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We are grateful to the many people who support Health First Foundation with their time, talent, and treasure. Each year, we recognize a few of these supporters for their outstanding commitment to our mission of improving health and well-being in northern Arizona. “These honorees embody our mission by addressing critical health needs in our region,” said Health First President and CEO Sandra Kowalski. “Their efforts have made a lasting difference that resonates profoundly across our northern Arizona communities.” These are our 2023 Community Health Champions. Wayne Robert Fox: A Legacy of Financial Stewardship Posthumously honored, the late Wayne Robert Fox served as the treasurer and finance chair of our board of directors from 2019 to 2022. After retiring from a remarkable 34-year career at Northern Arizona University, Wayne played a pivotal role in guiding the financial and investment strategies of Health First Foundation amidst the unprecedented challenges posed by the pandemic. His strategic thinking, innovative approach, and resourceful nonprofit financial management during this critical period were invaluable. Wayne’s dedication to the Health First cause and northern Arizona and its people remains a shining example of selfless service to others. Patrick Schweiss: Shining the Spotlight on Mental Health Awareness Patrick Schweiss, executive director of the Sedona International Film Festival, is recognized for his commitment to the arts and community well-being. Under his guidance, the film festival collaborated with Health First Foundation to advocate for mental health awareness via live theater performances. This initiative reached hundreds of theatergoers and 1,400 local high school students, culminating in 20 residents completing Mental Health First Aid training. We are deeply grateful to Pat for harnessing the power of the performing arts to shine a spotlight on mental health education and awareness. Brandon Griffith & Griffith Blue Heart Nonprofit: Saving Lives by Training and Equipping Law Enforcement Brandon Griffith, a decorated law enforcement officer and sudden cardiac arrest survivor, is the founder of Griffith Blue Heart – a nonprofit committed to providing training and AEDs so that law enforcement officers can effectively respond to time-sensitive medical emergencies. With funding from Health First Foundation, Brandon and his team trained and equipped Flagstaff police officers to provide life-saving assistance in cases of cardiac arrest and other emergencies. The result: Flagstaff police have already helped save several lives. Devoted and tireless in their efforts, the Griffith Blue Heart team is a testament to their motto: Earn each day. A Tradition of Recognition: Community Health Champion Awards The Community Health Champion awards, presented annually at the discretion of the Health First Foundation president and board of directors, are a tribute to individuals who epitomize the Health First mission. Their stories inspire us to be agents of positive change in our communities, reminding us that we can make a lasting impact on community health and well-being through collaboration and commitment.

Cardiac arrest is a life-threatening medical emergency that can strike anyone, anywhere, anytime. Unfortunately, when it happens outside of a hospital setting, the chances of survival are often grim. In Coconino County, more than 200 people die each year from out-of-hospital cardiac arrest, underscoring the urgent need for timely and effective intervention. Experiencing a cardiac arrest can be a terrifying ordeal. When the heart suddenly stops beating effectively, it deprives the body of oxygen, leading to organ damage and death. Immediate action is crucial to increase the chances of survival. Research shows that early resuscitation and defibrillation can significantly improve outcomes in cardiac arrest cases. In 2022, Griffith Blue Heart Nonprofit aimed to increase the chances of survival in the Flagstaff community by earning a Health First Foundation grant. The grant brought new training and equipment to Flagstaff police, enabling them to respond effectively to time-sensitive medical emergencies. With impressive response times, police are well-positioned to play a vital role in saving lives. That’s why Griffith Blue Heart training targets law enforcement. Often the first to arrive at an emergency scene, officers are uniquely positioned to provide high-performance resuscitation and rapid defibrillation before emergency medical services arrive. These interventions can be lifesaving in cardiac arrest and situations like drowning, drug overdose, and profuse bleeding. The Griffith Blue Heart team conducted three intensive day-long training sessions for Flagstaff Police Department officers. These sessions simulated emergencies police might encounter during daily patrols, providing them with knowledge and hands-on experience to respond effectively in high-stress situations. Another critical component of the Griffith Blue Heart initiative was the deployment of automatic external defibrillators (AEDs) in patrol vehicles. An AED is a portable device that can analyze a person’s heart rhythm and, when necessary, deliver an electrical shock to help the heart reestablish an effective rhythm. These devices are instrumental in treating sudden cardiac arrest, where time is of the essence. Through the grant, Griffith Blue Heart equipped 54 Flagstaff Police Department patrol vehicles with AEDs, ensuring officers have access to this lifesaving technology when responding to emergencies. Saving lives in the Flagstaff community has been a collaborative effort. The dedication and commitment of Flagstaff police officers, who now have the training and tools to make a difference in critical situations, have been nothing short of heroic. Additionally, Guardian Medical Transport in Flagstaff provided valuable support to this initiative by assisting with training, registration and deployment of the AEDs, and upkeep of the defibrillators. The impact of this initiative is tangible. The training and AEDs, coupled with the dedication of Flagstaff police officers, have already helped save at least seven lives, including an infant. The partnership between Health First Foundation, Griffith Blue Heart, and the Flagstaff Police Department serves as a shining example of what can be achieved when a community comes together to address a pressing issue. With the grant, training, and deployment of AEDs in patrol vehicles, Flagstaff is a safer place to live, work, and play. The full impact of this initiative will be felt for generations and beyond. As Griffith Blue Heart founder and CEO Brandon Griffith says, “When one life is saved, it rings on for eternity.”

