Tribal Self-Governance Health Care and Social Services Delivery Effectiveness Evaluation Feasibility Study: Draft Work Plan. Task 6. Arrange and Conduct Site Visits, Small Group Sessions, and Expert Consultations


After the Second Meeting of the TWG, revisions will be made to the work plans for the site visits, small group discussions, and expert consultations. Once these revisions have been approved by the TOM, we will initiate these activities.

6.1 Selection of Sites

Based on input from the TOM and the TWG, additional discussions will be held with key individuals at each of the 'priority' sites that have been identified to obtain additional information on their suitability for inclusion in the study. Results of these discussions will be summarized in a written memorandum to the TOM that will include an assessment of the positive and problematic issues that may be associated with each Tribes' selection as a study site. The TOM will then make the final decision on the six specific sites that will be included in the feasibility study.

6.2 Negotiate Study Procedures with Study Sites

Once the study sites are selected, we will provide each Tribe with the specific details of the site visit protocol and discuss with each the approach that will be most effective and ensure that each of the study topics will be appropriately addressed during the site visit. We will also request that each study site identify an individual who will act as liaison for the site visit team to facilitate information gathering and access to key individuals and to operational department managers and staff.

6.3 Conduct Site Visits and Small Group Discussions

By Week 24 of the project, a schedule for the six site visits will be developed and the site visits will be initiated. Each site visit will be carefully structured to address all of the issues identified in the Site Visit Protocol and to collect information from all of the categories of individuals and operational departments that are essential to develop a complete profile of the Tribe's operations, capabilities, and resources to participate in a Self-Governance Evaluation. Each site visit will be conducted for three days, with a team of two project staff participating.

After the site visit is completed, it is very likely that some follow-up telephone interviews and data requests will also be necessary. These will be completed, to the extent possible, within two weeks of the site visit. Once all of the site visit findings and follow-up information is obtained, site visit staff will prepare summaries (with relevant attachments of materials) of each interview conducted. These detailed summaries will then be used to prepare a Case Study Report on each site that addresses each feasibility study topic and highlights the relevance of the findings for the feasibility of including that site in the Self-Governance Evaluation. The Draft Case Study Report will be provided to the Tribe for review prior to it being submitted to the TOM, if this is the preferred process selected by the TOM and the Tribes.

Assuming that it is determined that a Tribe is a feasible candidate for inclusion in the Self-Governance Evaluation, and with TOM approval, the site visit team will then conduct follow-up activities with Tribal leaders and Tribal program directors to obtain letters of agreement to participate in the Self-Governance Evaluation. To the extent possible, letters of support and agreement to participate will also be sought from IHS Area Offices, relevant State and local governments, and other organizations whose cooperation and assistance will be important to the success of the Tribal Self-Governance Evaluation.

6.4 Conduct Expert Consultations

In-person and/or telephone discussions with each of the individuals identified to be interviewed for this task will be scheduled during Weeks 20-26 of the project. A one-page summary of key points from each of these interviews will be prepared and submitted to the TOM, one week after each interview is completed.

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