1. Indian Health Service Portland Area Director’s Update
Dean M Seyler - Area Director
August 9, 2016
NPAIHB Quarterly Board Meeting
Suquamish Casino Resort
Suquamish WA

2. Indian Health Service Portland Area
New Staff:
LCDR Kathi Murray, MS, RDN, CDE – Area Diabetes Consultant
FY18 Budget Formulation (Area Meeting)
Date – November 29th
Location – Portland
CAPT Ann Arnett, Executive Officer
Andy Joseph and Steve Kutz – Tribal Reps to National Meeting

3. Indian Health Service Portland Area
Mandatory Seasonal Influenza Immunizations for Civilian Health Care Personnel
Policy applies to all Civil Service employees, contract staff, temporary employees, students and volunteers whose duties and responsibilities require them to work permanently, temporarily or occasionally in an IHS health care facility (hospital, clinic or health station) regardless of their job category or level of patient contact (definition of Health Care Personnel [HCP])
Must provide acceptable documentation substantiating influenza vaccine receipt or request for exemption by October 31
Two forms of exemption considered: 1) Medical 2) Religious

4. Indian Health Service Portland Area

5. Indian Health Service Portland Area
Portland Area Recognized for Achievement in Adolescent Immunizations
Received at the National Immunization Conference, September, 2016
Tdap/Td 95.1%
Meningococcal 91.4%
1 dose Human Papilloma Virus (HPV) 81%
85.4% (Females) 77.0% (Males)
New Adult Immunizations Measure for GPRA
Testing and validation conducted by NWTEC with IHS and Tribal sites in Portland Area and two other IHS Areas
Developmental measure for
Will be implemented in

6. Indian Health Service Portland Area
FY16 CHEF Balance – $13,177,538*
1.6 million submitted for Portland Area
$1.3 million approved and returned
PRC Area Risk Pool Conference Call
November 8, 2016
10AM
sent to six Tribal Health Directors
* As of September 30th

7. Indian Health Service Portland Area
Maximum Supportable Space (MSS)
Approved IHS Program Space is Used to Determine the Share of Maintenance & Improvement (M&I) and Equipment (EQ) Funds.
Each Program Has an Established Maximum – MSS
PAO Division of Health Facilities Engineering (DHFE) Has Identified an Approach that May Increase the Established MSS, Potentially Increasing the Share of M&I and EQ Distributed to Programs Currently Over Their MSS.
In FY 2017, PAO/DHFE Plans To:
Analyze Current Space Records for All Tribal Health Programs with Retained Shares.
Notify Programs that May Benefit From This Process to Increase MSS.
Work with the Identified Programs to Increase Their MSS.
In FY 2018, Subject to Workload and Resource Availability, There May Be Buy-Back Opportunities for Tribes Who Have Taken Their Shares to Follow This Process.

8. Indian Health Service Portland Area
Government Performance and Results Act (GPRA)
GY measures
Four new measures:
Statin Therapy to Reduce CVD Risk with Diabetes
Influenza Vaccination Rates Among Children (6 mo-17 yrs)
Influenza Vaccination Rates Among Adults (18 and older)
HIV Screening Ever (13-64 years old)
Two revised indicators:
FAS Prevention (alcohol screening)- Age range expanded to females years.
DV/IPV Screening- Age range expanded to females14-46 years.

9. Indian Health Service Portland Area
Government Performance and Results Act (GPRA)
GY 2016 Results (24 measures)
National- Results pending
Portland (Federal & Tribal)- Met 15 measures

10. Indian Health Service Portland Area
Government Performance and Results Act (GPRA)
Portland Area GPRA Reporting Sites
Federal- Colville, Ft. Hall, Warm Springs, Wellpinit, Western Oregon, Yakama
Urban- NARA, Spokane NATIVE
Confederated Tribe of the Chehalis Reservation
Nooksack Indian Tribe
Quinault Indian Nation (Roger Saux Clinic)
Confederated Tribes of the Colville Reservation (Inchelium Clinic)
Shoalwater Bay Indian Tribe
Cow Creek Band of Umpqua Tribe of Indians
Skokomish Indian Tribe
Snoqualmie Tribe
Cowlitz Indian Tribe
Squaxin island Tribe
Lower Elwha Klallam Tribe
Swinomish Indian Tribal Community
Lummi Nation
Tulalip Tribes
Makah Tribe (Sophie Trettevick Clinic)
Confederated Tribes of the Umatilla Indian Reservation (Yellowhawk Clinic)
Muckleshoot Indian Tribe
Nez Perce Tribe (Nimiipuu Clinic)

11. Indian Health Service Portland Area

12. Indian Health Service Portland Area
Government Performance and Results Act (GPRA)
GY 2016 Results (24 measures)
National- Pending
Portland (Federal & Tribal)- Met 15 measures
Portland (Federal Only)- Met 19 measures
Western Oregon- 5th year in a row
Warm Springs & Colville- Met 23 of 24 measures

13. Indian Health Service Portland Area

14. Indian Health Service Portland Area
Fall 2016 Portland Area Clinical Director’s Meeting
October 27-28, 2016
Warwick Hotel, Seattle, WA
Topics:
CDC Opiate Prescribing Guidelines
Addressing Childhood Obesity
Salish Integrative Oncology Center
VA-IHS Collaboratives
Integrating Environmental Health into Clinical Practice
Use of an ECHO Model for Hepatitis C Case Management

15. 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.