Northwest Tribal Epidemiology Center
(The EpiCenter)
April-June 2015 Quarterly Report
Northwest Tribal Epidemiology Center Projects’ Reports Include:
CDC Assignee
Epicenter Biostatistician
Immunization and IRB
Injury Prevention Program (IPP)
Maternal Child Health Projects
Medical Epidemiologist
Northwest Native American Research Center for Health (NARCH)
Northwest Tribal Cancer Control Project
Northwest Tribal Dental Support Center
Northwest Tribal Registry Project-Improving Data and Enhancing Access (IDEA-NW)
Wellness for Every American Indian to View and Achieve Health Equity (WEAVE)
Western Tribal Diabetes Project
CDC Assignee
Jessica Marcinkevage, Epidemic Intelligence Service (EIS) Officer
TB cluster on Washington Reservation
 Continued to follow-up with Clinic CEO to request tribal approval of the manuscript. Approval is still pending, as he
has not been able to present it to or through the proper channels. We last spoke on June 25 and agreed to
continue correspondence
Diabetes-related hospitalizations among AI/AN in the Pacific Northwest
 EIS Conference, Atlanta, GA, April 20-23. The diabetes-related hospitalizations project was presented successfully
at the EIS Conference. There was good discussion generated from the presentation, including questions from the
staunchest of critics of EIS Alumni.
 American Diabetes Association (ADA) Annual Meeting, Boston, MA, June 5-9: Presented findings from the analysis
of NDW data on diabetes-related hospitalizations in Northwest AI/AN during a poster session. I received inquiries
from 3 individuals: one American Indian doctor who conducted research at Wake Forest University, one from CDC,
and one from the state of Idaho. I also attended sessions during the meeting, including the use of clinical “big data”
(or “real-world data” as I learned it’s preferably called) for research purposes.
 Council for State and Territorial Epidemiologists (CSTE) Annual Meeting, Boston, MA, June 12-18: Presented
findings from the analysis of NDW data on diabetes-related hospitalizations in Northwest AI/AN during a poster
session. I received inquiries from 7 people: 2 researchers from Navajo TEC, 1 researcher from Great Plains TEC, 1
clinician from WA State, 1 person from the Diabetes Program in Montana State, 2 people from CDC. The poster was
also selected as one of 5 finalists for the Robert Wood Johnson Foundation National Award for Outstanding
Epidemiology Practice in Addressing Racial and Ethnic Disparities. Though I was not the recipient, I was honored as
a finalist at the President’s dinner. I also attended several sessions during the meeting, including break-out
sessions on chronic disease, Tribal BRFSS, substance abuse.
 We continue to work on the analysis, with assistance from CDC biostatistician, to identify risk factors for
hospitalization. We plan to present our findings in a manuscript, to be completed by fall 2015.
Public Inquiries
 While at EIS Conference I was contacted by Orion McCotter, Mycotics Disease Branch, about coccidoidomycosis in
the Northwest. He will be in Portland for a meeting on this topic in early summer. We participated in a conference
call with him and the OR State Veterinarian early this month to discuss this topic, and how it might be affecting our
tribal populations.
 Bridgett Caniff received an inquire from folks at the NW Center for Public Health Practice regarding conducting a TB
needs assessment among tribal clinicians and others who work with AI/AN individuals. We sat in on a conference
call with representatives from the organization who would be leading the assessment, reviewed their document via
email, and provided input on appropriate channels to distribute the assessment, as well as key persons/
stakeholders to involve.
Partner/external agency meetings
 CDC EIS Conference, Atlanta, GA, April 20-23.
 American Diabetes Association (ADA) Annual Meeting, Boston, MA, June 5-9.
 Council for State and Territorial Epidemiologists (CSTE) Annual Meeting, Boston, MA, June 12-18.
 IHS General Data Mart Users Group Meeting
 CSTE Tribal Epi Group Quarterly Call
 OHSU Faculty meetings
Epicenter Biostatitician
Nancy Bennett
Conference Calls:
TPHEP conference planning calls weekly
o Planning conference
o Abstract review
Immunization project
o Webinar/call with sites and IHS
NPAIHB Meetings:
Tribal Health Profiles meeting bi-monthly
o Begin tribe specific reports
Immunization project
o Work on SQL code for the NextGen sites
o Review step by step instructions for RPMS sites
Conferences/QBMs/Out of area Meetings
TPHEP conference Quinault, WA June 9-10 2015
SAS Global Conference, Dallas, TX
TEC meeting Nashville, TN
Miscellaneous
Continue work on Tribal specific THP reports
Reports:
Site specific THP
Site Visits:
Coeur d’Alene site visit for Immunization project
Coos Bay site visit for immunization project
Immunization and IRB
Clarice Charging
Meetings:
National Epi Center meeting, Nashville, TN, May 5-7, 2015
Adult Composite Immunization Measure (ACIM) planning meeting, May 19, 2015
ACIM planning meeting, June 2, 2015
IPAT meeting, June 4, 2015
NTCCP Risky Business, Kah-Nee-Ta Lodge, June 25, 2015
ACIM planning meeting, June 30, 2015
Conference Calls:
National flu Immunization Preparedness plan, May 15, 2015
Portland area monthly flu preparedness update, May 18, 2015
ACIM project planning meeting, May 28, 2015
Portland area monthly flu preparedness update, June 30, 2015
PA IRB Meetings:
Portland area IRB administration meeting, April 28, 2015
Portland Area IRB committee webinar meeting with WSU IRB and face to face meeting with Portland area IHS IRB
committee members, May 12, 2015
Portland Area IHS IRB meeting, June 9, 2015
During the period of April 1-June 30, 2015 Portland Area IRBNet program has 109 registered participants, received 4 new
electronic submissions, processed 12 protocol revision approvals, and approved 4 publications/presentations,
Provided IT and IRB regulation assistance to Primary Investigators from:
1)
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5)
CTUIR
NARA
University of Colorado
Fred Hutchinson
OHSU
Injury Prevention Program
Bridget Canniff, Project Director
Luella Azule, Project Coordinator
Conference Calls
 4/20 TIPCAP Advisory Conference call (Luella)
 4/30 CDC/NCIPC-EpiCenter quarterly Injury call (Bridget and Luella)
 5/19 Econometrica conference call (Bridget and Luella)
Meetings/Conferences/Presentations
 4/13 TIPCAP site visit with Mark Stewart, Econometrica (Bridget, Luella and Celeste Davis)
 5/21 Elder falls grant planning meeting with Celeste Davis
 6/3 Webinar: Creating Partnerships (Luella)
 6/9-10 Tribal Public Health Emergency Preparedness Conference, Quinault Indian Nation, Ocean Shores, WA (Bridget)
 6/24 NARCH Lecture: Tots2Tweens
 6/26 THRIVE Showcase
Trainings/Webinars
 4/27 Webinar: Community Health Workers Public Health & Health Care collaborating for Health Equity (Luella)
 5/5 Webinar: Interpreting Program Impact & Outcomes: Reporting Findings to Key Stakeholder & Community –
Econometrica/IHS (Bridget and Luella)
 6/24 Webinar: Implementing and Sustaining Chronic Disease Self-management Education Programs (Webinar)
Core Activities
April
 4/3 Semi-annual report submitted to IHS
 4/22 Resolution for AOA Falls Prevention (due 6/1) and IHS Injury Prevention (due 6/15) funding applications
 4 IPP e-mails to Tribal IP Contacts, IP Coalition Committee or CPS technicians
May
 Update CPS tech contacts and list-serv (Luella)
 Work with NWWIHB, member tribes, other partners, to finalize submission for AOA Elder Falls grant due 6/1
 8 IPP e-mails to Tribal IP Contacts, IP Coalition Committee or CPS technicians (Luella)
June
 6/1 Elder Falls project application submitted to Administration on Aging (HHS) – awarded projects would start 9/1/15.
