April 15, 2009
Marvin Paul and Raphael Jimmie ponder priorities with Unit 1 delegates.
Tribal Unity Gathering XVI Priorities by Unit
Of the 58 federally recognized tribes, 13 were unable to attend (listed below) and did not participate in the priority setting: Anvik, Chefornak, Crooked Creek, Georgetown, Lime Village, Napaimute, Nunam Iqua, Paimute (Hooper Bay), Red Devil, Scammon Bay, Shageluk, Sleetmute, and Stony River.
The following priorities were established during the 2009 Tribal Unity Gathering by each of the eleven units within the Yukon-Kuskokwim service region. The tribes that participated in the priority setting session are listed with the priorities.
** indicates a new priority or additional detail to an existing priority.
Unit 1
Alakanuk, Bill Moore's Slough (Kotlik), Chuloonawick (Emmonak), Emmonak, Hamilton (Kotlik), Kotlik
1. Elder Issues-Care, Neglect, Respect, Housing, Nursing Home
** Translators for elders, Dependable/responsible elder escorts, Home care
2. Community Health Aide Issues
3. Alcohol/Drug Abuse Concerns
4. Pharmacy/Medication/Refills
** Translators for elders picking up medication.
5. Health Education: Sex Education, 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
** In the Behavioral Health Department, need more resources (such as Living Assistance) available for those who are FAS/FAE and are 18 years and older.
** Ensuring patients receive complete medical exams.
8. Medical Providers-Hiring, visiting villages, SRCs
9. Village Clinic & Staff-Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
10. Environmental Concerns: Water and Sewer, Dust, Dump
Unit 2:
Algaaaciq (St. Mary's), Asa'carsarmiut (Mt. Village), Iqurmiut (Russian Mission), Marshall, Ohagmiut (Marshall), Pilot Station, Pitka's Point, Yupiit of Andreafski (St. Mary's)
1. Elder Issues-Care, Neglect, Respect, Housing, Nursing Home
** Logistical help for escorts (i.e. transportation, housing, meals).
2. Alcohol/Drug Abuse Concerns
3. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing
4. Pharmacy/Medication/Refills
5. Medical Providers-Hiring, visiting villages, SRCs
6. Village Clinic & Staff-Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
7. Improve continuity of care system-wide/Quality of care concerns
8. Community Health Aide Issues
** Health Aide Housing.
9. Environmental Concerns: Water and Sewer, Dust, Dump
10. Health Education: Sex Education, Water Safety, Injury Prevention
Unit 3:
Aniak, Chuathbaluk, Kalskag, Lower Kalskag
1. ** Contract Health Services
2. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing
** Referral-Where are patients sent?
3. Medical Providers-Hiring, Visiting Villages/SRCs
4. Village Clinic & Staff-Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
5. Pharmacy/Medication/Refills
**More timely delivery of refills.
6. Health Education: Sex Ed, Safety, Water Safety, Injury Prevention (Education: evening sessions for adults and support for kids going on)
** Behavioral Health and Suicide Prevention
7. Alcohol/Drug Abuse Concerns
8. Environmental Concerns: Water and Sewer, Dust, Dump
9. **2010 Tribal Gathering-Emphasis on Native Healing, equal time on resolutions vs. presentations
10. Behavioral Health
** Whole family counseling, not just treatment of patient)
Unit 4:
Akiachak, Akiak, Kwethluk, Tuluksak
1. ** Suicide Prevention
2. Environmental Concerns: Water and Sewer, Dust, Dump
** Mold issues in homes.
3. Community Health Aide Issues
4. Elder Issues-Care, Neglect, Respect, Housing, Nursing Home
5. Alcohol/Drug Abuse Concerns
6. Pharmacy/Medication/Refills
7. Village Clinic & Staff-Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
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
11. Health Education: Sex Ed, Safety, Water Safety, Injury Prevention
Unit 5:
Bethel, Napakiak, Napaskiak, Oscarville
1. ** Cost of Living & Transportation
** Logistical help in Bethel/Anchorage (i.e. lodging, meals, taxi). Ambulance expense: Can YKHC pay? Can it be less expensive? Can YKHC have own ambulance? No established transportation system in village to transport patient in village to clinic or to Bethel.
2. Pharmacy/Medication Issues
** Waiting period for meds to get to clinics. Giving wrong patient medications with same name. Village patients in Bethel waiting for medications miss flights, then it becomes a lodging issue.
