Agenda

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  • Monday, September 16, 2019
  •  
    7:00 AM  -  8:00 AM
    Alaska Area Caucus
    Coyote
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Albuquerque Area Caucus
    Manzanita
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Bemidji Area Caucus
    Rabbit
     Optional  Closed 
    7:00 AM  -  8:30 AM
    Billings Area Caucus
    Deer
     Optional  Closed 
    7:00 AM  -  8:00 AM
    California Area Caucus
    Bear
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Great Plains Area Caucus
    Tule
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Nashville Area Caucus
    Sumac
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Navajo Area Caucus
    Cottonwood
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Oklahoma City Area Caucus
    Fox
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Phoenix Area Caucus
    White Sage
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Portland Area Caucus
    Elderberry
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Tucson Area Caucus
    Mountain Lion
     Optional  Closed 
    8:30 AM  -  11:30 AM
    Tribal Dental Therapy Advocates Meeting
    Bear
    Forum for frank discussion of challenges and opportunities in the Tribal dental therapy space in the coming year. This event is open to all attendees interested in Tribal dental therapy
    Presenter:
     Optional  Closed 
     

    Listening/Consultation Session

    8:30 AM  -  11:30 AM
    Health Resources and Services Administration
    Summit D
    The Health Resources and Services Administration (HRSA) is hosting a consultation session with Tribal representatives in recognition of the government-to-government relationship, and to hear about Tribal health priorities.
     Optional  Closed 
     

    Free Pre Conference Sessions

    9:00 AM  -  11:00 AM
    Data for Planning, Policy and Grant Writing
    Elderberry
    The goal of the institute is to give attendees the ability to gather data relevant to Indian health, and to process the data in easy to understand formats for grant writing, planning, and reporting. Questions like: How to find data relevant to Indian Health? What data do we need? Where is the data? and How do we get the data? will all be addressed. The institute will also discuss compiling data for grant applications, reports; and provide an example of a grant application data element section. The institute will speak to how to prepare tables and chart, data visualizations, and ensuring that they are understandable to readers.
    Speaker:
     Optional  Closed 
    9:00 AM  -  5:00 PM
    Strategic Planning, Performance Management, and Public Health Accreditation Workshop
    Coyote
    This hands-on institute will introduce attendees to tools and methods for performance improvement in their health services. Part one of this institute will discuss developing an integrated strategy and performance management system. This work session represents a dramatic shift in how strategic plans are developed and integrated with your performance management system. In the past decade, there has been an emergence of specialized strategy and performance management online applications designed to address the weakness of binders, excel spreadsheets and word documents. In this hands-on work session, you will learn how to streamline your planning process and simplify how goals are tracked. Key topics include: • Assessing your readiness to develop and implement good strategy and accreditation requirements • Building Psychological Safety as a foundation of employee engagement and breaking down silos • Creating organizational focus – scoreboards and strategic priorities • One page strategic planning – tools for creating transparency and accountability • Streamlined methods for cascading strategy • Incorporating the 5 Drivers of Strategy Execution – project management, process improvement, organizational design, policy develop and work culture • Effective action planning and accountability systems Part two of this institute will focus on public health accreditation, and understanding how the nationally recognized standards can be used to improve performance for your public health services. You will learn what public health accreditation is, how to read the Public Health Accreditation Board (PHAB) Standards and Measures effectively, and how to assess your own agency’s capacity to meet these standards. Various tools that can be used for performance improvement in public health will be discussed, including tying in strategic planning and performance management, as well as other common tools such as Tribal health assessments, improvement plans, and quality improvement projects.
     Optional  Closed 
    9:00 AM  -  11:00 AM
    Strengthening the Tribal Behavioral Health Workforce through Professional Development
    Cottonwood
    The SAMHSA-funded Addiction, Mental Health, and Prevention Technology Transfer Networks each have 10 regional centers, a national coordinating center, and 2 national focus centers (American Indian/Alaska Native and Hispanic/Latino), totaling 39 centers. The Pacific Southwest (Region 9) TTCs assist the workforce in implementing culturally-informed, evidence-, experience-, and knowledge-based interventions. This workshop will describe the National and Regional TTC Networks, detail services specifically for Tribal communities, and explain how to access training/technical assistance. Descriptions and demonstrations of select services available in Region 9 will be provided, including an interactive case-based learning approach to help providers gain comfort delivering culturally-informed, medication-assisted treatment (MAT ECHO). Participants will learn how to use the Gathering of Native Americans (GONA) principles to implement the Strategic Prevention Framework. Presenters will also describe how to access leadership development/support for clinical supervisors, resiliency training, and individualized technical assistance for topics such as opioid addiction and prevention.
     Optional  Closed 
     

    Listening/Consultation Session

    10:30 AM  -  12:30 PM
    Intradepartmental Council on Native American Affairs
    Summit E
    The Intradepartmental Council on Native American Affairs (ICNAA) is hosting a listening session with Tribal representatives to share the purpose and scope of work of ICNAA, and to discuss Tribal health priorities.
     Optional  Closed 
    12:30 PM  -  2:30 PM
    Joint Indian Health Service/Department of Veterans Affairs
    Summit D
    This joint Indian Health Service/Department of Veterans Affairs consultation session is intended to discuss the inter-agency memorandum of understanding (MOU) regarding reimbursement for health care provided to American Indian and Alaska Native Veterans.
     Optional  Closed 
     