The proposed project, to implement Tai Chi and Stepping On (a 7-week multifaceted elder-falls prevention program) at
Northwest tribes, is a collaboration with Northwest Washington Indian Health Board, and would promote program
implementation at up to 9 tribal sites over the next two years.
 6/15 Injury Prevention Part II (project funding) application submitted to IHS – awarded projects would start 9/1/15.
NPAIHB proposes to update and expand the Injury Prevention in Indian Country toolkit originally developed with CRIHB
and OCAITHB in 2008. (Bridget)
 4 IPP e-mails to Tribal IP Contacts, IP Coalition Committee or CPS technicians (Luella)
Travel/Site Visits
Location: Rockville, MD
Date: June 16-18, 2015: Annual IHS Injury Prevention grantee meeting, final year of current 5-year grant.
Maternal Child Health Projects:
Jodi Lapidus, Native CARS PI
Tam Lutz, PTOTS Project Director/Jr Investigator
Nicole Smith, MCH Biostatistician
Candice Jimenez, Research Assistant
Thomas Becker, Co-PI (TOTS to Tweens)
Native CARS Study
During the current dissemination phase, we specifically aim to:
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Develop the Native CARS Atlas (link to http://www.nativecars.org), a toolkit to assist tribes in implementing and
evaluating evidence-based interventions to improve child passenger restraint use on or near tribal lands.
Facilitate the use of the Native CARS Atlas (link to http://www.nativecars.org) in the six tribes that participated in the
original initiative, to help sustain improvements in child passenger restraint use achieved during the intervention phase
and provide lessons on use of the toolkit for other tribes.
Use the Native CARS Atlas (link to http://www.nativecars.org) to assist at least 6 new tribes in the Northwest with
demonstrated readiness to implement interventions to improve child passenger restraint use in their communities
Project News & Activities
This quarter the Native CARS Study continued with the developmental work of the dissemination phase of the study, meeting
with contractors, working with tribal site content experts to draft, edit and finalize specific dissemination modules. Two site
coordinators came to Portland to review and record their health education presentations for the Native CARS Atlas website.
They were assisted by Investigator Lapidus and Smith as well Project staff Jimenez and Putman. The IHS primary care provider
article was finally published this quarter as well as an article in the NPAIHB’s Health News both were written my Co-Investigator
Smith. Co-Investigator Lutz presented study design and results at the Summer Institute’s Atlasti Training that she was Coteaching with Dr Ricardo Contreras this June.
PTOTS Study
TOT2Tweens Study
A staggering proportion, 3 o f 4 American Indian/Alaska Native (AI/AN) children between the ages of 2-5, have
experienced tooth decay, o v e r two-thirds have untreated decay, and over half have severe tooth decay. While this may
politely be referred to as a "health disparity," it could more aptly be termed a "health disaster." Many AI/AN children
experience tooth decay before the age of two. Tooth decay in that age group leads to further tooth decay and other oral
health problems later in childhood.
The newly funded TOTS to TWEENS is a follow up study to The TOTS Study (Toddler Obesity and Tooth Decay) Study) an early
childhood obesity and tooth decay prevention program. The goal of this study is to survey and conduct dental screenings with
the original group of toddlers to test whether interventions delivered in the TOTS will influence the prevalence tooth decay in
older children. Through qualitative approaches, the study will also assess current community, environmental and familial
factors that can influence oral health in children to understand any maintenance of preventive behaviors over the last ten years
within the entire family.
The TOTS2Tween Study is administered through the NW NARCH program at the NPAIHB. The TOTS2TWEENS Study will be led
by Co-Principal Investigators, Thomas Becker, MD, PhD and Tam Lutz, MPH, MHA.
Project News & Activities
The TOTS2Tweens Study has been working hard on getting all study protocols complete and ready for submission to the PA IHS
IRB as well as working with each study site to obtain Tribal resolutions, data sharing agreement and contracts. Co-PI made her
first presentation regarding the study to the Lummi Nation Health Commission June 23, 2015 and to the Summer Institute on
June 24, 2015 We hope to begin study data collection of Fall 2015 pending IRB approval.
BOARD ACTIVITIES
Program Support or Technical Assistance
 BRFSS technical support
 Provide reporting to NARCH program on past NARCH activities, Jan-Feb (Tam, Nicole)
 Coquille BRFSS technical support/meetings, Mar (Nicole)
 Edit/revise Cow Creek BRFSS paper, Mar (Nicole)
PTOTS and TOTS to Tweens
Program Support or Technical Assistance
 Drafted Site Coordinator Job Description for PI (Julia)
 Drafted Amendments/Modifications to Dental Measurement Protocol for PI (Julia)
 Ordered Screening Supplies & Inventory of existing Dental Supplies (Julia)
 Completed Online Human Subjects Training (Julia)
 Literature research on Oral Health Questionnaire/Surveys (Candice)
 Communication with Jefferson Greene for Study Logo (Candice)
 Dental Form draft (Nicole)
 KAB development (Candice, Tam, Nicole, Julia)
 Emailed all TOTS to Tweens sites
 Set up meeting with Nez Perce, Lummi and Shoshone Bannock (Tam)
 Reviewed dental form and protocol with Nicole and Julia (Tam)
 Submitted abstract draft and head shot for Summer Institute luncheon presentation (Tam, Tom)
 Reviewed logo drafts and requested edits (Tam)
 Revised Data Sharing Agreement and MOU’s with team input (Julia)
 Revised Resolution templates (Tam)
 Revised OHSU/NPAIHB sub-contract for Eli Shwarz (Tam, Julia)
 Drafted KAB questionnaire (Candice, Tam, Julia)
 Literature research on Oral Health Questionnaire/Surveys (Julia, Candice)
 Provided KAB resources for questionnaire for tracking (Candice)
 Researched Federal Poverty Guidelines used by BRFSS for KAB questionnaire (Candice)
 Communication with Jefferson Greene for Study Logo (Candice)
 Reviewed logo drafts and requested edits (Tam, Nicole, Julia, Candice)
 Child questionnaire development (Nicole)
 Dental questionnaire development (Nicole)
 Dental database development (Nicole)
 Analysis strategy development (Nicole, Tam, Gerardo, Maxine, Eli and Jodi)
 Data Protocol Development (Nicole)
 Developed budget and budget justification for continuation (Tam)
 Drafted and finalized Progress report for continuation (Tam)
 Completed all documentation for form needed for continuation (Tam)
 Drafted and finalized subcontract forms for OHSU (Tam)
CARS
Program Support or Technical Assistance
 Travel preparation for Kidz in Motion Conference (Candice)
 Sent documentation needed to KIM for conference (Tam)
 Module 1: Reviewed content (Julia)
 Module 2: Prepared additional resources to attach to module for toolkit (Candice)
 Module 3: Reviewed content (Julia)
 Module 4: Draft and Test Epi Info database (Nicole, Julia)
 Module 4: Revised outline and text for qualitative section (Tam)
 Module 5: Restructured Content (Nicole)
 Module 5: Draft intervention plan templates (Candice)
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Module 7: Revised draft (Tam, Becca)
Module 7: Reviewed Teacher’s Guide and Student Manual (Candice)
Module 8: Edited content (Nicole)
Module 9: Reviewed latest KAT edits in ‘Other Policy’ section (Candice)
Module 9: Gathered ID hospital information regarding car seat policies with Crissy (Candice)
Module 9: Researched New Mexico Hospital Policies and state law on CSS (Julia)
Module 9: Revised Draft (Tam)
Module 9: Electronic Health Record Patch Research and Development with Katie (Tam, Erik)
Module 9: Reviewed content (Julia)
Module 9: Reviewed Bernadine’s latest draft to module pre-last draft copy (Candice)
Finalized Shoshone Bannock Intervention Plan to test (Tam)
Finalized Shoshone Bannock Contract (Tam)
Site Visits = 1
Lummi Nation
Health Commission Meeting presentation on TOT2Tweens
June 23, 2014
Medical Epidemiologist
Thomas Weiser, Epidemiologist (IHS)
Projects:
*Improvement Support Team
*EIS Supervision
*Adult Immunization Improvement Project
*HPV Improvement Project
*Immunization Program-routine immunization monitoring
Opportunities:
*Recruited two more sites for ACIM project.
