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COLLABORATION WITH OTHER AGENCIES
ISSUE
The future of Indian health care requires coordinated intervention of
health care services, educational systems, and economic development programs.
Critical to this effort are collaborations and partnerships among tribal nations,
urban Indian health organizations, academic medical centers, foundations, businesses,
professional organizations, and federal agencies and programs.
BACKGROUND
The Indian Health Service (IHS) alone cannot improve the health status of Indian people without mutually beneficial partnerships. The belief that improvements in health services alone will mean improvements in overall health status is not reasonable. Improvements must take place in all areas that contribute to quality of life, including educational achievement, employment opportunities, and economic development, to make a difference in the lives and health status of American Indian and Alaska Native people.
Just as the underlying premise that responsibility for health care for American Indians and Alaska Natives must include all Department of Health and Human Services (HHS) agencies and programs, there needs to be further recognition that other federal agencies have a shared responsibility for improving health and programs that impact on the entire quality of life issues.
In recent years, the IHS has moved from a position of control and direction to one of partnership and consultation with the communities it serves. The IHS has established a working partnership with members of the local health team and with local communities, those most knowledgeable of the daily challenges of Indian health care, as well as with tribal governments and organizations to contribute to the decision-making process. The solidifying and strengthening of these partnerships is one of the IHS's greatest management achievements over the last few years. These achievements in the health arena can be expanded through similar efforts in the academic and business arenas.
SITUATION
Collaborations have been established with all HHS agencies. Collaborations with other government agencies have also been established, including with the Departments of Interior, Justice, Veterans Affairs, Housing and Urban Development, and the Environmental Protection Agency. Collaborations with non-governmental organizations include the National Congress of American Indians and the Boys & Girls Clubs of America, the NIKE corporation, Mayo Clinic, Johns Hopkins University, Harvard University, the American Academy of Ophthalmology, various other universities, and many local organizations across the country. All of these myriad partnerships have been established to complement health programs and to examine how improvements in education, law enforcement, business practices, and employment can also have positive effects on health status. The IHS also shares public health strategic approaches and best practices with other countries and their respective indigenous populations, including Canada, Mexico, Australia, and New Zealand.
OPTIONS/PLANS
The continued success of collaborations is dependent upon the embracing of the principle that responsibility for the provision of health care for Indian people is a shared responsibility with all of HHS, with IHS serving as the lead agency for advocating and assisting other HHS agencies in this activity.
ADDITIONAL INFORMATION
For referral to the appropriate spokesperson, contact the IHS Public Affairs Staff at 301-443-3593.
June 2008