portland area shares methodology npaihb quarterly meeting april 18, 2012 ocean shores, wa

Portland Area Shares Methodology

NPAIHB Quarterly Meeting

April 18, 2012

Ocean Shores, WA

Portland Area Office of Environmental Health

and Engineering (OEHE)

Functions and Funding Methodology

Facilities Appropriation (FEHSA)

Budget Structure

S e rv ice s A p p ro pria tion

F S A M & I E Q O th erS A P , D e n ta lJo in t V en tu re

E H S S F C

E H S A

F a c ilit ies A p p rop ria tionF E H S A

C o n g ress io n a lA p pro p ria tion

OEHE Methodology

Recommendation - Fund Distribution WorkgroupUsing workload and dollar amounts from FY just

completed, make payments to all Tribes as soon as allowance for current FY is received.

Status All payments for 2012 will be made based on 2011

workload, in accordance with the recommendations of the Fund Distribution Workgroup, June 8, 2007

Total FSA, M&I and EQ AppropriationFULL TRIBE'S

BUDGET CHOICESFacilities Support Account (FSA)-28

1 Service Unit Ops $2,757,484 $1,157,6912 Field R R M $37,187 $16,5943 Biomed/Clinical Repairs $328,841 $118,7158 Subtotal, FSA SU Ops $3,123,512 $1,293,000

11 Program Management $77,590 $20,24512 Facilities Operations $121,230 $20,40613 Real Property $16,895 $4,53314 Biomed Program $82,233 $18,05715 ES Engineering $207,338 $86,63417 R R M $6,581 $2,54318 Subtotal, Area Ops $511,867 $152,41819 FSA Residual $184,74729 Total FSA $3,820,126 $1,445,41730 Net Building Transfer

Maintenance & Improvement Account (M&I)-26

41 IHS-Owned Facilities M&I $814,786 $231,57642 IHS-Owned Major M&I $1,433 $27443 Tribal Facilities M&I $2,303,724 $2,303,72444 Tribal Facilities Major M&I $4,053 $4,053

49 Total M&I $3,123,996 $2,539,627

Equipment Funds (EQ) -0159 IHS Equipment Funds $1,099,264 $1,091,913

Facilities Support Account (FSA)Uses: •Facilities operations (utilities, Waste disposal, grounds keeping)•Salaries for Professional Support

• Facility Operations (Mechanics, Grounds Keepers)• Facility Expertise (Architect/Engineer)• Biomedical Expertise• Project Management• Real Property Management

•Training (Facilities and Bio-med)

Distribution Methodology: FSA is based on historical funding for Federally operated sites. This amount is adjusted in relation to overall increases or decreases in the appropriation.

Lines 1,2,3,11,12,13,14,15,17 in Book 1 of Budget Books

Maintenance & Improvement (M&I)

Use: Maintenance and Repair of Real Property, does not include “increases” to square footage (i.e expansion)

Distribution Methodology: Modified Univ. of Oklahoma Formula Factors include: • Replacement Value of Facility• Size of Facility• Intensity of Use• Type of Construction (concrete, wood, etc.)• Locality

Lines 43, 44 in Book 1 of Budget Book, full formula available in Book 4 pg. 29

Medical Equipment Funds (EQ)

Use: Replacement and Upgrade for Medical Equipment, for existing IHS and Tribal Facilities

Distribution Methodology: Tribal Share =Total Funds appropriated * [(0.5* CWF) + (0.5* FSF)]

CWF = Clinical Workload at facilityTotal Clinic workload of all IHS and tribal facilities

FSF = Individual Facility Size Total Size of all IHS and Tribal Facilities

Line 59 in Book 1 of Budget Books

M&I and EQ Distribution

Full Detail on Distribution and Calculations in Book 4 of Budget Books

Total EHSA AppropriationEnvironmental Health Support Account (EHSA)-27

Full Tribes Budget Choice

61 EHS Field Operations $1,175,164 $579,74762 EHS Area Institutional Health $155,967 $28,98763 EHS Area Injury Prevention $105,365 $49,28164 EHS Area Program Management $85,110 $31,42468 Subtotal, EHS $1,521,606 $689,438

