December 2017 Newsletter

Letter from the President

Dear colleagues,

Bruce Lawrence’s vision of a clinically integrated network and coordinated care delivery led to the formation of INTEGRIS Health Partners. Many people participated in the development of IHP; however, Bruce’s leadership and vision were instrumental to the successful launch. IHP was the first clinically integrated network in the state and continues to be a unique organization for our area.

Bruce’s recent announcement of his retirement as president and chief executive officer of INTEGRIS is a bittersweet event for me. I know we all wish him the best and are probably jealous that he will have shed the stress of working in the healthcare industry in these unsettled times. It is however, worrisome to lose the person who had the foresight to set us on the path to clinical integration.

I want to assure everyone that the support from INTEGRIS is unwavering. Pete Delaney, current Board Chair for INTEGRIS, recently told me, “The INTEGRIS Board fully supports the vision and mission of IHP now and for the foreseeable future. IHP is an important and integral part of INTEGRIS.“ Several other board members have echoed that same sentiment to me, as well.

It seems that the only thing that we can count on is change. Many people who were instrumental in the development and success of IHP have moved on or retired. We haven’t missed a step through any of these transitions. We have the support we need to continue our important work and to move IHP forward.

We appreciate the incredible opportunity Bruce’s vision for IHP gave us. Let us be certain to continue to make IHP even stronger and serve as a testament to his legacy at INTEGRIS.

Thank you, Bruce, for you leadership. Keep us in your prayers, and enjoy those grandkids!


Carl Raczkowski, M.D.
President, INTEGRIS Health Partners

Physician Satisfaction Survey

The 2017 INTEGRIS Health Partners Physician Satisfaction Survey is now available and will be available until Dec. 31, 2017. Answers are confidential; only aggregate data is compiled. In order to receive credit for completing the survey you must provide your name. Take the survey here.

Not sure if you’ve already taken the IHP Survey? Check here.

Completion of the INTEGRIS Health Partners Physician Satisfaction survey is a required metric for all physicians to participate in 2017 Shared Savings.

Coding & Documentation Improvement Training: Metric for Metro Hospital-based Medical and Surgical Physicians and Office-based Specialists

Completing Clinical Documentation Improvement training is a 2017 metric for metro physicians who fall into one of the following categories: 1. hospital-based medical and surgical or 2. clinic-based specialist. If you are not a primary care physician, please view the CDI video to fulfill the CDI training metric. PCPs are welcome to view the video, but it is not a required metric for PCPs.

View the CDI training video here.

Summits: Metro and Enid

Attending or viewing an INTEGRIS Health Partners summit is a required metric to participate in 2017 shared savings.

Metro physicians: View the final summit here if you did not attend a summit in March, June, or October.

Enid physicians: View the Enid summit here if you did not attend in November.

INTEGRIS Health Partners Online Education Opportunities

In 2017 all IHP education opportunities are online – on your time, at your convenience. Three videos are available now; only one is required to meet the educational metric for metro physicians.

Clinical Ethics by Gavin Enck, Ph.D.

Snake Bites by William Banner, M.D., Ph.D.

Street Drugs by William Banner, M.D., Ph.D.

Completion of one INTEGRIS Health Partners-approved physician education session is required for metro physicians to participate in 2017 Shared Savings.

2017 Shared Savings Metrics

Metro Physicians: Follow this link to review shared savings metrics for each specialty.

Enid Physicians: Follow this link to view shared savings metrics for Enid providers.

2017 Diabetic Metric: Medical Attention for Nephropathy

Requiring diabetes patents age 18-75 to have a nephropathy assessment is a clinical metric for primary care in 2017. Clarification for meeting the metric is provided below.

Urine test for albumin or protein (any of the following meet criteria for a nephropathy screening or monitoring test)

a. 24 – hour urine for albumin or protein

b. Timed urine for albumin or protein

c. Spot urine (e.g. urine dipstick or test strip) for albumin or protein

d. Urine for albumin/creatinine ration

e. 24 – hour urine for total protein

f. Random urine for protein/creatinine ratio

CPT codes that would satisfy the above requirements are 82042, 82043, 82044, 84156, 81000, 81001, 81002, 81003, 81005

In addition to the lab tests, other ways to meet this metric are listed below:

· Documentation of a visit to a nephrologist.

· Documentation of a renal transplant.

· Documentation of medical attention for any of the following (no restriction on provider type)

o Diabetic nephropathy


o Chronic renal failure (CRF)

o Chronic kidney disease (CKD)

o Renal insufficiency

o Proteinuria

o Albuminuria

o Renal dysfunction

o Acute renal failure (ARF)

o Dialysis, hemodialysis or peritoneal dialysis

· Evidence of ACE inhibitor/ARB therapy. Documentation in the medical record must include, at minimum, a note indicating that the member received an ambulatory prescription for ACE inhibitors/ARBs in the measurement year.

Operational Metrics Completion Lists

Curious about whether or not you viewed an online IHP education video? Can’t remember if you attended an IHP Summit? Check the 2017 Operational Metrics Completion Lists, available online anytime and updated weekly.

