Yellowhawk Tribal Health Centerand

Public Health Accreditation

Karen CookTim Gilbert

C. Woody.

• Yellowhawk Overview.

• Public Health Accreditation.

• Activities to Improve Public Health (PH) Department Programs and Services.

Health CommissionHealth CommissionVISION STATEMENTVISION STATEMENT

““Yellowhawk Tribal Health Center will be Yellowhawk Tribal Health Center will be recognized by the population that it serves as recognized by the population that it serves as a provider of quality health education and a provider of quality health education and services, and considered a model of services, and considered a model of excellence by the healthcare community.”excellence by the healthcare community.”

Shawna GavinChair

Kathryn BurkeMember

Myrna ToveyMember

Bob ShippentowerBOT Member

Bette McLeanMember

Sandy SampsonVice Chair

Martina GordonSecretary

• Primary Care• Limited Specialty Care & Referrals• Dental Care• Behavioral & Mental Health Services• Community Health Services

2011 Data 2012 Data

User Population 3,161 3,146

Visits in Medical Clinic 5,111 10,349

Visits to Dental 4,135 4,381

A&D/MH Visits in Behavioral Health

2,960 3,334

Prescriptions filled 51,026 63,142

• 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.

• Historically medically underserved• Significant health disparities• Cultural uniqueness• Cradle-to-grave care • Workforce nuances• Tribal Sovereignty

1. How do we improve PH Dept. to meet the needs of our population?

2. Are the services/programs and our workforce optimal for improving PH?

3. What are our PH roles/authority given State and County PH entities?

Activities to improve PH Dept. and Health Status:Community Health Assessment (CHA)Community Health Improvement Plan (CHIP)Agency Strategic PlanWorkforce CompetenciesPH Law and Code Review

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

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.

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.

• 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.

State Laws County Roles

Tribal Code

Federal Laws

• 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.

• Starting from where we were.• Need to take one step at a time.• Public Health Accreditation is a

roadmap.• Shifts in organizational culture.

• 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.

Special thanks (so far) to:

Northwest Portland Area Indian Health BoardNational Association of County and City Health Officials

Centers for Disease Control and PreventionRed Star Innovations

Visit us at: www.yellowhawk.org