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2014 Great Plains Tribal Chairmen’s Health Board 1770 Rand Road, Rapid City, SD 57702 (P) 605.721.1922 (F) 605.721.1932 www.gptchb.org GPTCHB Orientation
2014
Great Plains Tribal Chairmen’s Health Board
1770 Rand Road, Rapid City, SD 57702
(P) 605.721.1922 (F) 605.721.1932
www.gptchb.org
GPTCHB Orientation
Orientation Packet 2014
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Message from the Chief Executive Officer
Dear Tribal Leader,
Congratulations on your successful candidacy to serve as a tribal leader. As a tribal leader, numerous concerns and priorities lie ahead, including many matters related to the health and well-being of our tribal nations. One role during your tenure as the highest elected official for your tribe will be to serve on the Board of Directors for the Great Plains Tribal Chairmen’s Health Board (GPTCHB).
GPTCHB is the united and collective voice for the Great Plains Area Indian Health Service region, as it relates to health and human
services policy, shared needs for technical assistance and leveraging population-based funding opportunities as sovereign nations which seek to strengthen the trust responsibility under the umbrella of the United States Department of Health and Human Services (HHS).
Our strength in numbers provides an opportunity for our region to address the health inequities and challenges that our tribes face every day. It is my personal commitment to support you as a leader and to support our tribes to achieve identified health and wellness goals while you serve in the capacity of a Board of Directors member for GPTCHB.
The enclosed manual provides information related to the structure of the Board of Directors and will be a useful tool for you during your service. GPTCHB supports and encourages your participation to serve on any one of the numerous HHS committee appointments and potential executive committee seats.
Please do not hesitate to take full advantage of the assistance and support that GPTCHB provides as you begin your quest for effective, successful leadership in the arena of tribal health and wellness.
Mitakuye Oyasin,
Jerilyn LeBeau Church, MSW Chief Executive Officer Great Plains Tribal Chairmen’s Health Board Mniconjou Lakota, Cheyenne River Sioux Tribe
Jerilyn LeBeau Church, CEO
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About Great Plains Tribal Chairmen’s Health Board
History of Great Plains Tribal Chairmen’s Health Board
Great Plains Tribal Chairmen’s Health Board (GPTCHB) was originally founded in 1986 as the Aberdeen Area Tribal Chairmen’s Health Board (AATCHB). Established by the chairpersons and presidents of the 18 member tribes and tribal communities, GPTCHB sought to establish itself and serve as a liaison between the Aberdeen Area Indian Health Service, which is now known as the Great Plains Area Indian Health Service (GPAIHS), and Great Plains tribes.
The initial funding in 1991 of the Northern Plains Healthy Start (NPHS) Program enabled GPTCHB to achieve not-for-profit status and come into existence.
Through the determined efforts and accomplishments of late Executive Director Carole Anne Heart, Rosebud Sioux, the health board expanded by securing funding for the Northern Plains Tribal Epidemiology Center (NPTEC) in 2003.
Subsequent expansion of GPTCHB services unfolded under the leadership of Dr. Donald Warne, Oglala Sioux, a graduate of the Stanford University School of Medicine and Harvard University Master of Public Health Program. Upon his departure as Executive Director, Warne maintained a commitment to support GPTCHB as its Policy Analyst.
The health care concerns in the Great Plains evolved with the arrival of health reform, leading to the need for reevaluation of service priorities provided by the health board. Jerilyn Church, current Chief Executive Officer, implemented the most comprehensive reorganization of the health board to date. Born and raised on the Cheyenne River Reservation, Church graduated with honors from Michigan State University with a bachelor’s degree in social work and American Indian specialization and obtained her master’s degree in social work with a specialization in management in human services form the University of Michigan, where she was awarded a full child welfare fellowship.
Today
The Great Plains Tribal Chairmen’s Health Board continues to be an organization dedicated to reducing public health disparities and improving the health and wellness of the American Indian peoples who are members of the 18 Great Plains tribal nations and communities. Through its numerous programs and partnerships, GPTCHB provides critical health promotion and education services and serves as a gatekeeper for tribal research and academic development. GPTCHB incorporates its organizational values of acting with integrity and maintaining respect and ethics in every decision while also respecting and upholding cultural values and tribal sovereignty.
