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Entrepreneurs, health care leaders find cures for what ails Indiana’s health and beauty industry

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By Victoria T. Davis

Three point two trillion. That is the amount Americans are expected to spend on health care this year, according to the Centers for Medicare and Medicaid services.

If accurate, the projected total will make 2015 the first year health care spending will reach $10,000 per person. Health care is in high demand, but the good news is, it’s readily available through state programs such as the Healthy Indiana Plan 2.0 and national programs such as the Affordable Care Act.

Americans aren’t spending their health-related dollars only on traditional health care — the ever-expanding and evolving beauty and cosmetic industries also rank priority for Americans. Mint.com, a finance website and mobile application used for tracking spending, found the average woman spends about $15,000 during her lifetime on beauty products. This total does not include money dedicated to beauty practices and alterations, such as plastic surgery and other body modifications.

Indeed, these figures include Hoosiers who are continuously focusing on their inner and outer health while demanding services catering to their every need. Due to the state of Indiana’s wellness, climbing hypertension and obesity rates, health and beauty businesses are putting an emphasis on local, reliable services such as insurance and holistic health.

Dr. Antoine Leflore
Dr. Antoine Leflore

Dr. Antoine Leflore, emergency medicine physician at Eskenazi Health, one of Indiana’s county hospitals located just west of downtown Indianapolis, said the emergency room sees about 100,000 patients each year, with about 45 percent being minorities.

“One of the major reasons patients show up to the emergency department is because they don’t have health insurance. Other reasons are because we’re open 24/7 and you don’t need an appointment,” says Leflore.

Local companies — such as MDwise, a nonprofit health maintenance organization focused on helping uninsured Hoosiers in need of health insurance, and Ambre Blends, an independent woman-owned business aiming to provide high-quality, organic body products to help individuals live a more holistic and healthy lifestyle — are changing the landscape of the health and beauty industries in Indiana.

Discover the passion within

Cesar Martinez, new president and CEO of MDwise, has not only worked his way to the top of a respectable company, but he is also knowledgeable about what it takes to build a local health insurance business from the ground up. In 2010, he founded and launched Palmetto Physician Connections (PPC), a Greenville, South Carolina-based Medicaid plan. In less than two years, the business grew to 24,000 members.

In 2012, Martinez created Advicare, a new health plan for the area’s local hospital system. Martinez believes if one is interested in jumping into the health care industry as an entrepreneur, they should note there is more to the business than finances. “You have to have a passion for it, or you’re going to fail. If you don’t (have passion) it will be challenging, because there are so many hurdles you must overcome when you’re starting a new company.

Especially in health care, there are so many big businesses to compete against and many changes and regulations,” says Martinez. “Obviously you need financial support, but money is only going to get you so far.” The motivation behind PPC, Martinez’s first health care venture, came from the lack of local health care companies providing services and jobs. Several giant corporations were available, but nothing to cater to the local community. Martinez seized the opportunity to hire locally and keep cash flowing within the state and city. In addition to meeting the community’s need, Martinez said the venture was both a professional and personal goal of his. “A lot of people thought I was crazy because it’s so hard to start a company, especially in health care, and especially in insurance, because there are so many regulations and steps you have to go through,” he says. “To create an insurance company, it takes months and sometimes years before you see one penny come in. You have to convince and prove to the government that you can sustain yourself. Having a nice idea isn’t all of it.”

Cesar Martinez
Cesar Martinez

In June 2014, two Indianapolis downtown hospitals operated by Indiana University Health announced plans to merge University Hospital and Methodist Hospital. Martinez said similar situations aren’t uncommon due to the difficulty of sustaining smaller companies. Despite the apprehension Martinez experienced, he enrolled thousands of members in a short time period. He believes a couple of the reasons his company thrived is due to working at the grassroots level and developing close, tight-knit relationships. Getting primary care providers, churches and schools on board and convincing them to believe in the health care provider’s mission and goals was key.

“You can’t do that from a phone on Wall Street like big businesses do, you have to do it face to face,” Martinez said. “That grassroots relationship was a big part of our success, because people saw that not only were we talking the talk, but we were walking it, and it developed a snowball effect.” Launching and operating a successful health care company isn’t the only thing Martinez has under his belt — he also is familiar with what it takes to sell a health care company when it’s time to move on. PPC had a handful of individuals interested in pursuing and progressing the business, and Martinez received more than one offer.

The idea was to sell the company to a local hospital to keep the same mission and vision developed from the very beginning. “I could’ve sold to a large company and sold out, but that wasn’t what was going to be best for the business. I had to stay true to my word,” says Martinez, who believes those interested in selling their company should take time to connect with the correct buyer, whose mission and vision align with the company. Both Leflore from Eskenazi Health and Martinez agree that Indiana’s current state of health affects the implementation of new health programs and the action of closing disparities. “When we talk about minority health, I get a chance to see a significant health disparity,” Leflore said. “Around the country there are specific health disparities such as hypertension, diabetes, infant mortality, HIV and the list goes on. With that, I’m able to see the full spectrum of our patient population. It is a reflection of the needs in our community and the lack of access to health care.”

