INDIAN HEALTH SERVICEPORTLAND AREA DIRECTOR’S

UPDATE

Dean M Seyler - Area DirectorJanuary 21, 2014

Quarterly Board MeetingEmbassy Suites - Portland

Renew And Strengthen Our Partnership With Tribes

Portland Area Direct Service Tribes Meeting Originally - November 2013 – Was Cancelled Spring 2014 Location To Be Determined

IHS Director DTLL Dec 20, 2013: Initiate Consultation on The Distribution of Funding For The

Special Diabetes Program For Indians (SDPI) in FY 2015. Link to DTLL - http://www.ihs.gov/newsroom/triballeaderletters/

Renew And Strengthen Our Partnership With Tribes

Each IHS Area will consult with Tribes by: Hosting face-to-face meeting and/or teleconference Tribal Leaders can submit written comments to the IHS Director

(www.consultation@ihs.gov) The deadline to submit all feedback is February 15, 2014.

IHS Adobe Connect session for Tribal Consultation: Monday February 3 (1:30 – 3:30 PM PST) Call-in # TBA Contact: CAPT Donnie Lee MD

503-414-5550 / Donnie.lee@ihs.gov

Renew And Strengthen Our Partnership With Tribes

Tribal Consultation Questions:1. SDPI Grant Application Process:

If one year of funding is reauthorized, would Tribes prefer a continuation (not a competitive) application process be used if possible?

2. Changes to the SDPI National Funding Distribution: Should there be any changes in the national SDPI funding distribution? If so, in what way?

Renew And Strengthen Our Partnership With Tribes

Tribal Consultation Questions:

3. Use of more recent User Population and Diabetes Prevalence Data: Should more recent user population and diabetes prevalence data be used

in the national funding formula?

4. Structure and activities of the SDPI Grant Programs: Should there be changes in the SDPI Community-directed grant

program? If so, what changes do Tribes recommend? What do Tribes recommend for the Diabetes Prevention and Healthy Heart Initiatives?

5. Opportunity for Tribes not currently funded by SDPI:Should Tribes not currently funded by SDPI be allowed to apply with the

next competitive grant application?

Renew And Strengthen Our Partnership With Tribes

2014 RPMS Electronic Health Record (EHR) that will meet Meaningful Use 2 (MU2) requirements. 

The new Personal Health Record (PHR) will be part of the 2014 EHR  Once certified it could be released as early as February or early March. The PHR will require sites to download patient data to central servers  From these central servers patients will be able to access their health

records from the Internet   

Costs associated to managing and maintaining the infrastructure for the PHR and other related applications i.e. Servers, licenses, etc. are not being assessed at this time but possibly will be in the future. 

Improve The Quality Of And Access To Care

Seasonal Influenza Update 2014 GPRA Target - 69.1 percent for 65+ Plenty Of Vaccine and Still Time To Be Effective Highly Recommend For School Age Children

Purchased or Referred Care (PRC) Unmet Needs Report

Communication to All Federal & Tribal PRC staff - Jan 3, 2014 Deadline to PAO PRCO - January 27, 2014

Deferred Services Report PRC programs, Tribal and Federal, are encouraged to submit their Deferred

Services Report which includes Preventive (Medical Priority II) Acute & Chronic Primary and Secondary Care (Medical Priority III) Acute Chronic Tertiary Care (Medical Priority IV)

Portland Area RPMS Influenza-Like Illness (ILI) Surveillance, Week 1 (ending 1/4/14)

1/04/14

H1N1 Second Wave (2010)

Early flu activity last season

ILI P

erce

nt

Report Week 28 sites reporting

Seasonal Influenza Vaccine Coverage by Age Group,Portland Area and National IHS

6/30/2013—12/18/13

28 sites reporting

Seasonal Influenza Coverage, 6 months or older, by Tribe/Service Unit, 6/131/13—12/28/13

28 sites reporting

Improve The Quality Of And Access To Care

Previously, physical examinations for interstate commercial motor vehicle drivers could be conducted by any licensed medical provider licensed in their state to conduct physical examinations.

The Federal Motor Carrier Safety Administration (FMCSA) has now established the National Registry of Certified Medical Examiners (49 CFR Parts 350, 383, 390, and 391)

Effective - May 21, 2012

National Registry of Certified Medical Examiners

Improve The Quality Of And Access To Care

Medical Examiners must meet the following criteria:Complete training on FCMSA’s physical qualification standards.Pass a test to verify understanding of those standardsMaintain and demonstrate competence through periodic training

(every 5 years) and testing (every 10 years)

Compliance Required- May 21, 2014After this date the FCMSA will only accept valid medical examiner

certificates issued by medical examiners listed on the National Registry.

