Rural and Community Health

MessengerSummer 2014 Vol.12/No. 3

Th

eNew State of Texas Campaign Sparks Discussion About Mental HealthTexas Department of State Health Services

In this Issue:

• NewStateofTexasCampaign-SpeakYourMind

• ExecutiveVicePresident’sCorner

• Telemedicine/TexLaUpdate

• WTxHITRECUpdate

• ProjectFRONTIER:TributetoLousinda

• SenateBill460EducationalTraining

• AHECUpdate

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A publication of the F. Marie Hall Institute for Rural and Community Health

Mentalhealthissuescanleavepeoplefeeling

isolatedandashamed.Tocountermisconceptionsaboutmentalillnessandhelpcon-nectpeoplewithresources,theTexasDepartmentofStateHealthServices(DSHS)islaunchingSpeakYourMindTexas,astatewideconversa-tionaboutmentalhealththatwillspreadthemessagethathelpisavailableandrecoveryispossible.

DSHSisworkingwithlocalorganizerstoconducttownhall-stylecommunitycon-versationsaroundTexastosparkdiscussionaboutmentalhealthandsubstanceabuse.

SpeakYourMindTexasisdesignedtobreakdownthestigmaoftenassociatedwithmentalillnessandemotionaldisturbanceandremovebarri-erstosupportandtreatment,particularlyamongteensandyoungadults.DSHSencour-agesanyoneinvolvedwithyoungpeople,includingpar-ents,teachers,coaches,com-munityandchurchleaders,andothers,toparticipateinaSpeakYourMindTexascom-

munityconversationintheirarea.Participantswilllearnaboutmentalhealthissuesaffectingtheircommunity,thewarningsignsofmentalillnessandsubstanceabuse,andtheresourcesavailabletohelpyoungpeopleandthosewhosupportthemfacethesechallenges.

“Peopledon’tliketotalkaboutmentalillness,andtheydon’tliketohearwordslikeschizo-phrenicorbipolar,andwefirsthavetogetoverthat,”saidDerekDillard,ayoungadultwhoexperiencedbullyinganddepressionandattemptedsui-cidebeforesuccessfullyseek-ingtreatmentwiththesupportofhisfamily.HeisoneoffouryoungpeoplewhocandidlylendtheirvoicesandstoriestoaseriesofvideosandpublicserviceannouncementsforSpeakYourMindTexas.

“Oncewestarttalking,”Dil-lardsaid,“wecanstartmakingchanges.”

Resourcesatspeakyourmind-texas.orgwillhelppeoplerecognizementalillnessandsubstanceabuseandshow

themhowtoprovidesup-port,promotehopeandfosterrecoveryforpeopleexperienc-ingmentalillnessoremotion-aldisturbance.Resourcesarealsoavailablebydialing2-1-1.DSHSissupportingSpeakYourMindTexaswithamediacampaignthatincludestelevi-sionandradiopublicserviceannouncements,onlineads,anddigitalandsocialmediaoutreach.“AnestimatedoneinfiveAmericanswillexperienceamentalhealthissueduringtheirlifetime,andonein20willdevelopaseriousmen-talillness,”saidDr.DavidLakey,DSHScommissioner.“Mentalillnessoftenstrikesearly,withhalfofalllifetimecasesbeginningbyage14andthree-fourthsbyage24.That’swhySpeakYourMindTexasisfocusingonourstate’syouthandthepeopleandorganiza-tionsthatsupportthem.”

“Peoplecananddorecoverfrommentalillnessandsub-stanceabuseissues,”Dr.Lakeysaid.

T E X A S T E C H U N I V E R S I T Y H E A L T H S C I E N C E S C E N T E R

continued on page 5...

Executive Vice President’s Corner

Dr. Philips

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Inmywork,IoftentravelacrossWestTexaspassingthroughallkindsoftowns.Youcantellsomethingaboutthecom-munitythatlivesinandaroundeachplacebythethingsyouseeasyoudrivethrough.