In order to accomplish those tasks, leaders must have a fire ignited within them and want to make a change in their community, said Martinez. “There were so many days and nights where I wondered where the money was going to come from,” Martinez said. “But it starts with what is in the heart. The old quote from Aristotle says, ‘If you don’t educate the heart, you cant educate the mind.’”

There’s no quick fix

Since 2001, Ambre Blends, created by Ambre Ashley-Crockett, has produced high-quality and organic body products for Hoosiers and has recently expanded to reach those around the U.S. and globally. The company, well known for its four fragrances infused with Amber oil, believes beauty not only comes from outer appearance, but also through the products absorbed through the body’s largest organ ­— the skin. “It is our state that got Ambre Blends off the ground, so I believe beauty is definitely important for people here,” says Ashley-Crockett, who says she launched her beauty company in “reverse order.” “There is a desire for clean, conscious products,” she said. “Once people get into it they discover, oh there’s a natural deodorant and cleaning supplies. It (sparks) an interest for people to look at more than body products.”

Ambre
Ambre Ashley-Crockett

At the age of 21, the Indianapolis native moved to Colorado hoping to discover her place in the world. After pondering more seriously about what she wanted to do, she found interest in massage and aromatherapy as a hobby. Ashley-Crockett enrolled in school at the Healing Arts Institute in Fort Collins, Colorado, and began working for an herbalist who developed all-natural products for women. “I learned a lot about herbs and how they work, not just for the skin and body but on an aroma level. I started making my own concoctions, and I cared for a garden where I grew my own herbs,” says Ashley-Crockett. “I was learning how to make oil, things that go in the body and on the body.”

In 2001, Ashley-Crockett moved back to Indianapolis and took her bathroom-made concoctions a step further. She began making body products for fun, even using handwritten labels, and eventually moved into the kitchen once her blends became more of a priority. The ground-breaking moment for the business happened once a local boutique, now called Haus Love, requested to sell the products. “At the time I thought, ‘I don’t think they know I hand write the labels and I make this from my home,’” Ashley-Crockett said with a giggle. Shortly after, the kitchen concoctions were sold on the shelves. “When I started in Indianapolis, the holistic health and medicine era was just picking up, so I really was in the right place at the right time.

Back in Colorado, it was everywhere. I like to think I was on the forefront of introducing a conscious product line that provides a lifestyle change,” Ashley-Crockett said. “My definition of beauty has nothing to do with my products. It truly does come from within, and I think that’s beautiful. When I see someone who is confident and loves who they are through self-care, it’s just the cherry on top when they use good products to enhance that.” Ambre Blends’ unisex products include fragrances, natural deodorants, body oils, handmade soaps, body wash, spritzers and more.

Each oil product works with an individual’s personal body chemistry to create a unique scent. Amber oil, the oil found in all four of the brand’s blends — Ambre, Invoke, Solace and Unmasque — is also known for its aphrodisiac properties. In today’s society, the popularity of “extreme” beauty practices such as Botox and rhinoplasty not only run risk of infection, but also can send individuals to the emergency room. Experts believe everyday beauty products with toxic chemicals can also have long-lasting negative impacts on the body that could later deteriorate one’s health. The average woman is said to apply about 515 different synthetic chemicals on her body every single day, according to research by Bionsen, a natural deodorant company. “I feel like people want a quick fix, but (cosmetic surgery) just looks so unnatural.

It takes away that beauty I mentioned, and it’s almost like a Muppet. Seeing someone’s facial expressions, their natural eye color, their crows feet, I love these!” Ashley-Crockett said, pointing to her eyes and smiling. “They can get that on a holistic level if they just knew how and had some patience.” Judging by the sales of Ambre Blends products, which are all packaged in biodegradable or recyclable packaging, the demand of natural and organic products is on the rise. Ashley-Crockett says the company is growing at 35 percent annually.

About 50 percent of business is through the company’s online sales, and the other half comes from in-store purchases. The blends have gained so much popularity, they have been previously mentioned in Allure magazine. Last year, the company purchased its first building in Indianapolis, equipped with its own disco ball. When it comes to developing a business plan, Ambre Blends still doesn’t have one after 14 years in operation. “I’ve always had it in my mind that our plan was for the business to figure it out and for it to happen organically. It’s so funny, people ask me if I’m a chemist and I tell them I’ve failed geometry and never took a chemistry class,” said the mom of two. “I was already doing something, and it took off and shaped a life of its own. Not getting a loan, not writing a business plan, growing grassroots and only taking on another thing when you’re busting out at the seams of the last thing, that is the way we did it. We have never had to borrow a dollar.”

For those looking to venture into the beauty industry, Ashley-Crockett says there is room for everyone, but it all links back to integrity. “Believe in what you’re doing. It has to be something you’re passionate about, because if you’re just in it for the money, it won’t work,” she said. “The reason we’ve done so well is because of the love and the integrity that goes into it.”

hoosiers cold-press raw coconut oil from Vietnam jungles

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By Victoria T. Davis

Photos by Mikala Lomax

Whiten your teeth, lighten age spots, moisturize your skin, condition your hair, strengthen your immune system, reduce gum bleeding and inflammation — the list of ways to use cold-pressed coconut oil goes on.

