Transcript Tucson - PPT - SGCE - Self
Welcome To Tucson From The IHS Tucson Area Office For Tribal Self-Governance Financial Training 2012 March 27 -28, 2012
The Tucson Area Office Servicing & Supporting
The The Pascua Tohono Yaqui O’odham Tribe Nation Urban Indian Program
Tucson Area
Tohono O’odham Sells Service Unit Pascua Yaqui Service Unit Tucson Indian Center Urban Health
Health service for the Tohono O'odham is centered at the Sells Hospital with health centers located in the reservation communities of Santa Rosa, San Xavier, and San Simon. Health care is a combined effort of IHS and the TON Department of Health and Human Services, providing a comprehensive health program of inpatient services, ambulatory care, and community health/preventive services.
Prior to September 30, 2010, healthcare services for the Pascua Yaqui tribal members of Pima County were provided through a unique managed care contract with the El Rio Health Center. On October 1, 2010, the Tribe contracted their health care services from the IHS and currently manage their healthcare services. The Tucson Indian Center provides health promotion, preventative services, education, outreach and referral services to Tucson urban Indians.
The Pascua Yaqui Tribe
Gained federal recognition in 1978 Health care delivery mechanism is a contract health service (CHS) funded commercial contract for health care services.
Contracts Managed Care Program from IHS beginning October 1, 2010.
Tribal Enrollment 17,928 User Population – 6,529
Pascua Yaqui Tribe
• Ambulatory care is provided by contract with El Rio Health Center (Nine sites available).
• Inpatient services generally provided through St. Mary’s hospital
Pascua Yaqui Tribe
Yaqui communities:
MARICOPA COUNTY (7,011) Phoenix
» Guadalupe (Tempe), » Penjamo (Scottsdale) » High Tower (Chandler) » Coolidge (Coolidge)
PINAL COUNTY (655)
» Eloy (Eloy
) Other AZ Counties (236) Out of state (1,681)
PIMA COUNTY (8,345) Tucson
» New Pascua (SW Tucson) Main reservation: 1000 + acres » Barrio Libre (South Tucson) » Old Pascua (Tucson) » Yoeme Pueblo (NW Tucson - Marana) » Tucson (outside of Yaqui communities)
Population: 17,928
(includes enrolled members residing in Yaqui communities, City of Tucson, within the State of Arizona and out-of state.)
* PYT 2007
The Tohono O’odham Nation
Gained federal recognition in 1937 Primarily a Direct Services (83%) Tribe with some Title I contracted PFSAs (17% Aids, MH, A/SA, CHR ) Tribal Enrollment – 31,032 User Population – 20,035
Tohono O’odham Nation
•
1 Hospital (ER, IP)
•
3 Ambulatory Care Facilities (Accredited as Hospital Sponsored Ambulatory Care Facilities)
Tohono O’odham Nation
In the heart of the Sonoran Desert, 60 miles west of Tucson Population: 31,032 w/approx. 13,393 live on the Tohono O’odham main reservation including San Xavier, Florence Village & Gila Bend
Total land base 2.85 million acres (larger than the state of Connecticut)
Encompassing three counties (Pima, Pinal and Maricopa)
Entire southern border of the reservation (75 miles) is part of the international border with nine villages in the State of Sonora, Mexico, inhabited by approximately 1,500 citizens of the Nation.
Urban Program Tucson Indian Center (1963)
Contracted With IHS TAO Transportation Svcs, Diabetes, Substance Abuse, HIV/AIDS/STD’s Education & Prevention Services Employment Services, Work Experience Training, Adult Education Services, Vocational Training, Fair Housing Program, Four Winds Program, Youth Opportunities Program Tobacco Education/Cessation Program Emergency Assistance
Tucson Indian Center
Mission is to lead, serve, empower and advocate for the Tucson Urban American Indian Community and others, by providing culturally appropriate wellness and social services.
Tucson Urban Indian Population 45,000+ Six most significant health problems: Alcohol/substance abuse, diabetes, domestic violence, mental health, elder health and maternal child health.
* US Census 2009
I/T/U Tucson Area Health Priorities
1. Diabetes 2. Behavioral Health (Alcohol Substance Abuse/Mental Health) 3. Maternal Child Health 4. Health Promotion/Disease Prevention 5. Cancer
TAO Challenges -State Medicaid (AHCCCS) Elimination or Reduction Of Services
* Reduction Of Most Dental Care Including Emergency * Services provided by a Podiatrist * Well exams * Non Emergency Medical Transportation for limited populations * Outpatient Physical Therapy Limit of 15 visits per contract year
-Meaningful Use Medicare/Medicaid Incentive Program Implementation -Implementation of Health Insurance Reform and the Indian Health Care Improvement Act -IHS Director’s Initiatives
: * To renew and strengthen our partnership with tribes * In the context of national health insurance reform, to bring reform to IHS * To improve the quality of and access to care * To make all our work accountable, transparent, fair and inclusive
TAO Residual & Tribal Shares