Transcript Health Facilities Engineering

Portland Area Shares
Methodology
NPAIHB Quarterly Meeting
April 18, 2012
Ocean Shores, WA
Portland Area
Office of Environmental Health
and Engineering (OEHE)
Facilities Appropriation
(FEHSA)
Functions and Funding
Methodology
Budget Structure
Congressional
Appropriation
Services Appropriation
FSA
M&I
Facilities Appropriation
FEHSA
EQ
Other
SAP, Dental
Joint Venture
EHSA
EHS
SFC
OEHE Methodology
Recommendation - Fund Distribution Workgroup
Using workload and dollar amounts from FY just
completed, make payments to all Tribes as soon as
allowance for current FY is received.
Status
All payments for 2012 will be made based on 2011
workload, in accordance with the recommendations
of the Fund Distribution Workgroup, June 8, 2007
Total FSA, M&I and EQ Appropriation
FULL
BUDGET
TRIBE'S
CHOICES
Service Unit Ops
Field R R M
Biomed/Clinical Repairs
Subtotal, FSA SU Ops
$2,757,484
$37,187
$328,841
$3,123,512
$1,157,691
$16,594
$118,715
$1,293,000
Program Management
Facilities Operations
Real Property
Biomed Program
ES Engineering
RRM
Subtotal, Area Ops
FSA Residual
Total FSA
Net Building Transfer
$77,590
$121,230
$16,895
$82,233
$207,338
$6,581
$511,867
$184,747
$3,820,126
$20,245
$20,406
$4,533
$18,057
$86,634
$2,543
$152,418
Facilities Support Account (FSA)-28
1
2
3
8
11
12
13
14
15
17
18
19
29
30
$1,445,417
Maintenance & Improvement Account (M&I)-26
41
42
43
44
IHS-Owned Facilities M&I
IHS-Owned Major M&I
Tribal Facilities M&I
Tribal Facilities Major M&I
49 Total M&I
Equipment Funds (EQ) -01
59 IHS Equipment Funds
$814,786
$1,433
$2,303,724
$4,053
$231,576
$274
$2,303,724
$4,053
$3,123,996
$2,539,627
$1,099,264
$1,091,913
Facilities Support Account (FSA)
Uses:
•Facilities operations (utilities, Waste disposal, grounds keeping)
•Salaries for Professional Support
• Facility Operations (Mechanics, Grounds Keepers)
• Facility Expertise (Architect/Engineer)
• Biomedical Expertise
• Project Management
• Real Property Management
•Training (Facilities and Bio-med)
Distribution Methodology:
FSA is based on historical funding for Federally operated sites.
This amount is adjusted in relation to overall increases or
decreases in the appropriation.
Lines 1,2,3,11,12,13,14,15,17 in Book 1 of Budget Books
Maintenance & Improvement (M&I)
Use: Maintenance and Repair of Real Property, does not
include “increases” to square footage (i.e expansion)
Distribution Methodology:
Modified Univ. of Oklahoma Formula
Factors include:
• Replacement Value of Facility
• Size of Facility
• Intensity of Use
• Type of Construction (concrete, wood, etc.)
