These findings reflect the data collected at the six sites visited. By agreement with the sites, this report does not present information about a single site by name nor does it compare one site to another or to all others. Instead, the report provides overarching conclusions based on all six site visits and notes important exceptions to these conclusions.
Specific findings about the availability of data on the history of self-governance and program management as well as management processes is presented below, followed by information on data availability for the health programs and all other DHHS programs under consideration. Following these discussions is a general summary of the findings as they relate to recommendations for the feasibility of a more quantitative evaluation to document the outcomes and successes of Tribal management of health and social services programs under self-governance.