Theeasiestthingtorecognizeisthebestplacetoeatinatown;itwillbesur-roundedbycarsandtrucksandocca-sionallyatractor.Ihaveeatenatthoseplaces,andwhilenotallwouldmeetareasonableperson’sstandardofgoodfood,eachdoeshavesomethingthatisgoodbyeventhemostcriticalstandard.Sometimesit’sjustthecoffeeandthecomraderyofthelocalswhotalkaboutcrops,sportsandlocalpoliticsoveracup.Ifitisacohesivecommunity,therestaurantwillhaveacommunitycof-feepotandaboardwithpegswherethelocalshangtheircups.Itisamazingthatagatheringplacecanbefoundineveryplace,bigorsmall.InWestTexas,forcommunitieslikethese,gatheringisusu-allyaroundameal,sustenanceforthebodyandfellowshipforthesoul.

Evenlittletownsusuallyhaveaclinicorahospital.Manywerebuiltbackinthe1950sandhaveauniformlook-eventhelayoutofthefloorplan.Infact,thereisonetownthatpassedabondissuetofinanceabrandnewhospitalandbuiltitonthesiteoftheoldhospitalusinganearlyidenticalfloorplanwithafewmi-normodificationsthatimprovethefunc-tionalityoftheplace.FunctionalityisacorevalueinWestTexas.Itisstrangetoseethismodernfacilitywithallthelatesttechnology,signage,andbuildingmate-rialsofmetalandglasswithnativerock,etc.It’sliketheoldfacilitymorphedintoanewone,sortoflikeClarkKentwhenhewouldbecomeSuperman.Theclinicorhospitalinthesetownsisasymbolofhopeandpridemosteverywhere.Itisa

statementaboutthefuture.

Churchesandplacesofworshipareothersitesthatstandoutwhenyoupassthroughthesetowns.Usually,thechurchisthebestmaintainedandcleanestap-pearingplaceineachtown.Theymaybeoldstructuresorbrandnewones,butifit’saSunday,it’stheoneplacewhereeveryoneisonthatparticularmorning.Bellsringevenonordinarydaysfromthechurches,andwhiletheyarenotcommon,itisnotrareeithertohearacarillonchimingafamiliarhymn.Ab-sentthese,therewillbesignsandmes-sagestoencouragethepeoplethatpassby.OneIsawrecentlyhasreallystuckwithme,“iPhone,iPad,TryiPray…Godislistening.”Outhereitisthechurchesthatserveasaremindertothecitizensandthepasserbyalikeaboutwhore-allyorderslifeinruralWestTexasandbeyond.

ThepeoplethatcomprisetheF.MarieHallInstituteforRuralandCommunityHealthareallaboutcommunity.Weareone.Liketheplacesaroundourregion,weareuniqueanddifferentandyet,strangelysimilartoallcommunities.Wevaluefunctionalityandwegatheroftentoplan,toworkasateam,tofussoverthingsandtalk,andultimatelystrivetomakewhatwedobetterforthepeoplewesometimesneversee,butalwaysimaginevividlyasourcustomers.Wecouldn’tdowhatwedoinallthediverseprogramsthatstrivetoeliminatehealthdisparities,ifwedidn’tdowhatwedoasa“calling.”Weknowwhoordersthings,butweknowthatoftenit’speoplelikeusthatarethehandsandfeetandpas-sionofthegoodthatcomesofthework.Many,manytimesoverthesepastfiveyearsworkingouthere,IhavemarveledatthetransformationsthatIknowhavehappened.ClarkKentwouldbeamazed

athowSuperourheroesareastheygoabouttheworkoftheInstituteforthecommunitiesweserve.Wearegratefulthatindoingwhatwedo,wegrowstron-gerinourlittlecommunitytoo.

Thanksforallowingourcommunitytobeapartofyours.

