Rural Health
Resources by Topic: American Indian or Alaska Native
Fentanyl in Native Communities: Native Perspectives on Addressing the Growing Crisis
Recording of a November 8, 2023 hearing discussing fentanyl in both Native Hawaiian and American Indian and Alaska Native Communities. Features testimony from Lummi Nation, Turtle Mountain Band of Chippewa Indians of North Dakota, Assiniboine and Sioux Tribes of the Fort Peck Reservation, and representatives of the behavioral health and public health fields. Discusses the criminal justice system, behavioral health workforce shortages, health impacts of historical trauma, and more. Captions available within the video player.
Additional links: Dr. A. Aukahi Austin Seabury, Ph.D., I Ola Lāhui, Inc. - Testimony, Dr. Claradina Soto, Ph.D., Keck School of Medicine, University of Southern California - Testimony, Mr. Eric M. Gettis, Southeast Alaska Regional Health Consortium - Testimony, The Honorable Bryce Kirk, Assiniboine and Sioux Tribes of the Fort Peck - Testimony, The Honorable Jamie S. Azure, Turtle Mountain Band of Chippewa Indians of North Dakota - Testimony, The Honorable Tony Hillaire, Lummi Nation - Testimony
Date: 11/2023
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Indian Affairs
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Recording of a November 8, 2023 hearing discussing fentanyl in both Native Hawaiian and American Indian and Alaska Native Communities. Features testimony from Lummi Nation, Turtle Mountain Band of Chippewa Indians of North Dakota, Assiniboine and Sioux Tribes of the Fort Peck Reservation, and representatives of the behavioral health and public health fields. Discusses the criminal justice system, behavioral health workforce shortages, health impacts of historical trauma, and more. Captions available within the video player.
Additional links: Dr. A. Aukahi Austin Seabury, Ph.D., I Ola Lāhui, Inc. - Testimony, Dr. Claradina Soto, Ph.D., Keck School of Medicine, University of Southern California - Testimony, Mr. Eric M. Gettis, Southeast Alaska Regional Health Consortium - Testimony, The Honorable Bryce Kirk, Assiniboine and Sioux Tribes of the Fort Peck - Testimony, The Honorable Jamie S. Azure, Turtle Mountain Band of Chippewa Indians of North Dakota - Testimony, The Honorable Tony Hillaire, Lummi Nation - Testimony
Date: 11/2023
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Indian Affairs
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Indian Health Service: Many Federal Facilities Are in Fair or Poor Condition and Better Data Are Needed on Medical Equipment
Examines the state of the Indian Health Service's (IHS) federally-operated medical facilities and equipment between January 2022 and November 2023. Describes IHS efforts to mitigate the negative effects aging facilities and equipment may have on patient care. Offers policy recommendations to the Director of IHS regarding equipment planning, acquisition, and management.
Additional links: Full Report
Date: 11/2023
Type: Document
Sponsoring organization: Government Accountability Office
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Examines the state of the Indian Health Service's (IHS) federally-operated medical facilities and equipment between January 2022 and November 2023. Describes IHS efforts to mitigate the negative effects aging facilities and equipment may have on patient care. Offers policy recommendations to the Director of IHS regarding equipment planning, acquisition, and management.
Additional links: Full Report
Date: 11/2023
Type: Document
Sponsoring organization: Government Accountability Office
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Improving Maternity Care for Indigenous Populations
Podcast episode featuring a discussion with Tina Pattara-Lau, M.D., maternal and child health consultant with the Indian Health Service Office of Clinical and Preventive Services, and Johnna Nynas, M.D., obstetrics and gynecology specialist at Sanford Bemidji Medical Center. Describes common disparities and systemic barriers Indigenous people experience in maternity care and ways hospitals and healthcare organizations can address these challenges and provide culturally-focused care.
Date: 11/2023
Type: Audio
Sponsoring organization: American Hospital Association
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Podcast episode featuring a discussion with Tina Pattara-Lau, M.D., maternal and child health consultant with the Indian Health Service Office of Clinical and Preventive Services, and Johnna Nynas, M.D., obstetrics and gynecology specialist at Sanford Bemidji Medical Center. Describes common disparities and systemic barriers Indigenous people experience in maternity care and ways hospitals and healthcare organizations can address these challenges and provide culturally-focused care.
Date: 11/2023
Type: Audio
Sponsoring organization: American Hospital Association
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CY 2024 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule (CMS 1786-FC)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year 2024. Summarizes provisions regarding changes to the community mental health centers (CMHC) Conditions of Participation (CoPs); payment for intensive outpatient program (IOP) services; payment methodology for Indian Health Service (IHS) and tribal facilities that convert to Rural Emergency Hospital (REH) status; the Hospital Outpatient Quality Reporting (OQR), Ambulatory Surgical Center Quality Reporting (ASCQR), and Rural Emergency Hospital Quality Reporting (REHQR) Programs; and more.