71 SFC Support - Project Related $1,868,153 $72,61972 SFC Prog Mgmt - Project Related $329,674 $12,81573 SFC Support - Non-Project Related $207,465 $3,94774 SFC Prog Mgmt - Non-Project Related $36,610 $69778 Subtotal, SFC $2,441,902 $90,078

EHSA Residual $283,02489 Total EHSA $4,246,532 $779,516

Sanitation Facilities Projects (PL 86-121) Multi-year, Multi-Agency funding

91 IHS Funds Varies* $092 Non-IHS Funds Varies* $099 Total SFC Construction $0 $0

• 2012 reflects a rescission of .02% incurred in FY 2011• 2013 will reflect the rescission of .016% incurred in FY 2012

* SFC Funding in 2012 was reduced nationally by $16M, and by $850,000 in Portland Area

Environmental Health Service (EHS)• Program Planning - Consultation with Tribes on priorities• Environmental Health Management - Facility Plan

Reviews; Policy Development; Program/Project Development and Evaluation

• Epidemiology – Disease investigation/surveillance• Community Injury Prevention – Surveillance, Project

management, Technical assistance.• Comprehensive Surveys - Head Starts; Casinos; Schools;

Food Service; Sanitation Facilities.• Training - Food Handler Training, OSHA/Bloodborne

pathogens• Institutional – X-ray surveys, hazards/safety audits,

Infection Control/Occupational Health ProgramLines 61-68 in Book 1 of Budget Books

Based on total number of facilities, and facility type.155 - STILLAGUAMISH TRIBE, WA  Facility Worker

Code Facility Name Day05  STILLAGUAMISH TRIBAL HEALTH STATION  6.1513  STILLAGUAMISH METHODONE CLINIC  1.2523  STILLAGUAMISH CHILD CARE AND KITCHEN  3.0026  STILLAGUAMISH-ANGEL OF THE WINDS-CWS  4.5028  STILLAGUAMISH CSS  2.0031  STILLAGUAMISH O&M ORGANIZATION  3.1044  STILLAGUAMISH ELDERLY NUTRITION PROGRAM  2.2546  STILLAGUAMISH SMOKE SHOP  1.0047  STILLAGUAMISH ESPRESSO   2.5047  STILLIAGUAMISH ANGEL OF THE WINDS CASINO - 2.5047  STILLAGUAMISH ANGEL OF THE WINDS CASINO - EDR   2.5047  STILLAGUAMISH ANGEL OF THE WINDS CASINO - 2.5048  STILLAGUAMISH ANGEL OF THE WINDS CASINO - 1.0048  STILLAGUAMISH ANGELS OF THE WINDS CASINO - 1.0049  STILLAGUAMISH ANGEL OF THE WINDS CASINO  2.50

 Total Facilities: 15 Total Worker Days: 37.75

EHS Workload

Field Program InstitutionalInjury

Prevention Program Mgt. Total

Stillaguamish $8,657 $1,285 $122 $596 $ 10,660

Sanitation Facilities Construction (SFC)

Partner with tribes, housing authorities, utility commissions, and community organizations to:•Design and construct water supply, sewer & solid waste disposal facilities.•Inventory sanitation deficiencies affecting Indian homes and communities.•Provide technical consultation and training on water & waste disposal systems •Assist in developing operation and maintenance capabilities

Sanitation Facilities Construction (SFC)

Typical Program Resource Allocation for a 4-year project

Year 1 = 0%,

Year 2 = 20%,

Year 3 = 50%,

Year 4 = 30%

Lines 71, 72, 73,74 & 78 in Book 1 of Budget Books

SFC Workload

Printed RRM Totals by Tribe $366,284 $2,075,611 $2,441,89517-Feb-12

2nd Yr. 3rd Yr. 4th Yr. Non Program Field TotalTribe RRM RRM RRM Project Management Operations Distribution

