SAVAQATIGIIKSUGUT Maniilaq Association 2018 Annual Report
Table of
Contents 3
BOARD CHAIR & PRESIDENT/CEO LETTER
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IMPROVING OUR CARE
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Highlights of the challenges, rewards, and celebrations
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for Maniilaq in 2018.
Learn more about how we are working to improve care at Maniilaq Health Center and village clinics.
ANNUAL GIFT DRIVE Hundreds of gifts were sent out to every community in the Maniilaq service area.
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U.S. SURGEON GENERAL’S VISIT
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COMMUNITY SPOTLIGHTS
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FINANCIAL OVERVIEW
Moments from the U.S. Surgeon General’s visit to
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Maniilaq Health Center, Selawik, and Buckland.
Take a closer look at the great work coming out of the Native Village of Buckland and Kiana.
Overview of Maniilaq’s funding sources and expenses in 2018.
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50 YEARS OF CHAP PROGRAMS
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VIRTUAL TELEMEDICINE CLINIC PILOT PROJECT
See how the Community Health Aide programs have developed over the past 50 years.
Dr. Douglas sees patients in Ambler, Kobuk, Shungnak, and Kiana via telemedicine.
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Our Vision Healthy people, thriving communities.
Our Mission Savaqatigiiksugut. We are working together. Working together to provide high quality, culturally relevant health, social and tribal services.
MANIILAQ ASSOCIATION 2018 ANNUAL REPORT
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Board Chair & President/CEO
Letter
It is our distinct privilege to share the Maniilaq
who meet specific quality standards. We celebrated
Association’s 2018 Annual Report with the people
our Community Health Aides, as that program
and communities in the Maniilaq service area.
turned 50 years old in 2018. Also, we celebrated the contributions of long-time Maniilaq employees like Joanne Nelson (16 years); Emily Downey (29 years);
This past year was full of challenges and rewards, as well as moments of celebration for Maniilaq.
and Paul Hansen (39 years). All of these valued employees retired in 2018. We also experienced unique challenges in 2018, not the least of which was increasing our suicide prevention efforts to reduce the number of suicide attempts and deaths by suicide. The Maniilaq
We celebrated receiving our 4th GPRA Award, which
Board asked staff to make that effort a priority for
the Indian Health Service gives to organizations
2018 and beyond.
One challenge that shook our entire region in 2018 was the loss of Ashley Johnson-Barr. This past summer, we were reminded of the Inupiaq Value “Love for Children,” and how significant that value is to what we do as an organization. We dedicate this 2018 Maniilaq Association Annual Report in honor of Ashley Johnson-Barr. Our intent for the dedication is to remind us all of our responsibility to look out for the needs of the most vulnerable members of our communities — our children. Thank you for taking the time to review this report, and for your continued support.
Guy Adams, Chairperson Maniilaq Board of Directors
Tim Gilbert, President/CEO Maniilaq Association
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Board of
Directors Eva Kinneeveauk Vice-Chair
Guy Adams
Percy Ballot
Louie Commack Member
Chair
Emerson Moto Member
Johnetta Horner
Treasurer
Dolly Foster Member
Diana Ramoth Member
Tanya Kirk
Secretary
Nellie Griest Member
Leslie Sampson Member
At-Large
Lorena Walker Member
Executive
Leadership Charlie Nelson
Vice President/Tribal Government Services Administrator
Tim Gilbert
President/CEO
Paul Hansen Hospital Administrator
Gerty Viveiros -Gallahorn
Human Resources Director
Dan Bain
Chief Financial Officer (Acting)
Bree Swanson Social Services Administrator
Chad Sheldon Carol Schaeffer
Chief Information Officer
Director of Administrative Services
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Improving Our
Care
2018 marked the fourth consecutive year that Maniilaq Health Center (MHC) exceeded all national Government Performance Results Act (GPRA) measures. In 2019, MHC will be working with a team of national experts on advanced access collaborative to improve outpatient services.
Hardship Mitigation Project In 2018 Maniilaq Association received funds from the State of Alaska for the Hardship Mitigation Project. The Hardship Mitigation Project targeted poverty-stricken and homeless community members in our region offering food boxes and/or hats and gloves (one-time assistance) for qualified community members who met income limits. Due to State of Alaska Budget cuts this program will not be offered in 2019.
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Arctic
Care
Arctic Care visited the Maniilaq service area in 2018, providing medical, optometry, dental, and veterinary care in various communities. Arctic Care is a Defense Department-sponsored innovative readiness-training program aiming to produce mission-ready forces through military training opportunities that provide key services for underserved communities throughout the United States. 1,928 patients were seen during their time in the Maniilaq service area. The visiting Arctic Care team also provided stabilization care to four medical emergencies and five trauma patients in the villages to be sent to Kotzebue and on to Anchorage for further care.
