October 31, 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.

Advance Funding Keeps IHS Operating Business as Usual During Lapse in Appropriations

As we all know, Congress did not enact a fiscal year 2026 appropriations bill or continuing resolution before October 1, resulting in a lapse in appropriations for portions of the federal government. But there is good news for the Indian Health Service. Due to the dedicated efforts of many over the past few years, the IHS has received advance appropriations for FY 2026. This means our agency will continue to operate business-as-usual during a lapse of appropriations. That includes all IHS staff reporting for work—with pay—and, moreover, health care services across Indian Country will not be impacted.

Due to the availability of FY 2026 advance appropriations for the IHS, the majority of our agency operations will continue at the same funding level as FY 2025. Advance appropriations, third-party collections, and carryover balances from previously appropriated funds will continue to fund the provision of high-quality, direct health care services by the IHS, tribal health programs, and urban Indian organizations. In addition, all IHS employees are exempt from furlough and will be paid during the lapse in federal appropriations. In the coming days, the IHS will begin distributing FY 2026 advance appropriations to IHS programs, tribal health programs, and urban Indian organizations.

However, the lapse does affect the agency. The IHS will not be able to make FY 2026 Contract Support Costs or Tribal Lease (Section 105(l) Leases) payments until Congress enacts a FY 2026 appropriation. These funding sources do not receive advance appropriations and the IHS lacks the authority to make these payments under a lapse in appropriations. This information has been shared with IHS tribal and UIO partners.

You can find additional information on IHS operations during the lapse in appropriations in the IHS Lapse Plan and this letter to tribal and urban Indian organization leaders. This is difficult for everybody, and we hope that Congress will reach an agreement soon. Acting Director Benjamin Smith extends his thanks to all of you for your continued dedication to the mission of the IHS and to the patients and communities we serve, each and every day.

IHS Launches Chronic Liver Disease Initiative, Hepatitis C Elimination Pilot Program

In October, as part of Liver Disease Awareness Month, Chief Medical Officer Dr. Loretta Christensen announced the newest IHS National Clinical Strategic Initiative. Chronic liver disease (CLD) is among the top 10 leading causes of death in the U.S. and represents a major health disparity resulting in premature death among American Indians and Alaska Natives.

IHS advocates a comprehensive strategy to reduce CLD-related morbidity and mortality among Native people. As part of our National Chronic Liver Disease Initiative, IHS will support federal, tribal, and urban Indian organization programs as they develop and implement strategies to ensure the guideline-based prevention, screening, diagnosis and treatment of:

• Hepatitis C infection, including elimination efforts in tribal communities
• Alcoholic liver disease
• Non-alcoholic fatty liver disease/metabolic dysfunction-associated steatohepatitis
• Cirrhosis and liver cancer

As a part of this important initiative, all federal, tribal, and urban Indian organization sites are encouraged to participate in the program, which is recommended for clinical professionals and teams who are focused on Hepatitis C elimination efforts in tribal communities. Already, 17 Hepatitis C Elimination Pilot teams have been designated since the launch of the initiative.

As a part of this important initiative, all federal, tribal, and urban Indian organization sites are encouraged to participate in the program, which is recommended for clinical professionals and teams who are focused on Hepatitis C elimination efforts in tribal communities. Already, 17 Hepatitis C Elimination Pilot teams have been designated since the launch of the initiative.

Programs in multiple IHS Areas have answered the call to action to reduce the impact of hepatitis C infection in tribal communities, including the Bemidji, Billings, Great Plains, Navajo, and Oklahoma City Areas.

IHS Announces New Chief of Staff Appointment

In October, Clayton W. Fulton, a citizen of the Cherokee Nation, joined the IHS as the newly appointed chief of staff. In this position, he will oversee the coordination of key agency activities and support the Office of the Director in a broad range of duties related to the development and implementation of IHS initiatives and priorities.

Raised in Indian Country, Mr. Fulton has been shaped by the close connection between tribal communities and our lands. His work reflects a commitment to building strong communities and creating opportunities that grow from the ground up. Mr. Fulton earned a degree in finance and an MBA in Native American Enterprises from Northeastern State University and is a graduate of the University of Michigan Law School. He previously worked for Muscogee (Creek) Nation Office of the Attorney General as an assistant attorney general and supported the nation in developing practical frameworks to strengthen community programs, expand economic opportunities, and align regulatory efforts with long-term growth.

Please join us in welcoming Mr. Fulton to the IHS team as the new chief of staff!

