IHS Priorities - National Council of Urban Indian Health

Report
Indian Health Service Update
Yvette Roubideaux, M.D., M.P.H.
Director, Indian Health Service
National Council of Urban Indian Health
Annual Leadership Conference
April 25, 2012
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IHS Priorities
• Renew and strengthen our partnership with
Tribes
• Bring reform to the IHS
• Improve the quality of and access to care
• Ensure that our work is transparent,
accountable, fair, and inclusive
2
IHS Budget
• FY 2009 – 7% increase
• FY 2010 – 13% increase
• FY 2011 – 0.4% increase ($17 million)
• FY 2012 – 5.8% increase ($237 million)
– $4.3 billion overall budget
3
IHS Budget
• FY 2013 proposed budget has an increase of $116 million
(2.7%):
– Total budget authority = $4.42 billion. This includes:
 CHS funding increase of $54 million
 An increase of $49 million to support staffing and operating costs for six new and
expanded health facilities
 $81 million total for health care facility construction
 $1.7 million increase for facility maintenance and improvement
 CSC funding increase of $5 million
 An additional $6 million for IHS Health IT
• FY 2014
– Area budget formulation and national budget sessions completed
– Tribes proposed 22% increase at HHS Tribal Budget
Consultation; included $1.6 million increase for UIHP.
– Urban Indian Health Needs Assessment
4
IHS Priorities
• Renew and Strengthen our Partnership with
Tribes/Urban Indian organizations
– IHS Tribal Consultation Policy
– Urban Confer Policy
5
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IHS Priorities
• Renew and Strengthen our Partnership with Tribes
– Current/recent consultations
 How to improve the tribal consultation process
 How to improve the CHS Program
 Priorities for health reform/IHCIA implementation
 Budget formulation
 IT Shares
 Evaluation of the 2007 CSC Policy
 Federal Advisory Committee Act
 How to improve the IHCIF – data/formula
 TEC Data Sharing Agreement
 Long-Term Care
 VA reimbursement of IHS for services to eligible veterans
8
IHS Priorities
• Bring Reform to the IHS
─ Affordable Care Act
─ Internal IHS Reform
9
Affordable Care Act
• Impact of the Affordable Care Act for AI/ANs
– Can still use IHS – permanent IHCIA reauthorization
– Greater access to health insurance with more
coverage and choices,
– Increased services at Indian health facilities due to
increased reimbursements.
• Repeal Efforts - Affordable Care Act
– Supreme Court Case – decision expected by June
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Implementation
• HHS lead on ACA; IHS lead on IHCIA
• Tribal consultation
– White House/HHS outreach calls/Meetings
– [email protected]
– Tribal leader letters
• Education and outreach
– www.healthcare.gov
– IHS Director’s blog – www.ihs.gov
– NCAI/NIHB/NCUIH
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IHS Priorities
• Bring Reform to the IHS
– IHS Staff Priorities
 Improve how we do business and how we lead and
manage people:

Consistency in business practices

Improving budget planning and financial

Human Resources

Performance management

Senate Committee on Indian Affairs/Area Reviews
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IHS Priorities
• Improve the quality of and access to care
– Customer Service
– Improving Patient Care Initiative
– Accreditation/Certification
15
IHS Priorities
• Improve the quality of and access to care
– Special Diabetes Program for Indians
– Healthy Weight for Life initiative

http://www.ihs.gov/healthyweight
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IHS Priorities
• Improve the quality of and access to care
̶
Million Hearts Campaign
– Partnership for Patients
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IHS Priorities
• Improve the Quality of and Access to Care
– EHR certification of RPMS
• Meaningful use
• EHR Incentive payments (Medicare, Medicaid)
– ICD-10 Implementation
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IHS Priorities
• Ensure that our work is transparent, accountable,
fair, and inclusive
– Communication/Transparency
 Messages from the Director
 Director’s Blog/Director’s Corner
– Accountability
 Performance management (SES, CC, PMAP)
 Evaluation/measurement/outcomes
– Inclusiveness – I/T/U
 Conferring with Urban Indian Organizations
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Summary
• We are working to change and improve the IHS
through our reform efforts.
• The Affordable Care Act (and reauthorization of the
IHCIA) will help Tribes and the IHS provide better care
to American Indian and Alaska Native people.
• Help us continue to change and improve the IHS.
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