Lawton Service Unit
The Lawton Service Unit encompasses ten counties in the southwestern corner of Oklahoma, where 25,000 members of the Caddo, Comanche, Delaware, Fort Sill Apache, Kiowa, Apache, and Wichita tribes are concentrated. Although mountains and small lakes adorn the rugged landscape, this is great plains country.
The Lawton Service Unit includes the Lawton Indian Hospital, the Anadarko Health Center, and the Carnegie Health Station.
We appreciate hearing from our patients. If you have questions, comments or concerns please contact the Lawton Indian Hospital Administrative Officer John Bear via email at firstname.lastname@example.org, or phone 580-354-5100.
Lawton Indian Hospital
Situated in Lawton, the third largest city in Oklahoma, the Indian hospital is thoroughly modern. This full service facility has 26 beds and a staff of 23 physicians, 1 oral surgeon, 1 dentist, 2 optometrists, 1 podiatrist, 1 nurse practitioner, 1 behavioral health counselor, and 1 physical therapist.
This full-service facility offers inpatient care including general surgery, gynecology, internal medicine, and pediatrics, as well as outpatient services in medicine, dentistry, pharmacy, radiology, laboratory, nursing, optometry, podiatry, and audiology to name a few. There is also a community health staff of nurses, educators, social workers, and environmental health specialists.
Over 800 adult and pediatric admissions annually combine with almost 100,000 outpatient visits to make this a busy health care facility.
The city of Lawton-Ft. Sill, only 85 miles southwest of Oklahoma City, has a population of roughly 100,000. Surrounded by mountains and small lakes, the city enjoys a stable economy, largely due to the 26,000 service personnel on active duty at Fort Sill and an equal number of former Army members who chose to make Lawton their home after retiring from the service.
Chief Executive Officer - CAPT Greg Ketcher
1515 N Lawrie Tatum Rd.
Lawton, OK 73507
The Anesthesia Department is responsible for providing a variety of in-patient and out-patient services for all age groups.
Examples of services provided include:
The scope of services includes general and regional anesthesia, such as spinal anesthesia, epidural anesthesia, local nerve blocks, such as ankle blocks, axillary blocks and IV regional block such as bier blocks. We conduct pre-operative evaluations to discuss with the patients the type and method of anesthesia administration. Monitor anesthesia care for a variety of surgical procedures and gastroenterology cases. We review the different policies for monitored anesthesia care of the different departments.
- General Surgery
- Obstetrics and Gynecological Surgeries
- Dental and Oral Surgery
- Labor Pain Management
- Pain Management Clinic
The Anesthesia Department also helps manage the scheduling of surgical cases to optimize allocated Operating Room time. The Anesthesia Department oversees the Pulmonary Function Lab and interprets the results for the Lawton Indian Hospital . We also provide a pain management clinic which focuses on acute and chronic pain management issues. Regular hours of operation are Monday through Friday from 7 am to 3 pm, with weekends and after hours covered by the on call anesthesiologist.
Audiology services are available to patients of all ages and include: complete hearing evaluations, middle ear measurements, hearing aid evaluations, hearing aid fittings, and hearing aid repairs.
Appointments are made on an ongoing basis by calling (580-354-5115) or stopping by the Audiology Clinic.
Hours: 8:00 AM to 5:00 PM on Monday, Tuesday, Thursday and Friday. Wednesday's hours are 10:00 AM to 5:00 PM.
Location: Located in Building 412 on the South side of the Lawton Indian Hospital campus.
Contact Us: 580-354-5115
Behavioral Health Services are provided regularly at the Lawton and Anadarko facilities on an out patient only basis by appointment.
Services Provided Directly
- Psychiatric Services
- Individual, Group and Family Therapy
- Parenting Development Groups
- Marital Counseling
- Medication Consultation
- Assessment Evaluation and Diagnosis
- Inpatient Social Work
- Inpatient Psychiatric Consultation
- Substance Abuse Evaluation
- Neuropsychological and Psychological Testing
- Anger Management Groups
Assist Patients with Obtaining These Services
- Home and School-Based Counseling
- Residential Treatment for Substance Abuse for Adults and Adolescents
- Inpatient Hospitalization
- Vocational Rehabilitation Referrals
- Psychological Testing
- Transitions to Domestic Violence Shelter
Individuals may self refer or be referred by their primary care providers. To self refer, call 580-354-5120 and speak with Sue in the Behavioral Health clinic. Please be aware that wait times for visits will vary and are limited. In addition, individuals are encouraged to call for information regarding community resources that may be available.
Hours: 8:00 AM - 12 NOON and 1:00 PM - 5:00 PM on Monday, Tuesday, Thursday and Friday. Wednesday's hours are 10:00 AM - 12 NOON and 1:00 PM - 5:00 PM.
