dean m seyler - area director october 16, 2012 quarterly board meeting skagit valley casino resort

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INDIAN HEALTH SERVICE PORTLAND AREA DIRECTOR’S UPDATE Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

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Page 1: Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

INDIAN HEALTH SERVICEPORTLAND AREA DIRECTOR’S

UPDATE

Dean M Seyler - Area DirectorOctober 16, 2012

Quarterly Board MeetingSkagit Valley Casino Resort

Page 2: Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

Congratulations to the NPAIHB for 40 years of advocacy for the Northwest Tribes. The NPAIHB sets the pace for others to emulate.

On behalf of the Portland Area Indian Health Service, I commend you all for your dedication and service to your communities.

Page 3: Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

Renew And Strengthen Our Partnership With

Tribes Direct Service Tribes Area Meeting

September 25, 2012 2005 Master Plan

Individual Tribal Council Meetings

Urban Directors Meeting

December/January Semi Annual Event

Page 4: Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

Renew And Strengthen Our Partnership With Tribes

2013 Injury Prevention Campaign Goals

Continued collaboration with NPAIHB and NWIHB Injury Prevention Programs

Pilot Needs Assessments in at least 2 Tribal Communities

Develop Elder Fall Prevention Program Model that Integrates Primary Care and Public Health Systems

Page 5: Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

Renew And Strengthen Our Partnership With Tribes

Page 6: Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

Renew And Strengthen Our Partnership With Tribes

Page 7: Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

Ensure that our work is transparent, accountable,

fair, and inclusive707180  OMAK                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  757710  YELLOWHAWK                                                                                                                                                                                                                                  707511  TULALIP HC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        757810  ROGER SAUX HC                                                                                                                                                                                                                                              750080  COWLITZ TRIBAL PROGRAM                                                                                                                                                                                                                                       757832  CHEHALIS H S                                                                                                                                                                                                                                    757110  COLVILLE TRIBAL PROGRAMS                                                                                                                                                                                                                                    757834  SHOALWATER BAY TRIBAL PROGRAM                                                                                                                                                                                                                                                                                                                                                                                                                                                                    757111  INCHELIUM                                                                                                                                                                                                                                       757910  SOPHIE TRETTEVICK TRIBAL HC                                                                                                                                                                                                                                 757132  KELLER HEALTH CLINIC                                                                                                                                                                                                                                  757931  QUILEUTE CLINIC                                                                                                                                                                                                                                            757210  FORT HALL TRIBAL PROGRAMS                                                                                                                                                                                                                                 757932  LOWER ELWHA CLINIC                                                                                                                                                                                                                                                                                                                                                                                                                                                                  757310  NIMIIPUU HEALTH CENTER                                                                                                                                                                                                                                         758010  LUMMI TRIBAL HEALTH                                                                                                                                                                                                                                757330  KAMIAH                                                                                                                                                                                                                                              758011  SWINOMISH TRIBAL HEALTH                                                                                                                                                                                                                                      757332  KOOTENAI TRIBAL HEALTH                                                                                                                                                                                                                                          758030  UPPER SKAGIT                                                                                                                                                                                                                                 757410  WARM SPRINGS TRIBAL PROGRAMS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     758031  NOOKSACK                                                                                                                                                                                                                                        757513  MUCKLESHT HC                                                                                                                                                                                                                                               758211  SILETZ                                                                                                                                                                                                                                  757533  SKOKOMISH HS                                                                                                                                                                                                                                               758252  GRANDE RONDE                                                                                                                                                                                                                                                                                                                                                                                                                                                                              757534  NISQUALLY                                                                                                                                                                                                                                        758353  KLAMATH                                                                                                                                                                                                                                                                                                                                                                                                                                                                           757576  SNOQUALMIE TRIBAL PROGRAMS                                                                                                                                                                                                                                          758410  PUYALLUP HEALTH CENTER                                                                                                                                                                                                                                                                                                                                                                                                                                                                        757589  SQUAXIN ISLD                                                                                                                                                                                                                                  758531  BENEWAH MEDICAL CENTER                                                                                                                                                                                                                                      757610  YAKAMA TRIBAL PROGRAMS                                                                                                                                                                                                                                    758650  COW CREEK                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        

Email [email protected] if your name is on this list

Page 8: Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

To Reform The IHS

Staff Update: Chief Medical Officer - Portland Area – Still Vacant Meaningful Use Coordinator – Dr. Woody Crow

