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Tribal Public Health Institute Feasibility Project

This project explores the feasibility of establishing a Tribal Public Health Institute to address the significant health disparities experienced by American Indian/Alaska Native communities. It involves stakeholder engagement, needs and assets analysis, and exploration of potential structures and funding sources.

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Tribal Public Health Institute Feasibility Project

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  1. Aleena M. Hernandez, MPH Aimee Centivany, MPH Co-Hosted by Northwest Portland Area Indian Health Board October 17, 2012 Bow, Washington

  2. Overview Tribal Public Health Institute Feasibility Project: • Funded by Robert Wood Johnson Foundation • 18 month project: July 2011- December 2012 • National Network of Public Health Institutes is partner and provider of technical assistance • Technical assistance provided is funded by the Centers for Disease Control and Prevention (CDC) and RWJF

  3. Red Star Innovations • Project facilitator • Ensure goals of the project are fulfilled • Ensure ongoing communication and information sharing with Tribal communities and organizations • Complete a final report summarizing key outcomes, recommendations and considerations

  4. Overview • Background • Call to Action: TPHI feasibility concept • Project Framework • Facilitated Discussion • Open comment

  5. What is public health?

  6. Assuring the conditions for community (population) health Tribal Public Health Stakeholders

  7. 10 Essential Public Health Services

  8. Monitor health status Diagnose and investigate health problems Inform, educate and empower people Mobilize communities to address health problems Develop policies and plans Enforce laws and regulations Link people to needed health services Assure a competent workforce Evaluate health services Conduct research for new innovations The Essential Public Health Services

  9. Tribal Public Health Infrastructure

  10. Tribal Strengths in Public Health • Tribal sovereignty; self-determination • Concepts of health, wellness, and healing are often holistic • Strong knowledge of our community, culture, and way of life • Innovation in public health service delivery; partnerships and collaboration • Community engagement • Leadership – formal and informal

  11. Challenges for Tribes • American Indian/Alaska Native communities experience the most significant health disparities • Leading causes of death are preventable • Limited availability of tools, resources and technical support for Tribes and Tribal Organizations • New national initiatives and limited investment to prepare Tribes to compete or participate • Public health workforce challenges • Assure respect Tribal Sovereignty and that the trust responsibility is upheld

  12. Public Health Institute • Non-profit, non-governmental organizations • Stakeholder driven and mission focused • It exists to meet the needs of those it serves • Greater flexibility; more responsive • Neutral convening and partnering • Linking communities to support, services and information that already exists • Reinforce, support, connect, network

  13. Common PHI Functions • Population-based health program delivery • Non-biased health policy development and analysis • Training and technical assistance • Research and evaluation • Health information services • Health communication and social marketing

  14. Tribal Public Health Institute • Is there interest and support among Tribes and Tribal Organizations for a TPHI? • What would be the role of the TPHI? • How can we ensure that it does not duplicate existing services? • What will the structure be and where will it be housed? • Who will run it and how much will it cost? • How can we ensure sustainability?

  15. Guiding Principles • Facilitate a Tribally led and driven process • Ensure ongoing communication and engagement of Tribes, Tribal Organizations and key stakeholders • Provide Advisory Board with opportunities for training and technical assistance for informed decision making • Focus on Tribal self-determination and how a TPHI might support the national Tribal public health system • Integrity and transparency

  16. Tribal Advisory Board • Tom Anderson, MPH (Cherokee) - OCITHB Tribal Epi Center • Jay Butler, MD – ANTHC Community Health Services • Joe Finkbonner, RPh, MHA (Lummi) NPAIHB • Kristin Hill, BSN, MSHSA - GLITC Tribal Epi Center • Jackie Kaslow, (Miwok, Maidu) CRIHB Family/Community Health • Myra Parker, JD, MPH, PhD (Mandan/Hidatsa)- University of Washington • Kristine Rhodes, MPH (Bad River Anishinaabe) - American Indian Cancer Foundation

  17. Role of Advisory Board • Inform all aspects of the project • Assist with information dissemination • Attend and/or co-host a regional Tribal Roundtable • Share information with Tribes in their region and at national meetings • Provide key recommendations on feasibility of a TPHI

  18. Engaging Tribes • 7 Tribal Roundtables • Phoenix – October 2011 • Bemidji – February 2012 • NCAI - June • Oklahoma - July • Alaska - August • NIHB - September • Portland – October • Roundtable Format • Overview of the project • Key questions and facilitated discussion • Open comment

  19. Feasibility Project Components • Needs and Assets Analysis • Tribes, Tribal Organizations, Organizations serving Tribes • Environmental scan – national public health initiatives • Organizational analysis • Best organizational structure; Governance • Conduct a financial analysis to determine costs • Start-up and sustain

  20. Potential Role of Tribal Public Health Institute • Provide leadership in gathering and sharing information to support self-determination • Serve as a trusted source of information for Tribal leaders, decision makers and administrators • Develop evidence and experience based resources that are cultural relevant • Address technical assistance needs and training • Serve as a central location for information, resource materials, practice models

  21. QUESTIONS

  22. FACILITATED DISCUSSION

  23. Tribal Public Health Partners Tribal Governments and Tribal Health Departments work in partnership with a number of key stakeholders to safeguard and maintain the community’s health.  

  24. Roundtable Question When you think about everyone who is working together: • What’s working well to address the health needs of your community?

  25. Roundtable Question When you think about everyone who is working together: • What can be improved to address the health needs of your community?

  26. Roundtable Question • What types of information, tools and technical assistance are needed, but not currently available?

  27. Roundtable Question • What role, if any, could a Tribal Public Health Institute have to address these needs?

  28. OPEN COMMENT

  29. Thank You! www.redstar1.org/tphifeasibilityproject/ (520) 407-6307

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