PSFA’s available at all
levels
 Service Unit or Operating Unit
 Direct Program Delivery
 Area Office Level May be linked to Operating level services-
 Headquarters Level May be linked to Operating level services
Available Tribal Shares
 Dr. Trujillo appointed a workgroup in 1994 to provide
a recommendation on TS methodologies.
Workgroup focused on HQE share and:
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Identified what funds might be available
Identified Residual
Calculate total $ available as TS
Determine Methodology to distribute HQE TS funds.
Available Tribal Shares
 Some shares were referred to special workgroups like OIT
and Centrally Paid Expenses Workgroup
 Area Offices developed a similar process of identifying TS
and residual in each Area in cooperation with Area Tribes.
 Once established in 1994 and 1995 the Area and HQE TS
have not changed materially except to add inflation and
pay act increases.
 In 1996 the IHS agreed that TS were eligible for CSC with
some special consideration
 20% of tribal share is considered CSC like services
Operating Unit PSFA’s
 Determined generally by the historic level of services and
funding at the operating unit.
 For multiple operating units or Service Units funds may be
divided out (requiring tribal agreement)
 Tribes may choose to leave Function with IHS for multiple
reasons
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Technical staff and program objectives (OEHE)
Outside the mission of Tribe
Difficulty in supporting at local level (OIT functions)
Inadequate Funding (CHS)
PFSA’s left with IHS should be memorialized in the Scope of
work or a separate Continuing Service Agreement.
Area PSFA’s
 Executive Leadership (Include Area Directors Reserve)
 Human Resources- must be maintained to support
Federal IPA/MOA’s
 Finance- mostly residual – some capacity must be
maintained to support IPA/MOA ‘s
 CHS Management- Available with CHS program locally
 Acquisition- Generally available with other local PFSA’s
Area PSFA’s
 Office of Acquisition Management- normally compacted-
 Recruitment and Professional Recruitment – May be
critical to leave with Area Office if Tribe relies on Federal
Employees.
 Planning Evaluation and Statistics OEHE services
 Office of Information Technology (linked to OU and HQE
TS
 Networking
 EHR/RPMS
Headquarters PSFA’s
Many Headquarters PSFA’s are linked to program support
at the local OU level. Others are stand alone national
initiatives
Tribes Taking TS from HQE cannot utilize that PSFA from
Headquarters . (i.e. Listing Tribal Positions on IHS
professional recruiting web site).
Tribes must work with technical and professional staff to
identify key TS at Headquarters and Area Office
Tribes must careful to document services to be retained
when funding for PSFA’s are left at Headquarters
Office of Information
Technology
 Supports RPMS, networks, IT security, and Information
Technology throughout the IHS
 Most complex cost structure and service structure Probably the most often retained service by Tribes who often
continue to rely on IHS Electronic Health Record.
 Tribes should very carefully review the options available
under the OIT service options–
 Tribes should use OIT professionals and Clinicians to evaluate
the options.
 Tribes who do not have the technical and OIT capacity on staff
should utilize the local and Area OIT staff to fully understand
the scope and importance of these services.
Selection of PSFA’s
 Tribes normally select Area and HQE PSFA to take
and retain during Funding Agreement negotiations.
 Understanding Complex PSFA like the OIT shares
may require workgroups and expertise beyond the
negotiation team and outside the negotiation
session.
 Tribes may negotiate negotiate special prices for
some functions that are included within IHS
Funding Tables
Selection of PSFA’s
 PSFA’s may be funded from several lines (sub sub
activity) within the Area or HQE Tribal Share Table.
 The Tribe should take care to specify and record the
scope and level of services that are to be provided
by the IHS for retained resources.
 The Tribe should evaluate the Retained PSFA
through professional staff annually to insure they
are current and appropriate.
 Tribes may alter the selection of any PSFA share at
any time through Amendment to the FA.