IHS Chief of Staff Clayton W. Fulton

Dr. Vijay Kannan Named Acting Director of OCPS

Dr. Vijay Kannan has been detailed as the Acting Director of Office of Clinical & Preventive Services, starting October 1. He will continue to serve as the Director of the Office of Clinical Performance and Health Impact at IHS Headquarters, overseeing the GME and Clinical Performance. Kannan's work has been focused on identifying systemic issues in quality of care and addressing them in a context-relevant and data-driven manner. He served as faculty at Harvard Medical School and previously worked for the World Health Organization. Kannan is an emergency physician by training and obtained both his master's in public health and a fellowship in global health from the Harvard School of Public Health and Beth Israel Deaconess Medical Center. Please give Dr. Kannan your support as he takes on the additional role of the acting director of OCPS.

Dr. Vijay Kannan

Jicarilla Apache Nation Meeting with IHS

On October 27, Acting Director Benjamin Smith met with tribal leaders from the Jicarilla Apache Nation. They discussed barriers and solutions to improving health care services for their citizens. The Indian Health Service enjoys the opportunity to host tribal delegation meetings, as they are the most personalized form of tribal consultation, providing a direct forum for discussing tribal issues and concerns on a government-to-government basis.

IHS Recognizes Graduates of 2025 Executive Development Program Cohort 2

In early October, the Office of Human Resources concluded its final week of the Executive Development Program (EDP) with a focus on Knowing and Leading in a Complex Environment. Acting Director Benjamin Smith joined Acting Deputy Director Darrell LaRoche and Chief Human Capital Officer Daniel Frye to open the week by welcoming participants, imparting words of wisdom, and offering encouragement for the cohort to continue to serve IHS at their next leadership level

The EDP reflects the commitment of the IHS to foster the growth and development of the workforce. Designed as a year-long journey, the program aims to equip high-potential IHS leaders with the essential skills and knowledge required to excel in senior leadership positions. Over the course of the program, EDP participants engaged in a comprehensive curriculum covering a wide array of leadership aspects, such as strategic decision-making, enhanced communication styles, and leading and managing organizational change.

The course concluded with capstone projects presented to the IHS Executive Leadership Team on September 23, and the graduation of 28 participants at IHS headquarters in Rockville, Maryland. Congratulations to the graduates of EDP Cohort 2!

Introducing LINK: NSSC's New ERP System for a Collaborative, Safe, and Timely Supply Chain

In October, the IHS National Supply Service Center announced the launch of LINK, the new IHS Enterprise Resource Planning system. LINK is part of a broader modernization initiative to strengthen the agency's supply chain infrastructure in support of federal, tribal, and urban Indian health care facilities. LINK replaces the current inventory system and marks a major milestone in the ongoing effort to modernize, strengthen, and streamline the IHS supply chain. The name LINK reflects the purpose and vision of this new system: to link together people, processes, and products across the IHS supply chain. It represents the essential connection between our central distribution centers, regional receiving centers, health care facilities, and ultimately the patients we serve throughout Indian Country.

National Conference on Construction in Indian Country

On October 9, Acting Deputy Director Darell LaRoche participated in a panel discussion at the 22nd Annual National Conference on Construction in Indian Country, held in Chandler, Arizona. The discussion brought together key decision-makers, thought leaders, and community advocates and focused on critical infrastructure and development priorities in Indian Country. Thank you to the organizers, tribal leaders, builders, educators, and community members who joined—not just to attend another conference, but to contribute to a shared vision: strengthening sovereignty and building Indigenous foundations for concrete solutions. Our hope is that we continue to build—not only facilities and infrastructure—but also trust, resilience, and hope for generations to come.

Obstetric Emergency Readiness Training in Navajo and Albuquerque Areas

The Maternal Child Health team traveled to the Navajo and Albuquerque Areas to provide site visits and training for obstetric emergency readiness from October 23–26. Twenty-three staff participated in Basic Life Support in Obstetrics and Obstetric Readiness in the Emergency Department training led by eight instructors. Participants included emergency medicine, family medicine, and OB/GYN providers, nurses, and nursing assistants from Chinle Comprehensive Health Care Facility, Gallup Indian Medical Center, Northern Navajo Medical Center, Whiteriver Indian Hospital, and Zuni Comprehensive Health Center. Staff reported improved knowledge in management of obstetric emergencies and requested ongoing education and readiness training. Thank you to the participants, sites, and area leadership for your hospitality and support.

Expansion of CHAP in the Lower 48: Progress in Motion

In October, the National Community Health Aide Program Board (NCHAPB) met in Phoenix, Arizona, to expand the Community Health Aide Program in the lower 48 states. The board is working to formalize the NCHAPB bylaws and national standards and procedures to ensure a consistent process that supports high-quality, accessible care. The NCHAPB remains committed to strengthening the standards and processes through ongoing partnership and collaboration with stakeholders at various levels. The next quarterly meeting is scheduled for December.

