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1 4/15/2019 2:30 PM

10th Annual Native American

Healthcare Conference June 10th-11th, 2019 Pechanga Resort & Casino Temecula, CA

Monday, June 10th 7:30-8:30 AM

8:30-8:45 AM

2 4/15/2019 2:30 PM

Registration & Networking Breakfast

Welcoming Remarks & Opening Prayer Justin O’Connor President Native Nation Events

General Session 8:45-10:00 AM

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Tribal Leaders Roundtable: How Effective Leadership, Successful Economic Development and Diversification Can Play a Crucial Role in the Health and Wellbeing of Tribal Members

Growing and diversifying an economy requires tribal leaders to engage in critical deliberations to ensure economic growth will be financially successful. It is crucial to plan towards a progressive, diversified portfolio that allows tribes to spread the risk and development business ventures that will translate into jobs and economic security not only for tribal governments but also for their tribal members. We will feature leaders from successful gaming and non-gaming tribes who also operate franchise restaurants, sustainable energy resources, manufacturing, office digital solutions business, agriculture hospitality, printing, marketing, construction management, IT, personnel services, telecommunications, healthcare, waste management as well as security and defense industries to name a few. All of which provide sustainable, non-gaming revenue and opportunity to their tribal membership. What was the process? What are some of the hurdles faced? Tribal laws, regulations, qualified workforce and land use all come into play, not to mention financial resources. The importance of a complimentary and consistent revenue streams beyond traditional business. We will hear firsthand how these businesses have been created and why. Why building a partnership between Tribal Council, CEO/Executive Director’s, CFO and HR department is critical for the success of the overall operation and therefore success of the tribe. Today’s leaders will share what they think tomorrow’s leaders need to know to adapt to changing economic and environmental conditions to preserve and grow their ventures so future generations can continue to thrive. Hear firsthand how the success of these tribal endeavors has led directly to improved healthcare, housing, education and other essential services needed by its members.

3 4/15/2019 2:30 PM

Monday, June 10th 10:00-10:30 AM

10:30 AM

10:30-11:30 AM •

Morning Networking Break

Healthcare General Sessions

Working Effectively with Tribal Public Health Emergency Preparedness Programs and Tribal Governments

This presentation is an overview of the CDC Center for Preparedness and Response, Division of State and Local Readiness, Public Health Emergency Preparedness Program with the main focus on Building Tribal Public Health Emergency Preparedness Program’s Capacity on Tribal Reservations in conjunction with state governments. The presentation will include a visual overview of the Public Health Core Functions, the Ten (10) Essential Public Health Services and the importance of understanding the roles and responsibilities of sovereign tribal nations and state and local governments to ensure that the tribal governments are prepared during a public health emergency preparedness event on tribal reservations and territories. Discover why Tribal, State, and Local Governments, as Participating Stakeholders in this program, must work together to provide the most effective public health security to all citizens in their jurisdictions. As Tribal Government Stakeholders in the CDC Public Health Emergency Preparedness Program, “Stronger Together” is truly the key.


Gregory Smith Tribal Liaison Officer Centers for Disease Control and Prevention (CDC)

Mark A. Davis Chief of the Program Services Branch Division of State and Local Readiness (DSLR) Center for Preparedness and Response (CPR)

Monday, June 10th 11:30-12:30 PM •

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4 4/15/2019 2:30 PM

Diabetes in Indian Country: An Update on Wellness, Management, Ongoing Care & the Latest Technologies

According to the American Diabetes Association, American Indians and Alaska Natives have the highest age-adjusted prevalence of diabetes among all U.S. racial and ethnic groups at nearly 16% and the highest prevalence of diagnosed diabetes for both men (14.9%) and women (15.3%) among U.S. adults aged 18 and over. Everyone knows the statistics are not good, but what is being done to change and improve them? What lifestyle changes can help prevent or treat the disease? What lifestyle choices make the disease worse? Discuss the complications and co-occurrences that can come from inadequate management of diabetes. Is there enough federal funding available for support programs? What role is IHS playing? What are the newest management programs, technologies and treatments that have proven to be effective? Presenters: Cheryl Glover Diabetes Coordinator Otoe-Missouria Tribe of Oklahoma