• Locality
Lines 43, 44 in Book 1 of Budget Book, full formula available in Book 4 pg. 29
Medical Equipment Funds (EQ)
Use: Replacement and Upgrade for Medical
Equipment, for existing IHS and Tribal Facilities
Distribution Methodology:
Tribal Share =
Total Funds appropriated * [(0.5* CWF) + (0.5* FSF)]
CWF =
Clinical Workload at facility
Total Clinic workload of all IHS and tribal facilities
FSF =
Individual Facility Size
Total Size of all IHS and Tribal Facilities
Line 59 in Book 1 of Budget Books
M&I and EQ Distribution
Full Detail on Distribution and Calculations in Book 4 of Budget Books
Total EHSA Appropriation
Environmental Health Support Account (EHSA)-27
Full
Budget
61 EHS Field Operations
$1,175,164
62 EHS Area Institutional Health
$155,967
63 EHS Area Injury Prevention
$105,365
64 EHS Area Program Management
$85,110
68 Subtotal, EHS
$1,521,606
71
72
73
74
78
SFC Support - Project Related
SFC Prog Mgmt - Project Related
SFC Support - Non-Project Related
SFC Prog Mgmt - Non-Project Related
Subtotal, SFC
EHSA Residual
89 Total EHSA
$1,868,153
$329,674
$207,465
$36,610
$2,441,902
$283,024
$4,246,532
Sanitation Facilities Projects (PL 86-121)
91 IHS Funds
Varies*
92 Non-IHS Funds
Varies*
99 Total SFC Construction
•
•
Tribes
Choice
$579,747
$28,987
$49,281
$31,424
$689,438
$72,619
$12,815
$3,947
$697
$90,078
$779,516
Multi-year, Multi-Agency funding
$0
$0
$0
$0
2012 reflects a rescission of .02% incurred in FY 2011
2013 will reflect the rescission of .016% incurred in FY 2012
* SFC Funding in 2012 was reduced nationally by $16M, and by $850,000 in Portland Area
Environmental Health Service (EHS)
• Program Planning - Consultation with Tribes on
priorities
• Environmental Health Management - Facility Plan
Reviews; Policy Development; Program/Project
Development and Evaluation
• Epidemiology – Disease investigation/surveillance
• Community Injury Prevention – Surveillance, Project
management, Technical assistance.
• Comprehensive Surveys - Head Starts; Casinos;
Schools; Food Service; Sanitation Facilities.
• Training - Food Handler Training, OSHA/Bloodborne
pathogens
• Institutional – X-ray surveys, hazards/safety audits,
Infection Control/Occupational Health Program
Lines 61-68 in Book 1 of Budget Books
EHS Workload
Based on total number of facilities, and facility type.
155 - STILLAGUAMISH TRIBE, WA
Facility
Code
Facility Name
05
STILLAGUAMISH TRIBAL HEALTH STATION
13
STILLAGUAMISH METHODONE CLINIC
23
STILLAGUAMISH CHILD CARE AND KITCHEN
26
STILLAGUAMISH-ANGEL OF THE WINDS-CWS
28
STILLAGUAMISH CSS
31
STILLAGUAMISH O&M ORGANIZATION
44
STILLAGUAMISH ELDERLY NUTRITION PROGRAM
46
STILLAGUAMISH SMOKE SHOP
47
STILLAGUAMISH ESPRESSO
47
STILLIAGUAMISH ANGEL OF THE WINDS CASINO 47
STILLAGUAMISH ANGEL OF THE WINDS CASINO - EDR
47
STILLAGUAMISH ANGEL OF THE WINDS CASINO 48
STILLAGUAMISH ANGEL OF THE WINDS CASINO 48
STILLAGUAMISH ANGELS OF THE WINDS CASINO 49
STILLAGUAMISH ANGEL OF THE WINDS CASINO
Total Facilities:
15
Field Program
Stillaguamish
$8,657
Total Worker Days:
Institutional
$1,285
Injury
Prevention
$122
Worker
Day
6.15
1.25
3.00
4.50
2.00
3.10
2.25
1.00
2.50
2.50
2.50
2.50
1.00
1.00
2.50
37.75
Program Mgt.
Total
$596
$ 10,660
Sanitation Facilities
Construction (SFC)
Partner with tribes, housing authorities, utility commissions,
and community organizations to:
• Design and construct water supply, sewer & solid waste
disposal facilities.
• Inventory sanitation deficiencies affecting Indian homes
and communities.
• Provide technical consultation and training on water &
waste disposal systems
• Assist in developing operation and maintenance
capabilities
Sanitation Facilities
Construction (SFC)
Typical Program Resource Allocation for a 4year project
Year 1 = 0%,
Year 2 = 20%,
Year 3 = 50%,
Year 4 = 30%
Lines 71, 72, 73,74 & 78 in Book 1 of Budget Books
SFC Workload
Printed
17-Feb-12
Tribe
Burns Paiute
2 Chehalis
3 Coeur D'Alene
4 Colville
5 Coos
6 Coquille
7 Cow Creek
8 Cowlitz
9 Grand Ronde
10 Hoh
11 Jamestown S'Klallam
12 Kalispel
13 Klamath
14 Kootenai
15 Lower Elwha
16 Lummi
1
2nd Yr.