Location: Main Building, third floor, Northwest Hallway
Contact Us: Phone: 580-354-5120 Fax: 580-354-5520
The Biomedical Department manages medical equipment risks by performing initial and periodic inspections on all medical/Biomedical equipment used at the Lawton Service Unit. Perform onsite repairs of malfunctioning or none working devices or Initiate maintenance services through active processes. Provide Operator Level training and/or training material to selected staff members on the proper and safe use of medical equipment. Lead all necessary actions required to respond to Hazard Alerts and recalls of medical equipment. Provide consultation and assistance to the Staff as it relates to the safe operation of medical devices. Lead support as related to technological advancements in the services of medical devices and ensure the safety of clients and staff at the Lawton Service Unit in accordance with the Mission of IHS.
We process the billing and receipts of all claims for Lawton, Carnegie and Anadarko to Medicaid, Medicare and Private Insurance. If you have a question about a bill or if you have received a letter from your insurance company that you do not understand, please contact our office. We also process all accident claims, if you are involved in an accident, please contact our office, there are forms that must be signed in order for you to obtain copies for your adjuster or attorney.
Hours of Operation: 8:00 am to 12:00 pm and 1:00 pm to 5:00 pm
Sandra Sealey, Business Office Manager, (580) 354-5150
Deborah Oldham, Billing Supervisor, (580) 354-5144
We are located in Bldg 413 on the south side of the Lawton Campus.
Patient Registration Information
We interview our patients to identify and obtain specific patient eligibility and demographic information, such as name, date of birth, address, next of kin and tribal enrollment in a Federally Recognized Tribe. Based on information we receive from the patient during the interview and other research, we also determine their eligibility for Contract Health Service or direct care only. We record all this information in the Registration package of the RPMS.
We also identify if our patients have any alternate resource, such as Medicare, Medicaid, Social Security, Veterans Benefits or private insurance. If our patient has an alternate resource we record this information and follow up with the insurer to ensure accuracy of the insurance information and eligibility. Accurate insurance information plays a vital role when referring patients for services outside our facility, and for billing purposes for outpatient and inpatient visits. If our patient does not have an alternate resource, we refer the patient to one of our Benefit Coordinators located in the facility.
We staff the Pediatric Clinic, Women's Health Clinic, Internal Medicine and Surgery Clinic, Urgent Care Clinic, Emergency Room and Admissions.
Hours of operation are: Clinics - Monday thru Friday 7:30AM - 4:00PM; Admissions/new charts Office - Monday thru Friday 7:00AM - 4:00PM; and Emergency Room (includes admitting and new charts) Sunday thru Saturday 7:30AM - 12 midnight.
Contact number for eligibility services: 580-354-5135 or 580-354-5136.
We assist our patients in identifying alternate resources that they may be eligible for. We assist our patients in completing applications for alternate resources. By interviewing our patients we can identify eligibility for Medicare, Medicaid, Social Security, Social Security Disability, and Veterans Benefits. We will also advocate for our patients through out the application process from the initial interview to approval, and through the appeals process if necessary. We work closely with local, state and federal agencies to ensure due consideration of our patient applications.
We are located in the Family Practice Clinic, Internal Medicine and Surgery Clinic and between the Pediatric and Women's Health Clinic.
Benefit Coordinator contact numbers are: 580-354-5274; 580-354-5505; or 580-354-5317.
Hours of operation are: Monday thru Friday, 8:00AM - 5:00PM.
Contract Health Services Program
The Contract Health Services Program provides medical care to eligible Indian patients which cannot be provided through the Direct Health Delivery system.
We schedule appointments and make sure patients have the knowledge of and access to all federal, state, and local health programs and ensure patients receive timely care within medical priorities. We utilize Contract Health funds to the fullest extent by researching all alternate resources and by following all cases that may be funded by the Catastrophic Health Emergency Fund. We work closely with our providers on contract health services (CHS) priorities and keep our providers informed of CHS fund status and deferred services status.
Hours of operation: Monday - Friday 8:00 a.m. - 12:00 p.m. and 1:00 p.m. - 5:00 p.m.
Clinical Role: Provide direct patient care to the beneficiaries of the Lawton Service Unit
- Outpatient services: extractions, restorations (alloy and composite), build ups, root canals (bicuspid to bicuspid ï¿½ no molars), full mouth cleanings, limited periodontal surgery, occlusal guards, and denture repairs.
- Oral Surgery: see separate functional statement
- Inpatient services: similar services as outpatient but completed in an operating room setting. Services normally limited to difficult pediatric cases, medically compromised patients, and institutionalized patients.
