Colville Confederated Tribes Presented by Zekkethal “Val” Vargas-Thomas, Program Manager II Tribal Health Program

Confederated Tribes of the Colville Reservation Our reservation is approximately 35 miles from north to south boundaries. It is at least 60 miles across from West to East boundaries. Traveling from Omak to Inchelium is approximately 124 miles over three diverse passes and dependent on the weather it can take up to 2 to 3.5 hours. Four distinct communities, Inchelium, Keller, Nespelem and Omak.

Confederated Tribes of the Colville Reservation Located in North Eastern Washington 9,100 enrolled members with 4,500 members living on the Reservation and 3,000 to 5,000 non-members living on the reservation. One of the largest employers of the Eastern Washington with over 1,000 during peak employment season.

Colville Business Council The Confederated Tribes of the Colville Reservation is a sovereign nation governed by a 14-person board of adult Colville tribal members officially titled the Colville Business Council and informally called the tribal council. Ph: 509 634 2200 PO Box 150 Nespelem, Washington 99155 John Sirois, Chairman Omak District Nancy Johnson Chairman Human Services Committee Nespelem District As mentioned there are 14 with 7 up for election every year starting in March and not ending until July.

CCT Organization Chart

CCT Public Safety Director Bill Elliott, Director, Public Safety Department PO Box 150 Nespelem, Washington 99155 509 634 7368 bill.elliott@colvilletribes.com

Service Director Colville Confederated Tribes PO Box 150 Nespelem, WA 99155 509 634 2437

Tribal Health Program Team Inchelium Keller Administration Nespelem Omak Public Health Nurse Program Manager Community Health Representatives (2) Community Health Representative Administrative Assistant Office Assistant IV WIC Certifier Registered Dietitian Serves Reservat ion Wide Breastfeeding Peer Natural Helper Health Educator

San Poil Community Health Clinic -Keller Governance: Originally, a board of 7 local residents plus 2 alternates with 4 of the elected board being tribal members and 3 non-tribal members governed the Inchelium Community Health Center. As the health facilities project evolved, the Inchelium board joined the Keller board to create the Colville Nation Community Health Centers Board. This health board is made of 7 residents from Keller, 7 residents from Inchelium and up to 2 alternates from each respected district. Executive, Finance, Quality, Nomination, Inchelium and Keller serve as standing committees of this board. Alexandria “Ali” Desautel Executive Director 509 722 7006 ali.desautel@colvilletribes.com

Lake Roosevelt Community Health Clinic - Inchelium Services: Primary Healthcare Dentistry X-Ray Lab Pharmacy Telemedicine Behavioral Health Specialty Fields Hours: Mon - Tue - Thurs – Fri 7:30 am - 4:00 pm Wed: Noon - 4:00 pm Clinic Phone : 722-7006 Dental Phone : 722-7013

Sanpoil Valley Community Health Center Services: Primary Healthcare Dentistry Lab Pharmacy Telemedicine Hours: Mon - Wed – Fri 8:30 am - 5:00 pm Clinic Phone: 634-7300 As a follow up to Val statement the deliverables in the DOH contract are attainable they are not unreasonable by any means, this is where I will focus our presentation on. I do the position full time and have much work to be accomplished…

Indian Health Services Dean Seyler Director Portland Area Eight (8) Indian Health Services Unit Colville, Fort Hall, Neah Bay, Coeur d’Alene, Warm Springs Wellipinit, Western Oregon and Yakama.

Indian Health Services – Colville Service Unit Karol Parker, Chief Executive Officer (CEO) Services: Contract Services Medical Department Nursing Public Health Nurse Medical Records Lab and X-Ray Pharmacy Dental Optometry Maintenance & Housekeeping

CCT - IHS

CCT – CHC – I.H.S. Tribal Clinics (LRCHC & San Poil Valley) and Tribal Health has worked with I.H.S. on a joint pan flu plan, which was a very success especially after 2009. CCT continues to attend both Region 7 and Region 9 to better network with both regions and how the regions work affects the Colville Reservation. CCT is currently updated their comprehensive emergency plan and is a part of the Tribes Emergency Management.

Now Since I got you Confused Do you have any ???