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April 30, 2025: IHS Updates for Tribes and Tribal and Urban Indian Organizations

The bi-weekly update provides up-to-date information on recent events, meetings, conferences, upcoming deadlines, and recognition of the work being done across the Indian Health Service, other federal agencies, and Indian Country. For more information or questions, please email IHSPublicAffairsStaff@ihs.gov.

IHS Observes Sexual Assault Awareness Month

The Indian Health Service is dedicated to enhancing awareness and knowledge about sexual assault, not just during Sexual Assault Awareness Month in April, but throughout the year. IHS, tribal, and urban Indian organization sites have long been involved in promoting awareness and prevention efforts by hosting walking events, community education forums, and public service announcements, emphasizing the theme of strength in unity. Provider and community education are an essential component to successfully preventing and reducing violence. Read more in the IHS Blog.

2025 Tribal Self-Governance Conference

IHS Acting Director Benjamin Smith had the pleasure of joining IHS staff at the 2025 Tribal Self-Governance Conference in Chandler, Arizona. This annual gathering—hosted alongside the Department of the Interior and the Self-Governance Communication and Education Tribal Consortium—brings together tribal leaders, federal partners, and advocates to strengthen our shared commitment to tribal self-governance in health care. Thanks HHS Secretary Robert F. Kennedy, Jr. for joining us for a robust fireside chat on tribal health in Indian Country and for making tribal health a priority.

IHS Acting Director Benjamin Smith was also honored to join a panel with my colleagues Stacey Ecoffey, IHS deputy director for Intergovernmental and External Affairs; Scott Davis, principal deputy assistant secretary for the Department of the Interior; and Ken Bellmard, deputy assistant secretary of Policy and Economic Development at Indian Affairs. Together, we shared updates on key federal initiatives and ongoing efforts to support tribal sovereignty and decision-making.

IHS staff led and participated in breakout sessions that highlighted our collaborative work with our tribal partners. IHS Chief Information Officer Mitch Thornbrugh shared exciting progress on health IT modernization at IHS, while Rena Macy, acting director of the Office of Indian Self-Determination and Self-Governance, and Ashely Metcalf, director of the IHS Office of Tribal Affairs, Nashville Area, provided valuable insights on implementing contract support costs at IHS—an important topic for many of our partners.

What stood out most were the meaningful conversations with our tribal partners during a series of tribal delegation meetings, including with the Oneida Nation of Wisconsin, Ak-Chin Indian Community, Alaska Area Delegation, Oklahoma Delegation, and the Swinowish Indian Tribal Community. These discussions ground our work in what truly matters: listening, learning, and working together.

A heartfelt thank you to everyone who made this conference a success. We’re grateful for the opportunity to serve alongside you.

Billings Area Director Bryce Redgrave Retires, Asha Petoskey Named Acting Director

We extend our best wishes to Billings Area Director Bryce Redgrave, who will be retiring from the IHS after 28 years of service. Like many IHS employees, Redgrave was called to be of service to his people. He began his tour in Poplar, Montana, in 1997 as a medical technologist at the Verne E. Gibbs Health Center and has been the Billings Area Director for the past five years. Throughout his career, he has served the IHS mission in four regional service areas: Billings, Tucson, Navajo, and Bemidji. Through his tenure he helped lead many national initiatives that advanced the agency’s priorities, as well as assisted multiple tribes in obtaining self-determination operations of their health care delivery systems. The recipient of multiple IHS Director’s Awards, Redgrave has long been acknowledged as an exemplary leader whose contributions to the IHS are immeasurable. His last day is on April 18, and we would like to thank him for his leadership and dedication to the mission of IHS. We wish him well in his well-deserved retirement and will miss his service, collegiality, and camaraderie.

We are excited to welcome Asha Petoskey, an enrolled citizen of the Grand Traverse Band of Ottawa and Chippewa Indians, to the role of acting Billings Area director. In this position, she is responsible for providing leadership in the administration of a comprehensive federal, tribal, and urban Indian health care system for more than 70,000 American Indian and Alaska Native people in Montana and Wyoming. These services are delivered through six IHS-operated service units, four tribally operated health departments, and five urban Indian health programs.

Petoskey joined the IHS in 2012, serving in the Portland Area as the special assistant to the area director. She has held a variety of positions at IHS headquarters, area offices, and with tribes and tribal organizations, supporting American Indians and Alaska Natives throughout the Portland and Bemidji Areas. In 2021, Petoskey served as the Bemidji Area compliance officer, where she was responsible for key compliance activities focusing on independent, internal oversight activities to assess area-wide clinical and administrative risk management, and to identify systemic changes needed to improve the quality of health care services in IHS-operated hospitals and clinics. She also served as the Bemidji Area acting director in 2024.

Please join in wishing Bryce the very best in his retirement and welcoming Asha to her new role as acting Billings Area director.

Billings Area Acting Director Asha Petoskey

Direct Service Tribes Advisory Committee (DSTAC) Meeting

IHS Acting Director Benjamin Smith was honored to attend the Direct Service Tribes Advisory Committee (DSTAC) meeting. DSTAC plays a vital role in shaping health policy that directly impacts the delivery of care to direct service tribes. During the meeting, he shared updates on recent accomplishments and ongoing initiatives across the Indian health system. Later that day, he had the privilege of participating in the Secretary’s Tribal Advisory Committee (STAC) Meeting in Washington, D.C. This important committee—comprised of both tribal and federal representatives—convenes to strengthen the government-to-government relationship and advance shared priorities.