36Skinny & Co., with its roots in a small Indianapolis neighborhood called Broad Ripple, claims to sell the only 100 percent raw, alkaline coconut oil in the world. Using the “Nutralock” system, an exclusive extraction process that uses a cooling process (rather than heat) to release coconut oil, Skinny & Co. harvests its coconut oil directly from the jungles of Vietnam. The oil contains no chemicals, solvents or fillers.

The Indiana Minority Business Magazine (IMBM) sat down with Matt Geddie, president of Skinny & Co., to learn more about the increase in popularity of the brand and what day-to-day business operations are like.

IMBM: I know you and your brother Luke created the idea of Skinny & Co. while traveling in Vietnam, but what was the process like?

Geddie: We grew up very health-minded, and as a child I suffered from a terminal illness, and it was fresh fruits and vegetables that turned my health around. My mother (Joy Reese), our vice president, is a holistic doctor. While my brother Luke and I were traveling to Vietnam, we met our business partner Kim Vo. We all started talking about creating an import/export business and began sourcing raw ingredients, and during that process we found the consumer was only receiving 1/100th of the nutritional value because of the food manufacturing system. It’s hard to make food that’s healthful inexpensive. We knew there was a better way to manufacture food to retain value. We started with coconut oil, because there are a million and one uses for it. We do a lot of education with that as well.

From that point, how did the Nutralock system, your patent-pending technology, develop?25

Luke, who lives in Vietnam full-time now, met a Vietnam refugee who built the technology to make coconut oil. When we met him, he was still trying to figure things out and hadn’t refined it yet. Phase two was finding the highest quality increments possible and bringing them directly into our market to cut costs for the consumer. Skinny and the technology we use kind of fell into our lap after we all sat down and partnered. We launched Skinny two years ago in September.

The name Skinny & Co. is very ironic considering your line of products. How did the name emerge?

My mother and brother came up with the name by asking, “What does it do for you?” They said it makes you healthy and fit. The Skinny jar stands out (amongst other brands). It’s an oxymoron since coconut oil is a fat, it’s skinny fat and if you’re walking down an aisle, it’s attention grabbing. Although people may pick it up thinking it may help them lose weight, it’s going to give you more of the halo effects of the oil.

I understand the company recently celebrated its two-year anniversary, congratulations! I also know your brand continues to grow in popularity each day, especially with celebrities such as Kristin Bauer from “True Blood” and Sergio Brown, formerly of the Indianapolis Colts. What are sales like?

20We’ve grown 100 percent every year, so it’s been crazy. This year we should do about $800,000 in sales, and we’re growing pretty quickly. We’re now trying to grow more strategically. Get out into the Midwest and really build the brand of Skinny here.

As you are in high demand, what are some of the biggest challenges the company has faced?

One of our biggest issues is logistics. We’ve had to become logistics experts pretty quickly, because from a cash flow and order management standpoint, from the day we’re making the coconut oil to the day it arrives is about 60 to 75 days. That’s managing cash flow, because when we (pay) out $20,000, $30,000, $40,000, and we aren’t going to receive the product until about 60 days later, and that product won’t be sold for the next 60 days… (We’re) leaving $180,000 receivable, which is nuts. That’s an issue we’ve been trying to figure out.

What are the day-to-day operations like for your Broad Ripple headquarters?

Although we’re sold in seven different countries, in-house is where we handle customer service, process order management, new product developments, and we ship out direct and online orders. The oil that ships in bulk comes from a certified facility here in Indiana. Most of everything we do is in Indiana. Vietnam is where they harvest the coconut oil.

You offer a beauty and oral health line of products. Are any other items in the works? Every product we sell we want to keep under five ingredients. When we create a new product our biggest thing is, is it edible? Because your skin is your largest organ. And can you pronounce everything it’s made of? Our beauty line includes a facial oil, body butter, lip balm and shampoo bar. We’re going to launch vanilla body scrub soon, along with 10 other beauty products that are in the works.

For more information on Skinny & Co., visit Skinnyandcompany.com

Cosmetology, esthetics virtually ‘recession-proof’

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By Lauren Caggiano

The future is bright for those pursuing an education in the beauty/wellness industry. Kaydean Blackman Geist, co-owner of Masters of Cosmetology in Fort Wayne, Indiana said many career paths exist for students wanting to make people look and feel great. Masters of Cosmetology is committed to providing an education to both female and male students in the art and science of beauty.

That includes everything from hair, to skin and body massage. In regards to hair, color correction is always in demand, Geist said. But some students want to do more than just scratch the surface — literally. Instead, they might seek employment at a medical spa or similar facility. “We see a lot of (students) wanting to work in the medical field, alongside doctors,” Geist said. Others wish to take a more entrepreneurial approach, going into freelance makeup or hair design.

Geist specifically cited a trend in special effects/theater makeup. For example, graduates can create scars and other scary elements for theatrical productions or Halloween events. Another common theme Geist sees is the need to be a well-rounded graduate. A lot of students have prior education when they come to Masters, and it’s common for students to take business classes during or after their beauty school education.