1 Burns Paiute 0.0 0.0 6.6 43.0 49.6 0.29% $1,050 $5,951 $7,002 2 Chehalis 0.0 85.8 292.6 44.0 422.4 2.44% $8,944 $50,683 $59,627 3 Coeur D'Alene 0.0 574.2 4.4 77.0 655.6 3.79% $13,882 $78,665 $92,546 4 Colville 180.4 409.2 609.4 181.0 1,380.0 7.98% $29,221 $165,584 $194,805 5 Coos 15.4 112.2 37.4 28.0 193.0 1.12% $4,087 $23,158 $27,244 6 Coquille 59.4 59.4 11.0 7.0 136.8 0.79% $2,897 $16,414 $19,311 7 Cow Creek 15.4 68.2 8.8 21.0 113.4 0.66% $2,401 $13,607 $16,008 8 Cowlitz 215.6 83.6 92.4 16.0 407.6 2.36% $8,631 $48,907 $57,538 9 Grand Ronde 83.6 193.6 61.6 14.0 352.8 2.04% $7,470 $42,332 $49,802

10 Hoh 0.0 0.0 63.8 22.0 85.8 0.50% $1,817 $10,295 $12,112 11 Jamestown S'Klallam 0.0 24.2 63.8 26.0 114.0 0.66% $2,414 $13,679 $16,093 12 Kalispel 11.0 0.0 88.0 37.0 136.0 0.79% $2,880 $16,318 $19,198 13 Klamath 0.0 4.4 66.0 68.0 138.4 0.80% $2,931 $16,606 $19,537 14 Kootenai 0.0 19.8 0.0 12.0 31.8 0.18% $673 $3,816 $4,489 15 Lower Elwha 15.4 39.6 8.8 25.0 88.8 0.51% $1,880 $10,655 $12,535 16 Lummi 367.4 303.6 193.6 47.0 911.6 5.27% $19,303 $109,382 $128,684

Resource DistributionTotal AvailableProjectTotal RRM Total %

Public Health Emergency Management (PHEM)

No resources allocated, auxiliary duty for EHS Director

•Assists in the development of COOP plans for Federal Sites, and participates in mock drills.

•Liaison with State & Federal agencies during emergency events.

•Coordinate deployments for Commissioned Officers

•All Hazards emergency planning

Title I Example (Quileute)

SUMMARY OF FACILITIES APPROPRIATION FUNDS AVAILABLE FOR DISTRIBUTION - FY 2012

TITLE V. TITLE I. TRIBE'S

SHARES SHARES CHOICESFacilities Support Account (FSA)-28

1 Service Unit Ops $7,717 $7,700 $7,7002 Field R R M $196 $196 $1963 Biomed/Clinical Repairs $6,318 $6,304 $6,3048 Subtotal, FSA SU Ops $14,232 $14,200 $14,200

11 Program Management $68 $68 $012 Facilities Operations $106 $106 $013 Real Property $13 $13 $1314 Biomed Program $1,359 $1,356 $1,35615 ES Engineering $2,604 $2,598 $017 R R M $76 $76 $018 Subtotal, Area Ops $4,226 $4,216 $1,3691929 Total FSA $18,458 $18,416 $15,56830 Net Building Transfer

Maintenance & Improvement Account (M&I)-26

41 IHS-Owned Facilities M&I $0 $0 $042 IHS-Owned Major M&I $0 $0 $043 Tribal Facilities M&I $34,227 $34,227 $34,22744 Tribal Facilities Major M&I $60 $60 $60

49 Total M&I $34,287 $34,287 $34,287

Equipment Funds59 IHS Equipment Funds $8,351 $8,351 $8,351

Title I Example

(Quileute)

Environmental Health Support Account (EHSA)-27Full Tribes

Budget Choice61 EHS Field Operations $12,662 $12,508 $062 EHS Area Institutional Health $2,812 $2,778 $063 EHS Area Injury Prevention $672 $664 $064 EHS Area Program Management $957 $945 $068 Subtotal, EHS $17,103 $16,895 $0

71 SFC Support - Project Related $1,584 $608 $072 SFC Prog Mgmt - Project Related $280 $108 $073 SFC Support - Non-Project Related $2,400 $0 $074 SFC Prog Mgmt - Non-Project Related $423 $0 $078 Subtotal, SFC $4,687 $716 $0

