aberdeen area indian health service may 13, 2013

ABERDEEN AREA INDIAN HEALTH SERVICE

May 13, 2013

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Aberdeen AreaIndian Health Service

The Aberdeen Area Office in Aberdeen,South Dakota, works in conjunction with its 17 Indian Health Service Units and Tribally Managed Service Units to provide health care to approximately 124,443 Native Americans who are members of 16 Federally Recognized Tribes located in North Dakota, South Dakota, Nebraska, and Iowa.

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Aberdeen Area

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Map of North Dakota

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Map of South Dakota

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Map of Nebraska

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Map of Iowa

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Aberdeen Area I.H.S. The Aberdeen Area Service Units

include 7 Hospitals, 8 Health Centers and 6 Tribally Operated Service Sites.

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Aberdeen Area I.H.S. Hospitals South Dakota Hospitals

Pine RidgeRosebudRapid CityEagle Butte

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Aberdeen Area I.H.S. Hospitals

North Dakota HospitalsBelcourtFort Yates

Nebraska HospitalWinnebago

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Aberdeen Area Health Centers South Dakota

WagnerSissetonFort ThompsonLower BruleMcLaughlinKyleWambleeNorth DakotaFt. Totten

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Aberdeen Area Tribal Sites

South Dakota Flandreau

Nebraska Northern PoncaOmahaSantee

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Tribal Sites cont…North Dakota Three Affiliated-Ft. Berthold

Iowa Sac and Fox

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Each facility incorporates a

comprehensive health care delivery system.

The following is a breakdown of what services are provided at each service unit.

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Hospital services provided The larger facilities, Pine Ridge and

Rosebud in South Dakota and Belcourt in North Dakota offer the following services:

Belcourt General surgery, Obstetrics, Outpatient Dept.,

specialty clinics with contracted Specialists, Dental, Mental Health, Physical Therapy, lab,

x-ray, Pharmacy, optometry, Public Health Nursing

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Hospital services continued…

Rosebud General surgery, Obstetrics, Outpatient Dept.,

Inpatient Dept., specialty clinics with contracted Specialists, Dental, Mental Health, Optometry, Physical Therapy, lab, x-ray, Pharmacy, Public Health Nursing

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Hospital services continued…Pine Ridge General surgery, Obstetrics, Outpatient Dept.,

Inpatient Dept., specialty clinics with contracted Specialists, Dental, Mental Health, Optometry, Physical Therapy, lab, x-ray, Pharmacy, Public Health Nursing

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Hospital services continued…Rapid City

Inpatient OutpatientEmergency Room

…plus other services such as Dental, Optometry, Mental Health, Physical Therapy, and a range of ancillary and support services, Public Health Nursing

*They do not provide OR or Obstetric Services

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Hospital services continued…Ft. Yates, ND

Inpatient OutpatientEmergency Room

…plus other services such as Dental, Optometry, Mental Health, Physical Therapy, and a range of ancillary and support services, Public Health Nursing

*They do not provide OR or Obstetric services

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Hospital services continued…Eagle Butte

Inpatient OutpatientEmergency Room

…plus other services such as Dental, Optometry, Mental Health, Physical Therapy, and a range of ancillary and support services, Public Health Nursing

*They do not provide OR or Obstetric services

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Hospitals Services cont….Winnebago

Inpatient OutpatientEmergency Room

…plus other services such as Dental, Optometry, Mental Health, Physical Therapy, and a range of ancillary and support services

*They do not provide OR or Obstetric services

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Service provided by I.H.S.Health Care sites

Outpatient services, pharmacy, lab, X-Ray, Behavioral Health, Public Health nursing, Dental, Environmental Health, Optometry, Dietary, Lab, ENT, Pharmacy, Dental, and Inpatient and contract health specialty referrals to outside facilities.

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PortlandPortland109,870109,870 BillingsBillings

72,58572,585Aberdeen124,433

$365 Million BudgetPhoenixPhoenix166,398166,398

CaliforniaCalifornia85,88185,881

AlbuquerqueAlbuquerque85,99085,990

OklahomaOklahoma339,617339,617

NavajoNavajo247,203247,203

BemidjiBemidji104,914104,914

AlaskaAlaska143,131143,131

TucsonTucson27,00027,000

53,495

IHS HeadquartersIHS HeadquartersRockville, MDRockville, MD

TOTAL IHS USER POPULATIONTOTAL IHS USER POPULATIONFOR FY FOR FY 20122012: : 1,560,517

South Dakota State Budget$4.3 Billion

$4. 1 Billion Budget INDIAN HEALTH SERVICE

USER POPULATION BY AREA

Eligibility Must be an enrolled member of a Federally Recognized Tribe/Descendent of an enrolled member Not all enrolled members utilize IHS Not all Native Americans are eligible for services

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Aberdeen Area User Populationby Service UnitHospitals Belcourt-13,573 Winnebago-5,146 Pine Ridge-22,203 Rosebud-12,405 Eagle Butte-8,231 Rapid City-14,265 Ft. Yates-8,823

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User Population cont…Health Centers Ft. Thompson-3,815 Ft. Berthhold-5,228 Lower Brule-2,087 Sisseton-Wahpeton-6,684 Spirit Lake-5,430 Yankton-3,824

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User Population cont…Tribal Sites Flandreau-1,506 Northern Ponca-3,134 Omaha-3,539 Sac and Fox-1,577 Santee-1,101 Trenton-1,863

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Providers There are currently 84 Medical providers

employed by Aberdeen Area I.H.S. in the following areas. 55 employed in SD IHS sites.

Family Practice Nurse Practitioner Physician Assistant Emergency Room OR/Surgeons Obstetrician Hospitalist

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Providers by SiteHospitals Belcourt-16 Winnebago-7 Pine Ridge-12 Rosebud-7 Eagle Butte-5 Rapid City-11 Ft. Yates-2

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Providers by SiteHealth Centers Ft. Thompson-4 Wanblee-2

McLaughlin-0 Lower Brule-0 Sisseton-Wahpeton-7 Spirit Lake/Ft. Totten-2 Wagner-5 Kyle-2

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Provider Vacancies Overall Aberdeen Area currently has 44

vacant Medical Officer positions. 36 of the vacancies are in SD

These vacant positions are filled with contract providers

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Provider Vacancies by Service Unit

Rosebud-6 Lower Brule-3 Pine Ridge-10 Wanblee-0 Rapid City-5 Kyle-0 Eagle Butte-4 Sisseton-3 Ft. Yates-5 Winnebago-1 Belcourt-2 Wagner-0 Ft. Thompson-1 McLaughlin-1 Ft. Totten-1 Belcourt-2

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Access to Care IssuesProvider ShortageNursing Shortage IHS funding at 43% of existing need TransportationContinuity Lack of Speciality Services/CHS funding

Care has to be provided regardless of 3rd party resources

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Recruitment Challenges Rural location of facilities Schools Housing Activities Distances to nearest shopping mall, grocery

shopping, etc. Salary incentives Not having the services to keep up skills Employment

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Recruitment Efforts Working with a recruitment agency Offering tribal benefits, such as free

hunting and fishing license Housing when available Introduction to a local family that can

assist with them with orientation to the community.

Benefits-recruitment, retention bonus Involvement in community activities

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Questions?

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