Rural Health
Resources by Topic: American Indian or Alaska Native
Addressing Workforce Challenges Across the Behavioral Health Continuum of Care: Proceedings of a Workshop
Summary of presentations and discussions from a July 2024 public workshop to address workforce needs and challenges related to behavioral healthcare. Includes discussions of telepsychiatry collaborative care to improve rural access and capacity, and recruiting and retaining Native American healthcare providers in behavioral health settings.
Author(s): Board on Health Care Services
Date: 2025
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Summary of presentations and discussions from a July 2024 public workshop to address workforce needs and challenges related to behavioral healthcare. Includes discussions of telepsychiatry collaborative care to improve rural access and capacity, and recruiting and retaining Native American healthcare providers in behavioral health settings.
Author(s): Board on Health Care Services
Date: 2025
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Staffing Shortages Limited IHS's Capacity To Effectively Administer Much-Needed Sanitation Projects Funded by the Infrastructure Investment and Jobs Act
Explores Indian Health Service (IHS) efforts to expand staffing and capacity to administer and oversee Sanitation Facilities Construction (SFC) projects funded by the Infrastructure Investment and Jobs Act (IIJA) in fiscal year 2023. Identifies challenges IHS experienced that threatened its ability to complete projects and meet sanitation needs in a timely manner. Offers recommendations to IHS to related to recruitment, retention, and housing of SFC staff.
Additional links: Report Highlights
Date: 12/2024
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Explores Indian Health Service (IHS) efforts to expand staffing and capacity to administer and oversee Sanitation Facilities Construction (SFC) projects funded by the Infrastructure Investment and Jobs Act (IIJA) in fiscal year 2023. Identifies challenges IHS experienced that threatened its ability to complete projects and meet sanitation needs in a timely manner. Offers recommendations to IHS to related to recruitment, retention, and housing of SFC staff.
Additional links: Report Highlights
Date: 12/2024
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Domestic Violence in American Indian and Alaska Native Populations: A New Framework for Policy Change and Addressing the Structural Determinants of Health
Discusses the issue of domestic violence (DV) in American Indian/Alaska Native (AI/AN) communities. Analyzes historical structural determinants that impact DV, as well as how policy and funding can help prevent DV.
Author(s): Tassy Parker, Allyson Kelley, Lee Redeye, Marcello A. Maviglia
Citation: The Lancet Regional Health - Americas, 40
Date: 12/2024
Type: Document
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Discusses the issue of domestic violence (DV) in American Indian/Alaska Native (AI/AN) communities. Analyzes historical structural determinants that impact DV, as well as how policy and funding can help prevent DV.
Author(s): Tassy Parker, Allyson Kelley, Lee Redeye, Marcello A. Maviglia
Citation: The Lancet Regional Health - Americas, 40
Date: 12/2024
Type: Document
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Increasing HPV Vaccination in American Indians/Alaska Natives: Co-Development of a Healthcare Provider Toolkit with Community Partners
Details a collaboration between the Oregon Health & Science University Knight Center Institute and Northwest Portland Area Indian Health Board (NPAIHB) to develop and implement a human papillomavirus (HPV) vaccination toolkit for providers serving American Indian and Alaska Native patients. Discusses AI/AN HPV cancer disparities and factors influencing vaccination.
Author(s): Amanda S. Bruegl
Date: 11/2024
Type: Document
Sponsoring organization: St. Jude Children's Research Hospital
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Details a collaboration between the Oregon Health & Science University Knight Center Institute and Northwest Portland Area Indian Health Board (NPAIHB) to develop and implement a human papillomavirus (HPV) vaccination toolkit for providers serving American Indian and Alaska Native patients. Discusses AI/AN HPV cancer disparities and factors influencing vaccination.
Author(s): Amanda S. Bruegl
Date: 11/2024
Type: Document
Sponsoring organization: St. Jude Children's Research Hospital
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Network Commons: Native Self-Determination and Community Investment
Webinar on community development, investment, and multi-sector partnerships between healthcare organizations, tribal governments, and Native-led community organizations as a means to improve health, well-being, and self-determination in Native communities. Features speakers representing the Sault Ste Marie Tribe of Chippewa Indians, Mackinac Straits Health System, and American Indian and Alaska Natives Community-Led Housing Collaborative. See description for transcript.