We extend our deepest gratitude to all the DSTAC and STAC committee members for your outstanding leadership and tireless commitment to improving health care in our tribal communities. We also want to recognize Secretary Kennedy and our colleagues across HHS for your steadfast dedication to prioritizing the health of American Indian and Alaska Native people.

Two Tribes, Tribal Organization Transition to Self-Governance Status

We are happy to announce the transition from Title I to self-governance for two tribes and a tribal organization. This includes the Tuolumne Band of Me-Wuk Indians (Tribe) and Sonoma Country Indian Health Project from the California Area, and the Spokane Tribe of Indians from the Portland Area. They join 395 federally recognized American Indian and Alaska Native tribes that have entered into a tribal self-governance compact and funding agreements under the authority of Title V under the Indian Self-Determination and Education Assistance Act.

The Tribal Self-Governance Program is more than just an IHS program; it is an expression of the nation-to-nation relationship between the United States and each Indian tribe. We thank all the staff at the headquarters, area, and service unit levels that worked together to support these tribes and organizations in exercising their right to self-determination.

The Tuolumne Band of Me-Wuk Indians is one of three tribes and tribal organizations that transition to self-governance status in April. Photo: mewuk.com

Community Health Representative Program Launches Video Series

The IHS Community Health Representative Program supports a nationwide workforce of CHRs serving American Indian and Alaska Native communities. These frontline public health workers provide guidance and improve access to health care, ensuring culturally appropriate support for those in need.

Although local CHR programs are active across the country, many people are unaware of the full extent of services this workforce provides. To raise awareness about the role of CHRs, we developed a video series to highlight their stories, experiences, and insights. These videos explore the individual and collective impact of CHRs on patient care and health outcomes, as well as how they serve as a vital link between public health and clinical health care settings. Read more in the IHS Blog and check out the videos on the IHS website.

Meeting with Rocky Mountain Tribal Leaders Council

This week, IHS Acting Director Benjamin Smith was honored to meet with the Rocky Mountain Tribal Leaders Council in Billings, Montana. Gatherings like these are more than just meetings, they are opportunities to connect, collaborate, and listen. They remind us that we are all working toward the same goal: ensuring that every Native person has access to quality, culturally relevant health care. We express our deepest gratitude to the Rocky Mountain Tribal Leaders Council. Your unwavering commitment to the health and well-being of your community is inspiring, and your leadership continues to drive progress in ways that make a real difference in people’s lives.

Gary J. Gefroh Safety and Health Award of 2024

Cmdr. Jeffrey Conner, an institutional environmental health consultant with the Environmental Health Support Center, in the Albuquerque Area Office of Environmental Health and Engineering, is the recipient of the Gary J. Gefroh Safety and Health Award of 2024. The award recognizes significant contributions by an individual or group resulting in improved health care safety and/or infection control conditions at an IHS and/or tribal health care program.

A sample of Conner’s accomplishments include revising the “Fundamentals of Hospital Safety Management” course to prioritize learning needs, while significantly increasing availability and participation. He is also credited with creating the Safety Officer Office Hours to provide a unique online peer-to-peer forum for delivering health care safety advancements, principles, and high priority issues, such as current accreditation issues and topics. Additionally, Conner served with the OEHE headquarters and the Office of Quality’s Enterprise Risk Management Workgroup to design and deploy an Environment of Care/Life Safety Master Dashboard, which advances health care safety for our patients and staff. He also worked with the EC/LS Workgroup to establish nationwide best practices, models, and action templates for the top 16 EC/LS issues. Please join in congratulating Cmdr. Conner on this well-deserved award.

Cmdr. Jeffrey Conner

TIPCAP Program Highlights New Tribal Video to Raise Awareness About Car Seat Safety

The IHS Tribal Injury Prevention Cooperative Agreement Program (TIPCAP) highlights Choctaw Nation of Oklahoma Chief Gary Batton and Consuelo Splawn, TIPCAP coordinator, as they raise awareness about the importance of child car seat safety. View the video to observe the backpack memorial display that will be located in the Choctaw Nation of Oklahoma headquarters in remembrance of children’s lives lost due to motor vehicle related crashes.

TIPCAP provides funding for tribes to develop their capacity in injury prevention to address the disparity in injury rates throughout American Indian and Alaska Native communities. Based upon community need, TIPCAP recipients can focus on one or more injury types that include motor vehicle-related, falls, drowning, fire/burn, poisoning/overdose, suicide, and violence-related injuries. For more information, visit the IHS Injury Prevention Program website.

IHS Recognizes Autism Acceptance Month

During Autism Acceptance Month, we highlight the importance of understanding, accepting, and supporting individuals with autism. Autism is a spectrum disorder, meaning that each individual experiences it in their own way. Some may require significant support, while others navigate daily life with fewer challenges. Recognizing these differences helps us create more supportive communities. What remains universal is the need for acceptance, respect, and opportunities for full participation in society.

At IHS, our role is vital in ensuring that individuals with autism and their families receive the care and respect they deserve. Use this month to increase awareness, challenge misconceptions, and reinforce our commitment to a health care system that supports all individuals with dignity and compassion.

