ARCHIVE - Resolving Tribal Health Care Issues One by One

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PRESS RELEASE CRST Public Relations
8/24/04 Martha R. Garreau

Resolving Tribal Health Care Issues One by One

Chairman Frazier along with local department head representatives from Tribal Health, Indian Health Services (IHS), Youth Diabetes, and CHR Program’s came together on Tuesday, August 24, 2004 to address the many issues that affect the funding and progression of those programs. “Let’s stop fighting each other and fight together,” stated Frazier. The group identified barriers and resolved to take appropriate steps to increase productivity so that the people of Cheyenne River may benefit from their services.
The lack of dental services on Cheyenne River is just one of many health care issues that the Chairman has been addressing for quite some time. Tribal Health has been working with IHS to staff quality dentists to serve the communities on the reservation. Currently, one dentist is on contract but mostly attends to emergency dental care in Eagle Butte. However, more dentists will be arriving in the near future with the first full time dentist expected by the end of September and another in November. Plans to hire an additional contract dentist brings hope to reopen a dental office in Cherry Creek. Vern Donnell, CEO of IHS in Eagle Butte recently visited the old dental facility to assess damages to the building. With a few repairs and general maintenance the building will be capable of housing a dental clinic.
As a result of the recent hiring’s, tribal members will not only benefit from the availability of quality dental care but more jobs will be created as well. In order to accommodate the increase in dentists the dental office will soon be announcing the need for more dental assistants. To keep the people of Cheyenne River updated of changes in services, schedules will be posted throughout businesses in Eagle Butte and on the local cable channel 22.
To ensure a lasting commitment, IHS and Tribal Health provide housing for the dentists. The Tribe recently purchased a large mobile home unit next to the Mni Mart in order to provide adequate accommodations. Chairman Frazier is satisfied with the increase in dental care and can now focus on other areas of distress.
Third party billing is also of great concern to the Chairman. Currently Indian Health Services in Aberdeen does the billing for Tribal Health and in doing so the Tribe loses money. Tribal Health is awaiting their own primary care provider number which will allow their billing personnel to directly bill Medicaid, Medicare, and private insurance companies. This will allow the money from services billed to flow back into the Tribe. All programs that operate under Tribal Health will be affected by this change. Jayme Longbrake, Health Systems Coordinator for CRST announced, “Cheyenne River will be the first Tribe in the area to take on this task.”
Patients can also play a part in increasing profits by simply signing a release of information form. There are currently 229 patients that have not signed this form. By not signing this form prevents the billing of services which results in loss of revenue. In no way does this violate the patient’s right to privacy and quality health care. It is very crucial that patients are fully aware of the importance of this form upon initial registration.
Chairman Frazier stated that he will continue to tackle the many grievances concerning health issues and will strive towards quality care for the people of Cheyenne River.

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