*Strong feedback from 3 sites regarding 2 year old immunization reports-interested in
learning how they can improve their rates.
*Presented poster on planning document for 2015-2016 influenza season at TPHEP.
*Submitted abstract on influenza planning to OPHA.
*EISO presentations on DM hospitalizations at CSTE and ADA.
Meetings/Conference Calls:
Meetings: Portland Area IRB meeting with Heritage University, Toppenish, WA
EIS Conference, Atlanta, GA
Portland Area IRB meeting with WSU IRB, WSU Vancouver campus
Tribal Public Health Emergency Preparedness meeting, Ocean Shores, WA
Northwest Native American Research Center for Health (NARCH)
Tom Becker, PI
Victoria Warren-Mears, Director
Tom Weiser, Medical Epidemiologist
Tanya Firemoon
Tasha Zaback
This report covers activities related to NARCH 6 and 7.
The Summer Research Training Institute planning is now occurring, and we are awaiting the arrival of the last of the 94 tribal
guests from around the country. Our last effort was the 11th such effort sponsored by the Board, with input from OHSU faculty
and staff, as well as a host of consultants…so the current event will be our 12th anniversary offering. We were successful in
filling up our course instructors in just a few weeks prior to this reporting period—Ms. Zaback did a masterful job at getting the
advertisements around the country. As earlier reported, we have planned a new course this year, in indigeneous ways of
knowing, under the guidance of June Strickland, PhD. Most of April and May were spent on planning for the ongoing Summer
Institute training program at the Board. We also have a data linkage course going on this week, under the guidance of Dr.
David Espey and Melissa Jim. We continue to hire tribal instructors whenever possible. This week, three of the four courses
are led by tribal instructors.
Also under NARCH funding, we recruited additional fellows and hope to a support a larger group of Board-based scholars who
will receive small scholarships to help advance their careers in Indian health. Our scholarship program continues to graduate
new researchers, and seems to be successful overall. We expect 7 American Indian graduates this year. We have added two
new fellows who will receive partial scholarships, and two new fellows who will receive full scholarships under the NARCH
program. Ms. Firemoon has been extremely helpful in watching over this part of the NARCH, and her efforts to help the
summer program have also been very valuable.
The 8th funding cycle for NARCH has been awarded and is progressing as we expected. We have sent in our non-compteting
renewal request this past month for both of our Narch grants, are are expecting to be refunded for the upcoming year. At
present, we have new fellow applications and trainees who are waiting for funding when it is awarded.
Northwest Tribal Comprehensive Cancer Control Project
Kerri Lopez, Director
Eric Vinson, Project Specialist
Trainings
 April 22, 2015 Northwest Tribal Clinical Cancer Update – April 22
o 45 participants from 23 tribes, 1 state program, 1 urban clinic, and 2 tribal organizations
 Comprehensive Cancer Coalition Meeting – April 21
o 29 participants from 15 tribes, 1 urban clinic, and 1 tribal organization
o Travel reimbursement follow-up
 Risky Business Training
o 32 participants from 14 NW tribes
o Topics included: E-Cigarette’s, Junk Foods & Sugar beverages, Adverse Childhood Experiences & Chronic
Disease, Tribal BRFSS, chronic disease, Physical Activity, HPV immunization, and Cancer Survivorship resources
 Title VII Powwow (tobacco education and 10,000 steps curriculum overview)
 Quileute Elders Week Community health Day – Kiki CRC screening presentation
 Warm Springs – community health fair and clinic tour
Special projects
 Northwest Tribal Cancer Action Plan Implementation Funding
o 16 funded
 June 25th Cancer Risky Business
o Recruitment save the date flyer/agenda competed and disseminated
 Office of Minority Health Grant
o Budget, budget justification, work plan, appendices
 Oregon Comprehensive CCRS’s Tribal and Rural Advisory Board
o Call with tribal and rural clinic
o Will work on creating job description – HPV focus groups
 Appointment Companion
o Reprint and ordering binders/business card insert
 Oregon CoIN workgroup – session with two tribal clinics already working with AI/AN pregnant women who smoke
 Oregon Health Authority –
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o Review and give feedback - Tribal tobacco RFA - meeting for SOW next year
National Network Partnership
o National Native Network Technical Assistance Webinar; Evaluation Planning Facilitation; Launch Website
o Hosted webinar: Brings your cancer plan to life – local implementation
o National Native Network; Partners Quarterly Call (2)
o Presented National Native Network Technical Assistance Webinar; Cancer Risk Reduction in Indian Country
o Completed interview NW tribal tobacco coordinator for NNN newsletter
HPV Roundtable meeting follow-up
o Travel reimbursement received; awaiting workgroup information
AIMS manuscript publication paper
o FHCRC provided NPAIHB IRB contact information
BRFSS progress
o Tribe 2: BRFSS power point presentation – done
o Tribe 3 –– presentation summary report done
o Tribe 5 – Met to review BRFSS survey
o Met with THD to go over the BRFSS questionnaire and documents needed for the IRB; Created a draft of BRFSS
based on the suggestions from the meeting
o Met with THD at the QMB to discuss the first draft of BRFSS
 Transferred the paper BRFSS into CAPI; piloted the computer survey
Cancer Data Fact Sheet Update
o Completed and disseminated at Northwest Tribal Cancer Coalition meeting and clinical update
June 3&4 Cancer Survivorship Conference in Everett, Washington
o Logistics confirmed
Update Tribal Resource Guide
Technical assistance via telephone/email
 Contacted all NW tribes – recruiting for RB and mini grants
 Registration for Cancer Risky Business
 Klamath Tribes – Additional minigrant clarification information
 Puyallup – Cancer Survivorship information to new cancer center
 Quileute visit to NPAIHB – cancelled due to health issues
 Spokane – assistance with minigrant implementation
 Umatilla – Tobacco educational materials
 Warm Springs – assistance with minigrant materials ordering
 Recruitment for clinical update & coalition meeting
Meetings/Conferences
 NNN partners meeting in Portland (NPAIHB & CRIHB)
 Oregon Tribal Tobacco Prevention and Education Program; Grantee Capacity Advisory Group Conference Call
 Washington State Cancer Survivorship Workshop
Conference calls
 Webinar – GWU “Survivorship Care Plans: Introducing a Novel Technology to Transform Burden into Opportunity”
 Conference Call for CDC Tribal Cancer Project Directors
 Conference Call for CDC Project Directors
 National Native Network; Conference Call, Work plan
 National Native Network; Partners Quarterly Call
 FDA tobacco rfa discussion – Paul Allis and Yvonne
 Indian Day Committee
 IZ meetings
Northwest Tribal Dental Support Center
Joe Finkbonner, Executive Director
Ticey Mason, Project Manager
Bonnie Bruerd, Prevention Consultant
Bruce Johnson, Clinical Consultant
Kathy Phipps, Epidemiology Consultant
Provide clinical and preventive program support.
