Performance Improvement 1999. Health Care Delivery

02/01/1999

TITLE: Bemidji Area Office Organization Structure

ABSTRACT: This project will assess and challenge existing operational structures in the Bemidji Area Indian Health Service. It will develop an Area Office re-organization model that will follow the guiding principles identified by the Indian Health Service Management Workgroup on Restructuring.

AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research

FEDERAL CONTACT: Frank Marion

PHONE NUMBER: 301-443-4700

PIC ID: 5939

PERFORMER ORGANIZATION: Bemidji Area Indian Health Service Bemidji, MN

PROJECTED DATE OF COMPLETION: 9/20/99
 

TITLE: Evaluating the Impact of Primary Intervention Techniques on the Dental Caries Rate in Children Living in Southwest Alaska Native Villages

ABSTRACT: This project will attempt to identify the reason why some communities in Bristol Bay have significantly higher/lower caries rates in children than do other children in other Bristol Bay communities. Children ages six to eight have been selected for the project, and the results of the project will be used to identify the factors that create high-risk communities. A community model will be developed for use in allocating specific resources to address the oral health needs of the villages. The primary activities will continue to be directed towards continuing intervention, which includes dental advocate services, tooth brushing, topical flouride and chemotherapy programs, distribution of children's books, and use of the medical model for dental treatment for one to eight year olds and their mothers.

AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research

FEDERAL CONTACT: Frank Marion

PHONE NUMBER: 301-443-4700

PIC ID: 7138

PERFORMER ORGANIZATION: Indian Health Service, Rockville MD

PROJECTED DATE OF COMPLETION: 9/30/99
 

TITLE: Hyperlipidemia and Coronary Heart Disease (CHD) in Native Americans: Evaluation of Lipid Control Through a Pharmacist Managed Lipid Clinic

ABSTRACT: The purpose of this project is to evaluate the results of CV clinic coronary heart disease (CHD) risk management, counseling and aggressive medical nutritional therapy and pharmacological-therapeutic treatment of hyper-cholesterol in primary and secondary prevention in American Indian/Alaska Native (AI/AN) patients. The study will evaluate whether a pharmacist can effectively manage patients with dyslipidemias in comparison to usual care. In order to do this, the study will look at the proportion of patients enrolled in the CV clinic who meet target goals for total cholesterol, LDL cholesterol and triglycerides, compared to those receiving only the usual care. Secondly, the cost-effectiveness of the CV clinic will be evaluated. Lastly, changes in morbidity and mortality will be evaluated. If the findings of this evaluation show that the CV clinic is cost effective and successful in decreasing morbidity and mortality in the native population, this clinic could serve as a national prototype for other Indian Health Service (IHS) facilities.

AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research

FEDERAL CONTACT: Frank Marion

PHONE NUMBER: 301-443-4700

PIC ID: 7139

PERFORMER ORGANIZATION: Indian Health Service, Rockville MD

PROJECTED DATE OF COMPLETION: 9/30/99
 

TITLE: Quality Care Project

ABSTRACT: This project will identify existing office management and information systems, or recommend improvements to the existing one. This will enable the Oneida Nation of New York to initiate services at its permanent comprehensive health facility using the most effective: (1) patient scheduling, (2) billing, and (3) medical records systems available. The project will review the Oneida's current information systems and those used by other Native American health centers. It will evaluate ten other systems and recommend a model for integration into the tribal health department's quality assurance and managed care plans.

AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research

FEDERAL CONTACT: Frank Marion

PHONE NUMBER: 301-443-4700

PIC ID: 4994

PERFORMER ORGANIZATION: Oneida Indian Nation Health Department, Oneida NY

PROJECTED DATE OF COMPLETION: 12/20/99
 

TITLE: Continuation and Completion of a Study to Analyze Quality Assurance and HP/DP Monitoring, and Analyze Methods Using Patient Care Component

ABSTRACT: This study will analyze quality assurance (QA) and health promotion and disease prevention (HP/DP) monitoring and analysis methods using the Patient Care Component (PCC) and Resource and Patient Management Systems (RPMS). These systems are currently in use at the Indian Health Service (IHS) facilities in the Billings area. The project goal is to improve the health status of Indians living in the Billings area by using the PCC database to monitor quality assurance activities and HP/DP objectives, while improving the database's accuracy and completeness.

AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research

FEDERAL CONTACT: Frank Marion

PHONE NUMBER: 301-443-4700

PIC ID: 5018

PERFORMER ORGANIZATION: IHS Billings Area Office, North Billings MT

PROJECTED DATE OF COMPLETION: 12/20/99
 

TITLE: Eastern Band of Cherokee Indian Health Care Delivery System Assessment

ABSTRACT: This study will provide the Eastern Band of Cherokees with relative data on their current health care service delivery system. This data is intended for use in a re-design of the system so that it can be more responsive to all client and tribal member needs.

AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research

FEDERAL CONTACT: Frank Marion

PHONE NUMBER: 301-443-4700

PIC ID: 6408

PERFORMER ORGANIZATION: Nashville Area Indian Health Service, Nashville TN

PROJECTED DATE OF COMPLETION: 9/1/01
 

TITLE: Health Care Reform Evaluation Study-Phase II, Bemidji Area Office

ABSTRACT: This study will permit an assessment of health reform initiatives being developed and initiated in Wisconsin and Michigan.

AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research

FEDERAL CONTACT: Frank Marion

PHONE NUMBER: 301-443-4700

PIC ID: 6409

PERFORMER ORGANIZATION: Indian Health Service, Rockville MD

PROJECTED DATE OF COMPLETION: 9/1/01
 

TITLE: Pueble of Zuni End Stage Renal Disease (ESRD) Quality of Life Survey

ABSTRACT: This study will assist the Pueblo of Zuni to measure the level of burden and quality life factors associated with end stage renal disease as it effects tribal members and their families.

AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research

FEDERAL CONTACT: Frank Marion

PHONE NUMBER: 301-443-4700

PIC ID: 6411

PERFORMER ORGANIZATION: Headquarters East IHS, Rockville MD

PROJECTED DATE OF COMPLETION: 9/1/01