- Limited contract dental funds for treatment beyond our programs capabilities.
- Develop and coordinate the dental program for the Lawton and Anadarko facilities.
- Determine and evaluate dental needs and resource requirements.
- Make equitable distribution of personnel and financial resources.
- Participate in service unit policy and program planning.
The Diabetes Program consists of two separate entities:
- Diabetes Model Program
- SDPI Diabetes Grant Program
Also, the Diabetes Program serves in two separate locations:
- Lawton Indian Hospital
- Anadarko Indian Health Center
Diabetes Prevention Demonstration Project Information
The Diabetes Prevention Program is a demonstration project funded in 2004 by a competitive five year grant as a result of Congressional direction to address the primary prevention of diabetes. Lawton Service Unit is one of 36 grantees translating the results of the Diabetes Prevention Program Research Study into diabetes programs in the communities.
- Adults eligible for Indian Health Services and who have Pre Diabetes (impaired fasting glucose and/or impaired glucose tolerance) are referred by the LSU providers. The grant goal of 48 enrolled participants with Pre Diabetes per year has been achieved.
- The four basic activities include recruitment, screening and eligibility, intensive activity (16 week classes using the Lifestyle Balance Curriculum), and retention.
- Recruitment, screening, and less intensive activities are accomplished through community partnerships with the seven tribes served by the Lawton Service Unit in Southwest Oklahoma .
- Upon completion of the Intensive classes, participants are followed up monthly and retested at required intervals to assess the lifestyle changes in the delay and/or prevention of Diabetes.
- Data including anthropometrics is gathered for evaluation to determine program success in implementing the program and transmitted to the University of Colorado which serves as the national coordinating center and works in conjunction with the IHS Division of Diabetes Treatment and Prevention.
For program information, call 580-354-5640 between 8:00 a.m. and 5:00 p.m.
The Diabetes Model Program consists of the Director/Registered Dietitian and the Diabetes Nurse Educator.
The SDPI Diabetes Grant Program consists of two (2) Community Dietitians, one (1) Diabetes Nurse Educator, one (1) Community Fitness Specialist, one (1) Licensed Professional Counselor, and four (4) Clerical support staff.
The Diabetes Model Program staff is the only permanent positions in the Diabetes Program. All of the other staff are paid from SDPI Grant funds which necessitates for these positions to be temporary.
The SDPI funding provides for the majority of the services provided by the Diabetes Program including: Self Blood Glucose Monitoring supplies and instruction, Newly Diagnoses Diabetes Education Program, High Risk Foot program, Hypertension Initiative, Mental Health component of Diabetes Education, and the Diabetes Prevention Initiative with the Cache and Anadarko Public Schools. In conjunction with all of these program initiatives, the grant funding pays for incentives such as blood pressure cuffs, pedometers, exercise apparel, and other supplies useful to keep sustained participation.
The Diabetes Program's main objective is to provide Diabetes Education to the patients of the Lawton Service Unit, as well as, to provide education regarding Diabetes Prevention and general promotion of a healthy lifestyle. We are in collaboration with the Diabetes Prevention Program regarding promotion of increasing physical activity and healthy eating habits.
- Prepare wholesome, appetizing meals and nourishments for hospitalized patients seven days a week.
- Provide meals to outpatients with diabetes who have had fasting blood work.
- Provide meals to guests who are assisting with the care of seriously ill or pediatric patients upon physician's orders.
- Assess nutritional status of inpatients and develop a plan of care that will positively influence the recovery process.
- Counsel inpatients and outpatients with special nutritional needs.
- Teach classes on weight reduction, prenatal nutrition, food safety, etc.
- Provide nutrition presentations in the community upon request.
- Help patients identify resources in the community to improve food security.
- Provide reasonably priced, nutritious box lunch meals for hospital employees, outpatients and visitors.
- Help make the hospital a warmer and more caring place for our patients.
- Provide advice to Management and Supervisors on all Personnel actions needed.
- Prepare Personnel Actions
- Provide Vacancy Announcement Applicants info regarding vacancies & procedures to apply to Walk-in Applicants.
- Provide Workman's Compensation services to supervisors and employees
- Provide Orientation to all new staff entering on duty at the Service Unit,
- Provide Counseling and assistance to Employees regarding Voluntary Retirement and Medical Disability Retirement.
- Provide advice and assistance to employees regarding Benefits including, Health Insurance, Life Insurance, Thrift Savings Plan, Beneficiaries, Payroll Documents/Payroll Errors, Annual Leave & Sick Leave, etc.
- Contact person for various Work Training Programs.
- Maintain the Service Unit Unofficial Personnel File for all staff working at the Service Unit.
- Provide Staffing Reports to Management.
