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Tribal Self-Governance: Celebrating Excellence. Kris Locke Tribal Technical Advisor For TSGAC to CMS TTAG. Transforming and Modernizing AI/AN Healthcare Systems Nationwide, Statewide and Locally Keeping the Good Public Health Delivery Model Fitting into the Healthcare “Market Place”
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Tribal Self-Governance: Celebrating Excellence Kris Locke Tribal Technical Advisor For TSGAC to CMS TTAG
Transforming and Modernizing AI/AN Healthcare Systems Nationwide, Statewide and Locally • Keeping the Good • Public Health Delivery Model • Fitting into the Healthcare “Market Place” • Influencing Health Policy (National, State, Local) • Small Populations • Social Apathy • Participating in Programs (National, State, Local)
Self Governance Success • Active and effective participation of Tribal Leaders at National, State and Local levels • Cooperative and generous contributions of Tribal staff • Share information • Help other Tribes with new programs
National Level Examples • CMS TTAG • Ron Allen, TSGAC Representative, Vice Chair • Willie Jones, Alternate • National Indian Health Board – Medicare and Medicaid Policy Committee (MMPC) • Open Participation from Tribes and IHS
State Level Example American Indian Health Commission for Washington State • Tribally driven and staffed • Began 1994 - Initially concerned with State health reform • Very active Tribal participation • Works with ALL State agencies and orgs
State Government Agencies Health and Social Services (Medicaid) Department of Health Health Care Authority Office of Insurance Commissioner Governor’s Office State Legislators State Organizations University of WA Hospital Association WA Health Foundation Close ties with NW Portland Area Indian Health Board
American Indian Health Commission for Washington State www.aihc-wa.org
Celebrating Excellence Self Governance Has Brought Enormous Improvements to Indian Health Care Leadership, Cooperation and Trust