April 15, 2008
Harry Maellelle of Grayling discusses health priorities with Kathy Katongan, Project Manager for Performance Improvement. Maillelle was theonly representative from Unit 11.
Tribal Gathering XV Priorities
12 tribes were unable to attend: Pilot Station, Nunam Iqua, Shageluk, Red Devil, Anvik, Oscarville, Hooper Bay, Holy Cross, Hamilton (Kotlik), Georgetown, Chuloonawick (Emmonak), and Aniak.
Unit 1: Emmonak, Alakanuk, Kotlik, Bill Moore's Slough (Kotlik)
1. Alcohol/Drug Abuse Concerns
2. Elder Issues-Care, Neglect, Respect, Housing, Nursing Home
3. Environmental Concerns: Water and Sewer, Dust, Dump
4. Pharmacy/Medication/Refills
5. Community Health Aide Issues
Unit 2: Algaaaciq (St. Mary's), Yupiit of Andreafski (St. Mary's), Marshall, Ohagmiut (Marshall), Pitka's Point, Iqurmiut (Russian Mission), Asa'carsarmiut (Mt. Village), Pilot Station
1. Alcohol/Drug Abuse Concerns
2. Elder Issues-Care, Neglect, Respect, Housing, Nursing Home
3. Health Education: Sex Education, Water Safety, Injury Prevention
4. Environmental Concerns: Water and Sewer, Dust, Dump
5. Community Health Aide Issues
6. Village Clinic & Staff-Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
7. Pharmacy/Medication/Refills
8. Improve continuity of care stystem-wide/Quality of care concerns
9. Medical Providers- Hiring, visiting villages, SRCs
10. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing
Other:
- Pitka's clinic is still closed.
- Marshall has no schedule airline flights to SSRC.
- Don't like new priority setting system. Categories mean something different to each group; specific issues get lost; too short of time to set priorities.
Unit 3: Lower Kalskag, Kalskag, Sleetmute, Chuathbaluk, Crooked Creek, Lime Village, Napaimute
1. Alcohol/Drug Abuse Concerns
2. Behavioral Health
3. Community Health Aide Issues
4. Health Education: Sex Ed, Safety, Water Safety, Injury Prevention
5. Elder Issues- Care, Neglect, Respect, Housing, Nursing Home
6. Environmental Concerns: Water and Sewer, Dust, Dump
6. (tie) Village Clinic & Staff-Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
6. (tie) Medical Providers-Hiring, Visiting Villages/SRCs
6. (tie) Improve Continuity of Care System-wide/Quality of Care Concerns
10. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing
Unit 4: Akiak, Kwethluk, Tuluksak
1. Elder Empowerment
2. Environmental Concerns: Water and Sewer, Dust, Dump
3. Elder Issues- Care, Neglect, Respect, Housing, Nursing Home
4. Village Clinic & Staff-Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
5. Alcohol/Drug Abuse Concerns
6. Health Education: Sex Ed, Safety, Water Safety, Injury Prevention
7. Community Health Aide Issues
8. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing
9. Medical Providers-Hiring, Visiting Villages/SRCs
10. Improve Continuity of Care System-wide/Quality of Care Concerns
Unit 5: Bethel, Napakiak, Napaskiak
1. Elder Issues-Care, Neglect, Respect, Housing, Nursing Home
2. Alcohol/Drug Abuse Concerns
3. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing (Focus on patient travel)
4. Village Clinic & Staff-Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
5. Environmental Concerns: Water and Sewer, Dust, Dump
6. Improve continuity of care system-wide/Quality of care concerns
7. Medical Providers- Hiring, visiting villages, SRCs
8. Health Education: Sex Education, Water Safety, Injury Prevention
9. Community Health Aide Issues
10. Pharmacy/Medication/Refills
Other:
- Speed up appointment visits
- Prematernal Home.