RRM
0.0
0.0
0.0
180.4
15.4
59.4
15.4
215.6
83.6
0.0
0.0
11.0
0.0
0.0
15.4
367.4
RRM Totals by Tribe
Project
3rd Yr. 4th Yr. Non
RRM
RRM Project
0.0
85.8
574.2
409.2
112.2
59.4
68.2
83.6
193.6
0.0
24.2
0.0
4.4
19.8
39.6
303.6
6.6
292.6
4.4
609.4
37.4
11.0
8.8
92.4
61.6
63.8
63.8
88.0
66.0
0.0
8.8
193.6
43.0
44.0
77.0
181.0
28.0
7.0
21.0
16.0
14.0
22.0
26.0
37.0
68.0
12.0
25.0
47.0
Total Available
Total
RRM
Total %
49.6
422.4
655.6
1,380.0
193.0
136.8
113.4
407.6
352.8
85.8
114.0
136.0
138.4
31.8
88.8
911.6
0.29%
2.44%
3.79%
7.98%
1.12%
0.79%
0.66%
2.36%
2.04%
0.50%
0.66%
0.79%
0.80%
0.18%
0.51%
5.27%
$366,284
$2,075,611
$2,441,895
Resource Distribution
Program
Field
Total
Management
Operations
Distribution
$1,050
$8,944
$13,882
$29,221
$4,087
$2,897
$2,401
$8,631
$7,470
$1,817
$2,414
$2,880
$2,931
$673
$1,880
$19,303
$5,951
$50,683
$78,665
$165,584
$23,158
$16,414
$13,607
$48,907
$42,332
$10,295
$13,679
$16,318
$16,606
$3,816
$10,655
$109,382
$7,002
$59,627
$92,546
$194,805
$27,244
$19,311
$16,008
$57,538
$49,802
$12,112
$16,093
$19,198
$19,537
$4,489
$12,535
$128,684
Public Health Emergency
Management (PHEM)
No resources allocated, auxiliary duty for EHS
Director
• Assists in the development of COOP plans for
Federal Sites, and participates in mock drills.
• Liaison with State & Federal agencies during
emergency events.
• Coordinate deployments for Commissioned
Officers
• All Hazards emergency planning
SUMMARY OF FACILITIES APPROPRIATION FUNDS
AVAILABLE FOR DISTRIBUTION - FY 2012
TITLE V.
SHARES
TITLE I.
SHARES
TRIBE'S
CHOICES
Facilities Support Account (FSA)-28
Title I Example
(Quileute)
1
2
3
8
11
12
13
14
15
17
18
19
29
30
Service Unit Ops
Field R R M
Biomed/Clinical Repairs
Subtotal, FSA SU Ops
$7,717
$196
$6,318
$14,232
$7,700
$196
$6,304
$14,200
$7,700
$196
$6,304
$14,200
Program Management
Facilities Operations
Real Property
Biomed Program
ES Engineering
RRM
Subtotal, Area Ops
$68
$106
$13
$1,359
$2,604
$76
$4,226
$68
$106
$13
$1,356
$2,598
$76
$4,216
$0
$0
$13
$1,356
$0
$0
$1,369
Total FSA
Net Building Transfer
$18,458
$18,416
$15,568
$0
$0
$34,227
$60
$0
$0
$34,227
$60
$0
$0
$34,227
$60
$34,287
$34,287
$34,287
$8,351
$8,351
$8,351
Maintenance & Improvement Account (M&I)-26
41
42
43
44
IHS-Owned Facilities M&I
IHS-Owned Major M&I
Tribal Facilities M&I
Tribal Facilities Major M&I
49 Total M&I
Equipment Funds
59 IHS Equipment Funds
Title I Example
(Quileute)
Environmental Health Support Account (EHSA)-27
Full
Budget
61 EHS Field Operations
$12,662
62 EHS Area Institutional Health
$2,812
63 EHS Area Injury Prevention
$672
64 EHS Area Program Management
$957
68 Subtotal, EHS
$17,103
71
72
73
74
78
SFC Support - Project Related
SFC Prog Mgmt - Project Related
SFC Support - Non-Project Related
SFC Prog Mgmt - Non-Project Related
Subtotal, SFC
89 Total EHSA
Sanitation Facilities Projects (PL 86-121)
91 IHS Funds
92 Non-IHS Funds
99 Total SFC Construction
GRAND TOTAL
$12,508
$2,778
$664
$945
$16,895
Tribes
Choice
$0
$0
$0
$0
$0
$1,584
$280
$2,400
$423
$4,687
$608
$108
$0
$0
$716
$0
$0
$0
$0
$0
$21,790
$17,611
$0
Multi-year, Multi-Agency funding
Varies
Varies
$0
Varies
Varies
$0
Varies
Varies
$0
$82,886
$78,665
$58,206
OEHE Administrative Fee
• Analogous to SUA but Different in
application
• Reflects required support for all tribes on
proportional basis
• For those tribes that retain OEHE shares a