89 Total EHSA $21,790 $17,611 $0

Sanitation Facilities Projects (PL 86-121) Multi-year, Multi-Agency funding

91 IHS Funds Varies Varies Varies92 Non-IHS Funds Varies Varies Varies99 Total SFC Construction $0 $0 $0

GRAND TOTAL $82,886 $78,665 $58,206

OEHE Administrative Fee

• Analogous to SUA but Different in application

• Reflects required support for all tribes on proportional basis

• For those tribes that retain OEHE shares a 12.5% administrative fee is charged to cover the functions needed to support the retained programs– Human Resources, Procurement, Finance

Budget Book Distribution

• Tribal Chairs• Tribal Health Directors• CEO’s at Service Units

For CD copy Contact:

Rena Macy 503-414-7778 rena.macy@ihs.gov

Questions ?’s

Richard R. Truitt, P.E., Director (OEHE)Phone: (503) 414-7777 E-mail: richard.truitt@ihs.gov

CDR Patrick Craney, P.E., Director (DSFC)Phone: (503) 414-7772 E-mail: Patrick.Craney@ihs.gov

CDR Celeste Davis, REHS, Director (EHS)Phone: (503) 414-7774 E-mail:

Celeste.davis@ihs.gov

CDR Mathew Martinson, P.E., Director (DHFE)Phone: (503) 414-7780 E-mail: mathew.martinson@ihs.gov

Portland Area OfficeTribal Shares Methodology

Services Appropriation

Budget Structure

Area Shares vs. Program Funding

Services Appropriation– The Portland Area Shares Methodology represents

each tribes share of the Area Office which they are authorized to assume pursuant to the Indian Self Determination & Education Assistance Act (ISDEAA).

– Tribal program funds are distributed on the recurring base amounts reflected on their annual funding agreements.

Area Shares Methodology

• Established through Tribal Consultation• In 1992 amendments to the Indian Self Determination

& Education Assistance Act authorized IHS to enter into compacts for Self-Governance demonstration projects.

• In 1994 amendments provided Title1 access to resources.

• In 1995 The “70/30 formula” for tribal shares.• In 2000 corrections to methodology was made to

prevent diminishment of administrative support for Direct Service Tribes which established the Service Unit Administration (SUA) amounts.

Area Shares Methodology

• Health Services dollars

• Does not determine OEHE shares – Line 67– Separate methodologies more appropriate for

the type of funding

Goals of Tribal Shares Methodology

• Reflects one methodology for all Tribes: fairness & consistency

• Identifies each Tribe’s share of the funding that had previously supported Area Office functions but which they have now assumed – including funding received for Tribes newly restored

• Prevents diminishment of health services to Tribes that choose to continue to have a federally-operated clinic

• Allows for annual updates to accurately reflect available resources

• Easily understood

Lines 1 - 69

• Reflect the programs and services the Area Office had at a moment in time

• Most services remain, some do not, some new ones

• During negotiations Tribes decide what they want the Area to continue to provide

e.g., DIRM, Business Office,

PORTLAND AREA INDIAN HEALTH SERVICE 

FY 2011 TRIBAL SHARES ALLOCATION METHODOLOGY Amounts Available

FY 2011 (A) (B) (C) (D) (E) (F) (G)

      Earmarked FY 2011 Service Unit   Title I  

    PAO Budget & Site Residual Administration 106(a)(1) Retained Fundable

Line PROGRAM TITLE FY 2011 Specific (1) Amount (6) Amount   Amount Amount

1HOSPITALS & CLINICS:              

2(a) -Office of Area Director (2) 380,527  30,262 28,447 321,818 30,599 291,219

2(b) -Area Support Services 640,587  54,471 47,889 538,227 55,091 483,136

2(c) -Division of Financial Mgmt. 1,108,100  93,812 82,839 931,449 94,864 836,585