Governance Drives IHS Modernization Program

A central principle of the IHS Health Information Technology Modernization Program is to build and operate the new enterprise electronic health record solution, PATH EHR, with our partners, not for them. We are committed to partnership in the journey to build PATH EHR using governance frameworks that promote collaboration. Driving the Health IT Modernization Program is a governance structure focused on federal functions, enterprise collaboration, and partner engagement. Read more about how governance is the cornerstone to the successful implementation of PATH EHR and the modernization efforts in the IHS Blog.

HHS Annual Tribal Budget and Policy Consultation

Indian Health Service leadership and the IHS budget formulation team participated in the 27th Annual Tribal Budget and Policy Consultation hosted by the U.S. Department of Health and Human Services. This important event provides a platform for tribal leaders to share their priorities and offer direct input into the development of the IHS budget for fiscal year 2027. We remain deeply committed to honoring tribal sovereignty and strengthening our government-to-government relationships. Meaningful and consistent tribal consultation is central to our mission, ensuring that the voices of tribal nations shape our policies, programs, and funding decisions. The insights shared during this consultation will play a vital role in helping us allocate resources where they are needed most—to support the health and well-being of American Indian and Alaska Native communities across the country.

National Council of Urban Indian Health: Federal Agency Listening Session

IHS Acting Director Benjamin Smith had the privilege of participating in a federal agency listening session held during the National Council of Urban Indian Health Conference in Washington, DC. This important session brought together leaders from urban Indian organizations and the Indian Health Service to strengthen dialogue, build relationships, and advance collaborative efforts. During this session, we heard directly from UIO representatives, gaining valuable insights into the unique challenges and opportunities they face. Their feedback on health care policies and initiatives is essential as we work to ensure that the needs of urban American Indian and Alaska Native communities are both recognized and prioritized. These conversations are vital to deepening our understanding and shaping IHS strategies that expand access to care. By listening, learning, and acting together, we can create more responsive, effective systems that truly serve our Native communities—wherever they reside.

Indian Self-Determination and Education Assistance Act Negotiator’s Title I Training

Deputy Director for Intergovernmental and External Affairs Stacey Ecoffey and IHS Acting Director Benjamin Smith met with the Indian Self-Determination and Education Assistance Act negotiators and team members in Washington, D.C. This important group was receiving training from in-house experts and colleagues from the Office of General Counsel on implementing ISDEAA title I policies, procedures, and best practices, including enhancing understandings of contract support costs and the section 105(l) Tribal leasing program.

These internal ISDEAA trainings are key for ISDEAA negotiators as they engage with our tribal partners to meet the goals and objectives of the IHS Strategic Plan, which includes respecting self-determination.

Northwest Portland Area Indian Health Board Quarterly Meeting

Acting IHS Deputy Director, Darrell LaRoche joined the Northwest Portland Area Indian Health Board Quarterly Board Meeting, where he shared updates on the progress within the Indian Health Service. The NPAIHB’s advocacy and leadership are vital in shaping stronger public health outcomes for Native Americans, both in their region and across the country. We look forward to continuing our collaboration to advance the health and social conditions of our communities.

IHS Recognizes Alcohol Awareness Month

April is Alcohol Awareness Month, dedicated to raising awareness about alcohol use, misuse, and its impact, particularly in Indian Country. This observance promotes education, healthier lifestyles, and reducing the stigma around alcohol use disorder. American Indian and Alaska Native communities face unique challenges when it comes to alcohol use, including social and economic factors and limited access to culturally appropriate health care services. For ways to get involved that acknowledge these challenges and provide ways to engage, educate, and support Native youth, families, and communities, read the IHS Blog.

Celebrating Medical Laboratory Professionals Week

Medical Laboratory Professionals Week recognizes the contributions of the scientific and technical personnel whose medical/clinical laboratory work helps give our nation the best possible health care. There are approximately 300,000 clinical laboratory science practitioners in the United States. Since the 1920s, when this career group was developed, the clinical laboratory science professional has played an increasingly vital role in diagnosing and preventing the spread of disease. Today, the clinical laboratory technician is a key member of a health care team. At IHS, these professionals bring precision, expertise, and dedication to every test result and every patient outcome. Their behind-the-scenes efforts are vital to our ability to deliver timely, high-quality care across our system. Please join us in recognizing and thanking our laboratory employees this week!

Observing Health Information Professionals Week

We recognize and celebrate our Health Information professionals and their important role in keeping our health system running efficiently. These skilled experts manage the flow of health data to ensure that patient records are accurate, secure, and accessible, helping providers make informed decisions and improve the quality of care. Health Information professionals bridge the gap between health care and technology. They support everything from data analysis and privacy compliance to streamlining workflows and improving efficiency. Please join in showing appreciation for our Health Information professionals who help keep our systems running smoothly.

Southern Plains Tribal Health Board Hosts Community Health Aide Program for Site Visit

On April 16–17, the IHS Headquarters Community Health Aide Program team met with the Southern Plains Tribal Health Board in Oklahoma City, Oklahoma. The site visit aimed to discuss CHAP developments and learn about the goals of the SPTHB to implement the CHAP Program in their communities, including collaboration with other CHAP grant recipients in the area. The site visit included engagement with the health board and Oklahoma City Area leadership, as well as discussions on certification pathways and expanding access to care. The visit marked a significant milestone in our journey to strengthen partnerships and lay the foundation for sustainable, locally delivered care.

