i Spilyay Tymoo, Warm Springs, Oregon M3y 12, 2005 Page9 TRAIL In the fall of 2004 the TRAIL program expanded from the original six pilot club sites to a total of 25 participating clubs in 15 states. TRAIL stands for Together Raising Awareness for Indian Life Each of the 25 Native American Boys and Girls Club sites received the following to implement the trail program: Indian I lealth Service; pass through grant from the National Congress of American Indians to fund operations for one year. Also: an evaluated program cur riculum, training and on-going technical assistance; and NikcGo product grant. The TRAIL program is aimed at reducing the onset of diabetes among Native Ameri can youth through an innova tive combination of physical, educational and nutritional ac tivities. TRAIL is a six-month (1 2 sessions) incentive-based pro gram that provides youth with a comprehensive understanding of healthy lifestyles in order to IRMP: to guide residential development (Continued from page 3) The response to the outline among the planning group, called the ID Team, was, to a person, positive. IRMP will address how resi dential areas are planned and maintained, what type of utility services and facilities are pro vided, how transportation is de veloped and maintained, how a telecommunications system can be designed, how cultural, his- . torical and archaeological re sources are managed, how natu ral resources within the commu nity are managed, if the com- . munity areas have room for I recreatioftal or open-space, y where industrial and co'mmcr- cial facilities should be located within the community, and zon- Survey: comments in various areas (Continued from page 8) In addition to the survey re sults above, 11 pages of com ments were gathered. These comments were categorized so that'we could decide what it was we needed to improve. Here they are with a brief descrip tion of what we are doing about them: Waiting time issues - 53 com ments (30 for medical clinic, four for dental, two for pharmacy, and two overall). We analyzed this and found that many of the waiting time issues were due to an increas ing number of walk-in patients who generally spend a little more time waiting than patients who phone-in for appointments. When we asked why patients weti, walking in instead of call ing, we were told that long waits on the phone and a limited num ber of available appointments were the reason (see phone is sues below). Positive comments 36 com ments. We are thankful that our customers who are happy with the services were walling to say this on our survey. Thanks. Phone issues 24 comments. We have had our first phone service improvement meeting, and all issues were discussed, including how we handle calls that come in, the phone system itself, how many people we need to answer the increasing num ber of calls that we get, and how to assess specifically where the problems are. We have con ducted a study to look at how long a person waits on the phone to speak to a nurse, and we are well on our way to im promotes C if i M - ' Kasheena Stevens and Koedy Club TRAIL program. prevent diabetes. The program is presented with four themes: About Me and My Health; Diabetes and Nutrition; Making Smart I 'bod Choices; and Sharing Knowledge with Others. ing the community areas. "We're focusing on Warm Springs and the Simnasho com munity," said Ixmny Macy, policy and planning manager at Natu ral Resources and the team leader for the IRMP III effort. "IRMP III is a priority this year. We have Tribal Council's au thority to move ahead on this." I le said that when the plan is completed and approved by the Tribal Council, it will be an au thoritative guideline, giving di rection to any future projects within community areas. As with IRMPs I and II, provisions would be made to revise IRMP III in a five-year period. "To some extent, as with IRMP I, the Council wants to make it long-term," Macy said.,. But the plan would also allow ft br evaluation of certain parts over time "to see what works and what doesn't." proving this. Stay tuned, and please continue to give us your feedback. Staff attitude - 24 com ments. We have held several cus tomer service trainings, and are attempting to educate our staff about how their attitudes affect our patients. We will continue to take these comments very seri ously and will continue to pro vide training to the staff. Not seen by designated (pri mary) provider 18 comments. Everyone in our patient popu lation has a designated provider (DP). Sometimes, however, the DP is at the hospital, at continu ing education training, or has their schedule booked for the day. In situations like this, ap pointments are offered with Dr. Hoffman or Dave Caulfield, Nurse Practitioner. These two providers see patients with ur gent needs and then will refer you