April 15, 2007
Senior and Disabilities Administrator Liz Lee (right) works with Peter Jacobs and other representatives from Unit 5 to prioritize health concerns.
During the past year, YKHC Leadership analyzed all the priorities for the past six years and summarized the top 10 categories. This year, Tribes rated those priorities in order of importance for them. Some Tribes added concerns that were not among the summarized listing.
Unit 1
Alakanuk, Emmonak, Kotlik, Nunam Iqua
1. Alcohol/Drug Abuse Concerns
2. Elder Issues—Care, Neglect, Respect, Housing, Nursing Home
3. Environmental Concerns: Water and Sewer, Dust, Dump
4. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing
5. Improve Continuity of Care system-wide/Quality of Care Concerns
6. Medical Providers–Hiring, Visiting Villages/SRCs
7. Village Clinic & Staff—Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
8. Health Education: Sex Ed, Safety, Water Safety, Injury Prevention
9. Pharmacy/Medication/Refills
10. Community Health Aide Issues
Other Concerns: CT Scan, Suicide Prevention, Generators for Clinics
Unit 2
Andreafsky, Marshall, Mtn. Village, Pilot Station, Pitka's Point, Russian Mission, St. Mary's
1. Village Clinic & Staff—Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
2. Environmental Concerns: Water and Sewer, Dust, Dump
2. Community Health Aide Issues
4. Elder Issues—Care, Neglect, Respect, Housing, Nursing Home
5. Alcohol/Drug Abuse Concerns
6. Improve Continuity of Care system-wide/Quality of Care Concerns
7. Medical Providers–Hiring, Visiting Villages/SRCs
8. Health Education: Sex Ed, Safety, Water Safety, Injury Prevention
8. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing
10. Pharmacy/Medication/Refills
Other: Child/Family counselors to address child issues and problems from "living in crisis', domestic violence, deaths, abuse, suicide. SRCs need assisted living homes. Start small with model homes with few clients.
Unit 3
Aniak, Chuathbaluk, Crooked Creek, Lime Village, Lower Kalskag, Red Devil, Sleetmute, Stony River, Upper Kalskag
