Co-Hosted by

Northwest Portland Area Indian Health Board

October 17, 2012Bow, Washington

Aleena M. Hernandez, MPHAimee Centivany, MPH

OverviewTribal Public Health Institute Feasibility Project: Funded by Robert Wood Johnson Foundation 18 month project: July 2011- December 2012National Network of Public Health Institutes is partner and provider of technical assistance

Technical assistance provided is funded by the Centers for Disease Control and Prevention (CDC) and RWJF

Red Star InnovationsProject facilitatorEnsure goals of the project are fulfilledEnsure ongoing communication and information

sharing with Tribal communities and organizations

Complete a final report summarizing key outcomes, recommendations and considerations

OverviewBackgroundCall to Action: TPHI feasibility conceptProject FrameworkFacilitated DiscussionOpen comment

What is public health?

Assuring the conditions for community (population) health

Tribal Public Health Stakeholders

10 Essential Public Health Services

The Essential Public Health Services1. Monitor health status

2. Diagnose and investigate health problems

3. Inform, educate and empower people

4. Mobilize communities to address health problems

5. Develop policies and plans

6. Enforce laws and regulations

7. Link people to needed health services

8. Assure a competent workforce

9. Evaluate health services

10. Conduct research for new innovations

Tribal Public Health Infrastructure

Tribal Strengths in Public Health Tribal sovereignty; self-determination Concepts of health, wellness, and healing are often

holistic Strong knowledge of our community, culture, and way

of life Innovation in public health service delivery;

partnerships and collaboration Community engagement Leadership – formal and informal

Challenges for Tribes American Indian/Alaska Native communities experience

the most significant health disparities Leading causes of death are preventable

Limited availability of tools, resources and technical support for Tribes and Tribal Organizations

New national initiatives and limited investment to prepare Tribes to compete or participate

Public health workforce challenges Assure respect Tribal Sovereignty and that the trust

responsibility is upheld

Public Health Institute Non-profit, non-governmental organizations Stakeholder driven and mission focused

It exists to meet the needs of those it serves Greater flexibility; more responsive Neutral convening and partnering Linking communities to support, services and

information that already existsReinforce, support, connect, network

Common PHI FunctionsPopulation-based health program deliveryNon-biased health policy development and

analysisTraining and technical assistanceResearch and evaluationHealth information servicesHealth communication and social marketing

Tribal Public Health Institute

Is there interest and support among Tribes and Tribal Organizations for a TPHI?

What would be the role of the TPHI? How can we ensure that it does not duplicate existing

services? What will the structure be and where will it be housed? Who will run it and how much will it cost? How can we ensure sustainability?

Guiding Principles Facilitate a Tribally led and driven process Ensure ongoing communication and engagement of

Tribes, Tribal Organizations and key stakeholders Provide Advisory Board with opportunities for training

and technical assistance for informed decision making Focus on Tribal self-determination and how a TPHI

might support the national Tribal public health system Integrity and transparency

Tribal Advisory Board Tom Anderson, MPH (Cherokee) - OCITHB Tribal Epi Center Jay Butler, MD – ANTHC Community Health Services Joe Finkbonner, RPh, MHA (Lummi) NPAIHB Kristin Hill, BSN, MSHSA - GLITC Tribal Epi Center Jackie Kaslow, (Miwok, Maidu) CRIHB Family/Community Health Myra Parker, JD, MPH, PhD (Mandan/Hidatsa)- University of

Washington Kristine Rhodes, MPH (Bad River Anishinaabe) - American Indian

Cancer Foundation

Role of Advisory Board Inform all aspects of the project Assist with information dissemination

o Attend and/or co-host a regional Tribal Roundtable

o Share information with Tribes in their region and at national meetings

Provide key recommendations on feasibility of a TPHI

Engaging Tribes 7 Tribal Roundtables

Phoenix – October 2011 Bemidji – February 2012 NCAI - June Oklahoma - July Alaska - August NIHB - September Portland – October

Roundtable Format Overview of the project Key questions and

facilitated discussion Open comment

Feasibility Project Components1. Needs and Assets Analysis

Tribes, Tribal Organizations, Organizations serving Tribes

Environmental scan – national public health initiatives

2. Organizational analysis Best organizational structure; Governance

3. Conduct a financial analysis to determine costs Start-up and sustain

Potential Role of Tribal Public Health Institute

Provide leadership in gathering and sharing information to support self-determination

Serve as a trusted source of information for Tribal leaders, decision makers and administrators

Develop evidence and experience based resources that are cultural relevant

Address technical assistance needs and training Serve as a central location for information, resource

materials, practice models

QUESTIONS

FACILITATED DISCUSSION

Tribal Public Health Partners

Tribal Governments and Tribal Health Departments work in partnership with a number of key stakeholders to safeguard and maintain the community’s health.

Roundtable Question

When you think about everyone who is working together:

What’s working well to address the health needs of your community?

Roundtable Question

When you think about everyone who is working together:

What can be improved to address the health needs of your community?

Roundtable Question

What types of information, tools and technical assistance are needed, but not currently available?

Roundtable Question

What role, if any, could a Tribal Public Health Institute have to address these needs?

OPEN COMMENT

Thank You!www.redstar1.org/tphifeasibilityproject/

(520) 407-6307