To help advance quality primary care in the region, Health First funded the establishment of team-based care in North Country HealthCare’s family residency program. The goal: Teach new physicians and their colleagues a coordinated approach to patient care and improve health outcomes. Team-based care is health providers working collaboratively with patients and caregivers to accomplish shared goals and achieve coordinated, quality care. Such care works to minimize the occurrence and severity of disease, offer better disease management, limit emergency department visits, and lower healthcare costs. A Health First grant enabled the residency clinic to explore team-care models, determine what worked, and implement new care approaches that benefit patients and their families. Residents learned the approaches and value of team care during the grant project. They implemented daily huddles to discuss patient care and utilized a new tool to identify patient gaps and streamline clinic visits. With these innovations, patients experienced more focused and efficient care. As part of the program, the residency team established monthly interdisciplinary case conferencing to address the complex care needs of HIV/AIDS patients. “We get together and do a deep dive into the patient – their medical history, their care, what resources they have, what’s holding their progress back, all of it,” explains Dr. Sarah Coles, the residency director. “In the end, we come together with an agenda and a care plan specific to that patient.” One resident made this encouraging observation: “Participating in case conferencing has benefited both me and my patient. As a primary care physician, I work hard to ensure that my patients receive high-quality care. Sometimes, though, we are limited by time, costs, and competing priorities. Case conferencing has helped to bridge that gap and improve the care patients receive.” A federally qualified health center, North Country focuses on people who often can’t afford care at 11 locations across northern Arizona. The health center’s family care residency program is the only one in the region. While this grant project was confined to the residency clinic and the 7,000 patients seen during the grant period, the impact will grow in two ways. First, with a newfound understanding of the power of collaborative medicine, graduating residents will take the holistic, team-care approach to their practices impacting future patients. Additionally, North Country HealthCare plans to expand the model throughout the organization, giving all its patients the benefit of quality, team-based primary care.

Improving mental and behavioral health is a Health First priority. We want to share with you the impact one of our grant-funded programs is having on children and families in the Lake Havasu City area. This oasis in the desert sits in the southwestern part of our region in Mohave County, where 25% of the youth population lives in poverty. Mohave County is a significant mental health provider shortage area and has reported not a single pediatric mental health provider in recent years. To help alleviate the need, Health First Foundation awarded a grant to Arizona’s Children Association to establish outpatient and in-home behavioral and mental health services for children and their families in and around Lake Havasu City. So far, the program has served more than 140 individuals. Robert, 15, is one of them. Robert’s life had been a struggle from the start. Born to a mother who was misusing drugs, he had often been homeless and once took shelter in a junkyard shed. A year ago, he lost the only family member that could provide him care, his grandmother. A friend’s mother took Robert in and sought help for the teenager suffering from depression, anxiety, PTSD, sleep problems, and other issues. Arizona’s Children Association assists Robert and his new family with therapy and other needs through its expanded outpatient program. “As humans on this planet, our number one priority should be to protect our children,” said Robert’s guardian parent. “They need to be protected, and they shouldn’t be hurt.” Robert and his family are among the hundreds of thousands of people touched by Northern Arizona Community Health Grants from Health First Foundation. Our grants help area nonprofits provide care, preventative services, health education, and other assistance to those in need. They are made possible through the generosity of our donors. 