2(d) -Division of Human Resources 760,603  66,576 56,861 637,166 67,322 569,844

2(e) -Division of Acqusition 672,571  57,497 50,280 564,794 58,142 506,652

3 -Div. of Inform. Resource Mgmt 915,694  254,181 68,455 593,058 0 593,058

4Subtotal 4,478,082  556,799 334,772 3,586,511 306,018 3,280,493

5               

6 Office of Health Programs              

7 -Physician Recruitment 214,776    16,056 198,720 0 198,720

8 -Laboratory Services 142,712    10,669 132,043 0 132,043

9 -Maternal & Child Health 171,226    12,801 158,426 4,029 154,396

10 -CO Liaison 58,949    4,407 54,542 1,613 52,929

11 -Pharmacy Services 163,200    12,201 151,000 4,029 146,971

12 -Central Supply Services 307,789    23,010 284,780 0 284,780

13 -Public Health Nursing 41,940    3,135 38,805 2,419 36,386

14 -Health Education 13,767    1,029 12,738 2,419 10,319

15 -Spec.Diabetes Pgm. For Indians 214,686 214,686  0 0 0 0

16 -Alcohol & Subs. Abuse Prog. 387,228    28,948 358,280 0 358,280

17 -CHR Program 86,148    6,440 79,708 4,029 75,679

18(a) -Contract Health Service (3) 337,866  131,890 25,258 180,719 806 179,913

18(b) -Business Office (3) 185,300    13,853 171,447 4,029 167,417

19 -Health Information Network 391,136    29,240 361,895 4,029 357,866

20Subtotal 2,716,725 214,686 131,890 187,047 2,183,102 27,404 2,155,698

21               

22 -Self Determination Services 173,616    12,979 160,637 40,308 120,329

23 SUBTOTAL H&C 7,368,423 214,686 688,689 534,798 5,930,249 373,729 5,556,520

24               

25DENTAL              

26 -Area Consultant Services 299,529  122,212 963 176,354 7,382 168,972

27               

28MENTAL HEALTH              

29 -Area Consultant Services 266,474  103,614 19,630 143,230 7,325 135,905

30               

31ALCOHOLISM              

32 -CDMIS 0    0 0 0 0

33 -Youth Treatment 0    0 0 0 0

34 -Women's Treatment 0    0 0 0 0

35Subtotal 0    0 0 0 0

36               

37PUBLIC HEALTH NURSING              

38 -Area Consultant Services 84,348    6,513 77,836 5,376 72,459

39               

40HEALTH EDUCATION              

41 -Area Consultant Services 96,412    7,234 89,178 6,724 82,454

42               

43DIRECT OPERATIONS              

44(a) -Office of Area Director (2) 1,009,271  671,041 79,576 258,655 4,643 254,011

44(b) -Area Support Services 315,829  207,413 23,126 85,290 1,453 83,837

44(c) -Division of Financial Mgmt. 197,207  134,208 14,440 48,559 907 47,651

44(d) -Division of Human Resources 154,718  97,606 11,329 45,783 711 45,073

44(e) -Division of Acqusitions 169,557  109,807 11,854 47,896 779 47,118

45 -Div. of Inform. System Mgmt. 181,899  145,435 13,319 23,145 0 23,145

46Subtotal 2,028,481  1,365,510 153,643 509,327 8,493 500,835

47               

48 Office of Health Programs              

49 -Health Programs Management 179,911  157,368 13,174 9,369 0 9,369

50 -Maternal & Child Health 12,759    934 11,825 1,274 10,551

51 -Pharmacy Services 12,759    934 11,825 1,274 10,551

52 -Dental Services 33,312    2,439 30,873 1,274 29,599

53 -Mental Health 33,311    2,439 30,872 1,274 29,598

54 -Alcohol & Subs. Abuse Prog. 33,036    2,419 30,617 1,274 29,343

55 -Contract Health Service 172,546    12,634 159,911 1,274 158,637

56Subtotal 477,634  157,368 34,974 285,292 7,643 277,649

57               

58 -Self Determination Services 409,317    29,971 379,345 114,637 264,708

59 SUBTOTAL DIRECT OPS 2,915,432  1,522,878 218,588 1,173,965 130,773 1,043,192

65NEW TRIBES 144,047  31,605 10,807 101,636 1,274 100,362

66               

67 SERVICES APPROP. TOTAL 11,174,665 214,686 2,468,998 798,533 7,692,447 532,583 7,159,864

68FACILITIES APPROP. - OEH&E              

67 FACILITIES APPROP. TOTAL             

68               

69TOTAL PAO 11,174,665 214,686 2,468,998 798,533 7,692,447 532,583 7,159,864

Column APAO Budget

• A historical benchmark that began in FY 1995/96• Starting point for calculation of the rest of the

methodology• Mandatories added each subsequent year• Different from Area Office operating budget

