1. Dean M Seyler - Area Director October 27, 2015 NPAIHB Quarterly Board Meeting Wildhorse Casino

2. Governing Board Meetings  All Six Service Units  Bi-annual – Department Best Practices  Future Presentations At QBM  All Five DST Councils invite To Every Meeting IHS Director’s Listening Session  Corrective Action Plan  Expect To Hear From Mr. McSwain

3. Public Health Service Update  Transition of HR Support to Coast Guard.  No New Orders after November 13 th Through January 1 st  New Commissioned Corps Liaison For Portland Area  Commissioned Officers Effective Report (COER) Deadlines

4.  Office of the Assistant Secretary for Planning and Evaluation Site Visit  November 4 th,5 th, 6 th  Deputy Assistant Secretary for Health Policy  Associate Deputy Assistant Secretary for Health Policy  Senior Program Analyst  Site Visit Locations:  NARA  Siletz Tribal Health Care Program  Western Oregon Service Unit

5.  PUBLIC HEALTH EMERGENCY MANAGEMENT  Emergencies/Disasters, 2015  Northwest Drought and Wildfires  Roseburg Shooting Incident  IHS Actions  Tribal inclusion on State and Federal declarations  Provided technical assistance and expertise  Critical medical supplies, public and behavioral health services and environmental equipment to impacted Tribes  FY16 INITIATIVES  Injury Prevention Projects  Environmental Health Program Capacity Development  Study of Environmental Exposures in Child Care Settings

6.  CHEF Balance Remains at 4 Million as of 10/23/15  59 PA CHEF Cases Submitted & 16 Amended Cases  $2,469,211.33 submitted for reimbursement  $1,704,802.00 funded thus far  New CHEF guidelines will be released mid-November  Webinar will be scheduled by the Area PRC Manager  ICD10  Roll-out October 1, 2015  Minimal issues so far

7.  ICD10  Roll-out October 1, 2015  Minimal issues so far  CMS Certified Coder Training Aug 3-14  25 I/T/U in attendance  FOIA Data Base  16 Tribal RPMS Sites (for ICD10 Prep)  PCC& CHS (anything that touches a diagnosis code)  28 EHR Sites:  Patches 14, 15, & 16 loaded  47 additional add on patches uploaded in September  Completed 25 Sites so far 3 remaining To Reform the IHS

8.  Portland Area Facilities Advisory Committee (PAFAC)  Developing a Project Proposal that Demonstrates Readiness for Implementation.  Location  POR/PJD/Business Plan  Tribal Support.  The PAFAC is Meeting Regularly and Developing Recommendations to Strengthen the Project Proposal.

9.  Fall 2015 Portland Area Clinical Director’s Meeting  November 5-6, 2015  Northwest Portland Area Indian Health Board (NPAIHB)  Spring 2016 Portland Area Clinical Director’s Meeting (tentative)  April 7-8, 2016 in Portland  Follows the NPAIHB Clinicians Cancer Update (April 6, 2016)  IHS Essential Training on Pain and Addiction  Repeat virtual session offered Nov. 18, 2015 at 8:00 am PT Connection Information Go to: http://ihs.adobeconnect.com/painandaddiction/http://ihs.adobeconnect.com/painandaddiction/ Select the “Enter as a Guest” option Enter your name, first and last, with designation in the box designated Name (ex: Jane Doe, MD). Enter the passcode : addiction Click on the “Enter Room” button

10.  Special Diabetes Program for Indians (SPDI)- FY2016  Diabetes Prevention and Healthy Heart grants have ended.  Funding for “Data Grants” will be an Area-level decision.  Funding has been reallocated to existing programs.  Urban Projects- $1 million increase  Community-Directed Grants- $25,552,678 increase  Portland Area- $1,198,021 increase ($6,932,564 total)  National funding formula remained the same, though with more recent data on User Population (2012) and disease burden (prevalence).  Selected grantees will be announced in December.  Portland Area Funds Distribution

11.  FY18 Budget Formulation Meeting  November 10, 2015  Embassy Suites at Portland Airport  Area Office Staffing Update  Selected Area Dental Officer-withdrew acceptance  Martha Young retired effective Sept 30th  Area Diabetes Officer –expect advertisement within next six months

12. 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.