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  • Transcript

    • 1. Chinle Service Unit Navajo Area Indian Health Service Updated: -1/15/08 508 compliant
    • 2. Chinle Hospital Tsaile Health Center Pinon Health Center
    • 3. Spider Rock- Canyon De Chelly
    • 4. The Navajo Reservation
      • 25,000 square miles in size
    • 5. Traditional Cradleboard
    • 6. The Navajo Nation
      • Second largest federally recognized tribe in the United States (Cherokee being first)
      • Approximately 298,000 members nationwide
      • 168,000 members reside on the reservation
      • Half of the population is under age 25
          • Growth rate is nearly 4x that of the U.S.
    • 7. Hogan
    • 8. Census Information
      • 1990
      • 50% without running water/electricity
      • Less than 20% have a telephone
      • 40% speak English less than “very well”
      • 2000
      • 70% with access to clean running water.
      • 40% of homes now with telephone access
        • Greater number if cell phones included
      • 25% speak English less than “very well ”
    • 9. Canyon De Chelly National Monument
    • 10. Census Information
      • 1990
      • 55% of population below Federal Poverty Line.
        • Unemployment rate of 30%
      • 40% over the age of 25 have a high school degree
      • 2000
      • 40% of population below Federal Poverty Line.
        • Unemployment rate of 25%
      • 56% over the age of 25 have a high school degree
    • 11.  
    • 12. 2000 Census Information
      • Navajo
      • Median Age 24
      • Annual Per Capita Income $7,269
      • Persons Living Below Poverty Level: 42.9%
      • Unemployment Rate: 25.1%
      • Persons with HS Diploma >25 years old: 55.9%
      • US
      • Median Age 35
      • Annual Per Capita Income $21,587
      • Persons Living Below Poverty Level: 12.4%
      • Unemployment Rate: 5.8%
      • Persons with HS Diploma > 25 years old: 80.4%
    • 13. 2000 Census Information
      • Navajo
      • Language spoken at home other than English: 93.2%
      • Housing lacking plumbing: 31.9%
      • Housing lacking phone: 60.1%
      • % Using Wood for Heat: 54.3%
      • US
      • Language spoken at home other than English: 17.9%
      • Housing lacking plumbing: 0.6%
      • Housing lacking phone: 2.4%
      • % Using Wood for Heat: 1.7%
    • 14. Canyon De Chelly
    • 15.  
    • 16.  
    • 17. Chinle Service Unit
      • Centrally located on the Navajo Reservation
        • Northeast Arizona
        • Canyon De Chelly
      • Indian Health Service site since 1955
        • Chinle Comprehensive Health Care Facility dedicated in 1982
      • Serves roughly 34,000 patients
      • 716 Full Time Employees
      • Many patients travel 100 miles round trip to clinic
    • 18. Chinle Hospital Entrance
    • 19. Chinle Service Unit
      • Chinle Comprehensive Health Care Center
      • Tsaile Health Center
      • Pinon Health Center
      • Adolescent Clinics
    • 20. Chinle Comprehensive Health Care Facility
      • Full Service Community Hospital
      • 60 beds
        • 12 bed Pediatric Care Unit
        • Nursery
        • 24 bed Adult Care Unit
        • 4 bed Special Care Unit (Adult)
        • 16 bed Obstetrics Care Unit
      • ED – 25,000 visits per year / staffed 24hrs / 9 beds
      • Admitting facility for several area clinics
    • 21. Chinle Comprehensive Health Care Facility
      • 2005 Statistics
        • 179,407 Outpatient Visits
        • 124,285 Primary Care Visits
        • 14.5 Physicians Per 10,000 census population
        • 2,795 Adult / Pediatric Discharges
        • 592 Newborn Discharges
    • 22. Chinle Hospital ER Entrance
    • 23. ER Trauma Bay (one of two)
    • 24. Internal Medicine and Family Practice
      • Outpatient
        • Adult and Family Practice Clinics
        • Mixture of acute and continuity care
      • Inpatient Hospitalist
        • One week every 1-2 months
        • 2 Adult providers on service each week
      • Call
        • One night per week
        • One weekend per month
    • 25. Family Practice
      • Full Spectrum Practice
      • Family Practice Clinic
        • Adult
        • Pediatrics
      • OB/GYN (not required)
      • Labor and Delivery
    • 26. Our Population is Growing
    • 27. Specialty Services
      • Exercise Treadmill Testing
      • Chest Clinic (Latent and Active TB)
      • Pacemaker Clinic, Fracture Clinic
      • Acupuncture Clinic
      • Clinical Services for the Extended Care Facility and the Home for Adults / Children with Exceptional Needs
    • 28. Sub-Specialty Services
      • Visiting MDs from Farmington, Gallup,
      • Flagstaff, Phoenix, Tucson
        • Nephrology
        • Rheumatology
        • Cardiology
        • Neurology
        • Orthopedics
        • Pediatric Pulmonology, Genetics, Cardiology, Neurology
    • 29. Leading Causes of Mortality
      • Unintentional Injuries 22%
      • Heart disease 16%
      • Cancer 12%
      • Pneumonia/Influenza 6%
      • Diabetes 6%
    • 30. Diabetes Prevalence
    • 31. Age Specific Diabetes Prevalence
    • 32. Behavioral Health
    • 33. Unique Pathology
      • Infectious Disease
        • Hantavirus Pulmonary Syndrome
        • Plague
        • Black Widow & Snake Bites!