The Lawton Service Unit Information Technology (IT) department is involved in the study, design, development, implementation, support or management of computer-based information systems and telecommunications.
Healthcare IT professionals perform a variety of duties that range from installing applications to designing complex computer/telephone networks and information databases. A few of the duties that IT professionals perform may include data management, security, networking, engineering computer hardware, database and software design, as well as the management and administration of entire systems.
Systems supported at the Lawton Service Unit include internet access, email systems, telephone systems, Resource and Patient Management System (RPMS), Electronic Health Record (EHR), tele-radiology, etc.
- Children 8 yrs or younger who are admitted to the hospital MUST have an adult with them at all times. Arrangements for a bed and guest tray will be provided.
- Guests/relatives who wish to stay with other patients may be provided a bed or chair as available. Guest trays are not provided.
- Other patients who need to have a family member present to assist in their care will be provided bed and guest tray with physician order.
It is the policy of Lawton Indian Hospital to define specific "visiting hours" for the families and friends of patients. This allows patients to receive necessary care and rest and the Lawton Indian Hospital to provide services efficiently.
- Only two (2) visitors are permitted with each patient at the same time on the inpatient units, and asked the others visitors to wait in the waiting area.
[NOTE: "No visitor shall be admitted who has a known infectious disease, who recently recovered from such a disease, or who recently had contact with such a disease]
- Only one (1) visitor is permitted with each patient in the Emergency Room. The provider may also request to speak to the patient alone. Other visitors will be asked to wait in the waiting Room
- In Patient Visiting Hours
- Medical/Surgical Patients
11:30 a.m. - 8:30 p.m.
Children under 12yrs: at the discretion of the primary nurse.
- Pediatric Patients Parents: Anytime
One caregiver is REQUIRED to stay with children 8yrs and under at all times.
One caregiver may stay overnight with any child under the age of 18yrs. Siblings under 12yrs: with permission of the primary nurse. One caregiver is welcome to stay over night.
- Request to Visit After Normal Visiting Hours
- It will be the responsibility of the Security staff to monitor all incoming visitors after 8:30 p.m.
- Monitor all incoming visitors
- The security staff will be responsible for monitoring all incoming visitors to the hospital through the use of CCTV monitors, mirrors, intercoms, and door alarms.
- The main areas of concern for the security staff to monitor are the Emergency Department's entrance, and the employee's entrances.
- Upon security staff knowledge of a visitor entering the facility he or she will ensure that the individual does not enter the hospital areas without following the procedure for security check and authorization of after-hour visitors to the Patient Care Units. (Refer to section 1.b, on page 1 of this policy)
- If the security staff has any problem with an individual, such as; an uncooperative visitor or employee, a person who does not or will not stop at the Security Office, etc., he or she will immediately inform the patrolling Security Officer and inform her/him of the situation and/or call a CODE YELLOW. Security Staff will remain in the area until the House Supervisor declares the situation resolved.
- Issuing Visitor Passes
[NOTE: If any problems arise as a result of this situation, the Nursing staff should contact the patrolling Security Officer to assist, as needed or call a CODE YELLOW.]
Hours: 8:00 AM to 4:00 PM on Monday, Tuesday, Thursday and Friday. Wednesday's hours are 10:00 AM to 4:00 PM.
Location: The laboratory department is located on the first floor of the hospital next to the X-Ray department.
Contact Us: 580-354-5335
Internal Medicine (IM) provides the following inpatient services:
- 24/7 hospital coverage for all patients over the age of 15 admitted to the hospital
- Performs History and Physical exams on selected surgery patients, provides consultations for other services when requested
IM provides the following outpatient clinic services:
- An IM physician is available 24/7 for consultation or evaluation of ER patients when requested by the ER physician. Routine and urgent IM consultations when requested by other clinic providers, IV fluid hydration when indicated, immunizations, referral services, and the evaluation and management of chronically ill patients presenting either by appointment or as a walk-in.
The Laboratory is staffed with 9 Medical Technologists and two Phlebotomists. All of our Medical technologists are ASCP (American Society of Clinical Pathologists), registered Medical Technologists, which is the elite of the techs in our field. There are five departments in the Clinical Laboratory: Hematology/Coag, Blood Bank, Microbiology, Chemistry, and Urinalysis.
We do routine lab work on a daily basis and tests not performed in our laboratory are sent to a reference laboratory. We provide services to all ages of patients from newborns to geriatrics in the Emergency Room, Operating Room, Inpatient Wards and the Outpatient clinics. We constantly strive to provide the very best service for our patients. We also try to keep current on the latest technology in the laboratory.