“So many students don’t want to just be a hairdresser, but want to run their own business,” Geist said. Regardless of the career path, Geist says business classes can provide a solid foundation, so you can learn instead of making amateur mistakes on the job, and a cosmetology or esthetics background can come in handy, even if it’s not the chosen career path. That’s because it’s virtually a recession-proof field. Geist said Baby Boomers tend to be focused on health and beauty, so there’s a market for catering to their needs. And the statistics back Geist’s anecdotal comments.

Although growth rates vary by specialty, the Bureau of Labor Statistics (BLS) projects that employment in this sector will grow by 12.7 percent. Demand to receive extensions, hair color, straightening and more could translate to 77,600 new cosmetologist positions by 2022. There are also the benefits of unlimited earning potential and freedom. Hairdressers and estheticians aren’t typically salaried employees; most are self-employed and many work part time. The BLS reports the median hourly wage for hairdressers in 2013 was $11.12, which translates to $23,140 a year. The best-paid earned approximately $44,220, while the worst-paid made about $17,010.

Brittany Schnare, who will graduate in November from Masters, is one who will enter the workforce shortly. She plans to pursue a career in a salon or become a freelance wedding cosmetologist. The 25-year-old said she has long known cosmetology was her calling. “I’ve always loved makeup and hair… making people beautiful,” she said. Masters of Cosmetology is one of several options in Indiana for those seeking training in the art and science of beauty.

There are many reputable institutions across the state. Here are a few, by region:

Northeast Indiana Ravenscroft Beauty College
4530 Lahmeyer Road
Fort Wayne, Indiana 46835
(260) 486-8868

Rudae’s School of Beauty Culture
5317 Coldwater Road
Fort Wayne, Indiana 46825
(260) 483-2466

Central Indiana Empire Beauty School

3810 E. Southport Road Indianapolis, Indiana 46237

(317) 489-5656

Regency Beauty Institute

5939 E. 82nd St. Indianapolis, Indiana 46250

(800) 787-6456

Northwest Indiana Don Roberts School of Hair Design
152 E. US Route 30
Schererville, Indiana 46375
(219) 864-1600

Merrillville Beauty College
48 W. 67th Place
Merrillville, Indiana 46410
(219) 769-2232

Southern Indiana The Salon Professional Academy
5545 Vogel Road
Evansville, Indiana 47715
(812) 437-8772

Roger’s Hair Academy
105 N. Green River Road
Evansville, Indiana 47715
(812) 402-1100

Sex therapist answers Hoosiers’ most embarrassing sex questions

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By Victoria T. Davis

When talking about health care, disease and nutrition are frequently and freely discussed. Sexual health is not discussed as often, although it plays a vital role in an individual’s well-being. A study by the Alan Guttmacher Institute titled, Sexual and Reproductive Health: Women and Men, found at least three-fourths of all men and women had intercourse by their late teenage years, and more than two-thirds of all sexually experienced teens have had two or more partners. As the study shows, Americans are very familiar with sex, but are they educated on the subject?

Lara West
Lara West

Indiana Minority Business Magazine spoke with certified sex therapist and licensed mental health counselor Lara West, of Mount Saint Francis, Indiana, to get answers to some of Hoosiers’ most daring and embarrassing sex questions.

IMBM: Is it normal to lose interest in the middle of sex?

West: There are several reasons why one might lose interest in the middle of sex. Low testosterone can be a reason. Maybe your partner is not an attentive or competent lover. Maybe something else is on your mind or you are not in the mood. One thing you can do if you find your mind wandering during sex is to check in with yourself and your partner. Are you being an active participant? Discover what you can do to bring yourself back into the moment and make things more interesting.

Why do some people have a hard time achieving an orgasm?

There are multiple reasons for experiencing difficulty in orgasming. Medications, alcohol, anxiety and trauma are all factors that could prevent an orgasm. Check with your doctor to see if your reproductive area is working OK, if your hormone levels are within normal limits and to see if your medications have sexual side effects. If all of these check out OK, look at your alcohol use or other substance use before you have sex. Is anxiety or trauma affecting you sexually? And last but definitely not least, do you and your partner know your body well enough to know what stimulation you need to reach orgasm?

Is the G-spot real?

Yes, the G-spot is real. The G-spot (named after Ernst Grafenberg) is a spongy area on the belly-button side inside the vagina above the pubic bone. Some lucky women can orgasm when this area is stimulated, but not all women. Most women happily reach orgasm with clitoral stimulation; so don’t knock yourselves out trying to produce an orgasm by hunting down this elusive area, unless that is what makes you happy.

Some individuals find themselves ejaculating too quickly. What could be the problem?

Some men are biologically geared to rapid ejaculation. What I tend to see more often is less genetic and more anxiety-related. So for the moment, let’s not call it a problem, how about we just call it a pattern of behavior? Most patterns of behavior have evolved out of necessity, and so has rapid ejaculation. Maybe you learned this pattern so someone wouldn’t catch you masturbating, or you didn’t want the kids walking in on your date night, or your previous partner complained you take too long. So take this moment to retrain yourself. If Tiger Woods can refashion his golf swing, so can you.