GPTCHB provides technical assistance in the area of epidemiology and data analysis for its member tribes. GPTCHB engages university partners to meet applied public health research needs. It also
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expanded its sole liaison role between the Great Plains tribes and Great Plains Area Indian Health Service to multiple roles between the tribes and U.S. Department of Health and Human Services agencies.
GPTCHB advocates nationally for improved Indian health policies on behalf of the tribes, which comprise nearly 170,000 members in the four-state region of South Dakota, North Dakota, Nebraska and Iowa. In addition, GPTCHB provides community outreach programs with the focal point being overall health improvement and elimination of health disparities among tribal members.
GPTCHB achieves this through federal, state and private funding as well as various partnerships with the Indian Health Service and other Health and Human Services agencies and academic institutions.
Map of the Great Plains Region
Mission
Our mission is to provide quality public health support and health care advocacy to the tribal nations of the Great Plains by utilizing effective and culturally credible approaches.
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Vision
Our vision is that all tribal nations and communities in the Great Plains will reach optimum health and wellness through lasting partnerships with health organizations and embrace culturally significant values that are empowered by tribal sovereignty.
Values
Traditional Cultural Values: We will serve to uphold traditional cultural values by always seeking the wisdom of Creator for direction.
Integrity: We choose to honor the people we serve and those who are dedicated to serving our tribes and tribal members by acting with fortitude and dedication to our mission at all times.
Generosity: We choose to honor the people we serve and those who are dedicated to serving our tribes and tribal members by acting with generosity and selflessness at all times.
Respect: We choose to honor the people we serve and those who are dedicated to serving the people we represent by treating them with dignity and compassion at all times.
Ethics: We choose to act with honesty and fairness in every organizational decision, continually earning the trust of those we work with and those we serve.
Advocacy: We will stand with conviction and courage to promote tribal sovereignty and equitable health and well-being for our tribal nations.
Humility: We will always approach our work in the spirit of cooperation and collaboration in order to successfully achieve our mission.
Board Objectives/Statement of Purpose
The Great Plains Tribal Chairmen’s Health Board is established to provide the tribal nations in the Great Plains region with a formal representative Board as a means of communicating and participating with the Great Plains Area Indian Health Service and other Health and Human Services entities and organizations on health matters. In pursuing this policy, the Board’s objectives are:
• To improve the effectiveness of the various Health and Human Services agencies including the Indian Health Service by facilitating tribal participation in the consultation process.
• To assist the Health and Human Services agencies in establishing program priorities and in distributing existing resources.
• To advise the Area Director and Great Plains Area Indian Health Service of tribal priorities in developing long-range program plans.
• To advocate for tribal interests and desires at state, regional and national levels for health-related concerns.
• To support the self-determination and sovereignty of tribes in their development of activities and programs to improve the health of tribal members.
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• To provide technical assistance to tribes in the development and improvement of tribal health programs.
• To establish meaningful engagement and provide consistent means of communication to provide clear and concise information to the tribes.
• To provide policy analysis and recommendations related to Indian health care concerns to tribally appointed representatives designated to deliver advocacy and testimony to Congressional and Executive Branch leadership.
The Board is organized exclusively for nonprofit purposes and will qualify as an exempt organization under Sec. 501(c)(3) of the Internal Revenue Code of 1954 (or the corresponding provision of any future United States Internal Revenue law).