National Prescription Take Back Day — April 26

Unused or expired prescription medications are a public safety issue. Proper disposal of unneeded drugs saves lives and protects the environment and our overall communities. Prescription Drug Take Back Day is a free event for communities nationwide to properly dispose of old and unneeded medications safely and anonymously. On Saturday, April 26, bring those old and unneeded medications to a collection site near you.

IT Modernization Program Hosts Tribal Consultation and Urban Confer – May 15

Be sure to save the date for the Health IT Modernization Program’s upcoming tribal consultation and urban confer session on May 15. This session will provide an update on the Four Directions Warehouse (4DW) and data migration into PATH EHR. Join us for an open dialogue with program leadership following the 4DW update. Register here.

Modernization Team Hosts Enterprise Workshop 1 for PATH EHR

The IHS Division of Health Information Technology Modernization and Operations team hosted Enterprise Workshop 1 from March 4–6 at the Oracle Health Innovations campus in Kansas City, Missouri. More than 300 participants attended the workshop, which featured 95 individual sessions. Utilizing foundational data collected during the Pre-Workshop Design Event, participants engaged in breakout sessions and discussions to help inform the design and configuration of PATH EHR. These breakout sessions demonstrated workflow designs, introduced new concepts, and showcased data collection processes.

Enterprise workshops will continue regularly throughout 2025 and are designed to build on previous workshops. The DHITMO team remains committed to working closely with our partners as the program progresses. For more information about the Modernization Program or how to get involved, email modernization@ihs.gov.

Patient Access Week: March 30 – April 5

During Patient Access Week, the IHS recognizes our patient access professionals who serve on our frontline in patient engagement. This includes patient registration, patient benefits coordination, our outreach and education staff, and others who work directly with our patients to ensure access to care at IHS. Every day, IHS relies on these professionals to greet and welcome our patients to our hospitals and clinics, guide through patient registration, schedule their appointments, gather and verify information, check and sign them up for health insurance coverage, update records, and answer patient questions. Please join in thanking our patient access professionals for all they do for the American Indian and Alaska Native communities we serve.

Total System Safety - CMS Patient Safety Structural Measure

The Patient Safety Structural Measure is an attestation-based measure that assesses whether hospitals, including critical access hospitals, demonstrate a structure and culture that prioritizes patient safety. This includes five domains, each containing multiple statements that aim to capture the most salient structural and cultural elements of patient safety. This measure is designed to identify hospitals that practice a systems-based approach to safety, as demonstrated by leaders who prioritize and champion safety; a diverse group of patients and families meaningfully engaged as partners in safety; practices indicative of a culture of safety; and continuous learning and improvement.

The IHS Total System Safety Strategy and Implementation Plan is a testament to IHS’s commitment to patient and workforce safety. TSS is included as Objective 1.2 in the 2025-2029 IHS Strategic Plan. The strategic aim is to achieve total system safety across the IHS health care system utilizing a patient and family-centered framework to achieve zero incidents of preventable harm. The TSS Strategy guides the development of an overarching, enterprise-wide patient and workforce safety program that provides standardized processes, tools, training, and mechanisms for oversight and accountability.

For more information on the CMS PSSM, visit the AHRQ National Action Alliance website or the PSSM resource page. For more information on Total System Safety initiatives, please visit the Patient Safety intranet page.

Tribal Management Grants Available for Tribes and Tribal Organizations – Deadline April 28

The IHS is accepting applications for grants under the Tribal Management Grant Program, a competitive grant for federally recognized tribes and tribal organizations that is administered by the Office of Tribal and Urban Affairs. The program is designed to enhance and develop health management infrastructure. It works to assist tribes and tribal organizations in assuming all or part of existing IHS programs, functions, services, and activities through agreements under the Indian Self Determination and Education Assistance Act. It also assists tribes and tribal organizations with existing agreements to further develop and improve their management capabilities. Applications are due by April 28. Find more information about the application here or contact Kenneth Coriz at kenneth.coriz@ihs.gov.

National Action Alliance Webinar “Teamwork and Patient Safety Norms”

On April 15, the National Action Alliance will present the webinar, “Measuring and Responding.” This webinar is the last of a three-part series on Safety Culture in Healthcare. Existing challenges like workforce burnout, communication breakdowns, and trust gaps make the conversations about creating, maintaining, measuring, and responding to a strong safety culture in health care critically important.

Join the webinar to gain strategies for transforming organizational culture and addressing critical workforce challenges. Register here.

April 15 at 12:00 p.m. ET Measuring and Responding

Don’t forget to visit the National Action Alliance website for more information about previous and future webinars, access tools and resources for advancing patient and workforce safety, and sign up to receive the National Action Alliance newsletter.

National Public Health Week

During National Public Health Week, Chief Medical Officer Dr. Loretta Christensen recognized the incredible work of our IHS team and its impact on the lives of people and communities across the country:

“Public health is more than a profession—it’s a commitment to prevention, education, and advocacy that shapes healthier futures for generations. Whether responding to emergencies, promoting wellness, or connecting people to care, your efforts help others live healthier lives. Your work reaches far beyond clinics and hospitals. You meet people where they are, listen to their needs, and help build stronger communities. Because of you, families are safer, individuals are supported, and lives are improved daily. Thank you for your dedication, resilience, and passion for this vital mission. A special thanks to our National Public Health Council.”

