenance, and Environ-mental Management Divisions), the Garrison Safety Office, and Industrial Hygiene Section to verify the source and determine if there are feasible solutions to resolve concerns and prevent recurrences. Identifying and fix-ing leaks, adjusting humidity levels, ensuring adequate air exchanges are occurring, and providing guidance to water damage resto-ration and mold assessment and remediation are just of few of the steps in identifying and correcting deficiencies to provide a healthy working environment for all employees. Contact the Industrial Hygiene Section at (804) 734-9846 if you have questions or con-cerns regarding your work area.

The American Academy of Allergy and Immunology and the American Lung Asso-ciation offer the following suggestions for promoting a healthier environment for ev-eryone in the home, school, or office:

• Make sure no one smokes indoors.• Damp areas promote the growth of

mold. Eliminate sources of moisture by fixing leaks and using exhaust fans when showering, cooking or washing dishes.

• Keep humidity levels below 50 percent.• Ensure anything that burns gas (i.e.

stove, dryer, water heater, and fireplace) is vented to the outdoors.

• Pollen and mold from outdoors can en-ter the home through open doors, window, and vents. Keep windows closed; use air filters or air conditioning.

• Clean surfaces in your home weekly with a damp cloth and HEPA-filtered vacuum.

• Restrict pets.• Eliminate rugs. Hard floor surfaces are

easier to clean.• Don’t use scented candles or fragrance

deodorizers.• Monitor the air quality index forecast in

your area when planning outdoor activities.• If possible, stay indoors when the pol-

len count or humidity is high.• Minimize early morning activities (gen-

erally between the hours of 5-10 a.m.), when pollen is usually produced.

• Do not mow lawns or be around freshly cut grass; mowing stirs up mold and pollen.

• Do not rake leaves. This will also stir up mold.

• Do not hang clothing out on the line to dry; pollen and mold may collect on them.

• Good ventilation is required when using cleaning products; do not mix chemicals.

• Use medications as prescribed. Contact your provider for more information about controller medications versus quick-relief medicine.

• Keep controller medications available. Check expiration dates.

• Review immunizations with your pro-vider. Many regular immunizations can lend protection to both adults and children with lung conditions.

• Make an Asthma Action Plan (to include your name, emergency contact information, contact information for your healthcare provider, your asthma severity classification and a list of known triggers that may cause an asthma attack).

• Be mindful of co-workers with asthma and allergies by limiting strong perfumes, colognes, and surface dust on desk tops. Other culprits in the work place include air fresheners, scented lotions, scented candles (lit or unlit).

Now that school is back in session, en-sure your child has a current Asthma Action Plan, to assist you, your child, and staff in managing their asthma. Action Plans hold key guidelines and instructions on what to do to help manage asthma exacerbations. Asthma Action Plans also collect informa-tion such as triggers and provide instruc-tion on when to change or increase medica-tion based on signs of potential problems. It is very important that you and your child follow the plan as written by your asthma health care provider and that the plan is up-to-date. Don’t forget to share the Asthma Ac-tion Plan with your child’s school nurse and childcare provider or anyone else that your child spends time with.

The Central Virginia Asthma Coalition is sponsoring Camp Incredible, a free asthma day camp for ages 6-12, to be held on Satur-day, October 3, 2015 from 1 pm to 4 pm at Northside Family Learning Center in Rich-mond, Virginia. For more information and registration, please call 804-874-LUNG or visit www.centralvirginiaasthma.org.

Active-Duty Family members in the at-risk population should be enrolled in the Exceptional Family Member Program. For Details, call (804)734-9438.

Please contact a health care provider for any questions or concerns about allergies or asthma.

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healthy lifestyle guide fall 2015

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