    Free Pre Conference Sessions

    1:30 PM  -  4:30 PM
    Tribal Behavioral Health Agenda Training
    Cottonwood
    The National Tribal Behavioral Health Agenda (TBHA) was created from a concerted effort among Tribal leaders serving on the Tribal Technical Advisory Committee of the Substance Abuse and Mental Health Services Administration (SAMHSA) about the critical need for Native-specific behavioral health interventions in Tribal and Urban communities. In response, SAMHSA partnered with the Indian Health Service, and Tribal and Urban leaders to develop the first-ever blueprint for elevating American Indian and Alaska Native (AI/AN) behavioral health outcomes. This blueprint examines AI/AN behavioral health issues from a culturally competent and comprehensive vantage point, taking into careful consideration the nuances behind behavioral health issues across Tribal and Urban communities. It advances policy and programmatic recommendations that promote self-determination. This training will provide an in-depth analysis of the various components of the TBHA, including an assessment of its strategies and priorities. This information will then guide discussions around utilization of the TBHA during strategic planning efforts and other behavioral health programming of current Tribal Opioid Response Grantees. By the end of this training, participants will be able to: • Identify the 5 foundational elements of the TBHA • Explain the role of the TBHA in Tribal behavioral health programming and policymaking • Draft a strategic plan that is responsive to community needs • Incorporate the TBHA elements into strategic plans • Identify resources for on-going Training/Technical Assistance
     Optional  Closed 
    3:00 PM  -  4:30 PM
    Impact of Dental Therapy Law on Minnesota Tribes
    Bear
    A discussion on Minnesota's 5-year old dental therapy law and it's impact on Tribes in the state. This meeting is open to all attendees from the state of Minnesota.
    Presenter:
     Optional  Closed 
     

    Listening/Consultation Session

    3:00 PM  -  5:00 PM
    Centers for Medicare and Medicaid Services
    Summit D
    The Centers for Medicare and Medicaid Services (CMS) is hosting a listening session with Tribal representatives to discuss CMS programs and services of relevance to Tribes.
     Optional  Closed 
     
    6:00 PM  -  8:00 PM
    Opening Reception
    Summit Foyer
    Please join us for an opening reception to the 2019 National Tribal Health Conference, graciously hosted by the California Rural Indian Health Board.
     Optional  Closed 
  • Tuesday, September 17, 2019
  •  
    7:00 AM  -  8:00 AM
    Alaska Area Caucus
    Coyote
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Albuquerque Area Caucus
    Manzanita
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Bemidji Area Caucus
    Rabbit
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Billings Area Caucus
    Deer
     Optional  Closed 
    7:00 AM  -  8:00 AM
    California Area Caucus
    Bear
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Great Plains Area Caucus
    Tule
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Nashville Area Caucus
    Sumac
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Navajo Area Caucus
    Cottonwood
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Oklahoma City Area Caucus
    Fox
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Phoenix Area Caucus
    White Sage
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Portland Area Caucus
    Elderberry
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Tucson Area Caucus
    Mountain Lion
     Optional  Closed 
     

    Plenary

    8:30 AM  -  12:10 PM
    Opening Plenary
    Summit ABC
    Please join us for the opening plenary of the 2019 National Indian Health Board, National Tribal Health Conference
     Optional  Closed 
     

    Listening Session

    12:15 PM  -  1:15 PM
    Indian Health Service Listening Session
    Summit D
    Indian Health Service listening session on improving the quality and accessibility of health services for American Indians and Alaska Natives.
     Optional  Closed 
     