12:30-1:30 PM

Tonya S. Wapskineh, MPH, CHES Coordinator/DTTAC Master Trainer Select Diabetes Prevention Program Cherokee Nation

Networking Lunch

Healthcare General Sessions 1:30-2:15 PM • • • • •

Access to Healthcare in Indian Country & an Affordable Care Act Update

The Affordable Care Act (ACA) was created to increase access to healthcare, coverage, control costs and improve quality. What does the future of healthcare look like for Indian Country? What are the latest developments in D.C and how will they impact the administration of employee benefit plans? What are your obligations, and how do you make sure to keep current with ACA updates? Why do Native American patients rarely seek care in the private sector? What factors limit access to healthcare for some patients? Cost, lack of insurance, discrimination, living in rural areas, etc. American Indians and Alaskan Native are provided opportunities for affordable health coverage through the Health Insurance Marketplace.

Monday, June 10th 2:15-3:00PM • • • •

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5 4/15/2019 2:30 PM

National Opioid Crisis & Its Impact on Native American Communities

How is the opioid epidemic affecting your people? Since 2000, more than 300,000 Americans have died of an opioid overdose. The current opioid-related overdose death rate is 13.7 deaths per 100,000 Native Americans, which exceeds the national rate of 13.1 per 100,000. According to SAMHSA’s National Survey on Drug Use and Health (NSDUH), in 2016 4.0% (56,000) of American Indians/Alaska Natives aged 18 and older reported misusing a prescription pain reliever in the past year. Opioids were involved in 42,249 deaths in 2016 alone, which is five times higher than in 1999. In the Fall of 2018, the U.S. Department of Health and Human Services awarded over $1 billion in opioid -specific grants to help combat the crisis ravaging our country. What opioid treatment centers are available? What strategies and solutions should Indian Country pursue in order to protect its people during this crisis?

3:00-3:30 PM

Afternoon Networking Break Healthcare General Sessions

3:30-4:00 PM • • • •

Telehealth Brings Quality Healthcare and Eyecare To You

Telehealth offer solutions to medical provider turnover/ recruitment, and retention while simultaneously sustaining quality healthcare through revenue generation. Primary medical care, acute care, can be supplemented with specialty care of Diabetes, cardiology, podiatry, and others. School health prevention projects offer health screening and immunizations at school. Through a Mobile onsite service we can do vision screening to your school and deliver eyeglasses to those in need.


4:00-4:45 PM

4:45 PM

Scott Devous, M.D. Partner Native American Healthcare Solutions, LLC

Product Demo—XPress Systems, LLC

Monday’s Sessions Conclude

Tuesday, June 11th 7:30-8:30 AM

6 4/15/2019 2:30 PM

Registration & Networking Breakfast

Healthcare General Sessions 8:30-9:15 AM • • • • •

Case Study: MHA Nation Tribal Health- Home Health Care

Representatives from MHA Nation will present on their establishment of a home health care agency on the reservation and what the process and challenges have been. The goal is to establish and maintain quality health care in the home setting to foster health maintenance and independence in a culturally relevant and easily accessible manner. The program was created to prevent tribal members from having to enter an institution so that they can stay in the community for as long as possible. How did they establish themselves as a QSP (Qualifying Services Provider) agency? What services does the home health care agency include?


9:15-10:00 AM

Red Fox Sanchez Tribal Health Director Three Affiliated Tribes MHA Nation

Mariah Antell Administrative Assistant Director-Tribal Health Program Three Affiliated Tribes -MHA Nation

Partnership Matters

Self-Funded Tribal Health Plans have the opportunity to take advantage of a variety of regulations to improve the cost of care provided to their members. From CHEF to Medicare Like Rates to the 340B program, opportunities for cost savings abound. To take full advantage, tribal health plans must build strong partnerships with their tribal clinics and health plan administration partners. In this session, you will learn: • How you can partner with your clinic and health plan administrator to drive pharmacy spending to your clinic and their 340B program rather than through a standard PBM formulary. • Best practices in how you partner with your clinic and health plan administrator to administer Medicare Like Rates and complete CHEF filings. • What questions you should ask your health plan administrator about how they can help you to do the work associated with Medicare Like Rates, CHEF filings and coordination with your tribal clinic. Presenter:

Carrie Brose, CSFS Account Executive HMA—Healthcare Management Administrators, Inc.