– Column A minus all shares taken– Plus non-recurring funds and assessment funds

Column A, PAO Budget $11,174,665

Diabetes 2%

Residual 22%

SUA 7%

T1 Retained 5%

Fundable amount 64%

Column B

• Congressional Earmarks

• Site Specific– Diabetes Consultants – Indian Health Care

Improvement Act (IHCIA)

Column CArea Office Residual

• Inherent Federal Functions (not contractible by Tribes)• What the Area Office will continue to be responsible

for, once all Tribes have taken 100% of shares• These responsibilities have greatly expanded/changed

– Information Technology– 9/11 – Security Costs– Homeland Security Presidential Directive 12 (HSPD-12)– Health Insurance Portability & Accountability Act of 1996

(HIPAA)– Government Performance and Results Act (GPRA)

Column DService Unit Administration

(SUA)

• Funding required to support federally-operated service units beyond the shares left by Tribes who choose to have a Federal facility

• IHS still required to provide services to Direct Service Tribes.

SUA Calculation Factors

• New Workload Study - Time Spent on SU/Tribes/Area Office– Value Time S&B – Divide by Total Budgets for 7 SU– 13.3% Admin Cost for Program Support– 1.6% Admin Cost for CHS Program

SUA Example Wellpinit Service Unit

Spokane Tribe

$1,333,949 Recurring Base $1,423,600 CHS Base• x 13.3% x 1.6%• $177,415 $ 22,778

• $177,415 + $22,778 = $200,193• Spokane 106(a)(1) – $157,749• SUA Needed $ 42,444

What does SUA Pay For?Administrative Support for Federal Service Units and misc. programs without associated shares•Financial services

Budget, Travel, Payments, reconciliation, Collections

•Property and Supply•Acquisitions - Federal purchasing•Personnel - Recruitment, hiring, benefits, payroll•Supervision - Evaluation, appeals, discipline, policy development and enforcement, governance•EEO

Column E106(a) (1) Amount

• Column A – columns b, c, and d = e• Section of P.L. 93-638 which reads

– SEC. 106 [25 USC 450j-1]. (a)(1) The amount of funds provided under the terms of self-determination contracts entered into pursuant to this Act shall not be less than the appropriate Secretary would have otherwise provided for the operation of the programs or portions thereof for the period covered by the contract, without regard to any organizational level within the Department of the Interior or the Department of Health and Human Services, as appropriate, at which the program, function, service, or activity or portion thereof, including supportive administrative functions that are otherwise contractible. is operated.

• 70/30 calculation determines Tribal shares– 30% of funding divided by 40– 70% divided based on 1998 user population

Column FTitle I Retained

• What it costs to administer a Title I contract that is additional to a Title V compact

– Area Staff responsible for proposal review, negotiations, amendments, audit review, resolution and payments.

• This amount is subtracted from Title I Tribes 106(a)(1) amount

• Title V Tribes do not leave shares to support T1 Retained

Column GFundable Amount

• Tribal Shares available for contracting/compacting

• Title I Tribes 70/30 share of column E minus a pro rata share of Title I retained

Column GFundable Amount

• Forty Tribes• No Fundable Amount for Tribes with an

Associated SUA– Takes all their shares to support SU & Title I

contracts– If Tribes with an SUA amount take shares, the

SU will assist in providing administrative support necessary for the operation of that SU

Column G, Fundable amount $7,159,864

T1 Assumed 13%

T1 Left 33%

T5 Assumed 47%

T5 Left 7%

Direct Service Tribes

• It requires All Yakama, Colville, Spokane, Warm Springs, Shoshone Bannock 106(a)(1) amounts plus the SUA to support these operating units– Yakama, Colville, Ft. Hall, Warm Springs, Wellpinit, Western

Oregon, NPAIHB, Healing Lodge of the Seven Nations.

