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Centennial Accord Plan - Goals and Accomplishments
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Programs

Health Care Authority (HCA)

2008 - 2010

Goals

  • Finalize 2008-10 Centennial Accord Plan.
  • Finalize agency communication protocols.
  • Convene State-Tribal Urban Indian Health Care Workgroup to solicit, make recommendations, and consult directly with tribal governments to address issues of concern regarding health care priorities of the Governor.
  • Meet with tribes and tribal organizations to expand knowledge of HCA’s scope and infrastructure, and provide technical assistance to access programs.
  • Seek ways to support cultural competencies in health care delivery and evidence-based practices relevant to tribal communities.
  • Improve method for tracking and monitoring progress.

2005 - 2007

Goals

  • Seek new opportunities for statetribal partnerships in health care, to make affordable, quality health care more accessible.
  • Make an impact on decreasing American Indian/Alaska Native health disparities.
  • Collaborate with tribes and tribal entities to ensure communication and access to HCA programs and staff.
  • Increase participation in American Indian Health Commission meetings by offering presentations by HCA program and administrative program support functions.
  • Ensure appropriate staff participates in state-tribal government-togovernment training.
  • Update Centennial Accord Plan through consultation with tribes.
  • Improve HCA-tribal contracts to reflect government-togovernment relationship.
  • Develop HCA internal protocols. Improve method for tracking and monitoring progress.

Accomplishments

  • HCA jointly established State-Tribal-Urban Indian Health Care workgroup to coordinate with tribes, Urban Indian programs, and state agencies to solicit, make recommendations, and consult directly with tribal governments to address issues related to the Governor’s health care priorities relevant to tribes and AI/ANs.
  • HCA granted an award of $13,000 in SFY 2008 for the AIHC’s efforts with the State-Tribal-Urban workgroup and to promote HCA’s programs.
  • HCA agency updates and presentations given at AIHC meetings for the purpose of collaboration and communication by HCA Administrator, Deputy Administrator, Medical Director, PDP Director, HCP Director, BH staff, PEBB staff and Tribal Liaison.
  • Director of the Governor’s Office of Indian Affairs and the HCA Tribal Liaison provided an overview of the SB5640 to the Northwest Portland Area Indian Health Board in October 2007.
  • HCA established mandatory training policy for HCA executive team members, managers, and supervisors to attend State-Tribal Government to Government training. Also made training available for those line staff that work with tribes at the recommendation of their supervisor.
  • HCA produced agency highlights and updates for annual Centennial Accord meetings.
  • HCA made revisions to contracts/interagency agreement language to reflect government to government relationship and tribal sovereignty.

2003 - 2005

Goals

  • Ensure communication and collaboration with tribes to help provide access to HCA program areas.
  • Establish method for tracking and monitoring issues and accomplishments.
  • Establish relationships with tribal clinics that are not current contractors.
  • Refer appropriate staff to the tribal government-to-government training as roles within the agency dictate.

Accomplishments

  • Participated in over 35 onsite visits to tribes for purposes of collaboration.
  • Worked collaboratively with tribes and the AIHC to finalized HCA’s first Centennial Accord Plan and Tribal Consultation Policy, March 2004.
  • Participated in tribal meetings and forums such as AIHC, NPAIHB, Tribal Leaders’ Health Summit and 2005 Treaty Symposium to enhance communication and collaboration with tribes.
  • Established interagency collaboration with DSHS and DOH to improve communication and coordination on tribal health issues.
  • Provided HCA’s first onsite tribal government-to-government training coordinated through the Governor’s Office of Indian Affairs, January 2004.

2002 - 2003

Goals

  • Enhance government-to-government relationship with tribes.
  • Develop HCA’s 1st Centennial Accord Plan.

Accomplishments

  • Held consultation meeting with leaders from Port Gamble S’Klallam and Jamestown S’Klallam Tribes, and Quinault Nation, September 2002.
  • Visited Port Gamble S’Klallam and Jamestown S’Klallam Tribes for the purpose of collaboration. Those attending included the HCA Administrator, BH Assistant Administrator, CHS Executive Director, and Tribal Liaison, November 2002.
  • Appointed a tribal representative to the Basic Health Advisory Board, 2003
  • Formalized the Tribal Liaison position in Community Health Services, with direct responsibility for identifying opportunities for improving relationships between the HCA and Washington tribes to promote quality affordable health care to American Indians and Alaska Natives, February 2003.
  • Administrator participated in the May 16, 2003 American Indian Health Commission (AIHC) meeting for the purpose of becoming acquainted with tribes and the AIHC.

