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National Committee on Heroin, Opioids, and Pain Efforts (HOPE)

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Rockville, Maryland 20857

Refer to: OCPS

INDIAN HEALTH SERVICE CIRCULAR NO. 23-17

NATIONAL COMMITTEE ON HEROIN, OPIOIDS, AND PAIN EFFORTS CHARTER
Sec.
1. Purpose
2. Structure
3. Membership
4. Executive Leadership Committees
5. Nominations
6. Appointments
7. Vacancies
8. Roles
9. Resignations
10. Votes
11. Relationships
12. Responsibilities
13. Meetings
14. Effective Date
  1. PURPOSE.    This circular will establish the charter for the Indian Health Service (IHS) National Committee on Heroin, Opioids, and Pain Efforts (HOPE), who will work to promote appropriate and effective pain management, reduce overdose deaths, and improve access to culturally appropriate treatment.
  2. STRUCTURE.    The HOPE Committee is a permanent committee of the IHS National Combined Councils (NCC).
  3. MEMBERSHIP.    The HOPE Committee is comprised of federal employees who are IHS subject matter experts in the field of pain management and the treatment and prevention of substance use disorders, including but not limited to NCC members of the National Council of Chief Medical Officers (NCCMO), National Pharmacy Council (NPC), National Council for Behavioral Health, National Council of Chief Executive Officers, National Oral Health Council, National Council of Chief Clinical Consultants, National Nurse Leadership Council, and National Council of Clinical Directors.
  4. EXECUTIVE LEADERSHIP COMMITTEE.    The Executive Leadership Committee (ELC) of the HOPE Committee is comprised of the HOPE Committee Chairperson, Vice Chairperson, and Secretary; Office of Clinical and Preventive Services (OCPS) Director; OCPS Division of Clinical and Community Services (DCCS) Director; National Pharmacy Consultant; and National Alcohol and Substance Abuse Lead.
  5. NOMINATIONS.    The OCPS Director, DCCS Director, Chair of the NCCMO, and Chair of the NPC will develop a list of nominees for the HOPE Committee Chairperson, Vice Chairperson, and Secretary based on their qualifications, past experience, and leadership ability. The nominations will be forwarded to the IHS Chief Medical Officer (CMO).
  6. APPOINTMENTS.    The IHS CMO will appoint the HOPE Committee Chairperson, Vice Chairperson, and Secretary. Each position will serve for two years and may be reappointed for additional terms at the discretion of the IHS CMO.
  7. VACANCIES.    In the event an appointed ELC position is vacated during the year, the highest-ranking appointed ELC member will call for nominations and a vote for a person to fill the vacant position throughout the remainder of the term. The highest ranking appointed ELC member, or his or her designee, is responsible for calling for nominations and overseeing a vote for replacement within thirty days of a vacated position.
  8. ROLES.   
    1. Chief Medical Officer, IHS.    The IHS CMO provides overall direction and sets priorities for the HOPE Committee.
    2. Director, OCPS.    The OCPS Director provides Agency clearance for all HOPE Committee work plans, activities, and related items.
    3. Director, DCCS.    The DCCS Director assists with coordinating an operating plan to include support for in-person meetings, manages logistical staff support, and serves as the liaison between the OCPS Director and the IHS CMO. The DCCS Director, or his/her designee, serves as the IHS Headquarters Advisor to the HOPE Committee.
    4. Chair.    The Chair will be a member of the NCCMO or the NPC and will lead and direct activities of the HOPE Committee by developing an annual work plan and strategic directions for long-term aims as set forth by the IHS CMO.
    5. Vice Chair.    The Vice-Chair will be a member of a NCCMO or the NPC but will not be from the same council as the current HOPE Committee Chair, and will fulfill the Chair’s responsibilities in the absence of the Chair at meetings, serve as the Chair’s proxy, and work in partnership with the Chair to ensure all business is conducted and work activities are accomplished.
    6. Secretary.    The Secretary will develop and maintain records for the HOPE Committee, including agendas and minutes, schedule meetings, manage general correspondence, and act as liaison to other IHS committees and groups.
  9. RESIGNATIONS.    Members may submit notices of resignation to the appointed ELC members in writing. The appointed ELC may recommend the replacement of any member with three consecutive unexcused absences at which time the appointed ELC may designate an acting member or lead as needed until a volunteer for the role can be secured.
  10. VOTES.   
    1. Quorum.    A quorum is a simple majority of the ELC and Workgroup Leads.
    2. Vote on Motions.    A simple majority of votes will determine the acceptance or rejection of a given motion. In the event of a tie vote, the HOPE Committee Chair will vote for the motion to proceed or not proceed. In the event of not reaching quorum, voting on motions will be deferred until the next meeting.