-Billy U. Philips, Jr.

From Our Community to Yours

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June23-25inGalvestonTexas,theTexLaTRChosteditsfirstTelehealthSummit“AssistancefromaDistance.”Itwasafun-filled,information-packedevent.Ifyouweren’ttherewiththe101registeredattendeesand21exhibitors,youmissedhearingfromPaulaGuyabouthowGeor-giadevelopedastatewidetelehealthnet-workandDr.DaleAlverson’stalkabout“OpportunitiesforInterstateTelehealthCollaboration”.Therewerepaneldiscus-sionsaboutBehavioralHealth,TelestrokeandInnovations.YoualsomissedGar-retSpargotalkabout“TechnologyandtheMissionofTTAC”andDr.JonathanNeufeldtalkabout“FinancingTelehealth:ANationalPerspective”.Foryourconve-niencewehaveprovidedaccesstotheirslideshowpresentationsonourwebsiteatwww.texlatrc.org.

ThelastdayofthesummitconsistedofastakeholdermeetingtolearnfromtheattendeeswhatthecurrentstatusofTele-medicineandTelehealthisinTexasandLouisiana,aswellaswheretheattendeeswouldliketoseechangesandadvance-

ments.Wewillbesendingoutasurveytoalloftheattendeesaswellasthosewhoareonourmailinglist.Ifyouarenotcur-rentlypartofourmailinglist,pleasegotoourwebsiteandfilloutthecontactformorsendanemailtotexlatrc@ttuhsc.eduandasktobeaddedtothelist.

OnJuly8,2014,DebbieVoyles,ProgramDirectoroftheTexLaTRCtraveledtoAustinandtaughta“Telemedicine101”classto60studentsoftheUniversityofTexasHealthInformationTechnologyCertificationProgram.

If your hospital, practice or community would like to learn more about Telemedicine 101 and how utilizing technology can impact your community, please contact the TexLa TRC at www.texlatrc.org for more information.

TexLa Update

Thetelemedicineprogramhasbeenverybusyoverthepastfewmonths,addingnewopportunitiesforpatientstoreachtheirproviderswithouthavingtohittheroad.OneprogramthathasgrownandismakingabigimpactisourInfectiousDiseaseClinicwithBigCountryAIDSResource(BCAR).InMarch2012,theTexasTechUniversityHealthSciencesCenter(TTUHSC)TelemedicineDepart-mentwascontactedbyLisaMuttiah,HIVQualityManagementAdvisoryforTar-rantCountyPublicHealth,aboutpos-siblyprovidinghealthcareservicesfortheuninsuredHIV+patientsintheAbilenearea.Atthattime,therewere54unin-suredpatientsneedingservices.ThesepatientshadnoweretogotoreceivetheneededaccesstoInfectiousDiseasepro-viderstohelpthemmanagetheirdisease.AnagreementwasmadewithTTUHSC

InternalMedicinetoprovideservicesviatelemedicine.OnSeptember6,2012thefirstpatientwasseen.AsofJuly2014,146patientshavebeenseenforatotalof357encounters.

Dr.Winn,InfectiousDiseasespecialistandTTUHSCprofessorinInternalMedi-cine,stated“ItisworkingwellforusandAbilene.”

TheAbilenepatientshavebeenveryvo-calintheirappreciationtoBCARandTTUHSCintheabilitytoreceiveservicesintheirowncommunity.

AnotherprojectthattheTelemedicineprogramisworkingonisapediatricdiabetesstudy.ThroughagrantfromtheVerizonFoundation,theTTUHSCPediatricEndocrinologistsareinthe

processofenrollingType1PediatricDiabetespatientsforboththestudygroupandthecontrolgroup.Patients’glucoselevelsareuploadedintoasecureserveronadailybasisfortheproviderstoreview.ThestudywillanalyzewhetheraclosermonitoringofglucoselevelswillaffecttheA1Clevelsofthepatientsoverthecourseofayear.AsofJuly2014,sevenpatientshavebeenenrolledinthestudygroupandfivepatientsinthecontrolgroup.Uponthecompletionofthestudy,awhitepaperwillbedevelopedanalyzingthefindings.

