Aberdeen Area Indian Health Service: Providing Healthcare to Native Americans

Aberdeen Area Indian Health Service: Providing Healthcare to Native Americans
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The Aberdeen Area Office collaborates with 17 Indian Health Service Units and Tribally Managed Service Units to provide healthcare to over 124,000 Native Americans from 16 Federally Recognized Tribes in North Dakota, South Dakota, Nebraska, and Iowa.

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1. ABERDEEN AREA INDIAN HEALTH SERVICE May 13, 2013 1

2. Aberdeen Area Indian Health Service The Aberdeen Area Office in Aberdeen, South Dakota, works in conjunction with its 17 Indian Health Service Units and Tribally Managed Service Units to provide health care to approximately 124,443 Native Americans who are members of 16 Federally Recognized Tribes located in North Dakota, South Dakota, Nebraska, and Iowa. 2

3. Aberdeen Area 3

4. Map of North Dakota 4

5. Map of South Dakota 5

6. Map of Nebraska 6

7. Map of Iowa 7

8. Aberdeen Area I.H.S. The Aberdeen Area Service Units include 7 Hospitals, 8 Health Centers and 6 Tribally Operated Service Sites. 8

9. Aberdeen Area I.H.S. Hospitals South Dakota Hospitals Pine Ridge Rosebud Rapid City Eagle Butte 9

10. Aberdeen Area I.H.S. Hospitals North Dakota Hospitals Belcourt Fort Yates Nebraska Hospital Winnebago 10

11. Aberdeen Area Health Centers South Dakota Wagner Sisseton Fort Thompson Lower Brule McLaughlin Kyle Wamblee North Dakota Ft. Totten 11

12. Aberdeen Area Tribal Sites South Dakota Flandreau Nebraska Northern Ponca Omaha Santee 12

13. Tribal Sites cont North Dakota Three Affiliated-Ft. Berthold Iowa Sac and Fox 13

14. Each facility incorporates a comprehensive health care delivery system. The following is a breakdown of what services are provided at each service unit. 14

15. Hospital services provided The larger facilities, Pine Ridge and Rosebud in South Dakota and Belcourt in North Dakota offer the following services: Belcourt General surgery, Obstetrics, Outpatient Dept., specialty clinics with contracted Specialists, Dental, Mental Health, Physical Therapy, lab, x-ray, Pharmacy, optometry, Public Health Nursing 15

16. Hospital services continued Rosebud General surgery, Obstetrics, Outpatient Dept., Inpatient Dept., specialty clinics with contracted Specialists, Dental, Mental Health, Optometry, Physical Therapy, lab, x-ray, Pharmacy, Public Health Nursing 16

17. Hospital services continued Pine Ridge General surgery, Obstetrics, Outpatient Dept., Inpatient Dept., specialty clinics with contracted Specialists, Dental, Mental Health, Optometry, Physical Therapy, lab, x-ray, Pharmacy, Public Health Nursing 17

18. Hospital services continued Rapid City Inpatient Outpatient Emergency Room plus other services such as Dental, Optometry, Mental Health, Physical Therapy, and a range of ancillary and support services, Public Health Nursing *They do not provide OR or Obstetric Services 18

19. Hospital services continued Ft. Yates, ND Inpatient Outpatient Emergency Room plus other services such as Dental, Optometry, Mental Health, Physical Therapy, and a range of ancillary and support services, Public Health Nursing *They do not provide OR or Obstetric services 19

20. Hospital services continued Eagle Butte Inpatient Outpatient Emergency Room plus other services such as Dental, Optometry, Mental Health, Physical Therapy, and a range of ancillary and support services, Public Health Nursing *They do not provide OR or Obstetric services 20

21. Hospitals Services cont. Winnebago Inpatient Outpatient Emergency Room plus other services such as Dental, Optometry, Mental Health, Physical Therapy, and a range of ancillary and support services *They do not provide OR or Obstetric services 21

