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Dean M Seyler - Area Director January 21, 2014 Quarterly Board Meeting Embassy Suites - Portland Portland Area Direct Service Tribes Meeting Originally - November 2013 – Was Cancelled Spring 2014 Location To Be Determined IHS Director DTLL Dec 20, 2013: Initiate Consultation on The Distribution of Funding For The Special Diabetes Program For Indians (SDPI) in FY 2015. Link to DTLL - http://www.ihs.gov/newsroom/triballeaderletters/ Each IHS Area will consult with Tribes by: Hosting face-to-face meeting and/or teleconference Tribal Leaders can submit written comments to the IHS Director ([email protected]) The deadline to submit all feedback is February 15, 2014. IHS Adobe Connect session for Tribal Consultation: Monday February 3 (1:30 – 3:30 PM PST) Call-in # TBA Contact: CAPT Donnie Lee MD 503-414-5550 / [email protected] Tribal Consultation Questions: 1. SDPI Grant Application Process: If one year of funding is reauthorized, would Tribes prefer a continuation (not a competitive) application process be used if possible? 2. Changes to the SDPI National Funding Distribution: Should there be any changes in the national SDPI funding distribution? If so, in what way? Tribal Consultation Questions: 3. Use of more recent User Population and Diabetes Prevalence Data: Should more recent user population and diabetes prevalence data be used in the national funding formula? 4. Structure and activities of the SDPI Grant Programs: Should there be changes in the SDPI Community-directed grant program? If so, what changes do Tribes recommend? What do Tribes recommend for the Diabetes Prevention and Healthy Heart Initiatives? 5. Opportunity for Tribes not currently funded by SDPI: Should Tribes not currently funded by SDPI be allowed to apply with the next competitive grant application? 2014 RPMS Electronic Health Record (EHR) that will meet Meaningful Use 2 (MU2) requirements. The new Personal Health Record (PHR) will be part of the 2014 EHR Once certified it could be released as early as February or early March. The PHR will require sites to download patient data to central servers From these central servers patients will be able to access their health records from the Internet Costs associated to managing and maintaining the infrastructure for the PHR and other related applications i.e. Servers, licenses, etc. are not being assessed at this time but possibly will be in the future. Purchased or Referred Care (PRC) Unmet Needs Report Communication to All Federal & Tribal PRC staff - Jan 3, 2014 Deadline to PAO PRCO - January 27, 2014 Deferred Services Report PRC programs, Tribal and Federal, are encouraged to submit their Deferred Services Report which includes Preventive (Medical Priority II) Acute & Chronic Primary and Secondary Care (Medical Priority III) Acute Chronic Tertiary Care (Medical Priority IV) Seasonal Influenza Update 2014 GPRA Target - 69.1 percent for 65+ Plenty Of Vaccine and Still Time To Be Effective Highly Recommend For School Age Children ILI Percent H1N1 Second Wave (2010) Early flu activity last season 1/04/14 Report Week 28 sites reporting 28 sites reporting 28 sites reporting National Registry of Certified Medical Examiners Previously, physical examinations for interstate commercial motor vehicle drivers could be conducted by any licensed medical provider licensed in their state to conduct physical examinations. The Federal Motor Carrier Safety Administration (FMCSA) has now established the National Registry of Certified Medical Examiners (49 CFR Parts 350, 383, 390, and 391) Effective - May 21, 2012 National Registry of Certified Medical Examiners Medical Examiners must meet the following criteria: Complete training on FCMSA’s physical qualification standards. Pass a test to verify understanding of