For more information on the Telemedicine pro-gram, please contact Laura Lappe, Associate Direc-tor of Telemedicine at laura.lappe@ttuhsc.edu or 806-743-4440.

Telemedicine Update

AsofJuly2014,theWestTexasHealthInformationTechnologyRegionalExtensionCenter(WTxHITREC)continuestomakestridesnationallyandranks#1amongsttheregionalextensioncentersintheStatewith82%ofitsenrolledhealthcareprovid-ersand88%ofitsenrolledcriticalaccess/ruralhospitalshavingsuccessfullyachievedmeaningfuluse.TheseachievementsreflectthededicationofhealthcareprovidersandhospitalsservingWestTexastoimprovethequalityofcarethroughimplementinganelectronichealthrecord(EHR)andallowgreatercapacityforpatientstoultimatelybebetterinvolvedintheirhealthcare.Movingforward,theWTxHITRECcon-tinuestofocusonprogramsustainability.Recently,theWTxHITREChasaddedad-ditionalsupportservicestoitsalreadyvastserviceofferings,includingtheadditionofICD-10implementationeducation&sup-portandtelehealth/telemedicinemedicalservicessupport.Aspartofthisexpansionofservices,theWTxHITREChasincreasedcollaborationeffortswiththeTelemedicineDepartmentandTexLaTelehealthResourceCenter,bothprogramsoftheF.MarieHallInstituteforRuralandCommunityHealthattheTexasTechUniversityHealthSciencesCenter,tohelpprovidetelehealth/telemedi-cinemedicalserviceseducationandsupporttoruralcommunities.InregardstoICD-10implementationsupport,althoughthecom-pliancedeadlinewaspushedbacktoOctober2015,thisdelayshouldtrulyhelpprovid-ersandhospitalsseekassistanceandbetterprepareforthisupcomingdeadline.

Basedoncurrentchangesrelatedtohealthinformationtechnology,theWTxHITREChasspotlightedthe2014CertifiedEHR

Technology(CEHRT)NoticeofProposedRuleMaking(NPRM)andthePhysicianQualityReportingSystem(PQRS)askeyareastobringtotheattentionofhealthcareadministratorsandproviders.AbriefexplanationofCEHRTNPRMandPQRSisprovidedbelow:

2014CEHRTNPRM*

•InMay2014,theCentersforMedicare&MedicaidServices(CMS)releasedaNPRMthatwouldgrantflexibilitytoproviderswhoareexperiencingdifficultiesfullyimplement-ing2014EditionCEHRTtoattestthisyear.

•Underthisproposal,validonlyforthe2014reportingyear,providerswouldbeabletouse2011EditionCEHRTforeitherStage1orStage2,wouldhavetheoptiontoattesttothe2013definitionofmeaningfulusecoreandmenuobjectives,andusethe2013defi-nitionClinicalQualityMeasures.

•TheproposedrulealsoincludesaprovisionthatwouldformalizeCMSandtheOfficeoftheNationalCoordinator’s(ONC)recom-mendedtimelinetoextendStage2through2016.Iffinalized,theearliestaproviderwouldparticipateinStage3ofmeaningfulusewouldbe2017.

•Tobetterunderstandparticipationoptionsfor2014,contacttheWTxHITRECandlogontothe2014CEHRTNPRMInteractiveTool:http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePro-grams/Downloads/CEHRT_NPRM_Deci-sionTool-.pdf

*2014 CEHRT NPRM information was gathered from www.cms.gov

PQRS-KeySteps

•Beginbydeterminingprovidereligibil-ity.IfaprovideriseligibletoparticipateinPQRS,theywillberequiredtoparticipatein2014ortheywillreceiveatwopercentMedicarepaymentadjustmentin2016.