    1:30 PM  -  3:00 PM
    Addressing California's Opioid Crisis in Indian Country
    White Sage
    The opioid epidemic is one of the biggest challenges facing America's healthcare system today and is disproportionately affecting AIAN people in both Tribal and Urban Indian environments. Access to culturally responsive resources and MAT services is one of the major contributors to the problem. To address this crisis, California's Department of Health Care Services has brought together a multi-disciplinary team in the Tribal MAT Project. The role of the California Consortium for Urban Indian Health (CCUIH) and the California Rural Indian Health Board is to support this effort by: (1) assisting CA’s Indian Health Programs in the development or expansion of OUD prevention, treatment, and/or recovery services; (2) supporting the development of and participation in local opioid safety coalitions; (3) providing opioid overdose reversal trainings and distributing NARCAN Nasal Spray; (4) developing and distributing materials for a culturally specific prevention and stigma reduction campaign; and (5) increasing access to quality data on substance use. Many Indian Health Programs have developed their own plan for addressing the epidemic that is specific to their community. We will share some of these specific strategies. What is true for all our communities, however, is that there must be a unified response to stigma around opioid use disorder and MAT. Presentation will also include brief naloxone training.
     Optional  Closed 
    1:30 PM  -  3:00 PM
    An Update on the Medicare Diabetes Prevention Program (MDPP) and Supplier Enrollment and Requirement
    Cottonwood
    A Tribal panel discussion may be included pending availability of tribal leaders to discuss their programs. A comparison of the impact of the Indian Health Service’s Special Diabetes Program for Indians, CMS’ MDPP and the Medicaid Diabetes Prevention Services including billing and reimbursement updates will be done. This presentation will also include an MDPP Supplier Enrollment and Requirements overview along with the latest in Medicaid Diabetes Prevention Services.
    Presenter:
     Optional  Closed 
    1:30 PM  -  3:00 PM
    Implementing Care Coordination Agreements in the I/T/U System
    Bear
    This workshop will share information and best practices to assist IHS, Tribal, and Urban Indian health care facilities in implementing the 100% Federal Medical Assistance Percentage (FMAP) rate under Section 1905(b) of the Social Security Act. The FMAP is 100% for state expenditures for American Indian/Alaska Native (AI/AN) Medicaid beneficiaries for covered services provided directly by IHS/Tribal providers and also to services provided by non-IHS/Tribal providers pursuant to terms of a care coordination agreement between an IHS/Tribal facility and the non-IHS/Tribal provider, which includes Urban Indian Organizations. Establishing care coordination agreements can enhance service referrals for Medicaid-eligible AI/AN recipients receiving care through IHS/Tribal providers, increasing access to care, strengthening continuity of care, and improving their overall health.
     Optional  Closed 
    1:30 PM  -  3:00 PM
    Quality Improvement at IHS
    Elderberry
    This session will cover current efforts to improve the quality of health care provided at the Indian Health Service and the Indian Health Service quality framework.
    Presenter:
     Optional  Closed 
    1:30 PM  -  3:00 PM
    Share Your Story: Health is Precious – Protect it with Health Care Coverage
    Coyote
    NIHB is collecting stories as part of a larger story banking campaign. NIHB invites attendees to come share and hear inspirational stories of American Indian and Alaska Native individuals achieving and sustaining health through the variety of health coverage options. These include: health insurance coverages such as Medicaid, Medicare, Health Insurance Marketplace and the Children’s Health Insurance Program (CHIP). With all the changes in the current health care environment, highlighting the importance of a wider focus of health care impacts at the policy level for American Indians and Alaska Natives is relevant more than ever. These stories will be used to determine focal points for future efforts, support advocacy efforts, and enhance outreach materials. So please come and share with us your experiences.
    Presenter:
     Optional  Closed 
    1:30 PM  -  3:00 PM
    Update on Indian Medicaid Legislative Priorities
    Fox
    Tribal leaders are proposing a set of amendments to the federal Medicaid law that will provide greater access to and responsiveness of the Medicaid program for the Indian health system, while at the same time reducing regulatory burdens and costs on the States. The amendments are designed to provide equal access to Medicaid resources for Indian health programs and American Indians and Alaska Natives (AI/ANs) across all States. This workshop will provide an overview of proposed amendments, an update on legislative strategy, and an overview of how to get involved in supporting the initiative.
     Optional  Closed 
    1:30 PM  -  3:00 PM
    Utilizing Federal Funds to Identify and Address Housing Related Health Hazards in Tribal Housing
    Manzanita
    There is a strong correlation between housing hazards and the health of occupants. Addressing those hazards needs to be done in a comprehensive, holistic manner to have the most benefit to the health of those most vulnerable specifically the elderly and children with pre-existing health conditions. This workshop will provide an overview of housing hazards addressing health as well as provide training on the 8 Principles of a Healthy Home. In addition to providing a workshop on identifying and addressing potential healthy homes hazards, we will also provide an overview of Federal Funding available to address healthy housing hazards in Tribal Housing. We will include "real-life" briefings on the Federal Funding from existing OLHCHH Tribal grantees.
    Presenter:
     Optional  Closed 
    3:30 PM  -  5:00 PM
    Addressing Shortage of Native American Dental Providers through an Undergrad Internship Experience
    Manzanita
    Native American application to professional health care programs severely lags behind that of other under-represented minorities. Considering Dentistry alone, 10,500 students applied to dental school (DDS/DMD programs) last year; yet only 16 were Native American. This presentation explores research related to the under-representation of Native Americans in health professional schools focusing on societal, historical and institutional barriers to post-graduate professional education and introduces novel concepts to address such challenges. Participants will be introduced to The Native American Pre-Dental Student Gateway Program initiative between the University at Buffalo School of Dental Medicine and The Seneca Nation Health System that has sought to reduce this alarming disparity by introducing Native American students to careers in dentistry. This interactive workshop will demonstrate the successes, limitations and lessons learned from 3 years of multi-institutional collaboration and give participants a blueprint to create similar immersive programs with their own tribal, educational and institutional community partners. http://www.buffalo.edu/news/releases/2019/07/008.html
