HEALTHY START AWARD. Maria Gutierrez, social worker from MLK (far left), accepting the Healthy Start Award of Excellence for the MLK clinic.

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1 Marh/April 2012 CHI s Martin Luther King CLINICA CAMPESINA Health Center has been awarded the healthy Start Award of Exellene in Maternal, Infant and Child Health for Prenatal Sreening from Healthy Start Coalition of Miami-Dade. Healthy Start Coalition of Miami-Dade (HSCMD) is a ommunity-based non-profit organization whose mission is to ensure that all hildren in Miami-Dade County get a healthy start in life. It has been inorporated sine 2001 and partners with a network of loal ommunity-based organizations and healthare professionals to plan, oordinate and provide high quality health and eduation servies to Patient Care A MESSAGE FROM THE PRESIDENT The Affordable Care At was signed into law two years ago and it s already making a differene in the lives of millions of people. It began health insurane reforms that roll out over four years and beyond, with most hanges taking plae by But it already strengthens Mediare and provides aess to preventive servies, wellness visits and other things that help deliver omprehensive, quality health are to more people. The new approah helps redue the ost of health are. And it s only just begun. I am a strong believer in prevention and HEALTHY START AWARD women of hildbearing age, hildren to age 3, and their families. HSCMD s main goals are to redue infant mortality, redue the number of low birth weight and pre-term births, and improve maternal health and hild health Comes First Healthy Bits An Employee Newsletter Published by Community Health of South Florida, In. wellness. Under the new system many insurers have to over ertain preventive servies to you at no ost. Most of us know about new overage for people with pre-existing onditions. Young adults are allowed to stay on their parent s plan until they turn 26 years old. Seniors who reah the overage gap get a 50 perent disount on many presription drugs. Over the next ten years, seniors will reeive additional savings until the overage gap is losed in And tax redits and new programs help small businesses make health are more affordable for employers, employees and early retirees. For more than 40 years, CHI has delivered omprehensive, high-quality preventive and Maria Gutierrez, soial worker from MLK (far left), aepting the Healthy Start Award of Exellene for the MLK lini. primary health are to patients regardless of their ability to pay. Federally Qualified Health Centers like ours have beome the essential medial home for millions of Amerians by overoming geographi, ultural, linguisti and other barriers. CHI s one stop shop approah effiiently oordinates are for patients with multiple health issues. We help redue the ost of high quality are to a growing South Dade and The Keys. Whatever happens in Washington, CHI and its wonderful dotors and staff will remain a leading provider of primary and behavioral health are servies. Brodes H. Hartley and development outomes. Congratulations to the Healthy Start employees Mihelle Robinson, Alyna Quinde, Yuliana Davila, Gretalyn Holden, Betty Charpentier, Guetty Louison, Maria Gutierrez, Josephina Martinez, Lorna Comulada, Kettley Derys, Osvaldo Delgado and Gloria Fuller. 7 Convenient Loations For A Growing South Florida DORIS ISON *Urgent & Behavioral Care MLK CLINICA CAMPESINA *Urgent Care MARATHON NARANJA EVERGLADES SOUTH DADE WEST PERRINE SW 216 Street Miami, FL W. Mowry Street Homestead, FL Overseas Hwy Marathon, FL SW 264 Street Naranja, FL SW 376 Street Florida City, FL SW 312 Street Homestead, FL Homestead Ave Perrine, FL

