OneWorld Community Health Centers EXCHANGE Issue 2 , 2023
RESEARCH with a PURPOSE Page 4
FROM OUR CEO
Providing
help and support for someone is an honor and a privilege that we do not
CONTENT
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Standing with the LGBTQIA2S+ community
take lightly. The needs in our community continue to grow every year, and we are determined to help meet those needs for our patients and the community at large. In the vast world of health care, it can be easy for an individual or group to feel they have no voice. At OneWorld, we work every day along with our many community partners and donors to be a voice for those individuals and groups because representation and access matter. What we do today matters for the future of our community. By prioritizing the voice of our patients and continuing to innovate our services to better suit the needs of our patients, we can create a more inclusive, caring community for all people. Through all of our growth and steps forward, we continue to prioritize being there for our community because our mission is to create inclusive, healthy communities.
Research with a purpose
A trusted resource for teens
Excellence at work
14 Community Matters
Join us Thursday, November 9, to celebrate how we are all connected and to honor the OneWorld partners who make Milagros (“miracles” in Spanish) happen every day in our community. Our featured speaker is Mustafa Babak, Executive Director of the Afghan-American Foundation. Mustafa is an international development expert with over 17 years of multidisciplinary experience in public sector reform and governance, global health, policy research and advocacy. He is passionate about fostering unity and will reflect on his own experiences as an immigrant and community-building leader. To become a Milagro Dinner sponsor, donate to the silent auction or for more information, please contact Bonnie Kruse, Development Director at (402) 952-4029.
Andrea M. Skolkin Chief Executive Officer
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Standing with the LGBTQIA2S+ community
At OneWorld, we welcome people of any gender identity or sexual orientation because every person deserves to feel safe and cared for. Whole person care includes physical and mental health and social needs, and is important to the mission of OneWorld in providing access to quality care for all people. We support human rights and proudly stand with the LGBTQIA2S+ community.
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OneWorld physician uses research to help improve the health of his community RESEARCH with a PURPOSE
Peter Schindler, MD, Ph.D., Family Medicine Physician, is no stranger to
After graduating from Medical College of Wisconsin in 2019, Dr. Schindler and his wife moved to Omaha so Dr. Schindler could complete his family practice residency through the UNMC College of Medicine and his wife, who is also a physician, could begin her career. “I interviewed at UNMC and they told me about the OneWorld residency program, and that became the big draw to come to Omaha,” said Dr. Schindler. “I went to OneWorld and they had everything that I imagined myself needing to train; good support, working with populations that I had some experience working with and staff that really cared. I remember calling my wife after and saying that Omaha was where we needed to go.” Dr. Schindler completed his residency in 2022, and transitioned into his new roles at OneWorld and UNMC. When he is not conducting his own clinical practice at the OneWorld Women’s Health Clinic or teaching at UNMC, he can be found on his computer digging into his research projects. “Research and clinical practice gives me a healthy balance,” said Dr. Schindler.
learning. In fact, after 17 years of education post-high school graduation, he is continuing his journey of learning through research. In addition to his physician role at OneWorld, Dr. Schindler is an assistant professor and the director of medical research within the department of family medicine at University Nebraska Medical Center. Currently, Dr. Schindler is involved in three research studies: HPV self-swab test for cervical cancer, prenatal patient birth experiences and paternal participation and birth outcomes. “I firmly believe in not doing research just to do research,” said Dr. Schindler. “For me the purpose is to improve the health of our community and to make the lives of our community members better.” When asked what interested him in medicine, Dr. Schindler said his journey, while more complicated than the average person, allowed him to explore different avenues of the medical world including nursing, midwifery, nurse practitioner and finally the role of a family medicine physician.
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I firmly believe in not doing research just to do research. For me the purpose is to improve the health of our community and to make the lives of our community members better.”
Peter Schindler, MD, Ph.D., Family Medicine Physician
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may be eliminated. Kaiser Permanente has studied this concept previously with positive results, but Dr. Schindler said the participants of their study did not reflect the diverse backgrounds that OneWorld and many other Federally Qualified Health Centers serve. Dr. Schindler, along with Melanie Menning, MD, MPH, Family Medicine Physician, are currently assessing the acceptability of these tests amongst diverse populations. “It is a skill to be able to do a self-swab well enough to get an adequate sample,” said Dr. Schindler. “But before we get to that point, we need to understand if there are any social norms or cultural nuances that different populations may have. We’re at the very beginning of a long project, but this has the potential to create a positive, sustainable change for FQHC populations.” The goal for Dr. Schindler’s research on prenatal patient birth experiences is to create a formal plan based on patient insights to improve the patient experience. The study will look at the prenatal,
Dr. Schindler oversees residents at the OneWorld Women’s Health Clinic.
