Indian Health Services Case Study

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The Indian Health Services (IHS) is a department agency within the Department of Health and Human Service (HHA). The IHS is responsible for providing medical and healthcare services for federally recognized Indian American and Alaskan Native tribes in the United States (Tosatto, Reeves, Duncan, and Ginter, 2008). The United States negotiated treaties with Native American tribes in exchange of land for promised health services (Tosatto, Reeves, Duncan, and Ginter, 2008). Those tribes that did not sign the treaty were not eligible to participate with federal government programs. Those with Indian heritage who were eligible were provided various health services under the IHS program, but some IHS locations did not have the necessary equipment …show more content…
573). The IHS needs to have an adequate mission, vision, and values towards the program. It needs to be explicitly communicated across all participating groups. The mission needs to express the interest that it has for the community and how it will execute its goals. A major reason why programs fail is because execution of the plan never happens or doesn’t go as planned (Neilson, Martin, and Powers, 2008). I believe that Dr. Trujillo needs to address all stakeholders and have them on the same page for the program. Below is a SWOT Analysis chart that identifies a few strengths, weaknesses, opportunities, and threats that I will discuss in this …show more content…
In addition no increase in funding or providing adequate resources is another factor that can impede changes. If resources are not available to the tribes, tribes will not be receptive to the services offered. An important factor to overcome is the resistance to change. Dr. Trujillo must have buy-ins with all stakeholders. Stakeholders must play a central role in determining priorities and objectives in order to ensure importance and appropriateness (Lienert, 2005). According to Juri Lienert, “It is important that all stakeholders are involved in the development of projects and not just direct beneficiaries of an initiative” (Lienert, 2005). Communication is the key for success for this instance, where open communication between all stakeholders will enable any possible concerns to be brought forward and addressed. I believe that Dr. Trujillo needs to communicate to each tribe efficiently about how the program will affect each tribe individually. Also, Dr. Trujillo should allow each tribe to have representatives to represent their tribes’ concerns and ideas. This will give a sense of importance to the tribes and it will enable to connect with other tribes to build trust and rapport. If the tribes are going to buy-in into the program, sufficient support and goals need to be expressed in order to have stability and participation. A major reason of reluctance is not being treated with respect.

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