“Whole foods are our best foods!” They include well-proportioned lean protein, fresh vegetables, fruit, and whole grains. Nutrition educator Cheryl Lines was addressing a group of residents in the far reaches of northern Arizona. While she spoke, kitchen helpers prepared a velvety carrot-turnip soup and a casserole made with chicken, spaghetti, tomatoes, and fresh spinach. The complimentary class is part of a Health First grant-funded initiative led by Creek Valley Health Clinic of Colorado City. Colorado City and its sister town of Hildale, Utah, have poverty rates hovering around 35 percent. Until Creek Valley Health Clinic opened in late 2019, residents had no local primary care facility and had to drive two hours or more for specialty care. These factors left many with undiagnosed and untreated chronic conditions. Strengthening Nutrition and Activities in our Connected Community (SNACC for short) promotes healthy eating and lifestyles. The program has reached more than 525 rural residents in its first six months with nutrition classes, recipes, and incentives like produce vouchers. At the same time, it distributed 113,000 pounds of nutritious food to clinic patients and other residents. “Everyone is excited about the project. It’s helping educate the community about the importance of eating healthy and being physically active throughout their lives,” said Lines, a Create Better Health Ambassador from Utah State University. Her team and the local Short Creek Dream City Food Bank are partnering with Creek Valley Health Clinic to implement the new SNACC program. Colorado City mother Marjorie Holm attended a recent SNACC nutrition class with her children. “I like to learn how to read labels, but my kids like to smell and taste all the food,” she said. “The classes give me more ideas for recipes and how to cook them. With three children, I’m all about learning all I can about food.” They all tried the soup, a blend of simmered carrots, potatoes, turnips, leeks, and garlic, finished with coconut milk and chopped fresh parsley. (Get the recipe for Creamy Carrot and Turnip Soup.) Another mother attending the class was happy to learn how nutritious foods can come together in one quick recipe. “I’ve never tried chicken with spaghetti and spinach before,” she said. “It works. It’s good. It’s always good to find new ways of cooking.” Getting healthy foods to people and teaching them how to prepare nutritious meals are vital to reducing food insecurity and improving health, according to the nationwide Healthy People 2030 initiative. A healthy diet helps children grow and develop properly and reduces their risk of chronic diseases. Adults who eat healthily tend to live longer and have a lower risk of obesity, heart disease, type 2 diabetes, and certain cancers. Health First Foundation invests in this innovative program and those like it to advance health and well-being for all in northern Arizona. Your donation to Health First helps improve health in underserved communities.

Damar Hamlin’s traumatic collapse during a nationally televised NFL game stunned football fans and viewers. Four days later, doctors said the 24-year-old Buffalo Bills player was making a “remarkable recovery” from cardiac arrest. We learned that immediately after Hamlin’s collapse, trainers rushed to the field and administered two necessary interventions – CPR and defibrillation — to save his life. When someone experiences cardiac arrest outside of a hospital setting, they usually don’t survive. In fact, there is less than a 10% chance of survival. Most cases are fatal because the victim doesn’t receive prompt and efficient CPR and defibrillation, as Hamlin did. Health First Foundation Northern Arizona is helping increase survival rates in our community by providing grant funding to equip and train Flagstaff police officers in high-performance resuscitation. The training from the non-profit Griffith Blue Heart goes above and beyond what officers receive when they join the force. Since police typically arrive at priority 911 calls before emergency medical professionals, it makes good sense for them to have the skills to respond immediately. Survival increases when law enforcement officers know how to respond effectively in cardiac, bleeding, drowning, overdose and other urgent medical situations. “Seconds count; seconds matter,” said Lt. Charles Hernandez II of the Flagstaff Police Department. “This training will significantly impact our capabilities and response to emergency situations. It will enable us to save lives.” And it already has. During two incidents – one involving a 1-year-old child who stopped breathing and another involving a man who collapsed while enjoying time with friends – Flagstaff police officers responded and started performing CPR. In each case, emergency medical technicians and physicians noted that quick action from the police officers was vital to the victim’s survival. Health First Foundation funds non-profit health initiatives through its annual Northern Arizona Community Health Grant program. Please consider giving to help support health and well-being in our region. (This article first appeared in February editions of Flagstaff Business News and Quad Cities Business News.)

