Billings Area Indian Health Service Updates and Information

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The Billings Area Indian Health Service is actively welcoming new employees and undergoing accreditation processes to ensure the highest standards of healthcare for their facilities. They are also providing crucial data on COVID-19 vaccinations, including eligibility for second booster doses. Stay informed with the latest developments from the Billings Area IHS.


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  1. Billings Area Indian Health Service

  2. Billings Area Indian Health Service Announcement of New Employees Babak Nayeri, Chief Executive Officer, Wind River Service Unit Marjorie Spotted Bird, Chief Executive Officer, Fort Peck Service Unit Ocfuske J. King, Human Resource Specialist, Billings Area Office Connie Littleboy-Palmer, Administrative Assistant, Office of Environmental Health & Engineering Kenneth Nicholson, Contract Specialist, Billings Area Office Ron Juneau, Contract Specialist, Billings Area Office Tia Tallbull, Purchased Referred Care Technician, Billings Area Office Carlotta Ware, Purchased Referred Care Technician, Billings Area Office Krystal Spotted Eagle, Credentialing Technician, Blackfeet Service Unit

  3. Billings Area Accreditation Status Billings Area IHS operated facilities are all seeking or renewing their accreditation through The Joint Commission (previously know as JCAHO) in 2022. Initial Surveys: Wind River: February 28 -March 2 Blackfeet: March 28 -31 Fort Peck: April 19 -21 Northern Cheyenne: May 24 -26 Why seek accreditation? Healthcare facilities who receive accreditation have better clinical outcomes and provider better quality care leading to safer and better outcomes for patients. Renewal surveys: Crow: anticipated before May 18 Fort Belknap: anticipated before September 1

  4. COVID-19 Vaccinations Data reflective of 4/10/22 for I/T/Us within the IHS jurisdiction Received at Least One Dose % Fully Vaccinated Who Received a Booster Dose Population Fully Vaccinated 69% (37,428) 51% (28,003) 28% (7,816) BIL Area I/T/U s (12+) 60% (21,865) 45% (16,511) 29% (4,831) BIL Area IHS (18+) 52% (3,572) 39% (2,654) 10% (276) BIL Area IHS (12-17) 25% (1,821) 16% (1,171) BIL Area IHS (5-11) N/A Data Considerations: All data is from the IHS COVID-19 Dashboard Second boosters are not yet displayed separately in the IHS COVID-19 Dashboard Some AI/AN patients may have been vaccinated outside of I/T/U facilities that chose the IHS for vaccination; these doses are not reflected in this data.

  5. COVID-19 Vaccine Second Booster Dose Authorized On March 29, 2022, second (2nd) booster dose authorized by the FDA and CDC Eligible Groups Anyone 50 years and older Individuals aged 18 49 years who received J&J primary and J&J booster doses Immunocompromised individuals Time Frames At least 4 months after the 1st booster dose Vaccines Only Pfizer and Moderna may be used for the 2nd booster doses

  6. Billings Area Indian Health Service Tribal Activities & Events Special Diabetes Program for Indians (SDPI) for FY 2023 - Billings Area Consultation TBD https://www.ihs.gov/sites/newsroom/themes/responsive2017/display_objects/documents/2022_Letters/DTL L_04152022.pdf NIHB National Tribal Public Health Summit (Virtual) May 9 12, 2022 Direct Service Tribes Advisory Committee (Virtual) 3rd Quarterly Meeting - May 19, 2022 Tribal Self-Governance Conference - Burlingame, California July 31 August 4, 2022 DSTAC Annual Conference - Flagstaff, Arizona August 10-11, 2022

  7. Billings Area Indian Health Service Office of Tribal Programs Information Sharing for Tribal Leaders Date TBD IHS Overview Office of Tribal Programs Roles and Responsibilities Tribal Expectations Indian Self-Determination and Education Assistance Act (ISDEAA) Overview Title I: Self-Determination Title V: Self-Governance **Jennifer LaMere, Acting Director, Office of Tribal Programs, will reach out for additional agenda items.

  8. FY 2021 Budget BILLINGS AREA FY 2021 FUNDING Clinical Services Preventive Health Urban Health Purchased Referred Care Contract Support Costs Special Diabetes Program Initiative 3rd Party Collections Environmental Health/Facilities Federal Tribal Urban Total 57,384,363 5,388,760 20,373 52,373,224 35,112,381 7,399,173 467,515 92,964,259 12,787,933 4,441,729 72,911,239 13962676 1,044,343 101,301,402 24,160,917 323,574,498 4,421,356 20,538,015 13,962,676 1,044,343 101,301,402 21,592,528 239,104,993 2,568,389 79,580,634 4,888,871

  9. FY 2021 Budget Year End Status BILLINGS AREA FY 2021 YEAR END STATUS Clinical Services Preventive Health Urban Health Purchased Referred Care Special Diabetes Program Initiative 3rd Party Collections Environmental Health/Facilities Federal Obligations Commitments 51,359,955 0 2,133,738 0 20,373 0 13,054,178 0 0 0 56,890,912 0 6,893,967 0 130,353,123 0 Total 57,384,363 5,388,760 20,373 52,373,224 1,044,343 101,301,402 21,592,528 239,104,993 6,024,408 3,255,022 0 39,319,046 1,044,343 44,410,490 14,698,561 108,751,870

