Final User Population Estimates - FY 2013
DEPARTMENT OF HEALTH&. HUMAN SERVICESPublic Health ServiceIndian Health ServiceRockville MD 20852DEC 2·0 2013TO:Area DirectorsArea Statistical OfficersArea Planning OfficersFROM:Chief Medical OfficerDirector, Office of Public Health SupportSUBJECT:Final User Population Estimates -FY 20 13 .Fiscal year 2013 (FY) user population estimates have been revised and included in the attachedtables . Following Tribal consultation and Area review, IHS is releasing the estimates, the resultof our collaboration with Tribes to reconcile and validate data.The IHS staff used the same statistical concept that has been used in prior years to produce theestimates (unduplicated count by residence of Indian registrants who have had direct encounterswith--or contracted for-IHS inpatient, ambulatory, or dental services during the last threeyears) . The attached tables contain final user population estimates as well as data used todevelop the estimates. Also attached is a description of the columns.User counts are based on registration and encounter data received in NPIRS repositories, inaccordance with the Tribal Leader letter of December 10,2003. If you have any questions,please contact Mr. Kirk Greenway, Director ofthe Division of Program Statistics (DPS) inOPHS. He may be reached by telephone at (301) 443-6704 or by email atkirk.greenway@ihs. gov .I would like to thank everyone who contributed to the production of user population estimates,particularly the NPIRS staff for helping to resolve technical problems at several sites. Yourdedication to American Indian and Alaska Native health care is much appreciated. v.(Susan Karol, M.D.Chief Medical OfficerAttachments Richard M. Church, Pharm. D.Director, Office of Public Health Support
Description of the Table Columns in the FY 2013 IHS User Population Service Unit TablesColumn 1, Indian RegistrantsThis is the total count of Indian registrants that were in the Indian Health Service (IHS)National Patient Information Reporting System (NPIRS) Patient Registration data base as ofSeptember 30, 2013. The registrants were tabulated by their service unit of residence.A registrant is considered Indian if (1) the Tribe Code is designated as "Indian"; or (2) the Tribaldesignation is "unspecified", and - the classification and/or the Indian blood quantum code is"Indian".Column 2, Active Indian Registrants This is the count of Indian Registrants in the NPIRS data base who had at least one direct orcontract inpatient stay, ambulatory care visit or dental visit between October 1, 2010 andSeptember 30, 2013 .Column 3, Indian User Population EstimateThis is, in most cases, the same as the number of Active Indian Registrants shown in Column 2.This is generally not the same as a list of members of a Tribe since those members must be seenin the past three years at an IHS or Tribal health facility and have at least one workloadreportable encounter documented and electronically sent into the National Data Warehouse inone of the two standard formats (HL 7 or Simplified) from an electronic medical records system.The only three exceptions occur when there was a negotiated figure for a Tribe which has beenreceiving services from IHS for less than three years or where county splits, communityadditions to service units negotiated in advance with the Tribes concerned are calculated by theArea Office and added to the table, or [this year only] where the government shutdown impacteda purely technical problem in submitting data according to schedule.
December 20, 2013IHS User Population Estimates by Area and Service Unit- FY 2013FY 2013IndianRegistrantsAll AreasFY2013ActiveIndianRegistrantsFY2013Indian 257110,493Tucson52,69827,26127,261
December 20, 2013IHS User Population Estimates by Area and Service Unit- FY 2013FY 2013FY 2013ActiveIndianIndian rdeen Area - Total216,797Population126,362126,57813 ,3778,4578,457Crow nne RiverFort Berthold11,8126,189Lower Brule3,3222, 1086,1892,108Northern Ponca*5,8953,2403,240Omaha*6,4633,5263,526Pine Ridge36,20721 ,98921 ,989Rapid 962,0781,5431,543ll ,955l ' 1516,6541' 1516,6549,2275,4735,47316,2159,0409,040Sac and Fox*Santee*Sisseton-WahpetonSpirit LakeStanding Rock2,5081,55120,70313 73,857Trenton*Turtle Mountain1,767 1/*Tribally Operated Service Unit1I Users added ( 216) from Richland, Roosevelt, and Sheridan counties of Montana inBillings Area per agreement with Tribe and Billings Area office following statisticsproduced in the User Pop Trenton Crossover Table for FY 2013
