9. 180 Village Clinics 550 Community Health Aides/Practitioners 270,000 Patient Encounters
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Editor's Notes
Alaska Native Tribal Health Consortium was formed in 1998. A question i pose with this picture is “ Is this the NZ workforce of the future?”
The Indian Health Service is a federal programme dedicated to improving the health and well being of Alaska Natives and American Indians. Anatuvik pass 302 pop
NZ is one sixth the land mass of Alaska. The state of Colorado is approximately the same size as New Zealand.
The training is competency based.
Please note I said administer drugs rather than prescribe. There are instances in some of the remote Islands where automated drug dispensers are employed.
Dr Walter Johson one of the original docs to work with TB patients still resides in Anchorage. In the 60's, it was still a volunteer programme primarily ISD Act. Fed's listened to tribes... 1988 doubled federal funding. looked at quality factors and sought to develop a good workforce. 2001 work force issues- Got 3 million in federal funding.need to increase dental health and behaviour health aides I noted that it was not unanimous to emphasise that is was scrutinised and is still in existence today.
Dr Walter Johson one of the original docs to work with TB patients still resides in Anchorage. In the 60's, it was still a volunteer programme primarily ISD Act. Fed's listened to tribes... 1988 doubled federal funding. looked at quality factors and sought to develop a good workforce. 2001 work force issues- Got 3 million in federal funding.need to increase dental health and behaviour health aides
1988 doubled federal funding. looked at quality factors and sought to develop a good workforce. 2001 work force issues- Got 3 million in federal funding.need to increase dental health and behaviour health aides The University of Otago played a role in training some of the initial Dental Health Aides that started in New Zealand. December 3, 2004 The first Alaskan dental therapists educated and trained at the University of Otago will be awarded their Diplomas at the University’s graduation ceremony tomorrow (Saturday 4 December).
Note a combination of health professionals used in Alaska. RN,s NP’s, Physician Assistants, Community Health Aides, GP,s etc
TABE is the test of adult basic education. One to one model preceptorship- 1983 1985 Presession I developed Give basic tools in patient care 1981 I’ve left this info here though probably not relevant for you at this time
Dr Rob Burgess, CHAM 1987 And that book made a significant change in how the material was organized for health aides. It allows you to go in with a symptom, and from that symptom, go in and collect a complete, focused, problem-specific history, exam, lab tests, and then it takes you to charts that allow you to analyze the information, sort of what we call compare and match, history and exam, for an assessment, and from that assessment, takes you directly to the page number for the plan.
Put this slide here to denote that the manual has been well reviewed in the medical community
CHA’s are regulated through a number of mechanisms. Physicians make visits to CHA’s at least twice a year and CHA’s must have specified CME’s credits to maintain certification.
Certification allows for billing into the Medicaid system 1980’s IHS
Certification allows for billing into the Medicaid system 1980’s IHS I put this slide in to denote that a mature programme can represent a significant programme financially.
This slides emphasises that Alaska Natives/ American Indians are not the worse off Health wise, which I have heard anecdotally. Rather Maori have worse health disparities with Australia taking the lead of the three.