Basic Health (BH)

2008 - 2010

Goals

  • Make the BH financial sponsorship program available to all tribes in Washington and provide adequate information for them to determine whether it would be of value to their communities.
  • Provide for early, proactive communication on policy and procedure changes to allow for consultation when appropriate.
  • Provide status updates, joint meetings and effective communication with tribal sponsors and BH staff.
  • Continue to review and improve agreements to reflect the government-to-government relationship with tribes.
  • Collaborate with tribal sponsors to improve business practices to achieve administrative simplification and eligibility determination.
  • Review the effectiveness of quarterly tribal sponsor meetings.
  • Train BH staff in state government-to-government relationships and Centennial Accord goals to increase staff knowledge.
  • Conduct site reviews of tribal sponsor programs to ensure quality and access.

2005 - 2007

Goals

  • Collaborate with tribes to establish new tribal sponsors (when enrollment permits).
  • Establish early, proactive communication on policy and procedure changes to allow for consultation, when appropriate.
  • Conduct site reviews of tribal sponsor programs to ensure quality and access.
  • Collaborate with tribal sponsors to improve business practices to achieve administrative simplification and eligibility determination.
  • Provide status updates and quarterly joint meetings with the tribal sponsors and BH staff.

Accomplishments

  • BH conducted outreach site visits to four tribes to explore tribal financial sponsorship benefits.
  • BH established new active enrollment in tribal sponsor relationships.
    • Shoalwater Bay
    • Indian Tribe 2006
    • Squaxin Island Tribe 2007
    • Kalispel Tribe 2007
    • Makah Tribe 2007.
  • BH developed and provided for BH process in-person operational training for tribal sponsors.
  • BH presented an overview of the Basic Health Financial Sponsorship program at the American Indian Health Commission meeting on January 12, 2007.
  • BH conducted training in government-to-government relations and Centennial Accord goals to increase staff knowledge for current and new employees.
  • BH quarterly joint meetings are pending under review to determine quality and effectiveness.

2003 - 2005

Goals

  • Collaborate with tribes to establish new tribal sponsors (when enrollment permits).
  • Establish early consultation on BH policy changes.
  • Conduct site review of tribal sponsorship programs.
  • Provide quarterly joint meetings with the tribal sponsors and BH staff.

Accomplishments

  • Established four new BH tribal sponsors contracts with the Lower Elwha Klallam, the Quileute Tribe, the Shoalwater Bay Tribe, and the Squaxin Island Tribe.
  • Maintained exemption for existing tribal sponsors from the freeze on new applications.
  • Revised tribal sponsor contract language to allow tribes to verify tribal declaration of non-filing of federal income tax.
  • Provided ongoing quarterly joint meetings with the tribal sponsors and BH staff.
  • Improved internal and external communication structure on tribal accounts.
  • Assigned specific contacts for tribal sponsors.
  • On-going effort to work with tribal representatives to achieve administrative simplification of tribal member eligibility.
  • Identified validation process before tribal members are disenrolled from BH without secondary administrative review and communication with tribal representatives.
  • Conducted annual site reviews of all tribal sponsorship programs.

Community Health Services (CHS)

2008 - 2010

Goals

  • Establish relationships with tribal clinics that are not current contractors.
  • Research alternatives to educate and disseminate cultural competencies in heath care and evidence-based practices relevant to tribal communities.
  • Continue to refine agreements to reflect the government-to-government relationship with tribes.
  • Provide a program presentation at AIHC meeting.

2005 - 2007

Goals

  • Establish relationships with tribal clinics that are not current contractors.
  • Give program presentation at AIHC meeting.
  • Research alternatives to educate and disseminate cultural competencies in heath care and evidence-based practices relevant to tribal communities.

Accomplishments

  • CHS conducted outreach site visits to three tribes that are not current contractors.
  • CHS team conducted a grant application workshop to provide technical assistance specifically for tribes and urban Indian programs interested in applying.
  • 19,124 American Indians/Alaska Natives were served by CHS funded Community Clinics in 2007.
  • CHS awarded primary care grant funding to two urban Indian clinics and three tribal clinics:
    • Seattle Indian Health Board
    • Spokane N.A.T.I.V.E. Health
    • Port Gamble S’Klallam Tribe
    • Shoalwater Bay Tribe
    • Stillaguamish Tribe.
  • CHS awarded Community Health Care Collaborative grant to Port Gamble S’Klallam for a digital technology project focused on electronic medical records and continuity of care.
  • CHS conducted annual site visits to urban and tribal contractors.

