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CDC and Tribal Epidemiology Centers: Working Relationship Update. Victoria Warren-Mears Epicenter Director vwarrenmears@npaihb.org. Overview. CDC historical relationship Granting of Public Health Authority Status Visit to NWTEC by Dr. Ursula Bauer Calls with Dr. Bauer
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CDC and Tribal Epidemiology Centers: Working Relationship Update Victoria Warren-Mears Epicenter Director vwarrenmears@npaihb.org
Overview • CDC historical relationship • Granting of Public Health Authority Status • Visit to NWTEC by Dr. Ursula Bauer • Calls with Dr. Bauer • Letter to Dr. Frieden • Future Directions
NW TEC and CDC • We have had funding from CDC for a variety of projects, including the Tribal EpiCenter Consortium and Data into Action, Comprehensive Cancer Program, and Tribal Community Survey (Tribal BRFSS)
Public Health Authorities of TECs • In the Affordable Care Act Indian Health Care Improvement Act reauthorization TECs were designated at Public Health Authorities
Tribal Epidemiology Centers • 2010 AFFORDABLE CARE ACT • Permanently reauthorized the IHCIA • TECs given “public health authority” status
Tribal Epidemiology Centers • 2010 AFFORDABLE CARE ACT • Health and Human Services (HHS) directed to give TECs access to HHS data systems and protected health information • Centers for Disease Control and Prevention must provide TECs technical assistance • Each IHS Area must have TEC access
TEC Core Functions • “In consultation with and on the request of Indian tribes, tribal organizations, and urban Indian organizations, each Service area epidemiology center established under this section shall, with respect to the applicable Service area: • Collect data • Evaluate data and programs • Identify health priorities with tribes • Make recommendations for health service needs
TEC Core Functions • Make recommendations for improving health care delivery systems • Provide epidemiologic technical assistance • Provide disease surveillance to tribes
TEC Activities • Collect and disseminate data… Provide analysis of health data • Area/Tribal specific health status reports… Community Health Profiles • Maintain/provide access to surveillance databases • Conduct epidemiologic studies • Support public health emergency response • Assist Tribes in disease control and prevention • Provide training… Epidemiology, Data Collection, and Public Health
Recent Tribe and Tribal Organization Specific CDC RFP • All TEC Directors call with Dr. Bauer to address needs from CDC • TC from Dr. Bauer to suggest a letter to Dr. Frieden to elevate concerns to the Agency level • Release of CDC RFP • Letter sent to Dr. Frieden signed by all TEC directors • Response received June 8, 2014 from Dr. Frieden
Recent Tribe and Tribal Organization Specific CDC RFP • CDC RFP: • Two components • Tribes • Tribal Organizations • Require letters of support from 50% of the area served plus 1
Future Directions • Continue to dialogue with CDC • Share movement with Tribal leadership