1. Indian Health Service Portland Area Director’s Update
Dean M Seyler - Area Director
April 19, 2016
NPAIHB Quarterly Board Meeting
Clearwater River Casino & Lodge

2. Renew And Strengthen Our Partnership With Tribes
/The Federal Deficit Reduction Action (DRA) of 2005 requires any entity receiving or making annual Medicaid payments of $5 million or more to establish and adopt written policies about federal and state false claims laws for all employees, contractors and/or agents as stated in the 1902(a)(68) Social Security Act.
State of Washington Healthcare Authority has sent out two letters that we are aware of to date, requiring a compliance plan.
Portland Area Business Office is working on guidance that can be provided if you receive a letter.

3. Renew And Strengthen Our Partnership With Tribes
/FY16 CHEF Balance –
$46,422, As Of 04/05/2016
Submitted 8 CHEFs, All Reimbursed At 100%
$282, Four Distributions To Date.
FY15 CHEF Balance - $0
Total Cases Submitted 0 62
17 Amendments
$2,430,396 Reimbursed To Portland Area.

4. To Improve the Quality of and Access to Care
Strategic Change Plan-Portland Area Office
2.0
What is it?
The Strategic Plan is a Roadmap
The destination is excellence in Healthcare Delivery
Why Now?
The Mission
The Unmet Needs (i.e. Disparities of Health Status)
Who?
The Area Office
All employees
“The primary purpose for the Portland Area Office is to provide critical support products and services to our customers, who are providing care ”

5. To Improve the Quality of and Access to Care
Strategic Change Plan-Portland Area Office
Focus Areas or Strategic Objectives (3):
Healthcare Delivery
Customer Service
Continuous Improvement
Practical Values (Necessary to Achieve Improvement)
Service – acting to serve others, without expectation
Respect – the ethic of finding positive feelings of esteem/deference
Trust - the trust others place in us to uphold our responsibilities
Culture – changing the office culture to be collaborative
Integrity – honesty, doing the right thing, whether or not anyone is looking

6. “Strategic Changes Occurs One Improvement Project at a Time”
We will use the Model for Improvement as our method to make improvements and simultaneously create improvement capability

7. To Improve the Quality of and Access to Care
Regional Specialty Referral Network Demonstration Project
Expedited Planning Documents for the First of Three Facilities Serving the Portland Area.
Program Justification Document
Program of Requirements
Site Selection Evaluation Report – Phase I
Business Plan
The Planning Documents are the Basis of My Request for a Demonstration Project Modeling an Innovative Approach to Healthcare Service Delivery.
Achieved Our Goal of Presenting a Viable Project for Consideration.

8. To Improve the Quality of and Access to Care
Regional Specialty Referral Network Demonstration Project
Proposed Facility Characteristics:
172,000 square feet
$102,000,000 Estimated Design, Construction, and Equipment
392 FTE (Including 17 Surgical Specialists FTE and 12 Medical Specialist FTE)
55,000 Estimated Users
Estimated 81,000 Specialty Care Patient Visits, Annually
Estimated 53,000 Telemedicine Visits, Annually

9. To Improve the Quality of and Access to Care
Lead and Copper Rule:
Tribal water systems are compliant in WA, OR, ID.
EPA compiled sampling data from January 2013 through February 2016.
Sampling is occurring as it should. If a required sample or re-sample is missed EPA follows up.
Over the past 20-years, IHS Division of Sanitation Facilities Construction has designed and constructed facilities to prevent the kind of corrosion that might draw lead out of old plumbing.

10. Renew And Strengthen Our Partnership With Tribes and Urban Indian Health Programs
Fund Distribution Work Group (FDWG)
A Meeting To Called in Near Future
CHSDA Discussion
User Pop Methodology Review
Current FDWG Members:
Devon Boyer (DST) Dan Gleason (T1) Sharon Stanphill (T5)
Janice Clements (DST) Marilyn Scott (T1) Mark Johnston (T5)
Frank Mesplie (DST) Shawn Yanity (T1) Leslie Wosnig (T5)

11. Renew And Strengthen Our Partnership With Tribes and Urban Indian Health Programs
All Tribes Call
PRC Rates – Federal Register Publication
Hosted by Ms. Elizabeth Fowler, Deputy Director of Mgt. Operations
Thursday, April 21st – 3:00PM to 4:00PM Eastern time
Passcode –
Note: This call is off the record and not for press purposes. Please dial in minutes early to avoid any delays in joining the call.

12. Renew And Strengthen Our Partnership With Tribes and Urban Indian Health Programs
Tribal Management Grant: Fiscal Year (FY) 2016
Application Deadline – Wednesday, June 8, 2016
Review Dates – June 20-24, 2016
Earliest Anticipated Start Date: Thursday, September 1, 2016
Federal Register / Vol. 81, No. 67 / Thursday, April 7, 2016 / Notices

13. To Improve the Quality of and Access to Care
Zika Virus Disease
Discovered in 1947 in Zika Forest region in Uganda.
14 cases prior to 2007 (under reported)
May PAHO alert of Zika in Brazil.
US States- 312 travel-associated cases.
Symptoms: Fever, rash, joint pain, and conjunctivitis.
Duration/Severity: Typically mild illness lasting 3-7 days.
Transmission:
Mosquito bite- Aedes aegypti and A. albopictus
Maternal-child
Sexual contact
Blood transfusion
Treatment: No vaccines or antiviral, supportive therapy only
Prevention: Mosquito avoidance, condom use.
Complications: Guillain-Barré Syndrome and pregnancy complications (pregnancy loss, microcephaly, brain/eye damage).

14. 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.