INDIAN HEALTH SERVICE PORTLAND AREA DIRECTORS UPDATE Dean

INDIAN HEALTH SERVICE PORTLAND AREA DIRECTOR’S UPDATE Dean M Seyler - Area Director October 21, 2014 NPAIHB Quarterly Board Meeting Coeur d’Alene Casino Resort Hotel

Renew And Strengthen Our Partnership With Tribes v IHS Director Listening Session v Conducted At Each Area - Face to Face Session v Occurred August 27 th In Portland v Plan To Conduct Another Session In 2015 v Office of Management and Budget And Department of Health and Human Services Site Visit v September 2 - 5 v Federal, Tribal, And Urban Sites v Tribal Leaders Involved * Estimated and includes CSC

Renew And Strengthen Our Partnership With Tribes v Public Health Emergency Management v Planning for Federal Agency Meeting on Tribal Disaster Response in the Pacific Northwest v Agencies include FEMA, BIA, IHS, HHS-ASPR, HHS-OGC v Purpose of the meeting is to clarify the distinct Agency roles and responsibilities so we can better serve Tribes v Youth Treatment Funds v v $1. 1 M* Recurring Dear Tribal Leader Letter – April 28 2014 Recommendations Received – Under Review Follow Up Consultation With Tribes – November 2014

Renew And Strengthen Our Partnership With Tribes Save The Date! Portland Area Indian Health Service FY 17 Budget Formulation Meeting Date: Tuesday, December 2, 2014 Location: TBD near Sea. Tac Details coming soon

Improve The Quality Of And Access To Care v IHS-Joslin Vision Network Teleophthalmology Program v Portland Area has an overall ungradeable rate of 9%. v 14 sites – Six Federal, Six Tribal, Two Urban v http: //www. ihs. gov/teleophthalmology/ v Government Performance and Results Act (GPRA) v Portland Area Federal Service Units – Met 21 of 22 v Western Oregon Exceeded All 22 For Third Year In A Row v Warm Springs Exceeded All For The First Time

Improve The Quality Of And Access To Care v Clinical. Key® v IHS replaced Up. To. Date® with a new product, Clinical. Key ®, on Sept. 1, 2014. v Clinical. Key ® is an internet-based clinical reference for use by health professionals in providing care to their patients. v Provides timely access to: v v v 600+ peer-reviewed journals MEDLINE abstracts 1, 000+ full-text books 4, 500+ Practice guidelines 850+ Point of Care monographs (First Consult replaces Up. To. Date®) v 15, 000+ patient education materials v Allows access via desktop computers or mobile devices. v Users can earn CME credits for each topic accessed. v OIT Help. Desk can assist Tribal programs with access.

Improve The Quality Of And Access To Care v Enterovirus D-68 v v Respiratory virus found in 43 states Majority of infections have mild cold v A small proportion of cases develop symptoms severe respiratory symptoms requiring hospitalization Recently, clusters of children with neurologic symptoms including limb paralysis and/or cranial nerve dysfunction (blurred vision, trouble speaking or swallowing) have been reported v Outbreak clusters are under investigation in most states; testing is done only at CDC and some states v There is no specific treatment or vaccination v Prevention is through good hand hygiene, covering your cough and staying home when sick v

Improve the Quality Of And Access To Care v Environmental Health Services as Patient Care-Yakama Asthma Management Program v Home assessments to identify, prevent, and control environmental triggers of asthma- focus on children v Targeted case management includes clinical recommendation of preventive services by interdisciplinary team of health professionals v Pharmacy v Public Health Nursing v Environmental Health v Changes under ACA allow for CMS reimbursement, if State approved Plan of Waiver

To Reform the IHS v Physician Position Report v The IHS Loan Repayment Program (LRP) v Provides health professionals up to $40, 000 toward repayment of qualified student loans v Requires a two-year service commitment to practice full-time in IHS v Available to all I/T/U v Excellent recruitment tool at no cost to sites v IHS prioritizes LRP to sites most in need of specific health professions v The Physician Position Report gathers information about physician position vacancies to establish priority for the LRP for physicians. v Sites wishing to participate should log in monthly to record current vacancy information (http: //www. ihs. gov/PPR/) v Underutilized in Portland Area- Only 11 of 45 sites are current on reporting v Please report Point of Contact (name, phone, e-mail) to CAPT Miles Rudd, MD, Portland Area CMO stephen. rudd@ihs. gov

Ensure That Our Work Is Transparent, Accountable, Fair, and Inclusive v U. S Public Health Service Commissioned Corps Deploy to Combat Ebola v Current - 65 officers will deploy to DOD Hospital in Liberia v Mission assignment to treat ill health care workers and continue efforts to build capacity for additional care v Officers Already Questioned As To Their Skills v Normal Process To Approve Deployment – Need Strong Justification If Supervisor Is Not Supportive.

Ensure that our work is transparent, accountable, fair, and inclusive FY 14 User Pop Closeout – IMPORTANT DATES DATE TASK Sept 30 Last Day for Sites to Notify the IHS Division of Program Statistics of Data Reporting Problems or Other Data Issues Oct 23 Last Day to Submit Data Oct 24 to 31 NPIRS Works to Resolve Data Problems Nov 14 Official Workload Reports Issued Nov 26 Official User Pop Reports Issued Dec 19 Projected Date for Release of Official FY 14 User Populations

Ensure that our work is transparent, accountable, fair, and inclusive v ICD 10 DELAY v October 2015 Implementation v IHS Will Continue To Plan And Train Staff v Updates To RPMS Will Be Delayed v Contract Support Cost v FY 14 - 100% Funded v Reconciliation v CSC Workgroup v Proposed Long Term Solutions

Ensure that our work is transparent, accountable, fair, and inclusive v Annual Supportable Space Survey v November 1 – Data Call To Tribal Chairs & Health Directors v Response Due December 15 v Data Used For CMS Reimbursement v OEHE Support - Krista Pihlaja – 503 -414 -5555 v Business Office Support – Peggy Ollgaard – 503 -4145555

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.