Knowledge Resource Center Archives - Page 173 of 176

Urban health program strategic planning report

January 21, 2010/in Knowledge Resource Center/by MABU

Authors:
Publication Year: 1993
Last Updated: 2010-01-21 08:14:08
Journal: Indian Health Service, Office of Health Programs
Keywords: Community Health Planning; Consensus Development Conferences/Publication Type; Decision Support Systems, Management; Health Planning; Delivery of Health Care, Integrated; Managed Care Programs; Program Development; Public Health; Regional Health Planning; Urban Health

Short Abstract: In August 1991, the Indian Health Service published the "Indian Health Service Executive Reference Guide on Strategic Planning." This report applied the Strategic Planning and Management Model to the Urban Indian Health Program. Although it sets forth the entire steps of the strategic planning model, it is more accurately a progress report through the first eight steps of the strategic planning model.

Abstract: The rapidly changing health care delivery environment requires continued adaptation and change if an organization is to survive and fulfill its mission. Strategic planning is concerned with the decisions that must be made for the entire organization for the long-term. The Indian Health Service Urban Health Program, and the individual urban Indian health programs, are at a critical juncture as health care reform is developing for the future. In August 1991, the Indian Health Service published the "Indian Health Service Executive Reference Guide on Strategic Planning." This report applied the Strategic Planning and Management Model to the Urban Indian Health Program. Although it sets forth the entire steps of the strategic planning model, it is more accurately a progress report through the first eight steps of the strategic planning model. Subsequent analysis should then continue the process for steps 9 through 11

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Code: 3098
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UIHI Newsletter

January 21, 2010/in Knowledge Resource Center/by MABU

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Publication Year: 2006
Last Updated: 2010-01-21 08:14:08
Journal: Urban Indian Health Institute
Keywords: newsletter, diabetes, urban Indians, Maori, Aboriginal, Canada

Short Abstract: Urban Indian Health Institute Newsletter, Winter 2006

Abstract: Urban Indian Health Institute Newsletter, Winter 2006

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Code: 2025
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The underreporting of deaths of American Indian children in California, 1979 through 1993.

January 21, 2010/in Knowledge Resource Center/by MABU

The Health of American Indians and Latinos in Lansing, Michigan

January 21, 2010/in Knowledge Resource Center/by MABU

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Suicidal behavior in urban American Indian adolescents: a comparison with reservation youth in a southwestern state

January 21, 2010/in Knowledge Resource Center/by MABU

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Second roundtable conference on health care reform, the Health Security Act, and Indian health care a consensus statement final report

January 21, 2010/in Knowledge Resource Center/by MABU

Authors: IHS-
Publication Year: 1994
Last Updated: 2010-01-21 08:14:08
Journal: Indian Health Service, Staff Office of Planning, Evaluation, and Research
Keywords: Consensus Development Conferences/Publication Type/); Community Health Planning; Community Networks; Clinical Competence; Comprehensive Health Care; Consumer Participation; Efficiency, Organizational; Eligibility Determination; Financial Management; Financing, Government; Financing, Organized; Health Care Quality, Access, and Evaluation; Health Care Reform; Health Services Accessibility; Health Planning Support; Medicare Part B; Organizational Innovation; Professional Competence; Quality Assurance, Health Care; Regional Health Planning; Social Responsibility

Short Abstract: This Roundtable on Health Care Reform was the second Indian Health Service (IHS)-sponsored Roundtable on the topic of Health Care Reform and its impact on Indian health. This second Roundtable was held to provide tribal leaders, urban health care providers, and national Indian organizations with the opportunity to contribute their perspectives on detailed substance of the Health Security Act and other reform proposals, and to provide the IHS with Consensus Statements from which further policy analysis can occur.

Abstract: This Roundtable on Health Care Reform was the second Indian Health Service (IHS)-sponsored Roundtable on the topic of Health Care Reform and its impact on Indian health. This second Roundtable was held to provide tribal leaders, urban health care providers, and national Indian organizations with the opportunity to contribute their perspectives on detailed substance of the Health Security Act and other reform proposals, and to provide the IHS with Consensus Statements from which further policy analysis can occur. The Consensus Statements reflected in this document were developed through a process which allowed for presentation of most current information, deliberation, and discussion by Roundtable participants, and formulation of Consensus Statements which best projected the breadth of positions. The Consensus Statements developed by the Roundtable participants focused on the following major issue areas: 1) tribal sovereignty; 2) comprehensive and supplemental benefits; 3) governance and structure; 4) eligibility and enrollment; 5) financing; and 6) transition and competition. A major overriding concern expressed by Roundtable participants that influenced the discussion of every major aspect of Health Care Reform were the cutbacks to the IHS in fiscal years 1994 and 1995. These cuts will cause devastating and potentially irreparable harm to the Indian health care delivery structure nationally. The Roundtable participants stated repeatedly, that it will be impossible for the Indian health care system to withstand the magnitude of proposed staffing and budget cuts, and still compete under the new Health Care reform system

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Code: 3090
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Racial misidentification of American Indians/Alaska Natives in the HIV/AIDS Reporting Systems of five states and one urban health jurisdiction, U.S., 1984-2002

January 21, 2010/in Knowledge Resource Center/by MABU

Authors: Bertolli J, Lee LM, Sullivan PS
Publication Year: 2007
Last Updated: 2010-01-21 08:14:08
Journal: Public Health Reports
Keywords: Acquired Immunodeficiency Syndrome/ethnology; Disease Notification/statistics and numerical data; HIV infections; homosexuality; male; humans; Indians; North American; Inuits; Male Residence Characteristics; Substance Abuse; Intravenous/ethnology; United States/epidemiology; Indian Health Service

Short Abstract: Objectives: We examined racial misidentification of American Indians/Alaska Natives (AI/AN) reported to the human immunodeficiency virus (HIV)/acquired immunodeficiency sydrome (AIDS) Reporting Systems (HARS) of five U.S. States and one county.

Abstract: OBJECTIVES: We examined racial misidentification of American Indians/Alaska Natives (AI/AN) reported to the human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) Reporting Systems (HARS) of five U.S. states and one county. METHODS: To identify AI/AN records with misidentified race, we linked HARS data from 1984 through 2002 to the Indian Health Service National Patient Information and Reporting System (NPIRS), excluding non-AI/AN dependents, using probabilistic matching with clerical review. We used chi-square tests to examine differences in proportions and logistic regression to examine the associations of racial misidentification with HARS site, degree of AI/AN ancestry, mode of exposure to HIV, and urban or rural location of residence at time of diagnosis. RESULTS: A total of 1,523 AI/AN individuals was found in both NPIRS and HARS; race was misidentified in HARS for 459 (30%). The percentages of racially misidentified ranged from 3.7% (in Alaska) to 55% (in California). AI/AN people were misidentified as white (70%), Hispanic (16%), black (11%), and Asian/Pacific Islander (2%); for 0.9%, race was unspecified. Logistic regression results (data from all areas, all variables) indicated that urban residence at time of diagnosis, degree of AI/AN ancestry, and mode of exposure to HIV were significantly associated with racial misidentification of AI/AN people reported to HARS. CONCLUSIONS: Our findings add to the evidence that racial misidentification of AI/AN in surveillance data can result in underestimation of AI/AN HIV/AIDS case counts. Racial misidentification must be addressed to ensure that HIV/ AIDS surveillance data can be used as the basis for equitable resource allocation decisions, and to inform and mobilize public health action.

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Funding:
Code: 3002
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