OKCIC proposes an American Indian (AI) Metabolic Care Center (MCC) model to address the essential elements of implementing Good Health and Wellness (GHW). The MCC will serve as an interdisciplinary facility where physicians, non-physician medical workers, health para-professionals and strategic partners will collaborate with patients to reduce rates of death and disability from commercial tobacco use, diabetes, heart disease and stroke; reduce the prevalence of obesity and other chronic disease risk factors and conditions.
The GHW will focus on a resiliency building approach that leverages culture and tradition as prevention tools to improve health and wellness in the AI community. In doing so, the project will lead to population-level improvements in those significant health factors that disproportionately impact the AI community, such as tobacco use, obesity, and type 2 diabetes mellitus.
To complement and support the work of the MCC, this project, GHW will provide nonclinical support to the MCC and the Women’s Health Clinic to overcome identified barriers to healthy outcomes. Although health and wellness have long been central to OKCIC’s mission and programming, our patients still experience gaps and barriers to success at a disproportionate rate. This project will build bridges over those gaps and barriers.
Early intervention of emerging conditions and ongoing management of advanced conditions round out the philosophy of holistic care for the MCC model. Some of the specific areas of focus would include a community teaching kitchen, organized physical activity programs and a wellness center that supports them; certified physical trainers; breastfeeding education and lactation support services; tobacco cessation programs and smoke-free environments; access to a CDC-recognized type 2 diabetes prevention program and motivational life coaches; care and case manager to facilitate treatment plans; and a staff of medical professionals and other paraprofessionals to include adult and pediatric endocrinologists, nurses, registered dietitians, clinical pharmacists, certified diabetes educators, a retinal imager, an integrated behavioral health specialist and additional supporting staff.
Outcome measures will be developed, tracked and analyzed by the OKCIC Quality Improvement Department, led by a Ph.D.-level epidemiologist.