ICD-10 - Update 19 Tribal Sites 1 Urban Program All Federal Sites

Page 9: Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

Improve The Quality Of And Access To Care

Nespelem Dental Clinic Replacement Project

Aimed at improving access to and quality of care. Replaces a dental clinic that was in vintage 1930’s space Provides patients with modern dental suites. Safer and easier

access to care. Constructed by the Colville Tribes under a PL 93-638 Subpart J

Construction Contract Constructed as an addition to the Tribal Clinic New space is tribally owned and leased to IHS under a 437

Lease

Page 10: Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

Improve The Quality Of And Access To Care

Yakama Health Center Expansion and Renovation Project

Aimed at improving access to and quality of care. New 4,600 S.F. Institutional Support Building dedicated October

2011 Renovation of Existing Clinic (20-years old)

Provides New Exam Rooms by relocating offices Provides new Pharmacy improves access and confidentiality. Improves patient flow as they leave their provider’s office. New Digital Radiology Heating and Cooling Problems

Page 11: Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

Improve The Quality Of And Access To Care

Catastrophic Health Emergency Fund 115 CHEF cases received and Processed - $8,581,901 Requested Reimbursement After Threshold -

$3,125,786 Received $1,931,095 for 60 cases

Page 12: Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

Ensure that our work is transparent, accountable,

fair, and inclusive

FY 2013 Six month CR Through March 2013 48.77% of the base

SFC Projects in FY2012:   44 new projects at $9.7M total funds. Includes all 43 Portland Area Tribes for scattered site

facilities, and Will serve 25 Tribes with specific facilities/services.

Page 13: Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

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.

Page 14: Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

GPRA 2012

Final Results

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Page 15: Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

2012 GPRA Results

• Federal Service Units and Tribal Programs– Met 9 out of 21 measures

• Met 4 out of 6 Diabetes Measures• Met:

– Poor and Ideal Glycemic Control– Ideal Glycemic Control– LDL Assessed– Nephropathy Assessed

• Did Not Meet: – Controlled Blood Pressure– Retinopathy Assessed

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Page 16: Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

2012 GPRA Results

• Federal Service Units and Tribal Programs– Met All 3 Dental Measures

• Dental Access• Sealants• Topical Fluoride

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Page 17: Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

2012 GPRA Results

• Federal Service Units and Tribal Programs– Met 1 of the 3 Immunization Measures

• Met: – Influenza for patient 65+

• Did Not Meet: – Pneumovax for patients 65+– Childhood Immunizations

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Page 18: Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

2012 GPRA Results

• Federal Service Units and Tribal Programs– Met 1 of the 4 Cancer Screening Measures

• Met: – Colorectal Cancer Screening

• Did Not Meet: – Pap Smear– Mammogram– Tobacco Cessation Counseling

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Page 19: Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

2012 GPRA Results

• Federal Service Units and Tribal Programs– Met None of the CVD, HIV and Behavioral Health

Screening Measures• Did Not Meet:

– Alcohol Screening for FAS prevention– Domestic Violence Screening– Depression Screening– Comprehensive CVD Assessment– Prenatal HIV Testing

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Page 20: Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

Awards

For the 1st time ever 2 sites met all

GPRA measures!!!

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Page 21: Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

2012 GPRA Award

is hereby granted to

Western Oregon Service Unit

for

Meeting all 21 GPRA Measures

100%

Page 22: Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

2012 GPRA Award

is hereby granted to

Wellpinit Service Unitfor

Meeting all 21 GPRA Measures

100%

Page 23: Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

2012 GPRA Award

is hereby granted to

YellowhawkHonorable Mention

for

Meeting 14 of 21 GPRA Measures

66%

Page 24: Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

2012 GPRA Award

is hereby granted to

Muckleshootfor

Receiving the National Annual GPRA Award for

Most Improved in all 3 Dental Service Measures

Access to Care – 9% IncreaseDental Sealants – 142% IncreaseTopical Fluoride – 79% Increase

Page 25: Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

GPRA Awards

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CONGRATULATIONS!

Page 26: Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

Changes for 2013

• Continue reporting the same 21 Clinical Measures

• Final 2013 Targets were released last week

• Dental Sealants and Fluoride will change to a rate

• Some logic changes to a few of the measures

– Presenting to the Clinical Directors at the next meeting

• CRS Version 13.0 release - November 2012

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Page 27: Dean M Seyler - Area Director October 16, 2012 Quarterly Board Meeting Skagit Valley Casino Resort

Thank you!

QuestionsAssistance

[email protected]

503-414-7754

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