Premium Essay

Case Indian Health Services

In:

Submitted By rackman
Words 1035
Pages 5
Running Head: INDIAN HEALTH SERVICE: CREATING A CLIMATE FOR CHANGE 1

Indian Health Service:
Creating a Climate for Change
Michele Kratter
Keiser University Professor Bush
HSM692/Strategic Management of
Health Services Organization
9/26/2015

Running Head: INDIAN HEALTH SERVICE: CREATING A CLIMATE FOR CHANGE 2

Dr. Michael Trujillo was appointed as a Director of the Indian Health Service. Dr. Trujillo was nominee for the position of Director of National Healthcare program. A member of the Sun Clan in the Laguna Pueblo in New Mexico. He became the President, for the national health care program, and the comprehensive healthcare for the American Indians and Alaska Natives for more than 500 federally recognized tribes. He spoke to the United States Senate Committee on Indian Affairs in 1994. During his confirmation hearing as Director of the Indian Health Service, he told the committee that he understood the remoteness of Neah Bay at the northwest tip of Washington on the Makah reservation, and being a resident of the Dakotas, he understood the geographic challenges for health care in the area of Eagle Butte, Rosebud and Twin Buttes.” (1) In front of the same Committee, he negotiated the fiscal year 1998 budget request for the IHS. “The changing internal environment demands increased efficiency, and the effectiveness, of the accountability.” (1)

Running Head: INDIAN HEALTH SERVICE: CREATING A CLIMATE FOR CHANGE 3

Dr. Trujillo knew that in order to accomplish the agencies different missions, the IHS must honor as well to respect the

Similar Documents

Premium Essay

Management

...Indian Public Health Standards (IPHS) Guidelines for Community Health Centres Revised 2012 Directorate General of Health Services Ministry of Health & Family Welfare Government of India Indian Public Health Standards (IPHS) Guidelines for Community Health Centres Revised 2012 Directorate General of Health Services Ministry of Health & Family Welfare Government of India CONTENTS Message Foreword Preface Acknowledgements Executive Summary Indian Public Health Standards (IPHS) for Community Health Centres v vi vii viii 1 3 Introduction�������������������������������������������������������������������������������������������������������������������������������������������������������� 3 Objectives of Indian Public Health Standards (IPHS) for CHCs���������������������������������������������������������������������������� 3 Service Delivery in CHCs�������������������������������������������������������������������������������������������������������������������������������������� 3 Manpower����������������������������������������������������������������������������������������������������������������������������������������������������������� 8 Equipment��������������������������������������������������������������������������������������������������������������������������������������������������������� 11 Drugs�����������������������������������������������������������������������������������������������������������������������������������������������������������������...

Words: 25498 - Pages: 102

Free Essay

Understanding India, Globalisation and Health Care Systems

...Bisht et al. Globalization and Health 2012, 8:32 http://www.globalizationandhealth.com/content/8/1/32 REVIEW Open Access Understanding India, globalisation and health care systems: a mapping of research in the social sciences Ramila Bisht1*, Emma Pitchforth2 and Susan F Murray3 Abstract National and transnational health care systems are rapidly evolving with current processes of globalisation. What is the contribution of the social sciences to an understanding of this field? A structured scoping exercise was conducted to identify relevant literature using the lens of India – a ‘rising power’ with a rapidly expanding healthcare economy. A five step search and analysis method was employed in order to capture as wide a range of material as possible. Documents published in English that met criteria for a social science contribution were included for review. Via electronic bibliographic databases, websites and hand searches conducted in India, 113 relevant articles, books and reports were identified. These were classified according to topic area, publication date, disciplinary perspective, genre, and theoretical and methodological approaches. Topic areas were identified initially through an inductive approach, then rationalised into seven broad themes. Transnational consumption of health services; the transnational healthcare workforce; the production, consumption and trade in specific health-related commodities, and transnational diffusion of ideas and knowledge...

