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Rural Health
Resources by Topic: American Indian or Alaska Native

Montana Chronic Disease Prevention & Health Promotion Bureau: June 2018-July 2020 Progress Report
Report highlights the public health efforts in the areas of tobacco cessation, diabetes and cancer reduction, and promoting physical activity, among other issues in Montana. Compares rates over a two year span and details the programs designed to address them.
Date: 12/2020
Type: Document
Sponsoring organization: Montana Department of Public Health and Human Services
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Communication With American Indians and Alaska Natives About Cardiovascular Disease
Examines strategies for successfully conveying information about cardiovascular disease (CVD) to American Indians and Alaska Natives to reduce CVD morbidity and mortality among those populations. Features data and statistics on survey respondents' sources of information about CVD as well as their perception of CVD risk and perceived information sufficiency, with information broken down by location of residence, including reservations, rural areas or towns, and metropolitan areas.
Author(s): Amanda D. Boyd, Amber L. Fyfe-Johnson, Carolyn Noonan, Clemma Muller, Dedra Buchwald
Citation: Preventing Chronic Disease, 17
Date: 12/2020
Type: Document
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Few Patients Received High Amounts of Opioids from IHS-Run Pharmacies
Presents an evaluation of the opioid prescribing practices of the Indian Health Service (IHS). Bases analysis on IHS opioid prescribing data, discusses the role of electronic health records (EHRs) in monitoring opioid prescriptions, and makes recommendations to improve monitoring.
Date: 12/2020
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Incidence of Adverse Events in Indian Health Service Hospitals
Explores the occurrence of harm events in Indian Health Service (IHS) hospitals. Discusses the rates of adverse harm events, or those leading to prolonged or permanent patient harm, and temporary harm events. Breaks down data by hospital size and patient age and reason for admission. Makes recommendations regarding quality control and oversight.
Date: 12/2020
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Instances of IHS Labor and Delivery Care Not Following National Clinical Guidelines or Best Practices
Evaluates the labor and delivery practices of Indian Health Service (IHS) hospitals and highlights instances when they deviate from national clinical guidelines. Discusses the negative patient outcomes from deviating from national guidelines and makes recommendations regarding site visits and training.
Date: 12/2020
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Indian Health Service: Actions Needed to Improve Oversight of Provider Misconduct and Substandard Performance
Evaluates Indian Health Service (IHS) oversight of policies related to provider misconduct and substandard performance. Provides recommendations for the director to IHS to implement to address inconsistencies in oversight across IHS areas and facilities.
Additional links: Full Report
Date: 12/2020
Type: Document
Sponsoring organization: Government Accountability Office
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COVID-19 Mortality Among American Indian and Alaska Native Persons — 14 States, January–June 2020
Reports on age-adjusted COVID-19-associated mortality for American Indian and Alaska Native (AI/AN) and non-Hispanic White populations, based on data from 14 states. Includes data by sex and by age group.
Author(s): Jessica Arrazola, Matthew M. Masiello, Sujata Joshi, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(49), 1853-1856
Date: 12/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Indian Health 101: Fulfilling a Promise
Presents an overview of the Indian Health Service (IHS) including the legislative history and financial support for the development of IHS. Discusses health disparities and the disproportionate impact of COVID-19 experienced by American Indians/Alaska Natives.
Author(s): Christopher D. Chavis
Date: 11/2020
Type: Video/Multimedia
Sponsoring organization: National Indian Health Board
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Models of Tribal Promising Practices: Tribal Opioid Overdose Prevention Care Coordination and Data Systems
Presents models of tribal care coordination promising practices that address opioid use disorder (OUD) in American Indian and Alaska Native (AI/AN) communities. Discusses barriers to treatment and the need for culturally competent healthcare for AI/AN persons with OUD.
Author(s): Maya Magarati, Raquel Aviles, Christina E. Oré, et al.
Date: 11/2020
Type: Document
Sponsoring organization: Seven Directions - A Center for Indigenous Public Health
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Introducing Telehealth to Rural and Indigenous Communities: A Telehealth 101 Virtual Workshop for Tribes
Webinar recordings from a 2-day workshop on telehealth implementation in rural and Indigenous communities. Presentation topics include telehealth business, technology, standards, and evaluation; health equity; maternal health; Indian Health Service (IHS) resources; telehealth funding; telebehavioral health and telemedicine-based Medication Assisted Treatment (MAT); and other telehealth-related topics.
Date: 11/2020
Type: Video/Multimedia
Sponsoring organizations: American Indian Public Health Resource Center, Health Resources and Services Administration, North Dakota Department of Health
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