1. Alaska Native People Shaping Healthcare

2. Objectives To find out what everyone is doing with Electronic Medical Records (EMR) To find out what Regional CEO’s direction is with EMR

3. Alaska Native People Became Owners of their Healthcare System Self Governance Alaska is the only state tribes have assumed all contractible services from IHS

4. SCF 2009 Corporate Objectives Reduce the rate of Domestic Violence, Child Abuse and Neglect. Reduce the rate of preventable cancers and improve the management of cancer. Reduce the incidence of suicide. Reduce the rate of obesity. Reduce the rate of substance abuse. Reduce the rate of and improve the management of diabetes. Improve oral health. Reduce the rate of and improve the management of cardiovascular disease.

5. EMR Data Decrease in ER/Urgent Care over 40% Decrease specialty care by about 50% Decrease in primary care visits by 20% Decrease in admissions and days by 30% Segment need and behavior

6. EMR Data Monitor health outcomes, customer and staff satisfaction Monitor costs - 5% of user population generates over 30% of total costs

9. Native ownership begins

13. Excludes Newborns and Delivery Moms and Length of Stay must be more than 1 day Native ownership begins

14. Excludes Newborns and Delivery Moms. Denominator PCP patients includes non-village patients with visit during past two years. Includes LOS >1 day only to adjust for introduction of “Observation Hospitalization”.

17. HIV Care

18. Customer Satisfaction

19. Discussion topics  Isolated data systems do not allow for adjustment to differences in user groups  Costs associated with redundant work  Costs of care transfers between programs  Inability to quantify impact of mobile population and is use across the state

20. Opportunities Funds allocated for EMR at the Indian Health Service Director Level Collaborative ways for Alaska Native health organizations to connect systems

21. Next Steps Meet again on this topic  When?  Where?

22. Thank You!