Indian Health Service Update

Yvette Roubideaux, M.D., M.P.H.

Director, Indian Health Service

National Council of Urban Indian Health Annual Leadership Conference April 25, 2012

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IHS Priorities

• Renew and strengthen our partnership with Tribes • • • Bring reform to the IHS Improve the quality of and access to care Ensure that our work is transparent, accountable, fair, and inclusive 2

IHS Budget

• FY 2009 – 7% increase • FY 2010 – 13% increase • FY 2011 – 0.4% increase ($17 million) • FY 2012 – 5.8% increase ($237 million) – $4.3 billion overall budget 3

IHS Budget

• • FY 2013 proposed budget has an increase of $116 million (2.7%): – Total budget authority = $4.42 billion. This includes :       CHS funding increase of $54 million An increase of $49 million to support staffing and operating costs for six new and expanded health facilities $81 million total for health care facility construction $1.7 million increase for facility maintenance and improvement CSC funding increase of $5 million An additional $6 million for IHS Health IT FY 2014 – Area budget formulation and national budget sessions completed – Tribes proposed 22% increase at HHS Tribal Budget Consultation; included $1.6 million increase for UIHP.

– Urban Indian Health Needs Assessment 4

IHS Priorities

•

Renew and Strengthen our Partnership with Tribes/Urban Indian organizations

– – IHS Tribal Consultation Policy Urban Confer Policy 5

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IHS Priorities

•

Renew and Strengthen our Partnership with Tribes

– Current/recent consultations  How to improve the tribal consultation process  How to improve the CHS Program 

Priorities for health reform/IHCIA implementation

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Budget formulation

 IT Shares  Evaluation of the 2007 CSC Policy  

Federal Advisory Committee Act

How to improve the IHCIF – data/formula  TEC Data Sharing Agreement 

Long-Term Care

 VA reimbursement of IHS for services to eligible veterans

IHS Priorities

•

Bring Reform to the IHS

─ Affordable Care Act ─ Internal IHS Reform 9

Affordable Care Act

• Impact of the Affordable Care Act for AI/ANs – Can still use IHS – permanent IHCIA reauthorization – Greater access to health insurance with more coverage and choices, – Increased services at Indian health facilities due to increased reimbursements.

• Repeal Efforts - Affordable Care Act – Supreme Court Case – decision expected by June

Implementation

• • • HHS lead on ACA; IHS lead on IHCIA Tribal consultation – White House/HHS outreach calls/Meetings – [email protected]

– Tribal leader letters Education and outreach – www.healthcare.gov

– IHS Director’s blog – www.ihs.gov

– NCAI/NIHB/NCUIH

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IHS Priorities

•

Bring Reform to the IHS

–

IHS Staff Priorities

 Improve how we do business and how we lead and manage people:      Consistency in business practices Improving budget planning and financial Human Resources Performance management Senate Committee on Indian Affairs/Area Reviews 14

IHS Priorities

•

Improve the quality of and access to care

– Customer Service – Improving Patient Care Initiative – Accreditation/Certification 15

IHS Priorities

•

Improve the quality of and access to care

– Special Diabetes Program for Indians – Healthy Weight for Life initiative  http://www.ihs.gov/healthyweight 16

IHS Priorities

•

Improve the quality of and access to care

Million Hearts Campaign – Partnership for Patients 17

IHS Priorities

•

Improve the Quality of and Access to Care

– EHR certification of RPMS • Meaningful use • EHR Incentive payments (Medicare, Medicaid) – ICD-10 Implementation

IHS Priorities

•

Ensure that our work is transparent, accountable, fair, and inclusive

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Communication/Transparency

  Messages from the Director Director’s Blog/Director’s Corner – –

Accountability

 Performance management (SES, CC, PMAP)  Evaluation/measurement/outcomes

Inclusiveness – I/T/U

 Conferring with Urban Indian Organizations 19

Summary

• We are working to change and improve the IHS through our reform efforts. • The Affordable Care Act (and reauthorization of the IHCIA) will help Tribes and the IHS provide better care to American Indian and Alaska Native people. • Help us continue to change and improve the IHS.

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