  11. RELATIONSHIPS.   
    1. Chartered National IHS Professional Councils.    The HOPE Committee Chair and Vice Chair will coordinate and communicate with national executive committees of other National IHS Professional Councils on program issues, action items, or policies of mutual concern.
    2. Established IHS, Tribal, or Urban Indian Health Program Entities and Groups.    The HOPE Committee may be asked to participate with other councils; Tribal and Urban Indian Health boards; IHS Headquarters Offices; or workgroups as directed by the Director, IHS, or as needed to fulfill Committee obligations.
  12. RESPONSIBILITIES.   
    1. Director, DCCS.    It is the responsibility of the DCCS Director to:
      1. Ensure the ELC has appropriate access to the IHS Director, the IHS CMO, the OCPS Director, and other key management staff.
      2. Keep the HOPE Committee informed of decisions or concerns made by IHS Leadership, including the IHS Director, the IHS CMO, the Director of OCPS, and/or national priorities from other Federal agencies, departments, or offices related to HOPE Committee activities.
      3. Provide coordination among HOPE Committee members regarding HOPE Committee-related activities and other Federal, Tribal, and urban Indian key stakeholders.
      4. Ensure a budget is set aside for the travel of HOPE Committee ELC members.
      5. Assign logistical support staff to prepare meeting minutes, agendas, schedule conference call lines, virtual meetings, and other support items for the HOPE Committee Chair, Vice Chair, and Secretary.
    2. Chair.    It is the Chair's responsibility to:
      1. Preside over all meetings and conference calls.
      2. Establish and activate ad-hoc committees to research, take action, and report on specific HOPE Committee concerns.
      3. Establish and activate ad-hoc subgroups to research, take action, and report on specific HOPE Committee concerns.
      4. Coordinate tasks and reports among workgroups.
      5. Develop and present position statements and recommendations to IHS senior leadership for approval.
      6. Represent the position(s) of the HOPE Committee at IHS Leadership meetings or other meetings, as required.
      7. Coordinate tasks and reports among members of the HOPE Committee.
    3. Vice Chair.    It is the Vice Chair's responsibility to:
      1. Establish overall long and short-term goals, objectives, and priorities for meeting the needs of the American Indian and Alaska Native communities in collaboration with the Executive Leadership Committee members.
      2. Assume the duties of the Chair in the event of his or her absence.
      3. Serve in any capacity as requested by the Chair.
    4. Secretary.    It is the Secretary's responsibility to:
      1. Assume the duties of the Chair in the event of his or her absence and the absence of the Vice Chair.
      2. Coordinate the preparation of monthly meeting agendas.
      3. Record, maintain, and distribute meeting minutes to the Executive Committee and charter members.
      4. Serve as requested by the Chair, Vice Chair, or the ELC.
    5. Workgroup Leads.    The ELC will designate workgroups and primary leads and/or co-leads to provide direction to individual meetings outside the HOPE Committee to accomplish the annual work plan and set strategic directions to accomplish the goals and objectives outlined in the HOPE Committee annual work plan. Workgroup leads and/or co-leads will be designated to workgroups based on the annual work plan.
    6. Members.    It is the member's responsibility to:
      1. Attend and participate in regular committee and NCC meetings.
      2. Participate in setting the IHS strategic action agenda.
      3. Promote common understanding and implementation of the current Agency priorities, initiatives, and direction at an Area and local level.
      4. Recommend policy proposals for consideration by the HOPE Committee’s Chair.
      5. Contribute to the development of agendas for general, annual, and special meetings of the HOPE Committee.
      6. Advocate and act professionally and appropriately on specific concerns of its membership.
      7. Support and promote the initiatives of the President, the Department, and the IHS.
  13. MEETINGS.   
    1. Scheduled Meetings.    Depending on the availability of funds, the HOPE Committee is anticipated to convene at least one face-to-face meeting each year. Other meetings, by means of a teleconference or virtual formats, will be convened as necessary.
    2. Ad-hoc Meetings.    Other ad-hoc meetings may be held for specific purposes as needed and as resources allow.
    3. Listening Sessions.    The Committee may seek advice from members of the public on an individual basis during listening sessions. Listening sessions will be held on an as-needed basis.
  14. EFFECTIVE DATE.   

    This IHS Circular is effective upon the date of signature.
/Roselyn Tso/
Roselyn Tso
Director
Indian Health Service

Distribution: IHS-wide
Date: 08/25/23