Comprehensive Medication Management: What it is and how to order it

The INTEGRIS Health Partners Care Coordination program has added clinical pharmacists to offer Comprehensive Medication Management. The CMM program can provide a single appointment for a complete medication review and longitudinal care in collaboration with the physician to assist with asthma, diabetes, hypertension, or hyperlipidemia management and education. This appointment is FREE OF CHARGE to INTEGRIS employees and their dependents on the medical plan. The initial CMM appointment includes:

  • Medication history and reconciliation
  • Evaluation of the drug regimen for adherence, current indication, drug interactions, adverse drug effects, effectiveness and affordability
  • Medication education emphasizing purpose, proper administration and common adverse effects
  • Recommendations for optimizing medication regimens made to the prescriber and implemented with the prescriber’s approval

Patients referred for longitudinal CMM visits receive chronic disease management for asthma, diabetes, hypertension and hyperlipidemia in accordance with physician-approved protocols. The clinical pharmacists providing CMM services are Susan Conway, Pharm.D., BCPS, Kendall Powers, Pharm.D., BCACP, and Erica Smith, Pharm.D., BCACP. Physicians can refer patients to the CMM service through Epic using the “ambulatory referral to comprehensive medication management,” which is REF20002, or by contacting the clinical pharmacists at 405-951-2377. Patients must be INTEGRIS employees or their dependents on the INTEGRIS medical plan to be referred to CMM.

Pharmacy Update

The IHP Pharmacy Committee met recently. The committee makes specific medication recommendations for lice treatments and Minastrin24, attached.

Please contact INTEGRIS Health Partners Care Coordination at 403-951-2504 or toll free at 855-582-3003 if you have any questions.

New Physicians and Providers

Krista Braud PA

Family Medicine

Enid Custom Care Clinic

401 E Oklahoma Avenue, Suite B

Enid, OK 73701


JaNae Clapp MD

Medical Oncology

INTEGRIS Cancer Institute

5915 W Memorial Road Suite 200

Oklahoma City, OK 73142


David R. Deschamps MD

Maternal Fetal Medicine

Perinatal Center of Oklahoma

4140 W Memorial Road, Suite 321

Oklahoma City, OK 73120


David P. Ellis MD

Anesthesiology/Pain Management

Medical Center Pain Clinic

701 NE 10th Street

Oklahoma City, OK 73104


BreeAnna D. Gibson MD

Obstetrics & Gynecology

Oklahoma City Gynecology & Obstetrics

11200 N Portland Ave

Oklahoma City, OK 73120


Andrew E. Hack MD


Dean A McGee Eye Institute

608 E Stanton L. Young Blvd

Oklahoma City, OK 73104


Shih-Kuang S. Hong MD


HPI Physicians LLC

3110 SW 89th Street, Suite 104

Oklahoma City, OK 73159


Darryl W. Jackson DO

Pain Management

Oklahoma Medical Pain Management

1230 SW 89th Street

Oklahoma City, OK 73139


Robert E. Leonard MD


Robert E. Leonard II, MD, PLLC

12318 Saint Andrews Drive

Oklahoma City, OK 73120


Maria E. Lim MD


Dean A McGee Eye Institute

608 Stanton L Young Boulevard

Oklahoma City, OK 73104


Stuart J. Lisle MD

Family Medicine

Gilbert Medical Center

7530 NW 23rd Street

Bethany, OK 73008


James E. Mays MD


James E. Mays III MD

2801 Parklawn Drive, Suite 304

Midwest City, OK 73110


Kyle V. McGivern DO

Reconstructive Surgery

Southwest Orthopedic & Reconstructive Specialists

8100 S. Walker Ave Bldg A

Oklahoma City, OK 73139


Waddah Nassar MD

Family Medicine

Faith Family Physicians

7221 W Hefner Road

Oklahoma City, OK 73162


Thuy Hong Nguyen MD


INTEGRIS Mental Health

2601 N Spencer Road

Spencer, OK 73084


James O'Brien MD


Dean A McGee Eye Institute

608 Stanton L Young Boulevard

Oklahoma City, OK 73104


Blake Parsons DO

Interventional Radiology

Advanced Interventional Radiology Solutions

3200 Quail Springs Parkway, Suite 200

Oklahoma City, OK 73134


Gregory Root DO

Obstetrics & Gynecology

INTEGRIS Canadian Valley Women's Clinic

1205 Health Center Parkway, Suite 240

Yukon, OK 73099


Christopher M. Seat DPM


Total Foot and Ankle

524 N Van Buren

Enid, OK 73703


Rakesh Shrivastave MD

Cardiology / Interventional

Heart and Vascular Specialists of Oklahoma

105 S Bryant, Suite 101

Edmond, OK 73034


Marcus Smith MD

Interventional Cardiology

Cardiovascular Health Clinic

3200 Quail Springs Pkwy,

Suite 200

Oklahoma City, OK 73134


Crystal Sparling MD


Scissortail Pediatrics

865 E Veterans Memorial Hwy

Blanchard, OK 73010


Lane E. Tinsley MD


Southwest Neurological Associates

4221 S Western Avenue,

Suite 5000

Oklahoma City, OK 73109


Prabhu Vijayvargiya MD

Pulmonary Disease

Enid Lung & Kidney Clinic

312 E Owen K Garriott Road

Enid, OK 73701


Rashmi Vijayvargiya MD


Enid Lung & Kidney Clinic

312 E Owen K Garriott Road

Enid, OK 73701


Cynthia D. West DO


Norman Pediatric Associates

808 Wall Street

Norman, OK 73069


Elwood F. Williams III MD

Anesthesiology/Pain Management

Oklahoma Pain Management

3601 NW 138th Street, Suite 200

Oklahoma City, OK 73134


Elena Woodson MD

Pediatric Otolaryngology

Pediatric ENT of Oklahoma, PLLC

10914 Hefner Pointe Drive,

Suite 200

Oklahoma City, OK 73120