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Indian Health Service Portland Area Director’s Update

Indian Health Service Portland Area Director’s Update. Dean M Seyler - Area Director January 21, 2014 Quarterly Board Meeting Embassy Suites - Portland. Renew And Strengthen Our Partnership With Tribes. Portland Area Direct Service Tribes Meeting

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Indian Health Service Portland Area Director’s Update

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  1. Indian Health ServicePortland Area Director’s Update Dean M Seyler - Area Director January 21, 2014 Quarterly Board Meeting Embassy Suites- Portland

  2. 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/

  3. 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

  4. Renew And Strengthen Our Partnership With Tribes Tribal Consultation Questions: • 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?

  5. 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?

  6. 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. 

  7. Improve The Quality Of And Access To Care • Purchased or Referred Care (PRC) Unmet Needs Report • Communication to All Federal & Tribal PRCstaff - Jan 3, 2014 • Deadline to PAO PRCO -January 27, 2014 • Deferred Services Report • PRCprograms, 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) • 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

  8. Portland Area RPMS Influenza-Like Illness (ILI) Surveillance, Week 1 (ending 1/4/14) H1N1 Second Wave (2010) Early flu activity last season ILI Percent 1/04/14 Report Week 28 sites reporting

  9. Seasonal Influenza Vaccine Coverage by Age Group,Portland Area and National IHS6/30/2013—12/18/13 28 sites reporting

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

  11. 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

  12. 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 standards • Maintain and demonstrate competence through periodic training (every 5 years) and testing (every 10 years) • Compliance Required- May 21, 2014 • After 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

  13. 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

  14. 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

  15. 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

  16. To Reform the IHS Improvement Services Team (IST) • Patient Centered Improvement • Team led by CAPT Thomas Weiser, MD, Area Epidemiologist • Other Membersof 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.

  17. Ensure that our work is transparent, accountable, fair, and inclusive Fund Distribution Workgroup - UPDATE Teleconference HeldAugust 20, 2013 Charter Updated after Workgroup Input Follow-Up Meeting – Target February 11or 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

  18. 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.

  19. Ensure that our work is transparent, accountable, fair, and inclusive

  20. 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)

  21. 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.

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