Drawing from interviews with tribal health experts, community planners, elders, and caregivers, these videos provide examples of successful programs and strategies for your review.
What Works for Tribal LTSS Programs
These videos bring together experts from different tribal LTSS programs to present strategies that successful programs have used.
Most LTSS programs are stitched together from state and federal funding sources, community services, and different types of tribal support. "There's always a way" to fill gaps and serve tribal members, explains an experienced health administrator in this video.
Involving elements of tribal cultures, such as Native languages, ceremonies, foods, and even architectural designs, can enhance LTSS programs. In this video, tribal health care leaders discuss how they incorporated culture into their programs.
Locations can be remote and paychecks are sometimes low, but experienced administrators of tribal LTSS programs know how to hire and keep good employees. In this video, they share some solutions to the challenges they face.
Much of the funding needed for LTSS comes from state and federal sources. Here, experienced tribal planners and administrators describe challenges and the rich rewards that resulted from forming good working relationships with state and federal officials and agencies.
These videos highlight several different tribal LTSS programs. The people involved in these programs share their challenges and successes in meeting the needs of elders and those with disabilities in their communities.
Phoenix Native Health is an urban Indian organization that serves over 300 tribes. It also provides long-term services and supports to the growing senior population among urban Indians in Arizona.
The Tanana Chiefs Conference delivers home- and community-based services in remote villages across the interior of Alaska to help elders stay in their communities.
Home- and community-based services are delivered in the Pueblo of Zuni through the coordinated efforts of the Zuni Home Health Care Agency, Zuni Senior Citizen Center, and the Zuni IHS hospital. To learn more about this LTSS network, visit Pueblo of Zuni's profile page.
The Oneida Nation worked with the State of Wisconsin to create a "win-win" solution for the state and tribe through a reimbursement scenario called 100% FMAP. The Oneida Nation uses needs assessments and research to inform care delivery. To learn more about this program, visit the Oneida Nation's profile page.
The Tohono O'odham Nation's Nursing Care Authority (TONCA) coordinates and delivers skilled nursing care, hospice, and other LTSS. TONCA received an All-Stars Award from the Honoring Nations project as an outstanding example of tribal governance. Read the Honoring Nations Profile on TONCA (PDF) .