December 20,2013IHS User Population Estimates by Area and Service Unit- FY 2013FY FY 2013Indian 63,69363,693Annette Is. Ind. Res.*1,7931,3681,368Barrow*6,6924,7494,749Bristol Bay Area*8,1795,7095,709Interior Mount Edgecumbe*25,23915,79815,798Norton Sound*11' 16528,4758,6158,61522,15822,158Alaska Area- TotalAnchorage*Yukon-Kuskokwim-Delta**Tribally Operated Service Unit
December 20,2013IHS User Population Estimates by Area and Service Unit- FY 2013FY 2013IndianRegistrantsFY 2013ActiveIndianRegistrantsFY 2013Indian 1,03511,0357,1264,7054,705Albuquerque Area - TotalMescaleroSanta Fe26,29614,76614,766Zuni-Ramah17,35911,97311 ,973Southern ,4684,0602,1442,144Y sleta Del SurJicarilla*Taos-Picuris*Tribally Operated Service Unit
December 20, 2013IHS User Population Estimates by Area and Service Unit- FY 2013FY 2013IndianRegistrantsBemidji Area- TotalFY 2013FY 2013ActiveIndian UserIndianPopulationRegistrants 24,3947,10144624,896 II10,5892,40010,5892,400Minnesota River*Nett Lake*16,4523,9964,2192,7341,7831,5811,7831,583 41Nicolet*NW Wisconsin*9,44714,5745,6508,9125,6508,851 51Red LakeWestern Michigan*White Earth11,0555,00013,2358,0462,9938,5438,046 6/2,997 718,543Central Wisconsin*Eastern Michigan*Fond duLac*Grand Portage*Greater Leech LakeMille Lacs*107,27824,393 21317,101446*Tribally Operated Service Unit11 Add 916 for Ho Chunk Nation files.21 Adjusted because of an agreed-upon percentage split of Delta County which is sharecMichigan Service Unit Tribes (Sault Ste Marie and Little Traverse) and one Western MTribe (Hannahville). Delta County is divided between the two service units by commurTables. The three affected tribes receive credit for active users in Delta County regard! their community of residence falls in. Eastern Michigan Service Unit tribes Little Trav received credit for 55 (6.3%) and 728 (83.4%) of the active users in Delta County, resp(Michigan Service Unit Tribe, Hannah ville, received credit for 90 (I 0.3%) of the active 1This percent split resulted in 4 active users being moved from the Eastern Michigan SerWestern Michigan Service Unit.31 Subtract the following for non Service Unit Counties: I for Huntington County, IN aCounty, MI ( Total-2). Subtract 4 from Eastern Michigan SU to add to Western Michig-see footnote II above. Add 5 for Ho Chunk Nation files . Total changes (-1).41 Add 2 for Ho Chunk Nation files.51 Subtract 61 for Iron County, MI (2363), which is not in the Service Unit CHSDA.61 Subtract I for Red Lake County which is not in the Service Unit CHSDA. Add 1 forTotal changes (0) .71 Add 4 to Delta County because of a county split between Eastern and Western Michi;- see footnotes II and 21 above.
December 20, 2013IHS User Population Estimates by Area and Service Unit- FY 2013FY FY 2013Indian 11 6629,0256,4494,93611,318Billings Area - TotalBlackfeetCrowFlathead*Fort BelknapFort PeckNorthern CheyenneRocky Boy's*Wind River*Tribally Operated Service Unit
December 20, 2013IHS User Population Estimates by Area and Service Unit- FY 2013California Area - TotalCabazon*Central Valley I.H.P .*Chapa De I.H.P.*Chicken Ranch*Colusa T.H.P. *Consolidated T.H.P. *Feather River Tribal Health*Greenville *Hoopa Health Association *Indian Health Council *Karuk T.H.P. *Lake County I.H.P. *MACT Health Board *Modoc I.H.P. *Northern Valley I.H., Inc. *Pit River I.H. Consort. *Quartz Valley *Redding Rancheria I.H.P. *Riverside-San Bernardino *Round Valley I.H.P. *Santa Ynez I.H.P. *Shingle Springs *Sonoma County I.H.P. *Southern I.H.P . *Susanville Indian RanchSycuan Medical Center *Table Mountain*Toiyabe I.H.P. *Tule River I.H.P. *Tuolumne Rurali.H.P. *UIHS-Tsurai *Warner Mountain **Tribally Operated Service UnitFY 2013IndianRegistrantsFY 2013ActiveIndianRegistrantsFY 2013Indian 106,0091,4573546,02231 1,06112742,9012,6592158,075109
FY2013- Final User Population -10/01/10-09/30/13IHS User Population Estimates by Area and Service Unit- FY 2013FY 2013FY 2013ActiveIndianIndianRegistrants RegistrantsFY 2013Indian UserPopulationEstimatesNashville Area - aChoctawCoushatta12,334 .5881,004512512Houlton Band713425425Jena Band224172Lockport388154172154 .Manlius Oneida3,2761,7341,734972766766Pass. Pleasant Point1,324957957Penobscot1,6811,4341,434Mashpee WampanoagPass. Indian nole7,5405,0925,092Seneca7,4216,6826,682St. Regis unica-BiloxiTonawandaWampanoag*Gray Cells indicate a Federally Recognized Tribe new to IHS** Corresponding colored cells (yellow, blue, purple and green) indicate Tribes*** In most cases the Active Indian Registrant count is the User Population
