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Rural Health
Resources by Topic: American Indian or Alaska Native

North Dakota Tests Innovative Health IT Approaches to Improve Hypertension Identification and Control in Workplaces
Highlights a hypertension identification and control project in North Dakota. The program expanded blood pressure screening access to rural and tribal communities; leveraged health information technology; and included partnerships with local health departments, emergency medical services, health systems, and health insurance companies. Summarizes the program's strategies and activities, results, lessons learned, and recommendations.
Date: 03/2019
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Recommendations to the Indian Health Service on American Indian/Alaska Native Pregnant Women and Women of Childbearing Age with Opioid Use Disorder
Report details recommendations from the American College of Obstetricians and Gynecologists to the Indian Health Service on best practices for treating pregnant American Indian and Alaska Native women with opioid use disorder (OUD). Discusses screening for OUD, medication-assisted treatment (MAT), and care integration, among other factors.
Date: 03/2019
Type: Document
Sponsoring organization: The American College of Obstetricians and Gynecologists
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High Risk: Progress Made but Continued Attention Needed to Address Management Weaknesses at Federal Agencies Serving Indian Tribes
Identifies progress made and areas that still need to be addressed to remove the Bureau of Indian Education (BIE) and Indian Health Service (IHS) from the Government Accountability Office's list of high risk federal programs. Addresses leadership commitment, demonstrated progress, action plans, monitoring, and capacity. Appendix III lists open recommendations for IHS.
Additional links: Full Report
Date: 03/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Hospital-Based Incident Command Systems: Small and Rural Hospitals
Provides slides and additional links from a webinar featuring case studies of how rural, Indian Health Service, and Critical Access Hospitals responded to emergencies and used Incident Command Systems in Tennessee, Nebraska, Texas, South Dakota, Georgia, and Utah. Features training examples and actual situations - shooting incidents, school bus accidents, water contamination, and more - addressing challenges faced and lessons learned.
Date: 03/2019
Type: Presentation Slides
Sponsoring organization: Administration for Strategic Preparedness and Response
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Where Are They Now: Indian Programs on the GAO High Risk List
Features a Senate Committee on Indian Affairs oversight hearing discussing three high risk programs serving American Indians and Alaska Natives. Features testimony from representatives of the Government Accountability Office, the Bureau of Indian Education, the Bureau of Indian Affairs, and the Indian Health Service.
Date: 03/2019
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Indian Affairs
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Public Witness Hearing — Tribal Programs: Day 1, Morning Session
Provides a recording of a U.S. House Committee on Appropriations, Subcommittee on Interior, Environment, and Related Agencies hearing focused on American Indian/Alaskan Native health needs and relevant federal programs and funding, such as the Indian Health Service. Discussions address the impact of the opioid epidemic, murdered and missing indigenous women, health disparities in areas such as diabetes, health workforce recruitment, and more. Includes links to testimonies from tribal chairs and organizations related to tribal health.
Date: 03/2019
Type: Video/Multimedia
Sponsoring organization: House Committee on Appropriations
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Predictors of Overweight and Obesity in American Indian Families with Young Children
Highlights as study exploring the factors that predict obesity in American Indian families in rural and urban areas. Focuses on factors such as nutrition, physical activity, adult sleep, and child screen time.
Author(s): Alexandra K. Adams, Emily J. Tomayko, Kate Cronin, et al.
Citation: Journal of Nutrition Education and Behavior, 51(2), 190-198
Date: 02/2019
Type: Document
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The Evidence on School-Based Health Centers: A Review
Reviews the literature on the impact of school-based health centers (SBHCs). Discusses the purpose and structure of SBHCs, their financial benefits, physical and mental health outcomes, their impact on education, and future directions. Briefly addresses their use in rural and tribal communities.
Author(s): Michael Arenson, Philip J. Hudson, NaeHyung Lee, Betty Lai
Citation: Global Pediatric Health, 6, 2333794X19828745
Date: 02/2019
Type: Document
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Health System Interventions to Prevent Firearms Injuries and Death: Proceedings of a Workshop
Summarizes the proceedings of a workshop focused on how healthcare systems can reduce gun violence and injuries. Discusses the impact of health systems on the reduction, ways to identify high risk individuals, health system interventions, program examples, and more. Addresses rural in several chapters, including firearm homicide and suicide rates for rural and urban areas, a VA program targeting rural veterans at risk for suicide, a study of gun behavior in Alaska Native populations, and recommendations from a rural physician.
Additional links: Interactive Overview of Workshop Proceedings, Read Online
Author(s): Board on Population Health and Public Health Practice
Date: 02/2019
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Indian Health Service Strategic Plan FY 2019-2023
Highlights the strategic plan for the Indian Health Service's 2019-2023 fiscal years. Features operational goals for cultural competency, innovation, and program management.
Date: 02/2019
Type: Document
Sponsoring organization: Indian Health Service
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