Our physical and mental health are deeply connected. Yet we typically visit one health provider for physical health needs and a separate provider for mental health care. Integrated care brings them together, addressing both in a coordinated way with primary care providers working side-by-side with licensed clinical social workers, psychologists, case managers, psychologists, and health coaches. Because it focusses on the links between physical, emotional, and mental health, integrated care is often referred to as whole-person care. Supported by Health First Foundation grants, Creek Valley Health Clinic in Colorado City has shown that integrated care improves patient health and contributes to community well-being. The foundation awarded two Northern Arizona Community Health Grants to help launch the clinic’s integrated care initiative. The aim was to lower high rates of chronic health conditions, depression, and suicide in the underserved remote community of 8,000 residents. During the two-year grant period, the clinic served more than 1,450 people with integrated care, resulting in a dramatic decrease in depression among patients – from 26% in 2020 to 16% in mid-2021 and 9.6% in mid-2022. The clinic reported that the suicide rate dropped significantly, from 159 in every 100,000 people in 2018 to 20 in every 100,000 people in 2022. At the same time, it recorded patient improvements in diabetes management, obesity, tobacco use reduction, and blood pressure management. One resident, who received needed emotional support from the program, said it made a difference in her healing and ability to cope. Julia said multiple health problems left her feeling “overwhelmed, discouraged, and depressed.” Her latest setback was an abscess on her leg that took three surgeries to correct. She was recently diagnosed with adult-onset Type 1 diabetes and is being monitored for a liver transplant because her liver is failing from untreated hepatitis. “There was just so much going on; I wasn’t sure I could handle it all,” said the working mother. After the surgeries on her leg, Julia went to the Creek Valley clinic multiple times a week for wound care. “Whenever I went in for a visit, a counselor would come to sit with me and offer help,” she said. “He really helped me with my anxiety. I was so anxious and worried, which really is counterproductive to healing.” The Creek Valley provider gave her several tips and tools to help relieve her anxiety. Those exercises made Julia feel calmer and were vital to keeping her “brain straight” with everything going on. “I’m not the kind of person who would sit down with a therapist and throw out all my problems,” she admitted. “But this was a safe place for me. It was the right thing, at the right time, in the right space.” Health First Foundation grant funding supports accessible and affordable holistic care that treats the whole person – mind, body, and spirit. The foundation believes the integration of physical and mental health care can facilitate improved health and well-being. Based on a sliding-fee scale, Creek Valley Health Clinic has some of the lowest patient costs in Arizona for behavioral health care and relies on grants and donations to ensure that services are affordable to all. “Having the medical and behavioral health professionals work hand-in-hand to provide treatment to patients has been incredibly effective and has made a large impact in the health of our overall community,” said the clinic’s CEO Hunter Adams. “Hundreds of patients have been impacted by this program, and there is no doubt that some lives have been saved.” Health First Foundation relies on donors to help advance health in northern Arizona communities. Please consider giving to support our Northern Arizona Community Health Grant program. (The name of the patient quoted in this article has been changed to protect the patient’s privacy.)

One student passionate about supporting children in northern Arizona is Shannon Kincade, a graduate psychology student at Northern Arizona University and a 2021 Health First Foundation scholarship recipient.