National Registry of Certified Medical Examiners

Improve The Quality Of And Access To Care

Training is available on-line or through in-person courses. Fee: ~ $300-$600 per course

Testing occurs either in-person or on-line (in some cases) with an organization approved to administer the FCMSA’s Medical Examiner Certification Test. Fee: $79.00 (typically)

https://nationalregistry.fmcsa.dot.gov/NRPublicUI/home.seam

To Reform the IHS

Office of Tribal and Service Unit Operations Director Former Roselyn Tso CDR Ann Arnett and CDR Marcus Martinez to serve as

Acting Director, Service Unit Operations Expect To Advertise Within Next Three Months

AAAHC Training Primary Focus – Federal Sites Tribal Sites Encouraged To Attend March 4 & 5 In Portland, OR Location to be announced

To Reform the IHS

Portland Area Recognition of Excellence for 2013 Nomination Period Is Open thru February 7 Letter to Federal, Tribal, and Urban Ceremony in May Location To Be Announced

IHS Directors 2013 Award Ceremony Expect To See An Announcement Soon

To Reform the IHS

Patient Centered Improvement

Team led by CAPT Thomas Weiser, MD, Area Epidemiologist Other Members of the Team:

CAPT Stephen “Miles” Rudd, MD, Area Chief Medical Officer And Five Others From the Service Units and NPAIHB

Visit to Colville Service Unit in October 2013

The Improving Patient Care initiative is Area-wide.

Improvement Services Team (IST)

Ensure that our work is transparent, accountable,

fair, and inclusive Fund Distribution Workgroup - UPDATE

Teleconference Held August 20, 2013 Charter Updated after Workgroup Input Follow-Up Meeting – Target February 11 or 12 Existing Members:

Angela Mendez Janice Clements Stella Washines Dan Gleason Marilyn Scott T-1 Vacancy Judy Muschamp Mark Johnston Leslie Wosnig

FY16 IHS Budget Formulation National Meeting February 25 – 27 Tentative Location – Crystal City, VA

Ensure that our work is transparent, accountable,

fair, and inclusive FY13 User Population Quick Stats:

PAIHS Service Population Is Approximately 190,000*

FY13 User Population Is 110,493 FY12 was 110,170

Nearly One Million Workload Reportable Patient Encounters in FY13 (940,135)

*As of 2009, most recent data available, IHS publication: Trends in Indian Health. Service population is not AI/AN census population.

Ensure that our work is transparent, accountable,

fair, and inclusive  User Pop

FY 2012User PopFY 2013

  User PopFY 2012

User PopFY 2013

Burns Paiute 207 203 Port Gamble 1,609 1,642Chehalis 1,159 1,072 Puyallup 7,042 7,157Coeur d’Alene 4,990 5,035 Quileute 725 670Colville 8,481 8,386 Quinault 2,605 2,510Coos, Lower Umpqua, Siuslaw 722 682 Samish 710 571Coquille 1,108 1,140 Sauk-Suiattle 37 102Cow Creek 2,448 2,419 Shoalwater Bay 417 421Cowlitz 3,190 3,835 Shoshone Bannock 6,312 6,322Grand Ronde 3,948 4,009 Siletz 5,275 5,179Hoh 26 26 Skokomish 832 818Jamestown S’klallam 504 544 Snoqualmie 412 609Kalispel 565 636 Spokane 1,681 1,700Klamath 2,950 2,892 Squaxin Island 743 732Kootenai 182 189 Stillaguamish 107 82Lower Elwha 888 993 Suquamish 558 601Lummi 4,305 4,178 Swinomish 1,288 1,332Makah 2,304 2,327 Tulalip 5,023 5,121Muckleshoot 4,857 4,759 Umatilla 3,052 3,110Nez Perce 3,974 3,987 Upper Skagit 506 491Nisqually 1,872 1,755 Warm Springs 5,643 5,772Nooksack 1,190 1,339 Western Oregon Service Unit 2,661 2,368NW Band of Shoshoni 36 34 Yakama 12,862 12,743

Ensure that our work is transparent, accountable,

fair, and inclusive FY14 Budget

Anticipated Remaining FY14 budget Payments to Tribes, Urbans, and Tribal Organizations Will Be

Expedited. Contract Support Cost Workgroup

January 7 and 8 in Rockville Tribal and Federal Workgroup Members Recommendations in Draft Form

Factors That Apply to All Categories of CSC Factors Specific to Indirect CSC Factors Specific to Direct CSC

Portland Members Andy Joseph, Fawn Sharp, Dean Seyler

February 24 and 25 In Crystal City, VA (tentatively)

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.