Author(s): Andrea Garcia, Christine McPherson, Karen Cheeseman, Ashley Hernandez, Lanalle Smith
Date: 11/2024
Type: Video/Multimedia
Sponsoring organization: Build Healthy Places Network
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Webinar on community development, investment, and multi-sector partnerships between healthcare organizations, tribal governments, and Native-led community organizations as a means to improve health, well-being, and self-determination in Native communities. Features speakers representing the Sault Ste Marie Tribe of Chippewa Indians, Mackinac Straits Health System, and American Indian and Alaska Natives Community-Led Housing Collaborative. See description for transcript.
Author(s): Andrea Garcia, Christine McPherson, Karen Cheeseman, Ashley Hernandez, Lanalle Smith
Date: 11/2024
Type: Video/Multimedia
Sponsoring organization: Build Healthy Places Network
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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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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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5 Ways to Support Native American Maternal and Infant Health
Discusses culturally relevant strategies to support Native American maternal health, infant health, and childbirth. Focuses on cultural beliefs and practices, communication, community involvement, workforce diversity, and holistic and patient-centered care.
Author(s): Jordyn Pourier, Cherry Y.E.W. Yamane, LaShai Jake, Deana Around Him
Date: 11/2024
Type: Document
Sponsoring organization: Child Trends
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Discusses culturally relevant strategies to support Native American maternal health, infant health, and childbirth. Focuses on cultural beliefs and practices, communication, community involvement, workforce diversity, and holistic and patient-centered care.
Author(s): Jordyn Pourier, Cherry Y.E.W. Yamane, LaShai Jake, Deana Around Him
Date: 11/2024
Type: Document
Sponsoring organization: Child Trends
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Advancing Health Equity in Rural, Tribal, and Geographically Isolated Communities: FY2024 Year in Review
Summarizes Centers for Medicare & Medicaid Services (CMS) activities in fiscal year 2024 to advance health equity for people living in rural, tribal, and geographically isolated communities. Covers six priority focus areas: applying a community-informed geographic lens; increasing the collection and use of standardized data; strengthening and supporting healthcare professionals; optimizing medical and communication technology; expanding access to comprehensive healthcare coverage, benefits, and services and supports; and driving innovation and value-based care.
Date: 11/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Summarizes Centers for Medicare & Medicaid Services (CMS) activities in fiscal year 2024 to advance health equity for people living in rural, tribal, and geographically isolated communities. Covers six priority focus areas: applying a community-informed geographic lens; increasing the collection and use of standardized data; strengthening and supporting healthcare professionals; optimizing medical and communication technology; expanding access to comprehensive healthcare coverage, benefits, and services and supports; and driving innovation and value-based care.
Date: 11/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Nirsevimab Effectiveness Against Medically Attended Respiratory Syncytial Virus Illness and Hospitalization Among Alaska Native Children — Yukon-Kuskokwim Delta Region, Alaska, October 2023–June 2024
Reports on effectiveness of nirsevimab in preventing respiratory syncytial virus (RSV) associated hospitalization for Alaska Native infants in their first RSV season and against medically attended illness for children in their first and second seasons in Alaska's Yukon-Kuskokwim Delta. Includes data by community type for the hub town with regional hospital and outlying villages.
Author(s): Brian Lefferts, Sara Bressler, James W. Keck, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(45), 1015-1021
Date: 11/2024
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on effectiveness of nirsevimab in preventing respiratory syncytial virus (RSV) associated hospitalization for Alaska Native infants in their first RSV season and against medically attended illness for children in their first and second seasons in Alaska's Yukon-Kuskokwim Delta. Includes data by community type for the hub town with regional hospital and outlying villages.
Author(s): Brian Lefferts, Sara Bressler, James W. Keck, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(45), 1015-1021
Date: 11/2024
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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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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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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