Dean M. Seyler - Area Director April 22, 2014 Quarterly Board Meeting Clearwater Casino Resort Suquamish, WA

 Portland Area Direct Service Tribes Meeting  June 4th And 5th  Embassy Suites, Portland Airport  Area Office, Service Units, And District Offices Profiles  Ihs Director Listening Session  Conducted At Each Area - Face To Face Session  August Or September  Location In Portland – Site To Be Announced

 11th Annual Direct Service Tribes National Meeting  Albuquerque, NM  July 9 th And 10 th  Facilities Appropriation Advisory Board (FAAB)  April 29 th And 30th  Seattle, WA  Pearl Capoeman-baller – Primary  Jim Roberts - Alternate

 Youth Treatment Funds  $1.1M Recurring  Dear Tribal Leader Letter  Tribal Implementation Of The Affordable Care Act  July 22 nd And 23 rd  Seattle, WA  Jointly Presented By IHS And NPAIHB  Save The Date Flyer Sent By NPAIHB

 Northwest Tribal Clinician’s Cancer Update  May 20 th  OHSU Center For Health And Healing, Room 4  Contact: Eric Vinson-  Portland Area CD Meeting (Full-day Joint Session Of I/T/U)  May 21 st  Gus Solomon Federal Courthouse, Conference Room 101  Contact: Dr. Stephen “Miles” Rudd-  Portland Area CD Meeting (1/2 Day Session)  May 22 nd  Tribal And Urban CDs- Gus Solomon Federal Courthouse, Café  Federal CDs- Gus Solomon Federal Courthouse, Conference Room 101 (Joint Session With CEOs And Chief Nurses) Portland Area Clinical Director’s Spring Meeting

Portland Area Influenza Vaccine Coverage, Season

Influenza Vaccine Coverage, Last Season Compared to Active clinical population60,46867,655 Number of doses of influenza vaccine 28,32332,375 Vaccination rate, all ages Children (6 m—17yrs) 53.3%51.8% Elders (65 yrs +) 60.2%64.8% High Risk Asthma DM 46.8% 55.5% 45.5% 56.3%

Influenza-like Illness Surveillance,

 Portland Area Recognition Of Excellence For 2013  Notification To Federal, Tribal, And Urban Staff  June 6 th  Gus Solomon Courthouse, Portland OR  IHS Directors 2013 Award Ceremony  May 21 st  Washington DC Metro – Site To Be Announced

Area Office Staffing Update  Office Of Tribal And Service Unit Operations Director  Terry Dean  Contract Proposal Liaison Officer (CPLO) Position To Be Advertised Soon  Office Of Administration Management  CDR Ann Arnett – Acting Executive Officer  Currently Advertised  Western Region Human Resources  Region Director Vacant  Physically Located In Portland

 Fund Distribution Workgroup  Teleconference Held April 16 th  Recommended Distribution Methodology For PRC Increase  Existing Members:  Angela MendezJanice ClementsDST Vacancy  Dan GleasonMarilyn ScottT-1 Vacancy  Judy MuschampMark JohnstonLeslie Wosnig  FY14 Purchased Or Referred Care (PRC) Increase  Portland Area - $7,816,900  Revised Area Base - $93,097,761  Active PRC Users  FY ,166  Fy ,153

 ICD 10 DELAY  October 2015 Implementation  IHS Will Continue To Plan And Train Staff  Updates To RPMS Will Be Delayed  Contract Support Cost  100% Funded  Base CSC Amount Already Distributed  FY14 Increases

Sanitation Facilities Construction Funding:  $3,426,000 In IHS SFC (Up 0.4% From 2013)  $1,269,800 In EPA Set-aside (Down 27% From 2013 ) Highlights:  The Projected Number Of New Or Like-new Homes To Receive Individual Site Sanitation Facilities.  1,626 - The Estimated Number Of Existing Homes To Benefit From Improvements To Existing Water And Sewer Systems.

 Joint Venture Construction Program (JVCP) Is A Competitive Health Facility Construction Program Under Public Law  Tribe Constructs Facility; IHS Staffs And Equips  IHS Announcement For JVCP Applications, Scheduled For Late FY14 / Early FY15  Competitive Application Process Joint Venture Construction

Interested in Joint Venture?  Tribes Interested In Joint Venture Are Encouraged To Review The FY 2010 Application Package To See If They Meet Requirements Which Can Be Downloaded At  The New Application Package Is In Development, But Expected To Be Similar To The FY2010 Application.

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.