12.5% administrative fee is charged to
cover the functions needed to support the
retained programs
– Human Resources, Procurement, Finance
Budget Book Distribution
• Tribal Chairs
• Tribal Health Directors
• CEO’s at Service Units
For CD copy
Contact:
Rena Macy 503-414-7778
[email protected]
Questions ?’s
Richard R. Truitt, P.E., Director (OEHE)
Phone: (503) 414-7777 E-mail: [email protected]
CDR Patrick Craney, P.E., Director (DSFC)
Phone: (503) 414-7772 E-mail: [email protected]
CDR Celeste Davis, REHS, Director (EHS)
Phone: (503) 414-7774 E-mail: [email protected]
CDR Mathew Martinson, P.E., Director (DHFE)
Phone: (503) 414-7780 E-mail: [email protected]
Portland Area Office
Tribal Shares Methodology
Services Appropriation
Budget Structure
Area Shares vs.
Program Funding
Services Appropriation
– The Portland Area Shares Methodology represents
each tribes share of the Area Office which they are
authorized to assume pursuant to the Indian Self
Determination & Education Assistance Act (ISDEAA).
– Tribal program funds are distributed on the recurring
base amounts reflected on their annual funding
agreements.
Area Shares Methodology
• Established through Tribal Consultation
• In 1992 amendments to the Indian Self Determination
& Education Assistance Act authorized IHS to enter
into compacts for Self-Governance demonstration
projects.
• In 1994 amendments provided Title1 access to
resources.
• In 1995 The “70/30 formula” for tribal shares.
• In 2000 corrections to methodology was made to
prevent diminishment of administrative support for
Direct Service Tribes which established the Service
Unit Administration (SUA) amounts.
Area Shares Methodology
• Health Services dollars
• Does not determine OEHE shares – Line
67
– Separate methodologies more appropriate for
the type of funding
Goals of Tribal Shares
Methodology
• Reflects one methodology for all Tribes: fairness &
consistency
• Identifies each Tribe’s share of the funding that had
previously supported Area Office functions but which
they have now assumed – including funding received
for Tribes newly restored
• Prevents diminishment of health services to Tribes
that choose to continue to have a federally-operated
clinic
• Allows for annual updates to accurately reflect
available resources
• Easily understood
Lines 1 - 69
• Reflect the programs and services the
Area Office had at a moment in time
• Most services remain, some do not, some
new ones
• During negotiations Tribes decide what
they want the Area to continue to provide
e.g., DIRM, Business Office,
PORTLAND AREA INDIAN HEALTH SERVICE
FY 2011 TRIBAL SHARES ALLOCATION METHODOLOGY
Amounts Available
FY 2011
(A)
(B)
Earmarked
PAO Budget
Line
PROGRAM TITLE
FY 2011
& Site
Specific (1)
(C)
(D)
FY 2011
Service Unit
(E)
Residual
Administration
Amount (6)
Amount
(G)
(F)
Title I
106(a)(1)
Retained
Fundable
Amount
Amount
1HOSPITALS & CLINICS:
2(a) -Office of Area Director (2)
380,527
30,262
28,447
321,818
30,599
291,219
2(b) -Area Support Services
640,587
54,471
47,889
538,227
55,091
483,136
1,108,100
93,812
82,839
931,449
94,864
836,585
2(d) -Division of Human Resources
760,603
66,576
56,861
637,166
67,322
569,844
2(e) -Division of Acqusition
672,571
57,497
50,280
564,794
58,142
506,652
915,694
254,181
68,455
593,058
0
593,058
4,478,082
556,799
334,772
3,586,511
306,018
3,280,493
2(c) -Division of Financial Mgmt.