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Dr. Bonnie Bruerd gave a presentation to the NPAIHB on April 22 and distributed "Tips for Hiring Dentists" and "Baby Teeth
Matter" demonstration program one-year results.
No clinical or prevention site visits were provided this quarter. NTDSC has completed site visits, including reports, at 6
Portland Area dental programs this fiscal year, meeting the yearly objective. NTDSC has exceeded this objective yearly
during this grant cycle.
NTDSC developed a format to assist programs in developing a formal Quality Improvement Project. During the Area Dental
Meeting, dental staff participated in an activity to develop QI objectives. This objective has been met for this grant period.
NTDSC staff and consultants have been working in collaboration with WA Dental Services Foundation (Delta Dental) to
meet some identified mutual objectives. Seven dental programs are participating in the "Baby Teeth Matter" program that
is aimed at increasing dental access for 0-5 year olds and reducing the number of children referred for dental work under
general anesthesia. This program includes data collection, face to face and webinar meetings, and ongoing program
evaluation. Data from the first year show a large increase in dental access for 0-5 year olds at the 7 dental programs
participating in this project.
Portland Area met all 3 dental GPRA objectives this past year.
NTDSC provides technical assistance to all Portland Area dental programs as appropriate.
Implement an Area-wide surveillance system to track oral health status
 Portland Area completed the Basic Screening Survey for 1-5 year olds this fall, collecting survey data from 18 clinics for
1,308 1-5 year olds. The results of these surveys have not been released by IHS HQ yet.
Provide continuing dental education opportunities
 NTDSC is currently planning the annual dental meeting July 28-29, 2015 at Tulalip Resort. After this meeting, there will be
additional sessions for Dental Directors and Baby Teeth Matter participants.
Work with IHS Headquarters and other Dental Support Centers towards meeting national HP/DP objectives.
 NTDSC Prevention Consultant serves as the Portland Area dental representative on the national HP/DP Committee.
 NTDSC consultants participate in email correspondence, national conference calls, and respond to all requests for input on
national issues.
Northwest Tribal Registry Project-Improving Data and Enhancing Access (IDEA)
Victoria Warren-Mears, P.I.
Sujata Joshi, Project Director
Kristyn Bigback, Project Support Specialist/Biostatistician
Jenine Dankovchik, Biostatistician
Project news and activities
This quarter, we worked on cleaning and coding some of the datasets we received from last quarter’s linkages. We also
continued work on CHSDA Tribal Health Profile reports. We updated the state-level cancer fact sheets with cancer incidence
and mortality data from 2008-2012, and began work on updating Tribe-level cancer profiles. We also worked with NPAIHB’s
THRIVE Project to create and disseminate a data fact sheet on Suicides among Northwest AI/AN. In May, we began working
with a summer intern (Kalina Wong), who will assist with maternal and child health-related data analyses. Our project’s
activities for the past quarter are described in more detail below.
Current status of data linkage, analysis, and partnership activities
 Northwest Tribal Registry (NTR) data linkages
o Completed linkages with Oregon birth and death certificates (2014)
 Tribal Health Profiles (THP) project
o CHSDA THPs
 Completed first draft of THP report for the Confederated Tribes of Umatilla Indian Reservation
 Completed internal review and revisions
 Sent to Tribe for review and feedback
 Continued work on indicators and reports for Colville and Nez Perce Tribes
 Cancer Registry Data and Cancer Fact Sheets
o Completed three state and one regional cancer fact sheets (2008-2012); disseminated through website, email,
and at Northwest Tribal Cancer Coalition meeting
o Began work on updating tribal cancer profiles with data from 2008-2012
 Created new template and sent for internal review
 Ran incidence and mortality numbers for Oregon and most Washington Tribes, began working on
tables and figures
 Hospital discharge data
o Completed first drafts of Oregon and Washington fact sheets on potentially avoidable hospitalizations; sent out
for internal review
 Death certificate Data
o Began cleaning and coding Oregon death certificate data (data years 1997-2005, 2013)
o Calculated misclassification numbers, completed linkage summary report, and sent to Oregon Center for
Health Statistics
o Identified missing variables/data years, sent list to Oregon Center for Health Statistics for follow-up
o Merged 1997-2013 Oregon deaths data
o Updated 1997-2013 Oregon deaths data dictionary
 Birth certificate data
o Washington birth certificates (1997-2013) - worked on importing individual years’ data files into SAS
o Worked on coding and merging Idaho (2006-2012) and Oregon (2008-2010) birth certificate data into a single
dataset; began running descriptive statistics on combined data (KW)
 Puyallup Tribe Data
o Created list of Washington death certificate numbers, underlying cause of death, and death date for 2011-2013
records that matched with the Puyallup Tribal Health Authority’s patient registration list
o Completed a short summary report on leading causes of death for PTHA patients
o Completed Puyalllup tribal CHSDA cancer profile (2008-2012)
 Suicide data fact sheet
o Completed a new fact sheet on suicide deaths among Northwest AI/AN, posted to website and disseminated
through email and newsletter
 Health Data Literacy Training
o Began planning for health data literacy training (scheduled for August 2015)
 Data requests/Technical assistance
o Cancer Data for Seattle Indian Health Board service area: Ran cancer incidence and mortality statistics for King
County and State of Washington, sent to contact at Urban Indian Health Institute
o Ran suicide statistics data for Washington only, sent data slides to Celena M. (THRIVE Project) for conference
presentation
o Ran statistics on fall-related hospitalizations among AI/AN ages 55+ for Injury Prevention Project’s grant
application (SJ)
o Worked with Yellowhawk Clinic, Oregon State Cancer Registry, and Dr. Don Austin on developing scope of work
and getting data approvals for cancer data
 Institutional Review Board (IRB) applications and approvals/Protocol development
o Submitted continuation applications to WSIRB for linkages with Washington cancer registries and CHARS/Death
certificates
o Submitted protocol modification request and application for continuing review to Portland Area IRB
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Continued working with Oregon Health Authority to secure approvals to conduct linkages between NTR and
Oregon Health Plan client list
 Grant Administration and Reporting
o Completed Office of Minority Health Year 3 Quarter 2 progress report and continuation application for Year 4
o Completed Office of Minority Health Year 3 Quarter 3 progress reports
o Provide information for EpiCenter Semi-annual report
o Worked with Northwest Tribal Cancer Control Project on Tribal Partnerships to Address Health Disparities grant
application (submitted to Office of Minority Health in May)
 Collaborations with other programs and other activities
o Coordinated and completed paperwork for NWTEC’s EpiDataMart Access
o Worked with CSTE Tribal Epidemiology Workgroup on manuscript on Tribal EpiCenters’ data sharing with states
