Related Issues : Native American Health Issues and IHS
General
Native Nutrition Argus Leader (19 Jan 2003)
Lakota man credits traditional diet for diabetes control Rapid City Journal (12 Jan 2003)
Nutritionist uses medicine wheel to illustrate dietary problems Rapid City Journal (12 Jan 2003)
HHS EXPANDS INFORMATION FOR AMERICAN INDIANS AND ALASKA NATIVES ON CONSUMER-ORIENTED HEALTHFINDER® WEB SITE (18 Dec 2002)
Congressional Native American Caucus
Wins Record Diabetes Funding for Tribes (24 Nov 2002)
American Indians are many who seek mental-health help each year Rapid City Journal (24 Nov 2002)
Congress approves $750M for Indian diabetes (21 Nov 2002)
HHS Expands Information for American Indians, Alaskans (8 Nov 2002)
Killing Us Slowly: When We Can't Fight and We Can't Run
Article on PTSD, stress and American Indians
Speaker: Natives overlooked by U.S.
"The poor state of health care in Indian Country is a reminder of U.S. failure to live up to its treaty obligations to Native people" -- journalstar.com (17 Oct 2002)
Urban Indian Health Treats All Races Rapid City Journal (5 Oct 2002)
Dakota Lakota Nakota Specific
IHS PROTEST 12 FEB 2003
Our Sicangu Lakota Grass Roots Oyate, AIM are helping with this march and Protest against the Indian Health Service. We are demanding better health care and complete removal from Indian Country, the individuals causing the problems. we need your help in contacting the senators, and other officials, and Please contact Media. This is a way of helping Our people here and hopefully elsewhere. We need all the Outside support we can get.
Review Rosebud Sioux Tribal Council Roll Call on Support Against I.H.S.
Nursing home ban scrutinized Rapid City Journal (10 Feb 2002)
Bill targets lack of tribal nursing homes; Measure sponsored by Daschle and
Johnson would force federal government to pay for care 14 Sept 2002
State Panel Endorses Federal Measure On Reservation Nursing Homes 14 Sept 2002
Proposed Collection; Public Comment Request: Indian Health Service Medical
Staff Credentials and Privileges Files
August 6 2002
AGENCY: Indian Health Service.
ACTION: Request for Public Comment: 60-day Proposed Information Collection:
Indian Health Service Medical Staff Credentials and Privileges Files.
SUMMARY: The Department of Health and Human Services, as part of its
continuing effort to reduce paperwork and respondent burden, conducts a pre-
clearance consultation program to provide the general public and Federal
agencies with an opportunity to comment on proposed and/or continuing
collections of information in accordance with the Paperwork Reduction Act of
1995 (PRA95) (44 U.S.C. 3506©(2)(A)). This program helps to ensure that
requested data can be provided in the desired format, reporting burden (time
and financial resources) is minimized, collection instruments are clearly
understood, and the impact of collection requirements on respondents can be
properly assessed. Currently, the Indian Health Service (IHS) is providing a
60-day advance opportunity for public comment on a proposed extension of
current information collection activity to be submitted to the Office of
Management and Budget for review.
Proposed Collection: Title: 09-17-0009, "Indian Health Service Medical
Staff Credentials and Privileges Files". Type of Information Collection
Request: Extension, without revision, of currently approved information
collection, 09-17-0009, "Indian Health Service Medical Staff Credentials and
Privileges Files." Form Number: Instructions and information collection
formats are contained in IHS Circular No. 93-2, "Credentials and Privileges
Review Process for the Medical Staff." Need and Use of Information Collection:
The IHS operates health care facilities that provide health care services to
American Indians and Alaska Natives. To provide these services, the IHS
employs (directly and under contract) several categories of health care
providers including: physicians (M.D. and D.O.), dentists, psychologists,
optometrists, podiatrists, audiologists; and in some states, physician
assistants, certified registered nurse anesthetists, nurse practitioners, and
certified nurse midwives. IHS policy specifically requires physicians and
dentists to be members of the health care facility medical staff where they
practice. Health care providers become medical staff members, depending on the
local health care facility's capabilities and medical staff bylaws. There are
three types of IHS medical staff applicants: (1) Health care providers
applying for direct employment with IHS; (2) contract health care providers
who will not seek to become IHS employees; and (3) employed IHS health care
providers who seek to transfer between IHS health care facilities. National
health care standards developed by the Centers for Medicare and Medicaid
Services, formerly the Health Care Financing Administration and by the Joint
Commission on Accreditation of Healthcare Organizations (JCAHO) require health
care facilities to review, evaluate and verify the credentials, training and
experience of medical staff applicants prior to granting medical staff
privileges. To meet these standards, IHS health care facilities require each
medical staff applicant to provide information concerning their education,
training, licensure, and work experience and any adverse disciplinary actions
taken against them. This information is then verified with references supplied
by the applicant and may include: former employers, educational institutions,
licensure and certification boards, the American Medical Association, the
Federation of State Medical Boards, the National Practitioner Data Bank, and
the applicants themselves.