1. Cancer Testing
2. Alcohol/Drug Abuse Concerns/Suicide Prevention & Awareness
3. Community Health Aide Issues
4. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing
5. Improve Continuity of Care system-wide/Quality of Care Concerns
6. Health Education: Sex Ed, Safety, Water Safety, Injury Prevention
7. Elder Issues—Care, Neglect, Respect, Housing, Nursing Home
8. Environmental Concerns: Water and Sewer, Dust, Dump
9. Medical Providers–Hiring, Visiting Villages/SRCs
10. Village Clinic & Staff—Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
Unit 4
Akiachak, Akiak, Kwethluk, Tuluksak
1. Environmental Concerns: Water and Sewer, Dust, Dump
2. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing
3. Alcohol/Drug Abuse Concerns
4. Pharmacy/Medication/Refills
5. Elder Issues—Care, Neglect, Respect, Housing, Nursing Home
5. Community Health Aide Issues
5. Medical Providers–Hiring, Visiting Villages/SRCs
8. Village Clinic & Staff—Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
8. Health Education: Sex Ed, Safety, Water Safety, Injury Prevention
10. Improve Continuity of Care system-wide/Quality of Care Concerns
Other: More Health Aides, More Medicaid Travel Money
Unit 5
Bethel, Napakiak, Napaskiak, Oscarville
1. CT Scan
2. Elder Issues—Care, Neglect, Respect, Housing, Nursing Home
3. Alcohol/Drug Abuse Concerns
4. Environmental Concerns: Water and Sewer, Dust, Dump
5. Health Education: Sex Ed, Safety, Water Safety, Injury Prevention
6. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing
7. Improve Continuity of Care system-wide/Quality of Care Concerns
8. Pharmacy/Medication/Refills
9. Medical Providers–Hiring, Visiting Villages/SRCs
10. Dental Clinic
11. Village Clinic & Staff—Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
Unit 6
Atmauthluak, Kasigluk, Nunapitchuk
1. Alcohol/Drug Abuse Concerns
2. Environmental Concerns: Water and Sewer, Dust, Dump
3. Village Clinic & Staff—Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
4. Improve Continuity of Care system-wide/Quality of Care Concerns
5. Elder Issues—Care, Neglect, Respect, Housing, Nursing Home
6. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing
7. Community Health Aide Issues
8. Health Education: Sex Ed, Safety, Water Safety, Injury Prevention
9. Medical Providers–Hiring, Visiting Villages/SRCs
10. Pharmacy/Medication/Refills
Unit 7
Kipnuk, Kongiganak, Kwigillingok, Tuntutuliak
1. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing
2. Improve Continuity of Care system-wide/Quality of Care Concerns
3. Told to come back to the Clinic when I am worse.
4. Travel costs and lodging problems
5. Mis diagnosis and Wroge Prescription/Meds and Refill problems
6. Lack of Efficient/Effective care due to Medicaid /Medicare Benefits
7. Village Clinic & Staff—Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
8. Alcohol/Drug Abuse Concerns
9. Elder Issues—Care, Neglect, Respect, Housing, Nursing Home
10. Health Education: Sex Ed, Safety, Water Safety, Injury Prevention
Unit 8
Chefornak, Mekoryuk, Newtok, Nightmute, Toksook Bay, Tununak
1. Environmental Concerns: Water and Sewer, Dust, Dump
2. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing
3. Alcohol/Drug Abuse Concerns
4. More Medevac Teams
5. Pharmacy/Medication/Refills
5. Community Health Aide Issues
6. Health Education: Sex Ed, Safety, Water Safety, Injury Prevention
7. Improve Continuity of Care system-wide/Quality of Care Concerns
8. Medical Providers–Hiring, Visiting Villages/SRCs
8. Village Clinic & Staff—Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
9. CT Scanner
10. YKHC Annual Conference in Villages and Technical Assistance
Unit 9
Chevak, Hooper Bay, Scammon Bay
1. Community Health Aide Issues
2. Environmental Concerns: Water and Sewer, Dust, Dump
3. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing
4. Alcohol/Drug Abuse Concerns
5. Health Education: Sex Ed, Safety, Water Safety, Injury Prevention
6. Village Clinic & Staff—Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
7. Pharmacy/Medication/Refills
8. Improve Continuity of Care system-wide/Quality of Care Concerns
9. Elder Issues—Care, Neglect, Respect, Housing, Nursing Home
10. Medical Providers–Hiring, Visiting Villages/SRCs
Other: Behavioral Health Support. SRC Support in Unit 9. Prevent Overcrowded Housing (RSV)
Unit 10
Eek, Quinhagak
1. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing
2. Village Clinic & Staff—Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
3. Community Health Aide Issues
4. Medical Providers–Hiring, Visiting Villages/SRCs
5. Pharmacy/Medication/Refills
6. Health Education: Sex Ed, Safety, Water Safety, Injury Prevention
7. Improve Continuity of Care system-wide/Quality of Care Concerns
8. Alcohol/Drug Abuse Concerns
9. Elder Issues—Care, Neglect, Respect, Housing, Nursing Home
10. Environmental Concerns: Water and Sewer, Dust, Dump
Unit 11
Anvik, Grayling, Holy Cross, Shageluk
1. Village Clinic & Staff—Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
2. Pharmacy/Medication/Refills Too Slow
3. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing
4. Elder Issues—Care, Neglect, Respect, Housing, Nursing Home
5. Medical Providers–Hiring, Visiting Villages/SRCs
6. Alcohol/Drug Abuse Concerns (Wellness Cou9nselor Make Regular Visits)
7. Community Health Aide Issues (Medevac Response)
8. Health Education: Sex Ed, Safety, Water Safety, Injury Prevention
9. Improve Continuity of Care system-wide/Quality of Care Concerns
10. Environmental Concerns: Water and Sewer, Dust, Dump