3 -Div. of Inform. Resource Mgmt
4Subtotal
5
6 Office of Health Programs
7 -Physician Recruitment
214,776
16,056
198,720
0
198,720
8 -Laboratory Services
142,712
10,669
132,043
0
132,043
9 -Maternal & Child Health
171,226
12,801
158,426
4,029
154,396
58,949
4,407
54,542
1,613
52,929
11 -Pharmacy Services
163,200
12,201
151,000
4,029
146,971
12 -Central Supply Services
10 -CO Liaison
307,789
23,010
284,780
0
284,780
13 -Public Health Nursing
41,940
3,135
38,805
2,419
36,386
14 -Health Education
13,767
1,029
12,738
2,419
10,319
0
0
0
0
28,948
358,280
0
358,280
15 -Spec.Diabetes Pgm. For Indians
214,686
16 -Alcohol & Subs. Abuse Prog.
387,228
17 -CHR Program
214,686
86,148
6,440
79,708
4,029
75,679
25,258
180,719
806
179,913
185,300
13,853
171,447
4,029
167,417
391,136
29,240
361,895
4,029
357,866
2,183,102
27,404
2,155,698
18(a) -Contract Health Service (3)
337,866
18(b) -Business Office (3)
19 -Health Information Network
20Subtotal
2,716,725
131,890
214,686
131,890
187,047
12,979
160,637
40,308
120,329
214,686
688,689
534,798
5,930,249
373,729
5,556,520
299,529
122,212
963
176,354
7,382
168,972
266,474
103,614
19,630
143,230
7,325
135,905
21
22 -Self Determination Services
23
173,616
SUBTOTAL H&C
7,368,423
24
25DENTAL
26 -Area Consultant Services
27
28MENTAL HEALTH
29 -Area Consultant Services
30
31ALCOHOLISM
32 -CDMIS
0
0
0
0
0
33 -Youth Treatment
0
0
0
0
0
34 -Women's Treatment
0
0
0
0
0
35Subtotal
0
0
0
0
0
84,348
6,513
77,836
5,376
72,459
96,412
7,234
89,178
6,724
82,454
36
37PUBLIC HEALTH NURSING
38 -Area Consultant Services
39
40HEALTH EDUCATION
41 -Area Consultant Services
42
43DIRECT OPERATIONS
44(a) -Office of Area Director (2)
1,009,271
671,041
79,576
258,655
4,643
254,011
44(b) -Area Support Services
315,829
207,413
23,126
85,290
1,453
83,837
44(c) -Division of Financial Mgmt.
197,207
134,208
14,440
48,559
907
47,651
44(d) -Division of Human Resources
154,718
97,606
11,329
45,783
711
45,073
44(e) -Division of Acqusitions
169,557
109,807
11,854
47,896
779
47,118
181,899
145,435
13,319
23,145
0
23,145
2,028,481
1,365,510
153,643
509,327
8,493
500,835
179,911
157,368
13,174
9,369
0
9,369
934
11,825
1,274
10,551
45 -Div. of Inform. System Mgmt.
46Subtotal
47
48 Office of Health Programs
49 -Health Programs Management
50 -Maternal & Child Health
12,759
51 -Pharmacy Services
12,759
934
11,825
1,274
10,551
52 -Dental Services
33,312
2,439
30,873
1,274
29,599
53 -Mental Health
33,311
2,439
30,872
1,274
29,598
54 -Alcohol & Subs. Abuse Prog.