     Optional  Closed 
    3:30 PM  -  5:00 PM
    Cancelled- Youth Leading the Way to Healthier Communities
    Fox
    The Native Health Initiative has a core belief that youth are leaders, operating on a Positive Youth Development framework. We allow youth to lead in all levels of our organization, and have found great success in our youth to lead ambitious health projects and even run our programming. In this session, we will highlight our Healers of Tomorrow youth mentoring program for high school students interested in health careers, and our Youth Leading the Way (YLTW) project grants that allow youth to create and carry out project to improve their communities.
    Presenter:
     Optional  Closed 
    3:30 PM  -  5:00 PM
    Destigmatizing mental illness through integrated care
    Bear
    The long-standing stigma surrounding mental illness can be mitigated by successful implementation of integrated behavioral health services into primary care settings. The Choctaw Nation of Oklahoma has initiated a successful integrated care program that effectively addresses depression, suicidal ideation, and substance abuse through evidence-based screening, assessment and evaluation. Eliminating healthcare silos and encouraging collaboration between behavioral health and primary care comes with challenges . Choctaw Nation behavioral health has successfully overcome many of these challenges while also maintaining a candid evaluation of setbacks that require creative ways to maintain best practices in patient care. This presentation addresses how the Choctaw Nation continues to build cooperative partnerships among various departments to destigmatize mental illness and provide compassionate and holistic patient care. Participants will have the opportunity to learn from the successes and challenges of the Choctaw Nation Healthcare System and to identify ways they may implement strategies into their own healthcare systems.
    Presenter:
     Optional  Closed 
    3:30 PM  -  5:00 PM
    Launching an Opioid Treatment Program with a Collaborative, Tribal-led Approach
    Cottonwood
    The launch of We Care Daily Clinics (WCDC) represents a concerted, Tribal-led effort to assist people struggling with opioid (and other substance) misuse disorders towards recovery. The opioid crisis affects thousands of individuals and families, including far too many tribal citizens.. To address this widespread epidemic, Muckleshoot Tribal leaders teamed with Indigenous Pact Collaboratives (IPC). This unique partnership leveraged experience from the Muckleshoot Behavioral Health Program and years of healthcare consulting from members of IPC. Together, the group developed concepts and ideas to create a transformative clinic. This new facility supports individual pathways to recovery while also advancing public health. Opened in July 2019, WCDC harnesses Medication Assisted Treatment (MAT), behavioral health counseling, and other support services to create a holistic, person-first approach to recovery and wellness.
     Optional  Closed 
    3:30 PM  -  5:00 PM
    Medicare 101
    Elderberry
    This session will provide an overview of Medicare administration, eligibility, covered services and reimbursement for Tribal Health Programs staff and beneficiaries with a focus on specific provisions for American Indian and Alaska Natives.
    Presenters:
     Optional  Closed 
    3:30 PM  -  5:00 PM
    Mobilizing Tribal Communities to Support Tobacco Use Prevention, Reduction Policy and System Changes
    White Sage
    The smoking prevalence in California is one of the lowest in the country, with 10.1% of adults currently smoking cigarettes compared to 17.1% in the general US population. Yet, disparities in tobacco use among priority populations in California still exist. Among the adult American Indian population in California, 24.2% smoke cigarettes, which is the highest prevalence compared to other racial/ethnic populations. In 2017, through California’s Clean Air Project’s relationships built with tribal nations the California Tobacco Control Program (CTCP) held five consultations meetings with American Indian Tribes across the State from Humboldt, Mendocino, Shasta, San Diego and Riverside Counties, hosted by tribal nations on sovereign lands to identify appropriate approaches for reducing tobacco use disparities. Discussions included topics such as exposure to secondhand smoke, tribal specific media campaigns, capacity building, tobacco waste and environment, respect for Tribal sovereignty and culture, and potential funding opportunities from Prop 56. In preparation to provide funding directly to tribes, CTCP funded ETR for the American Indian Coordinating Center to work under the guidance of a Tribal Advisory Committee. This session will discuss successful research outcomes with a tribal nation in California, sharing of the data with other tribal nations, leading to policy changes on tribal lands, access to tobacco control funding and investment in tailored tribal tobacco messaging.
     Optional  Closed 
    3:30 PM  -  5:00 PM
    Understanding the Connections Between Attacks on Tribal Sovereignty and the Trust Responsibility
    Coyote
    Understanding the litigation strategies and connections behind the threats to tribal sovereignty and the trust responsibility in legal challenges to the Indian Child Welfare Act (Brackeen, et. al. v. Zinke, et. al., 04:17-cv-00868 (October 4, 2018)); State applications to the U.S. Department of Health and Human Services for demonstration projects to impose work requirements on Medicaid recipients; and the U.S. Fish & Wildlife Service’s proposed eagle feather rulemaking.
    Presenter:
     Optional  Closed 
    3:30 PM  -  5:00 PM
    VA Accomplishments and Updates
    Rabbit
    The Department of Veterans Affairs, Veterans Health Administration (VHA), Office of Community Care, joined by additional VA leadership and staff will provide updates on VA/Indian Health Service/Tribal Health Program/Urban Indian Health Program accomplishments and activities from the past year and efforts on the horizon for 2020. The focus of the discussion will include, but not be limited to: Reimbursement Agreements, Mission Act updates, opportunities and possibilities for I/T/U programs. A tribal health representative may also serve on the panel along with an Indian Health Service official.
     Optional  Closed 
  • Wednesday, September 18, 2019
  •  