Rural Health Philanthropy Partnership Meeting Strengthens Relationships

On October 8, Deputy Director for Intergovernmental and External Affairs Stacey Ecoffey provided a presentation on the government-to-government relationship at the Rural Health Philanthropy Partnership Meeting that was held in Bethesda, Maryland. The presentation provided a history of the political relationship that developed over time between tribal nations and the United States government, which is affirmed in statutes and presidential executive orders. At the IHS, tribal engagement and consultation is held to the highest standard, including meeting directly with tribes. It was an honor to present at a space where federal, philanthropic, and tribal partners come together with the shared goal of improving the health outcomes of tribal nations through government-to-government relationships.

Health IT Modernization Program Hosts a Week of PATH EHR Engagement at Pilot Site

The Health Information Technology Modernization Program hosted activities at the Lawton Service Unit the week of September 15 to prepare staff and leaders for the implementation and deployment of PATH EHR. The sessions brought teams together to learn, collaborate, and strengthen site readiness. Activities and sessions throughout the week included Change Leadership Training, Change Advocate Orientations, a Leader Alignment Feedback Presentation, and Readiness Check #1.

This is an important step in Lawton's PATH EHR journey, showcasing the commitment of staff and leadership to building a system that supports both providers and patients. We appreciate the collaboration of the Lawton Service Unit and commitment to the successful implementation and deployment of PATH EHR, which sets the stage for future cohort implementations. For more information on these events, PATH EHR, or the Health IT Modernization Program, please contact modernization@IHS.gov.

Health IT Modernization Program Blog – Enterprise Collaboration Group

The IHS Health Information Technology Modernization Program prioritizes collaboration as we build and operate PATH EHR. To support this, the Enterprise Collaboration Group was established in 2023. Recent interviews with ECG members highlight their perspectives on the purpose of the ECG, the decision-making process, and the value PATH EHR will bring to their domain and the areas they represent. To read more on the Enterprise Collaboration Group, check out the IHS blog.

Enterprise Design Workshop 6: Approaching the Finish Line for PATH EHR Build

The IHS Health Information Technology Modernization Program hosted an "Enterprise Design Workshop 6" from September 30 to October 3 at the Oracle Health Innovations campus in Kansas City, MO, to prepare for PATH EHR implementation and deployment. Over the course of 98 sessions, participants engaged in hands-on activities, explored optimized workflows, completed in-depth validation exercises, and delivered targeted feedback. More than 300 individuals contributed valuable insights from clinical, operational, and administrative teams.

Participants took part in comprehensive workflow simulations and testing exercises to verify system functionality. Testers successfully validated 45 workflows, an increase of 50% compared to "Enterprise Design Workshop 5", demonstrating significant progress toward the finalized enterprise build of PATH EHR. The upcoming Enterprise Design Workshop, scheduled for November, will concentrate on the final steps toward PATH EHR enterprise acceptance. For questions regarding the Health IT Modernization Program or PATH EHR, please contact modernization@IHS.gov.

Injury and Violence Prevention Fellows Hold First In-Person Field Course

The IHS Injury and Violence Prevention Fellowship is an 18-month advanced training program that promotes injury and violence prevention in American Indian and Alaska Native communities. In October, the 2025–2026 Fellowship class had its in-person field course hosted by the Tucson Area Office of Environmental Health and Engineering. The 10 fellows learned in-depth data analysis skills to enhance their local injury and violence prevention projects. The next in-person course for the fellows will take place in June 2026 where they will present their final projects at IHS Headquarters. Thank you to the Tucson Area OEHE for hosting!

IHS Injury and Violence Prevention Fellows, IHS Tucson Area staff, and University of North Carolina Contractors

HQ and Area Offices Attend Property and Fleet Management Meeting

The Division of Asset Management, Office of Finance & Accounting, and Property Management Officers/Fleet Management Officers from Area Offices met at the Billings Area Office in October. Acting Billings Area Director Asha Petoskey and Office of Management Services Director Santiago Almaraz provided welcoming remarks. It was a productive week where they had the opportunity to share information and best practices in property and fleet management. Some of the topics covered included disposing of equipment, lifecycle and reconciliation of equipment, and transferring equipment during a facility transition to a tribal program. On October 22, the team traveled to the Crow Service Unit to conduct all day training for Billings Area Office personnel, which included PMIS and UFMS Discrepancies and Reconciliation, conducting annual inventory, Report of Survey and Overview of HHS and GSA Fleet Management.

Visiting the Crow Agency Service Unit

Recognizing Breast Cancer Awareness Month in October

In an all-staff email in October, IHS Chief Medical Officer Dr. Loretta Christensen reminded us that breast cancer remains one of the most common cancers. But when it's found early, it is also one of the most treatable. That's why early detection matters. If you're over 40 or have a family history of breast cancer, please take the time to talk with your provider about screening options, or have a conversation with your patients. It's essential to take care of ourselves. Make the appointment and make your health a priority.