•PracticesareencouragedtoreviewthePQRSmeasureslistandbeawareofthere-portingupdates.Startingin2014,providersmustreportninemeasuresinthreedomainsasapplicableforthepractice.

•MultiplereportingoptionsexistwithPQRSanditwillbebeneficialtodetermineyourbestreportingoption: oClaim-based oRegistry oEHRdirectreporting(EHRven- dorsmustbe2014compliantforthis option) oNumerousoptionsexistforthose reportingasagroup

•TobetterunderstandPQRS,contacttheWTxHITRECanddownloadthefullCMSPQRSImplementationGuide:http://www.cms.gov/Medicare/Quality-Initiatives-Pa-tient-Assessment-Instruments/PQRS/Mea-suresCodes.html

The WTxHITREC has been federally funded through the ONC and the Texas Health & Human Services Commission. To determine specific pro-gram eligibility, please contact your WTxHITREC; all costs are covered for eligible providers. For more information or to attend a free monthly educational webinar, please contact your WTxHITREC at (806) 743-7960, email info@wtxhitrec.org or visit www.wtxhitrec.org.

WTxHITREC Expands Service and Key Changes in Health ITBy: Carson Scott, Director of Outreach, Marketing, Education and Communications for WTxHITREC

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WTxHITREC Expands Service and Key Changes in Health ITBy: Carson Scott, Director of Outreach, Marketing, Education and Communications for WTxHITREC

ProjectFRONTIERhascontinuedtomakestridesinexaminingthehealthissuesfacingagingadultsinruralWestTexas.Wecouldnotdothiswork,how-ever,withoutthetirelesseffortsofourCountyCoordinators:CordeliaAguirre(BaileyCounty),RocioCarrasco(ParmerCounty),LousindaAnguiano(CochranCounty),andIdaDavis(HockleyCoun-ty).Despitethedemandsofrecruiting,scheduling,andexaminingstudypartici-pants,oneofourcoordinatorshasalsotakenonthedemandingroleofbeingaPromotora,orhealtheducator,andfacili-tatorinhercommunity.

LousindaAnguianobecameaPromo-toraaboutthreeyearsagoandhassincegainedtheskillsnecessarytotrainotherstoalsoprovidethisservice.APromo-toraissomeonewhoisintegraltotheircommunityandworktofacilitateaccesstoandmaintenanceofhealthcareintheirfamily,friends,neighbors,andcom-munity.Theymaygotothedoctorwithpatientsandhelpthemunderstandtheirdoctors’orotherhealthcareprofessionalsquestions,instructionsandtreatments.Inaddition,theyeducatepatientsabouttheimportanceofmedicationandtreat-mentcomplianceaswellashelppatientsfindwaystoovercomecomplianceobsta-clessuchasmedicationcostsortranspor-tation.AsLousindaputsit,“webecome

thevoiceforthepatient”whenavoiceislacking.Thisissoimportantasshefindsthatdespitepatientshavinggreatrespectfortheirdoctorsandhealthcareprovid-ers,theyalsohavefearofthispersonwhohassomuchmoreknowledgeandeduca-tionthanthey.Bytalkingwithpatientsbeforegoingtotheclinicandwhileattheirappointments,shegetstounder-standpatients’concernsandmakesuretheyarebroughtupandaddressed.

TrainingtobecomeaPromotorarequired160hoursofclassroominstructiontobecomecertifiedintheStateofTexas.Continuingeducationcoursesarealsorequiredyearlytomaintaincertification.OfgreatestconcerntoLousindaistheproblemofobesityinhercommunity.Toher,itleadstosomanymorehealthproblems.Sheseesaneedforprogramstoimproveexerciseandeatinghabitsandworkstohelphercommunitymembersfindwaystoimprovetheirlifestyles.Yet,allthewhile,shehastorecognizeandtrytomanagethelimitationswithinhercommunityrelatedtotheavailabilityofstructuredexerciseprogramsandhealthyfoods.Thereisneverabeliefthatprob-lemscannotbeovercomeifyouworkatthemhardenough.