    Fitness Event

    6:30 AM  -  8:00 AM
    NTHC Fitness Event: 1 mile walk run
    Journey at Pechanga
    Join us for a one-mile walk/run at the Journey golf course. Map and route to come! All attendees will receive a t-shirt, and there will be several incentive prizes!
     Optional  Closed 
     
    7:00 AM  -  8:30 AM
    Alaska Area Caucus
    Coyote
     Optional  Closed 
    7:00 AM  -  8:30 AM
    Albuquerque Area Caucus
    Manzanita
     Optional  Closed 
    7:00 AM  -  8:30 AM
    Bemidji Area Caucus
    Rabbit
     Optional  Closed 
    7:00 AM  -  8:30 AM
    Billings Area Caucus
     Optional  Closed 
    7:00 AM  -  8:30 AM
    California Area Caucus
    Bear
     Optional  Closed 
    7:00 AM  -  8:30 AM
    Great Plains Area Caucus
    Tule
     Optional  Closed 
    7:00 AM  -  8:30 AM
    Nashville Area Caucus
    Sumac
     Optional  Closed 
    7:00 AM  -  8:30 AM
    Navajo Area Caucus
    Cottonwood
     Optional  Closed 
    7:00 AM  -  8:30 AM
    Oklahoma City Area Caucus
    Fox
     Optional  Closed 
    7:00 AM  -  8:30 AM
    Phoenix Area Caucus
    White Sage
     Optional  Closed 
    7:00 AM  -  8:30 AM
    Portland Area Caucus
    Elderberry
     Optional  Closed 
    7:00 AM  -  8:30 AM
    Tucson Area Caucus
     Optional  Closed 
     

