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Technical Assistance to Indian Health Clinics and Health Centers. What We Learned Barbara Aragon, MSW & Calvin Freeman, Consultants, Indian Health Programs. Presentation Objectives. Participants will learn about:

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technical assistance to indian health clinics and health centers
Technical Assistance to Indian Health Clinics and Health Centers
  • What We Learned
  • Barbara Aragon, MSW & Calvin Freeman, Consultants,
  • Indian Health Programs
presentation objectives
Presentation Objectives
  • Participants will learn about:
  • Challenges faced and effective practices employed by California Indian Health Clinics in preparing for emergencies.
  • Strategies for addressing challenges to emergency preparedness.

2

conclusions
Conclusions
  • Emergency preparedness requires:
  • Building and sustaining organizational support. (Changing the stories we have been operating under.}
  • Adopting a clinic-centric viewpoint.
  • Setting priorities for preparedness and response. (especially when I have so many slashes after my name).
  • Patience.

3

what we did
What We Did
  • Emergency management technical assistance contacts with 30 clinics.
  • Technical assistance to federal, state and tribal and community partners. (ITCC, IHS, CRIHB, Head Starts, Tribal Leaders Meetings, Tribal TANF).
  • Over 150 videos (Preparing for Coming Seasons) Clinics, Tribes
  • 24 in-person;
  • 11 multiple contacts

4

what we do services
What We Do - Services
  • Assessment
  • Engage clinic/tribal leadership, communities networks and families
  • Basic emergency plans and procedures
  • Emergency Operations, COOP and Pandemic Influenza Planning
  • Review, write, train and coach

5

indian health clinic successes
Indian Health Clinic Successes
  • Organizational commitment
  • Emergency preparedness champions
  • Tribal/Community leadership
  • Robust emergency preparedness programs
  • Partnerships with local health departments and emergency agencies
  • Tribal investment
  • Tribal education

6

importance of a clinic centric perspective i
Importance of a Clinic-Centric Perspective I
  • Clinics are:
  • A significant and sometimes critical health resource
  • Yet, clinics are not:
  • Hospitals
  • Health Departments
  • 24-hour operations
  • Significantly expandable

7

importance of a clinic centric perspective ii
Importance of a Clinic-Centric Perspective II
  • Clinic preparedness and response are sensitive to:
  • Medical capability
  • Staff resource availability
  • Supply and equipment levels
  • Economics of clinic operations

8

addressing indian health clinic emergency preparedness challenges i
Addressing Indian Health Clinic Emergency Preparedness Challenges I
  • Getting started
  • Sustaining progress
  • Importance of a champion
  • Need for clinic/community/tribal leadership buy-in and support

9

champion
Champion
  • Getting started
  • Engaging Leadership (clinic, tribal and community)
  • Sustaining progress (especially when resources change, ebb and flow.)
  • Setting preparedness priorities
  • Defining clinic emergency role
  • Connecting with local health departments
  • Resource limitations
  • Technical capacity

10

addressing indian health clinic emergency preparedness challenges ii
Addressing Indian Health Clinic Emergency Preparedness Challenges II
  • Setting priorities
  • Response priorities – safety, response to immediate needs, return to full operations
  • Preparedness priorities – safety, enhancements to day-to-day operations and strategic priorities

11

addressing indian health clinic emergency preparedness challenges iii
Addressing Indian Health Clinic Emergency Preparedness Challenges III
  • Connecting with local health departments
  • During preparedness
  • For resource and technical assistance
  • During response
  • Addressing conflicts over roles and resources

12

addressing indian health clinic emergency preparedness challenges iv
Addressing Indian Health Clinic Emergency Preparedness Challenges IV
  • Resources – Supplies, equipment, funding, and time
  • Some availability from local health departments
  • Time: the critical resource (patient care, executive time and attention, staff time)

13

addressing indian health clinic emergency preparedness challenges v
Addressing Indian Health Clinic Emergency Preparedness Challenges V
  • Technical Capacity
  • Training
  • On-line information
  • IHP consultants

14

conclusions1
Conclusions
  • Emergency preparedness requires:
  • Building and sustaining organizational support. Asset Mapping with Partners).
  • Adopting a clinic-centric viewpoint.
  • Setting priorities for preparedness and response.
  • Patience.

15