Screening only takes up a small part of your day, but it can make a big difference in your future. And don't stop with yourself—remind the people you care about, too. A quick check-in with a friend, parent, or loved one might encourage them to take that same step. This month, we hope you'll also take a moment to focus on your own health.

IHS Celebrates National Pharmacy Week

From October 20-26, the IHS will celebrate National Pharmacy Week. We extend our deepest appreciation to our dedicated pharmacy teams who work tirelessly to serve Native communities across our agency. Their expertise, compassion, and commitment play a vital role in improving the health and well-being of those we serve. From ensuring safe and effective medication use to advancing public health and promoting wellness, they make a lasting impact every day. Thank you for your unwavering service, professionalism, and heart. Your work truly strengthens the health of our communities.

HHS Consolidated Acquisition System (HCAS) Accelerator Pilot Launches at IHS

In October, the IHS Division of Acquisition Policy officially launched the HCAS Accelerator Pilot, becoming the first of four HHS Operating Divisions to implement this transformative module. The kickoff brought together nearly 200 program staff and contracting professionals, underscoring IHS's leadership and strong commitment to innovation and collaboration in acquisition modernization.

The HCAS Accelerator Pilot introduces powerful new Requirements and Acquisition Workspaces designed to streamline the acquisition lifecycle. By creating structured, transparent environments for both program and contracting offices, Accelerator enhances collaboration, strengthens consistency, reduces rework, and provides visibility from requirements development through contract award. This launch marks a significant milestone in advancing HHS's vision for a more efficient, connected, and data-driven acquisition enterprise. For more information about the pilot, contact Jeremiah Murrell or Jeffrey Johnston.

Division of Environmental Health Services Offers Long-Term Training Opportunity

The IHS Office of Environmental Health and Engineering's Division of Environmental Health Services is now taking applications for a long-term training program that leads to a two-year Master of Science in Public Health program at the Uniformed Services University. The program provides leadership in the development and implementation of effective environmental health and safety management systems to reduce risks of injury and/or illness to employees, patients, and visitors in IHS and tribal facilities and institutions.

Qualifications include: five years' experience as a professional in environmental health and/or safety; three years' experience in IHS and/or a tribal detail assignment; and demonstrated commitment to institutional environmental health. For the 2026–2028 cycle, applicants must be Commissioned Corps officers currently employed in the IHS or tribal programs. For future cycles, both USPHS officers and civil service employees will be eligible. Interested candidates are encouraged to contact DEHS Institutional Environmental Health Program Manager Brian Hroch at brian.hroch@ihs.gov or 240-478-2724.

2026 Geriatric Nurse Fellowship Application Announcement - Deadline November 14

The IHS Alzheimer's Disease and Dementia Program is accepting applications for the 2026 Indian Health Geriatric Nurse Fellowship Be one of 20 RNs, APRNs, and LPNs from IHS, tribal, and urban Indian health care settings to receive up to $7,500 in financial support. The fellowship kicks off in January 2026 and includes training, mentored activities, leadership involvement, networking, certification options, and more. Apply by November 14. Find more information and the application here.

Oklahoma City Area Hosts Pharmacy Leadership Training

The 16th session of the IHS, tribal, and urban Indian Pharmacy Leadership Training (PLT) Program was held from September 22-26 at the Oklahoma City Area Office with 16 pharmacists from across Indian Country. The course provided 20 continuing education credits and in-depth pharmacy management and operations training to pharmacists serving in or considering transitioning into pharmacy leadership roles. It also helped develop a networked workforce of well-equipped pharmacy leaders to ensure the continuity of future operations, both in and outside the pharmacy setting. The PLT program was created in 2017 and has trained 342 pharmacy leaders from all 12 IHS areas. Thank you to Oklahoma City Area Director Rear Adm. Travis Watts and the IHS National Supply Service Center for your continued support of this valuable program.

Call for Sites for Medical Student and Resident Rotations

IHS now has a central location to share available facilities with medical students and residents seeking to do rotations in Indian Country. Visit this website to search for rotation sites. A search can be conducted based on specific parameters or by clicking on the map to see available rotations at listed facilities. Tribal and urban sites are also encouraged to utilize this service. If your facility is interested in being listed as a hosting site or if you have additional questions, please email Alaina Kayaani-George at alaina.kayaani-george@ihs.gov to be included.

IHC Celebrates Promotion of Office of Environmental Health and Engineering Personnel

Acting Director Benjamin Smith joined the Office of Environmental Health and Engineering at headquarters in early October for an informal gathering to celebrate the promotions of several IHS OEHE personnel in the U.S. Public Health Service Commissioned Corps. Public health officers are an essential part of the IHS team, both at headquarters and in the field across the IHS system. Congratulations to the following on their recent promotions: Capt. Martin Smith, director, OEHE; Capt. Timothy (Matt) Albright, acting director, Division of Environmental Health Services; and Cmdr. Samual Frank, senior EHO (not pictured), DEHS. The Division of Engineering Services branch of the OEHE also celebrated the promotion of several officers, including Capt. Scott Fillerup, general engineer (not pictured) and Capt. Matthew Merganthaler, general engineer (not pictured).