In addition to the initial granting of medical staff membership and
clinical privileges, JCAHO standards require that a review of the medical
staff be conducted not less than every two years. This review evaluates the
current competence of the medical staff and verifies whether they are
maintaining their licensure and the certification requirements of their
specialty. The medical staff credentials and privileges records are maintained
at the health care facility where the health care provider is a medical staff
member. The establishment of these records at IHS health care facilities is
not optional; such records must be established and
---- Page Number 50893 ----
maintained at all health care facilities in the United States that are
accredited by JCAHO. This information collection activity is used to evaluate
individual health care providers applying for medical staff privileges at IHS
health care facilities. Affected Public: individuals, businesses or other for-
profit, not-for-profit institutions and Staff, local or Tribal Government.
Type of Respondents: health care providers requesting medical staff privileges
at IHS health facilities. The table below provides: types of data collection
instruments, estimated number of respondents, number of responses per
respondent, annual number of responses, average burden hour per response, and
total annual burden hour.
Data collection Estimated Responses Annual Average Total
instruction No. of per res- No. of burden annual
res- pondent responses hour per burden
pondents response hours
*
Application to 600 1 600 0.75 450.0
Medical Staff (45 mins)
Reference letter 1,800 1 1,800 0.33 600.0
(0 mins)
Reappointment 644 1 644 1.00 644.0
request (60 mins)
Medical 387 1 387 1.00 387.0
Privileges (60 mins)
Ob-Gyn Privileges 25 1 25 1.00 25.0
(60 mins)
Surgical 23 1 23 1.00 23.0
Privileges (60 mins)
Psychiatric 18 1 18 1.00 18.0
Privileges (60 mins)
Anesthesia 16 1 16 1.00 16.0
Privileges (60 mins)
Dental Privileges 128 1 128 0.33 42.2
(0 mins)
Optometric 21 1 21 0.33 6.9
Privileges (0 mins)
Psychology 23 1 23 0.17 3.9
Privileges (0 mins)
Audiologic 6 1 6 0.08 0.5
Privileges (0 mins)
Podiatric 6 1 6 0.08 0.5
Privileges (0 mins)
Radiology 9 1 9 0.33 3.0
Privileges (0 mins)
Pathology 3 1 3 0.33 1.0
Privileges (mins)
Total 3,709 2,221.0
* For ease of understanding, burden hours are also provided in actual
minutes.
There are no Capital Costs, Operating Costs and/or Maintenance Costs to
report.
Request for Comments: Your written comments and/or suggestions are invited
on one or more of the following points: (a) Whether the information collection
activity is necessary to carry out an agency function; (b) whether the agency
processes the information collected in a useful and timely fashion; © the
accuracy of public burden estimate (the estimated amount of time needed for
individual respondents to provide the requested information); (d) whether the
methodology and assumptions used to determine the estimate are logical; (e)
ways to enhance the quality, utility, and clarity of the information being
collected; and (f) ways to minimize the public burden through the use of
automated, electronic, mechanical, or other technological collection
techniques or other forms of information technology.
Send Comments and Requests For Further Information: Send your written
comments and requests for more information on the proposed collection or
requests to obtain a copy of the data collection instrument(s) and
instructions to: Mr. Lance Hadahkwen, Sr., M.P.H., IHS Reports Clearance
Officer, 12300 Twinbrook Parkway, Suite 450, Rockville, MD 20852-1601, call
non-toll free (301) 443-5938; send via facsimile to (301) 443-2316, or send
your e-mail requests, comments, and return address to: lhodahkw@hqe.ihs.gov.
Comment Due Date: Your comments regarding this information collection are
best assured of having their full effect if received within 60 days of the
date of this publication.
Dated: July 31, 2002.
Duane L. Jeanotte,
Acting Deputy Director, Indian Health Service.
[FR Doc. 02-19768 Filed 8-5-02; 8:45 am]
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Photograph--Alfred Bone Shirt Sr. wearing a peace medal.