Words: 11974 - Pages: 48

Premium Essay

Indian Insurance

...Overview of Indian insurance industry 2013 1 Outlook of Indian Insurance Industry lEafCraft Insights Overview of Indian insurance industry 2013 INDEX Introduction.......................................................................................................................................3 Brief history.......................................................................................................................................4 Market share of different insurance companies for the financial year 2012...............................5 Status of the Indian insurance industry and its demographics.................................................... 6 Changing market dynamics: evolution of mindset of the Indian population.............................. 7 Marketing strategies for various companies...................................................................................8 The way ahead..................................................................................................................................10 2 lEafCraft Insights Overview of Indian insurance industry 2013 INTRODUCTION Life is synonym to uncertainty and has become prone to contingency at any point of time. Any injury or accident can happen to anyone of us or our loved ones at any point of time. The material value of our life or immortal possessions of ours cannot be correctly estimated but of course we can keep a backup in case something fatal happens to them. This very...

Words: 2796 - Pages: 12

Free Essay

Math

...Associate Level Material Appendix A: U.S Health Care Timeline Use the following timeline or create a timeline of your own with eight major events, including the four provided below, from the last 50 years. You may change the dates in the box to match the dates of your events. Include the following in your timeline: Medicare and Medicaid HIPAA of 1996 State Children’s Health Insurance Program (SCHIP) Prospective Payment System (PPS) 1955 | In 1955 the then Indian Health Services took a new shape as it was taken away from Department of Interior. It was handed over to H.H.S. I learned from ihs.gov that in the past tribal Indians had to submit their land to get health services from US government. The Indian population could get healthy services and this is how their mortality rate decreased. When the services were reassigned to H.H.S. the Indians got more rights to get health services. | 1965 | Medicare and Medicaid came into being on July 30, 1965 as the Social Security Act got revised by the then President L. B. Johnson. The new healthcare programs are federal in type and are mainly for people of 65 and above. People below 65 may be covered if they have some particular disabilities. With these programs people with low or no income get care and | 1971 | The National Cancer Act Law was enacted by President R. Nixon. This law came as governmental war to overcome cancer. If our government paid no attention to this issue, scientists and doctors could not continue their...

Words: 661 - Pages: 3

Premium Essay

Native American Women Research Paper

...courts generally do not have jurisdiction over crimes committed within the tribe’s jurisdiction by non-Indians and state courts usually do not have this jurisdiction either, ("Violence Against Women Act And Tribal Communities."165). This is because the Supreme Court ruled in 1978 in the case of Oilphant v. Suquamish that tribal courts could not have criminal jurisdiction over US citizens who were not Native American. This ruling took away the power of the tribal authorities to punish crimes that were committed by non-Indian perpetrators on tribal land. It also denied victims of sexual violence the due process and equal protection under the law (Amnesty International Staff 30). Generally the jurisdiction in these cases would be given to federal courts, however the federal court system does not always take action against those who victimize Native American women. Between 2004 and 2007, federal prosecutors declined to prosecute seventy-five percent of adult rape cases that had been transferred from Indian country (Fletcher). Even when allowed to persecute sexual and domestic violence committed against Native American women, tribal courts can impose only a one year prison sentence or a five thousand dollar fine for any crime, including rape...

Words: 2041 - Pages: 9

Premium Essay

Emerging Trends

...Bedside 17 February 2011 © 2011 KPMG, an Indian Partnership and a member firm of the KPMG network of independent member firms affiliated with KPMG International Cooperative (“KPMG International”), a Swiss entity. All rights reserved. Acknowledgement India’s competitive advantage lies in the lower production and research cost, its large pool of low cost technical and scientifically trained personnel, and large number of compliance certified manufacturers and service providers, which make us different from others. ASSOCHAM feels that technology incubation is no longer confined to a few institutions; it is a responsibility that we have to share, if we wish to see a better and a healthy future ahead. There is an immense need to develop skilled manpower in the area of healthcare and modern as well as traditional medicines. I am glad that this Summit on Emerging trends in Healthcare will bring forth the journey from research desk to the bedside of patient, as we will look at healthcare at the frontline to identify some common challenges that may help explain the complex nature of healthcare and the scale of the “change” challenge. I wish to thank KPMG for unanimously contributing towards this Knowledge Paper, which gives a rich and comprehensive insight of the trend in healthcare. I would also take the opportunity to thank QCI for supporting this event. The case studies contributed providing the best of their services and support towards improving the healthcare ...

