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

  2. Aberdeen AreaIndian 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.

  3. Aberdeen Area

  4. Map of North Dakota

  5. Map of South Dakota

  6. Map of Nebraska

  7. Map of Iowa

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

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

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

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

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

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

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

  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

  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

  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

  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

  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

  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

  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

  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.

  23. Alaska 143,131 Portland 109,870 Billings 72,585 Bemidji 104,914 Aberdeen 124,433 $365 Million Budget Phoenix 166,398 IHS Headquarters Rockville, MD California 85,881 Navajo 247,203 Oklahoma 339,617 Albuquerque 85,990 53,495 Tucson 27,000 TOTAL IHS USER POPULATION 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

  25. Aberdeen Area User Populationby 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

  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

  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

  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

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

  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

  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

  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

  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 3rd party resources

  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

  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

  36. Questions?