Big News: Indian Health Service Portland Area to Establish Regional Specialty Referral Center - July 2022 Update
The Indian Health Service in the Portland Area has announced plans to establish a Regional Specialty Referral Center, with Acting Director Fowler providing a project update at the upcoming QBM meeting in July 2022. Stay tuned for more developments in healthcare initiatives aimed at improving services for the community.
- Indian Health Service
- Portland Area
- Regional Specialty Referral Center
- QBM meeting
- Healthcare Initiatives
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Presentation Transcript
Indian Health Service Indian Health Service NPAIHB NPAIHB- -QBM MEETING QBM MEETING AREA DIRECTOR DIRECTOR, PORTLAND AREA JULY 2022
Indian Health Service Portland Area BIG NEWS - Regional Specialty Referral Center Acting Director Fowler Project Update DTLL Distributed June 17th IHS Plans to Construct Portland Area s Proposed Demonstration Project Proceeding Under IHCIA Demonstration Project Authority HHS Provided $165M of Funding From Nonrecurring Expenses Fund (NEF)
Indian Health Service Portland Area Regional Specialty Referral Centers Background 2005 Portland Area Health Services Master Plan Identified Need for Improved Access to Specialty Care Proposed Network of Three Facilities (Seattle, Spokane, Portland Metro Areas) New Concept No Viable Path to Project Approval or Funding
Indian Health Service Portland Area Regional Specialty Referral Centers Background Why Regional Specialty Referral Centers? Need Improved Access! Barriers Include: Specialty Provider Capacity Limits on Medicaid/Medicare Patients Many AI/AN Patients Are Not PRC Eligible High Costs for Accessing Out of Network Specialty Care Services Long Appointment Wait Times Lack of Culturally Appropriate Care Difficult to Assure Continuity of Care with Primary Care Provider
Indian Health Service Portland Area Regional Specialty Referral Centers Background What Do Regional Referral Centers Provide? More Access! Access in Addition to Currently Available Options (Does not Replace Existing Options) Culturally Appropriate Care AI/AN Patients Are the Service Priority Improved Coordination with Primary Care Provider Back Home Extended Reach Through Tele-Medicine No Cost to PRC For Services Provided at the Regional Facilities (3rdParty Will be Billed) Proposed Locations Improve Recruitment/Retention Opportunities for Specialists and Ready Access to Tertiary Care if Needed Combined User Populations Provide Sufficient Workload to Support Many Specialty Care Types
Indian Health Service Portland Area Regional Specialty Referral Centers Background What Services Could a Regional Facility Provide? The Demonstration Project Will Help Determine. The Current Proposal Includes: General Surgery, Ophthalmology, Orthopedic, Otolaryngology, Urology, Cardiology, Dermatology, Neurology, Psychiatry, Audiology, Oral Surgery, Pediatric Dentistry, Endontics, Orthodontics, Prosthodontics, Periodontics, Lab Services, and Diagnostic Imaging. The Regional Concept Considers Portland Area s Large User Population. The Combined Population Creates Sufficient Workload to Maintain Various Specialists on Staff and Busy. Individual Program User Populations are too Small to Generate Sufficient Workload to Maintain Specialists on Staff, Leaving PRC as the Only Viable Option to Access Care.
Indian Health Service Portland Area Regional Specialty Referral Center Background Portland Area Facilities Advisory Committee (PAFAC) Appointed by Portland Area Director to Consult on Issues Related to Healthcare Facilities Construction and Associated Staffing. PAFAC Worked Extensively on Developing Proposals Related to the Regional Specialty Referral Center Network. Current Members: Andy Joseph, Sharon Stanphil, Alan Shelton, Mark Johnson, Steve Kutz, Hyllis Dauphinais, and John Stephens Actively Working to Fill 4 Vacancies
Indian Health Service Portland Area Regional Specialty Referral Center Background 2009 Interim PAFAC Report Evaluated Demand for Specialty Care PAFAC Recommended IHS Fund a Demonstration Project for Improved Access to Secondary Care and Gather Unavailable Data to Inform Planning for Future Facilities. NPAIHB Endorsed the PAFAC Recommendation, Demonstrating Broad Support For Improved Access to Specialty Care.
Indian Health Service Portland Area Regional Specialty Referral Center Background 2016 Interim PAFAC Report Update / Project Documents Further Evaluated Demand and Affirmed Demonstration Project Recommendation. Developed and Submitted a Full Project Proposal with Program Justification Document (PJD), Program of Requirements (POR), Site Selection Evaluation Report Part I (SSER-I), and Business Plan. Evaluated Potential Construction Sites Offered by Two Tribes (Chehalis and Puyallup). Review Team Established Fife, WA as the Preferred Location. Project Documents Used As a Basis to Request NEF Funding to Support the Project
Indian Health Service Portland Area Regional Specialty Referral Center Next Steps (not exhaustive) Work With PAFAC to Update 2016 Planning Documents. Establish Any Necessary Real Property Agreements with the Puyallup Tribe Complete Site Selection Evaluation Report Part II (SSER-II) Contract With A/E Firm to Start Design Process. Project Timelines Are Typically 4 6 Years
Indian Health Service Portland Area Regional Specialty Referral Center Next Steps Continued Consultation with PAFAC and Other Stakeholders Refinement of Operational Strategies to Optimize Access Across the Entire Area Will Be a Focal Point Demonstration Project Success Will Drive Justification to Construct Other Facilities, Completing the Portland Area Network.
