Dean M Seyler - Area Director September 15, 2015 ATNI Northern Quest Casino

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1 Dean M Seyler - Area Director September 15, 2015 ATNI Northern Quest Casino

2 Area Behavioral Health: Mental Health Clinical Resource Access v Portland Area has limited Mental Health funds available to Tribes, to enhance their behavioral health (mental health or cooccurring disorders) programming* v Scopes of work must be submitted by eligible Tribes that have kept mental health shares with the Area office v Past funds have been awarded to expand clinical resources, provide trainings, and otherwise improve clinical care v Applications must be submitted timely. Please contact Michelle.Sobel@ihs.gov for more information *Anticipated in FY16

3 To Reform the IHS v CHEF Cases Update v CHEF cases submitted (as of 09-09) 51 v CHEF cases approved 23 v Total case cost - $3,280,328 v Total submitted - $1,882,712 (minus threshold) v Total reimbursed to date - $1,124,463 v CHEF Balance as of $29M

4 v Area Dental Officer v Dr. Timothy Halligan, DMD, ABGD, DABSCD, ICD v Report Date Mid October v Enhanced Collaboration with Northwest Tribal Dental Support Center v Mandatory Seasonal Influenza Immunizations for Civilian Health Care Personnel Working in IHS Health Care Facilities v Colville Service Unit, Wellpinit Service Unit, Yakama Service Unit, Ft. Hall Service Unit, Warm Springs Service Unit, and Western Oregon Service Unit v Enhanced

5 v Influenza Vaccination v Healthy People 2020 has established a goal to vaccinate 70% of the US population 6 months and older annually against influenza. v IHS has committed to work to achieve this goal. v Portland Area currently collects and reports nationally on influenza vaccination data for 6 Federal, 24 Tribal, and 2 Urban facilities. v Influenza Season, Portland Area Results: v 6 mo and older- 43,7% (3rd highest) v Adults 65 and older- - 63,2% (highest) v Healthcare personnel- 60.4% (lowest) v Portland Area Influenza Vaccination Workgroup v Plan rolled out in August to guide Portland Area I/T/U sites to increase influenza vaccination in our Area.

6 v Casey Eye Institute Outreach v Collaboration between CMO and PAO Optometry Consultant (Donald Asay, OD) and David Wilson, MD (Director, OHSU Casey Eye Institute and enrolled member of the Chickasaw Nation) v Casey Outreach Van v Provides no cost eye screening for those with little to no access to eye care services. v Screens for refractive error, diabetes, macular degeneration, and glaucoma. v Van had previously deployed to Burns-Paiute Tribe and NARA.

7 v OR Tribal Outreach v August 17-19, 2015 v Visited Cow Creek, Klamath, and Coquille Tribal communities v Screened 133 patients v Referred 34 patients (26%) related to identified eye diseases. v Glaucoma (40%) v Cataracts (31%) v Diabetic retinopathy (9%) v Future Plans v Connect with remaining OR Tribal communities v Increase screening for seniors v Consider expansion of services

8 v Portland Area Facilities Advisory Committee (PAFAC) v Developing a Project Proposal that Demonstrates Readiness for Implementation. v Location v POR/PJD/Business Plan v Tribal Support. v The PAFAC is Meeting Regularly and Developing Recommendations to Strengthen the Project Proposal.

9 v Regional Specialty Referral Network Pilot Facility v Two Tribes Have Expressed Strong Interest in Hosting the Pilot Project v v Chehalis Puyallup v PAFAC Members Visited Both Locations on May 14. v Both Tribes Agree With Four Core Operating Principles. v Any Federal Resources Allocated Will Not be Available for Individual Tribes to Contract. v A Qualified Tribal Organization Broadly Representing Portland Area Tribes May Contract Operation of the Network. v The Network Will Initially be Federally Operated. v Third Party Revenue Will be Used to Improve and Expand Access to Specialty Care Across the Entire Portland Area

10 v Sanitation Facilities Construction - Impact v In fiscal year 2015 (since Oct. 1), Portland Area DSFC has provided: v Individual site sanitation facilities to 104 homes, v Community facility improvements that benefit 2,140 homes, v $4,520,221 of constructed sanitation facilities.

11 Drought and Wildfires, 2015 Oregon Warm Springs impacted by wildfires Idaho Nez Perce (Kamiah) impacted by wildfires Washington Presidential Disaster Declaration for Wildfires impacting Colville, Spokane, Yakama, and Kalispel IHS Actions Advocated for Tribal inclusion on State and Federal declarations Provide technical assistance and expertise regarding air quality and public health issues Assured provision of critical medical supplies, public health services and environmental equipment to impacted Tribes

12 Situation Summary: Six Tribes have reported some drought-related concerns related to the operation of community water systems. Two Tribes have reported individual homes that have wildfire damage to their domestic water systems. Actions: Providing technical assistance to Tribal water utilities. Secured $100,000 emergency Sanitation Facilities Construction funding for wildfire damage. Approved a new project to replace a failed well at Makah, and currently working with Tribe and USDA-RD for a new project to construct a 3rd well.

13 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.