Data dissemination
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
Presented on tribal epidemiology and tribal data issues for Portland State University undergraduate class
Manuscript “Uncovering a Missing Demographic in Trauma Registries: Epidemiology of Trauma among American
Indians and Alaska Natives in Washington State” published in the journal Injury Prevention
Manuscript “Improving American Indian and Alaska Native Injury Statistics” published in July 2014 issue of the IHS
Provider
Manuscript “Using Record Linkage to Improve Race Data Quality for American Indians and Alaska Natives in Two Pacific
Northwest State Hospital Discharge Databases” accepted for publication in Health Services Research
IDEA-NW featured in Spring/Summer 2015 issue of Northwest Public Health Regional Roundup
Abstract “Epidemiology of Traumatic Brain Injuries among Northwest AI/AN) accepted for presentation at Summit on
Traumatic Brain Injuries and Native Americans (August 19th, Albuquerque, NM)
Travel
Linkages
 Oregon Vital Statistics, Portland, OR
Meetings, Trainings, and Conferences
 CSTE Annual Conference, Boston, MA (KB, SJ)
5/27
6/14-6/17
Other Meetings, Calls and Trainings
 Call with OHA re: Medicaid Match
 Call with Kalina Wong re: GSEP internship
 CSTE Tribal Epi Manuscript Workgroup call
4/7
4/14
4/28, 5/26,
6/3, 6/23





Meeting with Molly Fuentes
5/26
CSTE Tribal Epi Manuscript Workgroup call
5/26
WEAVE Kick-off Meeting
5/28
Call with OSCaR, Yellowhawk, and Don Austin re: cancer data
Adult Composite Immunization Measure Project meetings
THRIVE (Tribal Health: Reaching out InVolves Everyone)
Colbie Caughlan, Project Manager
Celena McCray, Project Assistant
Site Visits
Tribal Site Visits
 Shoshone Bannock Tribes, Fort Hall, ID – April 1-3, 2015
 Cowlitz, Longview, WA – April 16, 2015
 Warm Springs, Warm Springs, OR – April 29-30, 2015
 Puyallup Tribe, Tacoma, WA – May 7, 2015
6/9
Ongoing



Upper Skagit Indian Tribe, Bow, WA – May 12, 2015
Cow Creek Band of Umpqua Tribe of Indians, Canyonville, OR – May 19, 2015
Tulalip Tribes, Tulalip, WA – May 27-28, 2015
Technical Assistance & Training
During the quarter, project staff:
 Participated in 36 meetings and conference calls with program partners.
 Completed developing the slogans for the updated suicide prevention social marketing and media campaign.
 Organized and hosted the 5th Annual 2015 THRIVE Conference for Native youth ages 13-19. The conference drew 120
participants/chaperones/staff/facilitators.
 Presented a Suicide Prevention and Social Marketing and Media webinar for the National Indian Child Welfare Association
(NICWA).
During the quarter, THRIVE provided or participated in the following presentations and trainings:
 Zero Suicide training at Shoshone Bannock Tribes, 19 attendees – Fort Hall, ID, April 2-3rd
 BOLI Supervisor’s Training 2, project manager – Portland, OR, April 20th, May 18th, and June 15th
 Applied Suicide Intervention Skills Training (ASIST) Facilitation, project manager & assistant, NARA Wellness Center, 10
participants – Portland, OR, April 7-8th
 Applied Suicide Intervention Skills Training (ASIST) Facilitation, project manager, Confederated Tribes of Warm Springs,
28 participants – Warm Springs, OR, April 29-30th
 Zero Suicide training at Puyallup Tribes, 19 attendees – Tacoma, WA, May 7th
 Crisis Response Planning and NW Native Adolescent Health Alliance Meeting #1, Tribal Mental Health Conference,
Skagit Resort & Casino, Bow, WA, 30 attendees – Bow, WA, May 12th
 Crisis Response Planning and NW Native Adolescent Health Alliance Meeting #2, Tribal Mental Health Conference,
Skagit Resort & Casino, Bow, WA, 32 attendees – Bow, WA, May 12th
 OR 9 Tribes & OR AMH Prevention Meetings, Canyonville, OR, 42 attendees – May 19th
 Applied Suicide Intervention Skills Training (ASIST) Facilitation, project manager, Tulalip Tribes, 18 participants – Tulalip,
WA, May 27-28th
During the quarter, the MSPI project responded to 350 phone or email requests for suicide, bullying, or media campaignrelated technical assistance, trainings, or presentations.
Health Promotion and Disease Prevention
THRIVE Media Campaign: All THRIVE promotional materials are available on the web. Materials include: a logo, three
community murals, posters, fact sheet, t-shirts, note pads, and window decals.
During the quarter, THRIVE solicited feedback from Native youth audiences for the
prevention campaign. The chosen suicide prevention campaign will consist of an
slogan with four sub-slogans to follow. The statements are below.
We Are Connected. We Need You Here.
Image: An Elder
You are a gift from the
creator. You will pass on
our traditions. We need
you here.
Image: Parents
We know you are in pain.
We can heal together.
We need you here.
Image: Young Man
I’ve been there. We will
get through this
together. We need you
here.
Image: Teen Female
My life matters, I am here
for a reason. My story has
just begun.
updated suicide
overall campaign
Wellness for Every American Indian to View and Achieve Health Equity (WEAVE)
Victoria Warren-Mears, Principal Investigator
Jessica Marcinkevage, Epidemiologist
Jenine Dankovchik, Evaluation Coordinator
Nora Alexander, Health Educator/Communication Spec.
Birdie
Wermy, will
National
Evaluation
The
campaign
include
posters,Specialist
rack cards, tip cards, and a radio public service announcement. Each of the 43-federally
recognized Tribes in the Northwest will automatically be sent a box of these materials to use in their communities when the
materials are ready for dissemination in late August 2015.
Type
WEAVE-NW Staff
Short
Summary
Attending
Other Administrative Responsibilities
Date
Meetings
04/01/15
External Partners
External - Tribal
Discuss Yellowhawk's cancer
JD
04/03/15
Internal
Discuss Risky Business
presentations
NA, JD, JM
04/06/15
Internal
Monthly staff meeting
NA, JD, JM, VWM, BW
04/06/15
External - Tribal
Community
Discuss Cancer Registry grant
JD, VWM
Yellowhawk Tribal
Health
04/14/15
External - Funding Agency
Monthly GHWIC Evaluation
Call
JD, BW
CDC, UIHI
04/15/15
Internal
Weekly check-in
NA, JD, JM, BW
04/16/15
External - Funding Agency
Monthly GHWIC C2 call
NA, JM, VWM, BW
04/16/15
Internal
WEAVE meeting
NA, JM
04/17/15
External - Funding Agency
Monthly Performance
Measures Workgroup
JD, BW
CDC, UIHI
04/21/15
External - Funding Agency
Monthly GHWIC Evaluation
Workgroup
JD
CDC, UHIH
04/21/15
External Conference/committee
Attended NTCC meeting
JD
Northwest Tribal
Cancer Coalition
04/23/15
External - Funding Agency
Zoom and Teamwork training JD
04/30/15
Internal
Weekly Check-in
05/01/15
External - Other
05/04/15
Internal
All staff meeting
JD, JM, BW
05/04/15
Internal
Review C1 performance
measures
JD, BW
05/04/15 - 05/07/15 External - Other
TEC directors meeting
NA, VWM
05/15/15
Internal
WEAVE check-in
NA, JD, JM, VWM, BW
05/15/15
External - Funding Agency
GHWIC Performance
Measures Workgroup
JD
05/20/15
Internal
Risky Business planning
NA, JD
05/20/15
External - Funding Agency
GHWIC Monthly Evaluation call
JD, VWM, BW
05/21/15
External - Funding Agency
GHWIC Monthly C2 call
NA, JD, JM, VWM, BW
UIHI, CDC
05/21/15
External - Sub-Awardee
Initial meeting with subawardee
NA, JD, JM, VWM, BW
Cow Creek Health &
Wellness Center
05/27/15
Internal
Discuss IDEA internship plan
JD
Yellowhawk Tribal
Reports/Grants
Community
registry grant
Clinic
 Submitted SAMHSA’s Garrett Lee Smith youth suicide prevention data and performance measures for quarter 2 (Jan – Mar)
04/02/15
External - Funding Agency
Monthly GHWIC All-hands call NA, JD, JM, VWM, BW
around April 30.