  10. Prior Year Carry Forward Balances as of April 14, 2022 BILLINGS AREA 2021 CARRY FORWARD Medicaid Medicare Private Insurance Veterans Admin Collections Purchased Referred Care Federal Environmental Health Services Facilities Support Maintenance & Improvements Equipment Federal Tribal Urban Total 46,240,159 12,382,146 13,161,800 2,570,782 44,683,262 5,542,563 3,943,909 12,436,492 1,128,102 142,089,215 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46,240,159 12,382,146 13,161,800 2,570,782 44,683,262 5,542,563 3,943,909 12,436,492 1,128,102 142,089,215

  11. Billings Area Indian Health Service Office of Environmental Health & Engineering DES Current Projects in Contracting: $30,405,430 FEPP Projects Total FY 21 and Prior Year Funded Projects : $45,974,426 Total FY 22 Funded Projects: $5,635,350 Total Funded Projects: 51,609,776

  12. DES Current Projects in Contracting BAO Facilities Assessment Billings AE Tech Services WRSU Clinic Expansion Design Multiple Emergency Power Supply System Design Isolation and Pressure Room Renovation Billings Master Planning AE Services AW Airborne Infection Isolation Rm Renovation/Modernization Billings AE and Engineering Technician Services Multiple Emergency Power Supply System Designs Crow Utility Mapping Crow Hospital ATS Replacement Northern Cheyenne Service Unit Flooring Project AE Design 18-Unit Apartment Building, Browning, MT Crow Transfer Stations Renovation WRSU Optometry AE Design Services Fort Peck Hospital Renovation Fort Peck Addition & Renovation Design Crow/Northern Cheyenne Hospital Pump Replacement NCSU Boiler and Chiller Replacement Project Billings Area Asphalt and Concrete Repair 2018 BEMAR Hays Health Center Boiler Replacement Multi Project Design - Ft Belknap Hospital Renovation FB Keyless Access and Security System AE Design 18-Unit Apartment Building, Crow Agency, MT Blackfeet Southern Piegan Health Center Modernization Lodge Grass Dental, HIM and Pharmacy Remodel AE Design

  13. FEPP Project Consolidated List BAO-Area Wide Master Plan (BF, FB, NC) BFSU-Replace Fire Alarm System @ Browning Hospital BAO-Area Wide Emergency Generator Design BFSU-Replace Fire Alarm System @ Heart Butte Clinic BAO-Area Wide Isolation Room Modernization BFSU-Multiple Project Design BFSU-Emergency Generator @ Heart Butte CSU-Door Replacement - Phase I Fire and Smoke Door BFSU-Inpatient Renovation - include nurses station CSU-Emergency Generator @ Pryor Clinic BFSU-Replace Medical Gas Alarm System CSU-ATS Replacement BFSU-Replace Emergency Generator - BCH CSU-UST Removal BFSU-14 Plex Apartment - Construction CSU-Pryor Clinic Expansion Design BFSU-Replace Onan 125kW Emergency Generator and ATS @ Browning Hospital CSU-Renovate Crow Hospital Helipad CSU-Fire Alarm System Replacement - Lodge Grass Clinic BFSU-Replace CAT 400kW Emergency Generator and ATS @ Browning Hospital CSU-Lodge Grass Clinic Design and Renovation

  14. FEPP Project Consolidated List Continued FBSU-Repair Main Entrance FPSU-Poplar Ancillary Building Expansion and Renovation FBSU-Mechanical exterior door replacement FPSU-WP - Replace Cabinets Various Location FBSU-Multiple Project Design FPSU-Foundation Repair - Wolf Point FBSU-Hays Clinic - Replace Sidewalk Various FPSU-Replace Emergency Generator - Poplar Clinic FBSU-Hospital - Replace Sidewalk Various FPSU-WP - Roof Repair FBSU-Hospital - HVAC Plumbing Replacement FPSU-WP - Analyze Electrical Load and Add Load to Generator FBSU-New Quarters LSSU-Renovate Second Floor - Clinic FBSU-IT Room A/C Replacement - Hays NCSU-Clinic Flooring and Restroom Renovation FBSU-Hospital - HVAC Plumbing Replacement FBSU-Replace Chillers @ Hospital

  15. FEPP Project Consolidated List Continued NCSU-Helipad - Repair/Renovate to meet FAA guidelines WRSU-Renovate the Optometry and Admin Building (74, 76) NCSU-Replace O2 Manifold to gas pack system WRSU-NA - Renovate Clinic Restrooms NCSU-Convert Play Area to Office Space - HVAC upgrades WRSU-Secure Access to the Roof - NA NCSU-Install ACA Ramp/Sidewalk from Road to Clinic WRSU-Heat Pumps on Admin Side - FW NCSU-Renovate Various Restrooms WRSU-FW - Replacement of Admin Side Heat Pumps NCSU-BAC Replacement WRSU-NA - Wallpaper removal, thin coat and paint NCSU-Interior Paint - Phase I WRSU-NA - Install Powered Exhaust System to address Positive Pressure WRSU-Renovate the Optometry and Admin Building WRSU-Emergency Generator @ Arapahoe Clinic WRSU-FW Clinic Expansion

  16. Questions?

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