Empowering Native STEM Futures: IHS at the 2025 AISES National Conference

The IHS had a presence at the 2025 American Indian Science and Engineering Society (AISES) National Conference in Minneapolis, Minnesota, which was held on October 2-4. Led by the Division of Sanitation Facilities Construction and the DSFC Centralized Hiring Team, a group of 26 IHS employees from headquarters and eight IHS Areas came together to connect with the next generation of Native leaders in the areas of science, technology, engineering, and math (STEM). IHS team members met with hundreds of students, recent graduates, and professionals during opening and closing ceremonies, the student awards celebration, and networking sessions. The conference attracted over 3,000 attendees in total.

One of the highlights came when Lt. Cmdr. Melissa De Vera (Rocky Boy Chippewa Cree) delivered heartfelt remarks at both the student awards and closing ceremonies. Cmdr. Tristan Woster (Oglala Lakota Sioux Tribe) also represented IHS proudly, leading an insightful session titled "Collaborative Engineering in the Indian Health Service." His presentation highlighted how teamwork and innovation drive progress in tribal communities. During the conference, Woster was also honored for his recent promotion, receiving an eagle feather and star quilt in recognition of his service and leadership.

The IHS presence at AISES highlights the agency’s commitment to cultivating the next generation of Native STEM professionals and building partnerships that support career growth, innovation, and tribal sovereignty.

National Association for Medical Staff Services Conference Draws 1,600 MSPs

The Office of Quality reports that nearly 20 federal, tribal, and urban Indian medical services professionals from across the Indian health system were among the more than 1,600 medical staff professionals (MSPs) who attended the National Association of Medical Staff Services Conference in Portland, Oregon. At the event they earned continuing education credits to maintain their certifications, learned about industry-related updates to accreditation, and obtained insight into governance, increasing compliance, and documenting competency.

Medical services professionals are known as gatekeepers of patient safety. They act as the first checkpoint to verify the essential medical credentials and competencies presented to medical staff for review and to the governing body for approval. This conference is a unique opportunity for MSPs to connect, learn, and grow professionally as they continue to shape the future of medical staffing at their facilities.

TIPCAP Funding Opportunity Webinar: Injury Prevention

Join the IHS Injury Prevention Program on October 15 at 2:00 p.m. ET for a Tribal Injury Prevention Cooperative Agreement Program (TIPCAP) funding opportunity webinar. Learn more about the application process, injury prevention strategies, frequently asked questions, and resources. TIPCAP builds capacity to address injuries and violence for American Indian and Alaska Native people through community-driven, culturally centered approaches. For questions, contact Cmdr. Andrea Tsatoke at andrea.tsatoke@ihs.gov or Cmdr. Molly Madson at molly.madson@ihs.gov. Download the Notice of Funding Opportunity or learn more on the TIPCAP website. The application closes November 13.

HOPE Committee Outreach Campaign Focuses on Medications for Opioid Use Disorder

The IHS National Committee on Heroin Opioids and Pain Efforts (HOPE) Committee has developed an educational outreach campaign that focuses on medications for opioid use disorder to support prescribers and health systems in expanding access and facilitating seamless care coordination. These evidence-based resources are readily available for download, print, or purchase at your convenience.

The IHS recognizes that effective opioid use disorder treatment and recovery begins with creating non-judgmental care spaces, ensuring access to medications across settings, connecting patients to support systems, and promoting harm reduction strategies at all stages of care and remains committed to supporting front-line clinicians with access to tools and resources that further support delivering comprehensive, culturally appropriate health care to American Indian and Alaska Native people.

IHS Recruiters Participate in National Conferences

In late September and October, members of the headquarters Office of Human Resources, the Division of Recruitment and Retention and Loan Repayment Program, the Division of Organizational Development and Performance, along with staff from several IHS Areas recruited at a variety of health care-related conferences across the country. These include the following:

• American Academy of Pediatrics National Conference & Exhibition in Denver, Colorado
• Osteopathic Medical Education Conference in Nashville, Tennessee
• American Society of Radiologic Technologists Conference in San Francisco, California
• American College of Surgeons - Clinical Congress Conference in Chicago, Illinois
• American Academy of Family Physicians' Family Medicine Experience in Anaheim, California
• American Dental Association SmileCon conference in Washington, D.C.

The health professionals at each event expressed an interest in opportunities available with the IHS to provide direct patient care to underserved populations.