Community Health Aide Program Conducts Site Visit to Osage Nation Tribal Health

On April 3–4, the IHS Community Health Aide Program team met with the Osage Nation Tribal Health Service team. The site visit aim was to discuss CHAP developments and learn about Osage Nation’s goals to implement CHAP in their communities, including collaboration with other CHAP grant recipients in the Oklahoma City Area. The site visit included engagement with Osage Nation leadership, touring clinical facilities, and leading strategic planning sessions focused on workforce development, certification pathways, and expanding access to care. The visit served as a critical milestone in strengthening partnerships and laying the foundation for sustainable, locally delivered care.

Rising Syphilis Rates in the Southwest

Syphilis rates in the U.S. rose to a 70-year high in 2022 and tripled in the Navajo Nation from 2019-2022. CBS News recently took a look at a program to help fight STDs on Indian reservations in the Southwest, which included an interview with IHS Chief Clinical Consultant for Infectious Diseases Dr. Jonathan Iralu: "It's all about testing and immediate treatment. You have a person right there and you might not see them again... It's working, we're seeing a better than 20 percent drop."

National Business Office Committee Spring Meeting

The IHS National Business Office Committee met from April 8-10 at the Nashville Area Office. The purpose of the NBOC is to provide strategic planning and to make recommendations on the IHS, tribal, and urban Indian organization third party revenue cycle. During this meeting, the NBOC focused on topics including Business Office records and compliance, payment processing improvements, training opportunities for staff in revenue cycle positions, and revenue cycle considerations for federal facilities planning a transition to tribal operation.

National IHS Public Health Council Conducts Strategic Planning Meeting

The National IHS Public Health Council Strategic Planning Meeting led to several important outcomes that will help shape upcoming initiatives and promote greater collaboration across the agency. Twenty-three participants from IHS area offices and service units were in attendance and identified priorities, strategic goals, and opportunities for collaboration across sectors to strengthen public health efforts. The three subcommittees (Environmental Health, Health Promotion and Wellness, and Epidemiology Workforce) developed targeted objectives aligned with respective focus areas, highlighted accomplishments, and evidence-based planning. The meeting also strengthened coordination and set a strong foundation for unified efforts to address critical public health needs in American Indian and Alaska Native communities.

Total System Safety – Veteran’s Affairs National Center for Patient Safety Virtual Symposium

IHS staff are invited to attend the VA National Patient Safety Symposium as part of an ongoing collaboration between the VA and IHS. This is an excellent opportunity for IHS staff to learn about patient safety concepts and best practices alongside our VA counterparts. IHS will provide a keynote presentation on May 21 and participate in a panel discussion that includes VA, CMS, DHA, and AHRQ leaders. This virtual symposium is free. Once registered, you will receive a link to sign up for presentations most relevant to your work and interests. The pre-conference includes seminars on root cause analysis and proactive risk assessments. Use the link to sign up today. Session space is limited.

Health Literacy Training Helps Strengthen Communication Across IHS

A dynamic in-person health literacy training for 23 IHS staff was held at IHS headquarters from April 3–4. The session equipped attendees with foundational concepts and practical tools that will strengthen health communication across the IHS, tribal, and urban communities. Training participants included a multi-disciplinary group of IHS professionals—from infectious disease physicians to health educators—who engaged in collaborative, hands-on learning.

April is Stress Awareness Month – Recognizing and Managing Stress

April is Stress Awareness Month, an opportunity to raise awareness about causes, effects, and how we can manage stress effectively. Stress is a natural body reaction to life's demands. While stress can have both positive and negative effects, it’s important to understand how our bodies respond and how we can manage it. Over time, prolonged stress increases the risk of serious health issues, including heart disease—called the "silent killer" because it often develops without noticeable symptoms.

The good news is that stress management strategies can help reduce the impact of stress and lower the risk of long-term health problems. By implementing stress-reduction techniques, we can improve our overall health and build resilience, enabling us to better cope with life's challenges. Stay tuned throughout April for more tips and resources to help manage stress and promote well-being!

Dr. Matthew Clark Provides Patient Care in Alaska Communities

Alaska Area Chief Medical Officer Dr. Matthew Clark provided patient care at Eastern Aleutian Tribes, including working alongside community health aides in the Alaska Native villages of Sand Point and Nelson Lagoon. The Community Health Aide Program consists of a network of approximately 550 community health aides/practitioners in more than 170 rural Alaska villages. CHA/Ps work within the guidelines of the Alaska Community Health Aide Manual in assessing and providing emergent, acute, chronic, and preventive care (including vaccinations) to residents of their respective communities. Alaska CHA/Ps are the front line of health care in their communities. IHS is grateful for the opportunity to collaborate with and learn from our tribal health partners.

Dr. Matthew Clark (second, from left) works with staff at the Sand Point Community Health Center in the Alaska Native village of Sand Point

Alaska Area Chief Medical Officer Dr. Matthew Clark provided patient care at Seldovia Village Tribe and Ninilchik Traditional Council facilities in the Alaska Native villages of Seldovia and Ninilchik. This included mobile outreach to enhance access to Medication Assisted Treatment (MAT) for high-risk persons with opioid use disorder living in tribal communities on the Kenai peninsula. The IHS is grateful for the opportunity to collaborate with and learn from our tribal health partners.

