Community Health Representatives

Mission Statement

To provide quality outreach health care services and health promotion/disease prevention services to Ohkay Owingeh Community members through well trained CHR’s.

Program Goal

To address health care needs through the provision of community oriented primary care services.

Objectives

Provide transportation for non-emergency problems to and from medical facilities

Facilitate communications between community members and medical care providers by providing;

Home visits with physical assessments; blood pressure, pulse, etc
Assist with making medical appointments
Assist with ordering medication, picking-up medication and delivery of medication
If community member requests, accompany them into medical provider visit to assist in providing medical recommendations
Collaboration efforts to provide community health education, disease prevention (flu vaccines, childhood immuzations) environmental health issues (rabies clinic, animal abuse).
Collaboration between community entities: Community School, Head Start, Elementary School, Diabetes Program, OOBG Club, and the Social Services Program

ANNOUNCEMENTS

Please call us at (505)852-2354 if you would like to schedule a flu shot. Transportation is available to the Santa Clara Health Clinic.Read More

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RESOURCES

Medical/health que. : www.mayoclinic.org

Nutrition : https://nutrtionfacts.org

Diabetes : http://dlife.org

Health : Indian Health Service: www.ihs.gov

TRANSPORTATION

CHR’s transport dialysis patients Monday through Friday to the Espanola Dialysis Center. We also transport patients, referred by the Santa Clara Health Center, Santa Fe Indian Health Services and surrounding Medical Clinics and specialty clinics. We set up and deliver medications to those patients who require assistance. Home visits. Medication delivery and medication set-up.

To better serve our patients and organize services, please follow the following policies:

CHR will not transport the following :

Patients who require ambulance services
Patients Intoxicated or under the influence
Patients leaving a medical facility against medical advice

Transportation is available for :

Eligible tribal members must live within a 15-mile radius of the Ohkay Owingeh Land Grant
Call to schedule local transportation (Santa Clara, Espanola, Los Alamos, and Espanola) at least 2 business days in advance
Schedule your appointments so it allows for enough time to transport you to and from the appointment. Keep in mind our business hours are from 8 a.m. to 5 p.m.
Minor patients must be accompanied by a parent or guardian
Small children or infants need to be transported in a car seat.

MEDICATION PICK-UP

We only pick up and deliver medications on Tuesdays, Thursdays and Fridays
CHRs can call in medication refills forpatients and pick up at local pharmacies.
Please Remember it take 24 hours for Pharmacy to refill medications.

To better serve our patients and organize services, please observe the following policies :

OTHER SERVICES

Discarding Medications – Because of the concern of misuse of prescription medications, the CHRs will properly discard of your medications for you. Please contact the CHR program and we can pick them up from your residence.
Health Education/Counseling – Providing individuals, families and communities with the appropriate information to practice a healthy lifestyle.
Case Find/Screen – Carrying out efforts for the early detection of patients with diseases or conditions requiring medical attention (e.g., hypertension, TB, pregnancy, etc. 1. This may be done by investigation in the community or with screening tests.
Case Management/Coordinate – Developing a patient care plan in conjunction with a community health nurse or physician, deciding upon the various responsibilities for the people involved in the patient’s care. Serve as a patient advocate by arranging appointments, filing complaints, helping the patient obtain services and coordinates with various service providers to ensure continuity of care. Case management conferences and discharge planning are also included.We follow up with patients after hospital discharge by providing medical equipment, medications, and wound care, as needed.
Monitor Client/Community – Monitoring Patientsincludes making periodic personal contact with a patient with a known health problem or is high risk for illness or disablement, by telephone or at home, to see if he/she is feeling well, has enough food and/or medicine, has unmet home health care needs, has adequate heating, etc., with immediate action taken to provide care for patient needs detected through monitoring.
Non-Emergency Care – Taking of vital signs or providing other clinical services, such as foot care, to persons with a diagnosed illness. Also included, are services such as: counseling for social, emotional, mental or other related problems. When appropriate, provides for traditional tribal services for the sick, and other services requiring individual assessment, therapeutic and/or follow-up. Home health care and maintenance of patient equipment such as: crutches, wheelchairs, eyeglasses and hearing aids are included. The services in this category are provided to patients with diagnosed illnesses.
Emergency Care Case Management/Coordination – Providing Emergency Patient Care is giving care to a sick or injured person while arranging or waiting for transportation to a hospital or clinic, contracting an ambulance or hospital driver, transporting a seriously ill patient to medical care or performing crisis intervention with an emotionally upset or suicide patient.
Disease Prevention – Sponsors mini health fair for Summer Youth Program Participants with discussions about STD’s, nutrition, exercise, family planning, substance abuse, diabetes prevention, and checks blood pressure.
Translation/Interpretation – Another important service we offer is making sure our clients understand their doctor’s directive for their health care and well-being. With some of our elderly patients we are required to translate English to Tewa to help the patient understand the doctor’s instructions.
Homemaker Services – Assisting the disabled, homebound, or bedridden with household chores, preparing food and feeding incapacitated patients, or assisting with personal care such as bathing or hair washing.
Environmental Health – Inspecting the community’s environment in one or more of the following: water/waste-water management; vector control; air quality; solid waste; and, food handling.

Objectives

ANNOUNCEMENTS

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RESOURCES

TRANSPORTATION

MEDICATION PICK-UP

OTHER SERVICES

PROGRAM STAFF

Patricia Cata CHR

Iris Aquino CHR

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CONTACT INFORMATION

HOURS OF OPERATION

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