Portland Area Indian Health Service Update
The Indian Health Service in the Portland Area provides updates on HRSA HPSA scores, staff changes, office of clinical support activities, upcoming meetings, and sanitation facilities construction. Key highlights include changes in site competitiveness, staff appointments, diabetes support activities, and future training opportunities.
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Indian Health Service Indian Health Service Portland Area Director s Update CAPT Ann Arnett Deputy Director, Portland Area IHS October 22, 2019 Wildhorse Resort & Casino Wildhorse Resort & Casino NPAIHB Quarterly Board Meeting NPAIHB Quarterly Board Meeting
Indian Health Service Portland Area HRSA HPSA SCORES 145 I/T/U sites Agency wide went from competitive to non-competitive 11 Portland Area Tribes impacted for Primary Care score 15 Portland Area Tribes converting to competitive for Dental Health 3 Portland Area I/T/U converting to competitive for Mental Health All sites need to update data on HRSA Data Warehouse web page If any sites have current scholars, they will receive FY20 funds 2
Indian Health Service Portland Area Area Staff Changes Andrew Terranella, MD Chief Medical Officer Jeremy Howell, DHA, FACHE - Chief Executive Officer, Wellpinit Service Unit Hyllis Dauphinais Sr., Chief Executive Officer, Warm Springs Service Unit 3
Indian Health Service Portland Area Office of Clinical Support Diabetes Roney Won- Acting Diabetes Coordinator roney.won@ihs.gov 503-414-5555 FY 2020 Continuation Application Submitted applications currently under review Recent Meetings/Trainings TLDC Meeting: October 9 10 Urban Diabetes Audit Webinar: October 9 CME/CE Beyond PubMed: Finding Clinical Literature on Diabetes: November 12 4
Indian Health Service Portland Area Office of Clinical Support Upcoming Meetings RPMS Training Meetings & Trainings EHR Clinical Reminders Advanced Logic & Troubleshooting Oct 21-25 20th Annual TribalNet Conference Nov 11-14 EHR for HIM Nov 18-22 RPMS-EHR IHS Health IT Modernization Project expected report of findings soon Electronic Prescribing of Controlled Substances IHS Adverse Event Reporting System (WebCident) Replacement 5
Indian Health Service Portland Area Sanitation Facilities Construction Acting Division Director for Sanitation Facilities Construction CDR Craig Haugland, P.E., Acting Director, craig.haugland@ihs.gov Spokane District and Fort Hall Field Office (Eastern Washington, Idaho) CDR Steve Sauer, P.E., BCEE, District Engineer, steve.sauer@ihs.gov Olympic District (Washington, West of the Cascade Mountains) CDR Roger Hargrove, P.E., District Engineer, roger.hargrove@ihs.gov Oregon District (Oregon Tribes + Yakama Field Office) LT Derek Hancey, P.E., Supervisory Environmental Engineer derek.hancey@ihs.gov District Utility Consultant (Area-wide coverage) CDR Ben Chadwick, P.E., District Engineer (Utility Consulting) benjamin.chadwick@ihs.gov 6
Indian Health Service Portland Area IHS Funding $9,000,000 Sanitation Facilities Construction $8,000,000 Regular (Sanitation Deficiencies) Housing Support $7,000,000 $6,000,000 $3,974,700 $3,810,400 $3,806,000 $5,000,000 $1,471,000 $1,552,000 $1,676,000 $4,000,000 $1,300,000 $1,567,000 $1,490,600 $1,487,000 $1,256,000 $3,000,000 $789,000 $1,101,000 $1,086,000 $3,266,000 $555,000 $3,201,000 $3,250,000 $3,655,000 $2,000,000 $3,571,540 $2,216,000 $3,281,000 $3,261,000 $3,250,000 $3,187,700 $2,659,000 $2,325,000 $2,453,000 $2,600,000 $2,325,000 $1,000,000 $- 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 7
Indian Health Service Portland Area 2019 IHS Funding for Sanitation Facilities Construction 2019 appropriation resulted in 3.2% increase in construction funding over last year. 35 Projects approved. The Tribal need continues to exceed available funding. Preparation for 2020 SFC Funding: Identification of potential 2020 projects. Sanitation Deficiencies (existing water/sewer infrastructure) Submitted September30th for HQ review Housing Developments (Housing Priority System) Requested from Tribes in Early September Due October 10th to District Engineers) 8
Indian Health Service Portland Area Sanitation Facilities Construction Staffing new additions CDR Ben Chadwick joined our team as the District Utility Consultant in the Bremerton District Office. LT Kim Eisberg joined our team as an Environmental Engineer in the Spokane District Office. Mr. Tyler Timmons, E.I.T., was selected for an environmental engineering position in the Portland Area Office. The Portland Area IHS SFC Director has been advertised. Please see USAJOBS for the announcement. IHS-19-WR-10612145-ESEP/MP 9
Indian Health Service Portland Area Draft AFA s are out for T1 tribes that contract on a Fiscal year basis, please contact PAO if changes/updates are needed. Funding tables for TV that compact on a fiscal year basis have been sent as well If you have not signed your AFA or finalized your Funding tables it will result in a delay for your initial FY2020 payment. Ongoing CSC reconciliations FY14 FY18 CY2020 documents will be out to tribes for review prior to end of October 10
