Ngày tải lên :
16/03/2014, 05:20
... IndianHealthDataCollaborative
Comprehensivedataon the health of AI/ANinWashingtonisseverelylackingasAI/AN
raceisoftenunderreportedormisclassified.Estimation of diseaseratesoftenrelieson
the use of vitalrecords,includingbirthanddeathcertificates,diseaseregistries,and
censusdata.Errorsand/orinaccuraciesoccur
whendataforAI/ANcommunitiesare
reportedincompletelyorarenotreportedaccurately.
Acloselyrelatedproblemarisesdueto the factthateachdatasystemmayrecordrace
differently. The impact of thisdifferentialrecording of raceon the completenessand
accuracy of the numbersandrates of healtheventsforAI/ANsisdifficult,ifnot
...
impossible,toquantify. The variousentitiesthatmanagespecificAI/ANhealthdata
setsoftenemploydifferingmethodsforcollecting,adjusting,anddistributingdata.A
greatereffortisneededtocollaborateacrossagenciesandinstitutesthatare
conductingresearchandcollectingdatainordertobeginaccuratelyportraying the true
extent of
Indianhealthdisparities.
Severalagencies,organizations,andinstitutionshaveexpressedarenewedinterestin
comingtogethertobeginaconversationonhowthismightbeachieved.Accuratedata
isnecessarytosupportassessmentandpolicydevelopmenttoimproveservicedelivery
andhealthstatus of Indianpeople.Withoutpaintingamore
thoroughpicture of Indian
healthinWashingtontoday, the abilitytoplanorimproveservices,monitorquality,
andanalyzecostsisseverelyimpaired.
Tribalgovernmentsmustbeintricatelyinvolvedinsucheffortstoassure the use of the
dataisculturallyappropriate,acceptable,andmeaningfulin improving the health of
theirpeople.Byreinstitutingeffortsthatbeganin1997between the commissionand
the WashingtonStateDepartment of HealththroughanAmericanIndianData
Committee,anupdatedframeworkcanbedevelopedforaddressingpriorityhealth
issuesforAI/AN.
Thereareseveralentitiesthatconsistentlyconductresearchandcollectandinterpret
dataonAI/AN.Over the nexttwoyears, the commissionwillpartnerwith the
Department of Health, the NorthwestPortlandAreaIndianHealthBoard, the Urban
IndianInstitute,andotherepidemiology/research‐basedcenterswithagoal of
developingamorecomprehensiveunderstanding of the current‐dayhealth of the
AI/ANpopulationandprovidingTribes,Tribalorganizations,and the statemore
accurateinformationneededtoaddresspublichealthpolicyissuesimportanttoTribal
communities.
C. ...
First,aState‐Tribal‐UrbanIndianHealthCollaborativehasbeenre‐institutedata
state/triballeaderpolicylevelforaddressingappropriatesystemschangeandpolicy
decisionsthatneedtobemadetochangehealthoutcomesforIndianpeople.This
group—comprised of tribalgovernments,healthstaff,andstateleadersacross
multiplesystemsanddepartments—willbestrategicallyaligningstatewideIndian
healthdisparitiesworkwithGovernorGregoire’s5‐PointHealthCareInitiative.Thiswill
allow the grouptoleverageexistingresources,maximize the limitedfundscurrently
available,andcreate the infrastructurenecessarytofurtherreduceIndianhealth
disparitiesin the future.
Second,severalagencies,organizations,andinstitutionshaveexpressedarenewed
interestincomingtogethertodevelopamorecompleteset of AmericanIndianhealth
statusdata.Accuratedataisnecessarytosupportcommunityhealthassessmentsand
policydevelopmenttoimproveservicedeliveryandhealthstatus of Indianpeople.
Withoutpaintingamorethoroughpicture of IndianhealthinWashingtontoday, the
abilitytoplanorimproveservices,monitorquality,andanalyzecostsisseverely
impaired.Tribalgovernmentsmustbeintricatelyinvolvedinsucheffortstoassure the
use of the dataisculturally‐appropriate,acceptable,andmeaningfulin improving the
health of theirpeople.Byreinstitutingeffortsthatbeganin1997between the
AmericanIndianHealthCommissionandWashingtonStateDepartment of Health
throughanAmericanIndianDataCommittee,anupdatedframeworkcanbedeveloped
foraddressingpriorityhealthissuesforAI/AN.
Third,sweepingnationalhealthreformand the currentadministrationofferaunique
opportunityforchangeinhowhealthcareisprovidedtoAI/ANs.AsIndianhealth
leadershipsuchas the U.S.IndianHealthServices, the NationalIndianHealthBoard,
andmoreregionally, the NorthwestPortlandAreaIndianHealthBoard,strongly
advocatesfor the inclusion of Indianhealthreforminnationalreformstrategies, the
stateisalsorethinkinghowitprovidesquality,affordable,andcost‐effectivehealth
caretoitscitizens. The state,Tribes,and the commissionwillactivelypartnerinthese
effortstoaddress the needforAI/ANincreasedaccesstoexistingservices,increased
Tribalproviderreimbursementopportunitiesso
culturally‐appropriateservicescanbe
providedinTribalcommunities,anddevelopmechanismsforevaluatingprogressfor
improvedIndianhealthstatus.
SectionIII,2007‐2009Accomplishments,highlightssome of the majorachievements
madeforIndianhealthin the statesince the lastplanwaspublishedin2007.Additional
partnershipshavebeendeveloped,keypolicyissueshavebeenaddressed,andthere
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