Words: 17817 - Pages: 72

Premium Essay

Anand Bihari Case Judgement

...(J) CITATION: 1991 AIR 1003 1991 SCC (1) 731 1990 SCALE (2)1286 1990 SCR Supl. (3) 622 JT 1990 (4) 794 ACT: Industrial Disputes Act, 1947: Sections 2(00) & 25-F. Retrenchment--State Road Transport Corporation--Drivers--Occupational hazards Development of defective, weak or sub-normal eye-sight in the course of employment--Pre-mature termination of services--Held termi- nation was not retrenchment and consequent compliance with section 25-F not necessary--But termination held unjustified and inequitable--Scheme formulated by the Supreme Court.for relief to drivers--Directions for giving retirement bene- fits, providing alternative jobs and payment of compensatory amount proportionate to length of service rendered by the drivers. Retrenchment--Exceptions--Section 2(00) sub-clause (c)--Expression "continued ill-health"--Meaning and Scope of--Includes cases of drivers who have developed defective or sub-normal vision during the course of employment. Employees' State Insurance Act, 1948: Section 2(8)--Second Schedule--Part I--Item 4 Part II--Items 31,32 and 32A--Third Schedule--Item 11. Indian Kanoon - http://indiankanoon.org/doc/1727786/ 1 Anand Bihari And Ors vs Rajasthan State Road Transport ... on 20 December, 1990 State Road Transport Corporation--Drivers--Development of sub-normal eye-sight or loss of required vision during the course of...

Words: 2375 - Pages: 10

Free Essay

Indian Healthcare Improvement Act

...IHS Affirmative Observation One: Inherency 2 Advantage One: Health 5 Advantage Two: Indigenous Economy 9 Observation Two: Solvency 14 Only federal action can solve the case- denying Indian health care furthers an ongoing policy of American Indian genocide 17 Inherency – Lack of Funding 18 Inherency – Lack of Funding 19 Inherency – Lack of Funding 20 Inherency – Lack of Funding 21 Health Impacts – Disease/Death 22 Health Impacts – Disease/Death 23 Health Impacts – Disease/Death 24 IMPACT: Mental Health and Suicide 25 IMPACT: Mental Health and Suicide 26 Extensions to Genocide/Racism Impact 27 Extensions to Genocide/Racism Impact 28 IMPACT: Moral Obligation/Human Rights 29 Solvency Extension - IHCIA/IHS Solves 30 Solvency Extension - IHCIA/IHS Solves 31 Solvency Extension - IHCIA/IHS Solves 32 Solvency Extension - IHCIA/IHS Solves 33 Solvency Extension - IHCIA/IHS Solves for cultural sensitive health 34 Solvency Extension – Congress Key 35 Solvency Extension – Federal Government Key 36 A2: I.H.S. is Racist 37 A2: Transportation 38 A2: “Structural/Distribution Barriers” 39 A2: No Qualified Professionals 40 A2: Bureaucrats 41 A2: IHS has arbitrary eligibility standards 42 A2: Blood Quantum 43 A2: Medicaid Solves 44 AT: Medicaid Solves 45 AT: Medicaid Solves 46 A2: IHS doesn’t use traditional medicine 47 Tribal...

Words: 29491 - Pages: 118

Premium Essay

Emerging Market Healthcare in India

...members, employees and agents accept no liability and disclaim all responsibility for the consequences of you or anyone else acting, or refraining from acting, in relying upon the information contained in this report or for any decision based on it, or for any consequential, special, incidental or punitive damages to any person or entity for any matter relating to this report even if advised of the possibility of such damages. The member firms of the PricewaterhouseCoopers network (www.pwc. com) provide industry-focused assurance, tax and advisory services to build public trust and enhance value for its clients and their stakeholders. More than 140,000 people in 149 countries share their thinking, experience and solutions to develop fresh perspectives and practical advice. A growing healthcare sector Healthcare is one of India’s largest sectors, in terms of revenue and employment, and the sector is expanding rapidly. During the 1990s, Indian healthcare grew at a compound annual rate of 16%. Today the total value of...