Procedure for Obtaining Lab Work
After the doctor orders the lab, patients need to fill out a slip located outside the door and place in the in-box inside the lab. Orders are retrieved from the computer and patients are then called into the lab to have their blood drawn. Results are entered into the computer for the physician to review.
Hours: 8:00 AM to 4:00 PM on Monday, Tuesday, Thursday and Friday. Wednesday's hours are 10:00 AM to 4:00 PM.
Location: The laboratory department is located on the first floor of the hospital next to the X-Ray department.
Contact Us: 580-354-5335
Maintenance, Security and Housekeeping
LIH Maintenance - Functional Statement
Maintenance Department provides 24/7 services and/or call back repair services to building mechanical-electrical-plumbing systems and utilities for the Lawton Service Unit. Provide staff training relative to manufacture's recommended maintenance program. Maintain a preventive maintenance program for the Service Unit.
LIH Security - Functional Statement
Security guards provides on site 24/7 service at the Lawton Indian Hospital . They monitor all areas of the facility by walking the site and also monitor activities with the assistance of card access readers and surveillance camera network.
LIH Housekeeping - Functional Statement
Housekeeping staff provides 24/7 cleaning services relative to infection control and infectious waste disposal.
The Department's Management Programs include: Acquisition Management, Files and Records Management, Mail Management, Property Management, Supply Management, and Vehicle Management.
ACQUISITION MANAGEMENT is responsible for the acquisition functions for the total Lawton Service Unit which comprises the Anadarko and Carnegie Health Centers . All federal acquisitions must adhere to the goals of the federal acquisition system, which are to: obtain the best value of the customer in terms of cost, quality, and timeliness of the delivered product or service; minimize administrative operating costs; conduct business with integrity, fairness, and openness; and fulfill public policy objectives, such as using small businesses, paying prevailing wages for work on government contracts, preserving the environment, providing employment opportunities for American workers, ensuring equal employment opportunity.
FILES AND RECORDS MANAGEMENT is responsible for establishing policy, procedures, responsibilities and other elements pertinent to the administration of the Indian Heath Service Records Management Programs for the Lawton Service Unit. Records Management by the Service Unit requires the Service Unit to preserve records containing adequate and proper documentation of the Service Unit, functions, policies, decisions, procedures, and essential transactions of the Service Unit.
MAIL MANAGEMENT is responsible by this Department for the receiving, weighting, sorting and disposition of mail to the main Post Office and receiving incoming mail each business day and distributing to the Departments' Mail boxes. Also responsible for making sure that Mail Funds area available and is stored the Pitney Bowes Mail Machine. Mail is handled on a daily basis by this Department.
The Medical Clinic of the Lawton Service Unit has a complement of physicians and nurses that serve patients of all ages. Our clinic is opened Monday through Friday from 0800 to 1700. Our care for patients includes, but is not limited to, diabetes, hypertension, respiratory ailments, and pain management. Our clinic holds a yearly influenza vaccination clinic and our entire staff augments the Emergency Room, as needed during times of staff shortages.
Scope of Services
Provision of Total Perioperative care for the Surgical Patient. Surgical Specialties available include General Surgery, Gynecological and Obstetrical Surgery, Dental Surgery including Pediatric Dental Surgery, Podiatric Surgery, and Endoscopy.
Anesthesia Department Services offered include Pain Clinic, and Pulmonary Function Testing.
The Operating Room Services of Lawton Indian Hospital participates in the "Universal Protocol" of the Joint Commission, for the prevention of "Wrong Patient/Wrong Site" Surgery.
Hours: 7:00 AM to 3:00 PM Monday thru Friday.
Contact Us: Phone: 580-354-5450
Optometry strives to help Native Americans and Alaska Natives of all ages, to maintain, improve, and restore vision and ocular health. The goal of the Optometry Clinic is to provide on-going state of the art diagnostic and therapeutic eye care services. The Optometrist who performs your exam will examine your eyes, diagnose, treat, and manage diseases, injuries, and disorders of the visual system as well as identify any related systemic conditions affecting the eyes.
The Diabetes Program provides contract ophthalmologic care, on a monthly basis, for patient with diabetes. Patients determined to be candidates for laser treatment by our optometrist are referred to this clinic for evaluation. Advanced, complicated or surgical cases are referred through Contract Health Service to outside providers.
Many eye and vision conditions present with no obvious symptoms, therefore, regular examinations are important for maintaining good vision and preventing vision loss.
The Optometry Clinic schedules appointments daily for primary care exams. You may either phone or stop by the department to schedule an appointment. The initial visit may last one hour or more depending on the complexity of the exam and your eyes may be dilated, so please plan accordingly. Arriving late for an appointment may mean that the appointment will need to be rescheduled. If you must miss your appointment, please call ahead to cancel or reschedule.
