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Alaska GPRA Pilot Project

Alaska GPRA Pilot Project. OUR VISION: Alaska Natives are the healthiest people in the world. OUR MISSION : Providing the highest quality health services in partnership with our people and the Alaska Tribal Health System. April 2008. AK GPRA Pilot Project Team History.

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Alaska GPRA Pilot Project

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  1. Alaska GPRA Pilot Project OUR VISION: Alaska Natives are the healthiest people in the world. OUR MISSION: Providing the highest quality health services in partnership with our people and the Alaska Tribal Health System. April 2008

  2. AK GPRA Pilot Project Team History • Operational since 2000 • FY 2004 Alaska submitted GPRA data (women’s health and diabetes) to HIS • FY 2005, 2006, 2007 all national indicators • Focus on data quality • Initially women’s health and diabetes • Expanded focus to entire data generation process for all indicators—including non-GPRA clinical indicators such as medicine education and diabetes prevalence

  3. AK GPRA Pilot Project Sites • Original Members (2000) • Alaska Native Medical Center (ANMC) • Bristol Bay Area Health Corporation (BBAHC) • Maniilaq Association • Southeast Alaska Regional Health Consortium (SEARHC) • Tanana Chiefs Conference (TCC) • Yukon Kuskokwim Health Corporation (YKHC)

  4. Team Growth • New Members (2005) • Arctic Slope Native Association • Chugachmiut • Council of Athabascan Tribal Governments (CATG) • Eastern Aleutian Tribes (EAT) • Ketchikan Indian Community (KIC) • Kodiak Area Native Association (KANA)

  5. Continued Growth • New Members (2007-2008) • Annette Island Service Unit (AISU) • Aleutian Pribilof Islands Association (APIA) • Yakutat • Hoonah

  6. Collaborations • Associate GPRA Team Members • ANTHC Epi Center • Alaska Immunization Program • Diabetes Audit Program • ANTHC Tobacco Cessation Program

  7. Dillingham Bristol Bay Area Health Corporation

  8. Region demographics • Bristol Bay region is located in southwest Alaska • Regional boundaries under the Alaska Native Claims Settlement Act (ANCSA) extend about 350 miles north to south, and about 230 miles east to west, and cover about 40,000 square miles (the size of the state of Ohio) • Three of Alaska's major ethnic Native groups - Yup'ik Eskimos, Athabascans, and Aleuts live in the region • 1990 U. S. Census: 6,972 residents • Alaska Native population: 4,639 residents (66%)

  9. Quickly see our standings with meeting GPRA and CMS measures and where we need to focus energy Senior Center panel Shared with: MD assigned to the Senior Center Pharmacy Case Manager Medical Assistant Receive notifications on panel patients Helps make sure patients are up to date on indicators iCare in Action – Kanakanak

  10. Visit Planning • Nurses using iCare for Visit Planning • Create a panel of the patients scheduled to be seen the next day and then quickly view any updates needed for those patients. • Then schedule needed items such as a PAP test, Coumadin level, etc. to be done while they have the patient there.

  11. Case Management • Case Managers use iCare to set up their own panel of patients. • Women’s Health has set up patient lists village by village of women over a certain age • Then filter that list: • Women who have not had mammogram • Women who have not had a recent PAP • Focus on prevention and early detection for older women with increased risk

  12. “Wonderful Wellness Letter” • There is a wonderful wellness letter that can be printed out and given to a patient at the end of a visit (or can be mailed to them) • Gives the patient a summary of current health status and any needed updates such as immunizations, routine cardiac, diabetic, asthma, etc. follow up. • Also includes a list of current medications and future appointments • looking at incorporating it into our Medication reconciliation protocols

  13. Barrow

  14. Barrow, the northernmost community in North America, is located on the Chukchi Sea coast, 10 miles south of Point Barrow from which it takes its name. R/T airfare Pt Hope to Barrow: $335 248 air miles R/T airfare Barrow to Anchorage: $1,377 725 air miles Info on Barrow

  15. Built in 1963 Control of the hospital transferred to Arctic Slope Native Association under 638 contract in 1998 Since the transfer, top scores as a critical facility from JCAHO Critical access facility is only hospital available to residents of an area larger than the state of Washington

  16. Diabetes grant money – brings patients in from surrounding villages Case manager uses iCare to identify care needed While patient is in Barrow (with diabetes travel funds), case manager makes certain they get all exams, immunizations, screenings, etc. iCare in action - Barrow

  17. Interest high statewide & growing! Utilizing WebEx training E-mail reminders Looking into onsite – or at least, in Alaska, training Loaded across the state Alaska IHS Area Director performance contract iCare Alaska rollout

  18. Thank You!

  19. Karol DixonHealth Programs AdministratorAlaska Native Tribal Health ConsortiumHealth Statistics4000 Ambassador DriveAnchorage AK 99508(907) 729-2879 (direct)(907) 729-3666 (fax)http://www.anthc.org/ref/hskldixon@anthc.org

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