• 43 Tribes have to leave $798,533 to support SUA

Individual Tribal Shares

• Where you look to see your Tribe’s share amounts

• Newly recognized Tribes received a specific amount for base funding and shares

– Have to track separately

– Can not reduce contracted shares

Individual Tribal Shares 

PORTLAND AREA INDIAN HEALTH SERVICE 

FY 2011 TRIBAL SHARES ALLOCATION METHODOLOGY 

Amounts Available Burns-Paiute  

Contract # 0248-96-0017 (D) (E) (F) (H)

    Service Unit   Title I  

    Administration 106(a)(1) Retained Fundable

Line PROGRAM TITLE Amount   Amount Amount

1HOSPITALS & CLINICS:        

2(a) -Office of Area Director (2) 261 2,958 571 2,387

2(b) -Area Support Services 440 4,947 1,029 3,919

2(c) -Division of Financial Mgmt. 761 8,561 1,771 6,790

2(d) -Division of Human Resources 523 5,857 1,257 4,600

2(e) -Division of Acqusition 462 5,191 1,085 4,106

3 -Div. of Inform. Resource Mgmt 629 5,451 0 5,451

4Subtotal 3,077 32,966 5,713 27,252

5         

6 Office of Health Programs        

7 -Physician Recruitment 148 1,827 0 1,827

8 -Laboratory Services 98 1,214 0 1,214

9 -Maternal & Child Health 118 1,456 75 1,381

10 -CO Liaison 41 501 30 471

11 -Pharmacy Services 112 1,388 75 1,313

12 -Central Supply Services 211 2,618 0 2,618

13 -Public Health Nursing 29 357 45 312

14 -Health Education 9 117 45 72

15 -Spec.Diabetes Pgm. For Indians 0 0 0 0

16 -Alcohol & Subs. Abuse Prog. 266 3,293 0 3,293

17 -CHR Program 59 733 75 657

18(a) -Contract Health Service (3) 232 1,661 15 1,646

18(b) -Business Office (3) 127 1,576 75 1,501

19 -Health Information Network 269 3,326 75 3,251

20Subtotal 1,719 20,066 512 19,554

21         

22 -Self Determination Services 119 1,476 753 724

23 SUBTOTAL H&C 4,916 54,508 6,977 47,531

24         

25DENTAL        

26 -Area Consultant Services 9 1,621 138 1,483

27         

Individual Tribal Shares28MENTAL HEALTH        

29 -Area Consultant Services 180 1,317 137 1,180

36         

37PUBLIC HEALTH NURSING        

38 -Area Consultant Services 60 715 100 615

39         

40HEALTH EDUCATION        

41 -Area Consultant Services 66 820 126 694

42         

43DIRECT OPERATIONS        

44(a) -Office of Area Director (2) 731 2,377 87 2,291

44(b) -Area Support Services 213 784 27 757

44(c) -Division of Financial Mgmt. 133 446 17 429

44(d) -Division of Human Resources 104 421 13 408

44(e) -Division of Acqusitions 109 440 15 426

45 -Div. of Inform. System Mgmt. 122 213 0 213

46Subtotal 1,412 4,682 159 4,523

47         

48 Office of Health Programs        

49 -Health Programs Management 121 86 0 86

50 -Maternal & Child Health 9 109 24 85

51 -Pharmacy Services 9 109 24 85

52 -Dental Services 22 284 24 260

53 -Mental Health 22 284 24 260

54 -Alcohol & Subs. Abuse Prog. 22 281 24 258

55 -Contract Health Service 116 1,470 24 1,446

56Subtotal 321 2,622 143 2,480

57         

58 -Self Determination Services 275 3,487 2,140 1,347

59 SUBTOTAL DIRECT OPS 2,009 10,791 2,441 8,349

65 SERVICES APPROP. TOTAL 7,240 69,771 9,919 59,852

Footnotes and Background Information

• Tracks historical changes to the methodology

• Describes how AIDS, Alcohol and Substance Abuse, CHS Purchase of Service funding amounts are distributed

– Tables on last three pages