Why can’t men have multiple orgasms like women?

I am happy to report that men can have multiple orgasms. After checking with my men’s sexuality gurus (thank you Jody and Jean), it appears that some men can have sequential orgasms, and it is more common when men can delay ejaculation. It helps to keep the sexual intensity at a high level as well.

Women are associated with faking orgasms. Are men just as guilty?

Heck yeah, men can fake orgasms too! Think about the man whose female partner wants to have a baby, but he does not, so he fakes an orgasm to make his partner believe he is doing his part. If everyone were honest and upfront about his or her sexual behavior with his or her partner, I would be out of a job! Seriously though, if someone is faking anything in a relationship, it may be a good idea to think about what is really going on. Why is there faking going on? Try to have an open conversation with your partner, and if this is not possible, seek out a therapist who can help clarify what the faking is about, what role it serves, and how to address it in the relationship.

Studies show lack of sleep can inhibit productivity

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By Ebony Chappel

About 59 percent of Americans over the age of 18 start their morning with a cup of coffee, according to the National Coffee Association. The 2:30 p.m. groggy feeling, as described in popular 5-Hour Energy drink advertisements, has many folks reaching out for the small sugary caffeine shot or one of the many other available caffeinated options that promise to stave off sleepiness.

The widespread use of caffeine among Americans may be due to the fact that sleep is becoming less of a priority, so much so that in 2012 the Centers for Disease Control and Prevention declared insufficient sleep a public health epidemic. Data gathered by the CDC showed that among survey respondents, 35.3 percent of adults reported getting fewer than seven hours of sleep each night.

The outlook here in the Hoosier state is grim as well, with 29.2 percent of adults reporting similar sleep patterns. “I learned the hard way, the value of sleep,” Arianna Huffington, founder and editor-in-chief of the Huffington Post, said during a talk at TED Women 2010. Huffington had a rude awakening in 2007, literally and figuratively, when in a moment of exhaustion she passed out at work and hit her head on her desk. The incident left her with a broken cheekbone and a gash near her right eye that required stitches. After her dangerous encounter, Huffington went on a crusade, spreading the news about the importance of sleep – even for those who are extremely busy. Her movement and mantra have gone on to receive the Oprah stamp of approval.

This year, Huffington launched a six-week online course titled Thrive, which is available for purchase through the OWN Network website. “(Sleep deprivation) is something we see all too often… it is a very serious problem,” said Terry Cralle, certified clinical sleep educator and a spokeswoman for the Better Sleep Council. The practice of staying up later to get more done is a dangerous trap many professionals and business owners fall into. “I think it’s just our culture and our society. We have devalued sleep for so many years. We equate needing sleep with being lazy or with just not having a good work ethic,” Cralle said. Contrary to that belief, statistics show that passing up shut-eye greatly impacts productivity. A 2011 study conducted by Harvard Medical School showed that sleep deprivation costs the average American nearly $2,300 annually in lost workplace productivity. This figure translates nationally to $63.2 billion lost each year.

Studies also show that a lack of sleep impairs cognitive performance, mood and ability to problem solve, and it could result in a plethora of health issues. “We have to turn this thinking around,” Cralle said. “The research has clearly shown that we can’t be productive if we don’t have sufficient sleep… We have some people that think they can learn how to get by on less, that if they go so long with five hours a night they can get used to it.” Cralle explained that only 3 to 5 percent of the population is genetically set up to be “short sleepers.” For the rest of us, 7 to 9 hours of uninterrupted sleep per night are needed. “We need balance in our lives in order to be productive and have the best quality of life,” said Cralle, who suggests adding one extra hour of sleep per night for a week, for those who are trying to transition into waking up more rested. “Sleep is foundational. If we start off with sufficient sleep as our foundation, everything will be better.”

Rural hospitals overcome limited resources to provide care

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By Ebony Chappel

Hospitals in the U.S. fall into one of two categories — publicly or privately owned. Private facilities typically operate under the auspices of a religious group or are owned by a corporation and usually exist as part of a larger hospital system, similar to a retail chain. Public facilities are owned by a city or county and are run by a board of trustees, oftentimes composed of appointed civic leaders or elected officials and a paid administrator who manages day-to-day operations.

Experts say there are definite pros and cons to hospitals under each ownership type, yet some seeking care still hold certain beliefs and stigmas when it comes to smaller facilities, whether public or private. Dave Hyatt, CEO of Jay County Hospital, said patients’ biggest concern is the quality of care. “In all honesty, I’m not sure it’s so much of a designation whether you’re publicly owned or privately owned in the non-profit world, but more so based on your size,” Hyatt said. “We have a St. Vincent facility located 20 miles south of us in Randolph County, and I don’t think anyone thinks they do any better or worse than we do because they’re owned by Franciscan St. Vincent.”

Hyatt said sometimes when hospitals are independent, like his county-owned facility, issues such as access to resources arise. Hyatt is actually a paid employee of IU Health, whose presence at Jay County is made possible via a management contract. Jay County is the only facility that has a partnership of this sort with IU Health, which was ranked on U.S. News and World Report’s Best Hospitals list this year.