back to your DP for chronic conditions. It is almost impos sible to see your DP every time you come to the clinic, but we are continuing to look at our schedules to make it more likely that you will see your provider. Too many non-tribal members -14 comments. The Indian Health Service eligibility regu lations determine who we will see at the Warm Springs facil ity. Members of federally rec ognized tribes and their descen dants are eligible for direct ser vices that are provided at the clinic. There are other ways that you can let us know how we are doing, and we encourage you to use them. First, put a sugges tion in our suggestion box, lo cated outside the managed care office. This is for any sugges healthy Photo oouittty of tht Boy wd Oirtl Club Florendo, of the Boys and Girls The program emphasizes the importance of teamwork and community service. Participants apply decision-making and goal setting skills and engage in ser vice projects to improve healthy lifestyles in their communities. Macy and four other planners from Natural Resources have been meeting each week to put the draft document together. As the full ID Team has been convened, Macy said that per haps those weekly meetings could involve different members of the at-large group, and theme meetings around different areas that IRMP III will address, in cluding cultural resources or housing. "We started some of this years ago, anu we neeueu some thing to pull all this together," said Clay Penhollow of Natural Resources, who has been work ing on the project. Macy suggested smaller ornims arnnnff nlannrrs (mm ,cc . ... the ID team meeting and then having the larger group convene again to compare notes. tion concerning your health care. Second, make an appoint ment to visit with Michele Gemelas, quality improvement coordinator, or leave her a note. Some of you have done this and various changes in the clinic have been make because of things that our customers have brought to our attention. Thank you to all for being patient with us at the Warm Springs Health and Wellness Center as we continue to work toward excellence. Also, thank you to everyone who helped administer the survey and espe cially to all our customers who completed them. All your com ments have helped us to under stand your needs even better, and we encourage you to con tinue letting us know how you feel about our services. OFFICE NOW OPEN THRU LUNCH glU.',M.'IIIJ.t'jll:U','M:i;n!fi'rti'iMI'm,lM!fji i i iiiiiii lifestyles Community and family mem bers participate in activities with elementary aged club members. We would also welcome and encourage any eight to 10 year old children who would like to participate in the program. Activities provided to the club members include the fol lowing: Nike incentive products for class participation; field trips and other fun activities; Kids Day Powwow, June 10; working with diabetes and nutrition program at the Warm Springs I lealth and Wellness Center. Services provided to the community by club members include the following: Healthy snacks delivered to various tribal programs and en terprises by the club members to promote healthy nutrition and diabetes awareness; a commu nity garden, and a fun runwalk. For more information on this program, contact Jocelyn Moses at 553-3161. Mini powwow at Pendleton There will be a culture fair and mini powwow at the Sunridge Middle School in Pendleton on May 21st at noon. Everyone is welcome. The Sunridge Middle School is at 700 SW Runnion Ave., Pendleton. Housing: quality hOITieS and JOGS (Continued from page 1) "We were able to do differ ent style of roofs. What we had budgeted was like a straight gable, but we went over the mountain and got quotes from .Precision Roof Truss. They ,gave 1,8 a cIuote thftt was lower than the Ccntral re8n truss companies by close to a thou sand dollars," he said. "But it's a bulk deal. You have to have two of them ready at once, You have to have two houses framed up, so they bring out two truss packages. We were able to save money there." Due to the savings from not having to hire a contractor, Strong said he and his depart ment were able to present each of the 20 homeowners, who had all been on a waiting list, with lots of options for the look of their homes, from exterior and interior paint, styles of tile both for kitchen counters and entry ways, whether or not to have a wood stove, roof color and style of cabinets. They could even choose the direction the house sits. "A lot of times we would build houses 40 feet from the road, and the main picture win dow would be facing the street," he said. "What I did was had the homeowner sign off on it. I AUTOMOTIVE & TOWING "Done Right The First Time" in - ' 1 1 1 1 1 1 1 What this means to you... We can take care of all your Automotive Repair & Maintenance Needs! NEW