Exam (elaborations)
HCA Systems - Indian Health Services Questions and Answers 100% SOLVED
- Course
- Institution
HCA Systems - Indian Health Services
[Show more]
Content preview
HCA Systems - Indian Health ServicesMany Native Americans are opting to run their own healthcare services rather than
allowing Indian Health Services (IHS) to do it for them. Why do you think tribes are
making this choice? - answerI think this change is part of the determination that Native
Americans have to be a self-governing part of this country. They would rather run their
own healthcare services, than receive guidance from the same government that
dismantled them. Under tribal run healthcare services, they can make the changes that
they need faster without having to go through the IHS. Studies have even shown that
they have better quality, coverage, and easier access to healthcare services when
operated by the tribe. If the separation to tribal run healthcare continues to improve their
quality, than I fully support it. I can see however, that the success of the tribal run health
services would be fully dependent on the quality of people that are governing it.
566 Federally recognized tribes in 36 states (American Indians and Alaskan natives) -
answer
Indian Health Services (IHS) - answer Mission: To raise the physical, mental, social,
and spiritual health of American Indians and Alaskan natives to the highest level
Goal: To assure that comprehensive, culturally acceptable personal and public health
services are available and accessible to American Indian and Alaskan Native People
Foundation: To uphold the federal government's obligation to promote healthy American
Indian and Alaska Native people, communities, and cultures and to honor and protect
the inherent sovereign rights of tribes.
Historical Basis - answer-Pre-contact/traditional medicine
-Impact of European settlements
-Constitution/Treaties/Legislation
-Supreme Court
(sovereignty)
(Federal Trust responsibility)
(government to government relationship)
Significant Policy/Legislation Affecting Indian Health - answer1800's - Responsibility of
the war department
Indian Removal
- Indian removal act of 1830
- 1836 Medical Services for land cessions
1849 BIA/Department of Interior
, Dawes Act - General Allotment Act 1887
- Reservation land divided into allotments
- Ban on traditional practices
Historical Development of Indian Health - answer-Treaty/Trust Responsibility
-Reservation health care is federal responsibility
-Federal policy of tribal self determination
(Began in the mid-1970s for a number of services, previously managed by the federal
government. )
-Since the 1980s, a growing number of native nations have taken over managment of
various aspects of health-care delivery
Indian Health Services - answer-Under the US department of Health and Human
Services
- Comprehensive, primary health care system and some public health services (only
federal agency to provide direct medical care)
- Trust Responsibility: Members of federally recognized tribes
IHS overview - answerServes 2m people in 566 tribes
12 area offices and 163 IHS and tribally managed service units
Tribal operated health care services
Tribal facilities are operated under the authority of the Indian self-determination and
education assistance act (public law 93-638)
A quick look at the size of the IHS - answer- FY 2012 spend authority is approximately
$5.0 billion
- IHS total staff consists of about 15,000 smployees - 2,400 nurses, 800 physicians, 400
engineers, 500 pharmacists, 300 dentists, 300 sanitarians
-
IHS I/T/U - answerI = IHS federally operated facilities
T = Tribally operated facilities - established under PL 93-638, Indian self-determination
act
U = urban health programs - established under the Indian Health Care improvement Act
IHS Overview - answer82 Title V compacts (nearly 60% of tribes 337)
231 Title 1 contracts
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller julianah420. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81311 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now