Building a Strong Relationship with Tribal Leadership

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Building a Strong Relationship with Tribal
Leadership

• Susan Karol, MD, FACS
• Chief Medical Officer, IHS

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Learning Objectives

• List at least two strategies that IPC teams have
  utilized to effectively engage their Tribal
  Leaders in the transformational work of IPC
  occurring at their facility.
• Identify common communication challenges of
  communication efforts with Tribal leadership and
  discuss successful and/or identify potential
  mitigation efforts for dealing with those
  identified challenges.
• Develop an effective communication approach or
  build upon existing approaches towards sharing
  meaningful information and progress updates about
  IPC, between the facility and Tribal Leaders so
  they remain actively engaged.

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IHS Priorities

• Renew and strengthen our partnership with Tribes
• Bring reform to the IHS
• Improve the quality of and access to care
• Ensure that our work is transparent, accountable,
  fair, and inclusive

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IHS Priorities

• Renew and Strengthen our Partnership with Tribes
• Current consultation in progress regarding
• How to improve the tribal consultation process
• How to improve Contract Health Services (CHS)
• Priorities for health reform/IHCIA implementation
• FY 2013 Budget
• VA IHS MOU implementation
• How to improve the IHCIF Data/Formula
• SDPI extension and distribution
• TEC data sharing agreement

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IHS Priorities

• Renew and Strengthen our Partnership with Tribes
  continued
• Topics for upcoming consultations
• Facilities construction
• Long-term care
• Improving quality
• Area listening sessions
• Tribal delegation meetings
• Tribal organizations, advisory groups/workgroups

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Discussion Topics

• How do you currently communicate with Tribal
  leadership?
• What has been successful and what has been
  challenging?
• Can you think of any mechanisms or approaches to
  mitigate the challenges?

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Discussion Topics

• Can you think of additional opportunities or ways
  for interaction and interface?
• How could you improve the current approaches to
  be more meaningful and valuable to all?
• What kind of information do you think would be of
  interest to Tribal leaders?
• What kind of feedback would you like to receive
  if possible?

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Division of Behavioral HealthSuccessful
Partnerships

• National Tribal Advisory Committee (NTAC) key
  roles
• Provide recommendations and advice
• Behavioral health issues
• Funding allocations
• Programs
• Long term strategic plans

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Division of Behavioral Health Successful
Partnerships

• Behavioral Health Working Group Key Roles
• Provide technical advise to DBH
• Advise on Agency Priorities
• Advise and recommend programs, services, and
  intervention models
• Assist with long-term strategic planning
• Collaborate with NTAC

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Division of Behavioral Health Successful
Partnerships

• Methamphetamine and Suicide Prevention Initiative
  (MSPI)
• Domestic Violence Prevention Initiative (DVPI)

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Tribal Leaders Diabetes Committee(TLDC) A
Successful Partnership

• Began in 1997
• Initially consulted on how to distribute grant
  funds
• Active for 14 years
• Ongoing dialogue between IHS and Tribal
  leadership on diabetes-related health issues

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TLDC A Successful Partnership

• Clear expectations
• Mutual honesty re what is on the table?
• Representation on TLDC
• Considered true tribal consultation
• TLDC Charter

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TLDC A Successful Partnership

• Key TLDC roles include
• Leadership in the Tribal consultation process
  regarding funds distribution
• Building awareness about diabetes in AI/AN
• Educating Congress
• Information to Area Tribes
• Guidance to IHS and other Agencies to assure
  cultural values are incorporated
• Defining a role for states
• Building new partnerships with Agencies and
  national organizations HRSA, CDC, NIH, AHRQ,
  USDA, ADA AADE, JDRF

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TLDC A Successful Partnership

• Key IHS roles include
• Encourage SDPI grantees to contact local TLDC
  representative
• To share stories and progress
• Share information
• Get assistance with challenges
• Provide SDPI resources to TLDC members
• Provide logistical support for TLDC members

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THANK YOU!