33,036
2,419
30,617
1,274
29,343
55 -Contract Health Service
172,546
12,634
159,911
1,274
158,637
56Subtotal
477,634
157,368
34,974
285,292
7,643
277,649
29,971
379,345
114,637
264,708
2,915,432
1,522,878
218,588
1,173,965
130,773
1,043,192
144,047
31,605
10,807
101,636
1,274
100,362
57
58 -Self Determination Services
59
SUBTOTAL DIRECT OPS
65NEW TRIBES
409,317
66
67
SERVICES APPROP. TOTAL
11,174,665
214,686
2,468,998
798,533
7,692,447
532,583
7,159,864
11,174,665
214,686
2,468,998
798,533
7,692,447
532,583
7,159,864
68FACILITIES APPROP. - OEH&E
67
FACILITIES APPROP. TOTAL
68
69TOTAL PAO
Column A
PAO Budget
• A historical benchmark that began in FY 1995/96
• Starting point for calculation of the rest of the
methodology
• Mandatories added each subsequent year
• Different from Area Office operating budget
– Column A minus all shares taken
– Plus non-recurring funds and assessment funds
Column A, PAO Budget
$11,174,665
Diabetes 2%
Residual 22%
SUA 7%
T1 Retained 5%
Fundable amount 64%
Column B
• Congressional Earmarks
• Site Specific
– Diabetes Consultants – Indian Health Care
Improvement Act (IHCIA)
Column C
Area Office Residual
• Inherent Federal Functions (not contractible by
Tribes)
• What the Area Office will continue to be responsible
for, once all Tribes have taken 100% of shares
• These responsibilities have greatly
expanded/changed
–
–
–
–
Information Technology
9/11 – Security Costs
Homeland Security Presidential Directive 12 (HSPD-12)
Health Insurance Portability & Accountability Act of 1996
(HIPAA)
– Government Performance and Results Act (GPRA)
Column D
Service Unit Administration
(SUA)
• Funding required to support federallyoperated service units beyond the shares
left by Tribes who choose to have a
Federal facility
• IHS still required to provide services to
Direct Service Tribes.
SUA Calculation Factors
• New Workload Study - Time Spent on
SU/Tribes/Area Office
– Value Time S&B
– Divide by Total Budgets for 7 SU
– 13.3% Admin Cost for Program Support
– 1.6% Admin Cost for CHS Program
SUA Example
Wellpinit Service Unit
Spokane Tribe
$1,333,949 Recurring Base $1,423,600 CHS Base
• x 13.3%
x 1.6%
• $177,415
$ 22,778
• $177,415 + $22,778 =
• Spokane 106(a)(1) –
• SUA Needed
$200,193
$157,749
$ 42,444
What does SUA Pay For?
Administrative Support for Federal Service Units and
misc. programs without associated shares
• Financial services
 Budget, Travel, Payments, reconciliation, Collections
•
•
•
•
Property and Supply
Acquisitions - Federal purchasing
Personnel - Recruitment, hiring, benefits, payroll
Supervision - Evaluation, appeals, discipline, policy
development and enforcement, governance
• EEO
Column E
106(a) (1) Amount
• Column A – columns b, c, and d = e
• Section of P.L. 93-638 which reads
– SEC. 106 [25 USC 450j-1]. (a)(1) The amount of funds provided under
the terms of self-determination contracts entered into pursuant to this
Act shall not be less than the appropriate Secretary would have
otherwise provided for the operation of the programs or portions thereof
for the period covered by the contract, without regard to any
organizational level within the Department of the Interior or the
Department of Health and Human Services, as appropriate, at which the
program, function, service, or activity or portion thereof, including
supportive administrative functions that are otherwise contractible. is
operated.
• 70/30 calculation determines Tribal shares
– 30% of funding divided by 40
– 70% divided based on 1998 user population
Column F
Title I Retained
• What it costs to administer a Title I contract that
is additional to a Title V compact
– Area Staff responsible for proposal review,
negotiations, amendments, audit review, resolution
and payments.
• This amount is subtracted from Title I Tribes
106(a)(1) amount
• Title V Tribes do not leave shares to support T1
Retained
Column G
Fundable Amount
• Tribal Shares available for
contracting/compacting
• Title I Tribes 70/30 share of column E minus a
pro rata share of Title I retained
Column G
Fundable Amount
• Forty Tribes
• No Fundable Amount for Tribes with an
Associated SUA
– Takes all their shares to support SU & Title
I contracts
– If Tribes with an SUA amount take shares,
the SU will assist in providing
administrative support necessary for the
operation of that SU
Column G, Fundable
amount $7,159,864
T1 Assumed 13%
T1 Left 33%
T5 Assumed 47%
T5 Left 7%
Direct Service Tribes
• It requires All Yakama, Colville, Spokane,
Warm Springs, Shoshone Bannock 106(a)(1)
amounts plus the SUA to support these
operating units
– Yakama, Colville, Ft. Hall, Warm Springs, Wellpinit, Western
Oregon, NPAIHB, Healing Lodge of the Seven Nations.