GPTCHB Administrative Staff
Jerilyn Church, MSW – Chief Executive Officer – Cheyenne River Sioux Sunny Colombe, MBA – Chief Administrative Officer – Rosebud Sioux Lynn Big Eagle – Executive Assistant – Crow Creek Sioux Kristine Watts, MPA – Director of Human Resources & Communications – Oglala Sioux Jesse Abernathy, BSW – Communications & Outreach Coordinator – Cheyenne River Sioux Sue Mallon, BS – Controller Steven Kaleda, BS – Fiscal Coordinator Carmen Thompson, BS – Accounting Assistant Mark Aguilar, BS – Accounting Clerk - Spirit Lake Sioux Lezley “Lez” Kempf – IT Administrator Beth Lee, BS – Business Planning & Contract Development Manager – Crow Debee Eagle Elk – Administrative Assistant – Oglala Sioux
GPTCHB CMS Health Insurance Exchange Navigator ProjectStaff Tinka Duran, BA – Navigator Program Manager – Rosebud Sioux Elaine Keepseagle, BS – Western North Dakota Navigator – Standing Rock Sioux
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Mary Ann McCowan, BS – Western South Dakota Navigator – Rosebud Sioux About the GPTCHB CMS Health Insurance Exchange Navigator Project
GPTCHB was awarded a total of $450,000 in grant funding in August 2013 from the Centers for Medicare & Medicaid Services (CMS) to establish its CMS Health Insurance Exchange Navigator Project, or Navigator Program, to aid in the implementation of Affordable Care Act (ACA) changes as they pertain to the Health Insurance Marketplaces, or Exchanges. GPTCHB has utilized the funding to serve as in-person “Navigators” for Native Americans in two of the four states that lie within its service region – South Dakota and North Dakota. Navigators specifically provide individuals with assistance in shopping for and enrolling in plans under the ACA’s Health Insurance Marketplaces, which opened for enrollment on October 1, 2013. Health care plan enrollment assistance is available to Natives residing on or near the seven reservations lying entirely within South Dakota – Cheyenne River, Crow Creek, Lower Brule, Flandreau, Yankton, Rosebud and Pine Ridge – and the two reservations that straddle the South and North Dakota border – Standing Rock and Lake Traverse. The three other North Dakota reservations covered by the health board’s Navigator Program include Fort Berthold, Turtle Mountain and Spirit Lake. Also included in North Dakota’s coverage region is the Trenton Indian Service Area, which operates as a tribal entity. In addition, GPTCHB will provide Health Insurance Marketplace enrollment assistance within the two states to Natives living in major urban areas serviced by Urban Indian Health Centers. Navigators are trained to provide unbiased information in a culturally competent manner to consumers about health insurance, the Health Insurance Marketplaces, qualified health plans, the Small Business Health Options Program (SHOP), and public programs including Medicaid and the Children’s Health Insurance Program (CHIP).
Behavioral Health & Recovery Department
Great Plains Access to Recovery Program
Staff
Paula Brown, BS – Program Manager Jean Richards-Tulloss – Administrative Assistant – Rosebud Sioux About the Great Plains Access to Recovery (GPATR) Program
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Great Plains Access to Recovery is a four-year, $14 million grant program to provide services to Native Americans within the Great Plains Area Indian Health Service coverage region who have struggled or are currently struggling with substance abuse issues. The target population for the GPATR program consists of individuals who are enrolled or eligible for enrollment in a federally recognized tribe or entity recognized by the Unites States Bureau of Indian Affairs; are eligible to receive services from a tribal or urban Indian health program as a state-recognized Indian tribal member (as determined by the Indian health program); are of Indian descent; or are an immediate family member of an individual who is enrolled, eligible for enrollment, or of Indian descent, being 13 years of age or older and having state residency in either South Dakota, North Dakota, Nebraska or Iowa.
The ATR program can pay for a wide array of recovery services and clinical services. Some of those services are listed below.
• Individual or Group Therapy • Residential Treatment • Alcohol and Drug Testing • Substance Abuse Education • Family Services/Parenting Classes • Pre-employment/Employment • Traditional Healing Services • Sweat Lodge/Inipi • Talking Circle • Tribal Song and Dance • Tribal Arts and Crafts • Self Help and Support Groups • Care Coordination
Community Health Department Maylynn Warne, MPH – Director of Community Health Department – Santa Ana Pueblo/Pawnee
Northern Plains Comprehensive Cancer Control Program Staff Richard Mousseau, BA – Program Manager – Oglala Sioux Jennifer Williams, BS – Health Educator Sadie In The Woods, MPH – Policy, Systems and Environmental (PSE) Change Coordinator– Oglala Sioux About the Northern Plains Comprehensive Cancer Control Program (NPCCCP)
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The Northern Plains Comprehensive Cancer Control Program maintains the support and utilization of a collaborative and coordinated approach among tribal, state, regional, and public and private cancer control stakeholders to effectively and efficiently implement cancer control activities. The program is funded by the Centers for Disease Control and Prevention (CDC) through its National Center for Chronic Disease Prevention and Health Promotion.