Patient Safety Program and VHA Offer Training Opportunities for IHS Staff

The IHS Patient Safety Program partners with the Veterans Health Administration National Center for Patient Safety to enhance training opportunities for agency staff. Through this collaboration, IHS personnel have access to a range of VHA-administered training modules aimed at strengthening patient safety practices across the system. Upcoming virtual training opportunities include:

• Proactive Risk Assessment on November 4 | 6.5 hours ? Register by October 28
• Foundations for Patient Safety Officers on February 3-26, 2026 | 32 hours ?Register by January 27

These training courses are an excellent opportunity for professional development and to promote a culture of safety across IHS. For more information and to register, click here.

Alaska Area Staff Visit Alaska Native Medical Center Emergency Services Expansion

IHS Alaska Area staff visited the Alaska Native Medical Center emergency services expansion recently, operated by the Alaska Native Tribal Health Consortium. The project will boost emergency care capacity and improve access for Alaska Native communities. For more information, visit ANMC Emergency Expansion.

Albuquerque Area Provides ISDEAAA Assistance to Pueblo of Zia to Offer New Programs

On October 15, staff from the Albuquerque Area Office and the Albuquerque Service Unit met with officials from the Pueblo of Zia to provide technical assistance on the Pueblo's Indian Self Determination and Education Assistance Act contract proposal. Once the ISDEAA contract is executed between the parties, the Pueblo of Zia will administer a Community Health Representative program and provide substance abuse services directly to the Zia tribal community. Currently, the IHS provides primary care, dental, podiatry, and behavioral health services at the Zia Health Clinic, a satellite facility in the Albuquerque Service Unit.

Bemidji Area Hospital Receives Recognition Following Evaluation of Programs and Services

In August, Cass Lake Hospital welcomed surveyors from the Joint Commission Laboratory, American College of Radiology, and CMS. Cass Lake performed well with all three evaluations of programs and services. In recognition of the excellent and high-quality services provided by Laboratory Director Ashley Nesset and her stellar staff, they were awarded with a two-year accreditation pursuant to the Joint Commission Accreditation Manual for Laboratory. The amazing radiology staff passed with full compliance with the FDA's Mammography Quality Standards Act requirements. Lastly, CMS conducted an unannounced recertification survey which identified some opportunities for improvement to improve the quality of healthcare services. All of this exemplifies the amazing work being done at Cass Lake and provides us with opportunities so we can improve to higher levels of quality care.

Billings Area Public Health Nurse Retires Following 35 Years of Federal Service

In early October, Fort Peck Service Unit employee and tribal elder Claudia Thompson retired after 35 years of IHS service and 42 years as a nurse. She has worked in the public health nursing capacity at several IHS Areas during her career and retired as a case manager from her home reservation in Fort Peck. Thank you for your long-standing dedication and service to patients across Indian Country. Best wishes on your new retirement endeavors.

FBI Recognizes Great Plains Area Clinic with Director's Community Leadership Award

On September 25, the Four Directions Clinic in Kyle, South Dakota, was recognized with the 2024 FBI Director’s Community Leadership Award for its outstanding work with victims of child sexual abuse and its strong partnerships with the FBI and local law enforcement to hold offenders accountable. Since 2014, the clinic has provided critical services, such as after-hours forensic exams, timely reports of new cases, and federal court testimony that contributed to a 40-year sentence in one case. This award highlights the clinic’s leadership in protecting children and strengthening community safety.

Nashville Area Service Unit Recognizes 2025 Award Recipients

The Catawba Service Unit is proud to recognize its 2025 award recipients for their outstanding dedication, compassion, and leadership. We celebrate the achievements of Francisco Antigua, pharmacist, for Excellence in Customer Service; Daniel Infante, medical records specialist, for Excellence in Customer Service; Chrystal Frank, public health nutritionist, as Employee of the Year; and Stacey Trusnovec, supervisory clinical nurse, for Excellence in Patient Safety. We also extend our gratitude to CEO Tonya Cornwell for receiving the Unsung Hero award. The Catawba Service Unit is incredibly thankful for the hard work of all its staff.

(Clockwise, from top) Staff award winners Francisco Antiqua, Daniel Infante, Chrystal Frank, and Stacey Trusnovec

Navajo Area Hosts Maternal and Child Health Symposium

On September 24, the Navajo Area Health Promotion Disease Prevention Program held its “Maternal and Child Health Symposium: Optimizing Mother and Child Health Outcomes” at the Navajo Nation Museum in Window Rock, Arizona. The purpose of the symposium was to address maternal and child health care gaps by addressing the complex social, structural, and clinical determinants among the Navajo population. This interdisciplinary symposium brought together providers, researchers, and stakeholders interested in advancing health among the Navajo population.

