Transcript Document

Dean M Seyler - Area Director
April 21, 2015
NPAIHB Quarterly Board Meeting
Grand Ronde
To Reform the IHS
 IHS Director’s Award Ceremony
 Recipients Notification In Process
 Ceremony Date – May 29th
 Location – National Institute of Health – Bethesda, MD
 Recognition Of Excellence Ceremony
 Recipients Notified
 Ceremony Date - June 19th
 Location To Be Announced – In Portland
To Reform the IHS
 CMS ICD10 Coding Training
 August 3-7 and 10-14, 2015 @ NPAIHB
 IHS, Tribal, & Urban (ITU) 25 slots only 2 left
 Must have coding experience
 CHEF Un-Met Need Submission
 Due February 2015
 12 Sites Submitted Un-met need
 7 Tribal 5 Federal Operated
 Purchase and Referred Care (PRC)
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Peggy Ollgaard, new PRC Point of Contact 503-414-5598
Monthly PRC calls with ALL Tribes
CHEF cases submitted - 7
CHEF Balance as of 04-15-2015 - $45.3M
National Partnership Meeting – Summer 2015
 FY17 Budget Evaluation and FY18 Budget
Planning
 April 28, 2015
 Reno, NV
 Funds Distribution Workgroup
 Met via conference call on March 23, 2015
 $3.7M Increase in FY15 PRC funds
 $77,974 FY2015 Pay Act funding
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Save the Date: P.L. 93-638 Orientation & All Tribes
Meeting
 P.L. 93-638 Orientation July 21& 22, 2015
 All Tribes Meeting July 23, 2015
 More information to follow
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Urban Confer Meeting
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May 6, 2015
Seattle Indian Health Board
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CEO/CD/RN Meeting
 April 22-24, 2015
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Sanitation Facilities Construction – Major Projects
 Inchelium Water
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Successful start-up of the new water supply wells.
New water source for 142 homes,
Eliminating use of wells that contained arsenic.
Partnership among Tribe, the Town of Inchelium, IHS and EPA.
 Tulalip Mission Beach Wastewater Treatment Plant
 Renovation - $1.4 million federal contract to restore the existing plant’s
capacity and performance.
 Partnership among Tribe, IHS, and EPA.
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Sanitation Facilities Construction – Major Projects
 Makah Wastewater Outfall
 Outfall pipe damaged by tides and current. IHS has funded underwater
evaluations and temporary mitigation. Tribe and IHS are pursuing
emergency funding with funding partners .
 Swinomish Water Tank
 Bids solicited for tank to serve 200 homes.
 Partnership among Tribe, IHS, and EPA.
 Spokane Individual Wells –
 Radionuclides and Uranium detected in 29 individual wells
 IHS is assisting the Tribe with a $40,000 special project, and is providing
technical assistance
 $450,000 HUD Imminent Threat Grant to address the issue.
 Sanitation Facilities Construction
 FY15 Project Development Underway
 Anticipate 24 Projects
 $5.2 million in funding from IHS, EPA, and Tribal
Contributions.
 Provide access to sanitation facilities at ~120 new or like-new
homes.
 Improvements to community sanitation facilities
 Benefit/affect ~1587 homes in 13 communities
 Facilities Appropriation Advisory Board
 The FAAB Met in Rockville, MD on March 31 – April 2.
 The FAAB charged the Facilities Needs Assessment
Workgroup with updating the Healthcare Facilities Needs
Report.
 The IHCIA requires the report be updated every 5-years and is
due to Congress on March 23, 2016.
 A DTL letter will request tribal input on healthcare facilities
priorities to include new IHCIA authorities. This includes
Specialty Care Centers.
 The report will include an estimate of need for those new
authorities indicated as high tribal priorities.
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Portland Area Facilities Advisory Committee (PAFAC)
 The PAFAC met in Portland on April 13 to provide direction for two ongoing
workgroups focused on planning the Regional Specialty Referral Center
(RSRC) Project.
 The RSRC Project is a planned network of three facilities serving the
Portland Area with an initial focus on piloting the concept with a facility in the
Seattle metro area.
 Current RSRC Project Planning Activities Led by the PAFAC:
 Collecting specialty referral data from a sampling of tribes to assure the most
needed specialty services are available.
 Updating the Interim PAFAC Report to incorporate marketplace changes created by
the Affordable Care Act, including a projection of supportable specialty services and
potential for third party collections.
 Developing facility site selection criteria and reviewing potential RSRC sites.
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IHS Director’s 2015 Listening Session
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Today’s Session Cancelled
Face To Face Session
Location - TBD
Date – Will be rescheduled
Youth Regional Treatment Funds
 $1.1M* Recurring
 Dear Tribal Leader Letter – February 20, 2015
 Recommendations Received – Continue with nine Oregon
Tribes
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Influenza Vaccination
Portland Area led the agency in
vaccinations for:
 65 years and older (63.2%)
 Diabetics (53.2%)
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Portland was 3rd highest for:
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All patient 6 mo and older (42.9%)
18 yrs and older (41.8%)
6 mo-17 years (46.1%)
Asthmatics (42.1%)
Data as of 3/7/2015
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Previous vaccination efforts have focused on adults ≥ 65 years.
Health People 2020 goal was recently changed to achieve 70%
seasonal influenza coverage among children 6 months-17 years and
adults over age 18.
2014 IHS data:
Children (6 mo-17 yr): 38%
Adults (18 +): 38%
 IHS has set a goal to reach
the Healthy People 2020
goal.
 2015 Portland Area Special Diabetes Programs for
Indians (SDPI)
 52 Community Directed diabetes programs
 8 Demonstration diabetes programs
 Implementation of Best Practice models to improve diabetes care,
reduce complications, and prevent new diabetes
 Area Tribal Consultation for FY 2016 SDPI funding formula &
distribution
 Funding amount & duration to be determined by Congress
 IHS & NPAIHB hosted teleconference for Area Tribal Leaders
consultation (April 15)
 Tribal consultation results due to Acting IHS director April 20, 2015
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2015 AAAHC Surveys
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Accreditation Association for Ambulatory Health Care (AAAHC)
Western Oregon Service Unit – April 13 & 14
Warm Springs Service Unit – April 13 & 14
Ft. Hall Service Unit In Collaboration with The Shoshone-Bannock
Tribal Health & Human Services – June
 Yakama Service Unit – August
 Wellpinit Service Unit – September
 Colville Service Unit - October
Questions or Comments
Our Mission... to raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to
the highest level.
Our Goal... to assure that comprehensive, culturally acceptable personal and public health services are available and
accessible to American Indian and Alaska Native people.
Our Foundation... to uphold the Federal Government's obligation to promote healthy American Indian and Alaska
Native people, communities, and cultures and to honor and protect the inherent sovereign rights of Tribes.