CDC
Project ECHO, CDC
NA, JD, JM, VWM, BW
NA
Future Generations
Collaborative
Other TECs
UIHI, CDC
WEAVE-NW Quarterly Report
Meetings
05/28/15
External - Sub-Awardee
WEAVE-NW kick-off meeting
NA, JD, JM, VWM, BW
Grand Ronde, Lummi,
Yellowhawk
05/29/15
External - Sub-Awardee
Initial meeting with subawardee
NA, JD, JM, VWM, BW
Chehalis
06/04/15
External - Funding Agency
GHWIC All-Hands ECHO Call
NA
CDC-GHWIC
Partners
06/11/15
Internal
Data meeting
NA, JD, VWM
06/11/15
External - Sub-Awardee
Initial meeting
NA, JD, VWM, BW
Coquille
06/12/15
External - Funding Agency
GHWIC Performance
Measures workgroup call
JD
CDC, UIHI
06/22/15
Internal
Reviewed and Edited
Presentations
NA
06/23/15
External - Sub-Awardee
Monthly WEAVE Call
NA, VWM, BW
Component 1 Tribes
Nez Perce, Umatilla
Site Visits
Short Summary
WEAVE-NW Staff
Attending
4/21/2015-4/22/2015 Grand Ronde Tribe
QBM
NA, BW
6/10/2015
Lummi Tribe
Begin evaluation plan
JD
6/29/2015
Cow Creek Tribe
Initial Evaluation Site Visit
NA, JD
Date
Tribe
Partnerships
Date Formed
Name of Partner
Type
4/1/2015
Yellowhawk Tribal Health Center
I/T/U health facility
6/10/2015
Medimetrics Consultants
Private sector research or consultant
6/10/2015
Rimland Pacific Incorporated
Private sector research or consultant
Date Given
Presentation Title
Type
Presented at
Location
6/25/2015
Marketing of Junk Food and Sugar Sweetened Beverages to Youth
Tribal Community Presentation (include QBMs)
Risky Business
Warm Springs, Oregon
Technical Assistance Given
Start Date 5/19/2015
Method Email
Type of Assistance Survey design & implementation Tribe(s)
Assisted CTUIR - Fun-Run Pre/Post test survey Topics Covered
Physical Activity
Start Date 6/1/2015
Method Email
Type of Assistance Other (specify)
Tribe(s) Assisted Lummi, Chehalis, Grand Ronde, Cow Creek, Coquille, Nez Perce, Umatilla
Topics Covered CVD/Stroke, Obesity, Diabetes, Tobacco, Nutrition, PSE, Physical Activity
Start Date 6/8/2015
Method Email
Type of Assistance Other (specify)
Tribe(s) Assisted Lummi, Chehalis, Grand Ronde, Cow Creek, Coquille, Nez Perce, Umatilla
Topics Covered CVD/Stroke, Obesity, Diabetes, Tobacco, Nutrition, PSE, Physical Activity
Start Date 6/15/2015
Method Email
Type of Assistance Other (specify)
Tribe(s) Assisted Lummi, Chehalis, Grand Ronde, Cow Creek, Coquille, Nez Perce, Umatilla
Topics Covered CVD/Stroke, Obesity, Diabetes, Tobacco, Nutrition, PSE, Physical Activity
Start Date 6/22/2015
Method Email
Type of Assistance Other (specify)
Tribe(s) Assisted Lummi, Chehalis, Grand Ronde, Cow Creek, Coquille, Nez Perce,
Umatilla
Topics Covered CVD/Stroke, Obesity, Diabetes, Tobacco, Nutrition, PSE, Physical
Start Date 6/29/2015
Activity
Method Email
Type of Assistance Other (specify)
Tribe(s) Assisted Lummi, Chehalis, Grand Ronde, Cow Creek, Coquille, Nez Perce, Umatilla
Topics Covered CVD/Stroke, Obesity, Diabetes, Tobacco, Nutrition, PSE, Physical
Activity
Start Date 6/30/2015
Method Phone
Type of Assistance Other (specify)
Tribe(s) Assisted Lummi
Topics Covered
Trainings Given
Start Date 6/25/2015
Title of Training Risky Business
Training Length 4 hours to 1 day
Training Format In-Person
Topics Covered CVD/Stroke, Obesity, Diabetes, Tobacco, Nutrition, PSE, Physical Activity, Data
Western Tribal Diabetes Project
Kerri Lopez, Director
Don Head, Project Specialist
Erik Kakuska, Project Specialist
Trainings:
 DMS training – June 2-4th
o 17 participants (7 NW tribes- 5 out of area)
 Thrive Conference –
o 70 NW youth ; worked registration, food prep and snacks
o Set up, chaperone, follow-up
 Cancer Risky Business Training – June 25th Warm Springs
o 32 participants from 14 NW tribes
o Topics included: E-Cigarette’s, Junk Foods & Sugar beverages, Adverse Childhood Experiences & Chronic
Disease, Tribal BRFSS, chronic disease, Physical Activity, HPV immunization, and Cancer Survivorship
resources
 Youth Movement Mission - Conference (300 Native youth from the NW)
o Presenter – physical activity and community wellness
Site Visits
 Warm Springs health fair and clinic tour
Special Projects
 Nike Native Fitness Preparation – September 1 &2nd 2015, XII (12)
o Coordinated flight arrangements, car rental and hotel rooms. Inventory list of water bottles, bags and
shoes.
o Continued outreach and recruitment
o Conference call with NAFC – 2015 session discussion
o Coordinated registration forms and confirmation emails.
