• Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month
Page
  1. 1
    1
  2. 2
    2
  3. 3
    3
  4. 4
    4
  5. 5
    5
  6. 6
    6
  7. 7
    7
  8. 8
    8
  9. 9
    9
  10. 10
    10
  11. 11
    11
  12. 12
    12
  13. 13
    13
  14. 14
    14
  15. 15
    15
  16. 16
    16
  17. 17
    17
  18. 18
    18
  19. 19
    19

The Indian Health Service (IHS) was established within the Public Health Service in 1955 in order to meet federal treaty obligations to provide health services to members of federally recognized American Indian and Alaska Native tribes.

Extracts from this document...

Introduction

Indian Health Services System Joy Upshaw Wesleyan University Indian Health Services System Overview of Indian Health Service The Indian Health Service (IHS), a federal health system, cares for 2 million of the country's 5.2 million American Indian and Alaska Native people. This system has increasingly focused on innovative uses of health information technology and telemedicine, as well as comprehensive, locally tailored prevention and disease management programs, to promote health equity in a population facing multiple health disparities. Important recent achievements include a reduction in the life-expectancy gap between American Indian and Alaska Native people and whites (from eight years to five years) and improved measures of diabetes control (including 20 percent and 10 percent reductions in the levels of low-density lipoprotein cholesterol and hemoglobin A1C, respectively). However, disparities persist between American Indian and Alaska Native people and the overall US population. Continued innovation and increased funding are required to further improve health and achieve equity (Trujillo, 2002). In the 2010 census, 5.2 million people identified themselves as American Indian or Alaska Native, representing 1.7 percent of the US population. American Indian and Alaska Native people experience poor health outcomes and have an average life expectancy that is more than five years shorter than that of the overall US population. The causes of this disparity span the life spectrum, beginning with high infant mortality rates, and include a high prevalence of chronic disease, mental health disorders, and substance abuse. The Indian Health Service (IHS) was established within the Public Health Service in 1955 in order to meet federal treaty obligations to provide health services to members of federally recognized American Indian and Alaska Native tribes. Through a network of small hospitals and outpatient health centers, the system provides health care services to approximately two million people belonging to 565 tribes, particularly those residing on federal reservations or in nearby communities. The 3.2 million members of the American Indian and Alaska Native population not served by the IHS receive care through the private sector or other public systems (the Department of Veterans Affairs, Medicaid, and Medicare) ...read more.

Middle

By 2020, the coverage gap will be closed, meaning there will be no more "donut hole," and individuals will only pay 25% of the costs of their drugs until they reach the yearly out-of-pocket spending limit. Third party reimbursements from Medicare, Medicaid, the Children's Health Insurance Program (CHIP) and private insurance will help IHS fund needed health care services. Within the Affordable Care Act, the Indian Health Care Improvement Act Reauthorization (IHCIA) helps American Indians and Alaska Natives as well. The Indian Health Care Improvement Act, which authorizes health care services for American Indians and Alaska Natives through the Indian Health Service, was originally approved by Congress in 1976 and last reauthorized in 2000. The Affordable Care Act makes the reauthorization of this law permanent and authorizes new programs within the Indian Health Service to ensure the Service is more equipped to meet its mission to raise the health status of American Indians and Alaska Natives to the highest level. The law gives IHS authority to establish expanded health care services such as mental and behavioral health treatment and prevention, long-term care services, dialysis services, facilitation of care for Indian veterans, and urban Indian health programs. This section of the law exempts a health care professional employed by a tribally operated health program from State licensing requirements if the professional is licensed in any State. It also encourages health professionals to join or continue in an Indian health program and to provide services in rural/remote areas in which a significant portion of Indians reside. The IHCIA also allows a tribe or tribal organization carrying out a program under the Indian Self-Determination and Education Assistance Act and an urban Indian organization carrying out a program under Title V of IHCIA to purchase coverage for its employees from the Federal Employees Health Benefits Program. Many tribal leaders are apprehensive that Medicaid reforms relying on managed care will channel Indian people away from Indian health care system providers and toward providers who are not as sensitive to the cultural needs of Indian patients. ...read more.