Indian Health Service Portland Area Purchase and Referred Care FY2018 CHEF funds exhausted Total reimbursement, $3,277,045.00 FY2019 CHEF Balance $44,721,627 56 new cases 11 amendments Reimbursed to date, $1,165,918.00 FY2020 CHEF We have not been notified that HQ is accepting FY20 CHEF cases, however if you have them send them in and we will prepare them for submission when HQ is open. Consultant 11
Indian Health Service Portland Area Purchase and Referred Care, cont. CHEF Online Tool On September 26, 2019 we were notified to temporarily suspend the use of the CHEF online tool while the Office of Resource Access and Partnership and the Office of Information Technology collaborate to enhance the level of application integration and IT security. If you are interested in the CHEF Online Tool, you can reach out Salena Massey at Salena.Massey@ihs.gov or 503.414.5545. Salena can provide information regarding access and set up for when the suspension is lifted. Consultant 12
Indian Health Service Portland Area Continuing Appropriations Act, 2020, Public Law No: 116-59 Provides FY2020 continuing appropriations to federal agencies through November 21, 2019, 14.21% Increase of $237 million above FY2019 enacted for I.H.S. CSC, staffing of new health care facilities, HCFC, SFC and medical equipment 13
Indian Health Service Portland Area Exception Apportionment IHS received approval to request an exception apportionment IHS is requesting an exception to the standard CR funding level that will enable us to pay tribal contractors and compactors the majority of their fiscal year contract/compact amounts Once approved by OMB, IHS could have access to funds beyond the CR amount to pay fiscal year Title I and Title V contractors and compactors more than the standard CR percent calculation While we work through the exception apportionment process, IHS is issuing tribal payments with the CR funding levels currently available--just like we would under any normal CR The exception apportionment would only apply to tribally operated programs. IHS federally operated programs and Urban Indian Organizations were not included in the approval and will continue to be funded at the current CR funding level of 14.21% through November 21, or the percent identified in any subsequent CR. 14
Indian Health Service Portland Area Portland Area Indian Health Service - FY 2022 Budget Formulation Meeting Location and Date Embassy Suites Portland (Airport), Portland, OR November 14, 2019 Purpose Determine FY 2022 Budget Priorities for Portland Area I.H.S. Identify Hot Topics Elect two (2) Tribal Representatives to negotiate and vote on behalf of Portland Area IHS at National Budget Workgroup Meetings 15
Indian Health Service Portland Area Special Diabetes Program for Indians FY21 Tribal Consult/Urban Confer October 02, 2019 DTLL and DUIOLL Comment submission deadline December 02, 2019 Portland Area Tribal Consultation During this QBM Follow up Tribal Consultation - November 15, 2019 @ 10:00AM Pacific Embassy Suites, PDX Airport Portland Area Urban Confer Call November 5, 2019 @ 2:00PM Pacific www.ihs.gov/newsroom/triballeaderletter/ https://www.ihs.gov/newsroom/urbanleaderletters/ 16
Indian Health Service Portland Area Ending the HIV Epidemic initiative Press Release - October 07, 2019 $2.4 million to Tribal Epidemiology Centers NPAIHB Northwest Tribal Epidemiology Center Seattle Indian Health Board Urban Indian Health Institute https://www.ihs.gov/newsroom/pressreleases/2019pressreleases/ihs-awards-2-4-million-to-tribal- epidemiology-centers-for-diagnosis-treatment-and-response-to-hiv-hepatitis-c-and-stis/ 17
Indian Health Service Portland Area Verdict in the Trial of Former IHS Pediatrician Stanley Patrick Weber Press Release September 27, 2019 RADM Weahkee Statement IHS hotline 1-301-443-0658 18
Indian Health Service Portland Area CMO Updates Recent Special General Memos SGM 19-03 IHS Health Care Providers Compliance with IHS Informed Consent Requirements Other Circular 19-05 Contractor Training Plan for Implementation of Indian Health Manual Part 3 Chapter 20, Protecting Children from Sexual Abuse by Health Care Providers 19
Indian Health Service Portland Area Medical Epidemiologist Updates Immunizations Childhood immunizations as reported in the Indian Health Service National Immunization Reporting System have dropped to an all-time low below 50% Please ensure that for facilities using RPMS or have the ability to provide this information to NIRS that these data are submitted each quarter Remove barriers to childhood immunization: Provide immunizations at all visits, including walk-ins Do not require informed consent Check the State Immunization Information System for immunizations given elsewhere Address patients concerns directly o o o o o 20
Indian Health Service Portland Area 2019-2020 Flu Season Updates Vaccines have arrived and vaccination activities have begun The vaccine makeup similar to last year except that the H3N2 component is new and is designed to protect against the strain that was in circulation in 2018-2019 Flumist (the nasal spray) is available again this year but the production was delayed There are many different types of flu vaccine- high-dose for elders, egg- free recombinant, injection, nasal spray The best flu vaccine is the one that you actually receive! Look for this brochure on the table. 21
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. 22