Hours: 8:00 AM to 12 NOON and 1:00 PM to 5:00 PM on Monday, Tuesday, Thursday and Friday. Wednesday's hours are 10:00 AM to 12 NOON and 1:00 PM to 4:00 PM.
Location: Main Building, first floor South of the new Main Entrance.
Contact Us: Phone: 580-354-5460 Fax: 580-354-5473
Oral and Maxillofacial Surgery Services
Oral and maxillofacial surgeons are dentist who have specialized training to correct certain conditions such as, defects, injuries, and esthetic aspects of the mouth, teeth, jaws, and face. Their training includes a four-year graduate degree in dentistry and the completion of a minimum four-year hospital surgical residency program.
Oral and maxillofacial surgeons care for patients who experience such conditions as problem wisdom teeth, facial pain, and misaligned jaws. They treat accident victims suffering facial injuries, offer reconstructive and dental implant surgery, and care for patients with tumors and cysts of the jaws and functional and esthetic conditions of the maxillofacial areas.
With specialized knowledge in pain control and advanced training in anesthesia, the oral and maxillofacial surgeon is able to provide quality care with maximum patient comfort and safety in the office setting.
Oral and Maxillofacial Surgery
Oral and maxillofacial surgery is the specialty of dentistry that includes the diagnosis, surgical and related treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the head, mouth, teeth, gums, jaws and neck.
All patients are seen by referral only. There are predetermined guidelines for each referral and clinics eligible to refer already know the guidelines. If you need our specialized care your home clinic will make an appropriate referral for care.
Contact Us: Phone: 580-354-5191
- Pediatric patients are assessed, educated and updated for vaccine preventable disease using Centers for Disease Control and Prevention and American Academy of Pediatrics best practices at every encounter.
- Pediatric patients have access to urgent, well child and chronic pediatric care using an appointment system.
- After-hours pediatric care is available and patients are advised of such access verbally via the answering machine, at clinic visits and with handouts.
- The pediatric clinic uses evidence-based clinical guidelines recommended by the American Academy of Pediatrics for well and sick patient care, screenings, and patient education.
- Patients with asthma are diagnosed, managed and educated following the National Institutes of Health Asthma guidelines.
- The pediatric department participates in education of nursing staff and offers educational opportunities and materials to other medical staff.
Performance Improvement Department
The primary responsibilities and function of the Performance Improvement Department are Utilization Review, facilitating the Discharge Planning process, and overseeing the Performance Improvement activities for the Lawton Service Unit. The goals include but are not limited to:
- provision of quality care
- decrease fragmentation of care
- enhancement of the quality of life for population served, and
- cost containment.
Coordination of activities in regards to Risk Management and Compliance issues begins in the Performance Improvement Department. As Government Performance Results Act (GPRA) coordinators for the Service Unit, works with and participates in achieving GPRA goals and generates quarterly reports. This department is also responsible for researching, interpreting and advising the Leadership Committee and other key individuals regarding Joint Commission, Centers for Medicare/Medicaid Services (CMS), and Oklahoma Foundation for Medical Quality and other external review requirements. Evaluation of the health care systemï¿½s committees, departments, and vendors to ensure compliance with accreditation standards and criteria also begins in the Performance Improvement Department.
The Pharmacy Department is responsible for medication distribution processes at the Lawton Indian Hospital . The primary function of the pharmacy department is to provide pharmaceutical care to Native American beneficiaries in both the outpatient and inpatient care settings. In addition:
- The pharmacy department promotes, assesses, and assures quality, cost effective drug utilization while ensuring drug selection is in compliance with the Lawton Service Unit Drug Formulary criteria, Indian Health Service guidelines, Joint Commission standards, and state of Oklahoma rules and regulations.
- The pharmacy department provides medication therapy management services and evaluates medication regimens for appropriateness of use, drug-drug interactions, drug-food interactions, therapeutic duplications, non-compliance to drug therapy, and adverse drug reactions.
- The pharmacy department provides pharmaceutical consultation services to patients, physicians, nurses, and other medical personnel at the Lawton Indian Hospital.
- The pharmacy department makes every effort to obtain reimbursement for medications dispensed to Native American beneficiaries with third party resources through the pharmacy Point of Sale (POS) system.
Physical Therapy helps individuals to restore health, alleviate pain and prevent the onset of disease. They serve people of all ages and strive to achieve increased functional independence and decreased functional impairment.
- Determine the need for services
- Evaluate the patient's physical and functional status
- Develop and implement a plan of treatment with the patient and family
- Administer, modify and coordinate therapeutic services that focus on posture, locomotion, strength, endurance, cardiopulmonary function, balance, coordination, joint mobility, flexibility, pain and functional abilities of daily living.
