AAIP Members Meet with NIHB and GPTCHB Chairmen's

Posted by AAIP News on 08/31/2016
PRESS RELEASE 
  
FOR IMMEDIATE RELEASE 
August 29, 2016 
  
Contacts:  
Stacy A. Bohlen  (202)-507-4070 
Jerilyn Church    (605) 721-1922 
  
  
National Indian Health Board and Great Plains Tribal Chairmen's Health Board Meet to Discuss New Strategies  to Improve Health Systems for American Indians and Alaska Natives 
  
RAPID CITY, SD - Today, the National Indian Health Board (NIHB) and Great Plains Tribal Chairmen's Health Board (GPTCHB) met in a historic joint  meeting to discuss Health Systems Improvement for American Indians and Alaska Natives (AI/ANs). The meeting was called after a series of reports by the Centers for Medicare and Medicaid Services (CMS) found that certain facilities in the Great Plains Area  of the Indian Health Service (IHS) are providing substandard care and failing to live up to the federal trust responsibility for health. Specific topics covered included how to increase the number of Native physicians in the workforce, ways to restructure  the IHS in the Great Plains Area, increasing funding to the IHS, moving from direct service models to self-governance models of healthcare and ways to leverage existing relationships and federal Tribal advisory committees like the Secretary's Tribal Advisory  Committee to get additional federal resources to Tribes. 
  
NIHB Chairman Lester Secatero (left) and GPTCHB Chairman Roger Trudell (3rd from left)  meet with Drs. Brian  Thompson (2nd from left) and Gerald Hill (right) during the joint board meeting. 
During the meeting, participants heard presentations from the Association of American Indian Physicians (AAIP); the Veterans Administration; and  Tribal self-governance experts.  In the morning, Gerald Hill, MD (Klamath/Paiute) immediate past President of AAIP, stressed the need to improve health systems by encouraging more AI/AN young people to attend medical school. He cited statistics from IHS that  there is a 34% vacancy rate for physicians and 26% vacancy rate for dentists at IHS. This situation "makes it nearly impossible to run a quality health program anywhere," he said.  Dr. Hill adamantly stated that instead of continuing the same failed recruitment  policies they have been employing for the last 30 years, IHS should more aggressively recruit young people in Indian Country. This means providing more scholarships for Native youth and building up direct support from Tribal governments for their young people  to go into medicine. "No one will take better care of our own people, than our own people," said Brian Thompson, MD (Oneida) a member of the AAIP board of directors. Dr. Thompson also shared the alarming statistic that only 20 American Indian and Alaska Natives  graduated from medical school in 2015. That number was down from already alarmingly low numbers of 26 and 25 American Indian and Alaska Native medical school graduates in 2013 and 2014, respectively.  
  
Don Warne, MD (Oglala Lakota), Chair of the Department of Public Health at North Dakota State University presented a model for the regionally restructuring  of the entire Great Plains Area based on the framework utilized by the Alaska Native Tribal Health Consortium. He noted from his time working at IHS that the system failed to encourage creativity or innovation, making it more complicated to deliver quality  care under the unique circumstances in Tribal communities. The alternative framework he presented empowers Tribes to overcome these challenges. 
  
NIHB Great Plains Area Representative Patrick Marcellais discusses health priorities at the joint meeting. 
Michael Davies, MD, Director of Systems Redesign at the Veterans Health Administration (VHA) detailed the ways that VHA has reformed its culture  and infrastructure since recent crises at the agency demanded dramatic improvement in quality care and patient satisfaction. NIHB Great Plains Area Representative, Patrick Marcellais encouraged the VHA to talk to IHS and collaborate on ways to improve patient  health outcomes and leverage federal resources. 
  
The board members also heard from Larry Factor, the Seminole Self Governance Administrator at the Seminole Nation of Oklahoma, who described difficulties  getting information from the IHS as the Seminole Tribe explored self-governance. "If we're truly going to be treated as government-to-government we should be equals and be at the table," he said. 
  
Jerilyn Church, Chief Executive Officer of the Great Plains Tribal Chairmen's Health Board, said, "We need to support both Self Governance Tribes  and Direct Service Tribes. We need to hold IHS accountable to provide us with the correct information to make good decisions." 
  
"NIHB has been standing with the GPTCHB and Tribes in the Area for more than a year to get a handle on this health care crisis. Today was another  important step in affirming our unity and resolve to realize improved health care quality for our people," said NIHB Executive Director Stacy A. Bohlen. "Whether a Tribe exercises their sovereignty through self-governance compacts or contracts or they receive  healthcare directly from IHS, NIHB will be here to support them and to fight for the necessary resources for American Indians to realize the quality health care that is their right." 
  
  
Founded in 1972, NIHB is a 501(c) 3 not for profit, charitable organization providing health care advocacy services, facilitating  Tribal budget consultation and providing timely information, and other services to all Tribal governments.  NIHB also conducts research, provides policy analysis, program assessment and development, national and regional meeting planning, training, technical  assistance, program and project management.  NIHB presents the Tribal perspective while monitoring, reporting on and responding to federal legislation and regulations.  It also serves as conduit to open opportunities for the advancement of American Indian  and Alaska Native health care with other national and international organizations, foundations corporations and others in its quest to build support for, and advance, Indian health care issues. 
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