Indian Health Service Portland Area Director’s Update

1. Indian Health ServicePortland Area Director’s Update Dean M. Seyler - Area Director April 22, 2014 Quarterly Board Meeting Clearwater Casino Resort Suquamish, WA

2. Renew And Strengthen Our Partnership With Tribes • Portland Area Direct Service Tribes Meeting • June 4th And 5th • Embassy Suites, Portland Airport • Area Office, Service Units, And District Offices Profiles • Ihs Director Listening Session • Conducted At Each Area - Face To Face Session • August Or September • Location In Portland – Site To Be Announced

3. Renew And Strengthen Our Partnership With Tribes • 11th Annual Direct Service Tribes National Meeting • Albuquerque, NM • July 9th And 10th • Facilities Appropriation Advisory Board (FAAB) • April 29th And 30th • Seattle, WA • Pearl Capoeman-baller – Primary • Jim Roberts - Alternate

4. Renew And Strengthen Our Partnership With Tribes • Youth Treatment Funds • $1.1M Recurring • Dear Tribal Leader Letter • Tribal Implementation Of The Affordable Care Act • July 22nd And 23rd • Seattle, WA • Jointly Presented By IHS And NPAIHB • Save The Date Flyer Sent By NPAIHB

5. Improve The Quality Of And Access To Care • Northwest Tribal Clinician’s Cancer Update • May 20th • OHSU Center For Health And Healing, Room 4 • Contact: Eric Vinson- evinson@npaihb.org • Portland Area CD Meeting (Full-day Joint Session Of I/T/U) • May 21st • Gus Solomon Federal Courthouse, Conference Room 101 • Contact: Dr. Stephen “Miles” Rudd- Stephen.Rudd@ihs.gov • Portland Area CD Meeting (1/2 Day Session) • May 22nd • Tribal And Urban CDs- Gus Solomon Federal Courthouse, Café • Federal CDs- Gus Solomon Federal Courthouse, Conference Room 101 (Joint Session With CEOs And Chief Nurses) Portland Area Clinical Director’s Spring Meeting

6. Portland Area Influenza Vaccine Coverage, 2013-2014 Season

7. Influenza Vaccine Coverage, Last Season Compared to 2013-2014

8. Influenza-like Illness Surveillance, 2009-2014

9. To Reform the IHS • Portland Area Recognition Of Excellence For 2013 • Notification To Federal, Tribal, And Urban Staff • June 6th • Gus Solomon Courthouse, Portland OR • IHS Directors 2013 Award Ceremony • May 21st • Washington DC Metro – Site To Be Announced

10. To Reform the IHS • Area Office Staffing Update • Office Of Tribal And Service Unit Operations Director • Terry Dean • Contract Proposal Liaison Officer (CPLO) Position To Be Advertised Soon • Office Of Administration Management • CDR Ann Arnett – Acting Executive Officer • Currently Advertised • Western Region Human Resources • Region Director Vacant • Physically Located In Portland

11. Ensure that our work is transparent, accountable, fair, and inclusive Fund Distribution Workgroup Teleconference Held April 16th Recommended Distribution Methodology For PRC Increase Existing Members: Angela Mendez Janice Clements DST Vacancy Dan Gleason Marilyn Scott T-1 Vacancy Judy Muschamp Mark Johnston Leslie Wosnig FY14 Purchased Or Referred Care (PRC) Increase Portland Area - $7,816,900 Revised Area Base - $93,097,761 Active PRC Users FY11 - 46,166 Fy13 - 49,153

12. Ensure that our work is transparent, accountable, fair, and inclusive

13. Ensure that our work is transparent, accountable, fair, and inclusive • ICD 10 DELAY • October 2015 Implementation • IHS Will Continue To Plan And Train Staff • Updates To RPMS Will Be Delayed • Contract Support Cost • 100% Funded • Base CSC Amount Already Distributed • FY14 Increases

14. Ensure that our work is transparent, accountable, fair, and inclusive • Sanitation Facilities Construction - 2014 Funding: • $3,426,000 In IHS SFC (Up 0.4% From 2013) • $1,269,800 In EPA Set-aside (Down 27% From 2013) • Highlights: • 105 - The Projected Number Of New Or Like-new Homes To Receive Individual Site Sanitation Facilities. • 1,626 - The Estimated Number Of Existing Homes To Benefit From Improvements To Existing Water And Sewer Systems.

15. Ensure that our work is transparent, accountable, fair, and inclusive Joint Venture Construction • Joint Venture Construction Program (JVCP) Is A Competitive Health Facility Construction Program Under Public Law 94-437 • Tribe Constructs Facility; IHS Staffs And Equips • IHS Announcement For JVCP Applications, Scheduled For Late FY14 / Early FY15 • Competitive Application Process

16. Ensure that our work is transparent, accountable, fair, and inclusive Interested in Joint Venture? • Tribes Interested In Joint Venture Are Encouraged To Review The FY 2010 Application Package To See If They Meet Requirements Which Can Be Downloaded At • http://www.ihs.gov/DFPC/ • The New Application Package Is In Development, But Expected To Be Similar To The FY2010 Application.

17. Questions or Comments Our Mission... to raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest level. Our Goal... to assure that comprehensive, culturally acceptable personal and public health services are available and accessible to American Indian and Alaska Native people. Our Foundation... to uphold the Federal Government's obligation to promote healthy American Indian and Alaska Native people, communities, and cultures and to honor and protect the inherent sovereign rights of Tribes.