    Plenary

    9:00 AM  -  12:15 PM
    Day Two Morning Plenary
    Summit ABC
    Please join us for a morning plenary session to discuss numerous Tribal health hot topics!
     Optional  Closed 
     
    1:30 PM  -  3:00 PM
    Alaska Tribal Division of Public Assistance Outstation Project
    Fox
    Alaska’s Medicaid population is estimated to be made up of about 40% Alaska Natives/American Indians. Accessing medical care in this large demographic area is reliant on our Medicaid system of health coverage. Medicaid covers the critical element of travel in a state where there is very limited road systems. As Alaska’s Division of Public Assistance expanded Medicaid, they faced the challenge of keeping up with processing applications in a timely manner. Applications could wait over a year for any type of determination to be made. In April of 2019, the State of Alaska’s Division of Public Assistance expanded their one staff outstationed at the Alaska Native Medical Center to five staff with an MOA that would ensure all of the ANMC Campus applications would be processed on site. The goal would be to use this expanded relationship to improve the quality of applications being turned in while bringing in the processing of the applications into federal compliance timeframes. In the few months that the new process has been in place the results have been dramatic. The quality of applications has drastically reduced the pended applications. The dedicated staff and improved quality of applications has created unprecedented adjudication times.
     Optional  Closed 
    1:30 PM  -  3:00 PM
    Cancelled- A Model for Building Infrastructure, Capacity...
    White Sage
    In 2018, the Leech Lake Band of Ojibwe was awarded a Tribal Opioid Response (TOR) grant. Addressing the workforce shortages issues in the treatment of substance use disorder was the Leech Lake Band of Ojibwe’s focus. This session will discuss the collaboration between the Leech Lake Band of Ojibwe, the American Indian Public Health Resource Center and stakeholders in utilizing an indigenous evaluation model to develop, conduct and analyze a substance use disorder workforce assessment.
     Optional  Closed 
    1:30 PM  -  3:00 PM
    Health Insurance Status of Children and Young Adult (AI/ANs)
    Elderberry
    The Affordable Care Act resulted in expanded coverage for AI/AN Children and Young Adults. Important Gaps remain, however. In one analysis of youth under age 19 the evidence is that AI/AN children have the highest uninsured rate in the Nation. Young Adults age 19 to 34, have made the greatest gains in insurance coverage, but likewise remain uninsured at very high rates compared to the general population. This presentation will explore the evidence for success and failure in insuring these two age groups and explore the looming changes in the Affordable Care Act.
     Optional  Closed 
    1:30 PM  -  3:00 PM
    Health IT Modernization at IHS
    Cottonwood
    The Health Information Technology Modernization Research Project was launched by IHS and the Department of Health and Human Services Office of the Chief Technology Officer. This project intends to provide insight into Health IT solutions and is anticipated to be the first step of a multi-faceted approach to Health IT modernization at IHS.
    Presenter:
     Optional  Closed 
    1:30 PM  -  3:00 PM
    Maximizing Medicaid Reimbursement & Tribal Health
    Coyote
    The relationship between the Tribal Governments of Oklahoma and the State Medicaid agency the Oklahoma Health Care Authority (OHCA) has been mutually beneficial. This presentation will highlight the partnership between the Oklahoma Health Care Authority and Oklahoma’s tribal health care community. The discussion will include the positive impact of SoonerCare reimbursement in Indian Country that has contributed to increased revenue and access to care. Presenters will highlight specific collaborative efforts between OHCA and Tribal stakeholders that support maximum reimbursement to tribal health. New opportunities for reimbursement in Non-emergency transportation, Tribal Medicaid Match, Applied Behavioral Analysis (ABA) services, and Diabetes Self-Management Training (DSMT) will be highlighted. These are just a few examples of how tribes can continue to maximize third-party reimbursement. The attendees will understand the benefits of partnering with their state Medicaid agency and how this partnership lead to $213 million dollars in Medicaid reimbursement to Oklahoma tribal health systems last fiscal year.
    Presenter:
     Optional  Closed 
    1:30 PM  -  3:00 PM
    Medicaid/CHIP 101
    Bear
    This session will provide an overview of Medicaid and Children’s Health Insurance Programs. This will include administration, eligibility, covered services, and reimbursement for Indian Health Care Providers. The workshop will highlight specific provisions for American Indians and Alaska Natives, including the Medicaid protections from cost sharing, Medicaid Estate Recovery, managed care, and an overview of State Tribal Consultation requirements.
    Presenters:
     Optional  Closed 
    1:30 PM  -  3:30 PM
    Placing Tribes at the Center of Advocacy: The Tribal Oral Health Initiative and State Legislatures
    Manzanita
    This session will introduce attendees to the Tribal Oral Health Initiative, which has worked to educate Tribes about the successes of the dental therapy model for Tribes in Alaska and the Pacific Northwest. The Initiative also works with non-Tribal advocates of dental therapy to ensure they understand the unique challenges of oral health care delivery in Indian Country, and advocate in a unified voice for Tribal interests. The Initiative is currently supporting a Tribal legislative campaign in Wisconsin and a Tribal implementation campaign in Arizona.
     Optional  Closed 
    1:30 PM  -  3:00 PM
    Regulations Matter!
    Rabbit
    Like the unseen forces of gravity that control our movements, federal rules and regulations exist all around us, guiding our day to day lives. The regulatory comment period is meant to help us participate in rulemaking, but sometimes it can have just the opposite effect. Rules that are thousands of pages long and filled with jargon make us feel intimidated or bored rather than motivated. We need to change our attitudes, but how do we do that? The first step is understanding what regulations are, how they are created, and how YOU can help shape them. This workshop will provide a detailed overview of what the rulemaking process is, provide best practices, and showcase Tribal participation in the regulation space.
     Optional  Closed 
    3:30 PM  -  5:00 PM
    42 C.F.R. Part 2: Confidentiality of Substance Use Disorder Patient Records
    Manzanita
    42 C.F.R. Part 2 (Part 2) was created to ensure privacy for individuals seeking help for drug or alcohol problems by prohibiting disclosures without consent. If your organization provides, or plans to provide, substance use disorder (SUD) services, evaluating what is covered and considered a program can be challenging. Once you’ve identified your program is considered a Part 2 program, navigating next steps can be difficult. This workshop will introduce Part 2 and share two papers to guide Tribal Health Organizations through identifying Part 2 programs and implementing the primary requirements.
     Optional  Closed 
    3:30 PM  -  5:00 PM
    An Update and Panel Discussion on Managed Care options for Indian Health Care Providers
    Cottonwood
    CMS will provide an overview of the Medicaid Managed Care requirements, and invites other entities to discuss accomplishments, challenges, and strategies (Tribal health programs, state Medicaid agency and their managed care components, and managed care organizations).
    Panelists:
    Speakers:
    Presenter:
     Optional  Closed 
    3:30 PM  -  5:00 PM
    Community Engagement, Culturally Congruent Practices, and Strategic Collaborations
    Elderberry
