Transcript Document
Dean M Seyler - Area Director January 20, 2015 NPAIHB Quarterly Board Meeting Great wolf Lodge Dr. Roubideaux’s 2015 Listening Session Face To Face Session Location - TBD Date TBD Youth Regional Treatment Funds $1.1M* Recurring Dear Tribal Leader Letter – April 28 2014 Follow Up Consultation With Tribes – 12-09-14 & 01-14-15 Recommendations Received – Under Review Portland Area Indian Health Service FY17 Budget Formulation Meeting Held December 2, 2014 in Seattle 36 tribal representatives in attendance National Indian Health Service FY17 Budget Formulation Meeting Scheduled for Feb 10-11, 2015. Site to be determined. Certified 2014 Electronic Health Record (EHR) Installation completed at 24 facilities Included 768 applications across the 24 sites. Installation scheduled at 2 sites in February and 1 site requested delayed installation IT activities Oct-Dec 2014 New RPMS servers installed at Tulalip and Inchelium Vista Imaging cluster servers installed at Lummi and Colville Vista Imaging installed at Nooksack, Nisqually and Squaxin Island Public Health Emergency Management Federal Agency Workgroup on Tribal Disaster Response in the Pacific Northwest Kick-off meeting on December 2nd Next meeting on January 14th Agencies include FEMA, BIA, IHS, HHS-ASPR, HHSOGC Purpose of the workgroup and meetings Clarify the distinct Federal Agency roles and responsibilities so we can better serve Tribes Develop Tribal Emergency Response policy and annex to the National Response Framework * Estimated and includes CSC Chronic Pain And Addiction Increased Opiate Medication In United States Coordinated Effort IHS Tele Behavioral Health Center of Excellence IHS National Combine Council Prescription Drug Abuse Workgroup University of New Mexico Project ECHO Center for Rural and Community Behavioral Health Five Hour Educational Course Required For All Prescribers Federal Including MOA and IPA Improve The Quality Of And Access To Care 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. Current IHS data: Children (6 mo-17 yr): 38% Adults (18 +): 38% Improve The Quality Of And Access To Care Increasing Influenza Vaccine Coverage Monthly influenza updates- calls on 3rd Wed of the month at 3 pm ET (Oct-Feb) Reports sent to Area CMO monthly of influenza coverage IHS Public Affairs to distribute PSAs for Tribal radio stations. IHS PHN program to host 2 webinars for local PHNS Will establish a goal for each Area for number of vaccines to be administered by PHNs. Influenza vaccination goals will be included in the SES performance plans for Area Directors 2015- 70% coverage of adults 65 and older Improve The Quality Of And Access To Care Increasing Community Engagement IHS Division of Epidemiology and Disease Prevention Develop a CHR training program around immunizations and communicating with their communities on the importance of vaccination. Host of webinar with CHRs for training purposes. Develop PSAs in conjunction with KAT Communications for use on GoodHealth TV. Improve The Quality Of And Access To Care 2015-2016 and beyond Change GPRA measure- Developmental measure in GY2016 to measure coverage for children (6mo-17 yrs) and adults (18 and over). Plan to establish goals for GY2017 and beyond. IHS will identify HP/DP activities to promote influenza vaccination at the community level. Work with PHN programs to develop outreach and patient education around influenza vaccination. FY 2015 Targets (Federal, Tribal, & Urban Programs) Final 2015 Target DIABETES Good Glycemic Control <8 Portland Area I/T/U Final 2014 Portland Area IHS SU Final 2014 Controlled BP <140/90 LDL Assessed Nephropathy Assessed Retinopathy Assessed 47.7% 63.8% 71.8% 60.0% 60.1% 50.5 63.9 76.2 59.8 51.6 50.1 65.9 84.7 73.8 61.1 DENTAL Dental: General Access Sealants Topical Fluoride 27.9% 14.1% 26.4% 36.2 15.9 35.9 31.2 16.1 31.7 IMMUNIZATIONS Influenza 65+ Pneumovax 65+ Childhood IZ (4313*314) 67.2% 85.7% 73.9% 68 80.8 68.3 72.9 89.1 77.4 54.6% 54.8% 35.2% 46.3% 66.7% 61.6% 64.3% 47.3% 86.6% 29.0% 59.5% 50.3 44.7 38.4 40.6 58.6 56.3 59.9 40 76.3 38.7 56.2 59.1 53.1 41.7 57.3 72.8 71.1 73.2 56 92.1 38.9 59.5 PREVENTION Pap Screening 24-64 Mammogram Screening 52-64 Colorectal Cancer Screening 50-75 Tobacco Cessation Counsel or Quit Alcohol Screening (FAS Prevention) 15-44 DV/IPV Screening 15-40 Depression Screening 18+ Comp. CVD-Related Assessment Prenatal HIV Screening Breastfeeding Rates Controlling High Blood Pressure - Million Hearts Recognition Of Excellence Ceremony Nomination Period Is Open Until January 31 Letter to Federal, Tribal, and Urban Ceremony in May Location To Be Announced Portland Area Facilities Advisory Committee Update Met on December 3, 2014 in Seattle. Formed two workgroups to achieve Regional Specialty Referral Center Demonstration Project (RSRC) planning objectives. Guiding Principle – The RSRC will be a specialty care network expanding access to care for the entire Portland Area from three metropolitan locations: Seattle, Portland, and Spokane. Portland Area Facilities Advisory Committee Update Workgroup #1 Objective: The Regional Specialty Referral Centers benefit all IHS eligible Alaska Natives and American Indians in the Portland Area by innovatively expanding access to healthcare. Group Members: Andy Joseph (Colville), Sharon Stanphill (Cow Creek), Frank Mesplie (Yakama), Devon Boyer (Ft. Hall), and John Stephens (Swinomish) Portland Area Facilities Advisory Committee Update Workgroup #2 Objective: The Regional Specialty Referral Center has a core group of Tribes and a project site. Group Members: Mark Johnston (Coquille), Steve Kutz (Cowlitz), Pearl Capoeman-Baller (Quinault), Dan Gleason (Chehalis), and Marcus Martinez (IHS) Note: The workgroup’s focus is the first proposed RSRC in the Seattle Area. Future efforts will be directed toward securing a core group of Tribes and project sites for the two other planned RSRCs. Portland Area Facilities Advisory Committee Update Next Steps: When the workgroup’s achieve their objectives, we will be able to proceed with more detailed business planning. Developing the business plan and facility plan. To Reform the IHS Staffing Update Colville Service Unit CEO– Colleen Cawston Western Oregon Service Unit CEO – CDR Laura Herbison Area Statistical Officer – Mary Brickell Retirements At Portland Area Office Dr. Donnie Lee Steven Poitra Ensure that our work is transparent, accountable, fair, and inclusive 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 2014 183 1,120 4,941 8,366 641 1,127 2,368 4,031 4,038 23 530 645 3,222 176 966 4,337 2,374 4,790 3,944 1,794 1,296 30 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 2014 1,583 6,633 651 2,523 578 87 403 6,303 4,909 811 670 1,713 823 94 802 1,404 5,230 3,352 526 5,737 2,355 12,632 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 CSC Settlement Update-Portland Area Only 163 Claims Settled 85 Claims Are In Negotiating Settlement Phase 3 Claims are in Analysis 1 Claim Pending Settlement Offer Total Paid As Of 01-07-2014 - $44,478,801 Recent RPMS Training Tribal Third Party Billing 20 Participants HRSA/NPAIHB/IHS Partnership For FQHC Billing 30 Participants Accounts Receivable 12 Participants 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.