Monday, January 28, 2013

A Four Month Update

It has been a busy holiday season and I have quite a number of updates to add:

Friday February 1st, 2013
Join us!
More information can be found on the NDSU Distance and Continuing Education website HERE.
Tuesday January 29, 2013

Improving access to quality, affordable health care is critical to winning the fight against cancer. The nation's leading cancer advocacy organization, the American Cancer Society Cancer Action Network (ACS CAN), is holding this event to explore the impact of the Affordable Care Act on the American Indian community. 

I will be a guest panelist at the American Indian Health Equity and the Affordable Care Act event which will benefit the The American Cancer Society Cancer Action Network (ACS CAN) and will include a Breakfast and Discussion with Congresswoman Betty McCollum and Senator Al Franken.
Tuesday, January 29, 2013
Black Bear Crossings on the Lake near Como Park
St. Paul, Minnesota
9:00-10:30 a.m.
Guest Panelists        
Dr. Donald Warne, National Board of Directors, American Cancer Society
Ruth Parriott, Central Region Director, American Cancer Society Cancer Action Network
Laurie Jensen-Wunder, Chief Mission Officer, Midwest Division, American Cancer Society 
More information about this event can be found HERE.
Dr. Donald Warne (right) and Senator Al Franken (left)
Monday January 28, 2013

MPH Pre-accreditation Consultation 
January 28, 2013
Mollie Mulvanity, Site Visitor

NDMPH is a 42-credit program leading to the MPH degree.  It is a collaborative program offered by North Dakota State University (NDSU) and the University of North Dakota (UND).  The MPH Executive Committee provides oversight, guidance, and policy approval.  Each school offers different specializations.  

We invite your participation during the 4:30-5pm timeframe. We will have the videoconference set up in Sudro Hall room 118A as the consultant and meetings are taking place in Grand Forks.

If you want to review the CEPH criteria for accreditation, the web address is:
January 24, 2013
I had a follow-up meeting with the Mandan-Hidatsa-Arikara health committee on developing a tribal Department of Health and Human Services. This discussion also included the development of a local public health unit. 
             Three Affiliated Tribes * Fort Berthold Indian Reservation
Tribal Business Council 
Regular Meeting 12-34-TGH
January 23, 2013
I attended an additional meeting in Bismarck for the Statewide Vision and Strategy (SVS) for Improving Health in North Dakota to update the coordinating team on statewide health trends and to set priorities for or 2013 work. During the meeting we also determined the structure for SVS . Our next meeting will be on Wednesday, February 20, 2013. 

