1. Building a Strong Relationship with Tribal Leadership Susan Karol, MD, FACS Chief Medical Officer, IHS

2. Learning Objectives List at least two strategies that IPC teams have utilized to effectively engage their Tribal Leaders in the transformational work of IPC occurring at their facility. Identify common communication challenges of communication efforts with Tribal leadership and discuss successful and/or identify potential mitigation efforts for dealing with those identified challenges. Develop an effective communication approach or build upon existing approaches towards sharing meaningful information and progress updates about IPC, between the facility and Tribal Leaders so they remain actively engaged.

3. IHS Priorities Renew and strengthen our partnership with Tribes Bring reform to the IHS Improve the quality of and access to care Ensure that our work is transparent, accountable, fair, and inclusive

4. IHS Priorities Renew and Strengthen our Partnership with Tribes –Current consultation in progress regarding How to improve the tribal consultation process How to improve Contract Health Services (CHS) Priorities for health reform/IHCIA implementation FY 2013 Budget VA – IHS MOU implementation How to improve the IHCIF – Data/Formula SDPI extension and distribution TEC data sharing agreement

5. IHS Priorities Renew and Strengthen our Partnership with Tribes continued: Topics for upcoming consultations Facilities construction Long-term care Improving quality Area listening sessions Tribal delegation meetings Tribal organizations, advisory groups/workgroups

6. Discussion Topics How do you currently communicate with Tribal leadership? What has been successful and what has been challenging? Can you think of any mechanisms or approaches to mitigate the challenges?

7. Discussion Topics Can you think of additional opportunities or ways for interaction and interface? How could you improve the current approaches to be more meaningful and valuable to all? What kind of information do you think would be of interest to Tribal leaders? What kind of feedback would you like to receive if possible?

8. Division of Behavioral Health: Successful Partnerships National Tribal Advisory Committee (NTAC) key roles: –Provide recommendations and advice Behavioral health issues Funding allocations Programs Long term strategic plans

9. Division of Behavioral Health: Successful Partnerships Behavioral Health Working Group: Key Roles: –Provide technical advise to DBH –Advise on Agency Priorities –Advise and recommend programs, services, and intervention models –Assist with long-term strategic planning –Collaborate with NTAC

10. Division of Behavioral Health: Successful Partnerships Methamphetamine and Suicide Prevention Initiative (MSPI) Domestic Violence Prevention Initiative (DVPI)

11. Tribal Leaders Diabetes Committee (TLDC): A Successful Partnership Began in 1997 Initially consulted on how to distribute grant funds Active for 14 years Ongoing dialogue between IHS and Tribal leadership on diabetes-related health issues

12. TLDC: A Successful Partnership Clear expectations Mutual honesty re what is “on the table”? Representation on TLDC Considered “true” tribal consultation TLDC Charter

13. TLDC: A Successful Partnership Key TLDC roles include: –Leadership in the Tribal consultation process regarding funds distribution –Building awareness about diabetes in AI/AN –Educating Congress –Information to Area Tribes –Guidance to IHS and other Agencies to assure cultural values are incorporated –Defining a role for states –Building new partnerships with Agencies and national organizations: HRSA, CDC, NIH, AHRQ, USDA, ADA AADE, JDRF

14. TLDC: A Successful Partnership Key IHS roles include: –Encourage SDPI grantees to contact local TLDC representative To share stories and progress Share information Get assistance with challenges –Provide SDPI resources to TLDC members –Provide logistical support for TLDC members

15. THANK YOU!