2. TRIBAL EPIDEMIOLOGY CENTERS
Established via Indian Health Care improvement Act (IHCIA)
Four TECs were started in 1996, now 12 TECs
TECs function independently, but also as part of a national group
Core funding: Cooperative Agreement with Indian Health Service Division of Epidemiology and Disease Prevention

4. PUBLIC HEALTH AUTHORITY
2010 Affordable Care Act permanently reauthorized the IHCIA
TECs given “Public Health Authority” status
Health and Human Services (HHS) directed to give TECs access to HHS data systems and protected health information
Centers for Disease Control and Prevention must provide TECs technical assistance
Each IHS Area must have TEC access

5. SEVEN CORE FUNCTIONS Collect data Evaluate data and programs
Identify health priorities with tribes
Make recommendations for health service needs
Make recommendations for improving health care delivery systems
Provide epidemiologic technical assistance to tribes and tribal organizations
Provide disease surveillance to tribes

6. TEC TIMELINE

7. TEC BEST PRACTICES REPORT
Published 2014
Contents
Overview of Tribal Epidemiology Centers
Brief profile of each TEC
19 featured best practices
Data challenges & strategies
Future directions

8. TEC-C TEC-C = Tribal Epidemiology Center Consortium Mission
Our mission is to improve the health status of American Indians and Alaska Natives by identification and understanding of health risks and inequities, strengthening public health capacity, and assisting in disease prevention and control.

9. TEC-C Vision
We envision our consortium as a strong, interwoven group of centers working together to develop:
a national Tribal Epidemiology Center narrative
enhanced data access and stewardship
respected multi-directional public health collaborations
diverse sustainable funding base

10. TRIBALEPICENTERS.ORG

11. NATIONAL INITIATIVE – CDC GHWIC
A Comprehensive Approach to Good Health and Wellness in Indian Country 
System, Policy and Environmental Approaches to Achieve 3 Long-Term Goals:
Reduce rates of death and disability from tobacco use
Reduce prevalence of obesity
Reduce rates of death and disability from diabetes, heart disease, and stroke