Our vision is for North Dakotans to become the healthiest Americans by 2020 and we have followed several foudning principles: key leaders are engaged, no delegating;  if one of us get gored, we all get gored equally; it's not "pay to play," deepest pockets don't drive this agenda; this is a voluntary, self-funded public/private partnership, not a venue for "government" to control an agenda. Healthy North Dakota has earned trust in convening the partners, and we have established a venue to discuss cross-cutting issues affecting ND's health system.  
January 22, 2013
I met with the Lower Brule Sioux Tribal Council to work on the Tribal Self-Determination in Healthcare Project. This project is funded by the Helmsley Charitable Trust and by Sanford 
SIOUX FALLS, S.D. (AP) – The largest hospital system in the Dakotas is launching a new effort to reach out to residents of the region's Native American reservations, hospital officials announced Wednesday.
Leading Sanford Health's new Office of Native American Health will be Dr. Donald Warne, a member of the Oglala Lakota tribe from Pine Ridge. He will coordinate activities among the hospital system, the federal Indian Health Service and the 28 tribes within Sanford's coverage region, which spans South Dakota, North Dakota, Minnesota, Iowa and Nebraska, said Mark Johnston, a Sanford Health vice president.
“It's an important step to try to improve the health and welfare of the folks on different reservations in Sanford Health's service area,” Johnston said Wednesday.
Warne most recently served as head of the Aberdeen Area Tribal Chairmen's Health Board, a Rapid City-based organization that acts as a liaison between Native Americans and the federal Indian Health Service. He also is an instructor at Arizona State University's law school, where he teaches Native American health policy.
He said the new effort will help address health disparities between Native Americans and other residents.
“Diabetes and related conditions seem to occur at a much higher rate in Native American communities, particularly here in the Northern Plains,” Warne said. “With high rates of diabetes, we also see high rates of things like kidney failure and subsequent needs for locally available dialysis services.”
Warne met with members of the Rosebud Sioux Tribe in Pine Ridge on Wednesday to discuss a collaboration between tribal communities, Sanford and Novo Nordisk, a Diabetes pharmaceutical company. On Thursday, he will meet with residents of the White Earth Indian Reservation in Minnesota about their needs for dialysis.
Sanford does not have clinics or hospitals on reservations, but many of its facilities serve Native American patients, Johnston said.
Sanford in June announced it would establish a digital mammography center in Chamberlain to help underserved women in central South Dakota, including those on the nearby Crow Creek and Lower Brule reservations. It is being funded with a $489,300 grant over three years from the charitable trust established by the late hotel and real estate baroness Leona Helmsley.
The Sanford Health Network also will provide about $372,000 for a 16-passenger van that will travel to Native American reservations and communities in remote areas in a three-county area, providing transportation for women to and from the digital mammography facility.
As part of treaties signed by the Sioux Nation in the late 1800s, the federal government agreed to provide medical care on Native American reservations,
The government-run Indian Health Service today runs hospitals and clinics on most reservations. But critics long have complained of insufficient financial support that has led to constant turnover among doctors and nurses, understaffed hospitals, sparse specialty care and long waits to see a doctor.
Sanford Health was created last year when Sioux Falls-based Sanford and Fargo, N.D.-based MeritCare merged. The system now employs 17,000 health care professionals working in more than 75 communities across the United States.
January 21, 2013 
Sioux Falls, SD- 
I met with the project officers from the Helmsley Charitable Trust to discuss research and training opportunities in public health. _________________________________________________________________________________
January 11, 2013
VA Hospital, Fargo- Andrea Huseth, M.S., research associate and grant coordinator for the NDSU MPH program toured the VA Hospital with their Director of Research, Kimberley Hammer. This productive meeting was to discuss possible future training and research partnerships with NDSU.
January 4, 2013
NDSU MPH Faculty Spring Semester meeting
January 4, 2013
Presenters: Charlene Wolf-Hall, Mary Larson, Ardith Brunt, Abby Gold, Andrea Huseth, Sarah Hilgers-Greterman, Stefanie Meyer, Margaret Fitzgerald, George Youngs, Mark Strand, Margaret Khaitsa, Birgit Pruess, Dan Klenow, Don Miller, Jane Schuh, Nate Fisher, Carol Cwiak, Dave Scott, Don Warne

An important meeting to discuss MPH progress and planning for the incoming Fall 2013 students. 
December 19, 2012
I hosted Frank Pascarelli, a Public Health Advisor with the CDC's Division of Strategic National Stockpile (DSNS), an office of Public Health Preparedness and Response Divisions, and Tim Wiedrich Section Chief of  the North Dakota Department of Emergency Preparedness & Response, to discuss capacity building and emergency preparedness for tribal health. 
December 17, 2012
I met with the Provost and several Deans of South Dakota State University to talk about collaborative programs for the future. There is a genuine interest in creating a Masters of Public Health program at SDSU. 

December 14, 2012 
Our first-ever MPH Holiday Party! Hosted at my home with catering by Juano's.
Thank you everyone for joining us!
December 13, 2012
Advisory Committee on Breast Cancer in Young Women

National Conference Call 
Atlanta, GA
Committee members are charged with advising the Secretary of the Department of Health and Human 
Services (HHS) and the Director of the Centers for Disease Control and Prevention (CDC) regarding the 
formative research, development, implementation, and evaluation of evidence-based activities designed 
to prevent breast cancer (particularly among those at heightened risk). 

Agenda Posted HERE
December 6, 2012
National Rural Health Association
18th Annual Rural Multiracial and Multicultural Health Conference
“Diversity in Rural Healthcare and Leadership: Now is the Time”
December 4-6, 2012
Doubletree Biltmore Hotel 115 Hendersonville Road Asheville, NC 28803

The National Rural Health Association welcomes you to the 18th Annual
Rural Multiracial and Multicultural Health Conference, “Diversity in rural
health care and leadership: Now is the time.”
We are pleased to have passionate professionals come together to share
information and skills and form partnerships to collaborate with each other to
ensure access to quality health care for all.
We hope this conference will be both a valuable learning experience
and an enjoyable time. Be sure to attend educational sessions and visit
the display table area and posters, but also take the time to explore Asheville
with your colleagues.
Most importantly, take back valuable knowledge to share in your community.
On behalf of NRHA, we thank you for attending this event and taking the
time to assist in our collective efforts to improve the health of rural multiracial
and multicultural populations and Sovereign Nations in America.
Lance Keilers