      • Chronic Lung Disease (not COPD)
      • Uranium Exposure
      • Rheumatic Disease
      • Navajo Neuropathy
    • 34. Medical Education
      • Up to 6 students or residents per month
      • IM/FP/OB-GYN Ambulatory Rotations
      • Allied Health Students (Pharmacy, Rehab, Midwifery, Nursing)
      • Housing, travel stipend provided
    • 35. CME
      • Weekly noon conference
      • Monthly journal club (adult and pediatrics)
      • Noon lectures by visiting specialists
      • Teleconferencing capabilities with University of Arizona for Grand Rounds
      • 2 weeks per year with stipend
    • 36. IHS Employment
      • Salary
        • Civil Servant
        • Commissioned Officer
      • Leave
        • Annual Leave
        • Sick Leave
        • Educational Leave
      • Loan Repayment Opportunities
    • 37. Canyon De Chelly National Monument
    • 38. Life in Chinle
      • Elevation Range 5,500 – 9,000 ft
      • Semi desert plateau with wooded mesa, mountain ranges, canyons and valleys
      • Temperature range 0 – 90 degrees F
        • (with low humidity)
      • Annual rainfall 8.5 inches
      • Seasons: Winter, Wind, Sun, Monsoon
    • 39. Three Turkey Ruins
    • 40. Life in Chinle
      • Activities:
        • Ultimate Frisbee
        • Book Clubs / Film Nights
        • Wellness Center
        • Potlucks
        • Hiking, biking, kayaking, fishing, rock climbing, skiing
    • 41. The Flying Goatheads (Ultimate Frisbee)
    • 42. Chinle “Window Rock”
    • 43. Life in Chinle
      • Services
        • Basha’s Supermarket / Tucson Co-op
        • Restaurants
        • – Garcia’s, Junction, Thunderbird, fast food
        • Wells Fargo Bank, US Post Office
        • Video Rental
        • Churches
        • DSL Internet
    • 44. Some of our government housing… Chinle Pinon
    • 45. Checking out the ball field
    • 46. Puebloan Ruins
    • 47.  
    • 48.  
    • 49. Native Culture
    • 50. Native Culture in Chinle
      • Rodeos, pow-wows, ceremonies
      • Dine Community College – weaving classes, language classes and Native literature classes
      • Native food
      • Native crafts and craft fairs
      • Hiking the canyon with a Navajo guide
    • 51.  
    • 52.  
    • 53. Tsaile Health Center
    • 54. Pinon Health Center
    • 55. Pinon Health Center
      • Outpatient Clinic
      • 15 exam rooms
      • 4 Optometry exam rooms
      • 14 Dental bays
      • Large Physical Therapy area
      • Large Pharmacy Area
    • 56. Pinon Outpatient Department
    • 57. Life in Pinon
      • Elevation Range 5,500 – 9,000 ft
      • Semi desert plateau with wooded mesa, mountain ranges, canyons and valleys
      • Temperature range 0 – 90 degrees F
        • (with low humidity)
      • Annual rainfall 8.5 inches
      • Seasons: Winter, Wind, Sun, Monsoon
    • 58. Life in Pinon
      • Activities:
        • Book Clubs / Film Nights
        • Potlucks
        • Gardening
        • Fire pits
        • Hiking, rock climbing, camping, biking, and cross country skiing all in the backyard
        • Downhill skiing, kayaking, rock climbing, and fishing are all within a few hours
    • 59. Pinon Health Center Departments IM, FP, Peds OB/GYN, CNMs Counseling Dietary and Community Nutrition Dental Health Promotions Laboratory and X-ray Native Medicine Optometry Pharmacy Physical Therapy Podiatry Public Health Nursing
    • 60. Navajo Rug
    • 61. Navajo Wedding basket
    • 62. Petroglyphs
    • 63. Life in the Four Corners
      • Skiing
        • Southern Colorado: Telluride, Durango, Wolf Creek
        • Northern New Mexico: Taos
        • Salt Lake City, Utah: Park City
        • Northern Arizona: Snow Bowl
      • Mountain biking – Moab, Durango
      • Ice climbing – Ouray
      • Hiking/canyoneering – Grand Canyon
      • White water rafting – Green River, Colorado River, San Juan River
    • 64. Hanging Ladders Trail!
    • 65. Twin Trails – Canyon De Chelly
    • 66. Telluride, Colorado
    • 67. Life in the Four Corners
      • National Parks – Canyonlands, Arches, Mesa Verde, Bryce, Zion, Capitol Reef, Monument Valley, Grand Canyon, Chaco Canyon, and MORE!!
      • Hubbell Trading Post Historical Site
      • Nearest Cities – Flagstaff, Albuquerque, Phoenix, Sedona, Las Vegas
    • 68. Grand Canyon
    • 69. Hubbell Trading Post
    • 70. Spider Rock
    • 71. Contact Info
      • Heidi Arnholm – Physician Recruiter
      • 928-674-7607 [email_address]
      • Jaime Begay – Department Secretary
        • 928-674-7609 [email_address]
      • Personnel Department
        • 928-674-7020
    • 72. Contact Info
      • Joe Salay, MD – Chief of Family Practice, [email_address]
      • Scott McGarvey – Chief of Internal Medicine, [email_address]
      • Melissa Lee – Internal Medicine/Peds, [email_address]
      • Sean Meade, MD – Chief Medical Officer-Pinon [email_address] 928-725-9533