Dean M Seyler - Area Director January 20, 2015 NPAIHB Quarterly Board Meeting Great wolf Lodge

 Dr. Roubideaux’s 2015 Listening Session  Face To Face Session  Location - TBD  Date TBD  Youth Regional Treatment Funds  $1.1M* Recurring  Dear Tribal Leader Letter – April  Follow Up Consultation With Tribes – &  Recommendations Received – Under Review

 Portland Area Indian Health Service FY17 Budget Formulation Meeting  Held December 2, 2014 in Seattle  36 tribal representatives in attendance  National Indian Health Service FY17 Budget Formulation Meeting  Scheduled for Feb 10-11,  Site to be determined.

 Certified 2014 Electronic Health Record (EHR)  Installation completed at 24 facilities  Included 768 applications across the 24 sites.  Installation scheduled at 2 sites in February and 1 site requested delayed installation  IT activities Oct-Dec 2014  New RPMS servers installed at Tulalip and Inchelium  Vista Imaging cluster servers installed at Lummi and Colville  Vista Imaging installed at Nooksack, Nisqually and Squaxin Island

* Estimated and includes CSC  Public Health Emergency Management  Federal Agency Workgroup on Tribal Disaster Response in the Pacific Northwest  Kick-off meeting on December 2 nd  Next meeting on January 14 th  Agencies include FEMA, BIA, IHS, HHS-ASPR, HHS- OGC  Purpose of the workgroup and meetings  Clarify the distinct Federal Agency roles and responsibilities so we can better serve Tribes  Develop Tribal Emergency Response policy and annex to the National Response Framework

 Chronic Pain And Addiction  Increased Opiate Medication In United States  Coordinated Effort  IHS Tele Behavioral Health Center of Excellence  IHS National Combine Council Prescription Drug Abuse Workgroup  University of New Mexico Project ECHO  Center for Rural and Community Behavioral Health  Five Hour Educational Course  Required For All Prescribers  Federal Including MOA and IPA

 Previous vaccination efforts have focused on adults ≥ 65 years.  Health People 2020 goal was recently changed to achieve 70% seasonal influenza coverage among children 6 months-17 years and adults over age 18.  Current IHS data: Children (6 mo-17 yr): 38% Adults (18 +): 38% Improve The Quality Of And Access To Care

Increasing Influenza Vaccine Coverage  Monthly influenza updates- calls on 3rd Wed of the month at 3 pm ET (Oct-Feb)  Reports sent to Area CMO monthly of influenza coverage  IHS Public Affairs to distribute PSAs for Tribal radio stations.  IHS PHN program to host 2 webinars for local PHNS  Will establish a goal for each Area for number of vaccines to be administered by PHNs.  Influenza vaccination goals will be included in the SES performance plans for Area Directors  % coverage of adults 65 and older Improve The Quality Of And Access To Care

Increasing Community Engagement  IHS Division of Epidemiology and Disease Prevention  Develop a CHR training program around immunizations and communicating with their communities on the importance of vaccination.  Host of webinar with CHRs for training purposes.  Develop PSAs in conjunction with KAT Communications for use on GoodHealth TV. Improve The Quality Of And Access To Care

and beyond  Change GPRA measure- Developmental measure in GY2016 to measure coverage for children (6mo-17 yrs) and adults (18 and over).  Plan to establish goals for GY2017 and beyond.  IHS will identify HP/DP activities to promote influenza vaccination at the community level.  Work with PHN programs to develop outreach and patient education around influenza vaccination. Improve The Quality Of And Access To Care

 Recognition Of Excellence Ceremony  Nomination Period Is Open Until January 31  Letter to Federal, Tribal, and Urban  Ceremony in May  Location To Be Announced  Portland Area Facilities Advisory Committee Update  Met on December 3, 2014 in Seattle.  Formed two workgroups to achieve Regional Specialty Referral Center Demonstration Project (RSRC) planning objectives.  Guiding Principle – The RSRC will be a specialty care network expanding access to care for the entire Portland Area from three metropolitan locations: Seattle, Portland, and Spokane.

 Portland Area Facilities Advisory Committee Update Workgroup #1  Objective: The Regional Specialty Referral Centers benefit all IHS eligible Alaska Natives and American Indians in the Portland Area by innovatively expanding access to healthcare.  Group Members: Andy Joseph (Colville), Sharon Stanphill (Cow Creek), Frank Mesplie (Yakama), Devon Boyer (Ft. Hall), and John Stephens (Swinomish)

 Portland Area Facilities Advisory Committee Update Workgroup #2  Objective: The Regional Specialty Referral Center has a core group of Tribes and a project site.  Group Members: Mark Johnston (Coquille), Steve Kutz (Cowlitz), Pearl Capoeman-Baller (Quinault), Dan Gleason (Chehalis), and Marcus Martinez (IHS)  Note: The workgroup’s focus is the first proposed RSRC in the Seattle Area. Future efforts will be directed toward securing a core group of Tribes and project sites for the two other planned RSRCs.

Portland Area Facilities Advisory Committee Update Next Steps:  When the workgroup’s achieve their objectives, we will be able to proceed with more detailed business planning.  Developing the business plan and facility plan.

 Staffing Update  Colville Service Unit CEO– Colleen Cawston  Western Oregon Service Unit CEO – CDR Laura Herbison  Area Statistical Officer – Mary Brickell  Retirements At Portland Area Office  Dr. Donnie Lee  Steven Poitra To Reform the IHS

User Pop FY 2014 User Pop FY 2013 User Pop FY 2014 User Pop FY 2013 Burns Paiute Port Gamble1,583 1,642 Chehalis1,120 1,072 Puyallup6,633 7,157 Coeur d’Alene4,941 5,035 Quileute Colville8,366 8,386 Quinault2,523 2,510 Coos, Lower Umpqua, Siuslaw Samish Coquille1,127 1,140 Sauk-Suiattle Cow Creek2,368 2,419 Shoalwater Bay Cowlitz4,031 3,835 Shoshone Bannock6,303 6,322 Grand Ronde4,038 4,009 Siletz4,909 5,179 Hoh23 26 Skokomish Jamestown S’klallam Snoqualmie Kalispel Spokane1,713 1,700 Klamath3,222 2,892 Squaxin Island Kootenai Stillaguamish94 82 Lower Elwha Suquamish Lummi4,337 4,178 Swinomish1,404 1,332 Makah2,374 2,327 Tulalip5,230 5,121 Muckleshoot4,790 4,759 Umatilla3,352 3,110 Nez Perce3,944 3,987 Upper Skagit Nisqually1,794 1,755 Warm Springs5,737 5,772 Nooksack1,296 1,339 Western Oregon Service Unit2,355 2,368 NW Band of Shoshoni30 34 Yakama12,632 12,743 Ensure that our work is transparent, accountable, fair, and inclusive

 CSC Settlement Update-Portland Area Only  163 Claims Settled  85 Claims Are In Negotiating Settlement Phase  3 Claims are in Analysis  1 Claim Pending Settlement Offer  Total Paid As Of $44,478,801

 Recent RPMS Training  Tribal Third Party Billing  20 Participants  HRSA/NPAIHB/IHS Partnership For FQHC Billing  30 Participants  Accounts Receivable  12 Participants

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.