    To maximize the impact of behavioral health efforts to reduce harmful substance use and prevent suicide in a reservation-based community, a Southern California AIAN health clinic weaves together internal projects and resources with the goal of empowering Native wellness, links with external resources as needed, uses community based participatory (CBPR) methods, cultural knowledge and practices, and active community outreach. Initially, projects are selected based on tribally prioritized issues. Community input is sought at each stage of project development and appropriate CBPR methods are used. Determinants of issues are identified and characterized. Culturally congruent interventions to address determinants are tested and implemented. Finally, each approach is evaluated and refined through local and grant evaluation. Clinic capacity is expanded by each project. Five different yet collaborating projects will be presented, including materials created, specific methods, outcomes where available, and lessons learned.
     Optional  Closed 
    3:30 PM  -  5:00 PM
    Diabetes Prevention and Treatment: an integration of physical training, psychosocial interventions,
    Fox
    Twenty-percent of adults seen at the White Mountain Apache/I.H.S. Hospital from 2013 through 2015 were diagnosed with Type II Diabetes. Research also shows that 41% of those diagnosed with diabetes will develop a Depressive Disorder and 49% will develop an Anxiety Disorder prior to or following a diagnosis of Diabetes. Recognizing the debilitating “double whammy” of dealing with diabetes and a mental health disorder, the White Mountain Apache Tribe created a diabetes support program based in the Tribal Gym that addresses participants’ mental health struggles; improves participants’ diabetes self-care skills and practices; promotes meaningful exercise and healthy eating habits; and promotes supportive relationships amongst program participants. Most services are provided by Tribal paraprofessional staff members and utilize techniques drawn from psychology, fitness training, diabetes education, and motivational enhancement theories. The program is in its third year, is financially stable through Medicaid Billing, and is developing additional programming for its participants.
    Presenter:
     Optional  Closed 
    3:30 PM  -  5:00 PM
    Emphasizing Federal Compliance Enforcement to Ensure Healthcare Funding in Indian Country
    Rabbit
    Approximately half of our healthcare funding in Indian Country comes from third party collections. According to federal law, a Compliance Program is required under federal law for all healthcare providers who bill Medicare. Compliance Programs are mandated by the Indian Healthcare Improvement Act as well as the Affordable Care Act. We must demonstrate to the auditors that we have a functioning Compliance Program in place, or all of our third party funds are at risk. The feds are aggressively auditing healthcare compliance in Indian Country. The results have been alarming. Federal enforcement entities believe that healthcare providers in Indian Country are non-compliant, and half of our healthcare funding is at risk. You will learn who is auditing and what they are looking for to demonstrate compliance. You will also learn how exclusion from third party programs will impact your ability to provide healthcare. Every tribal 638 healthcare program is on the OIG’s Work Plan and scheduled for a Compliance Audit. You will learn what this means for your health system and what you must do to survive your upcoming audit.
     Optional  Closed 
    3:30 PM  -  5:00 PM
    Ending the HIV and HCV Epidemics in Indian Country
    Coyote
    In the State of the Union Address on February 5, 2019, the president announced his Administration’s goal to end the HIV epidemic in the United States within ten years. To achieve this goal and address the ongoing public health crisis of HIV, the proposed Ending the HIV Epidemic: A Plan for America will leverage the powerful data and tools now available to reduce new HIV infections in the United States by 75 percent in five years and by 90 percent by 2030. This presentation will illustrate the current status of HIV and hepatitis C (HCV) in Indian Country and offer details of the IHS plan to end the HIV and HCV epidemics in Indian Country.
    Presenter:
     Optional  Closed 
    3:30 PM  -  5:00 PM
    Growing Our Own: Admin Training for Building an Alaska Native/American Indian Workforce
    Bear
    Administrative support personnel are critical in the field of health care, as they are often a patient’s first point of contact with the health care system, and perform important follow-up tasks. Southcentral Foundation, an Alaska Native customer-owned health care system, operates the Administrative Support Training Program (ASTP), which is a six-week program for newly hired administrative support employees. In the previous decade, SCF established a goal of increasing the number of Alaska Native and/or American Indian people in administrative support positions, and ASTP has helped with that; currently, all administrative support employees at SCF are Alaska Native and/or American Indian people. Additionally, ASTP has helped with retention of administrative support employees, and since SCF places an emphasis on “growing our own,” with administrative support employees transitioning into other roles at SCF, the program has helped increase the number of Alaska Native and/or American Indian employees overall at SCF.
     Optional  Closed 
    3:30 PM  -  5:00 PM
    Keep Congress Accountable through Online & Social Media Tools
    White Sage
    A practical and educational session, based on NCUIH’s methodology, on how to Use Online Tools to Track Legislation and Hold Congress Accountable. This session will utilize the NCUIH Legislative Tracker (https://www.ncuih.org/legislativetracker) to demonstrate how to find Congressional bills that could impact American Indian and Alaska Native health. A piece of legislation (H.R. 1128 and S. 229 Indian Programs Advance Appropriations Act) will be used to walk participants through the steps in determining the current level of support for this legislation and the cosponsors. Next, the audience will be we taught how to contact their Member of Congress regarding this legislation using GovTrack (https://www.govtrack.us/congress/bills/116/hr1128/details). The final step will focus on the efficient use of social media to ask your own representative to support a bill and how to use your social network to promote further advocacy. A one-pager to hand out to participants will be provided as an easy to use guide .
    Presenters:
     Optional  Closed 
  • Thursday, September 19, 2019
  •  
    7:00 AM  -  8:00 AM
    Alaska Area Caucus
    Coyote
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Albuquerque Area Caucus
    Manzanita
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Bemidji Area Caucus
    Rabbit
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Billings Area Caucus
     Optional  Closed 
    7:00 AM  -  8:00 AM
    California Area Caucus
    Bear
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Great Plains Area Caucus
    Tule
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Nashville Area Caucus
    Sumac
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Navajo Area Caucus
    Cottonwood
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Oklahoma City Area Caucus
    Fox
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Phoenix Area Caucus
    White Sage
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Portland Area Caucus
    Elderberry
     Optional  Closed 
    7:00 AM  -  8:00 AM
    Tucson Area Caucus
    Mountain Lion
     Optional  Closed 
    8:30 AM  -  10:00 AM
    Housing Policies Restricting Secondhand Smoke from Čaŋlí
    Manzanita
    Commercial tobacco (Čaŋlí) use in housing not only poses serious risks to public health, but creates a risk of fire and increases cleanup costs whenever housing is transferred. Tribes recognize this and some require tribal housing to be smoke-free. Yet tribal smoke-free housing policies raise complex issues, from preserving sacred tobacco use, to ensuring access to cessation materials, to effectively enforcing the policy. Further, in the non-tribal context, policies have focused primarily on multi-unit housing. Tribal housing, in contrast, is frequently single-family. This presentation will include two examples of programs in Lakota communities that promote smoke-free homes, and examples of policies for tribal housing agencies. Presenters will share results from a smoke-free homes pilot study conducted with the Oglala Sioux Tribe and efforts by the Canli Coalition of the Cheyenne River Sioux Tribe to promote smoke-free homes through a grassroots movement and application of the Lakota values. The second part of the presentation will focus on adoption and implementation of smoke-free policies. It will address common questions that arise in the smoke-free housing context, including which products should be regulated, which areas the policy should apply to, and how it should be enforced. It will describe best practices related to cessation support and signage.
