community health representative summit iii: ihs …. update and...community health representative...
TRANSCRIPT
INDIAN HEALTH SERVICE
Community Health
Representative Summit
III: IHS CHAP Expansion
August 23, 2017
INDIAN HEALTH SERVICE
Overview
• Background
• IHS Aide Program Updates
• Next Steps
• Recommendations
• Discussion
INDIAN HEALTH SERVICE
Background
• Timeline
• Alaska CHAP vs. IHS CHAP
• Behavioral Health Aide (BHA)
• Community Health Representative
(CHR)
• Dental Health Aide Therapist (DHAT)
INDIAN HEALTH SERVICE
National Timeline
1968 1968 1998 1998 2007 2008 2016 2017 2009
INDIAN HEALTH SERVICE
IHS Internal Timeline
6/2016 10/2016 1/2017 3/2017 4/2017 4/2017 5/2017
INDIAN HEALTH SERVICE
CHAP Expansion Framework
Phase IV: Evaluation
How well is the program performing?
Phase III: Implementation
How do we roll it out?
Phase II: Design
What will the program look like?
Phase I: Assessment
What does the system currently look like?
INDIAN HEALTH SERVICE
Alaska CHAP vs. IHS CHAP
Alaska CHAP
Alaska Community Health
Aide Program (CHAP)
Behavioral Health Aide
Community Health Aide
Dental Health Aide
IHS National CHAP
IHS Community Health Aide
Program (CHAP)
Behavioral Health Aide
Community Health
Representative
Dental Health Aide
(proposed)
INDIAN HEALTH SERVICE
Behavioral Health Aide
• Tiered-Practice Level
• Certification through Tribal Colleges &
Universities (TCU’s)
• Centers for Medicare and Medicaid
Services (CMS) Reimbursement
• Explore Regional Certification
INDIAN HEALTH SERVICE
Community Health Representative
• Background – Established in 1968 by Congress
– Majority of paraprofessionals within the lower 48 are CHR’S
– Come from our local communities & immediate surrounding areas.
– Current workforce in Indian Country is 1,400 representing more than 250 tribes in 12 service areas.
• Future Direction: – Adapt existing CHR model to mirror the CHAP model
(Alaska)
– Various tiers of paraprofessional services
– Goal to establish billable services
INDIAN HEALTH SERVICE
Dental Health Aide
• Tiered Model
– DHA I
– DHA II
– DHA III
– DHAT
• IHCIA & DHAT
• Certification
• Training Programs
INDIAN HEALTH SERVICE
Next Steps
• Charter Development
• Stakeholder Engagement
• Workgroup Formation
INDIAN HEALTH SERVICE
Contacts
• Dr. Chris Halliday (OCPS/DOH)
– Dental Health Aide Therapy Program
• Georgianna Old Elk (OCPS/DBH)
– Community Health Representative Program
• Minette Wilson (OCPS/DBH)
– Behavioral Health Aide Program
INDIAN HEALTH SERVICE
Discussion