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year 2024. Summarizes provisions regarding changes to the community mental health centers (CMHC) Conditions of Participation (CoPs); payment for intensive outpatient program (IOP) services; payment methodology for Indian Health Service (IHS) and tribal facilities that convert to Rural Emergency Hospital (REH) status; the Hospital Outpatient Quality Reporting (OQR), Ambulatory Surgical Center Quality Reporting (ASCQR), and Rural Emergency Hospital Quality Reporting (REHQR) Programs; and more.
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Gastrointestinal Cancer in American Indian and Alaska Native People
Provides information on incidence rates of various gastrointestinal (GI) cancers among non-Hispanic American Indian and Alaska Native (NH-AIAN) people with data broken down by sex and U.S. region.
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Provides information on incidence rates of various gastrointestinal (GI) cancers among non-Hispanic American Indian and Alaska Native (NH-AIAN) people with data broken down by sex and U.S. region.
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Homelessness and Housing Needs of Native American Veterans Toolkit (V2.0)
Report discusses homelessness among American Indian and Alaska Native (AI/AN) veterans. Provides data, cultural considerations, resources, and programs for addressing AI/AN veteran homelessness. Makes recommendations for programs and communities working to address this issue.
Author(s): Kristen E. Frosio, Alexandra B. Caloudas, Stephanie C. Day, et al.
Date: 10/2023
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Report discusses homelessness among American Indian and Alaska Native (AI/AN) veterans. Provides data, cultural considerations, resources, and programs for addressing AI/AN veteran homelessness. Makes recommendations for programs and communities working to address this issue.
Author(s): Kristen E. Frosio, Alexandra B. Caloudas, Stephanie C. Day, et al.
Date: 10/2023
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Public Safety-Led Community-Oriented Overdose Prevention Efforts in Tribal Communities: Companion to the PS-COPE Toolkit
Toolkit supplement discusses community-based strategies for drug overdose prevention in tribal communities. Adapts PS-COPE framework to tribal communities social, cultural, and governing structures.
Additional links: PS-COPE Toolkit
Date: 10/2023
Type: Document
Sponsoring organization: National Council for Mental Wellbeing
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Toolkit supplement discusses community-based strategies for drug overdose prevention in tribal communities. Adapts PS-COPE framework to tribal communities social, cultural, and governing structures.
Additional links: PS-COPE Toolkit
Date: 10/2023
Type: Document
Sponsoring organization: National Council for Mental Wellbeing
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Culture is Prevention: A Strength Based, Culturally Grounded Journey Toward Prevention, Intervention, and Healing
Provides an overview on the Administration for Children and Families' (ACF) plan to address the crisis of missing or murdered indigenous people (MMIP). Discusses historical context and the social determinants of health (SDOH) that impact Native American/Alaska Native (AI/AN) populations. Outlines culturally aware practices to support the public health pillars of prevention, intervention, healing, and delivery of ACF programs.
Date: 10/2023
Type: Document
Sponsoring organization: Administration for Children and Families
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Provides an overview on the Administration for Children and Families' (ACF) plan to address the crisis of missing or murdered indigenous people (MMIP). Discusses historical context and the social determinants of health (SDOH) that impact Native American/Alaska Native (AI/AN) populations. Outlines culturally aware practices to support the public health pillars of prevention, intervention, healing, and delivery of ACF programs.
Date: 10/2023
Type: Document
Sponsoring organization: Administration for Children and Families
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Aligning Systems for Health: Research Learnings from Across the Nation
Summarizes findings from three cohorts funded through the Aligning Systems for Health initiative, which explores how systems can better work together to address community goals and needs. Covers research on how established collaborative systems responded to the COVID-19 pandemic, how collaborative systems can be measured, and the evidence base around approaches and conditions that foster collaborative systems. Features findings from the Strengthening Health Equity in Recovery Outcomes (SHERO) study, which measured and described the context surrounding cross-sector alignment within rural and urban community networks in Kentucky, and system alignment efforts across four tribal partners.
Date: 10/2023
Type: Document
Sponsoring organization: Georgia Health Policy Center
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Summarizes findings from three cohorts funded through the Aligning Systems for Health initiative, which explores how systems can better work together to address community goals and needs. Covers research on how established collaborative systems responded to the COVID-19 pandemic, how collaborative systems can be measured, and the evidence base around approaches and conditions that foster collaborative systems. Features findings from the Strengthening Health Equity in Recovery Outcomes (SHERO) study, which measured and described the context surrounding cross-sector alignment within rural and urban community networks in Kentucky, and system alignment efforts across four tribal partners.
Date: 10/2023
Type: Document
Sponsoring organization: Georgia Health Policy Center
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Facts for Features: American Indian and Alaska Native Heritage Month: November 2023
Presents a number of demographic facts about American Indians and Alaska Natives drawn from U.S. Census data. Features breakdowns of population, federally recognized tribes, and the AI/AN veteran population, among other measures. Links to more Census products relating to AI/AN populations.
Date: 10/2023
Type: Document
Sponsoring organization: U.S. Census Bureau
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Presents a number of demographic facts about American Indians and Alaska Natives drawn from U.S. Census data. Features breakdowns of population, federally recognized tribes, and the AI/AN veteran population, among other measures. Links to more Census products relating to AI/AN populations.
Date: 10/2023
Type: Document
Sponsoring organization: U.S. Census Bureau
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