Tuesday, June 11th 10:00-10:30 AM

7 4/15/2019 2:30 PM

Morning Networking Break

Healthcare General Sessions 10:30-11:15 AM •

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Promoting Wellness & a Culture of Health

According to the U.S. Department of Health and Human Services Office of Minority Health: • American Indian/Alaska Native adolescents are 30% more likely to be obese and adults are 50% more likely to be obese than non-Hispanic whites. • Nearly 16% of American Indian/Alaska Native high school students are obese. How is obesity impacting the health of your communities? People who are overweight are more likely to suffer from high blood pressure, diabetes, heart disease, etc. Is your community promoting physical activity and coming up with innovative ways to promote wellness and get all generations involved? 46.4% of American Indian adults 18 and over do not meet federal physical activity guidelines. What environmental factors contribute to the health of American Indians/Alaska Natives? How do factors such as lifestyle, economics, relationships, dietary habits and social situations impact health and wellness? Presenter:

OJ Fiander Owner Columbia Fitness

Tuesday, June 11th 11:15-12:00 PM

8 4/15/2019 2:30 PM

Getting Real About Stigma Prevention (G.R.A.S.P): A Statewide Community-Driven Campaign to Eliminate HCV Stigma Among Urban Indians in California

In order to begin to address the Hepatitis C Virus in tribal and Urban communities, we need to increase visibility of HCV and eliminate the stigmatization associated with the disease. The high mortality rate of Urban AI/AN with HCV reflects the consequence of stigma and lack of awareness in the Urban Indian community, and GRASP will explore ways to eliminate stigma by fostering awareness, encouraging prevention and supporting harm reduction strategies. The concept of Getting Real About Stigma Prevention (GRASP) is to be an example of a best practice model that will inform the Urban Indian community on the efforts to eliminate stigma through difficult conversations (talking circles). California Consortium for Urban Indian Health (CCUIH) will share the concepts from the talking circles and the stigma survey that was used to develop a public awareness and stigma reduction campaign. The multifaceted campaign utilized print, media, and electronic materials to be used for outreach, education and understanding about HCV stigma.

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12:00-1:00 PM

April McGill Director of Community Partnerships & Projects California Consortium for Urban Indian Health

Jackie Pierson Program Specialist California Consortium for Urban Indian Health

Networking Lunch

Healthcare General Sessions 1:00-1:45 PM • • • • • •

Mental Health: Suicide, Awareness Programs and Recommended Steps

Native Americans have the highest suicide rates of any other population group in the U.S. This panel will focus on understanding mental health and address common causes that lead to the feeling of hopelessness. Native Americans experience serious psychological distress 1.5 times more than the general population and PTSD more than twice as often as the general population. It’s important to start talking about mental health and discover how we can decrease stigma in our workplaces that often deters people from seeking help. What awareness and education programs exist that can help community members understand mental health and help decrease suicide rates? What resources are available in your communities?

Tuesday, June


9 4/15/2019 2:30 PM

Healthcare General Sessions 1:45-2:30 PM • • • • •

Wound Care

Amputation rates in Indian country are 3-4 times higher than the general population. What are the risk factors that lead to amputations? Diabetes, smoking and obesity are just a few. Learn about the importance of the proper techniques that go into identifying and treating infection. What new technologies are out there? Learn how each form of treatment plays an important role in the complete wound care model, along with how to best educate patients on their responsibilities when they leave professional care.

2:30-3:15 PM Winning Loyal Healthcare Customers: Customers Only Want Two Things •

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Few things will drive your success more than winning the loyalty of your patients, their family members and your community. Loyal customers trust you, use your services, speak well of you, refer others and work with you as partners. Inspire a culture that empowers employees to enrich the patient experience and work in greater harmony with each other. Don’t miss this engaging workshop where you will receive practical tips and tools on how to win loyalty among those you serve.


3:15 PM

Kevin Miller Partner Native American Healthcare Solutions, LLC

Healthcare Conference Concludes

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