Northern Plains Tribal Tobacco Technical Assistance Center Staff Vanessa Tibbitts, MA – Program Manager – Oglala Sioux Amia Moore, BS – Health Educator – Rosebud Sioux Sadie In The Woods, MPH – National Native Network Coordinator – Oglala Sioux About the Northern Plains Tribal Tobacco Technical Assistance Center (NPTTTAC) The Northern Plains Tribal Tobacco Technical Assistance Center works to honor the difference between sacred tobacco and commercial tobacco, provide culturally relevant health education materials, and recognize the importance of networking and building close relationships in support of greater impact of valuable limited resources. The program is funded by the CDC Office on Smoking and Health.
Sexually Transmitted Infections/Teen Pregnancy Prevention Initiative Program
Staff Opal Jones – Program Coordinator – Oglala Sioux Marilyn Prairie Chicken – Administrative Coordinator – Rosebud Sioux
About the Sexually Transmitted Infections/Teen Pregnancy Prevention Initiative (STI/TPPI) Program This dual program promotes and supports community awareness of and education on sexually transmitted infections prevention as well as reduction of teen pregnancy and associated risk behaviors through funding administered under the U.S. Department of Health and Human Services (HHS).
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Maternal & Child Health Department Christy Hacker, MPH, Director of Maternal & Child Health Department
Northern Plains Healthy Start Program Staff Gorgie Paulhamus, MA, MEd – Program Manager – Rosebud Sioux Monta Little Soldier – Program Assistant – Cheyenne River Sioux About the Northern Plains Healthy Start (NPHS) Program The Northern Plains Healthy Start Program is committed to promoting healthy families and improving birth outcomes for Native American women by providing Targeted Case Management (TCM) Services. TCM Services is a culturally relevant program, which empowers individuals to make better health care choices. Services are planned and coordinated through needs assessments, case service planning, referrals and assessing community services, advocating for women and children, and monitoring progress and outcomes. Northern Plains Healthy Start and the TCM Services program combined is a holistic approach respecting the importance of family, extended family, physical, emotional, psychosocial and spiritual health, and the continued support for Native American family values.
Philosophy
The TCM Services Model was built and guided by the following seven beliefs:
1. Infant mortality reflects adverse medical, social and environmental factors affecting the lives of pregnant women, infants and their families.
2. Direct community involvement in the planning and implementation of the NPHS Program will encourage participation and promote its success in decreasing infant mortality.
3. Personal, traditional and caring relationships that support pregnant women and new mothers enhance the health outcomes of infants, children and families.
4. Community involvement supplements, in culturally meaningful ways, a woman’s contact with providers of health, social and educational services.
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5. Infant health is enhanced when services creatively reach families in home and local environments and through traditional ways.
6. A high-quality system of locally accessible primary care and transport to secondary and tertiary care facilities must be readily available to all pregnant women and infants.
7. Infant health has a direct relationship to the family, the extended family and the community awareness that these children are our next generation.
Early Childhood Comprehensive Systems
Staff
Christy Hacker, MPH - Director of Maternal & Child Health Department
About Early Childhood Comprehensive Systems
The Early Childhood Comprehensive Systems (ECCS) component of the MCH Department was implemented through an initial $420,000 grant in August of 2013 from the federal Health Resources and Services Administration (HRSA) as part of the administration’s commitment to improve early childhood health.
The “Early Childhood Comprehensive Systems: Building Health Through Integration” funding is being utilized by GPTCHB in the development of a maternal and child health initiative. In addition, the funding will allow the health board to implement a strategy to mitigate the effects of toxic stress and trauma in infancy and early childhood, which is a priority health issue among Native Americans living within the Great Plains area.
Partnerships with both the South Dakota Department of Health and the Sisseton-Wahpeton Oyate of the Lake Traverse Reservation (SWOLTR), one of the tribes served by GPTCHB, allowed for securement of this award. The grant program seeks to improve the healthy physical, social and emotional development of children during infancy and early childhood by improving the quality and availability of services in communities throughout the nation via a collective impact approach, in addition to providing support to HRSA’s Maternal, Infant and Early Childhood Home Visiting (MIECHV) programs.