22. Service provided by I.H.S. Health Care sites Outpatient services, pharmacy, lab, X- Ray, Behavioral Health, Public Health nursing, Dental, Environmental Health, Optometry, Dietary, Lab, ENT, Pharmacy, Dental, and Inpatient and contract health specialty referrals to outside facilities. 22

23. 23 Portland Portland 109,870 109,870 Billings Billings 72,585 72,585 Aberdeen 124,433 $365 Million Budget Phoenix Phoenix 166,398 166,398 California California 85,881 85,881 Albuquerque Albuquerque 85,990 85,990 Oklahoma Oklahoma 339,617 339,617 Navajo Navajo 247,203 247,203 Bemidji Bemidji 104,914 104,914 Alaska Alaska 143,131 143,131 Tucson Tucson 27,000 27,000 53,495 IHS Headquarters IHS Headquarters Rockville, MD Rockville, MD TOTAL IHS USER POPULATION TOTAL IHS USER POPULATION FOR FY 2012 : FOR FY 2012 : 1,560,517 South Dakota State Budget $4.3 Billion $4. 1 Billion Budget INDIAN HEALTH SERVICE USER POPULATION BY AREA

24. Eligibility Must be an enrolled member of a Federally Recognized Tribe/Descendent of an enrolled member Not all enrolled members utilize IHS Not all Native Americans are eligible for services 24

25. Aberdeen Area User Population by Service Unit Hospitals Belcourt-13,573 Winnebago-5,146 Pine Ridge-22,203 Rosebud-12,405 Eagle Butte-8,231 Rapid City-14,265 Ft. Yates-8,823 25

26. User Population cont Health Centers Ft. Thompson-3,815 Ft. Berthhold-5,228 Lower Brule-2,087 Sisseton-Wahpeton-6,684 Spirit Lake-5,430 Yankton-3,824 26

27. User Population cont Tribal Sites Flandreau-1,506 Northern Ponca-3,134 Omaha-3,539 Sac and Fox-1,577 Santee-1,101 Trenton-1,863 27

28. Providers There are currently 84 Medical providers employed by Aberdeen Area I.H.S. in the following areas. 55 employed in SD IHS sites. Family Practice Nurse Practitioner Physician Assistant Emergency Room OR/Surgeons Obstetrician Hospitalist 28

29. Providers by Site Hospitals Belcourt-16 Winnebago-7 Pine Ridge-12 Rosebud-7 Eagle Butte-5 Rapid City-11 Ft. Yates-2 29

30. Providers by Site Health Centers Ft. Thompson-4 Wanblee-2 McLaughlin-0 Lower Brule-0 Sisseton-Wahpeton-7 Spirit Lake/Ft. Totten-2 Wagner-5 Kyle-2 30

31. Provider Vacancies Overall Aberdeen Area currently has 44 vacant Medical Officer positions. 36 of the vacancies are in SD These vacant positions are filled with contract providers 31

32. Provider Vacancies by Service Unit Rosebud-6 Lower Brule-3 Pine Ridge-10 Wanblee-0 Rapid City-5 Kyle-0 Eagle Butte-4 Sisseton-3 Ft. Yates-5 Winnebago-1 Belcourt-2 Wagner-0 Ft. Thompson-1 McLaughlin-1 Ft. Totten-1 Belcourt-2 32

33. Access to Care Issues Provider Shortage Nursing Shortage IHS funding at 43% of existing need Transportation Continuity Lack of Speciality Services/CHS funding Care has to be provided regardless of 3 rd party resources 33

34. Recruitment Challenges Rural location of facilities Schools Housing Activities Distances to nearest shopping mall, grocery shopping, etc. Salary incentives Not having the services to keep up skills Employment 34

35. Recruitment Efforts Working with a recruitment agency Offering tribal benefits, such as free hunting and fishing license Housing when available Introduction to a local family that can assist with them with orientation to the community. Benefits-recruitment, retention bonus Involvement in community activities 35

36. Questions? 36

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