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Overview of Health IT and Tribal Health Programs in CA. Rosario Arreola Pro, MPH Health Systems Development Director California Rural Indian Health Board June 14, 2010. California Rural Indian Health Board (CRIHB) . CRIHB Background. Services Include: . Founded in 1969

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overview of health it and tribal health programs in ca

Overview of Health IT and Tribal Health Programs in CA

Rosario Arreola Pro, MPH

Health Systems Development Director

California Rural Indian Health Board

June 14, 2010

california rural indian health board crihb
California Rural Indian Health Board (CRIHB)

CRIHB Background

Services Include:

  • Founded in 1969
  • Sacramento-based Tribal Organization
  • 11 member Tribal Health Programs; 22 Tribes
  • Services throughout CA to both member and non-member Tribal Health Programs
  • Program Development
  • Legislation and Advocacy
  • Organization Development
  • Financial Resources Management
  • Training and Technical Assistance
  • Networking and Consensus-Building
overall snapshot of ca tribal health clinics
Overall Snapshot of CA Tribal Health Clinics
  • Target population: Serve both American Indian/Alaska Native (AI/AN)and non-AI/AN clients
  • Number of Programs:
    • 33 Tribal Health Programs (54 clinics) in CA
    • Owned and operated by California Indian tribes (109 Tribes).
  • Clinic Users: 130,855 Indian Registrants; of these, 77,532 are active users.
  • Services:Licensed clinics providing Primary Care, Dental, & Behavioral Health Services
  • Location: Rural, on or near Reservations and Rancherias throughout CA
  • Hospitals:No Indian Health Service run hospitals in CA
  • Funding:Medi-Cal, Medicare, other 3rd Party, & IHS grants
    • Receive funds under the Indian Self-Determination Act (Public Law (P.L. 93-638), also known as 638 programs.
health it in indian country
Health IT in Indian Country

Electronic Health Records

Key Partners to Consider

  • Early Adopters in CA
  • 20% Commercial EHR-Most have chosen NextGen
    • EHR implementation done with EHR Vendor and Consultants, like CRIHB
  • 80% Indian Health Service RPMS/RPMS EHR: Most Tribal Health Programs use Resource Patient Management System (RPMS) managed by IHS
    • RPMS currently transitioning into a certified EHR
    • IHS will oversee RPMS EHR deployment at clinics that transition from RPMS to RPMS EHR
  • Tribal Health Programs
  • CRIHB
  • Indian Health Service- CA Area Office
  • National Indian Health Board AIAN Regional Extension Center
    • Established to ensure that all Tribal Health Programs in US and Alaska have technical assistance in achieving Meaningful Use regardless of what type of EHR they use.
    • Unlike other REC, AIAN crosses State lines
key tribal health it priorities
Key Tribal Health IT Priorities
  • Meaningful Use
  • Establishing Health Information Exchange
    • Indian Health Service
    • Public Health Agencies
    • Rural Hospitals
  • Medicare and Medicaid EHR Incentives
  • Partnership with Regional Extension Centers
    • Bridge gap in EHR Meaningful Use among tribal health programs throughout the US and Alaska.
challenges and opportunities
Challenges and Opportunities

Challenges

Opportunities

  • Small/independent Tribal Health Programs in rural and isolated communities
  • Limited Funding
  • Need to develop partnerships with local rural hospitals
  • Health Information Exchange with:
    • Public Health Systems
    • Local Hospitals
    • Indian Health Service
  • Partnerships with Local Hospitals for data exchange and coordinated care
    • Decrease emergency room frequent users
    • Improve access to specialty care and referral services
    • Improved chronic disease management
  • Both CRIHB and Indian Health Service can help develop better linkages with regional health partners
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Contact Info:

Rosario Arreola Pro, MPH

Health Systems Development Director

California Rural Indian Health Board

(916)929-9761 ext. 1300

rosario.arreolapro@crihb.net