Dr. Matthew Clark works with staff at the Seldovia Village Tribe Health and Wellness Center

Dr. Matthew Clark meets with staff and leadership after participating in mobile outreach on the Ninilchik Community Clinic MAT van

Chugachmiut Regional Health Center Grand Opening

On April 21, a team from the Alaska Area Native Health Service attended the grand opening celebration of the Chugachmiut Regional Health Center in Seward Alaska. This facility was built in partnership with the IHS, as a 2020 awardee of the Joint Venture Construction Program. The beautiful facility hosts primary care, community health, dental, eye care, behavioral health, pharmacy, and other services. IHS Alaska Area Director Angel Castagna joined others in providing remarks to the group prior to the ribbon cutting.

Operation Arctic Care Provides Innovative Readiness Training

From April 5 – 19, the IHS Alaska Area and the U.S. Public Health Service participated in Operation Arctic Care, an Innovative Readiness Training exercise that allows service members to train in a joint environment to enhance military readiness. The training exercise was led by the New Hampshire Army National Guard Medical Readiness Detachment in partnership with the 4th Dental Battalion and 4th Combat Logistics Regiment (U.S. Marine Corps), the Alaska Army National Guard 207th Aviation Troop Command, the 6th Communications Battalion (USMC), the 1-11th Airborne, and the Maniilaq Association. Operation Arctic Care provided opportunities to develop civil-military partnerships and offer key services with lasting benefits for Kotzebue, Alaska, and 11 surrounding villages throughout the Northwest Arctic Borough.

Tribal Engagement: San Felipe Pueblo

On April 2, Albuquerque Area Director Dr. Leonard Thomas, Office of Tribal Self Determination Director Randall Morgan, and Acting Chief Executive Officer of the Santa Fe Indian Health Center Capt. Keith Adcock met with San Felipe Pueblo representatives to discuss coordination of care issues and learn about the Pueblo’s Indian self-determination goals, including the potential expansion of its ISDEAA contracting authority. The site visit included a walkthrough of a potential site for a health station and the San Felipe Student Health Center. The Pueblo administers several community health programs, pharmacy services, and behavioral health care through an Indian self-determination contract with the IHS.

Cass Lake Service Unit Holds “Give Kids a Smile”

A successful day at the dentist! For the first time, Cass Lake Service Unit held an in-clinic event for “Give Kids a Smile.” The dental team welcomed 37 kids on March 26 and provided diagnostic, preventive, and restorative dental services. This included 22 exams, 22 dental cleanings, 32 sealants (many were already sealed up!), 18 restorations, 29 fluorides, and 14 silver diamine fluoride applications. This fun day at the dental clinic included costumes, healthy snacks, decorations, and prizes. The dental team plans to distribute extra oral hygiene resources and supplies to kids in their community. Thank you to everyone who helped make this event a reality!

White Earth Service Unit Achieves 98.37% Accreditation

Raising the standard of care in Bemidji Area! The White Earth Service Unit completed their accreditation on April 16 with a compliance rate of 98.37 percent. This action helps to implement their vision statement: working with you to inspire Healthy Generations of Anishninaabeg. After achieving their goal of full compliance on more than 200 standards, the staff celebrated their hard work, collaboration, and dedication in a morning filled with friendly competition, comradery, and delicious food. The celebration was a much-needed reward after months of diligent survey preparation. Congratulations to the Bemidji Area team on this great accomplishment!

Healthy Homes and Asthma Control Webinar: Bemidji Area

On April 22, the Bemidji Area Office presented a webinar on Healthy Homes and Asthma Control during the Indian Country ECHO Grand Rounds. The webinar described work being done by the Bemidji Area Division of Environmental Health Services team to identify asthma triggers and address indoor air quality in the home environment. The purpose was to raise awareness on resources available for patients who may have respiratory diseases as a result of possible environmental contributors. Topics included case studies, success stories and where to find help near you.

The presentation attracted more than 200 attendees, including primary care and public health clinicians, healthcare administrators, tribal leaders, and other key stakeholders committed to improving the health and well-being of American Indian and Alaska Native communities. Presenters included DEHS Director Capt. Timothy P. Duffy, Area Injury Prevention Specialist Ryan Wheeler, and Sr. Field Environmental Health Specialist Alan Bloch.

Billings Area Hosts Federal Contract Management Training

Last week, the Billings Area hosted its first in-person Federal Contract Management (FCR 201) training in Billings, Montana, that brought together 30 employees from all six service units and the area office. This high-impact training was designed to enhance federal contracting knowledge across the area and represents a major step forward in our ongoing effort to strengthen program-side contract readiness, accountability, and alignment with federal acquisition policy. Over the course of five days, participants engaged in hands-on instruction tailored specifically to IHS contracts and operational realities. This training effort reflects the commitment of the Billings Area to strengthening acquisition capabilities, supporting service units with contract oversight responsibilities, and improving the quality and timeliness of procurement activities.