Maniilaq
Service Area The Maniilaq Service area encompasses a remote area of
39,000 square miles
— about the size of the state of Indiana. Maniilaq Association represents 12 federally-recognized tribes located in Northwest Alaska. The Association manages social and health services for about 8,000 people within the Northwest Arctic Borough and the village of Point Hope. Maniilaq also coordinates tribal and traditional assistance programs, and environmental and subsistence protection services.
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Annual Gift
Drive
For the past two years, Maniilaq employees have gone above and beyond to bring cheer and provide assistance to residents of our communities. Hundreds of gifts were sent out to every community in the Maniilaq service area; employees brought in the majority of those gifts. The rest of the gifts that were sent out were purchased through monetary donations from employees, Behavioral Health Services, and the Employee Appreciation Committee. Once the gifts were received, multiple employees from various departments came together and wrapped the presents to be sent to our communities. Many thanks to our employees for making the gift drive possible every year.
Maniilaq’s
Texting Service POSITIVE TEXTING CAMPAIGN Text
HOPE to 480-418-6228 to sign up
for positive text messages from Maniilaq Association. Maniilaq Behavioral Health Services started this program to give encouragement to youth and young adults and connect them to resources.
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U.S.
Surgeon General’s Visit
HEALTH, WELLNESS, AND NIQIPIAQ WITH THE U.S. SURGEON GENERAL On
August 10, 2018, United States Surgeon General
RADM Jerome Adams (or Dr. Adams) and a group of high-level officials from the U.S. Department of Health and Human Services and Indian Health Service, visited the Maniilaq Health Center and the communities of Selawik and Buckland. The U.S. Surgeon General is known as “The Nation’s Doctor” and is the lead spokesperson on matters of public health in the federal government of the United States.
I had a wonderful visit at the Maniilaq Health Center, a 17-bed facility that provides comprehensive care services from ER to long-term care services for 12 tribes in Alaska. Learned about the great work that they do with community health aides and met their lovely residents.
Dr. Jerome Adams U.S. Surgeon General
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Visitors were given a walking tour of the Maniilaq Health Center and Long-Term Care Center before heading to the airport for a flight to Selawik. Most members of Dr. Adam’s group toured the Selawik Health Clinic, while several members of the Indian Health Service toured the drinking water plant. Everyone met back at the clinic to join local leaders for a wellness discussion, fill their stomachs with Selawik’s finest niqipiaq, and fill the air with laughter. With full stomachs, Dr. Adams and his staff flew to Buckland for the afternoon. Once again, guests received a warm and joyous welcome from Buckland’s local community leaders and clinic staff. All visitors then traveled to the Tunnaq-Ipaq water plant for a tour. After an impressive water plant tour, everyone met back at the clinic to join local leaders for a wellness discussion and have some of Buckland’s finest niqipiaq.
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Photo courtesy of Eva Harvey
Community Spotlight:
Buckland The Native Village of Buckland hosted a suicide prevention healing circle September 28-30, 2018. Themes of each day included: creating hope, beginning to understand, and making a plan. The Native Village of Buckland has also pioneered hosting a Celebration of Life annually.
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Community Spotlight:
Kiana Kiana holds an annual conference called
OPT-In. OPT-In Kiana is an
all-inclusive youth group formed by youth for youth. “OPT� stands for One Positive Thing.
OPT-In’s Mission Statement To empower all youth to find their voices and develop their abilities to contribute to the community through training and opportunities valuing each youth’s strengths.
OPT-In Core Values Include:
OPT-In 2018 Conference Goal:
•
Youth
•
Empowerment
Youth are Healthy as evidenced by
•
Respect
the following:
•
Inclusion
•
Youth Avoid Substances
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Contribution
•
Youth are Involved in their
•
Appreciation
•
Positivity!
Community •
Youth have Goals for the Future
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Financial
Overview Fiscal Year 2018
Funding Sources Indian Health Service | 46%
$48,722,820
Third Party Revenue | 38%
$40,624,970
Grants and Contracts | 10%
$10,890,194
Bureau of Indian Affairs | 5%
$4,953,484
Other Income | 1%
$1,473,611
Expenses Health Services | 59%
$59,603,493.01
Administration | 20%
$19,868,749
Social Services | 8%
$7,723,978.65
Tribal Government Services | 5%
$5,360,235.98
LTC (and village meals) | 6%
$5,714,737.95
Capital | 2%
$2,221,810.29
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Front, Left to Right: Nora Booth, Nita Thomas, Lucy Jackson, Nellie Griest Middle: Pricilla Downey, Rosella Stone, Irma Hunnicutt, Emma Ramoth, Della Keats Back Row: Pauline Barr, Minnie Norton, May Sage, Lillian Johnson Standing: Dr. Walter Johnson, Sally Harvey, Esther Curtis, Winnie Reeve
50 Years of
Community
Health Aide Programs
The Community Health Aides/Practitioners (CHA/Ps), or CHAP program, was developed in the 1960s in response to many health concerns, including the tuberculosis epidemic, high infant mortality, and high rates of injury in rural Alaska. In 1968, CHAP received formal recognition and congressional funding, which included the Northwest Alaska Public Health Service Unit. The long history of cooperation and coordination between federal and state government agencies and Maniilaq Association has facilitated the improvement of health services in our region. The Alaska Statewide CHAP program is a network of approximately 550 health aide providers in more than 170 rural Alaska villages, generating nearly 230,000 visits per year. The Maniilaq CHAP Program currently employs around 57 active and qualified providers that serve 5,000 rural residents in 11 villages, making over 30,000 visits per year.