- Are graduates of a School of Physical therapy that has been accredited by the American Physical Therapy Association. The minimum requirement is a Bachelor's degree in Physical Therapy.
Physical Therapy can assist in the following areas:
- Back and Neck disorders, both acute and chronic(including headache and TMJ)
- Cumulative Trauma Disorders(including carpal tunnel syndrome, median and lateral epicondylitis, thoracic outlet syndrome)
- Balance disorders(including BPPV)
- Neurologic disorders(including stroke, spinal cord injuries and traumatic brain injuries)
- Orthopedic injuries and post-operative treatment
- Sports injuries
- Women's health issues(including urinary incontinence and osteoporosis screening and education)
- Activities of Daily Living evaluation and training
- Ergonomics(including work site assessments and recommendations)
- Chronic Pain
- Gait disorders
- Pediatric screening, evaluation and treatment of developmental delay
Referral: A Lawton Service unit provider must refer a patient to Physical Therapy.
Appointments: Physical Therapy schedules their own appointments. A patient can either phone or stop by the department to schedule an appointment after they are referred by their provider. The initial visit usually lasts one hour and any need for follow-up appointments will be determined at that time.
Regular attendance is important to progress in Physical Therapy. We request the patient avoid missing appointments. If a patient must miss an appointment, they should call the department to cancel and/or reschedule the appointment. Failure to attend three consecutive appointments will result in a discharge from therapy and any further treatment would require a new referral from the provider. Arriving late for an appointment may mean that an appointment will be rescheduled.
Hours: 8:00 AM to 5:00 PM on Monday thru Friday.
Location: 3rd floor-Southwest corner, Room 3-1
Contact Us: 580-354-5565
Public Health Education Department
- Counsels patients one-on-one about Tobacco Cessation and recommends nicotine patches to help them quit gradually.
- Works with other agencies to bring training to hospital staff and offer Continuing Medical Education (CME).
- Serves as liaison between patients and hospital staff when a patient files a complaint. Conducts fact-finding investigations to respond to patients with findings. Maintains a record of patient complaints on Excel. Recommends solutions to complaints.
- Develops and presents information on prevention of health issues at workshops, training sessions, and conferences.
- Conducts Walking contests/programs for patients and hospital staff.
- Works with a variety of agencies to bring the American Indian Elders Conference to Oklahoma . Has served as Chair for this conference since 2003.
- Serves on two HIV/AIDS Coalitions: Oklahoma Native Nations United Against AIDS located in Anadarko and Oklahoma Native American AIDS Coalition located in Oklahoma City.
- Gives presentations and sets up information booths at various events in relations HIV/AIDS.
Public Health Nursing
The Lawton Service Unit Public Health Nurses Department consists of Two Public Health Nurses and one secretary at Lawton Indian Hospital and Anadarko Indian Health Clinic and one Public Health Nurse at Carnegie Indian Health Clinic.
We provide education, training, immunizations, health care screenings and health fairs for ten surrounding counties of the Lawton Service Unit. The PHN's maintain the employee health up to JCAHO standards for all three facilities.
We maintain the childhood immunizations at a current level. We make home visits on chronic disease, diabetes, prenatal, immunizations, women's health, newborns, communicable disease and sexually transmitted diseases and document properly. The staff has started using the Electronic Health Record.
The Radiology Department at Lawton Indian Hospital provides in-patient and out-patient diagnostic radiographic, computed tomography, and ultrasound services. Radiolographic and Computed Tomography departments perform routine and emergency procedures Monday through Friday from 8 am until 12 midnight, with an on call technologist available from 12 midnight until 8 am and all day Saturday and Sunday and Federal Holidays. Routine and emergency Ultrasound studies are performed Monday through Friday 8 am until 5 pm.
Radiographic coverage is provided to Anadarko Indian Health Center Monday and Wednesday from 1:00 P.M. to 4:00P.M.
The hospital Safety Program is responsible for the Joint Commission Environment of Care Policies and procedures. The Safety Program is also responsible for Occupational Safety & Health Administration (OSHA), the Environmental Protection Agency (EPA) Standards.
Oversees the WebCident Program for the Lawton Indian Hospital, and is responsible for entering and tracking safety-related data.
Women's Health Clinic
The Women's Health Clinic provides a wide range of gynecological services and limited obstetrical services to our patients. The following routine health maintenance exams are available: pap smears, pelvic exams, and clinical breast exams. Mammograms are referred through Contract Health Services. We are able to request high-risk Human Papillomavirus (HPV) detection from the pap smear when indicated. The American Society for Colposcopy and Cervical Pathology (ASCCP) recommended guidelines are followed for abnormal pap smear follow-up and are able to perform colposcopy, cervical cryotherapy, and Loop Electrosurgical Excision Procedure (LEEP) conization when necessary. We are also capable of performing endometrial biopsy and real-time ultrasound in the clinic.