 National Indian Health Board tribal summit
o SDPI sessions and poster board
o Tobacco workshops
o CDC and IHS listening sessions
 Tribal Epicenter meeting Nashville
o Staff development – dawg, brfss, data,
o Overview of epi centers – staffing and operations
 Meeting with coordinator – Casey eye institute
o Sent information to four Oregon tribes
 Finished updating the 2015 Health Status Report
o Updated the HSR for the 2015 audit indicators
 Portland Area TLDC discussion/consultation
o Dear tribal leaders
o Portland area recommendations
 SDPI biannual report submitted
 TEC mid year report
 DMS/RPMS computer time: QMAN EHR/RPMS –
 CARS seat belt study – setting up reminders
 Hire temporary assistant NTCCP - WTDP
o Orientation - Staffing with both teams for job task list
 Four interviews for WEAVE director
 NPAIHB banner and brochure development
Technical Assistance via telephone/email
 IHS, Dr. Ray Shields requested assistance with NW audit file NW #’s
 Coquille – Casey eye institute mobile van contact – screening in tribal communities
 Cow Creek - Casey eye institute mobile van contact – screening in tribal communities
 Kitchikan Tribal Health – Alaska
 Lower Elwha – information on JVN to diabetes coordinator; setting up Adobe Connect session; A/C Ratio in the
follow up report; DM AUDIT UACR taxonomy.
 Makah; A1C and Blood pressure Reports, follow-up letters and Qman
 Muckleshoot, ta patients who control their diabetes without medication
 Nebraska tribal health clinic
 Omaha Tribe of Nebraska, ta how to run a QMAN search for the results of the hemoglobin a1c;. ta “expanded
lab report,” and the results and the date of the test
 Samish – 2015 audit
 Sells Indian Hospital, ta about setting up MailMan notifications in RPMS for patients with diagnoses or
prediabetes. sent our MailMan handout, ta use the codes APCL IFG NOTIFICATION, and APCL IGT
NOTIFICATION
 Siletz - Casey eye institute mobile van contact: ta audit; TA for NDOO and QMAN
o Squaxin Island, ta on the draft results of the audit for a report. T/A for NDOO and QMAN report for
patients with no record of Hemoglobin A1C’s
 Southern CA Indian Health Center; gen report and provider reports
 Squaxin Island, ta to find people who had received Kidney Disease education in the 2014
 Umatilla, ta individual audit and DPCS reports
Conference Calls
 IHS let’s move in Indian country
 Reducing Risk Factors for Obesity Early in Life: the Family Spirit Home Visiting Program
 TLDC conference call
Adolescent Behavioral Health
Stephanie Craig Rushing, PhD, MPH, Project Director
Colbie Caughlan, MPH, THRIVE Project Manager
Jessica Leston, MPH, Project Manager
Amanda Gaston, MAT, IYG Project Manager
David Stephens, Multimedia Project Specialist
Mattie Tomeo-Palmanteer, VOICES Coordinator
Tommy Ghost Dog, Project Red Talon Assistant
Celena McCray, THRIVE Project Assistant
Students: Derek Chan, We R Native Intern; Jenna Charlie, VOICES Temp; Lauren Adrian, VOICES MPH Intern; Steven
Hafner, Harvard PhD Student Intern; Patty Yao, OHSU PhD Student Intern
Quarterly Report: April – June 2015
Technical Assistance and Training
Tribal Site Visits
 Site Visit: NMHC and Lapwai Middle School, April 9, 2015.
 Presentation: Youth Leadership Camp, Spokane, WA, April 24-25, 2015.




Site Visit: ShoBan, May 11-12, 2015.
Site Visit: Swinomish, May 18-19, 2015.
Site Visit: Sunridge Middle School, May 21-22, 2015.
Meeting: Adolescent Health Alliance, at the 15th Annual Tribal Mental Health Conference, Bow, WA, May
12, 2015.
Project Red Talon / We R Native
During the quarter, Project Red Talon staff participated in twenty planning calls, nine partner meetings,
conducted two youth focus groups, and presented at eleven conferences/webinars:
 Class: OHSU Chronic Epi, June 4, 2015
 Presentation: Approaches to Promoting AI/AN Adolescent Health Harnessing Social Media, Social
Marketing, and Technology-Based Interventions, SOPHE Annual Meeting, Portland, OR, April 23, 2015.
(Approx. 150 people in attendance)
 Presentation: Promoting Adolescent Sexual Health, National Indian Health Board Tribal Public Health
Summit, Palm Springs, April 7-9, 2015. (Approx. 35 people in attendance)
 Presentation: We R Native, N7 Youth Movement, Eugene, April 17, 2015. (Approx. 100 youth in
attendance)
 Presentation: We R Native, Summer Institute Luncheon Presentation, June 17, 2015.
 Presentation: We R Native/Ask Auntie/SMAHRT, Youth Leadership Camp, Spokane, WA, April 24-25, 2015.
(Approx. 100 youth in attendance)
 Training: Native STAND Summer Institute Class, June 22-26, 2015.
 Training: Texting 4 Sexual Health Dissertation Defense, June 9, 2015
 Webinar: We R Native, for the National American Indian & Alaska Native ATTC, June 3, 2015.
Native It’s Your Game
During the quarter, Native It’s Your Game staff participated in one face-to-face
planning
team meeting, eleven planning calls with study partners, and supported the
following
kick-off trainings and events:
 Presentation: Native It’s Your Game, YTH Annual Conference, San Francisco, CA, April 26, 2015. (Approx.
50 people in attendance)
 Kick-off Event: Sunridge Middle School, Pendleton, WA, April 6, 2015.
 Site Visit: Shoshone-Bannock, Fort Hall, ID, May 11-12, 2015.
 Site Visit: NMHC and Lapwai Middle School, April 9, 2015.
 Site Visit: Swinomish, La Conner, WA, May 19-20, 2015.
 Site Visit: Sunridge Middle School, Pendleton, OR May 21-22, 2015.
Native VOICES
During the quarter, Native VOICES staff gave two regional/national
presentations on the intervention:
 Presentation: Native VOICES, National Indian Health Board Tribal Public Health Summit, Palm Springs, April
7-9, 2015. (Approx. 35 people in attendance)
 Presentation: Native VOICES, Youth Leadership Camp, Spokane, WA, April 24-25, 2015. (Approx. 100 youth
in attendance)
Quality Improvement
During the quarter, STD/HIV QI staff participated in five planning calls, nine Adobe meetings, and presented at
one national conference, including:
 Conference: IPC – May 25-29

Presentation: Hepatitis C Breakthroughs: New Cures, Best Practice & Health Equity, National Indian Health
Board Tribal Public Health Summit, Palm Springs, April 7-9, 2015. (Approx. 50 people in attendance)
Health Promotion and Disease Prevention
National HIV Testing Initiative: All promotional materials are available on
including logos, radio spots, fliers, snag bag inserts, and window decals.
filled upon request. PRT staff participate in regular teleconferences for
HIV/STD/Hep C Listserv and the Viral Hepatitis Action Plan for IHS.
the web,
Orders are
the
Native LGBT Proud Campaign: The campaign includes posters, fact sheets,
ads. Orders are filled upon request.
and radio
Tribal STD/HIV Policy Kit for Tribal Decision-makers: The Advocacy Kit is
available on
the IHS and NPAIHB website. Appx 250 hard copies and 300 jump drives with the kit have been distributed to
date.
Native STAND Curricula: A culturally-appropriate, school-based healthy decision-making curriculum. PRT is
working with the OHSU Center for Healthy Communities to recruit tribes to participate in the Native STAND
dissemination project: http://oregonprc.org/projects/current/native-students-together-against-negativedecisions.html
Native VOICES: 23 videos are included in the Native VOICES playlist on We R Native’s YouTube Channel. Since
their release, the Native VOICES videos have been viewed 1,560 times on YouTube. In February and March
2015, the Native VOICES Facebook mini-series generated over 102,745 video views, reached 259,158 people,
and was clicked on shared, liked, or commented on 61,441 times!