Lousinda’srewardforthisaretherela-tionshipsshe’sformedinthecommunity,

thefeelingsofhelpingothers,andthelearningaboutherselfandothersthatcomesfromherexperiences.Sheespe-ciallyenjoyslearningabouttheculturaldifferenceswithinhercommunity,whichareoftenmorenoticeablethaninlargercommunities.

ThankyouLousindaforallyourworkasaPromotoraandforbeingamemberofourProjectFRONTIERteam.

For more information on the Rural Health Research Group, visit www.ttuhsc.edu/ruralhealth/research-group.

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Project FRONTIER: Tribute to Lousinda

Anguiano

Speak Your Mind continued from page 1

ThecampaignispartofanoverallTexasefforttoraiseawarenessofmentalhealthissuesandincreaseaccesstoservices.TheTexasLegislatureaddedmorethan$300millioninadditionalmentalhealthfundingfor2014-2015.Thefundsarebeingusedtoexpandservices,decreasewaitlists,makeimprovementsatthestate’smentalhealthhospitals,anddeveloptargetedeffortsforveteransandyoungpeople.

For more information on scheduled community conversations, visit speakyourmindtexas.org.

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Senate Bill 460 Educational TrainingTheMentalHealthandEducationtrain-ingmodulehasbeenacceptedbyTEA’spanelofmentalhealthexpertsasthebasetrainingforcurrentandfutureeducatorsinTexasinaccordancewithSenateBill460(SB460).ThistrainingmodulewasdevelopedasacomponentoftheTWITRProjectandincludespertinentinforma-tionforeducatorsintheidentificationofstudentbehaviorsthatmaybeasignofamentalhealthdisorder.

Educatorswillbeprovidedwithcurrentstatisticsrelatedtomentalhealthdis-ordersinstudentsandtheimportanceofawarenessintheschoolsetting.Thepurposeoftrainingeducatorsistoreduce

thenumberofdisciplinereferralsandtragicschoolevents,allowingstudentstosucceedinaregularclassroomsetting.Thetrainingmodulealsoprovidesbestpracticeinterventionsfortheclassroomsettingthatprovidethebestpossiblelearningenvironmentforstudentswhoareaffectedbyamentalhealthdisorder.Alongwithidentificationandinterven-tion,educatorswillbeprovidedwithanemergencyprotocoltemplatetobeusedintheeventofamentalhealthcrisis.Thisincludesidentificationofastudentincrisisaswellasdocumentationthatmaybeadaptedforeachparticularschooldistrict.

Finally,thetrainingwillprovideanopportunityforeducatorstoimprovecompetencywiththestrategiesdiscussedthroughvignettes,rolerehearsalandsimulationwithprovidedcasestudies.Inaddition,trainingstaffwillbeavailabletodiscussspecificchallengescurrentlyfacedbyeducatorsandfeedbackwillbeencouragedamongparticipants.

For more information on SB 460 training, visit http://sb460training.org/.

TheF.MarieHallInstituteforRuralandCommunityHealthwouldliketorecognizesomeoftheirstaffmembersfortheiryearsofserviceatTexasTechUniversityHealthSciencesCenterandforreceivingdistinguishedstaffawards.

5 Years of Service - • TraciKelshiemer,WestTexasHITREC• Dr.MatthewLambert,ProjectFRONTIER

15 Years of Service - • DoloresParrish

Recipient of the Chancellor’s Colonel Rowan Award - • TravisHanson,WestTexasHITREC

Distinguished Staff Awards and Years of Service at TTUHSC

Dr. Lambert receiving his award from Travis Hanson.

Kelshiemer receiving her award from Travis Hanson.