or OLD VEHICLES. W7 Help available The Housing and I'rban Development (lll'D) mutual help buy program, which pro vides tribal members the op portunity to own houses like the newly built homes on Hear Drive, is "in very good shape," said Pat Prow, Warm Springs I lousing Department director. Restrictions that had been in place have been lifted, he said, and, with the help of new bookkeeping procedures, is fiscally accountable as of the beginning of 2005. The first stage of six houses built on Fish: sea lions a growing concern (Continued from page 1) "We're asking the states to uti lize every authority available, within the existing law, to best manage this problem. The Ma rine Mammal Protection Act is a cumbersome law but it does have some available options. We're pleased to see the hazing efforts of the U.S. Army Corps of F.ngineers at Bonneville Dam have some positive effect, but we need all agencies to ex ercise their management options to effectively deal with this frus trating situation." In the early 1970s, Califor nia sea lion population num bered only around 50,000 ani mals, requiring protection under the Marine Mammal Protection Act. NOAA Fisheries now esti brought them to their lots and said, 'I Icre's your house plan, here's your kitchen window, here's your front door, here's your back door. I low do you want this to sit?' "I'll basically sketch it out, north, east, south, west, and they'll sign off on it. And as you can sec, all the picture windows i,a facin8 ri8ht to,the moun&tt, ' hU Aey'K suPPos6d The Housing Department was able to contract out the elec trical work, sheet rock and in sulation to Ccntral Oregon sub contractors. The houses, Strong said, are energy efficient, with double-paned Milgard windows, wall, attic and floor insulation that exceeds the state standard. "Every product we have is going to have the energy star rating on it," he said. "That's important when you're paying your electric bill. I pay $40 a month. I'd like to sec people pay $30 a month." Because the Warm Springs Housing Department is respon sible for maintaining tribally built houses, Strong said future main tenance is always in mind dur ing the construction. The houses have I lardiplank, concrete board siding that Strong said is supposed last for 100 years, and, along with the standard copper pipe, a heat sensitive plastic Pecs pipe is used for water conduit. CALL 475-6663 rT1i.jj:;iU.MiM,if.:iM.i.Tn "Se habla espanol" i VISA for housing Bear Drive is in budget and the entire projec t of 20 dwell ings in projected to be com pleted within budget, Prow said, "with the employment of 100 percent tribal members." What has helped in main taining accountability is having Danielle Switzler on board as finance manager, Prow said. Switzler handles the pro curement processes and pur chase contracts, in addition to payroll, and lll'D and tribal housing compliance. JVr HOUSING onpw 14 mates the sea lions have grown to a healthy and robust popula tion of over 300,000 animals. In more promising news: fish counters late last week at Bonneville Dam posted the highest numbers of the season for spring Chinook, with 6,065 swimming through the first Co lumbia River fish ladders they encounter as they head inland from the Pacific to spawn. The May 5 tally was more than double the previous day's total of 2,542. The next best day was April 25, when the count was 4,149. "We finally got a decent num ber," said Cindy Lel 'leur, policy coordinator for the Columbia River Compact, made up of the Washington and Oregon fish and wildlife departments. (This story is by Spilyaj staff and from AP reports.) "It took a lot to sell me on it because I'm a big copper guy," Strong said. Instead of having ' to use a cutting torch as with copper, die Pecs pipe can be cut to fit and clamped on. Pecs pipe is able to expand and contract with the temperature to avoid burst through freezing. : ,. Each pf, the homes will havp .gravel driveways, butliosWdd of simP'y spreading graved tasf: of big rock is laid out first to stabilize the ground. The last housing project on the reservation was five years ago, and those were manufac tured homes, Strong said. "They didn't employ any tribal mem bers," he said. "It all went out. Not only that, you're not getting the same quality in 'a manufac tured home." Strong said he recently fin ished his own home in the Sceksecqua area, and he enjoys the feeling of having his own home. He said he wants to share the same pride with his neigh bor tribal members on Bear Drive. "I sit at home at night, and because I've been in construc tion for 15 years, I think about how can we help these people, how can they better them selves," he said. "You have to put forth a 1 10 percent effort everyday and just make them believe in you." Warm Springs and Madras since 1975 Serving