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Alaska Native People Shaping Health Care. Nuka System of Care Traditional Healing: Operating a Traditional Healing Clinic in a Western Medical Center: Working in Two Worlds. Ted Mala, MD,MPH, TH Director Southcentral Foundation at The Alaska Native Medical Center ANMC 2011. Vision - PowerPoint PPT Presentation
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Alaska Native People Shaping Health Care
Nuka System of Care
Traditional Healing: Operating a Traditional Healing Clinic in a Western Medical Center: Working in Two Worlds
Ted Mala, MD,MPH, TH DirectorSouthcentral Foundation at The Alaska Native Medical CenterANMC 2011
Vision A Native Community that enjoys physical, mental, emotional and spiritual wellness Mission Working together with the Native Community to achieve wellness through health and related services
Shared Responsibility
Commitment to Quality
Family Wellness
Customer Ownership
Relationships between customer-owner, family and provider must be fostered and supportedE mphasis on wellness of the whole person, family and community (physical, mental, emotional and
spiritual wellness)L ocations convenient for customer-owners with minimal stops to get all their needs addressedAccess optimized and waiting times limitedT ogether with the customer-owner as an active partnerIntegration of services throughout SCF - no more islandsOne seamless systemNo duplication of services or roles and responsibilitiesS imple and easy to use systems and servicesHub of the system is the familyInterests of customer-owners come first; the system is created around what works best for
customer-ownersP opulation-based systems and servicesS ervices and systems that are culturally appropriate and built on the strengths of Alaska Native
cultures
Operational Principles
Core Concepts: Work together in relationship to learn and grow
Encourage understanding
L isten with an open mind
L augh and enjoy humor throughout the day
Notice the dignity and value of ourselves and others
Engage others with compassion
Share our stories and our hearts
Strive to honor and respect ourselves and others
Purchased basic services through government-to-government agreements with the U.S
Native health care has been ‘prepaid’ by agreements related to land and resources
Indian Health Service (IHS) = organizational vehicle for fulfilling this obligation
Pre-Paid Health Care
333 Board-certified physicians Over 420 nurses on staff. In 2010 FY10, the Medical Center provided more than
625,000 clinic visits, 8,500 inpatient discharges, 1,569 newborn deliveries, and nearly 12,159 surgical procedures.
Our 2010 Stats:
Traditional Healing StaffA Traditional Healer must meet a number of criteria, including
certification by the SCF TH Committee of Elder Advisors
2010 Traditional Healing Statistics•Traditional Healing Clinic received 1,074 referrals in 2010
•Chronic Pain is the leading diagnosis of referred Customer-Owners
•86% of referrals were from Primary Care
• Other leading referrals were from Behavioral Health, Health Education, Valley PCC, and Women’s Health
Traditional Healing Intake form
Referrals to Traditional Healing Clinic January 1st – December 31st 2010Nearly 3 in 4 referrals to Traditional Healing are Women
Referrals to Traditional Healing ClinicJanuary 1st – December 31st 2010Over 50% of referrals are for Chronic Pain
Counseling181
Acute Pain96
Chronic Pain554
Talking Circle1
Smoking Cessation
36
Other206
0
50
100
150
200
250
300
350
Traditional Healing Referral Patterns
Referring Clinics
Health Education,
3.35%
Behavioral Health, 3.26%
Primary Care, 86.13%
Other, 7.26%
9791
130
107
80 85
94
7174
63
79
99
-
20
40
60
80
100
120
140
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Referrals to Traditional Healing by Month in 2010
Primary Care is our top referring clinic 86%
Traditional Healing Garden & Art
Treatments Prohibited Poking Body Manipulation Body or Tissue
Penetration Genital Contact Smudging indoors In-Patient
Procedures (by permission only)
TH Continuing Education Meetings & retreats
with other Traditional Healers including those of Hawaii, other states and countries
Weekly Clinical Rounds with Primary Care Clinic, Mental Health & Pediatric Clinic
Consultations with Primary Care and Complementary and Alternative Medicine
Existing Alaska Traditional Healing Practices: Among Inupiaq, Yupik,
Cupik, Athabaskan, Supiaq/Alutiq, Aleut, Eyak, Tlinget, Haida and Tsimshian nations
The way knowledge and uses are passed from generation to generation
Similarity among Native groups; seeking, observing and mentoring by community and Elders.
Traditional Healing is Medicine
Not Shamanism
Balance within healers
Gifts- many talents
Traditional ways of knowing
Compliment…
“Traditional Healing is perfect. I love Traditional Healing. They are good over there, they are nice. They do good. They always help me a lot.”
Southcentral Foundation customer March 8, 2007
Sami TV Clip
Questions?Please contact:Traditional Healing Clinic
Dr. Ted Mala, Director
[email protected] Daney, [email protected]
Southcentral Foundation Nuka System of Care
Alexandria MullanNuka Institute
[email protected] log onto our website
at www.scf.cc/nuka