1:45 p.m. – 3:00 p.m.
Plenary Session - Challenges in American Indian Healthcare and Leadership
Burghley B room
Donald Warne, MD, MPH, North Dakota State University, Associate Professor and Director

The American Indian (AI) population suffers from among the worst health disparities in the nation. AIs are also significantly under-represented in the health care workforce and in leadership positions. Hear an overview of AI health and workforce disparities and strategies to reduce these .
December 5, 2012 and November 28, 2012
Compass Program Foundation-Brown Bag Seminar Fall 2012
The Brown Bag series is offered during lunch hour, so attendees can bring their lunches in “brown bags” and eat while they listen to a presentation. All seminars will be held in the Memorial Union Arikara room from noon to 1 p.m. unless stated otherwise, and are free and open to the public. 
“Integrating Modern and Traditional Medicine”

Donald Warne, Director of the Master of Public Health Program
December 3, 2012

12:00-1:00 MU Arikara
A presentation focusing on integrating modern and traditional medicine in today’s world.
"American Indian Health Disparities" 
November 28, 2012
October 29, 2012
American Public Health Association Annual Meeting and Expo:

2012 October 27 - 31
San Francisco, CA (140th Meeting)

Prevention and Wellness Across the Life Span 

Monday, October 29, 2012 : 3:06 PM - 3:17 PM

274525 Health Equity in the American Indian Community

Donald Warne, MD, MPH Master of Public Health Program, North Dakota State University, Fargo, ND
American Indians suffer from among the worst health disparities in the nation. The American Indian population is unique in that tribal members are the only population born with a legal right to health services. This is based on treaties and other legal bases in which the tribes exchanged land and natural resources for various social services, including housing, education and healthcare. Although the United States has benefitted remarkably from these resources, they have not lived up to their treaty obligations to tribes in terms of the provision of health services. The Indian Health Service (IHS) is an agency located within the Department of Health and Human Services, and it is the federal agency charged with the responsibility of providing public health and medical services to American Indians. Unfortunately, the IHS is significantly underfunded, and therefore health disparities are worsening.
Many tribes have been able to improve their healthcare systems by taking over the management and delivery of health services from the IHS. In this session we will discuss examples of tribes that are improving access to health services, strategies for achieving health equity, and the potential impact of the Patient Protection and Affordable Care Act on American Indian healthcare.
Learning Areas:
Advocacy for health and health education
Diversity and culture
Public health or related public policy
Learning Objectives:
• Describe the unique relationship that tribes have with the United States government and how that relationship has an impact on the provision of health services and health disparities • Describe American Indian health disparities and the relationship between those disparities and health policy at the federal, state and tribal levels • Differentiate among the concepts of health equity, health parity and health equality from an American Indian perspective
Keywords: American Indians, Health Reform
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I have worked in American Indian Health Policy for 2 decades and am an expert on the impact of PPACA and other laws on the provision of healthcare to American Indians.
October 22, 2012
Overcoming Diabetes: Diabetes Care in High Risk Populations
Omni Shoreham Hotel
Washington, DC

The American Diabetes Association has convened a forum that provided a platform to address the severe onset of type 2 diabetes in high-risk populations.

In 2012, the Association will be holding its 5th Disparities Partnership Forum, entitled Overcoming Diabetes: Diabetes Care in High Risk Populations. The goal of this year's Forum is to collaborate with partners to address the disparity of cultural competency, health literacy and health equity in healthcare (diabetes care), specifically in populations at highest risk for type 2 diabetes, i.e., African Americans, Hispanic/Latinos, American Indian/Alaskan Natives, Asian American/Native Hawaiian/Pacific Islanders, older adults, women, low income and uninsured persons.

The Forum represents an annual gathering that provides learning opportunities, best practice highlights, opportunities for idea exchange and fosters collaborations among various stakeholders and thought leaders.

Target Audience

This Forum was designed to facilitate dialogue among Healthcare Professionals, Students, Community Health Educators, Academicians, Community Leaders and Lay People, Public Health Practitioners and Officials, Policy Makers and Analysts, Government Officials, Researchers, Program Administrators, Patient Advocacy Groups and Voluntary Health Organizations.




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