     Optional  Closed 
    8:30 AM  -  10:00 AM
    How a Tribe in California Restructured their Healthcare Model to Create Significant Cost Savings
    Bear
    Healthcare has always been a major expense for Tribal governments and of course a robust healthcare program is crucial for a healthy community / workforce. With healthcare expenses perpetually rising and with uncertainty in federal policies clouding the future of Tribal and non-Tribal healthcare, The Picayune Band of Chukchansi Indians decided to take a unique approach and restructured their employees' self-insured healthcare model. The innovative result has generated a surplus of millions annually and has actually created strong, mutually beneficial relationships with local healthcare providers. By negotiating directly with local providers and eliminating many of the inefficiencies and unnecessary complexities associated with a standard network model, the Tribe is able to more effectively control many aspects of their community’s wellbeing. The multi-millions the Tribe saves each year in this powerful assertion of Tribal sovereignty has enabled the tribe to fully cover the entire cost of comprehensive healthcare for all of the Tribe’s 187 elders, and starting in 2019, all members of the Tribe.
     Optional  Closed 
    8:30 AM  -  10:00 AM
    IHS Strategic Plan Implementation
    Cottonwood
    This session will provide updates on implementation of the IHS Strategic Plan
    Presenter:
     Optional  Closed 
    8:30 AM  -  10:00 AM
    Incorporating Dental Therapists into the Oral Health Care Team: Implementation
    Elderberry
    Dental therapy is a growing profession in the United States. This mid-level primary oral health care provider has proven to significantly improve oral health outcomes for underserved communities, and many more clinics are likely to add dental therapists to their teams in the future. The Portland Area now has twelve dental therapists: five have been practicing for a year or more, and seven have recently graduated from the dental therapy education program. Based on experiences from the clinics employing our first five dental therapists, we developed and implemented a process to prepare our remaining clinics to incorporate the dental therapist into the team. The problem is when a clinic adds a dental therapist to the team, administrators and staff members do not always understand the role of this new provider, the preceptorship process, and how to best incorporate the dental therapist into the team. Lack of understanding and preparation can lead to misinformation for staff and patients as well as difficulties within the health care team. Some strategies to address this include: creating a clinic readiness handbook and an educational presentation for all health care staff and administration, as well as for dental staff; facilitating discussions about this new provider; presenting hypothetical scenarios and questions to help prepare the team.
    Presenter:
     Optional  Closed 
    8:30 AM  -  10:00 AM
    Indigenous Behavioral Health Update
    White Sage
    The International Initiative for Mental Health Leadership (IIMHL) is a coalition of nine countries and brings together each country’s mental health leaders to exchange innovations in the mental health field. A strong component of IIMHL is Indigenous leaders. The international group of Indigenous behavioral health leaders met in Washington DC at the Smithsonian National Museum of the American Indian on September 9-11, 2019. This workshop will share the highlights of the Indigenous behavioral health recommendations and wise practices shared by Indigenous people from the United States, Canada, Australia, New Zealand, and Greenland. The recommendations focus on Indigenous behavioral health workforce development and best practices for prevention, treatment and recovery from an Indigenous strength and healing perspectives. Short videos of the meeting highlights will also be shared.
    Presenter:
     Optional  Closed 
    8:30 AM  -  10:00 AM
    National Indian Health Board Legislative Hot Topics
    Fox
    This session will provide a forum for Tribal representatives and members to have in-depth discussions with NIHB staff about several Tribal legislative hot topics including: - Advance Appropriations for the Indian Health Service - Renewal of the Special Diabetes Program for Indians - Fiscal Year 2020 Appropriations for the Indian Health Service - Improving Care for Native Veterans - Legislation based on the U.S. Commission on Civil Rights Broken Promises Report
    Presenters:
     Optional  Closed 
    8:30 AM  -  10:00 AM
    Preliminary Findings from the NIHB/CDC Convening Listening Sessions on Environmental Health Needs
    Rabbit
    The National Indian Health Board (NIHB) and the Centers for Disease Control and Prevention (CDC) worked together to host four environmental health listening sessions throughout the spring of 2019. NIHB and the CDC met with Tribal officials and leaders, directors of Tribal Health Organizations, and Tribal communities to listen and discuss the environmental health concerns and issues in their communities and hear about ways they are addressing those needs and concerns. NIHB and CDC hosted listening sessions in Washington D.C., Rapid City, SD, Anacortes, WA, and Albuquerque, NM. This session will share the preliminary findings from those four listening sessions. The next step for this project is for NIHB to work with the CDC to incorporate the learnings from the listening sessions into various programmatic and other activities including a possible National Tribal Environmental Health Summit.
    Presenter:
     Optional  Closed 
    8:30 AM  -  10:00 AM
    Public Health, Pharmacy, and Behavioral Health Walk into a club…
    Coyote
    The chasm between day one of a Tribal Opioid Response (TOR) award and a fully functioning medication assisted treatment (MAT) program could be far-reaching. This integrated team of presenters share key issues, successes, and decisions made during the first twelve months of launching their pharmacy-based MAT. Accomplishing buy-in for infrastructure revisions, building capacity related to assessing and treating persons with opioid use disorder (OUD), and enhancing collaboration across programs (in spite of 42CFR challenges) exemplify some of the content for this session. Data demonstrating provider OUD attitudes will also be shared for context insights.
     Optional  Closed 
     

    Plenary

    10:30 AM  -  12:00 PM
    Closing Plenary
    Summit ABC
    Please join us for the closing plenary of the 2019 National Tribal Health Conference. Prizes will be awarded!
     Optional  Closed 
     

    Post-Conference Session

    1:00 PM  -  4:30 PM
    Diabetes and Special Diabetes Program for Indians Summit
    Summit D

    Please join the National Indian Health Board on Thursday, September 19, 1:00 pm – 4:30 pm, for the Diabetes and Special Diabetes Program for Indians (SDPI) Summit!!*

    This Summit is open to Tribal and Urban Indian participants ONLY.

    The summit will address pressing policy issues related to the prevention and treatment of diabetes in Tribal communities. Discussion items will include the future of the SDPI, which is one of the most effective public health programs in Indian Country ever implemented.  The Summit will also provide information for how a potential SDPI conversion to self-governance would impact Indian Country, including Direct Service Tribes and Urban Indian health programs. Additionally, the Summit will address issues related to data tracking and reporting, as well as other related issues.

    Do not miss this one-time event!!

    * The SDPI summit will be held in conjunction with the conference in Temecula but does not require registration and is free.

     

     

     Optional  Closed 
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