Jay County, a critical access hospital, has 25 medical surgical beds and a 10-bed LifeBridge/ Senior Behavioral Health unit. The hospital offers a range of services including radiology and nuclear medicine services, cardiac rehabilitation, a sleep lab, infusion clinic, respiratory therapy, obstetrics department, outpatient surgery center and more. According to the National Rural Health Association, people living in rural areas tend to make less money per year than residents of non-rural areas. In fact, the average per capita income in rural areas is $7,417 lower than in urban areas.

This figure is even greater for minorities living in rural areas. Rural residents are also less likely to have employer-provided health insurance, and payouts from Medicare to rural hospitals tend to be lower. This demographic also experiences a variety of health disparities (increased cases of cardiovascular disease, alcohol and tobacco dependence, vehicular/machine injuries, etc.), causing their health care needs to differ from that of their urban counterparts. “When you’re small you have limited resources, but you’ve got to have good, solid management and a good, solid team,” said Hyatt. “Do we have the resources of some of the larger systems? No. My IT department has five or six people, where some large hospitals may have 60 to 70.” He added his employees often wear multiple hats and juggle responsibilities to meet the needs of their clients.

Many factors, including the economic recession and the implementation of the Affordable Care Act, have led to the closure of 57 rural hospitals since January 2010, but Jay County is forging ahead. “The ACA has had significant impact on the hospital. Whether you’re for or against the law, it has done a lot of good but it’s also made us challenge the way we do things. Nothing is perfect, but it’s a step in the right direction,” said Hyatt. “We have seen a slight decrease in our uninsured coming through the ER. However, with that you see an increase in Medicaid, and that still doesn’t cover the full cost of the care we provide.” In July alone, Jay County had 993 people come through its emergency room, many of whom do not have a primary care physician. “We are finding that people aren’t wanting to sign up for primary care. Now that they are insured, they are more apt to go directly to ER, and that has placed a challenge on our operations,” said Hyatt.

Last April, the hospital rolled out ClaimAid, an initiative to help rural residents become acclimated to how health care works, by assisting them in enrolling for a health insurance plan and choosing a primary care doctor. They have also recently brought in hospitalists to help with the process. According to columnist Jack Ronald of Portland, Indiana’s The Commercial Review, this was proof of Jay County Hospital “going the extra mile.” “Will it be a panacea? Of course not,” Ronald wrote. “But it is a meaningful step in the right direction.” “We talk about being the best in everything we do,” said Hyatt. “In a small hospital our patients are our family, neighbors and friends, so we have to provide the level of care we as clinicians would want and expect for our own family.”

Most cosmetic company CEOs are men

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By Terri Horvath

Men hold the top jobs in a large majority of U.S. corporations. No surprise. But doesn’t it seem ironic that men control the beauty product industry? On BrandFinance’s 2015 list of the 50 most valuable cosmetic brands in the world, only two — Chanel and Avon — are led by women. The brands ranked at six and 11, respectively.

Even Mary Kay, which was started by a woman, has a male CEO. Still, these companies makes products used primarily by women, and they often rely on women as sales people or middle managers. The reasons for this gender disparity in the beauty industry are probably the same as for other Fortune 500 corporations, said Ellen Kossek, the Basil S. Turner professor of management at Purdue University.

Women tend to value relational aspects more than men. Therefore, they take time out of their careers to be the family caregivers and lose seniority. They prefer to have a more balanced work/personal life. Then there is the proverbial glass ceiling that still exists. But Kossek says that a shift in the workplace is coming. “Some of the younger men who are on the fast track have seen the women in their lives, like their moms, going to work every day,” she says, so they tend to recognize women as business leaders.

Plus, an increasing number of companies promote a work-life balance for both men and women employees. Neither men nor women have to sacrifice family for the board room. Statistics also back the case for women. Research shows the value of gender balance on a company’s board of directors. “Those who do have this balance actually have higher financial performance,” Kossek said. Having women with a voice in marketing beauty products just makes good business sense. One Indiana company that kept an eye, either consciously or subconsciously, on women in management is Vera Bradley. Founded in 1982 by Barbara Bradley Baekgaard and Patricia Miller, the company produces several fashion accessories, most notably quilted handbags. The company’s website shows Baekgaard remains a key figure with three other women accompanying her in the top eight slots. The CEO, however, is male. Some of the few female CEOs do feel a responsibility in encouraging women toward senior management roles, said Krista Hoffmann-Longtin, assistant professor of communication studies at Indiana University-Purdue University Indianapolis. “They have seen these gaps and have taken responsibility about doing something about it. And, we are more and more accepting of the idea that the more diverse voices that are in the board room, the better we can understand how to market to our customers.”

So, there are females in the board room, and the notion is growing. But for those wanting upward mobility, you need a key component, suggested Charlotte Westerhaus-Renfrow, senior lecturer of management at the Indiana University Kelley School of Business — an MBA degree. “If you take a look at some of these women who are CEOs, more often than not, you’ll see that most of them have one thing in common,” she said. “They all started out working in finance, and they have MBAs.”