Parrish receiving her award at the Years of Service Recognition Ceremony.

Hanson accepting his award from Dr. Tedd Mitchell and Chancellor Kent Hance.

TheTexasTechUniversityHealthSciencesCenterPhysicianAssistantProgramClassof2015hadtheirannualpre-clinicalstudentorientationbootcampJune27.AHECCommunity-BasedEducation(CBE)coordinatorsfromthefiveWestTexasAHECcentersprovidedresourceinformationtothestudentsassignedtothererespectiveregion.Fifty-sixstudentsstartedclinicalrotationsinWestTexasinAugust.TheserotationsrunfromAugust11,2014throughJuly28th,2015.

For more information on West Texas AHEC events, visit www.westtexasahec.org.

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For Upcoming Activites, Visit your Regional AHEC’s Website

Big Country AHEC

Desert Mountain AHEC

Panhandle AHEC

Permian Basin AHEC

AHECofthePlains2417Yonkers;P.O.Box1116Plainview,TX79072806.291.0101www.ahecplains.org

DesertMountainAHEC440ReynoldsElPaso,TX79905915.783.6211www.desertmountainahec.org

BigCountryAHEC3702Loop322Abilene,TX79602325.972.0495www.bigcountryahec.org

PanhandleAHECWTAMUBox61003Canyon,TX79016806.651.3480www.panhandleahec.org

PermianBasinAHEC3600N.GarfieldTechnologyCenter,RM140Midland,TX79705432.685.4794www.permianbasinahec.org

AHEC of the Plains

LikeusonFacebook!https://www.facebook.com/WestTexasAHEC/

Physician Assistant Boot Camp in Midland

CheckoutourH.O.T.JobswebsiteforhealthcareopportunitiesinTexas:http://www.texashotjobs.org

Visitourwebsitetostayup-to-dateonAHECeventsat:www.westtexasahec.org

New AHEC StaffWestTexasAHECwouldliketowelcomenewteammemberstothePerm-

ianBasinAHECcenterinMidland,TX.

KathyHaddockwilljoinasthenewadministrativeassistantandSusieDomin-guezwillbethenewhealthpromotionscoordinator.

Wearegladtohaveyou!

Diabetes: Across the Lifespan

Friday, October 178 a.m. to 4:30 p.m.

C.J. Davidson CenterAngelo State University

Photo by: Rod Gardner

This educational activity is designed for physicians, nurses, social workers, counselors, and healthcare professionals. More information to follow.

3601 4th Street STOP 6232 Lubbock, TX 79430-6232

ADDRESS SERVICE REQUESTED

HEALTHBeat

Lime Chicken Soft TacosIngredients:• 11/2lbs.skinless,bonelesschicken

breastmeat(cubedorshredded)• 1/8cupredwinevinegar• 1/2cuplimejuice• 1teaspoonwhitesugar• 1/2teaspoonsalt• 1/2teaspoongroundblackpepper• 2greenonions,chopped• 2garliccloves,minced• 1teaspoondriedoregano• 10(6in.)flourorcorntortillas• 1tomato,diced• 1/4cupshreddedlettuce• 1/4cupshreddedMontereyJack

cheese• 1/4cupsalsa

Preparation:• Sautechickeninmediumsaucepan

overmediumheatforabout20min-utes.Addvinegar,limejuice,sugar,salt,pepper,greenonion,garlicandoregano.Simmerforanextra10minutes

• Heatanironskilletovermediumheat.Placetortillainthepan,warm,andturnovertoheattheotherside.Repeatwithremainingtortillas.Servelimechickenmixtureinwarmtortillastoppedwithtomato,lettuce,cheeseandsalsa.

• Enjoy!

Recipe from allrecipes.comhttp://allrecipes.com/Recipe/Lime-Chick-en-Soft-Tacos/Detail.aspx?evt19=1

F. Marie Hall Institute forRural and Community Health

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