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Victoria Warren-Mears Epicenter Director vwarrenmears@npaihb.org CDC and Tribal Epidemiology Centers: Working Relationship Update Slide 2 Overview CDC historical relationship Granting of Public Health Authority Status Visit to NWTEC by Dr. Ursula Bauer Calls with Dr. Bauer Letter to Dr. Frieden Future Directions Slide 3 NW TEC and CDC We have had funding from CDC for a variety of projects, including the Tribal EpiCenter Consortium and Data into Action, Comprehensive Cancer Program, and Tribal Community Survey (Tribal BRFSS) Slide 4 Public Health Authorities of TECs In the Affordable Care Act Indian Health Care Improvement Act reauthorization TECs were designated at Public Health Authorities Slide 5 Tribal Epidemiology Centers 2010 AFFORDABLE CARE ACT Permanently reauthorized the IHCIA TECs given public health authority status Slide 6 Tribal Epidemiology Centers 2010 AFFORDABLE CARE ACT Health and Human Services (HHS) directed to give TECs access to HHS data systems and protected health information Centers for Disease Control and Prevention must provide TECs technical assistance Each IHS Area must have TEC access Slide 7 Evaluate Delivery Systems Collect and Monitor Progress toward meeting health status objectives Assist Tribes and Tribal Organizations with Epi Data Make recommendations for service targets Provide TA to Tribes and Tribal Organizations Seven Core Functions of Tribal Epidemiology Centers Make recommendations to improve health care delivery Provide disease surveillance Slide 8 Core TEC Functions Slide 9 TEC Core Functions In consultation with and on the request of Indian tribes, tribal organizations, and urban Indian organizations, each Service area epidemiology center established under this section shall, with respect to the applicable Service area: Collect data Evaluate data and programs Identify health priorities with tribes Make recommendations for health service needs Slide 10 TEC Core Functions Make recommendations for improving health care delivery systems Provide epidemiologic technical assistance Provide disease surveillance to tribes Slide 11 TEC Activities Collect and disseminate data Provide analysis of health data Area/Tribal specific health status reports Community Health Profiles Maintain/provide access to surveillance databases Conduct epidemiologic studies Support public health emergency response Assist Tribes in disease control and prevention Provide training Epidemiology, Data Collection, and Public Health Slide 12 Visit with Dr. Ursula Bauer Slide 13 Recent Tribe and Tribal Organization Specific CDC RFP All TEC Directors call with Dr. Bauer to address needs from CDC TC from Dr. Bauer to suggest a letter to Dr. Frieden to elevate concerns to the Agency level Release of CDC RFP Letter sent to Dr. Frieden signed by all TEC directors Response received June 8, 2014 from Dr. Frieden Slide 14 Recent Tribe and Tribal Organization Specific CDC RFP CDC RFP: Two components Tribes Tribal Organizations Require letters of support from 50% of the area served plus 1 Slide 15 Conversations with Dr. Frieden Slide 16 Future Directions Continue to dialogue with CDC Share movement with Tribal leadership Slide 17 Questions and Comments