She also agrees with Kossek and Hoffmann-Longtin on two other essential elements for climbing to the top — a mentor and an advocate or sponsor. “The mentor helps teach you, whereas an advocate is really like a cheerleader,” she said. Both are necessary, but an advocate is the one with the connections to get you into the leading roles.

Skip the glass ceiling by starting your own business

One way to surpass the corporate world’s glass ceiling is to start your own company. One business owner found success doing just that. Renee Gabet, co-owner of Annie Oakley Perfumery in Ligonier, Indiana, started crafting hand-blended fragrances and essential oils in her kitchen in 1980. Since then, her company has been recognized by the national media, won a 2012 innovator’s award in the Fort Wayne area and has had a significant jump in business.

In addition to sales outlets around the country, Annie Oakley relies on the Internet for sales. With hopes of finding similar success, other Indiana entrepreneurs are selling their beautifying wares on etsy.com. A partial listing includes the following:

Jael Skincare from Indianapolis featuring skin care products made with shea butter cream Lather and Lotions Studio from Fort Wayne featuring decorative soaps

Lilly’s Soap Kitchen from Indianapolis featuring a complete line of vegan skin care products

Tuttle’s Bee Butter from Goshen with skin products made of beeswax, cocoa butter, shea butter and other oils

Favor Care Organics from Indianapolis featuring organic hair care and skin products

Number of male nurses increasing despite stigma

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By Manon Bullock

Health care has always been one of the fastest growing industries, and nurses have consistently had a low unemployment rate compared to other professions. Chris Burns — assistant professor and course lead of pathophysiology-online at Marian University Leighton School of Nursing, and family nurse practitioner at Hancock Immediate Care — says a predicted shortage of nurses has attracted men to the occupation. Many schools have increased their efforts to recruit more men into nursing to increase the number of employable workers in the field. According to the American Community Survey, 9 percent of all nurses in 2011 were men. In 1970, 2.7 percent of registered nurses were men. Historically, the emergence of modern medicine in the 1900s brought about legal barriers to the entry of men in the nursing field, which created a stigma of male nurses. “When I was pursuing biochemistry as an undergraduate student, there were very few male nurses, but even then I thought it was odd,” Burns said. “I was raised on the idea of seeing TV nurses.” Burns did not plan to become a nurse. He was pursuing his R.N. certification on the way to becoming a physician when his wife, who is also a nurse, indicated that nursing might be the right field for him. “My epiphany was that there is much more to nursing. Analysis, assessment and application of sciences, pathophysiology, pharmacology, and all these were rolled up into one. Many nurses have a teacher’s heart. As a scientist with some teaching background, it fit perfectly,” he said. Darrien Curry had similar aspirations of pursuing medicine. He attended the health professions program at Arsenal Technical High School in Indianapolis and always dreamed of becoming a physician. He is currently pursuing his Associate of Nursing degree at Harper College in Palatine, Illinois, and will go on to obtain his R.N. degree. Curry said he was not surprised to find that there are many male nurses in his program. After previously working as a certified nursing assistant, then a qualified medical assistant and now a student nurse at Alexia Brothers Behavioral Health Hospital in Illinois, he has noticed a demand for male nurses. “Some managers prefer men because we are very logical and can detach emotion when we need to,” he says. “We also have the physicality to be able to properly function in an environment that requires physical exertion.” As a nurse practitioner with the opportunity to see patients and diagnose, treat and educate them, Burns, who has a master’s in nursing, said he enjoys the autonomy that comes with his vocation. “I think male nurses have it all, because you can do many things,” he says. “There is a tremendous amount of complexity and analysis of thought, and you can also specialize.” The increase of male nurses may also help to decrease the number of men who wait too long to receive health care. Curry says male nurses may be able to more easily relate to men, and their male patients may feel more comfortable with them. “Men can be just as compassionate as women but when men, especially, get a male nurse, they may take their diagnoses more seriously,” Curry said. Both Burns and Curry said they find their work very rewarding. “I tell my students that they are going to have an intimate privilege of being in situations where and when people are vulnerable, and that is a tremendous responsibility,” Burns said. Both men are certainly glad to see the stigma of male nurses disappearing. “Being a male nurse doesn’t emasculate you as a man. It’s not shameful. It’s the same in every field,” Curry said. “Anybody can be anything.” I

Balance your life sooner, not later

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It is the nature of most working professionals to, well, work. And for many of us, that work comes at a pace that far exceeds the time generally allotted in a traditional workday. Unknowingly, we may oftentimes find ourselves investing more effort into our professional lives than we do personally. For many years, I did just that.  It was only within the last couple of years that I made a deliberate attempt to maintain a better work-life balance.

The unfortunate thing is, while I yearned for more fulfilling personal time, I had grown accustomed to working in an incessantly busy manner, and it was difficult to abandon that habit. However, slowly but surely I have improved. I do little things that force me to relax, like making a deliberate effort to pick my nephew up from school or planning TV and date nights with my fiancé.  Thankfully, I’ve been on the right path, but I really should have begun adopting such a regime years ago, because I have lost valuable personal time that I can never get back.

