Northwest Portland Area Indian Health Board
2121 SW Broadway #300, Portland, OR 97201-0000
(503) 228-4185 (Phone)
(503) 228-8182 (Fax)
Established in 1972, the Northwest Portland Area Indian Health Board (NPAIHB) is a non-profit tribal advisory organization that serves 43 federally-recognized tribes of Oregon, Washington and Idaho. Each tribe appoints a delegate via tribal resolution, and meets quarterly to direct and oversee all activities of NPAIHB. NPAIHB delegates create and update a strategic plan, which contains four main functional areas: health promotion and disease prevention; legislative and policy analysis; training and technical assistance; and surveillance and research. NPAIHB remains active in Indian health policy by facilitating a tribal epidemiology center (EpiCenter) and several health promotion and disease prevention projects. The mission of the EpiCenter is to improve the quality of life of AI/ANs through collaboration with Northwest American Indian Tribes and providing health-related research, surveillance and training.
Grant Project Information
Improving Data and Enhancing Access
Project Period: 9/1/12-8/31/17
Annual Funding Level: $190,000
Project Director: Megan Hoopes
(503) 416-3283 (Phone)
Inadequate health data poses limitations in addressing health disparities that American Indian and Alaskan Native (AI/AN) populations endure. Although some degree of AI/AN health data do exist, they are often inaccurate, inconsistent, or missing race information and is not representative of local tribal communities. The Northwest Portland Area Indian Health Board (NPAIHB) strives to address the issue of inaccurate AI/AN health data by: (1) identifying and correcting misclassified or missing race data for AI/AN within a range of existing surveillance systems; (2) providing epidemiologic data at regional, state, and local levels; and (3) developing and implementing trainings on epidemiology and data interpretation to increase tribal capacity to use epidemiologic data. Expected long-term outcomes of this project include: improved quality and availability of health-related data on northwest tribal populations; increased tribal health data literacy throughout the Northwest; and an increase in the number of AI/AN students who receive hands-on experience in public health and epidemiology.
The target population for this project consists of the 190,000 AI/ANs residing within the Indian Health Service (IHS) “Portland Area,” distributed across 43 federally-recognized tribes and urban areas. A primary strategy that will be used to meet project objectives includes applying probabilistic linkage methods to state-level, health-related datasets to expand the completeness and representativeness of the Tribal Registry (the data set of AN/ANs used for linkage). Data linkages will occur at least twice over the funding period. Summary statistics at the state and regional levels will be provided for each tribe through reports that will be developed and disseminated in year two and year four of the funding period. An additional strategy involves conducting student-oriented trainings in year one and year two of the funding period. The target audience for these trainings will be tribal health professionals, tribal health leadership, and undergraduate and graduate level AI/AN students.
To assess the data linkage activities proposed within the first objective, a process evaluation will be conducted on each linkage activity, identifying how decisions were made and by whom, what resources were needed, and what unexpected challenges, barriers and opportunities arose. A fidelity analysis will also be conducted on each linkage activity. In regards to the second objective, producing linkage-enhanced data reports, the grantee will use process and outcome measures to document the number and type of reports produced. Lastly, the third objective, pertaining to developing and implementing trainings on data interpretation for tribal health workers, will be assessed using process, fidelity, and outcome measures (e.g. the number of participants involved in the trainings will be documented, and a survey will be administered upon the conclusion of each training/internship to obtain feedback). It is expected that implementation of the objective specific strategies will result in the following outcomes: an increase in the number of reports produced presenting accurate AI/AN health disparities; an increase in the number of tribal health profiles available for the 43 federally-recognized tribes of the Northwest; an increase in the number of regional reports produced covering the states of Idaho, Oregon and Washington; and an enhanced understanding and application of data for health and policy planning at the tribal level.
- OMH objective(s) toward which the project’s results most contribute (check all that apply):
- Key Healthy People 2020 objectives or sub-objectives toward which your project's results most contribute (see Appendix 3 of OMH's Evaluation Planning Guidelines):
Healthy People objectives were not specifically identified.
_x_ Enhanced data collection/utilization to identify highest priority health status objectives and services needed to achieve such objectives
__ Development of alliances and partnerships which improve coordination/alignment of health and human services
_x_ Provision of technical training in public health practices and prevention oriented research to create public health career pathways for American Indians and Alaska Natives
__ Other (please specify): _____________________________________