New Pacemaker Clinic at Chinle Service Unit Closes Major Gap in Cardiac Specialty Access

The Chinle Comprehensive Health Care Facility launched a Pacemaker Clinic recently to close a major gap in cardiac specialty access for patients in the central Navajo Nation. Many residents with implanted cardiac devices need checks every 3-6 months and travel hundreds of miles for care. The clinic provides local, routine device evaluations, reducing travel burdens and improving continuity. Primary care partners with an industry pacemaker representative to deliver onsite checks, consult cardiologists as needed, and educate patients on heart disease and device safety. The clinic is also a part of the Native Hearts Advocate Pilot.

Aggie Davis (Case Manager), Traniel Gorman-Begay (Case Manager), and Mike Skaggs (Pacemaker Rep). Not pictured are team members Dr. Josh Wadlin and Dr. Vlad Ioffe

Clothesline Initiative Promotes Awareness of the Impact of Violence and Abuse

On October 16, the Mental Health Department at Four Corners Regional Health Center displayed The Clothesline Project in honor of Domestic Violence Awareness Month. The project is a national initiative to promote awareness of the impact of violence and abuse, to honor a survivor's strength to continue, and to provide another avenue for survivors to courageously break the silence that often surrounds their experience. The shirts displayed in this installation were created by survivors of domestic violence.

In the days of close-knit neighborhoods, women often exchanged information over backyard fences as they hung clothes out to dry. The shirts and clothesline represent these women's voices and experiences. The clothesline acts as an educational, healing, and bonding tool. Hanging the shirt on the line allows survivors, friends, and family to literally turn their back on the pain of their experience and walk away. It also allows those who are still suffering in silence to understand they are not alone.

Oklahoma City Area Hosts Referral Dashboard Training

A referral dashboard training was held on October 8 at the Oklahoma City Area Office with staff from Purchased/Referred Care, Health Information Management, Nursing, Case Management, Clinical Informaticist, and Administration. The session focused on enhancing understanding and use of the OCA referral dashboard, covering workflow standardization, role assignments, and effective dashboard utilization. Participants explored metrics, Power BI tools, fax generation, and best practices to improve referral tracking and communication. The day concluded with hands-on exercises and follow-up planning to support continued improvement in referral management processes.

Patient Benefit Coordinators Attend Medicare Assistance and Senior Health Insurance Training

In a collaborative effort aimed at enhancing both patient care and revenue streams, the Lawton Indian Hospital, the Oklahoma City Area business office coordinator, and Oklahoma Insurance Department recently hosted the Medicare Assistance Program/Senior Health Insurance Counseling Program certification training. The training provides an opportunity for patient benefit coordinators and state community workers to learn about eligibility criteria, policy, coverage options, and appeal options. The interactive workshop is the ongoing commitment to professional development and patient service excellence that coincides with the IHS mission. IHS staff representing Clinton, El Reno, Watonga, Wewoka, Pawnee, Anadarko, and Lawton, along with staff from the Absentee-Shawnee Tribe, were in attendance.

Phoenix Indian Medical Center Assumes Operations of Ak-Chin Clinic

On September 30, Gila River Health Care transferred operation of the Ak-Chin Clinic to the Phoenix Indian Medical Center. The retrocession, effective October 1, was one of the most complex health system transitions in recent IHS history, following nearly two years of trilateral negotiations between the Ak-Chin Indian Community, the Gila River Indian Community, and IHS. PIMC coordinated extensive planning across facilities, equipment, IT, pharmacy, and staffing, transferring 1,400 patient records and creating more than 250 new records through enrollment fairs. This successful transition safeguarded uninterrupted care, honored tribal sovereignty, and set a national model for future retrocessions, made possible by the dedication and commitment of the PIMC team, along with invaluable support from Phoenix Area and IHS Headquarters staff.

Portland Area Staff Promote IHS at University of Washington Career Fair

Two IHS Division of Sanitation Facilities Construction employees from the Portland Area staffed a table at the Civil and Environmental Engineering Career at the University of Washington on October 22. IHS was one of roughly 100 recruiters at the event. Overall, IHS staff spoke with approximately 30 students, the majority of whom were in their junior years and interested in internships. Recruiting efforts like these resulted in the largest ever class of interns for the Portland Area Office of Environmental Health and Engineering Program in 2025. The program placed six interns in three different office locations this past summer.

Portland Area staff members Sam Perry and Sierra Schatz at the Civil and Environmental Engineering Career Fair

Special Diabetes Program for Indians Conducts Quarterly Meeting in Tucson Area

On October 23, the Tucson Area Special Diabetes Program for Indians quarterly meeting was held at the Tohono O'odham Nation (TON) Health Care's San Xavier Health Clinic. The Tucson Area chief medical officer, along with the Tucson Area SDPI primary representative and representatives from the TON, Pascua Yaqui Tribe (PYT), and the Tucson Indian Center provided updates relating to their respective SDPI. All three are continuing to aggressively address prevention and treatment activities. The TON is planning a cycling health event and the PYT continues their work with continuous glucose monitoring. The TIC has plans for upcoming festive holiday health fairs.

