February 2019 Newsletter

Letter from the President

Happy New Year to you all!
2018 saw a lot of significant changes across INTEGRIS. We welcomed new leadership and we said goodbye to some familiar faces. As the psychologist Abraham Maslow stated, “In any given moment, we have two options, to step forward into growth or step back into safety.” I think it’s fair to say that INTEGRIS is making the commitment to step forward into growth. With that being said, IHP will continue to be a catalyst for growth to tackle the ever-changing landscape of healthcare.

Despite all the uneasiness of the past year, INTEGRIS Health Partners saw some significant successes in 2018. This past year may turn out to be our best performance yet. The three health plans our network participates are showing exceptional quality metric scores showcasing the foundation we’ve long-established for delivering high-quality care. All of our participating health plans have achieved impressive scorecards in both quality and operations. The INTEGRIS Health Plan scorecard is enclosed in this newsletter. It’s worth reviewing. The scorecard for our other health plans mirror these results. More and more it looks like this quality work will translate into significant financial success. We won’t know the final outcome of shared savings until the summer, but all indications are suggesting we will have a strong operational performance.

With these positive results, I wanted to give a “shout out” to our care coordinators and population health coordinators. Our team is second-to-none. They deserve a huge thank you from all of us for providing the support and processes that makes these results possible. They have shown time and again that they are highly skilled and extremely dedicated to making the patient experience the best it can be.

New leadership for INTEGRIS will lead to new opportunities, new strategies, and new ways of looking at what we do. As the year goes on, I think our strategic vision will become more focused, and this will lead to a clearer pathway for continued success. I will always keep you up-to-date on what we are doing and what our plan is. I know many of you are anxious about the new executive leadership make up and changes in the INTEGRIS leadership structure. Our new CEO, Tim Pehrson, has expressed that physician leadership is vitally important to the success of INTEGRIS Health. He appreciates the time and effort you have devoted in delivering quality care to our patients. INTEGRIS Health Partners is committed to making sure that the physician’s voice is heard.

Thank you all for your hard work the past year. I also want to thank you on a personal level for all your prayers and support during the last year. I am feeling great and probably better than ever. Always remember if we keep our focus on the patient and put their needs at the center of everything we do, success will follow.

Sincerely,
Carl Raczkowski, M.D.
President, INTEGRIS Health Partners
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New Clostridium difficile Testing Orders Effective Jan. 17

Fall 2018, the Infection Prevention Care Transformation Team made recommendations to improve appropriate utilization of C. difficile testing based on a review of current evidence based guidelines. That recommendation was approved by the physician membership of the Clinical Leadership Transformation Council in December 2018.

Effective Jan. 17, 2019, a C. difficile order update will go into effect. The order set update will include the following.

Based on day of admission, there are two phases to the order set.

  • Early phase (through hospital day three, based on calendar day) requires notation of a single episode of loose, watery diarrhea for testing consideration.
  • Late phase (hospital day four and beyond) requires notation of three episodes of watery or loose diarrhea without etiology (i.e., bowel prep, laxatives in last 48 hours) and additional clinical indication. Note: an acknowledgement click is required if you choose to test without meeting this evidence-based criteria.

DLO will reject samples that do not meet Bristol Stool Chart 6 and 7 criteria for C. difficile testing.

The tip sheet for this update is attached, available here and the physician learning home dashboard in the What's New section. Questions? rebecca.lewis@integrisok.com
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Diabetic Metric for 2019: Medical Attention for Nephropathy

Any of the following meet the criteria for a nephropathy screening or monitoring test
1. Urine test for albumin or protein
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

2. Documentation of a visit to a nephrologist in the current year
3. Documentation of a renal transplant
4. 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 current year.
5. Documentation of medical attention for any of the following:
a. Diabetic nephropathy
b. ESRD
c. Chronic renal failure
d. Chronic kidney disease
e. Renal insufficiency
f. Proteinuria
g. Albuminuria
h. Renal dysfunction
i. Acute renal failure
j. Dialysis, hemodialysis or peritoneal dialysis
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In-network Orthopedic Surgeons

As of January 1, 2019, Orthopedic Associates is no longer part of the INTEGRIS Health Partners network. It is our understanding that all of the physicians will be part of a new orthopedic group owned by Mercy. Andrew Parkinson, M.D. will remain independent and continue to be a member of the IHP network. His new practice location is 14100 Parkway Commons Drive, Suite 101, Oklahoma City, OK, 73134.