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The Health Aide pioneers for Maniilaq include
with pharmacists providing quality control, and
the late Pauline Barr, Nita Thomas, Esther Curtis,
paperless documentation of patient records in the
Lucy Jackson, Eva Baldwin, May Bernhardt, Dolly
Cerner electronic health system. All CHAPs must
Smith, Sally Harvey, Ethel Booshu, Janet Barger,
attend more than 16 weeks of medical training
Esther Barger, Mariam Norton, with more serving
with annual reviews and continued education.
as volunteers before 1970. Those who still guide
Additionally, all CHAPs follow medical practice
us are Irma Hunnicutt, Lillian Johnson, Nora Booth,
standards established by state and federal
Helen Stein, June Ballot, Dorothy Koenig, Winnie
agencies. Because of our fearless first and second
Reeve, and Emma Ramoth. Many others have
generation CHAPs, we accept the new ways, but
come and gone who remain a part of our program
we will not forget the past when we were the eyes,
because once one becomes a health aide, they
ears, and hands of the providers.
remain health aides in the eyes of their patients.
Today, the CHAP program is considered a
Our pioneers began with CB radios at the school,
national model of health care services for rural
carrying black home-visit bags, while seeing
areas throughout the United States. The Alaska
patients in their homes, providing what services
Statewide CHAP Program has proven to have
they could for our people. An example of the
effectively decreased mortality rates across
Medical radio reporting went like this: “KIK 735
Alaska over the last 50 years. The Indian Health
Kotzebue, this is 43 Buckland, I have three patients
Service (IHS), an agency in the U.S. Department
to report. Over.� Quality assurance was achieved
of Health and Human Services, provides a
by verbally repeating back the medical procedures
comprehensive health service delivery system for
and medication orders with the Kotzebue-based
approximately 2.2 million American Indians and
radio doctor, correcting and reconfirming orders.
Alaska Natives. IHS published a report outlining
Since then, technology, training, and practices
the process the agency will use to finalize a policy
have changed dramatically.
and implementation plan to expand the use of
Today, we have the telemedicine carts, which were piloted by Maniilaq Health Aides in 1990, Tandberg and VIDYO live feed cameras in all of our trauma rooms, PicPoint pharmacy dispensing machines
community health aides in American Indian and Alaska Native health programs across the country.
Increased access to health care is a top priority for IHS, and our community health aides provide much-needed health services for American Indian and Alaska Native communities,
said Mary L. Smith, IHS principal deputy director. “I thank all of our tribal partners for sharing their feedback, and I look forward to their continued participation and partnership as we work together to develop a robust implementation plan. Community health aides already provide quality health care in some parts of Indian Country, and with the expansion of this program, Native American communities across the nation will have access to these valuable health workers.� (akchap.org) We thank these community health pioneers and their families for serving our people and inspiring the next generation of health aides to follow in their footsteps. Because of the commitment and dedication of these pioneers, the Maniilaq CHAP program has grown into what it is today.
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Virtual
Telemedicine Clinic Pilot Project
Kuuvanmiut Clinic Dr. Douglas sees patients in Ambler, Kobuk, Shungnak, and Kiana via telemedicine, and makes on-site visits at the village clinics. Her focus is on chronic disease management, routine age-related screenings, and specialty care assessments/coordination. Maniilaq has worked with ANTHC telemedicine support to establish a template to be used in the patient notes that adhere to guidelines necessary for the payment of telehealth visits.
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Staff
Retirements This year we honor our retiring staff who have worked for Maniilaq
Association for more than 15 years. Thank you for your dedication to Maniilaq Association and the people we serve.
Paul Hansen
Hospital Administrator – 39 years of service* * retired in 2019
Emily Downey
CHP Ambler Clinic Supervisor – 29 years of service
Joanne Nelson
Imaging Coordinator – 16 years of service
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MANIILAQ ASSOCIATION P.O. Box 256, #733 2nd Avenue Kotzebue, AK 99752 1-800-478-3312 (in Alaska) or 907-442-3321 www.maniilaq.org facebook.com/ManiilaqAssociation