The following surgical treatment options are offered for our gynecological patients, including, but not limited to, hysterectomy, laparoscopy, Dilation and Curettage, hysteroscopy, endometrial ablation, anterior/posterior repair, perineal reconstruction, Bartholin's gland marsupialization, and tubal ligation. For our obstetric patients we do offer evaluation and treatment for first trimester problems that include miscarriage and ectopic pregnancy. We are capable of offering prenatal care in the clinic and inpatient labor and delivery services. However, due to staffing constraints, we are currently referring out for these services.
Anadarko Health Center
Anadarko is a community of approximately 6,560, located fifty miles from Oklahoma City, Oklahoma, and forty miles from Lawton, Oklahoma. Anadarko boasts many restaurants, grocery stores, clothing stores, gasoline stations, florists, a movie theatre, a public library, numerous different faith churches, and excellent educational facilities for children. Anadarko has less congestion than an urban setting and is near recreational sites and a major airport located in Oklahoma City, Oklahoma. The climate is generally mild.
The Anadarko Indian Health Center opened in its current location in 1984. Eligible patients include members of the seven tribes which consist of Kiowa, Comanche, Apache, Ft. Sill Apache, Wichita, Caddo, and Delaware tribes. The Anadarko Indian Health Center is an outpatient medical facility open Monday through Friday from 8:00 a.m. to 4:30 p.m. and closed for federal holidays. The Health Center is situated in a newly renovated 20,000 sq. ft. building. We utilize evolving concepts such as the Electronic Health Record. The Health Center offers in-house specialty clinics, as well as a referral system to specialists.
The Anadarko Indian Health Center has a multidisciplinary outpatient department that provides a wide range of services including primary care, acute care, and management of chronic health conditions for our community, providing approximately 50 to 80 visits a day. In addition, we provide a weekly diabetes clinic that is supported by several ancillary departments, enabling a broad range of care to our diabetic population. There are several specialty clinics provided on a monthly basis including Rheumatology, Endocrinology, Mammography, Podiatry, Wound Care, and Womenâ€™s Health. We partner with our tribal Community Health Representatives and the Public Health Department to provide preventative services in our community and to the students at the Riverside Indian School.
Part of our patient population is from the Riverside Indian School, a Bureau of Indian Affairs boarding school located nearby. Students attending Riverside come from all across the United States and are from more than 100 different tribes. Riverside provides educational services for grades 4 through 12. Their current student population is 480.
The Anadarko Indian Health Center Pharmacy is an outpatient pharmacy consisting of three pharmacists and one pharmacy technician. The pharmacy is newly remodeled, complete with two drop-off/refill stations and two private patient counseling rooms. We have the Script Pro automated system and fill an average of 350 prescriptions per day. Pharmacy services provided by the Anadarko Indian Health Center include an anticoagulation clinic, a tobacco cessation clinic, an adult immunization clinic, and a mail-out prescription program.
We have state of the art laboratory technology and instrumentation to provide a wide variety of in-house testing to include a Comprehensive Metabolic Panel, CBC, Liver and Renal Function Panel, Thyroid tests, Lipid Panels, Diabetes Management tests and routine waived tests to include Rapid Strep, HIV, Pregnancy, Influenza A&B, H. Pylori. The more complex tests are sent to a reference laboratory.
Our facility offers a diverse range of comprehensive services which includes Medical, Nursing, Public Health Nursing, X-Ray, Laboratory, Dental, Optometry, Behavioral Health, Pharmacy, Patient Advocate/Contact Rep, Diabetes Program, Medical Records, Registration, Supply, Housekeeping and additional ancillary staff.
Facility Director - Terry Hunter
P.O. Box 828
115 NE Oldtown Dr. - Anadarko, OK 73005
Carnegie Indian Health Station
Carnegie Indian Health Station provides outpatient medical care to all ages with one full time general practitioner. Two specialty clinics, Podiatry and Pediatrics, are offered one day a week. The Public Health Nursing program at the Carnegie Indian Health Station provides immunizations and certain community out-reach programs. The Carnegie Indian Health Station staff is updating all active charts and verifying that all 3rd party resources are correctly annotated in the patient's record. Coding is being done on a daily basis at the health station and with the close collaboration between the coder and providers correct procedure codes and charges are being documented. The clinic staff is working with pharmacy personnel to increase Point of Sale collections and minimize rejections.
Facility Director - Linda Bailey
214 E 4th - Carnegie, OK 73015