• 43 Tribes have to leave $798,533 to
support SUA
Individual Tribal
Shares
• Where you look to see your Tribe’s share
amounts
• Newly recognized Tribes received a
specific amount for base funding and
shares
– Have to track separately
– Can not reduce contracted shares
Individual Tribal Shares
PORTLAND AREA INDIAN HEALTH SERVICE
FY 2011 TRIBAL SHARES ALLOCATION METHODOLOGY
Amounts Available
Burns-Paiute
Contract # 0248-96-0017
(D)
(E)
Line
106(a)(1)
261
440
761
523
462
3 -Div. of Inform. Resource Mgmt
4Subtotal
5
6 Office of Health Programs
7 -Physician Recruitment
8 -Laboratory Services
9 -Maternal & Child Health
10 -CO Liaison
11 -Pharmacy Services
12 -Central Supply Services
13 -Public Health Nursing
14 -Health Education
15 -Spec.Diabetes Pgm. For Indians
16 -Alcohol & Subs. Abuse Prog.
17 -CHR Program
18(a) -Contract Health Service (3)
18(b) -Business Office (3)
19 -Health Information Network
20Subtotal
21
22 -Self Determination Services
23
24
25DENTAL
26 -Area Consultant Services
27
Title I
Administration
Amount
PROGRAM TITLE
1HOSPITALS & CLINICS:
2(a) -Office of Area Director (2)
2(b) -Area Support Services
2(c) -Division of Financial Mgmt.
2(d) -Division of Human Resources
2(e) -Division of Acqusition
SUBTOTAL H&C
(H)
(F)
Service Unit
Retained
Amount
2,958
4,947
8,561
5,857
5,191
Fundable
Amount
571
1,029
1,771
1,257
1,085
2,387
3,919
6,790
4,600
4,106
629
5,451
0
5,451
3,077
32,966
5,713
27,252
148
98
118
41
112
211
29
9
0
266
59
232
127
1,827
1,214
1,456
501
1,388
2,618
357
117
0
3,293
733
1,661
1,576
0
0
75
30
75
0
45
45
0
0
75
15
75
1,827
1,214
1,381
471
1,313
2,618
312
72
0
3,293
657
1,646
1,501
269
3,326
75
3,251
1,719
20,066
512
19,554
119
1,476
753
724
4,916
54,508
6,977
47,531
9
1,621
138
1,483
Individual Tribal Shares
28MENTAL HEALTH
29 -Area Consultant Services
180
1,317
137
1,180
60
715
100
615
66
820
126
694
44(a) -Office of Area Director (2)
731
2,377
87
2,291
44(b) -Area Support Services
213
784
27
757
36
37PUBLIC HEALTH NURSING
38 -Area Consultant Services
39
40HEALTH EDUCATION
41 -Area Consultant Services
42
43DIRECT OPERATIONS
44(c) -Division of Financial Mgmt.
133
446
17
429
44(d) -Division of Human Resources
104
421
13
408
44(e) -Division of Acqusitions
109
440
15
426
122
213
0
213
1,412
4,682
159
4,523
45 -Div. of Inform. System Mgmt.
46Subtotal
47
48 Office of Health Programs
49 -Health Programs Management
121
86
0
86
50 -Maternal & Child Health
9
109
24
85
51 -Pharmacy Services
9
109
24
85
52 -Dental Services
22
284
24
260
53 -Mental Health
22
284
24
260
54 -Alcohol & Subs. Abuse Prog.
22
281
24
258
55 -Contract Health Service
116
1,470
24
1,446
56Subtotal
321
2,622
143
2,480
57
58 -Self Determination Services
275
3,487
2,140
1,347
59
SUBTOTAL DIRECT OPS
2,009
10,791
2,441
8,349
65
SERVICES APPROP. TOTAL
7,240
69,771
9,919
59,852
Footnotes and
Background Information
• Tracks historical changes to the
methodology
• Describes how AIDS, Alcohol and
Substance Abuse, CHS Purchase of
Service funding amounts are distributed
– Tables on last three pages