Agency Priorities Update
Western Oregon Service Unit – 2nd Qtr FY19
Our Mission: To raise the physical, mental, social and spiritual health of American Indians and Alaska Natives to the highest level.
Chemawa’s Purpose Statement: To provide a legacy of wellness as a trusted provider of choice.
Greetings All: I am pleased to share
with you the FY19 second quarter update
on our work at the Western Oregon Ser-
vice Unit.
lence. Thank you CDR Woodard, LCDR
Hartis, Leann, Adam, Jess, Denise and
Cheryl.
To strengthen IHS program
management operations.
IHS Strategic Goals
To ensure that comprehensive,
culturally appropriate personal and
public health services are available
and accessible to American Indians
and Alaska Natives.
Chemawa is committed to recruiting
and retaining quality staff. We are excited
to welcome our new Dental Assistant,
Tania Halligan, member of the Confeder-
ate Tribes of Siletz. Tania comes to us with
extensive experience and excitement for
our dental team. I am proud to say that our
dental program is fully-staffed and access
to dental services is at an all-time high.
Chief Optometrist, Dr. Don Asay, reported
this quarter that his program reached a
milestone in that all Chemawa students
received screenings and of those all prior-
ity 1-3 have been seen. In addition, 83% of
all students have received a full optometry
exam at this point in the school year. This
team demonstrates efficiency and excel-
lence representative of this strategic goal.
The WOSU Behavioral Health pro-
gram continues to impress me with their
commitment to the Chemawa students.
With the support of Steven Whitehorn
and Skye Bass from the IHS Division
of Behavioral Health, along with Kristi
Woodard, Portland Area Behavioral
Health Consultant, culturally based group
therapy has remained a consistent service
provided to students needing support. In
collaboration with nursing Tracy Nelson,
Patient Advocate, LT Rachel Taylor, Risk
Management Officer and LT Livingston,
DON also added to services by offering
group education on personal wellness
and mindful awareness. This doesn’t go
without acknowledging our BH staff that
demonstrates the highest degree of excel-
Business operations are the backbone
to services at WOSU. Business Office
Manager, Judi Adams along with her
strong department work hard behind the
scenes assuring that all revenue opportu-
nities are accessible. Judi’s attention to
detail has resulted in consistent increases
in annual collections. Improvements
in debt management have shown aging
reports to be less than 2%. The efforts of
this team allow us to provide the most we
can to our community. Thank you Judi,
Sandy, Joseph, Kylee, Kaye and Priscilla.
Currently WOSU is in final design of
our Pharmacy and Lab renovation. This
will expand both departments allowing
for additional staff to support our medical
home model. This project is expected to
begin in the Summer of 2019. Our team
continues to better facilitate and coordi-
nate staff training and department training
plans to optimize the most efficient use
of time and plan for future improvement
efforts. Marge Horn-Sampson, Executive
Administrative Assistant, has developed a
central share drive that all staff can locate
necessary forms, step-by-step instructions
and tracking tools. This has ensured that
WOSU successfully meets all training
and evaluation deadlines, allowing staff to
plan and promote time management to not
interfere with direct patient care. Investing
in our staff knowledge, competency and
skills is our greatest resource and best
pathway to care excellence for our patients.
To promote excellence and quality
through innovation of the Indian
health system into an optimally
performing organization.
Chemawa continues to set the bar
high with quality and innovations. Hav-
For more information about the Siletz Tribal language
program, visit siletzlanguage.org.
Siletz Community Health Clinic
Monday - Friday 8am-5pm
We’ll do everything possible to not only
provide you with quality health care, but
also to involve you in decisions about your
health, and participate with you in
developing and maintaining a healthy
lifestyle for the future.
Siletz Community Health Clinic
offers comprehensive health
care to ALL residents
of Lincoln County.
We accept Private Insurance,
Medicare & Medicaid
Call the Clinic for more information
541-444-1030
200 Gwee-Shut Rd • Siletz, OR 97380
ing completed two prior Ami waves of
multiple projects, departments are actively
running independent Ami projects and
reporting on them monthly to leadership.
Pharmacy currently has four improvement
projects ongoing to include point of sale,
medication safety, antibiotic stewardship
and improving the department’s monthly
reporting tool. Additionally the laboratory
has completed Ami projects to include
laboratory monthly spending and most
recently lab turnaround times by category
of test. The learning that is being shared
amongst the management team and their
department staff has been huge. The
understanding of data and processes has
increased communication and efficiency
within these workgroups. Utilizing this
approach to improvement further supports
a “just culture” workplace where the entire
team is part of the solution.
The WOSU Executive team continues
to utilize a Quality Management approach
that emphasizes a focus on sustainability
as key to achieving health care excellence.
One of WOSU’s primary improvement
projects has been the Access Commit-
tee. This team has brought innovation to
a new level. Recent tests of change that
have resulted in implementation include
a 120-day primary care schedule in
which patients are provided a follow-up
appointment by the care team at the end
of the visit. This has reduced the demand
of scheduling at the front desk and sig-
nificantly increased continuity of care to
greater than 82%. In addition, same-day
access has increased and no-show rates
have remained low. The willingness of this
team to test something new, retest some-
thing differently and stay committed to
improving is a model to this strategic goal.
At Chemawa, we strive for balance
between Quality in Patient Care and
Employee Wellness. With simple redesign
and increased communication, WOSU
will continue to provide opportunity for
sustainable improvements that will posi-
tively impact the Chemawa community.
Every patient and employee is a vital
asset of our sustainability model!
What WE do matters … Commitment
to quality and improvement allows us to
focus on what is important – the patient!
Laura Herbison, RN, BSN
CAPT, U.S. Public Health Service
Chief Executive Officer
Portland Area Indian Health Service
Western Oregon Service Unit
Chemawa Indian Health Center
3750 Chemawa Road NE
Salem, OR 97305
Direct: 503-304-7240
Fax: 503-304-7678
laura.herbison@ihs.gov
Siletz Tribal Court Filing Fee/Copy Charge
(Effective July 1, 2018)
Adoption
Appeal, Filing Notice of
Audio Record (tape)
Copies, Standard
Certified Copy
Certified Copy, Guardianship Letter
Civil Action
Less than $10,000
$10,000 – $49,999
$50,000 – $1,000,000
$1,000,000 or more
Contempt of Court
Dissolution
Petitioner, Petition
Respondent, Response
Co-Petition
Election Challenge
Electronically Stored Case Documents (hard copy)
Emancipation
Guardianship, Individual Petition
Mailing Costs
Marriage Application
Marriage Solemnization
Name Change
Small Claims, Enforce Judgment Under $2,500
Petitioner
Small Claims, Enforce Judgment Over $2,500
Petitioner
Vehicle Repossession
Petitioner
May 2019
$100
$50
$5
$.25 per page
$5 +$.25 per page
$5 +$.25 per page
$100
$200
$400
$800
$1,000
$200
$200
$200
$25
$3/each request
$100
$50
Actual Cost
$100
$50
$50
$25
$50
$75
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Siletz News
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