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Great Plains Ride Safe Child Passenger Safety/Indian Health Service Injury Prevention Program
Staff Gina Yellow Eagle, CPAT, CPSI, CSA – Program Coordinator – Oglala Sioux About the Great Plains Ride Safe Child Passenger Safety (Ride Safe CPS)/IHS Injury Prevention Program The Ride Safe CPS Program promotes and supports parental and community awareness of and education on appropriate child car seat usage and child safety restraint in vehicles through funding from the Indian Health Service.
Northern Plains Tribal Epidemiology Center Staff Jennifer Giroux, MD, MPH – Administrator – Rosebud Sioux Staci Hunter – Administrative Coordinator – Oglala Sioux About the Northern Plains Tribal Epidemiology Center The Northern Plains Tribal Epidemiology Center (NPTEC) is one of 12 epidemiology centers across the nation funded by the Indian Health Service Division of Epidemiology and Disease Prevention. The center’s mission is to provide advocacy, leadership, technical assistance and overall support for the 18 Great Plains Area IHS tribal communities throughout South Dakota, North Dakota, Nebraska and Iowa.
There are three focuses of NPTEC: Public Health - The science and art of preventing disease, prolonging life and promoting health through organized community efforts. Epidemiology - The study of how often a disease occurs in different populations and why. It identifies epidemics and is the science behind public health. Research - Methodical investigation into a subject in order to discover facts.
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Tribal Epidemiology Centers
Public Health Research & Academic Programs
University of South Dakota Center of Excellence/Childhood Obesity Prevention Program
Staff Nichole Cottier, BS – Program Manager – Oglala Sioux Cole Hunter – Program Assistant – Oglala Sioux About the Center of Excellence Program The Center of Excellence (COE) program has designed and now implements a culturally-appropriate evidence-based intervention program to prevent and reduce obesity in American Indian children. Additionally, the program provides technical assistance and training to tribal health, physical activity and youth program staff that supports sustainable ongoing programs.
The current Childhood Obesity Prevention Programs (COPP) are the Center of Excellence Good Vibrations for Healthy Nations Childhood Obesity Prevention Project and the South Dakota Community Transformation Grants Good & Healthy Program.
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Funding for the Center of Excellence programs is provided by the Exploratory Center of Excellence in Minority Health and Health Disparities’ Center for Health Research with Great Plain Area Tribes, which is a partnership between the University of South Dakota Sanford School of Medicine, Sanford Research, Sinte Gleska University and GPTCHB. The Good & Healthy program is funded through a Community Transformation Grant from the South Dakota Department of Health.
Community Outreach Project to Prevent and Reduce Obesity in Children – Good Vibrations for Healthy Nations
This project utilizes tribal Community-Based Participatory Research (CBPR) methodology, information and education on the prevention of childhood obesity as well as information sharing between the project’s communities, research teams and Great Plains Area IHS region, thereby assisting in the development of tribal capacity to continue addressing this health disparity. GPTCHB coordinates and provides technical support to the tribes participating in the Child Needs Assessment and Childhood Obesity Project. Participating tribes collaborate on the design of the Community Child Needs Assessment and Community Outreach Project. The activities conducted for this core component involve extensive collaboration between all of the COE partners, including the involved Northern Plains tribes. The central tenet of the Information Dissemination Program that is being conducted with Great Plains Area tribes through the COE is giving back to the tribes. This will occur through provision of research findings in a useful format that is both accessible and able to be readily applied to addressing priority health issues of Indian peoples in the Northern Plains. In support of this tenet, GPTCHB has the lead role in information dissemination development and implementation for the Center for Health Research with Great Plains Area tribes. Good & Healthy
The Childhood Obesity Prevention Program was awarded a Community Transformation Grant (federal financial assistance provided by Centers for Disease Control and Prevention (CDC)) by the South Dakota Department of Health in December of 2011. The grant has the following specific aims:
Conduct a community health needs assessment within two tribal communities to identify the most appropriate and sustainable intervention. Implement a site specific and culturally relevant evidence-based intervention to prevent and reduce childhood obesity within the participating tribal communities within four years.