“Clinical practice humanizes research for me because I can connect what I am reading about and doing on the computer to my own patients. It makes it much more relevant to see what kind of impact I can potentially have.” Impact is a huge motivator for Dr. Schindler’s work with HPV screening for cervical cancer.
This project is looking at ways to reduce barriers for cervical cancer screening, one of which is studying the idea of a self-collected HPV specimen. Dr. Schindler said going to a medical clinic and getting a pap has barriers for many patients, and by incorporating a self-swab test into the health system, these barriers
delivery and after-delivery experiences for patients.
OneWorld Family Residency Program OneWorld’s Family Medicine Residency Program is a three-year continuity program, in partnership with UNMC’s Community Health Center Residency Track, designed to train physicians to care for a diverse population of patients within the community with an emphasis on health equity and justice. Residents have the opportunity to gain exposure to an integrative model of health care that focuses on caring for the whole person and practice in different clinical settings including OneWorld’s family medicine and pediatrics clinics, School-Based Health Centers and Teen and Young Adult Health Centers.
Dr. Schindler is involved in three research studies: HPV self-swab test for cervical cancer, prenatal patient birth experiences and paternal participation and birth outcomes.
“This study will help us understand our strengths and weaknesses from the patient perspective,” said Dr. Schindler. “That will allow us to improve the patient experience both at OneWorld and possibly at the hospitals we partner with in a more formal way. We are hoping to have preliminary results and to start implementing those results in about a year.” Rounding out his research, Dr. Schindler and Jacob Vasa, MD, Family Medicine Resident, are studying paternal participation and birth outcomes at OneWorld. They will assess identified data that states if there was paternal participation during pregnancy and then look at associations with different outcomes such as birth weight and premature birth.
“This is a very new area of research, so it’s going to take a long time to get anything tangible, such as an intervention to promote a certain form of partner participation, to be seen and practiced,” said Dr. Schindler. Similar to his own clinical practice, Dr. Schindler said he wants the OneWorld patient population to be involved in the research projects. “I want to hear what our community’s perceptions of their health issues are,” said Dr. Schindler. “It’s so important to have that healthy perspective and understanding so we can bring resources to our community that will bring sustainable change and improve our community’s health.”
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I want to hear what our community’s perceptions of their health issues are. It’s so important to have that healthy perspective and understanding so we can bring resources that will bring sustainable change and improve our community’s health.
Peter Schindler, MD, Ph.D., Family Medicine Physician
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A trusted resource for teens
Shelley Harder, LIMHP, Behavioral Health Therapist
OneWorld expands behavioral health services to Millard South High School
Across the nation, the need for mental health care continues to rapidly increase, especially amongst teenagers. The Centers for Disease Control and Prevention reported that in 2021, 42 percent of high school students felt so sad or hopeless every day for at least two consecutive
teens and be a trusted resource for them to go to when they are struggling with things like depression, anxiety, social pressure, bullying and more.” The social work team at Millard South identifies students who they believe would benefit from outpatient therapy and reaches out to their parents/guardians. Once consent is granted, the OneWorld Behavioral Health team registers each student as a OneWorld patient and begins scheduling therapy sessions. Similar to other clinical services, Millard South patients who are uninsured or do not have enough insurance will be connected to the OneWorld Marketplace team to discuss eligibility for insurance, sliding fee scale, Medicaid and other programs. Each student will be scheduled for 10 sessions initially, but the team will adjust the number of sessions based on each student’s goals and progress. Appointments will be available before, during and after school hours to help increase access.
weeks that they stopped doing their usual activities. The report also indicated that teenage girls are experiencing record high levels of violence, sadness and suicide risk. To help address this crisis, OneWorld partnered with Millard Public Schools to bring traditional behavioral health therapy to Millard South High School.
Kelly Dorfmeyer, LIMPH, LADC, LPC Behavioral Health Director
“Having a therapist directly in the high school will give teens an avenue and space to speak with a third-party, non-biased individual,” said Behavioral Health Director, Kelly Dorfmeyer, MS, LIMHP, LADC, LPC. “We want to support
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We want to support teens and be a trusted resource for them to go to when they are struggling with things like depression, anxiety, social pressure, bullying and more.
Kelly Dorfmeyer, MS, LIMHP, LADC, LPC, Behavioral Health Director
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I hope by being on-site that my patients will be able to see me as an extension of the school and that they can come see me whenever they need. This is a great way to normalize therapy for teenagers and their parents/guardians. Shelley Harder, LIMHP, Behavioral Health Therapist
Shelley Harder, LIMHP, is the primary behavioral health therapist at MIllard South.