California Area Explores Solar Sleds

Dr. Stephen Rooklidge and Denise O’Gorman, engineers of the IHS Redding District Office in Redding, California, developed racks for solar panels (also known as solar sleds) that can be easily built and dismantled by tribal staff, and transported to remote areas in the bed of a standard pickup truck. For emergency power, they can be completely installed within 30 minutes of arrival. Each sled is able to produce up to 1500 watts and is adjustable for the season and sun declination. Prototypes of the design have already been successfully installed for three permanent solar installations within the historical territory of the Pit River Tribe in northern California. Field modifications have included raising the legs to account for snow drifts experienced off the northern slopes of Mount Lassen and field staking to combat high wind conditions. Plan sets of the solar sleds and tours of an installation are now available to California tribes interested in this sort of emergency/permanent power generation.

Local water operators from the Fall River Valley Water District and Pit River Tribe representatives with the solar panel racks installed by the tribe

Collaboration Provides Prevention Efforts to Turtle Mountain

On April 8–9, the Quentin N. Burdick Memorial Health Care Facility (QNBMHCF) Public Health Nursing Department collaborated with Tribal Health and the Great Plains Tribal Chairman’s Health Board (Epidemiology Center) to host two separate events—one at the QNBMHCF and another at the Turtle Mountain Community College. The events focused on STI testing and treatment with a total of 119 people tested. Other education platforms included colorectal cancer screening, stroke awareness, tobacco cessation and vaping education, Narcan distribution, and education and immunization updates. Special thanks to the GPTCHB in assisting to increase STI testing rates in our community. The turn out for both events was wonderful.

Fort Thompson Celebrates Dental and Optometry Groundbreaking

On April 23, the Fort Thompson Service Unit hosted a groundbreaking ceremony for a new dental and optometry expansion. Those in attendance heard an opening prayer from Fort Thompson’s Traditional Healer Jeff Swanson, along with remarks from tribal and Great Plains Area leadership. The expansion will more than double the size of the current departments, allowing for both expanded services and increased access to care.

Crow Creek Sioux Tribe Chairman Peter Lengkeek joins staff members of the Fort Thompson Service Unit at the groundbreaking ceremony on April 23 for a new dental and optometry expansion

Nashville Area Hosts 50^th annual Self-Governance Conference

The Nashville Area leadership team attended the 50^th annual Self-Governance Conference in Phoenix this week. Along with IHS executive staff, they hosted the well-attended Nashville Title V tribal consultation. IHS provided updates from a national perspective, covered finance and electronic health record modernization projects, and opened dialogue on tribal considerations.

Tribal Engagement: Navajo Area

The Navajo Area welcomed Acting IHS Director Benjamin Smith on April 9 to the Navajo Nation and the Navajo Area Office. During the visit, they met with Navajo Area leadership and staff, while also visiting the proposed site for the Gallup Indian Medical Center replacement facility just outside of Gallup, New Mexico. Rear Adm. Brian K. Johnson provided updates of the replacement project. The area appreciates leadership for continuing to advocate for funds for the replacement project and other pressing issues that affect the Navajo Nation and surrounding areas.

National Health Information Professionals Week

April 21–25 was National Health Information Professionals Week! Our Health Information Management team manages more than 200,000 patient records, both paper and electronic (hybrid) for the Shiprock — Northern Navajo Medical Center. All patient care services rely on health information to be accurate, complete, and readily available, as our patients cannot be treated without a patient record. HIM is responsible for maintaining the legal medical record for our facilities and ensuring the records meet all regulatory requirements for accreditation and compliance. The patient always comes first in the many roles of health information, and we are proud to be working closely with our health care team to improve the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest level. This week, and every week, we extend our thanks to our Shiprock Service Unit HIM Team.

Hepatitis C Clinic Commences at Chinle Comprehensive Health Care

In July 2016, the Chinle Comprehensive Health Care Facility began the induction of the Hepatitis C Clinic (HCV), which consisted of Pharmacist Dr. Nivedita Das and Health Technician Rydell Curley. The facility has progressed its multidisciplinary team to include Dr. Leslie Stewart, Pharmacist Chau Nguyen, and Health Technician Pharmacist Rydell Curley (pictured below). Since the inception of the HCV case management team, the Chinle Comprehensive Health Care Facility has cured 41 patients of the Hepatitis C infection.

Navajo Area Begins Just Move It Walk/Run Series

The Just Move It Walk/Run series has begun for the Chinle Comprehensive Health Care Facility! In 2025, the event will be held at 16 chapters and one event at Diné College. Each event will include a health fair and chair exercises. Navajo Nation chapters have the option to provide other activities and incentives. The kickoff event occurred on April 22 at Jee’deez’a Elementary School in Low Mountain, Arizona, as a part of the school’s sports complex grand opening. More than 300 community members participated!

Oklahoma City Area Observes Diabetes Alert Day

Claremore Indian Hospital Diabetes Education recently partnered with the Cherokee Nation Community Health Nursing to host an event for Diabetes Alert Day to bring awareness and focus on diabetes prevention. At the event, patients were provided an opportunity to take the Diabetes Risk Assessment provided by the ADA and receive educational materials on diabetes, nutrition, physical activity, and relaxation techniques. Other groups participating include the Cherokee Nation One Fire—a victims service offering a variety of services to women who may have been victims to a crime; and Sooner SUCCESS—a community-based service promoting comprehensive, coordinated system of health, social, and education services for Oklahoma children and youth with special needs. The Rogers County Health Department provided the relaxation techniques. A total of 81 individuals were assisted at the event.

