1. Tribal Health Assessment July 2013

2. HMD Vision A healthy Cherokee community where all people can enjoy health and wellness in a clean, safe environment, be protected from public health threats, and access high- quality, culturally respectful health care. HMD Mission In partnership with the Cherokee community, the Health and Medical Division works to improve the health of individuals, families and the community through disease prevention, health promotion and protection from public health threats.

3. Spring 2013 Community Survey 795 eligible surveys Enrolled members age 18 and over Tribe represented across age groups and communities. More women responded than men. Thank you to everyone who completed a survey, and who distributed and collected them!

4. Comments: Satisfied with quality, access to care and medications, providers positive attitudes, respect, improvements, well-run.

5. Love, support, spending time with family/friends Satisfying Job/school and financial sustainability Receiving care (surgery& medicine) Quality of Life: Top 3 Positive Impacts

6. Personal health problems Family/home life stress/problems with personal relationships(family/ spouse) Work stress/ employment struggles Quality of Life: Top 3 Negative Impacts

7. Biggest Concerns Individual: weight, diabetes For the future: healthy weight, diabetes & complications For the community: diabetes and complications, addiction

8. Hunger 23% ate less than they should because of lack of money or food in last year Preparedness 75% are prepared to stay home for three days without outside help

9. Approximately 60% agreed: Plenty of help in times of need Satisfied with the natural environment Cherokee culture and traditions are valued Good place to grow old and to raise children There is economic opportunity in EBCI Our Strengths

10. Key Informant Interviews 15 Community Health Leaders said: Emphasis on prevention! Priorities: School clinic Substance abuse Some community members do not have a voice Disease/ risk factors agreed with the community survey Current changes are addressing some of the issues, including access to doctors

11. Sgi for your support.