As I’ve matured in both age and perspective, I’ve learned that we invest so much time in the “now” that we fail to do the things that ensure a healthy future. And while physical health is immensely important to living a quality existence, it’s not the only thing that ensures good health. Stress plays a significant role in our lives, and it can directly result in adverse health effects including high blood pressure, stroke and even death.  We — especially those of us with demanding careers — must strive to eliminate stress.  Data suggests a couple of the simplest, most cost-effective ways to eliminate stress, thus lead healthier lives, is to be less self-absorbed and more socially engaged.

In 1983, psychologist Larry Scherwitz, then a psychologist at Baylor University, published a study that included taped conversations of nearly 600 men, a third of them with heart disease. During the conversations, Scherwitz counted how often the men used first-person pronouns — I, me, mine. Scherwitz discovered the men who used first-person pronouns the most were more likely to have heart disease.

Upon follow-up several years later, those men suffered heart attacks at higher rates than their less self-absorbed counterparts.  Scherwitz advised: “Listen with regard when others talk. Give your time and energy to others; let others have their way; do things for reasons other than furthering your own needs.” Can you imagine how less stressful our professional and personal lives would be if we merely listened more attentively to others? It sounds simple enough.

For years, experts have also correlated social engagement with living longer lives. One study with more than 7,000 male and female participants found that people who were not socially engaged or connected to one another were three times “more likely to die over the course of nine years than those who had strong social ties.” The type of social engagement was less important than the act of engaging.  This issue of Indiana Minority Business Magazine is focused on health and beauty. I implore you to venture outside the box by making a concerted effort to focus on your social and emotional health. Also, understand that beauty is more than the physical sense. The manner in which we treat one another makes us beautiful on the inside and out.

Be blessed — and healthy.

Eight steps to your best self

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Self-care, at its core, is about arranging and authorizing your life’s energies and resources in ways that both empower and enable your best self. Generally speaking, this “best self” is likely to be the bottom-of-the-list of our daily to-dos. Our day-to-day lives often require us to wear so many hats that we spend most of our days divided against our own selves. We need sleep, but who else is going to do the work? We need to eat, but who has time or money for healthy and homemade? We need exercise, but really who has the energy? You do. Look at all you accomplish for others in a given week or even any given day.

How much more meaningful could your life be if you were working for your interests as much as you do for others?  Unfortunately, people of color tend to face additional challenges by finding themselves often pressed into spaces that are more likely to entail neglect rather than nurture. As a mental health professional who primarily serves this population, I often see the negative results of neglected people who also neglect themselves.

In times and situations like these, self-care is a necessity, not an option. Being personal, self-care is based upon an individual’s specific needs and preferences, yet there are some general principles that you can use to develop you own personal plan of care.

1.Break away — It’s OK to take a breather. Isolate your person (mind, body and spirit) from the circumstances that steal your energies. Move from surviving the moment to thriving in the present by changing your stress strategies. Eliminating stressors frees resources that remain bogged down when compared to managing stress.

2. Eat what heals — Fuel your body with foods that provide clean and simple energy sources. While we may choose fast foods with the intent of saving time and money, we often overlook the costs we pay with our bodily health and well-being. Your best self requires your healthiest self, so choose foods that will heal over those that will harm or hinder.

3. Sleep counts — Researchers often suggest seven to nine hours of sleep each night. Sleep is not just the time when our bodies recover and repair, but it’s also a time when your creative self can find expression in your dreams. Some of your best ideas can be a result of a good night’s sleep. Make space in your evening to rest, and see if it impacts your creative potential throughout your day.

4. Take back your time — If you don’t make time for yourself, why be surprised when others do not either? Schedule appointments with yourself on your calendar, and don’t break them. It does not have to be for an hour — 15 minutes will do. Begin to carve out ways to prioritize your own self with your own time.

5. Spirit matters — Pray. Meditate. Practice mindfulness. Research shows that a spiritual practice can influence mental clarity and focus, reduce stress and even eliminate some aches and pains. Harness the powerful presence of the innermost you.

6. Elevate your heart — When we get our hearts pumping through exercise, we are increasing blood flow and releasing endorphins — our bodies’ natural stress fighter. Jumpstart your heart with five-minute stints of physical activity throughout a hectic day, to engage your own body’s resources in the fight for your best health and happiness.

7. Look for laughter — Like you really needed another reason to waste time looking at those cat videos? Strategically combat your energy-busting schedule by taking time to live through laughter. It can help you not to take the situation, or even yourself, so seriously.

8. Find your voice — Each person needs a safe space where they can be heard, valued and understood. Therapy is that place for many, but not all. Wherever your space is, engage it with the purpose of true and authentic expression of your best self.

Eddie Journey is a psychodynamic psychotherapy resident, associate pastor, husband and father who lives and practices in Indianapolis, Indiana. He currently holds a Master of Arts in Mental Health Counseling and a Master of Divinity from Christian Theological Seminary. For more information, visit Goodpointcounseling.com.

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