2 CHI TO OFFER PODIATRY CARE Community Health of South Florida, In. (CHI), one of South Florida s leading healthare providers, is now offering podiatry are at its Doris Ison Health Center (10300 S.W. 216 St.) in south Miami-Dade. Cynthia Marzouka- Losito, DPM, a distinguished podiatrist in Miami, will be managing her pratie at CHI. Dr. Mazouka-Losito, a South Florida native, reeived a Bahelor s Degree from the University of Florida and earned a Dotor of Podiatri Mediine Degree from Barry University. She ompleted her resideny at Cedars Columbia Medial Center. We are exited that Dr. Mazouka-Losito will be pratiing at our Doris Ison Health Center, said Brodes H. Hartley, President and CEO. She is a wonderful addition and will make an immediate impat in offering the best possible are in the field of podiatry. Dr. Mazouka-Losito serves as medial diretor for Crown Medial, where she oversees three South Florida failities. She also has an offie at Mery Outpatient Center and serves as adjunt Clinial Faulty for Barry University. She is a member of the Amerian Board of Podiatri Orthopedi Mediine and Podiatri Medial Assoiation. To make an appointment with Dr. Marzouka-Losito, all (786) DIABETES: WIDESPREAD DISEASE IS OFTEN PREVENTABLE By St. Anthony Amofah, MD, MBA, CHCQM, FACP Diabetes is a growing disease that is largely preventable, but affets more than 25 million people in the United States and is the seventh leading ause of death. It an ause kidney failure, lower limb issues that lead to amputation, adult blindness, heart disease and stroke. It often runs in the family but many vitims fail to reognize symptoms. Roughly seven million diabetis are left untreated due to finanial reasons. Diabetes typially begins with high levels of blood sugar, or gluose, when the body is unable to produe insulin or use it properly to turn food into energy. Vitims often experiene extreme symptoms of fatigue, hunger and thirst. Some have unexplained weight loss and frequent urination. Type 1 diabetes typially is found in hildren and young adults, but an our at any age. The ause? The panreas produes too little or no insulin. The solution? Computerized pumps that send insulin into the body through a atheter inserted under the abdomen. Today s pumps are no larger than a small ell phone. Many forget they are using them. Type 2 diabetes most often ours in adults. The panreas produes insulin but the body doesn t use it effetively. It is more ommon in Afrian Amerians, Latinos, Native Amerians, Asian Amerians, Native Hawaiians and other Paifi Islanders. Adults over 45 are at greater risk, as are people who are overweight, or get little exerise, or have a family history of diabetes. Type 2 diabetis an manage the early stages by exerising, eating more low fat foods and pushing bak from the table. Some people exhibit pre-diabetes symptoms suh as blood sugar at levels just a little higher than normal. They stand a better hane of preventing Type 2 diabetes if they walk every day, eat sensibly and otherwise ahieve and maintain a healthy weight. Those are things we should do anyway. And these days, people have plenty of options to maintain that healthier lifestyle. We have modern, effetive ways to treat the disease that involves so many people and often is so easily prevented or ontrolled. If the symptoms sound familiar, see your dotor soon to determine whether you have diabetes.

3 Stopping disease before it starts, or finding it early, is extremely important to help us all live a healthy life. This proess is often alled preventive are. The better your health, the lower your health are osts are likely to be. Be sure Preventative servies are paid for at 100 perent! To make sure your laims are properly oded, UMR suggests: Attention CHI Employees: UMR A UnitedHealthare Company Preventive Care Servies When you make your appointment, tell your dotor s offie that you want to shedule your annual routine preventive are visit. At the end of your offie visit, onfirm with your dotor or your dotor s assistant that the laim submitted to UMR will be given a preventive diagnosis ode. Some ommon servies that fall under your preventative are benefit inlude: Routine physial exams Well baby and well hild exams Preventive sreenings for illness as defined by the U.S. Preventive Servies Task Fore Immunizations Vision and hearing sreenings Blood pressure testing Sreenings olonosopy or sigmoidosopy Abdominal aorti aneurysm sreening Sreening mammography Bone mineral density testing Prostate aner sreening Osteoporosis sreening Chlamydia sreening Cholesterol sreening Coloretal aner sreeningblood and feal-oult testing Diabetes sreening Pap smears Sreening newborns for metaboli disorders Thyroid stimulating hormone sreening Lead sreening HIV sreening for pregnant women Sreening for obesity in hildren and adults Autism sreening for hildren and adolesents

4 CHI AS YOUR MEDICAL HOME Community Health of South Florida, In. sinerely appreiates your patiene and understanding as we are in the proess of upgrading our new telephone system. The new telephone system will allow easier aess to CHI so that we an better serve our patients. Again, we sinerely thank you for seleting CHI as your Medial Home. Aida Butler Ana Rendon Maria Valenia, Chanequa Dukes & Aliia Williams Jennifer Laventure Vivian Reyes WHAT DOES THE LATEST IN AAACT STAND FOR? A Alignment, Ation Aountability & Compliane Today CALENDAR OF EVENTS April 13 CHI s Robert Bailey/ Glen Rie Golf Tournament May 6th Nurse s Day May 6th -12th Nurse s Week May 13th 19th National Women s Health Week May 15th Doris Ison Health Center May 17th MLK Clinia Campesina June 11th 17th Men s Health Week June 12th MLK Clinia Campesina June 14th Doris Ison Health Center