those standards Maintain and demonstrate competence through periodic training (every 5 years) and testing (every 10 years) Compliance Required- May 21, 2014 After this date the FCMSA will only accept valid medical examiner certificates issued by medical examiners listed on the National Registry. Training is available on-line or through in-person courses. Fee: ~ $300-$600 per course Testing occurs either in-person or on-line (in some cases) with an organization approved to administer the FCMSA’s Medical Examiner Certification Test. Fee: $79.00 (typically) https://nationalregistry.fmcsa .dot.gov/NRPublicUI/home.se am Office of Tribal and Service Unit Operations Director Former Roselyn Tso CDR Ann Arnett and CDR Marcus Martinez to serve as Acting Director, Service Unit Operations Expect To Advertise Within Next Three Months AAAHC Training Primary Focus – Federal Sites Tribal Sites Encouraged To Attend March 4 & 5 In Portland, OR Location to be announced Portland Area Recognition of Excellence for 2013 Nomination Period Is Open thru February 7 Letter to Federal, Tribal, and Urban Ceremony in May Location To Be Announced IHS Directors 2013 Award Ceremony Expect To See An Announcement Soon Improvement Services Team (IST) Patient Centered Improvement Team led by CAPT Thomas Weiser, MD, Area Epidemiologist Other Members of the Team: CAPT Stephen “Miles” Rudd, MD, Area Chief Medical Officer And Five Others From the Service Units and NPAIHB Visit to Colville Service Unit in October 2013 The Improving Patient Care initiative is Area-wide. Fund Distribution Workgroup - UPDATE Teleconference Held August 20, 2013 Charter Updated after Workgroup Input Follow-Up Meeting – Target February 11 or 12 Existing Members: Angela Mendez Dan Gleason Judy Muschamp Janice Clements Marilyn Scott Mark Johnston Stella Washines T-1 Vacancy Leslie Wosnig FY16 IHS Budget Formulation National Meeting February 25 – 27 Tentative Location – Crystal City, VA FY13 User Population Quick Stats: PAIHS Service Population Is Approximately 190,000* FY13 User Population Is 110,493 FY12 was 110,170 Nearly One Million Workload Reportable Patient Encounters in FY13 (940,135) *As of 2009, most recent data available, IHS publication: Trends in Indian Health. Service population is not AI/AN census population. Burns Paiute Chehalis Coeur d’Alene Colville Coos, Lower Umpqua, Siuslaw Coquille Cow Creek Cowlitz Grand Ronde Hoh Jamestown S’klallam Kalispel Klamath Kootenai Lower Elwha Lummi Makah Muckleshoot Nez Perce Nisqually Nooksack NW Band of Shoshoni User Pop FY 2012 207 1,159 4,990 8,481 722 1,108 2,448 3,190 3,948 26 504 565 2,950 182 888 4,305 2,304 4,857 3,974 1,872 1,190 36 User Pop FY 2013 203 1,072 5,035 8,386 682 1,140 2,419 3,835 4,009 26 544 636 2,892 189 993 4,178 2,327 4,759 3,987 1,755 1,339 34 Port Gamble Puyallup Quileute Quinault Samish Sauk-Suiattle Shoalwater Bay Shoshone Bannock Siletz Skokomish Snoqualmie Spokane Squaxin Island Stillaguamish Suquamish Swinomish Tulalip Umatilla Upper Skagit Warm Springs Western Oregon Service Unit Yakama User Pop FY 2012 1,609 7,042 725 2,605 710 37 417 6,312 5,275 832 412 1,681 743 107 558 1,288 5,023 3,052 506 5,643 2,661 12,862 User Pop FY 2013 1,642 7,157 670 2,510 571 102 421 6,322 5,179 818 609 1,700 732 82 601 1,332 5,121 3,110 491 5,772 2,368 12,743 FY14 Budget Anticipated Remaining FY14 budget Payments to Tribes, Urbans, and Tribal Organizations Will Be Expedited. Contract Support Cost Workgroup January 7 and 8 in Rockville Tribal and Federal Workgroup Members Recommendations in Draft Form Factors That Apply to All Categories of CSC Factors Specific to Indirect CSC Factors Specific to Direct CSC Portland Members Andy Joseph, Fawn Sharp, Dean Seyler February 24 and 25 In Crystal City, VA (tentatively) 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.