Tucson Area staff with representatives of the Tohono O'odham Nation and Pascua Yaqui Tribe

San Diego UIO Hosts Inaugural Women's Health Event

During Breast Cancer Awareness Month, the San Diego American Indian Health Center hosted a women's health event in its inaugural collaboration with the University of California San Diego (UCSD), bringing state of the art mammography directly to the medical home of urban native women living in and around San Diego. In addition to screening mammography, participants received general health screenings as well as one-on-one education with a nurse educator and received gifts with a focus on self-care. This work represents the first of many future collaborations between the California Area IHS, UCSD, and tribal health programs in the region to ensure that Native women have regular access to state-of-the-art screening to drive down the incidence of late-stage diagnosis and breast cancer related mortality.

Nearly 3,000 Attend Native American Health Center's Annual Powwow in Oakland

On September 27, the Native American Health Center hosted their annual Powwow in Oakland, California. This year, NAHC transitioned to a social powwow—a huge hit for the community, drawing around 3,000 attendees. From switch dances and potato contests to everyone entering the arena and dancing to pop artists, the day was filled with excitement, joy, and community. These gatherings not only celebrate Native culture and bring our people together, but also help expand the reach of NAHC, introducing the health center to new audiences and welcoming new members and supporters through its doors.

Tulsa UIO's Butterfly Release Event Offers Opportunity for Healing and Renewal

The Indian Health Care Resource Center of Tulsa recently held a Butterfly Release ceremony honoring survivors of domestic violence, sexual assault, child abuse, and human trafficking. This event welcomed survivors, their families, and support networks to the campus of IHCRC for a moment of healing and renewal. Each participant released a painted lady butterfly, acting as a symbol of hope, resilience, and transformation.

Milwaukee UIO Partners with Med School for Training, Research, and Workforce Development

The Gerald L. Ignace Indian Health Center of Milwaukee, Wisconsin, has announced a new partnership with the Medical College of Wisconsin's medical school. This collaboration will strengthen health care access and medical education in Milwaukee, while advancing culturally responsive care for American Indian and Alaska Native communities. The partnership will create opportunities for medical training, workforce development, and research to expand access and improve health outcomes for our relatives. Great job to GLIIHC for this new venture.

Native American Lifelines Celebrates 25th Anniversary Serving Baltimore Area

On October 13, Native American Lifelines, an urban Indian organization serving Baltimore and Boston, celebrated its 25th Anniversary at the Baltimore Museum of Industry. The event highlighted a quarter of century of service in advancing urban Indian health through community programs, cultural connections, and partnerships. Attendees enjoyed live performances, museum tours, and a Native-inspired culinary experience honoring the organizations' ongoing commitment to health and wellness in urban Native communities. Thank you to CEO Kerry Hawk Lessard and her team for putting on such an amazing celebration.

Seattle Indian Health Board Launches Nationwide Campaign Promoting Urban Indian Health

Urban Indian Health Institute, a division of Seattle Indian Health Board, and one of the 12 Tribal Epidemiology Centers, has launched a nationwide campaign featuring new signage and visual materials to raise awareness of urban Indian health and visibility across several communities nationwide. These campaign signages are being displayed in cities throughout the U.S., highlighting the strength, culture, and resilience of urban Indian organizations and the communities they serve.

Mail Order Pharmacy at Oklahoma City Indian Clinic Moves In-House

The mail-order pharmacy service at the Oklahoma City Indian Clinic has officially moved in-house to better serve patients. Associate Director of Pharmacy Anh Thy Nguyen has worked closely with the pharmacy team over the past year to bring this new service to life. By handling mail-order prescriptions directly from OKCIC, patients now experience faster delivery times, an expanded medication list, and access to refrigerated medications, all without having to make any changes to their current service. This improvement represents a major step forward in patient care, especially for those who face challenges getting to the pharmacy in person. By keeping the service within OKCIC, the clinic continues its mission to provide accessible, high-quality care and remove barriers to essential health services.

IHS Blogs

• Honoring Indian Health Service and Tribal Domestic Violence Providers
• The Role of the Enterprise Collaboration Group
• Early Detection Saves Lives: Making Breast Cancer Screening a Priority
• CMO's Corner: Advancing Cancer Prevention, Screening, and Care
• Decade-long collaboration improves public health outcomes in rural Minnesota

Subscribe to the IHS blog by providing your name and email address in the “Stay Connected” box.

Social Media

Follow the IHS on Facebook, LinkedIn, and X, to see more of what the IHS is doing in your community and around the country. You can also follow the IHS Director on Facebook and X.