1. Indian Health Service Portland Area Director’s Update
Dean M Seyler - Area Director
April 21, 2015
NPAIHB Quarterly Board Meeting
Grand Ronde

2. To Reform the IHS IHS Director’s Award Ceremony
Recipients Notification In Process
Ceremony Date – May 29th
Location – National Institute of Health – Bethesda, MD
Recognition Of Excellence Ceremony
Recipients Notified
Ceremony Date - June 19th
Location To Be Announced – In Portland

3. To Reform the IHS CMS ICD10 Coding Training
August 3-7 and 10-14, NPAIHB
IHS, Tribal, & Urban (ITU) 25 slots only 2 left
Must have coding experience
CHEF Un-Met Need Submission
Due February 2015
12 Sites Submitted Un-met need
7 Tribal 5 Federal Operated
Purchase and Referred Care (PRC)
Peggy Ollgaard, new PRC Point of Contact
Monthly PRC calls with ALL Tribes
CHEF cases submitted - 7
CHEF Balance as of $45.3M
National Partnership Meeting – Summer 2015

4. Ensure that our work is transparent, accountable, fair, and inclusive
FY17 Budget Evaluation and FY18 Budget Planning
April 28, 2015
Reno, NV
Funds Distribution Workgroup
Met via conference call on March 23, 2015
$3.7M Increase in FY15 PRC funds
$77,974 FY2015 Pay Act funding

5. Renew And Strengthen Our Partnership With Tribes
Save the Date: P.L Orientation & All Tribes Meeting
P.L Orientation July 21& 22, 2015
All Tribes Meeting July 23, 2015
More information to follow
Urban Confer Meeting
May 6, 2015
Seattle Indian Health Board
CEO/CD/RN Meeting
April 22-24, 2015

6. Renew And Strengthen Our Partnership With Tribes
Sanitation Facilities Construction – Major Projects
Inchelium Water
Successful start-up of the new water supply wells.
New water source for 142 homes,
Eliminating use of wells that contained arsenic.
Partnership among Tribe, the Town of Inchelium, IHS and EPA.
Tulalip Mission Beach Wastewater Treatment Plant
Renovation - $1.4 million federal contract to restore the existing plant’s capacity and performance.
Partnership among Tribe, IHS, and EPA.

7. Renew And Strengthen Our Partnership With Tribes
Sanitation Facilities Construction – Major Projects
Makah Wastewater Outfall
Outfall pipe damaged by tides and current. IHS has funded underwater evaluations and temporary mitigation. Tribe and IHS are pursuing emergency funding with funding partners .
Swinomish Water Tank
Bids solicited for tank to serve 200 homes.
Partnership among Tribe, IHS, and EPA.
Spokane Individual Wells –
Radionuclides and Uranium detected in 29 individual wells
IHS is assisting the Tribe with a $40,000 special project, and is providing technical assistance
$450,000 HUD Imminent Threat Grant to address the issue.

8. Ensure that our work is transparent, accountable, fair, and inclusive
Sanitation Facilities Construction
FY15 Project Development Underway
Anticipate 24 Projects
$5.2 million in funding from IHS, EPA, and Tribal Contributions.
Provide access to sanitation facilities at ~120 new or like-new homes.
Improvements to community sanitation facilities
Benefit/affect ~1587 homes in 13 communities

9. Ensure that our work is transparent, accountable, fair, and inclusive
Facilities Appropriation Advisory Board
The FAAB Met in Rockville, MD on March 31 – April 2.
The FAAB charged the Facilities Needs Assessment Workgroup with updating the Healthcare Facilities Needs Report.
The IHCIA requires the report be updated every 5-years and is due to Congress on March 23, 2016.
A DTL letter will request tribal input on healthcare facilities priorities to include new IHCIA authorities. This includes Specialty Care Centers.
The report will include an estimate of need for those new authorities indicated as high tribal priorities.

10. To Improve the Quality of and Access to Care
Portland Area Facilities Advisory Committee (PAFAC)
The PAFAC met in Portland on April 13 to provide direction for two ongoing workgroups focused on planning the Regional Specialty Referral Center (RSRC) Project.
The RSRC Project is a planned network of three facilities serving the Portland Area with an initial focus on piloting the concept with a facility in the Seattle metro area.
Current RSRC Project Planning Activities Led by the PAFAC:
Collecting specialty referral data from a sampling of tribes to assure the most needed specialty services are available.
Updating the Interim PAFAC Report to incorporate marketplace changes created by the Affordable Care Act, including a projection of supportable specialty services and potential for third party collections.
Developing facility site selection criteria and reviewing potential RSRC sites.

11. Renew And Strengthen Our Partnership With Tribes
IHS Director’s 2015 Listening Session
Today’s Session Cancelled
Face To Face Session
Location - TBD
Date – Will be rescheduled
Youth Regional Treatment Funds
$1.1M* Recurring
Dear Tribal Leader Letter – February 20, 2015
Recommendations Received – Continue with nine Oregon Tribes

12. Improve the Quality of and Access to Care

13. Improve the Quality of and Access to Care

14. Improve the Quality of and Access to Care
Influenza Vaccination
Portland Area led the agency in vaccinations for:
65 years and older (63.2%)
Diabetics (53.2%)
Portland was 3rd highest for:
All patient 6 mo and older (42.9%)
18 yrs and older (41.8%)
6 mo-17 years (46.1%)
Asthmatics (42.1%)
Data as of 3/7/2015

15. Improve the Quality of and Access to Care
Influenza Vaccination
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.
2014 IHS data:
Children (6 mo-17 yr): 38%
Adults (18 +): 38%
IHS has set a goal to reach
the Healthy People 2020
goal.

16. Improve The Quality Of And Access To Care
2015 Portland Area Special Diabetes Programs for Indians (SDPI)
52 Community Directed diabetes programs
8 Demonstration diabetes programs
Implementation of Best Practice models to improve diabetes care, reduce complications, and prevent new diabetes
Area Tribal Consultation for FY 2016 SDPI funding formula & distribution
Funding amount & duration to be determined by Congress
IHS & NPAIHB hosted teleconference for Area Tribal Leaders consultation (April 15)
Tribal consultation results due to Acting IHS director April 20, 2015

17. To Improve the Quality of and Access to Care
2015 AAAHC Surveys
Accreditation Association for Ambulatory Health Care (AAAHC)
Western Oregon Service Unit – April 13 & 14
Warm Springs Service Unit – April 13 & 14
Ft. Hall Service Unit In Collaboration with The Shoshone-Bannock Tribal Health & Human Services – June
Yakama Service Unit – August
Wellpinit Service Unit – September
Colville Service Unit - October

18. 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.