“Having the program in the school helps so therapy isn’t an extra thing families have to do on their own,” said Dorfmeyer. “It can be overwhelming to know who to call, if insurance is accepted and then scheduling around school and work. With our program being on-site, we can eliminate those access barriers and simplify the process.” Shelley Harder, LIMHP, is the primary
behavioral health therapist at Millard South. Harder has experience working with the teenage population and coordinating with schools to address truancy, individualized education programs, mental health and behavioral issues. “I’m excited to get back to work with teenagers again, especially with everything they’ve gone through lately with social media
Get to know Shelley Harder
Shelley Harder, LIMHP, earned her bachelor’s degree in behavioral science and her master’s degree in clinical counseling from Bellevue University. Harder earned her provisional therapy license in 2016, and became fully licensed in 2018. Harder joined the OneWorld Behavioral Health team in January of 2023. She has over 10 years of experience in the mental health field working to address mental illness, substance use disorders, truancy, self-harm and behavior issues at the individual and family level. In addition to her formal education, Harder has completed trainings related to motivational interviewing, grief, working with older adults, cognitive impairment, adolescent issues, compassion fatigue and trauma. She is experienced in crisis de-escalation, locating community resources, trauma informed care and multiple forms of psychotherapy.
The Millard South clinic is OneWorld’s first traditional behavioral health clinic.
constantly growing and the Covid-19 pandemic,” said Harder. Harder said having her office in Millard South will help her provide treatment because she will be able to collaborate with the social work team and school staff to get additional background information and history about each student. She will also be able to measure treatment progress by working with the school. “I know how important building relationships and trust is with teenagers,” said Harder. “They need someone to listen to them who they believe is on their team. I hope by being on-site that my patients will be able to see me as an
extension of the school and that they can come see me whenever they need. This is a great way to normalize therapy for teenagers and their parents/guardians.” The Millard South clinic begins OneWorld’s traditional behavioral health services, and is also the first OneWorld clinic in the Millard Public Schools system. “We are excited to reach a new population and expand our behavioral health services,” said Dorfmeyer. “Mental health is such an important piece of health care, and this clinic is a step in the right direction to bring access to an age group who is in great need of support.”
At OneWorld, We Care for All People.
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EXCELLENCE AT WORK Awards & Recognitions Quality care goes beyond providing services. It is a collection of selfless work, unwavering commitment and active participation to create positive social change. It is a support system that leaves no one standing alone, and is a source of comfort and trust. We believe in Care for All People, and we are honored to be represented by individuals who continue to fight for this every day.
Alex Dworak, MD, Associate Medical Director – Family Medicine: Nebraska Public Health Defender, UNMC College of Public Health
Andrea Skolkin, Chief Executive Officer: Elizabeth K. Cooke Advocacy MVP, National Association of Community Health Centers
Diabetes Education
EXCELLENCE IN CARE
In January 2023, OneWorld’s Diabetes Education program achieved national accreditation through the Association of Diabetes Care & Education Specialists with support from Nebraska Department of Health and Human Services. This accomplishment opens the doors for OneWorld diabetes education specialists to access a wide range of resources to help enhance the patient experience. Amari Ware, RN, MSN, MBA, leads the Diabetes Education team. The team is dedicated to helping patients understand their condition by providing education, support and identifying barriers that may impact their ability to focus on their diabetes or prevent them access to the tools they need to care for their diabetes.
Karen McClelland, BSN, RN, CDES, Diabetes Care and Education Specialist, holds the Diabetes Education program’s national accreditation.
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HIRING We’re
Be inspired. Make a difference.
oneworldomaha.org
Human Resources | (402) 952-4067
COMMUNITY MATTERS
In 2015, OneWorld formed the Diabetes Patient Association to give patients with diabetes the opportunity to connect with one another. Together, the group participates in activities that generate income including garage sales and community garden sales. Funds raised are used to support individuals suffering from diabetes and living in poverty. Led by Hans Dethlefs, MD, Family Medicine Physician, the group maintains a community garden located in South Omaha. In the springtime, Dr. Dethlefs, group members and OneWorld volunteers prepare the garden for spring planting. Patients manage the watering and harvesting each year, and then consume and sell the produce. Dr. Dethlefs works with group members to grow all of the plants for the garden from seed and
Volunteers help maintain the community garden.
coordinates sale opportunities. The patient association offers an opportunity for patients to be part
of the mission to improve their own health and ultimately the health of the Omaha community at large.
Because Community Matters.
VOLUNTEER AT ONEWORLD
HAVE YOU READ OUR 2023-2026 STRATEGIC PLAN?
At OneWorld, we are committed to bettering our community. Our goals in the coming years are big, and we are thankful to have your support along the way so we can continue to provide Care for All People.
OneWorld volunteers help bring our mission to life. Join people from diverse cultures and make a positive impact in the health and well-being of OneWorld patients.
For more information, visit oneworldomaha.org.
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