Since its launch, the Native VOICES YouTube Channel has had 376 video views.
Website: The We R Native website launched
2012: www.weRnative.org
on September 28,
The mobile site launched on September 28, 2013
In June, the site received:
Page views
8,645
Sessions
3,014
Percentage of new visitors
75%
Average visit duration
2:34
Pages per visit
2.87

Over 350 health/wellness pages are on the website.

We continue to work with INDIG to refine and improve the website, sitemap and wireframe:

Redesigned the Homepage, Blog, and Videos sections – In 2014

Partnered with NativeThreads to offer additional Gear – In 2014.

Worked with the AdCouncil to embed rotating health Ads – In 2013.

Worked with KAT Communications to run ads on GoodHealth TV (www.goodhealthtv.com) two
times per day for 1 year– In 2014.
Text Messages: The service currently has 2,611 active subscribers.
Twitter: Followers = 1,850
YouTube: http://www.youtube.com/user/wernative#p/f
The project currently has 282 uploaded videos, has had 29,133 video views, over 49,766 minutes of videos
watched, and has 273 subscribers.
Facebook: http://www.facebook.com/pages/We-R-Native/247261648626123
By the end of the month, the page had 25,030 Likes.
Instagram: http://instagram.com/wernative
By the end of the month, the page had 1,213 followers.
We R Native Contests: The summer contest will focus on: Life is a Powwow.
Surveillance and Research
It’s Your Game Adaptation: We continue to provide TA to 4 tribal ACF sites implementing Native IYG + parentchild components.
VOICES Adaptation: Data collection is complete for the study. All survey data has been entered and is now
being analyzed.
Social Media Focus Groups: The NPAIHB has partnered with the Social Media Adolescent Health Research
Team at Seattle Children’s Hospital to carry out focus groups with AI/AN teens re: their perception of
concerning posts on social media.
Native LGBT-Two Spirit HIV Pilot Projects: PRT staff are coordinating pilot projects to test two potential TechBased HIV Prevention Interventions for adaption and/or use in Indian Country:

Prevention/Screening: A pilot project is testing the effectiveness of text messaging to improve HIV
knowledge, risk awareness, and STD/HIV screening practices among AI/AN youth 15-24, using the We R
Native text messaging service. Data analysis is in progress (Activities coordinated by David Stephens).

Treatment Adherence: A pilot project is testing the effectiveness of an App (iStayHealthy) to improve case
management and treatment adherence for AI/AN PLWHA. (Activities coordinated by Jessica Leston)
STD/HIV Measures Project: The project is monitoring STD/HIV GPRA measures for IHS sites throughout Indian
Country. Infographics are being generated to provide visual feedback data to all 66 IHS sites, 13 Urban sites
and any tribal site that provides access. PRT staff are assessing local strengths and weaknesses (administrative,
staffing, clinical, and data) that influence screening.
Other Administrative Responsibilities
Publications
 Working on Native VOICES Adaptation paper
 Working on Native VOICES Outcomes paper
 Working on Texting 4 Sexual Health papers (x3)
Reports/Grants
 IYG Quarterly Report
IT Department Quarterly Report for
April/May/June 2015
Overview
The Northwest Portland Area Indian Health Board has a high level of office automation and extensive information
services. The staff uses desktop computers, laptops, PDAs and office equipment that require periodic maintenance. This
is in addition to 11 servers and other electronic equipment housed in a secure and temperature-controlled server room.
The Board also has a 24 station training room using Dell PCs and Microsoft Terminal Server technology. The purchase of
technical equipment, configuration, and maintenance is handled by the department director and the network
administrator. The Meaningful Use Project is now a part of the IT Department and its activities will be part of this
report.
Meetings Attended:
 National MU Team meetings (every 2 weeks)
 National Pharmacy Council monthly meeting
 E-Prescribing monthly status calls
 Pharmacy PSG monthly meetings
 Area CAC conference calls weekly
 Annual IHS Southwest Regional Pharmacy Conference
 Annual Face to Face Pharmacy Professional Services Group meeting
 Oregon Health Information Technology Oversight Council meeting
 IPC face to face meeting with Cow Creek
 ICD10 Software training
Conferences and Trainings Supported/Provided:
 Winter Grant Writing Workshop
 Portland Area CAC Training
 Pharmacy Residency Informatics Course monthly session
 IPC face to face meeting with Cow Creek
 Annual Pharmacy Professional Services Group face to face meeting
Presentations:
 MU Update for NPAIHB Quarterly Board Meeting
NPAIHB Activity:
 Prepared public comment on CMS Proposed Rules for MU Stage 3 and MU in 2015-2017
 Assist with qualification, registration, and attestation for MU for 2014
 Research on PQRS program and how to use RPMS to meet it
 Prepared for and delivered Portland Area CAC training with Neill Dial and Ron Won
 Intensive preparations for RPMS Pharmacy national training that will take place in July
 ASHP Pharmacy Residency Informatics rotation precepting
 Joined PAFAC Workgroup – Regional Specialty Referral Center Benefits
 Work on national recommendations for pharmacy visit documentation in RPMS EHR
 Initial alpha testing on RPMS e-prescribing refill requests with IHS e-prescribing team
 Work on eRx approval renewal for the state of Washington
 Applied for ONC Grant regarding adoption of online patient portals
 Applied MS Updates and rebooted the email server after folks had gone home for the evening – to
potentially fix problems with losing connections/authentication as seen with Andra and Christina
 Plugged in the first 30 iPads for charging in preparation for next week’s QBM
 Started the iPad sync process – set up a master iPad with GoodReader software configured to sync files from
the Board DropBox account – then tested
 Helped Jacqueline with getting the postage meter reloaded with new mail credits




Posted new IDEA AI/AN NW Area Cancer reports to the web site for Sujata
Added a new Warm Springs PD to the jobs page for Andra
Started investigating PHP error problem when using the web site search function for Jessica – still in
progress
Resolved issue with PHP errors when doing a web search on the Board web site
Outside contacts:
 Vicki French, MU Lead, USET-REC
 Carolyn Hornbuckle, NIHB REC
 Kat Goodwin, Skokomish CAC
 Nathan Town, Yakama CAC
 Ann Finkbonner, Lummi CAC
 Mary Brickell, Portland Area IT
 Cornelius Dial, Portland Area CAC
 Leatha Lynch, Siletz pharmacist
 Heather Kirkbride and Kellen Bloch, NARA
 Lori Moore, OIT E-prescribing project lead
 Carla Stearle, OIT Pharmacy consultant
 Bradley Bishop, RPMS/OIT Pharmacy liason
 Jeremiah Johnson and Jim Gemelas, Warm Springs MU team
 Amy Padilla, IHS Regional MU Consultant
 Joanne Hawkins, IHS MU Policy Analyst
 Cori Fleutsch, Chehalis
 Brandon Farley, Cow Creek
 Maranda James, Roger Saux
 Jolie Villabos, Nimiipuu
 Kelli Dennis, NHOS
 Roberta Losik, Snoqualmie
 Rhonda Nelson, Tulalip
 Kelly Samuelson and Cheryl Rasar, Swinomish
 Angie Dearing, Yellowhawk
 Pam Meyers and Destry Miller, Nooksack
 Grace Hugget, WOSU