Words: 6564 - Pages: 27

Premium Essay

The Myths of Indian Gaming

...The Myth of Indian Gaming How many times have you heard someone make the statement “I sure wish I was Native American so that I could get money from the casinos?” Well contrary to popular belief not all Native Americans are benefitting from these Indian casinos. As a matter of fact it is quite the opposite. There are more Native Americans who are on public assistance then the average American today. Indian gaming was begun in 1979 when an Indian tribe opened up a bingo hall on their reservation in Hollywood, Florida. According to the latest reports currently in the United States there are 28 states with 460 gaming facilities being operated by 240 Indian tribes. The revenue produced by the Indian gaming market reached an all time single-year high in 2010 of 26.73 billion dollars. The state of California was first in the nation in revenue producing casinos with 6.78 billion dollars followed by Oklahoma with 3.22 billion. So where do all these billions of dollars go? The big myth is that the Native people of that tribe get to keep all that money and it is then divided among them and they all end up a very wealthy group of people. Well the Indian tribes actually only get to keep approximately 4 out of every 10 dollars produced by the casino, with the other 60% going to pay off casino loans, taxes, etc. What the tribes then do with their 40% varies from tribe to tribe. The Federal Government does not require these Indian tribes to disclose their annual profits...

Words: 694 - Pages: 3

Premium Essay

Federal Tax Provisions for Tribes

... CONTENTS Page INTRODUCTION AND SUMMARY I.  1  GENERAL RULES REGARDING THE TAXATION OF INDIAN TRIBES AND TRIBAL MEMBERS AND THE TAXING POWERS OF INDIAN TRIBES ................. 3  A.  Income Taxation of Indian Tribes and Wholly Owned Tribal Corporations................ 3  1.  Federal income taxation of Indian tribes and wholly owned tribal corporations ... 3  2.  State taxation of Indian tribes ................................................................................. 4  B.  Tax Treatment of Enrolled Members of Indian Tribes ................................................. 7  1.  Federal tax............................................................................................................... 7  2.  State tax................................................................................................................... 7  C.  Taxing Powers of Indian Tribes .................................................................................... 9  D.  Alaska Native Settlement Trusts................................................................................. 10  II.  SELECTED FEDERAL TAX RULES AND ISSUES RELATING TO INDIAN TRIBES AND THEIR MEMBERS .................................................................................. 12  A.  The General Welfare Doctrine .................................................................................... 12  B.  Indian Tribal Governments Treated as States for Certain Purposes (sec. 7871) ........ 14  1.  In...

Words: 17292 - Pages: 70

Premium Essay

Homeless

...Enhancing the Awareness of Navajo Indians Michele Amoroso, Holly Bulian, and Tara Smallidge Loyola University Enhancing the Awareness of Navajo Indians Native Americans are composed of numerous, distant tribes, bands and ethnic groups, many of which survive as intact, sovereign nations. Once a self-governing, self-sufficient people, America Indians were forced to give up their homes and their land, and to subordinate themselves to an alien culture. From the origin of their tribes in the 1500’s to the early nineteenth century, American Indians have experienced oppression. Today, American Indians are more numerous than they have been for several centuries (Andersen & Collins, 2012). Today, Native Americans have a unique relationship with the United States. Since the late 1960’s, political participation has led to an expansion of efforts to teach and preserve Indigenous languages for younger generations and to establish a greater cultural infrastructure. This paper will discuss the specific tribe of the Navajo Indians to create awareness of their history, oppression, and current state in today’s world. The word Navajo comes from the phrase “Tewa Navahu”, meaning highly cultivated lands. The Indians largely reside in New Mexico and Arizona. The Navajo Indians originally began their tribes in the 1500’s. They traded maize, or corn crops, and woven cotton items such as blankets for things such as bison meat, and various materials, which were made for tools and weapons. Homes...

