Dean M Seyler - Area Director January 20, 2015 NPAIHB Quarterly Board Meeting Great wolf Lodge.

INDIAN HEALTH SERVICEPORTLAND AREA DIRECTOR’S

UPDATE

Dean M Seyler - Area DirectorJanuary 20, 2015

NPAIHB Quarterly Board MeetingGreat wolf Lodge

Renew And Strengthen Our Partnership With Tribes

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


* Estimated and includes CSC

Public Health Emergency ManagementFederal Agency Workgroup on Tribal Disaster

Response in the Pacific NorthwestKick-off meeting on December 2nd

Next meeting on January 14th Agencies include FEMA, BIA, IHS, HHS-ASPR, HHS-

OGCPurpose 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

Chronic Pain And AddictionIncreased Opiate Medication In United StatesCoordinated Effort

IHS Tele Behavioral Health Center of Excellence IHS National Combine Council Prescription Drug Abuse

WorkgroupUniversity of New Mexico Project ECHOCenter for Rural and Community Behavioral Health

Five Hour Educational CourseRequired For All Prescribers

Federal Including MOA and IPA

Influenza Vaccination 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

IHS Influenza Vaccination Action Plan

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



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.



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.


Improve the Quality Of And Access To Care

FY 2015 Targets (Federal, Tribal, & Urban Programs) Portland Area I/T/U

Portland Area IHS SU

Final 2015 Target Final 2014 Final 2014

DIABETES

Good Glycemic Control <8 47.7% 50.5 50.1

Controlled BP <140/90 63.8% 63.9 65.9

LDL Assessed 71.8% 76.2 84.7

Nephropathy Assessed 60.0% 59.8 73.8

Retinopathy Assessed 60.1% 51.6 61.1

DENTAL

Dental: General Access 27.9% 36.2 31.2

Sealants 14.1% 15.9 16.1

Topical Fluoride 26.4% 35.9 31.7

IMMUNIZATIONS

Influenza 65+ 67.2% 68 72.9

Pneumovax 65+ 85.7% 80.8 89.1

Childhood IZ (4313*314) 73.9% 68.3 77.4

PREVENTION

Pap Screening 24-64 54.6% 50.3 59.1

Mammogram Screening 52-64 54.8% 44.7 53.1

Colorectal Cancer Screening 50-75 35.2% 38.4 41.7

Tobacco Cessation Counsel or Quit 46.3% 40.6 57.3Alcohol Screening (FAS Prevention) 15-44 66.7% 58.6 72.8

DV/IPV Screening 15-40 61.6% 56.3 71.1

Depression Screening 18+ 64.3% 59.9 73.2

Comp. CVD-Related Assessment 47.3% 40 56

Prenatal HIV Screening 86.6% 76.3 92.1

Breastfeeding Rates 29.0% 38.7 38.9

Controlling High Blood Pressure - Million Hearts 59.5% 56.2 59.5


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)



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.



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.

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

To Reform the IHS

FY14 User Population User Pop

FY 2014User PopFY 2013

User PopFY 2014

User PopFY 2013

Burns Paiute 183 203 Port Gamble 1,583 1,642Chehalis 1,120 1,072 Puyallup 6,633 7,157Coeur d’Alene 4,941 5,035 Quileute 651 670Colville 8,366 8,386 Quinault 2,523 2,510Coos, Lower Umpqua, Siuslaw 641 682 Samish 578 571Coquille 1,127 1,140 Sauk-Suiattle 87 102Cow Creek 2,368 2,419 Shoalwater Bay 403 421Cowlitz 4,031 3,835 Shoshone Bannock 6,303 6,322Grand Ronde 4,038 4,009 Siletz 4,909 5,179Hoh 23 26 Skokomish 811 818Jamestown S’klallam 530 544 Snoqualmie 670 609Kalispel 645 636 Spokane 1,713 1,700Klamath 3,222 2,892 Squaxin Island 823 732Kootenai 176 189 Stillaguamish 94 82Lower Elwha 966 993 Suquamish 802 601Lummi 4,337 4,178 Swinomish 1,404 1,332Makah 2,374 2,327 Tulalip 5,230 5,121Muckleshoot 4,790 4,759 Umatilla 3,352 3,110Nez Perce 3,944 3,987 Upper Skagit 526 491Nisqually 1,794 1,755 Warm Springs 5,737 5,772Nooksack 1,296 1,339 Western Oregon Service Unit 2,355 2,368NW Band of Shoshoni 30 34 Yakama 12,632 12,743

Ensure that our work is transparent, accountable, fair,

and inclusive


and inclusive 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


and inclusive

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.

Dean M Seyler - Area Director January 20, 2015 NPAIHB Quarterly Board Meeting Great wolf Lodge.

Documents

Transcript of Dean M Seyler - Area Director January 20, 2015 NPAIHB Quarterly Board Meeting Great wolf Lodge.