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First,aState‐Tribal‐UrbanIndianHealthCollaborativehasbeenre‐institutedata
state/triballeaderpolicylevel for addressingappropriatesystems change andpolicy
decisionsthatneedtobemadeto change healthoutcomes for Indianpeople.This
group—comprisedoftribalgovernments,healthstaff,andstateleadersacross
multiplesystemsanddepartments—willbestrategicallyaligningstatewideIndian
healthdisparitiesworkwithGovernorGregoire’s5‐PointHealthCareInitiative.Thiswill
allowthegrouptoleverageexistingresources,maximizethelimitedfundscurrently
available,andcreatetheinfrastructurenecessarytofurtherreduceIndianhealth
disparitiesinthefuture.
Second,severalagencies,organizations,andinstitutionshaveexpressedarenewed
interestincomingtogethertodevelopamorecompletesetofAmericanIndianhealth
statusdata.Accuratedataisnecessarytosupportcommunityhealthassessmentsand
policydevelopmenttoimproveservicedeliveryandhealthstatusofIndianpeople.
WithoutpaintingamorethoroughpictureofIndianhealthinWashingtontoday,the
abilitytoplanorimproveservices,monitorquality,andanalyzecostsisseverely
impaired.Tribalgovernmentsmustbeintricatelyinvolvedinsucheffortstoassurethe
useofthedataisculturally‐appropriate,acceptable,andmeaningfulinimprovingthe
healthoftheirpeople.Byreinstitutingeffortsthatbeganin1997betweenthe
AmericanIndianHealthCommissionandWashingtonStateDepartmentofHealth
throughanAmericanIndianDataCommittee,anupdatedframeworkcanbedeveloped
for addressingpriorityhealthissues for AI/AN.
Third,sweepingnationalhealthreformandthecurrentadministrationofferaunique
opportunity for change inhowhealthcareisprovidedtoAI/ANs.AsIndianhealth
leadershipsuchastheU.S.IndianHealthServices,theNationalIndianHealthBoard,
andmoreregionally,theNorthwestPortlandAreaIndianHealthBoard,strongly
advocates for theinclusionofIndianhealthreforminnationalreformstrategies,the
stateisalsorethinkinghowitprovidesquality,affordable,andcost‐effectivehealth
caretoitscitizens.Thestate,Tribes,andthecommissionwillactivelypartnerinthese
effortstoaddresstheneed for AI/ANincreasedaccesstoexistingservices,increased
Tribalproviderreimbursementopportunitiesso
culturally‐appropriateservicescanbe
providedinTribalcommunities,anddevelopmechanisms for evaluatingprogress for
improvedIndianhealthstatus.
SectionIII,2007‐2009Accomplishments,highlightssomeofthemajorachievements
made for Indianhealthinthestatesincethelastplanwaspublishedin2007.Additional
partnershipshavebeendeveloped,keypolicyissueshavebeenaddressed,andthere
... HealthReform
Tribes,UrbanIndianHealthOrganization,andNational/TribalHealthReform
AsourstatecontinuescollaborativeeffortswithTribestoaddressworseningtribal
healthdisparities,ourGovernor’sinvolvementwithNationalHealthCareReformmay
provideanopportunitytoaddresshealthdisparitiesattheNationallevel.The
followingreportwaswrittenbyJimRoberts,PolicyAnalyst,NorthwestPortlandArea
IndianHealthBoard,toprovidethemostcurrentupdateonnationallevelhealth
reform,andmostimportantly for thisplan,howthesereformactivitiesrelateto/
impactTribesinWashington.
Opportunities for Change: Improving the Health ... UrbanIndianHealthPrograms
TheAIHChasidentifiedUrbanIndianhealthasanareathatwarrantsadditional
attentionandheightenedawareness.ManyAI/ANpeopleliveinurbanareasinthe
state,andtheseAI/ANindividualsfacesignificantandoftenuniquechallengesin
accessingcareandremaininghealthy.Manyoftheseindividualsaremembersof
WashingtonStateTribes,othersaremembersofTribesfromotherstates,someare
membersoffederallyrecognizedTribes,othersarenot.Inordertoeffectivelyaddress
healthdisparitiesofallAI/ANinWashington,theremustbeamoreconcertedeffortto
linkurbanIndianhealthprogramstohealthreformeffortstakingplace.Thiswillallow
for improvedcoordinationinprovidingacomprehensivehealthcaredeliverysystem
for IndianpeopleinWashington.InSectionIIIA,oneoftheprioritiesidentified for the
State‐Tribal‐UrbanIndianHealthCollaborativeistobeginthisworkbyraising
awarenessofurbanIndianhealthissues.
ThefollowingisfromanissuebriefdevelopedbyRalphForquera,executivedirector,
SeattleIndianHealthBoard
5
.Thisbriefprovidesacomprehensivesummaryofurban
...