Conclusion

At the same time, health information technology systems gather data that serve as a basis for measuring performance, support clinical decisions, and assist in evaluation of internal quality improvement programs. Second, community partnership and culturally appropriate programs are of utmost importance. The experience of the Special Diabetes Program for Indians highlights the successes that can be achieved through effective collaboration between the IHS and the diverse tribal communities it serves (Daly et.al, 2009). The IHS should begin to places greater focuses on establishing collaborative practices within the community to gain better health prevention and treatment for the Native American population. Finally, addressing the multifaceted health care needs of American Indian and Alaska Native communities necessitates rethinking the care model design. This rethinking should involve a flexible approach to meeting the needs of the local community while facilitating shared knowledge across the entire system. Above all, there is a need to build on recent funding increases to achieve parity in the resources available for American Indian and Alaska Native health care delivery. In addition, developing new strategies to recruit and retain sufficient talented clinicians to care for American Indian and Alaska Native people is vital. These core ideas will be essential to promoting innovation and achieving continued breakthroughs in improving the health of the American Indian and Alaska Native people in the next decade. Organizational effectiveness can be achieved in a health care institution by focusing on healthy work environments, strategic planning and technology implementation. Also a framework needs to be assessed that is to report analyzing report and improve the overall quality of work environment in health care organizations. All of these factors reduce the operating costs and provides higher quality of patient care. From a technological perspective it is a convenient way to improve the patient's well-being, and make the nurses and doctors work easy and effective. As technology advances, the health and the quality of life of the population improves, because they can find new ways to cure diseases. Technological advancements help communication between doctors from different countries, and they can work together to discover treatments of different diseases. ...read more.

The above preview is unformatted text

This student written piece of work is one of many that can be found in our University Degree Healthcare section.

Found what you're looking for?

  • Start learning 29% faster today
  • 150,000+ documents available
  • Just £6.99 a month

Not the one? Search for your essay title...
  • Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

See related essaysSee related essays

Related University Degree Healthcare essays

  1. Marked by a teacher

    The purpose of this assignment is to complete a health needs assessment within a ...

    4 star(s)

    Prior to this the government had ran several other stop smoking campaigns to help people quite smoking to improve their long term health. In 1998 the Department of Health published 'smoking kills' (DH 2008) this was the first real attempt to try and educate the public about the health risk

  2. Marked by a teacher

    Concepts of Health, Health Care And Health Promotion.

    3 star(s)

    Of the five family planning clinics in Redbridge only the two Brook sessions at John Telford are specifically for young people (Newman M. et al 1997b:150). The current provision is spread across many separate agencies, with each having their own focus; there is little co-ordination of services.

  1. Marked by a teacher

    Unit 10 care practice and provision

    3 star(s)

    they themselves have to pick up the records in person and supply further information like date of birth or house hold address. With regards to practitioners having access to service users records they will have to declare a confidentiality agreement where by they must not discuss service users outside of

  2. Medicine is the science and art of healing. Medicine is a science because it ...

    History In prehistoric times, people believed that angry gods or evil spirits caused disease. To cure the sick, the gods had to be pacified or the evil spirits driven from the body. In time, this task became the job of the first shamans (tribal priests who tried to pacify the gods or drive out the evil spirits).

  1. Mental Health Assignment

    They should be encouraged to talk through their difficulties with friends and loved ones. Voluntary services such as "The Samaritans" and MIND provide help and advice 24 hours a day 365 days of the year for people suffering depression, and family, friends can also receive advice on how to help.

  2. The purpose of this study was to determine the prevalence of Prescription drug use ...

    considering detoxification 3.1 PRESCRIPTION DRUG ABUSE STUDIES INTERNATIONALLY 1) According to Canadian Centre on Substance Abuse (CCSA) a report was prepared by Dr. John Weekes, Senior Research Associate, Research and Policy Division,Dr. J�rgen Rehm, Centre for Addiction and Mental Health and University of Toronto, and Rebecca Mugford, Research Assistant, Research and Policy Division, CCSA.

  1. This essay will focus on inter-professional working in health and social care delivery.

    I am aware of supervision being an 'an effective tool for staff development' and as a social worker I will use supervision to identify my future developmental needs I have already begun using a model of reflection by (Schon 1983).

  2. Care versus Control: make a critical analysis of the debate, locating it in terms ...

    points to suggesting that risk assessment is not even accurate in assessing those who actually go on to commit homicide. Other evidence suggests that risk of violence from those with diagnoses such as schizophrenia are relatively low, with ?being young, male single, lower class, and substance abusing or substance dependant? (Swanson et al)

  • Over 160,000 pieces
    of student written work
  • Annotated by
    experienced teachers
  • Ideas and feedback to
    improve your own work