Mapping Pathways into a Healthier Future/Geographic Information Systems Project
Staff
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Patty Eagle Bull, MBA – Program Manager – Oglala Sioux Gerri LeBeau, BS – Program Assistant – Cheyenne River Sioux
About the Mapping Pathways into a Healthier Future/Geographic Information Systems (Mapping Pathways/GIS) Project
The Mapping Pathways/GIS Project promotes data-specific activities aimed at improving the health status of stakeholder tribal communities via curriculum development, academic workshops using EpiInfo and Esri GIS software, and partnerships with tribal colleges and universities and state
health departments. The project is funded by the Office of Minority Health (OMH).
Northern Plains Native American Research Center for Health Staff
Corey Smith, PhD – Director of Science & Applied Informatics Brenda McGlynn, MSA – Research & Academic Programs Coordinator – Oglala Sioux Dylan Fills Pipe, BS – Research Associate – Oglala Sioux About the Northern Plains Native American Research Center for Health (NP NARCH)
The goal of NP NARCH is to develop and implement culturally sensitive, community-based research to address health disparities among Great Plains American Indian populations through academic and community partnerships; enhance the partnerships between and among the Northern Plains tribal communities, GPTCHB, Great Plains Area IHS, the 10 tribal colleges and universities in the Great Plains Area, and Great Plains Area research-intensive institutions; and mentor and collaborate with American Indian and Alaska Native health researchers and students.
Projects funded by NARCH VI include:
Equine Assisted Substance Use Prevention for Northern Plains American Indian Adolescents is a pilot evaluation of an innovative culturally-based substance use prevention program for Northern Plains American Indian adolescents. The Principal Investigator is Dr. Jessica White Plume, Oglala Sioux. The intervention utilizes the traditions of the Dakota horse culture and equine-assisted learning sessions to develop participants’ cultural protective factors as well as teaches empirically-supported protective behavior skills.
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Program funding in the amount of $700,000 was awarded as a supplement to the Northern Plains NARCH VI program. The NP NARCH Evidence-Based Interventions (EBI) HIV Supplement supports a culturally-adapted HIV preventive intervention with the long-term goal of reducing HIV-related risk behaviors among youth ages 14-19 years of age and who reside on the Cheyenne River Reservation in South Dakota. The NP NARCH EBI HIV project activities include three quarterly meetings with a diverse Community Advisory Board of eight adult and youth tribal community members; three interventionist/facilitator trainings; meetings with principals/counselors at all four Cheyenne River Reservation high schools; co-hosting a summer HIV/AIDS awareness event for tribal youth; and promotion of the project through a community health fair in the summer of 2012. The primary objective of the NP NARCH Family-based and Equine-assisted Risk Reduction for Type 2 Diabetes among High-risk Indigenous Children study is to develop and pilot a culturally-based prevention program that will reduce the four main risk factors – obesity, inactivity, eating habits and depressive symptoms for early onset DM2 (myotonic dystrophy) among insulin-resistant youth. Les Whitbeck of the University of Nebraska-Lincoln is the Principal Investigator. The NP NARCH Tribal Colleges and Universities Faculty and Tribal Health Professional Development (TCU/THP) Project is funded through both NARCH V and NARCH VI. The TCU/THP Project co-sponsored a community research event with the Oglala Sioux Tribe Research Review Board and an area tribal college on the OST experience of establishing a tribal research review board. The NP NARCH program at GPTCHB partnered with OST Health Administration to deliver up to five Institutional Review Board training workshops for other tribal sites. The NP NARCH Student Development Project, also funded through NARCH V and VI, exceeded its recruitment target by placing eight students representing five tribes into summer research programs in 2012. Additionally, the Student Development Project successfully recruited 16 students for summer research programs in 2012. The Tribal College Tour concept continues as an effective strategy for engaging and recruiting students into summer research programs. In 2013, 16 students were successfully funded by NP NARCH for participation in summer research programs throughout the Great Plains region. The second annual Native American Health Careers Development Summit was held in Rapid City, S.D., in August of 2013.
For More Information The GPTCHB website – gptchb.org – includes a special page for board members located at the bottom of the home page. Here you can find information including but not limited to resolutions, committee appointments, bylaws and more. You may also email us at [email protected].
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Additionally, GPTCHB has official Facebook, Twitter and LinkedIn accounts. Follow each account for up-to-date information on GPTCHB.
Facebook: Like us at Great Plains Tribal Chairmen’s Health Board Twitter: Follow @GPTCHB LinkedIn: Connect at Great Plains Tribal Chairmen’s Health Board