Words: 3978 - Pages: 16

Premium Essay

Wgu Ltt1 Task 2

...Intro to task two: The Indian Health Service (IHS): The IHS is a health care system for nearly 2 million American Indians and Alaska Natives who belong to the 566 different, federally recognized, tribes in 35 states. 1 IHS is an agency within HHS, which is the Department of Health and Human Services.  2 The Indian Health Service was established in 1955 taking over from the Bureau of Indian Affairs. It is based on Article I, Section 8 of the Constitution and the relationship developed from numerous treaties, Executive Orders, and Supreme Court decisions 3. The IHS is the primary health care provider for the American Indian people 4, and it’s dedicated to raise their health and well-being to the highest level. Health Information Exchange(s): A Health Information Exchange is the virtualization of healthcare information electronically, and access to said information exchanged between HIE members. This data spans across organizations within a community, or hospital system, or even whole regions. HIEs facilitate transmitting protected health information to other organizations and government agencies according to national standards. HIEs often include collaboration among physicians, home health, nursing homes, hospitals, and mental health facilities. 5 Federal Employees Health Benefits Program: The FEHB Program is for Federal employees present and retired as well as their survivors. Members have the widest selection of health plans in the country. With the ability to choose...

Words: 1485 - Pages: 6

Free Essay

Health and Wellness

...Health and Wellness in Native North America It is true that many of the old ways have been lost. But just as the rains restore the earth after a drought, so the power of the Great Mystery will restore the way and give it new life. We ask that this happen not just for the Red People, but for all people, that they all might live. Black Elk, Oglala, Sioux Contemporary health status of American Indians can be best viewed through the lens of various federal policies enacted over the past 500 years. These policies were developed largely in response to dramatic population losses among the indigenous peoples of America, resulting from genocidal actions of military campaigns, the lack of immunity to the diseases that accompanied European colonizers, and the assimilation efforts that destroyed tribal structures and wellness practices. Medical services were first coordinated through army physicians in the Department of War in an effort to control the spread of diseases from early reservation sites placed on or near military forts. By the twentieth century, the rapid decline of the Indigenous population, documented by the “Meriam Report” of 19281 prompted new assimilation efforts to save the first Americans. Healthcare services were re-coordinated within the Bureau of Indian Affairs and then into the Public Health Service, finally resting within the Federal Indian Health Service (IHS). Assimilation policies, however, proved to be highly destructive resulting in the...

Words: 6645 - Pages: 27

Premium Essay

Culture Diversity

...Running head: ASSIGNMENT 1, WEEK 6 Assignment 1 Teassa Eubanks Cultural Diversity in Health and Illness Mansour Rostami, Instructor November 13, 2010 Minority Population | Health disparities | Native American Indian Native Alaskan | Health disparities are believed to be the result of the complex interaction among genetic variations, environmental factors, and specific health behaviors. Compared with other Americans, Indians experience disproportionately high mortality from alcoholism, tuberculosis, diabetes, injuries, suicide, and homicide. Tribal leaders report that diabetes, unintentional injuries, alcoholism, and substance abuse are rising to crisis proportions in American Indian and Alaska Native communities | Asian | Lack of access to regular care. Asians are least likely to report having a personal doctor compared to other racial and ethnic groups in the US. 19.4 % of Asian adults compared to 12.9% of whites report being without a usual source of health care. Cambodians and Vietnamese are three times more likely to forgo visiting a doctordue to cost compared to all Asians or US residents.• Less satisfaction with care. Compared to other racial and ethnic groups, Asians are least likely to be satisfied with the speed of their care, doctor-patient communication, and office staff.• Fewer preventive services. Asians are less likely to have blood pressure monitoring and pap smears. In fact,cervical cancer screening...

Words: 1475 - Pages: 6