PAS updated overview slide show 2000

1

Priorities for American Indian and Alaska Native
Health
by
Charles W. Grim, D.D.S., M.H.S.A. Director,
Indian Health Service
Tribal Self-Governance Conference May 9, 2007
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Value-Driven Health Care
Health Information Technology

Personalized Health Care
Clinical quality data gathered through IHS HIT
system is shared with consumers.
Integrating case management software
RPMS-EHR deployed in 18 states
Pandemic Preparedness
Medicare Rx
AI/AN specific planning tools implemented in all
health programs
Enrolled over16,000 in Medicare Part D
Directors 3 Health Initiatives focus on
prevention implementation of chronic care model
Ensuring equitable access for AI/ANs
Medicaid Modernization
Prevention
IHS fully engaged in emergency response with
Civil Service Commissioned Corps Officers
Supporting efforts through engineering technical
assistance
Emergency Response Commissioned Corps Renewal
Louisiana Health Care System
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Tribal Self Governance Bringing innovative ideas
and approaches to addressing health disparities
and supporting IHS and HHS health priorities for
Indian people
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Secretarys Vision Value-Driven Health Care
The growth of health care costs is restrained
because consumers know the comparative costs and
quality of their health care . . . Consumers
gain control of their health care and have the
knowledge to make informed health care
decisions.
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Secretarys VisionHealth Information Technology
The medical clipboard becomes a thing of the
past . . . immediate access to accurate
information reduces dangerous medical errors and
helps control health care costs.
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IHS Resource Patient Management System

• The RPMS is an integrated health information
  system that
• Supports quality patient care
• Helps evaluate personal and population health

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Secretarys VisionMedicare Rx
Medicare Part D is streamlined and improved to
better connect people with their
benefits. www.pharmacyissues.ihs.gov
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Secretarys Vision Medicaid Modernization

• Help provide coverage to millions of people who
  are not covered now.
• Flexible benefits and incentives are tailored to
  meet individual needs.

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• Medicare/Medicaid and the IHS
• Working Relationship with CMS
• TAG Group
• Medicare-like Rates

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Secretarys Vision Medicaid Modernization
Seniors and people with disabilities have access
to care in their homes and communities.
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The IHS Vision for Long-Term Care

• It is essential that we develop the services to
  support Elders so they can remain with their
  families and communities.

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Secretarys VisionLouisiana Health Care System

• "The Louisiana Health Care Redesign
  Collaborative strives to build an efficient 21st
  century healthcare system implementing
  technology, transparency, emergency preparedness
  and greater personal healthcare choices.

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Secretarys Vision Emergency Response
Commissioned Corps Renewal
We have learned from the past and are better
prepared for the future.
We have a Commissioned Corps that is bigger,
better trained, and deployable.
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Secretarys VisionPrevention
Individual health care is built on a foundation
of responsibility for personal wellness, which
includes participating in regular physical
activity, eating a healthful diet, taking
advantage of medical screenings, and making
healthy choices to avoid risky behaviors.
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The Path to Wellness Includes Exercise
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Focus on Increasing Nutrition Services
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Priority Promoting Medical Screening
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Prevention and Behavioral Health

• Suicide Prevention
• Suicide rates are from 1.5 to 3 times higher for
  American Indians and Alaska Natives (AI/AN).
• Suicide is the second leading cause of death for
  AI/AN youth ages 15 24 yrs.

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Prevention and Behavioral Health

• Alcohol/Substance Abuse
• AI/ANs are about 1.5 times more likely to abuse
  alcohol or use illicit drugs.
• AI/ANs have the highest rate of tobacco abuse of
  any group in the U.S.

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(No Transcript)
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IHS and Prevention
Effective prevention programs

• Require the input of the American Indian and
  Alaska Native people
• Build on the strengths and assets of Indian
  people, families, and communities

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IHS Partnerships

• Veterans Health Administration
• Within HHS CDC, SAMHSA, NIH, ANA, ACF/Head
  Start, AHRQ
• NCAI and the Boys and Girls Clubs of America
• UNITY
• MAYO Clinic
• Harvard University
• NIKE
• Johns Hopkins and NFL - Native Vision
• Health Canada

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Partnering with the Institute for Healthcare
Improvement

• The IHI provides a network of expertise and
  knowledge to improve health care worldwide.
• The IHI is working with IHS on
  implementing and evaluating the
  Chronic Care Initiative.

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Secretarys Vision Pandemic Preparedness
The United States is better prepared for an
influenza pandemic . . . planning and
preparedness encompasses all levels of government
and society.
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IHS Pandemic Influenza Planning

• Supports national and HHS plans
• Builds upon existing IHS emergency planning
  efforts
• Is included in the HHS operational plan
• Each IHS Area has developed local plans
• The IHS Pandemic Influenza planning workbook
  will assist local planning efforts

http//www.pandemicflu.gov/
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Mass Vaccination Exercise
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Secretarys VisionPersonalized Health Care

• Health care is tailored to the individual.
• Prevention is emphasized.
• Discovery and innovation move drugs to the market
  and to medical practice faster and at lower cost.

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HHS Priorities and the IHS Mission Working
together to eliminate health disparities among
American Indian and Alaska Native people.

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Self-Governance

• Tribal Consultation
• Innovation and Collaboration
• Education and Outreach
• Title V Implementation
• Better Business

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THANK YOU !!!

• For 10 Years
• Of Dedicated
• Public Service
• Paula K. Williams
• Director, OTSG
• 1996 - 2006

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For More Information
HHS Priorities http//www.hhs.gov/secretary/prior
ities Directors Initiatives http//www.ihs.gov/
NonMedicalPrograms/ DirInitiatives/ Tribal
Self-Governance Program http//www.ihs.gov/NonMed
icalPrograms/SelfGovernance