Yellowhawk Tribal Health Center and Public Health Accreditation Karen Cook Tim Gilbert

1. Yellowhawk Tribal Health Center and Public Health Accreditation Karen Cook Tim Gilbert

2. Presentation Objectives • Yellowhawk Overview. • Public Health Accreditation. • Activities to Improve Public Health (PH) Department Programs and Services. C. Woody.

3. Health CommissionVISION STATEMENT “Yellowhawk Tribal Health Center will be recognized by the population that it serves as a provider of quality health education and services, and considered a model of excellence by the healthcare community.” Martina Gordon Secretary Bette McLean Member Bob Shippentower BOT Member Sandy Sampson Vice Chair Kathryn Burke Member Myrna Tovey Member Shawna Gavin Chair

5. Yellowhawk Provides… • Primary Care • Limited Specialty Care & Referrals • Dental Care • Behavioral & Mental Health • Services • Community Health Services

6. Workload Data

7. Health Status

8. Preparing for Accreditation • In 2010 the Northwest Portland Area Indian Health Board received funding to assist NW Tribes with Public Health accreditation and Quality Improvement. • At the time we were in the midst of redesigning our clinical system of care. • We were also reorganizing in other areas, such as Community Health Services.

9. Accreditation in Indian Country • Historically medically underserved • Significant health disparities • Cultural uniqueness • Cradle-to-grave care • Workforce nuances • Tribal Sovereignty

10. We Asked Ourselves… How do we improve PH Dept. to meet the needs of our population? Are the services/programs and our workforce optimal for improving PH? What are our PH roles/authority given State and County PH entities?

11. Accrediting to Improve • Activities to improve PH Dept. and Health Status: • Community Health Assessment (CHA) • Community Health Improvement Plan (CHIP) • Agency Strategic Plan • Workforce Competencies • PH Law and Code Review

12. Community Health Assessment • Process: • Collaboration with St. Anthony’s Hospital. • Umatilla County Community Partnership. • Community Health Partnership Journey.

13. Community Health Improvement Plan • Process: • Adopt Healthy People 2020 Objectives; incorporate into Annual Work Plan. • Holds us to a higher standard and it is measurable. • Requires community participation; Public Health Accreditation Team (PHAT). • Supports development of a QuaIity Improvement program.

14. Agency Strategic Plan • Foundation of Strategic Plan: • Needs assessment: currently asking the community what services they need and/or want. • Other assessments: Planning Committee, Circles of Care, and Maternal Child Health.

15. Workforce Competencies • Position description assessment (Mills Group NW). • Assessment of competencies. • Do we have the right positions given our user population’s health needs? • Identify training to develop Public Health capacity within workforce.

16. Evaluating PH Laws Tribal Code State Laws County Roles Federal Laws

17. CDC Law Review • CDC consultation helped identify deficiencies; helped define roles and responsibilities. • Found many Tribal Laws and Codes need to be updated. • Need to partner with Community Health Services, Pharmacy, and others. • MOUs with Umatilla County.

18. Barriers to Overcome • Starting from where we were. • Need to take one step at a time. • Public Health Accreditation is a roadmap. • Shifts in organizational culture.

19. Accomplishments To-Date • Educating staff and leadership. • Readiness checklist; working through Self-Assessment Workbook for Tribal PH Depts. • Completion of CHA; drafts of CHIP and Agency Strategic plan. • Workforce: position description evaluations; beginning competency assessments. • PH Laws: work-in-progress; better understanding of roles/responsibilities within legal landscape.

20. Thank You! Special thanks (so far) to: Northwest Portland Area Indian Health Board National Association of County and City Health Officials Centers for Disease Control and Prevention Red Star Innovations Visit us at: www.yellowhawk.org