Train the Trainer Event Focuses on Type 2 Diabetes

On April 14–15, the Oklahoma City Area office hosted a Train the Trainer—What Can I Eat? (WCIE) Healthy Choices for American Indian and Alaska Native Adults with Type 2 Diabetes Curriculum. A total of 25 participants, representing diabetes programs from across Oklahoma, Kansas, and Texas, learned how to facilitate the WCIE curriculum through an interactive “flipped classroom” style training. The WCIE curriculum teaches practitioners working in communities and health care sites with American Indian and Alaska Native people on management of type 2 diabetes through nutrition education. The curriculum provides culturally tailored recommendations to help increase long-term positive behavior changes. The presenters for the training were Colorado State University Assistant Professor Sarah Stotz and IHS Division of Diabetes Treatment and Prevention Nutrition Specialist Kelli Begay.

Mastering Digital Scanning Technique Training Held in Oklahoma City Area

Recently, the Oklahoma City Area Dental Support Center held its first comprehensive hands-on course following the pandemic for federal, tribal and urban Indian organization dentists called, “Mastering Digital Scanning Technique: Part I,” at the University of Oklahoma’s College of Dentistry. Instructed by Brad Cummings, DDS, the course was designed to enhance dentists’ critical insights, along with refining dexterity motor skills related to making tooth crowns, with one of dentistry’s latest technological advancements (digital oral scanning). This comprehensive course was planned to help dentists take digital dentistry from basics to mastery. It aligned with multiple IHS strategic goals, including being a leading health care organization; ensuring comprehensive, culturally respectful healthcare services through retaining a highly skilled workforce that is essential for quality health service delivery; and promoting employee engagement and IHS mission alignment satisfaction.

Tribal Engagement: Phoenix Area

On April 8, congressional staff members paid a visit to the White Mountain Apache Tribe and toured the Whiteriver Indian Hospital and the Cibecue Clinic. Whiteriver Service Unit CEO Michelle Classay, Clinical Director Dr. James McAuley, and Chief Nurse Officer Cmdr. Justin Tafoya provided the tour and answered questions related to health care facility construction funding needs, progress on the planning of the replacement facility, the scope of services to be expanded for the community, as well as other community needs like housing, clean water, and sanitation facilities construction priorities. The delegation included staff from the Office of Senator Brian Schatz (HI), Senator Mark Kelly (AZ), Senator Ruben Gallego (AZ), and the Senate Committee on Indian Affairs. IHS Congressional Affairs Director Darren Pete and Phoenix Area IHS Deputy Director Rear Adm. (Ret.) Michael Weahkee was also in attendance.

Congressional Staff Members with WMAT and WRSU Team

Uintah–Ouray Service Unit Receives Renovations

In partnership with the Ute Indian Tribe and IHS leadership, the Uintah–Ouray Service Unit celebrated the grand opening of its upgraded and renovated facility in Fort Duchesne, Utah on April 17. The ribbon-cutting ceremony marks the culmination of years of dedication and commitment to expanding health care access for the Ute Indian Tribe. Guest speakers at the event included Ute Indian Tribe Business Committee members Luke Duncan and Emmett Duncan. IHS leaders in attendance included IHS Deputy Directors for Management Operations Darrell LaRoche and Rear Adm. Chris Buchanan, and IHS Phoenix Area Director Dr. Ty Reidhead.

The Uintah–Ouray Service Unit is equipped with updated technology and equipment and is staffed by a dedicated team of health care professionals supporting medical, public health nursing, dental, optometry, pharmacy, behavioral health, and lab services. In addition, the facility will have specialty care visiting providers for podiatry, maternal child health, and mental health. Recognized by the Accreditation Association for Ambulatory Health Care, the service unit provides service to approximately 5,500 patients.

Native Connections Combats Native Suicides in Nevada

The Nevada Urban Indians Inc., from Reno, Nevada, have a program called Native Connections, a suicide prevention program for the community. The program also has activities for youth, such as rock climbing, hiking, backpacking, and movie nights. The program is a safe space for veterans and any Native Americans contemplating suicide. The program trains and educates the participants about suicide prevention using cultural, traditional practices. Thank you, Nevada Urban Indians, for providing this community-based resource for our relatives.

NATIVE HEALTH Welcomes Secretary Kennedy

This week, NATIVE HEALTH, an urban Indian organization in Phoenix, welcomed HHS Secretary Robert F. Kennedy, Jr. to their clinic to learn more about the vital work of UIOs as part of the Indian health system. Secretary Kennedy is on a tour that includes a focus on “Tribal Health & Self-Governance” and a discussion with Navajo Nation leadership on food sovereignty initiatives.

(Left to right) Francys Crevier, JD, CEO of NCUIH; Kyu Rhee, president and CEO of the National Association of Community Health Centers; Secretary Kennedy; Jessica Yanow, president and CEO of the Arizona Alliance for Community Health Centers; and Walter Murillo (Choctaw), CEO of NATIVE HEALTH

“In Her Shoes” Program Focuses on Domestic Violence Awareness

Indian Health Care Resource Center of Tulsa recently led its Native American Community Committee through “In Her Shoes,” a program to promote empathy and help participants recognize the signs and assist family and friends in domestic violence situations. IHCRC received the curriculum through an Indian Health Service Domestic Violence Prevention Initiative grant.

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