Directors Health Initiatives

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Directors Health Initiatives

• Behavioral Health
• Chronic Disease Management
• Health Promotion/Disease Prevention

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Behavioral Health Initiative

• Promote clinical community programs to improve
  the mental health of AI/AN
• Facilitate a community driven and community owned
  strategic plan
• Division of Behavioral Health providing national
  resources, networks, advocacy, and technical
  assistance

3
Objectives

• Improve data and data systems to document
  services/service provision and to track progress
• Benchmark services and service provision
• Convene national network so programs can
  communicate and collaborate on their initiatives
• Develop data systems, promising practices,
  training programs, meetings, task force and
  workgroup support.

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Behavioral Health Initiative

• Major Focus Areas for DBH
• Methamphetamine Reduction
• Suicide Prevention
• Child Protection
• BH-MIS Development

Contact Gary Quinn, IHS Headquarters Gary.Quinn_at_
ihs.gov
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Current Activities Integrating Directors
Initiatives

• Invitation to Chronic Disease and Health
  Promotion Disease Prevention staff to discuss
  convergent elements of Initiatives
• End of year monies support local development of
  Area ideas to integrate Directors Initiatives
• DBH providing 5,000 to each Area to support
  development of strategic plans that are useful to
  Area/community programs and that are congruent
  with the Directors Initiatives

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Current Activities Integrating Directors
Initiatives

• Planning a multi-year focus by defining
  activities specific to HQ and Area programs that
  support integration of the Directors
  Initiatives.
• Support DBH staff efforts to integrate at least
  one of the other two Initiatives into their FY07
  programs.

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• Chronic Disease Management Initiative

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Chronic Disease Management

• Create a system of care that will effectively
  address chronic disease in order to raise the
  physical, mental, social, and spiritual health of
  American Indians and Alaska Natives to the
  highest possible level.
• Adapt and implement the Chronic Care Model across
  the Indian health system.
• Develop an infrastructure that will provide local
  sites with the knowledge and support to pursue a
  campaign for ongoing health care system
  improvement.

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Chronic Care Model
Health System
Community
Health Care Organization
Resources and Policies
ClinicalInformationSystems
DeliverySystem Design
Self-Management Support
Decision Support
Prepared, Proactive Practice Team
Informed, Activated Patient
Productive Interactions
Improved Outcomes
Wagner EH. Chronic disease management What will
it take to improve care for chronic illness?
Effective Clinical Practice. 199812-4.
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Status

• Strategic Plan developed using the Chronic Care
  Model
• Application process for the Chronic Disease
  Management Collaborative has begun Pilot Sites
  will be selected June 5, 2006
• Continuing to pursue a partnership with the
  Institute for Healthcare Improvement
• Contact Charles (Ty) Reidhead, MD Whiteriver
• Service Unit charles.reidhead_at_ihs.gov

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Chronic Disease Management

• Promote the Chronic Disease Management
  Collaborative as an essential method to improve
  the prevention of and care for chronic disease.
• Use data from pilot site work to evaluate the
  effectiveness of the Collaborative.
• Spread the lessons learned from the Chronic
  Disease Management Collaborative throughout the
  Indian health system.
• Indian health system leaders and critical staff
  members will be educated about the Chronic Care
  Model and the Chronic Disease Initiative through
  ongoing training.

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Activities

• Coordinate a group of Service Units (i.e. pilot
  sites) that will test methods of change
• Implement and adapt as needed the Chronic Care
  Model in at least 8 local pilot sites in FY 06
• Make improvements in the care of patients with
  multiple chronic diseases at the pilot sites
• Improve communication between pilot sites to
  share lessons learned throughout the Indian
  health system.

13
Chronic Disease Management

• Define barriers to primary care providers
  assessing and treating the mental illness
  contributions to chronic diseases
• Continue to seek other partners who can assist
  with our efforts.

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JUST MOVE IT! Lets Get 1
millionNative people moving!
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HP/DP Initiative

• Reduce health disparities among Indian people
  through a coordinated and systematic approach to
  enhance preventive health approaches.
• Create healthier AI/AN communities by developing,
  coordinating, implementing, and disseminating
  effective health promotion and chronic disease
  prevention programs.

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HP/DP Initiative

• Policy Advisory Committee and Prevention Task
  Force are guiding initiative
• Strategic plan is being developed
• HP/DP coordinators in all 12 IHS Areas
• Creating and expanding partners
• Developing HP/DP best practices

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HP/DP Initiative

• Building capacity for effective health promotion
  practices at local level
• Conducted Healthy Indian Communities Fellowship
  45 individuals, 15 teams in FY 2005 2006
• Promoting and adopting environmental, school, and
  worksite policies
• Created clearinghouse of best practices,
  resources, training, and community assessment
  tools on website
• Contact Ms. Alberta Becenti, IHS
• Headquarters Alberta.Becenti_at_ihs.gov

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HP/DP Initiative

• Collaborating with Mothers Against Drunk Driving
  (MADD) to address behavioral risk factors that
  contribute to injuries and self destructive
  behaviors
• IHS HP/DP Coordinators are working with the I/T/U
  to develop local wellness plans.

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HP/DP Initiative

• Healthy Native Communities Fellowship program
  designed to train teams from I/T/I on
  communication, group facilitation, leadership,
  and community planning skills.
• Develop community assessment tool for I/T/U
  access.

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HP/DP Initiative

• HP/DP grant announcement
• Focuses on risk factors of chronic disease
  behavioral health
• 13 awards _at_100,000 each will be made after May
  26

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Strategies to Integrate 3 Initiatives

• Prevention Task Force, Chronic Disease
  Behavioral Health subject matter experts meet on
  May 25
• Meet with NIHB to discuss integration
• Submit element for FY 2007 Directors Performance
  Contract to conduct Area meetings showcase
  examples at local levels

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Strategies to Integrate 3 Initiatives

• Spring 2007 diabetes conference to include
  examples of integration of 3 initiatives
• Chronic Disease Pilot sites to model integration
  at local levels
• HP/DP grant announcement to focus on behavioral
  risk factors re chronic disease
• Prevention CVD diabetes grantees contribute to
  best practices integration

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Directors Initiative Website

• www.ihs.gov/NonMedicalPrograms/DirInitiatives.inde
  x.cfm

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• Scottsdale, Arizona
• February 2002
• Jon Perez, Ph.D.