Tribal Self-Governance Health Care and Social Services Delivery Effectiveness Evaluation Feasibility Study: Draft Work Plan. Task 2. Work Plan and Preliminary Information Gathering


2.1 Work Plan

The Revised Work Plan will be submitted to the TOM during the week of October 28, 2002.

2.2 Report on History and Development of Tribal Self-Governance

A report on the legislative and programmatic history and current status of Tribal Self-Governance is being prepared during the initial six weeks of the project. This report will provide background for the study and ensure that the project team, TWG, and other key stakeholders have a solid understanding of the legal basis for Tribal Self-Governance, regulations that guide Self-Governance, and the current status of Self-Governance with respect to number of Tribes with Self-Governance contracts/compacts, number of people receiving services under those contracts/compacts, and the range of programs that are operated by Tribes under contracts/compacts.

Frank Ryan, J.D., project consultant, is taking the lead role in preparing the report on legislative and programmatic history of Self-Governance, working with Project HOPE. Mr. Ryan has extensive knowledge of this area and is supplementing this prior experience by conducting an exhaustive LEXIS-NEXIS search and review of laws and case reports relevant to Tribal Self-Governance. In addition, he is contacting federal government officials and staff, Tribal leaders, and Tribal organizations that have been involved in Tribal Self-Governance issues to obtain current and historical background and input for the report. The Report on Legislative and Programmatic History and Development of Tribal Self-Governance will be submitted to the TOM in Week 6 of the project.

The report will be revised with DHHS input and possibly further revised based on TWG advice.

2.3 Review and Synthesis of Literature/Research on Experience of Tribal Self Governance of Health and Social Programs

The existing literature and research on the effectiveness and experiences of Tribal Self-Governance of health and social programs is limited and primarily qualitative in nature. A comprehensive search of the literature is being conducted, including search of electronic databases, AI/AN organization websites, and federal websites. A bibliography will be prepared and reviewed with the TOM and with the Technical Working Group at the first meeting to identify any additional citations and individuals that may be working on current research or who may have conducted unpublished studies that should be included in the review. These additional citations will be obtained and identified researchers will be contacted by telephone to discuss their current research and obtain copies of any unpublished or preliminary reports that they have completed.

The preliminary outline of the Review and Synthesis includes:

· Introduction and Objectives;

· Background on Tribal Self-Governance Programs;

· Issues for Tribal Self-Governance;

- Transition to Self-Governance;

- Management;

- Financing;

Measures of Effectiveness;

Review of Evidence on Self-Governance of Health Programs;

Review of Evidence on Self-Governance of Social and Other Programs;

Research Limitations and 'Gaps';



The Review and Synthesis of the Literature/Research on Experience of Tribal Self Governance of Health and Social Programs will be completed and submitted to the TOM by Week 8 of the project.

1.4 Prepare Tribal/Reservation Matrix

A matrix will be prepared, showing for each Tribe, the 12 DHHS-identified health, social, and other programs and whether those programs are Tribally-managed under a contract or compact or are direct services. In addition, to the extent possible, federal funds received by Tribally-managed programs or that are available for direct services will be documented. Other information on each Tribe will also be provided in the matrix, including total number of Tribal members and Tribal members residing on or near the Reservation. DHHS program staff who can provide information and data for the development of this matrix have been identified by the TOM. These individuals will be contacted to discuss the project and to request data to complete the matrix. Additional data on Tribal population and residence on/near the reservation may be obtained from the Bureau of Indian Affairs.


The matrix will provide background data for the project and for identification and selection of the six study sites that will be examined in the site visit/case study component of the project. It will be submitted to the TOM in Week 8 of the project.

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