Unit 6: Kasigluk, Atmautluak, Nunapitchuk
1. Alcohol/Drug Abuse Concerns
2. Environmental Concerns: Water and Sewer, Dust, Dump
3. Elder Issues-Care, Neglect, Respect, Housing, Nursing Home
4. Village Clinic & Staff-Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
5. Pharmacy/Medication/Refills
6. Medical Providers- Hiring, visiting villages, SRCs
7. Community Health Aide Issues
8. Improve continuity of care system-wide/Quality of care concerns
9. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing
10. Health Education: Sex Education, Water Safety, Injury Prevention
Other
- Village clinic lease needs to be increased to meet higher fuel and electricity costs.
Unit 7: Kipnuk, Kongiganak, Kwigillingok, Tuntutuliak
1. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing (Focus on patient travel)
2. Improve continuity of care system-wide/Quality of care concerns
3. Medical Providers- Hiring, visiting villages, SRCs
4. Village Clinic & Staff-Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
5. Environmental Concerns: Water and Sewer, Dust, Dump
6. Elder Issues-Care, Neglect, Respect, Housing, Nursing Home
7. Health Education: Sex Education, Water Safety, Injury Prevention
8. Alcohol/Drug Abuse Concerns
9. Pharmacy/Medication/Refills
10. Community Health Aide Issues
Unit 8: Chefornak, Mekoryuk, Newtok, Nightmute, Umkumiut (Nightmute), Tununak, Toksook Bay
1. Alcohol/Drug Abuse Concerns
2. Environmental Concerns: Water and Sewer, Dust, Dump (
3. Elder Issues-Care, Neglect, Respect, Housing, Nursing Home
4. Village Clinic & Staff-Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
5. Medical Providers- Hiring, visiting villages, SRCs
6. Health Education: Sex Education, Water Safety, Injury Prevention
7. Pharmacy/Medication/Refills
8. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing
9. Improve continuity of care system-wide/Quality of care concerns
10. Community Health Aide Issues
Other:
- Specific comments on priorities: 1-Elementary age, sniffing, expectant mothers, hampers employments; 2- Without adequate cleanliness, leads to illnesses; airborne particles to lungs; 3- Source of existence: Yuuyaraq and Yuungnaqsaraq.
Unit 9: Chevak, Hooper Bay Scammon Bay, Paimiut (Hooper Bay)
1. Elder Issues-Care, Neglect, Respect, Housing, Nursing Home
2. Environmental Concerns: Water and Sewer, Dust, Dump (
3. Community Health Aide Issues
4. Alcohol/Drug Abuse Concerns
5. Medical Providers- Hiring, visiting villages, SRCs
6. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing
7. Pharmacy/Medication/Refills
8. Improve continuity of care system-wide/Quality of care con cerns
9. Village Clinic & Staff-Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
10. Health Education: Sex Education, Water Safety, Injury Prevention
Unit 10: Eek, Quinhagak
1. Environmental Concerns: Water and Sewer, Dust, Dump (
2. Pharmacy/Medication/Refills
3. Alcohol/Drug Abuse Concerns
4. Dental Care & Appointments
5. Elder Issues-Care, Neglect, Respect, Housing, Nursing Home
6. Health Education: Sex Education, Water Safety, Injury Prevention
7. Medical Providers- Hiring, visiting villages, SRCs
8. Village Clinic & Staff-Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
9. Community Health Aide Issues (Focus on attitude, customer service, and attendance)
10. Improve continuity of care system-wide/Quality of care concerns
Unit 11: Grayling, Anvik, Shageluk, Holy Cross
1. Village Clinic & Staff-Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
2. Elder Issues-Care, Neglect, Respect, Housing, Nursing Home
3. Alcohol/Drug Abuse Concerns
4. Health Education: Sex Education, Water Safety, Injury Prevention
5. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing
6. Community Health Aide Issues
7. Environmental Concerns: Water and Sewer, Dust, Dump (
8. Medical Providers- Hiring, visiting villages, SRCs
9. Pharmacy/Medication/Refills
10. Improve continuity of care system-wide/Quality of care concerns