3. Alcohol/Drug Abuse and Prevention Programs in Villages
4. Elder Issues-Care, Neglect, Respect, Housing, Nursing Home
** Sent to Anchorage, get homesick, miss their traditional food, illnesses can get worse.
5. ** Waiting time at ER
** How does wait time get reduced? Can clinic hours get extended? Can more doctors be staffed in clinic? Can the Peds doctor go to ER to see babies and kids? Can clinic add hours/open for weekends?
6. Village Clinic & Staff-Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
7. Medical Providers-Hiring, visiting villages, SRCs
Unit 6:
Atmautluak, Kasigluk, Nunapitchuk
1. Pharmacy/Medication/Refills
2. Village Clinic & Staff-Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
3. Elder Issues-Care, Neglect, Respect, Housing, Nursing Home
4. Environmental Concerns: Water and Sewer, Dust, Dump
5. Community Health Aide Issues
6. Improve continuity of care system-wide/Quality of care concerns
7. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing
8. Medical Providers-Hiring, visiting villages, SRCs
9. Alcohol/Drug Abuse Concerns
10. Health Education: Sex Education, Water Safety, Injury Prevention
** Behavioral Health and Suicide Prevention
Unit 7:
Kipnuk, Kongiganak, Kwigillingok, Tuntutuliak
1. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing
2. Health Education: Sex Education, Water Safety, Injury Prevention
** Incorporate traditional knowledge and values from local elders.
** Suicide Prevention, HIV/AIDS, STDs.
3. Elder Issues-Care, Neglect, Respect, Housing, Nursing Home (Cost, dignity, going away from home, language, culture)
4. Pharmacy/Medication/Refills
5. Improve continuity of care system-wide/Quality of care concerns
6. Medical Providers-Hiring, visiting villages, SRCs
** Young doctors-Want providers to stay, not just come in to train.
Unit 8:
Mekoryuk, Newtok, Nightmute, Toksook Bay, Tununak, Umkumiut (Nightmute)
1. Environmental Concerns: Water and Sewer, Dust, Dump
2. Pharmacy/Medication/Refills
3. Elder Issues-Care, Neglect, Respect, Housing, Nursing Home
4. Alcohol/Drug Abuse Concerns
5. Medical Providers-Hiring, visiting villages, SRCs
6. Health Education: Sex Education, Water Safety, Injury Prevention
7. Village Clinic & Staff-Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
8. Improve continuity of care system-wide/Quality of care concerns
9. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing
** Emergency Care response: see injured patients first.
10. Community Health Aide Issues
Unit 9:
Chevak, Hooper Bay
1. Environmental Concerns: Water and Sewer, Dust, Dump
2. Alcohol/Drug Abuse Concerns
3. **FAS-FIT (more assistance)
4. Elder Issues-Care, Neglect, Respect, Housing, Nursing Home
5. Community Health Aide Issues
6. Improve continuity of care system-wide/Quality of care concerns
7. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing
8. Medical Providers-Hiring, visiting villages, SRCs
9. Village Clinic & Staff-Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
10. Health Education: Sex Education, Water Safety, Injury Prevention
11. ** Mental Health Issues (More understand and referrals)
12. ** Emergency Airfare Issues (Assistance needed)
13. Pharmacy/Medication/Refills
14. ** Diabetes (More education and dissemination needed)
Unit 10:
Eek, Quinhagak
1. Medical Providers-Hiring, visiting villages, SRCs
2. Health Education: Sex Education, Water Safety, Injury Prevention
** Suicide Prevention
3. Pharmacy/Medication/Refills
** Ensuring refills are given to patients in a timely manner.
4. Environmental Concerns: Water and Sewer, Dust, Dump
** Control burning and recycling.
5. Community Health Aide Issues
6. Elder Issues-Care, Neglect, Respect, Housing, Nursing Home
** Logistical help (i.e. travel expenses)
7. Village Clinic & Staff-Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
8. Improve continuity of care system-wide/Quality of care concerns
9. Alcohol/Drug Abuse Concerns
10. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing
Unit 11
Grayling, Holy Cross
1. Medical Providers-Hiring, visiting villages, SRCs
2. Alcohol/Drug Abuse Concerns
3. Elder Issues-Care, Neglect, Respect, Housing, Nursing Home
4. Health Education: Sex Education, Water Safety, Injury Prevention
** Suicide Prevention, Diabetes Education, Parental guidance
5. Village Clinic & Staff-Capitol Projects Improvement, Maintenance, Equipment & Supplies, Clinic Transportation, Support Staff
6. Improve continuity of care system-wide/Quality of care concerns
7. Pharmacy/Medication/Refills
8. Community Health Aide Issues
9. Bethel Hospital/Clinic Related Concerns, Quality of Care, Case Managing
10. Environmental Concerns: Water and Sewer, Dust, Dump