2003 - 2005

Accomplishments

  • Established Tribal Liaison function in CHS strategic business plan.
  • Entered into a contract with the Port Gamble S’Klallam tribal clinic, the first tribal clinic to receive CHS grant funds, SFY 2004.
  • Entered into contracts with Shoalwater Bay Tribal Clinic and Spokane N.A.T.I.V.E. Project, SFY 2005.
  • Conducted site visits to tribal and urban clinics.

Health Care Policy (HCP)

2008 - 2010

Goals

  • Provide a Health Record Bank update to the AIHC.
  • Market Health Insurance Partnership (HIP) to tribal communities when applications begin to be accepted in early 2009.

2005 - 2007

Goals

  • HCP is seeking to appoint tribal representative to Health Information Stakeholder Advisory Committee (HIISAC) to actively participate in providing feedback and input to the HCA and the HIIAB in development of a strategy for the adoption and promotion of Health IT and EMRs in Washington State that complies with other requirements for interoperability, privacy, security, etc.
  • Give HCP presentation at an AIHC meeting.

Accomplishments

  • HCP successfully appointed a tribal representative to the Health Information Infrastructure Stakeholder Advisory Committee (HIISAC), Ed Fox served as the tribal representative.
  • HCP Presented the initial recommendations from the Health Information Infrastructure Advisory Board (HIIAB) at the AIHC August 2006 meeting.

Health Technology Assessment (HTA)

2008 - 2010

Goals

  • Give HTA program presentation at an AIHC meeting.
  • Participate in Tribal Leader Health Summit as appropriate.

Office of the Medical Director

2008 - 2010

Goals

  • Explore avenues with tribes to minimize health disparities.

2005 - 2007

Goals

  • Give presentation at an AIHC—Medical Director.
  • Explore avenues with tribes to minimize health disparities.

Accomplishments

  • Presented division overview at the AIHC April 2005 meeting.
  • Indian workgroup discussions.

Prescription Drug Program (PDP)

2005 - 2007

Goals

  • Present tribes with opportunity to examine options to participate in the Prescription Drug Purchasing Consortium.

Accomplishments

  • Director of PDP presented program information at the AIHC February 2006 meeting.
  • As of July 2008, over 82,000 members have enrolled in the WPDP discount card program.

2003 - 2005

Goals

  • Explore the impact of the PDP on tribes and tribal interest.

Public Employees Benefits Board (PEBB)

2008 - 2010

Goals

  • Present tribes with information to assess the advantages of PEBB participation.
  • Accept and evaluate tribal applications to PEBB.
  • Support tribes in the successful implementation of PEBB participation.

2005 - 2007

Goals

  • Present tribes with an opportunity to examine the policy issue of extending access to PEBB coverage to tribal governments for their employees, as a benefit of employment. This reflects what is extended to local governmental entities. A legislative change would be required.

Accomplishments

  • HCA sponsored and worked jointly with tribes and the American Indian Health Commission for Washington State to develop SB5640, 2006 legislation, to expand eligibility of PEBB to tribes for their employees under the same conditions as counties, municipalities, and other political subdivisions. The law becomes effective January 1, 2009.
  • PEBB Staff presented at four AIHC meetings to provided updates on PEBB implementation and application processes at American Indian Health Commission Meetings.
  • PEBB held tribal meeting to discuss the PEBB application process. Eighteen tribes and two tribal organizations were represented.

2003 - 2005

Goals

  • Work with tribes to examine the policy issue of extending access to PEBB coverage to tribal governments for their employees, as a benefit of employment. This reflects what is extended to local governmental entities. A legislative change would be required.

Accomplishments

  • PEBB outreach coordinator gave a presentation at the AIHC March 5, 2004 meeting to explore tribal interest in the PEBB program.

Public Employees Health Plan (PEHP)

2008 - 2010

Goals

  • Establish early, proactive communication with tribes joining PEBB regarding health plan choices and coverage.
  • Facilitate a smooth transition for tribal members selecting UMP and the Aetna Public Employees Plan, including knowledge of their benefits and how to use them.
  • Give presentation at an AIHC meeting.