Attached is a list of in-network IHP orthopedic surgeons. Please contact IHP care coordination at 405-951-2504 for specific questions about in-network orthopedic services.
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INTEGRIS Connect Welcome

Dr. Thara Damodaran, infectious disease, and Dr. Bradley Kropp, Dr. William Reiner, and nurse practitioner Jake Kline, pediatric urology, are the latest independent providers to implement INTEGRIS Connect, the Epic product for community providers. Dr. Damodaran, Dr. Kropp, Dr. Reiner, and Mr. Kline, and their staff members can now access information for their shared patients throughout the Epic system. Congratulations! To learn more about INTEGRIS Connect, visit www.integrisok.com/connect. Submit an inquiry to schedule an informational meeting.
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Pharmacy Update

The current formulary is available for review here: https://integrisok.com/ihp/pharmacy-task-force

Please contact INTEGRIS Health Partners Care Coordination at 403-951-2504 or toll free at 855-582-3003 for more information.
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New Physicians and Advanced Practice Providers

 Brittany Adams APRN-CNP

Neonatology

INTEGRIS Advanced Nurse Practitioners

3300 NW Expressway
Oklahoma City OK 73112

405-949-3393

Bereket Alemu MD

Nephrology

Midwest Nephrology Group 

9230 E Reno Suite B
Midwest City OK 73130

405-737-4900

Samson Ambaw MD

Nephrology

Midwest Nephrology Group 

9230 E Reno Suite B
Midwest City OK 73120

405-737-4900

Mason B. Andrews MD

Neurosurgery

Neurological Surgery Associates

102 S Van Buren
Enid OK 73703

580-242-7030 

Kyla Blouin APRN

Acute Care

Zuhdi Transplant Physicians

3300 NW Expressway
Oklahoma City OK 73112

405-949-3349 

Sharla R. Brown APRN-CNS

Rheumatology

The Physicians Group

10021 S Western Avenue
Oklahoma City OK 73139

405-608-8060

Aaron C. Bryan CRNA

Anesthesiology

Deaconess Anesthesia Services

5501 N Portland
Oklahoma City OK 73112

405-604-6000 

Brooke E. Caldwell APRN-CNP

Family Medicine

The Physicians Group

7530 NW 23rd Street
Bethany OK 73008

405-787-4915

Jeremy Cheatwood PA-C

Orthopedics

OKC Orthopedics & Sports Medicine

13100 N Western Suite 200
Oklahoma City OK 73114

405-418-4500

Blake D. Christensen DO

Interventional Pain

Management/Anesthesiology
BDC Medical

14000 N Portland Suite 101
Oklahoma City OK 73034

405-751-0011

Max R. Cieminski DO

Anesthesiology

Deaconess Anesthesia Services

5501 N Portland
Oklahoma City OK 73112

405-604-6000

Robert S. Couch MD

Pediatric Neurodevelopmental Disabilities

The Children’s Center

6800 NW 39th Expressway
Bethany, OK 73008

405-440-9866

Jenna L. Crowder MD

Family Medicine / Sports Medicine

HPI Physicians

1616 S Kelly Avenue
Edmond OK 73013

405-348-8838

Thara Damodaran MD

Infectious Disease

Thara Damodaran MD

4509 INTEGRIS Parkway
Suite 200
Edmond OK 73034

405-706-3117

Crystal A. Dockery DO

Family Medicine / Neuromusculoskeletal Medicine

HPI Physicians

3212 SW 89th Street
Suite 100
Oklahoma City OK 73159

405-378-3300

Jacquelyn F. Drummond CRNA

Anesthesiology

Deaconess Anesthesia Services

5501 N Portland
Oklahoma City OK 73112

405-604-6000

Lloyd Scott Dunkleberger PA

Orthopedic Surgery

The Physicians Group

9800 Broadway Ext
Suite 201
Oklahoma City OK 73114

405-424-5426

Jessica Lynn Dunlap APRN

Acute Care

Zuhdi Transplant Physicians

3300 NW Expressway 
Oklahoma City OK 73112

405-949-3349 

Craig D. Eck MD

Ophthalmology

Dean A McGee Eye Institute

608 Stanton L Young Boulevard
Oklahoma City OK 73104

405-271-6060

Leslie Farias PA

Otolaryngology

INTEGRIS ENT Southwest

4221 S Western Suite 4005
Oklahoma City OK 73109

405-644-5190

Audrey J. Gauthe CRNA

Anesthesiology

Deaconess Anesthesia Services

5501 N Portland
Oklahoma City OK 73112

405-604-6000

Mark Gettleman MD

Pediatrics

Just Kids Pediatrics

2921 SW 89th
