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Rural Tribal Health – Resources

Selected recent or important resources focusing on Rural Tribal Health.

Culturally-Safe Maternal Care for Indigenous Women
Podcast episode discussing the role that culturally safe care can play in addressing maternal healthcare needs among Indigenous women. Describes the importance of awareness of cultural and spiritual practices in creating a safe cultural environment for Indigenous women.
Date: 11/2024
Type: Document
Sponsoring organization: American Hospital Association
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CY 2025 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule (CMS 1809-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 2025. Summarizes provisions regarding changes to Intensive Outpatient Program (IOP) and partial hospital program rate setting; incorporating an add-on payment to the Medicare outpatient hospital all-inclusive rate (AIR) for certain high-cost drugs for people with Medicare who receive care at Indian Health Service (IHS) or tribal hospitals; updates to the Hospital Outpatient Quality Reporting (OQR), Ambulatory Surgical Center Quality Reporting (ASCQR), and Rural Emergency Hospital Quality Reporting (REHQR) Programs; a new Conditions of Participation (CoPs) for hospitals and Critical Access Hospitals (CAHs) for obstetrical services; Medicaid and CHIP continuous eligibility; Medicaid clinic services "four walls" exceptions; and more.
Date: 11/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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"American Indian 101": Understanding the History And Contemporary Experiences of Native People in a United States Health Policy Context
Provides information about the history of American Indian/Alaska Natives (AI/ANs) in the U.S. healthcare system, AI/AN data collection, and healthcare delivery in the Indian Health Service (IHS). Provides data on insured versus uninsured AI/ANs, insurance type, insurance via Medicaid expansion, and more.
Author(s): Quin Mudry Nelson
Date: 11/2024
Type: Document
Sponsoring organization: State Health Access Data Assistance Center
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Ask Your Relative: A Mixed Method Analysis of the Sexual Health and Healthy Relationship Q&As Submitted by American Indian Alaska Native Young Adults
Analyzes the Ask Auntie/Ask Your Relative (AYR) Q&A service that provides sexual health information to American Indian/Alaska Native (AI/AN) youth. Provides information on AYR usage, types of questions asked, and answers and resources provided. Discusses the importance of cultural relevant resources to reduce sexual health disparities among AI/AN youth.
Author(s): Stephanie Craig Rushing, Amanda Gchachu Kakuska, Jane Manthei, et al.
Citation: BMC Public Health, 24, 3067
Date: 11/2024
Type: Document
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CMS-Approved Waivers Break New Ground for Medicaid Coverage of American Indian and Alaska Native Traditional Health Care Practices
Provides an overview of Centers for Medicare & Medicaid Services (CMS) approved 1115 waivers that allow Medicaid agencies to cover American Indian and Alaska Native (AI/AN) traditional healthcare practices in four states: Arizona, California, New Mexico, and Oregon. Describes who can access traditional healthcare practices under these waivers, where traditional healthcare services can be provided, who will be certified to provide these services, and implementation support.
Author(s): Anne Smithey
Date: 10/2024
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Strengthening Indigenous America: Building Resilience Through Disaster Preparedness, Response, and Recovery: Proceedings of a Workshop—in Brief
Summarizes key concepts from a July 2024 workshop that explored how to support the capacity of Indigenous American and tribal communities and nations to prepare for, respond to, and recover from disasters and public health emergencies. Discusses tribal sovereignty; emergency management capacities and capabilities; relationships with partners and jurisdictions; Indigenous knowledge, best practices, and translation; and data and research.
Additional links: Read Online
Author(s): Board on Health Sciences Policy
Date: 10/2024
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Facts for Features: American Indian and Alaska Native Heritage Month: November 2024
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: 10/2024
Type: Document
Sponsoring organization: U.S. Census Bureau
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Demonstration Grants to Strengthen the Response to Victims of Human Trafficking in Native Communities (VHT-NC) Program: Final Report of the Formative Evaluation
Provides an overview of the Victims of Human Trafficking in Native Communities (VHT-NC) program evaluation, with a focus on design, implementation, challenges, strengths, and lessons learned. Summarizes 6 VHT-NC projects and their specific community context, structure, partnerships, outreach, case management, supportive services, and community training. Discusses the importance of culturally relevant practices to address human trafficking in Tribal communities.
Author(s): Elizabeth Tibaduiza, Christina Melander, Rebecca Pfeffer, et al.
Date: 09/2024
Type: Document
Sponsoring organization: Administration for Children and Families
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Culturally Responsive Approaches to Anti-Human Trafficking Programming in Native Communities
Examines 6 Victims of Human Trafficking in Native Communities (VHTNC) programs and how they integrated culture into their program strategies and services. Discusses culturally appropriate staffing, training, education, outreach, case management, support services, and more.
Author(s): Ada Pecos Melton, Rita Martinez, Christina Melander, Elizabeth Tibaduiza, Rebecca Pfeffer
Date: 09/2024
Type: Document
Sponsoring organization: Administration for Children and Families
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Gallup Indian Medical Center—an IHS-Operated Health Facility—Did Not Timely Conduct Required Background Checks of Staff and Supervise Certain Staff
Presents findings of an audit to determine whether Gallup Indian Medical Center, an Indian Health Service (IHS) operated facility, met federal requirements for conducting background investigations and supervision of staff in contact with Indian children. Offers recommendations to the IHS regarding completing background investigations, documenting provision staff supervision, and updating standard operating procedures for background investigations.
Additional links: Report in Brief
Date: 09/2024
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Last Updated: 11/15/2024