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Indian Health Service The Federal Health Program for American Indians and Alaska Natives

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Impacts and Outcomes

Since its launch in 2008, the Improving Patient Care (IPC) program has made a significant difference in the access to and delivery of care to American Indians and Alaska Natives. Today, some 174 facilities (78 federal, 71 Tribal and 25 Urban Indian Programs) have participated in the IPC program. Here are some of our facilities’ extraordinary success stories:

Empanelment Rates

In early April, the Great Plains Area provided IPC – MS training to facilities in its Pine Ridge Service Unit in South Dakota and soon began seeing increases in empanelment rates. This graphic shows changes from April through September 2016 at Pine Ridge Hospital, Kyle Health Center and Wanblee Health Center.

Pine Ridge Empanelment, Empanelment of Patients to a DPCP/Team

Mammogram Rates

With leadership support, staff members at the Bemidji Area’s White Earth Health Center in Ogema, MN, have seen steady improvements in mammogram rates after making two changes: Promoting special days for mammograms and clinical breast exams and reducing administrative time in order to expand the hours screenings are available. The facility is close to meeting the Government Performance and Results Act (GPRA) goal — and expects to meet it nearly six months early!

White Earth Health Center Mammogram Rates for women ages 52-64

Clinical Access

Participating in IPC has helped staff improve clinical access in the Billings Area’s Northern Cheyenne Service Unit, Lame Deer, MT.

In 2006, the number of regular patient appointments was low while the number of walk-in visits was high. A lot of patients avoided regular preventive care, waiting until they were very sick to see a doctor — and then going to the ER.

When the service unit moved to IPC’s Patient Centered Medical Home model in 2010 and empaneled the user population to care teams in 2011, those trends started to turn around. Today, many more patients are making appointments for preventive and chronic care; ER visits and walk-in visits have dramatically dropped. Walk-in visits were down to 4,892 for the year.

Northern Cheyenne Service Unit Clinical Access Trends, Before and After IPC Implementations