Oklahoma City OK 73159

405-757-7818

Kimberly Goidell LCSW

Behavioral Medicine

INTEGRIS Family Care Yukon

1205 Health Center Parkway Suite 100
Yukon OK 73099

405-717-5400

Gary W. Gulickson CRNA

Anesthesia

Deaconess Anesthesia Services

5501 N Portland
Oklahoma City OK 73112

405-604-6000

Sanjay Hapani MD

Hematology / Oncology

Robert Reynolds MD

13301 N Meridian Suite 501
Oklahoma City OK 73120

405-752-0871

Christine R. Hauck APRN-CNP

Family Medicine

The Physicians Group

7530 NW 23rd Street
Oklahoma City OK 73008

405-787-8550

Timothy Hursh MD

Wound Care/Hyperbarics

Healogics Specialty Physicians of Oklahoma

5501 N Portland Suite 500
Oklahoma City OK 73112

405-604-4380

Sun Young Lee MD

Ophthalmology

Dean A McGee Eye Institute

608 Stanton L Young Boulevard
Oklahoma City OK 73104

405-271-6060

Tonya C. Matson APRN-CNP

Family Medicine

The Physicians Group

6922 S Western Suite 101
Oklahoma City OK 73139

405-631-0483

Corey E. Mayo DO

Orthopedic Surgery

Corey E. Mayo DO

13100 N Western Suite 200
Oklahoma City OK 73114

405-418-4500

Andrew M. McGarry DDS

Oral and Maxillofacial Surgery

OKC OMS Holdings

20 E. Dunloup
Shawnee OK 74804

405-585-2407

Heather D. McNabb CRNA

Anesthesiology

Deaconess Anesthesia Services

5501 N Portland
Oklahoma City OK 73112

405-604-6000

Grace Mitchell CNP

Pediatrics

Edmond Pediatrics

2109 N Kelly Avenue
Edmond OK 73003

405-513-8880

Meredith L. Mogan PA-C

Family Medicine

The Physicians Group

7530 NW 23rd Street
Bethany OK 73008

405-787-8556

John M. Navarro MD

Anesthesiology

Deaconess Anesthesia Services

5501 N Portland
Oklahoma City OK 73112

405-604-6000

Joseph M. Palmeri MD

Anesthesiology

The Group

1000 N Lincoln Boulevard
Suite 150
Oklahoma City OK 73104

405-418-4800

 
Handel F. Pascoe MD

Anesthesiology

Deaconess Anesthesia Services

5501 N Portland
Oklahoma City OK 73112

405-604-6000

Bretonya J. Phillips MD

Anesthesiology

Deaconess Anesthesia Services

5501 N Portland
Oklahoma City OK 73112

405-604-6000

Robert E. Reynolds MD

Hematology / Oncology

Robert Reynolds MD

13301 N Meridian Suite 501
Oklahoma City OK 73120

405-752-0871

Jacinda R. Ricks APRN-CNP

Family Medicine

The Physicians Group

7530 NW 23rd Street
Bethany OK 73008

405-787-4915

Janet Ritchie APRN

Obstetrics and Gynecology

Oklahoma City Gynecology and Obstetrics

11200 Portland Ave
Oklahoma City OK 73120

405-936-1000

KathyLee Santangelo MD

Vein Specialist

Totality

5625 N Western Avenue
Oklahoma City OK 73118

405-739-6596

 Rahul S. Sequeira CRNA

Anesthesiology

Deaconess Anesthesia Services

5501 N Portland
Oklahoma City OK 73112

405-604-6000

Candace L. Sturlin PA-C

Family Medicine

The Physicians Group

7530 NW 23rd Street
Oklahoma City OK 73008

405-787-8556

Kerrie J. Swartz CRNA

Anesthesiology

Deaconess Anesthesia Services

5501 N Portland
Oklahoma City OK 73112

405-604-6000 

Austin G. Trent CRNA

Anesthesiology

Deaconess Anesthesia Services

5501 N Portland
Oklahoma City OK 73112

405-604-6000

Rachel A. Trotter CRNA

Anesthesiology

Deaconess Anesthesia Services

5501 N Portland
Oklahoma City OK 73112

405-604-6000

Zane E. Uhland DO

OKC Orthopedics Sports & Pain Medicine

Orthopedic Surgery / Sports Medicine

13100 N Western Suite 200
Oklahoma City OK 73114

405-418-4500

Kristina Valentino APRN

Pediatrics

Norman Pediatric Associates

808 Wall Street
Norman OK 73069

405-321-5714

 Alicia Warlick MD

Anesthesiology

Northwest Anesthesia

3300 NW Expressway
Oklahoma City OK 73112

405-951-2815

Mitchell Williams PA-C

Orthopedics

OKC Orthopedics & Sports Medicine PLLC

13100 N Western Suite 200
Oklahoma City OK 73114

405-418-4500

Paige N. Willis CRNA

Anesthesiology

Deaconess Anesthesia Services

5501 N Portland
Oklahoma City OK 73112

405-604-6000

Kristyn Zrenda DO

Pediatrics

A to Z Pediatrics

3400 NW Expressway Building C, Suite 815
Oklahoma City OK 73112

405-945-4996