5 JOINT COMMISSION PCMH VISIT For several months now, Care Team Members of Community Health of South Florida have worked under the leadership of Dr. Anthony Amofah and Ms. Mae Goins to build and reate a patient entered medial home (PCMH) model of are. On Marh 12th surveyors from the Joint Commission arrived at CHI for a surprise two day visit. And THE DENTAL MINUTE Information ourtesy of the Aademy of General Dentistry Mouth Sores? What does this mean? How to minimize outbreaks? What are Cold Sores? Cold sores, also known as fever blisters, are tiny, lear, fluid-filled blisters that form around the mouth and are aused by the herpes simplex virus (usually type 1, or HSV-1) living inside your nerve tissue. Cold sores usually do not last longer than two weeks. However, the sores are highly ontagious and tend to reur when the virus is reativated by a trigger suh as stress, sunlight, fever or illness. What happens when exposed to HSV-1? Most people get HSV-1 infetions during infany or hildhood and usually ath the virus from an infeted family member or friend. Only an estimated 30 perent of those infeted atually develop the harateristi blisters. If sores do develop, they an appear anywhere from two to 12 days after exposure to an infeted person. Other persons with a primary infetion may have flu-like symptoms suh as a high fever, sore throat, swollen nek glands and mouth soreness. Cold sore vs. Canker sore Like old sores, anker sores, also known as aphthous ulers, an be quite painful and often reur. While old sores are aused by a virus, the formation of a anker sore may be triggered by multiple fators suh as stress, food allergies or a weakened immune system. A anker sore forms in the soft tissues of your mouth and is not ontagious, whereas a old sore usually appears around the lip area outside the mouth and is highly ontagious. If a old sore appears inside the mouth, usually it appears on the non-movable parts suh as the roof, rather than the tongue or soft palate. And guess what - All the hard work paid off! The survey overed 52 PCMH - speifi requirements through five operational harateristis and thanks to staff and leadership, CHI passed the site visit with no major findings! The Joint Commission aredits more than 19,000 health are organizations and programs in the United States. Dental treatment and mouth trauma may trigger a old sore outbreak? True There may be long periods when the herpes virus remains inative but an easily be triggered by everyday ativity. To prevent transmission of the virus to another person, avoid: Intimate physial ontat with others Touhing the blisters (always wash your hands after applying mediation) Sharing utensils, toothbrushes, and razors How to minimize reurrent outbreaks? Replae your toothbrush True or False Engage in relaxing ativities to redue stress Apply sunsreen to fae and lips before going outdoors

6 2012 LONG TERM CARE NATIONAL PATIENT SAFETY GOALS The purpose of the National Patient Safety Goals is to improve patient safety. The goals fous on problems in health are safety and how to solve them. IDENTIFY RESIDENTS CORRECTLY NPSG Use at least two ways to identify patients. For example, use the patient s name and date of birth. This is done to make sure that eah patient gets the orret mediine and treatment. USE MEDICINES SAFELY NPSG Take extra are with patients who take mediines to thin their blood. NPSG Reord and pass along orret information about a resident s mediines. Find out what mediines the resident is taking. Compare those mediines to new mediines given to the resident. Make sure the resident knows whih mediines to take when they are at home. Tell the resident it is important to bring their up-to-date list of mediines every time they visit a dotor. PREVENT INFECTION NPSG Use the hand leaning guidelines from the Centers for Disease Control and Prevention or the World Health Organization. Set goals for improving hand leaning. Use the goals to improve hand leaning. NPSG Use proven guidelines to prevent infetion of the blood from entral lines. PREVENT RESIDENTS FROM FALLING NPSG Find out whih residents are most likely to fall. For example, is the resident taking any mediines that might make them weak, dizzy or sleepy? Take ation to prevent falls for these residents. NPSG Use proven guidelines to prevent infetion of the blood from entral lines. PREVENT BED SORES NPSG Find out whih residents are most likely to have bed sores. Take ation to prevent bed sores in these patients. From time to time, re-hek residents for bed sores. PATIENT S CORNER PATIENT S CORNER JOIN THE CONVERSATION Stay onneted with Community Health of South Florida by liking us on Faebook! Earlier this month, the team at CHI revamped its soial media ommuniations to inlude a whole new look and feel. Our new Faebook fan page now inludes everything from CHI updates to medial information and nutrition tips for a healthy lifestyle. Employees and patients alike an be reminded about upoming events and seminars. The page even lets our fans see photos from our failities aross South Florida. Have a question? The best part of our Faebook page is that you an post any questions or omments and we will be more than happy to answer them in real time. Let s keep the onversation going! To like our Faebook page, visit