December 20, 2013IHS User Population Estimates by Area and Service Unit- FY 2013FY2013IndianRegistrantsNavajo Area- TotalChinleCrownpointFort Defiance*GallupKayentaShiprockTuba City*Winslow*FY 729,11943,27518,27053,91531,30016,665FY 2013Indian UserPopulationEstimates247,38335,02719,78729,11943 ,27518,295 1\53,91531,30016,665*Tribally Operated Service Unit1\ San Juan County Users (4919) added back into Service Unit from p . 57 of 11 /27/2013 UP 1table ( 25)
December 20, 2013IHS User Population Estimates by Area and Service Unit- FY 2013FY 2013IndianRegistrantsFY 2013ActiveIndianRegistrantsFY 2013Indian ,0224663,52111 64,41838,6889,24964,41838,6889,249Oklahoma Area- TotalAda*Claremore**1ClintonEagle equah*Talihina*WewokaThe following footnote for Service Unit as being designated as Federal, Tribal or Combination.- Federal Service Unit unless otherwise noted*Tribally designated service Unit**Combination service units:1Claremore (Federal: Claremore Hospital; Tribal: Northeastern Tribal HC, CN Bartlesville, CN Vinita, CN Jay,CN Nowata, CN Salina, Okmulgee, Koweta, Sapulpa, Okemah; Urban: Indian Health Care Resource Center)2Holton (Federal: White Cloud Health Station; Tribal: Kickapoo of Kansas Health Center, Prairie Band Potawatomi)3Pawnee (Federal: Pawnee, Pawhuska; Tribal: Kanza, White Eagle)4Shawnee (Tribal: Absentee Shawnee, Little Axe, Blackhawk, Citizen Potawatomi, CPN West, Kickapoo,Perkins Family Clinic; Urban : Oklahoma City Indian Clinic)
December 20, 2013illS User Population Estimates by Area and Service Unit- FY 2013FY 2013IndianRegistrantsFY 2013ActiveIndianRegistrantsFY 2013Indian UserPopulationEstimatesPhoenix Area -Total291,045169,048169,048Colorado RiverDuck Valley*Elko **Fort YumaKeams CanyonPhoenixGila River ,4662,6094,0226,54568,83826,970Paiute Tribe-UtahSan 82412,32315,5284,22016,428*Tribally Operated Service Unit** Elko appears on two pages (p.36, 41) ofthe 11127/2013 FY 2013 UP1report.82412,32315,5284,22016,428
December 20,2013IHS User Population Estimates by Area and Service Unit- FY 2013FY 2013IndianRegistrantsPortland Area - TotalCoeur d'Alene *Colville*Fort Hall*Klamath*Neah Bay*Northern Idaho *Northwest Washington*Puget Sound *Puyallup*Southern Oregon *Taholah*Umatilla*Warm Springs*Wellpinit*Western Oregon *Yakama *Unassigned CountiesFY 1311,75312,9231,475FY 2013Indian 634,528 ll4,2127,70315,74510,489 2/4,0103,5683,1105,8373,11311 ,75312,9231,475 3/* Tribally Operated Service Unit1/ Includes Jamestown S'Kallam Tribe Dental and CHS file ( 235)2/ Added one user to correct for rounding error for Tribe in the PAIHS Tribe Table ( 1)3/ See pages 49, 50 UP 1 Table 11/27/2013. Unassigned CHSDA Counties to a Service Unit:Cowlitz Tribe Unassigned SU's: Cowlitz Tribe. Based upon workload, Cowlitz will get allusers from established CHSDA in the counties of Clark ( 517), Columbia ( 143 ), Cowlitz( 694), Kittitas ( 98), Wahkiakum ( 23). Grand Total Unassigned Counties 1,475.
December 20,2013IHS User Population - FY 2013Portland Area Level Internal Reallocation of Users by Tribal Health ProgramPAIHSPAIHSFY 2013FY 2013USERPOPULATIONUSERPOPULATIONTribal Health Program- ContinuedTribal Health Pro2ramBums Paiute203Port Gamble1,642Chehalis1,072Puyallup7,157Coeur oos, Lower Umpqua, Siuslaw682Sam ish571Coquille1,140Sauk-Suiattle102Cow Creek2,419Shoalwater Bay421Cowlitz3,835Shoshone Bannock6,322Grand Ronde4,009Siletz5,179Hoh26SkokomishJamestown 928186091,700Squaxin Island732Kootenai189 · StillaguamishLower ,327Tulalip5,121Muckleshoot4,759Umatilla3,110Nez Perce3,987Upper Skagit82491Nisqually1,755Warm Springs5,772Nooksack1,339Western Oregon Service Unit2,368NW Band of Shoshoni34Yakama12,743-Table is reflective of Tribal Health Program and not historic Service Unit concept-Per the Portland Area Fund Distribution Workgroup determination; the following is in affect for thePortland Area:-Due to the Portland Area's unique situation where most Tribal CHSDA's are in split/shared counties PAdistributes UP Based on Tribal Affiliation and Workload-PAIHS Tribes get their own Tribal Members residing in their own CHSDA-Unaffiliated Users (Other Tribal Members) residing in split counties are distributed based on workloadsubmission to the National Data Warehouse and then assigned to respective tribes in that shared countyevenly.
December 20, 2013IHS User Population Estimates by Area and Service Unit- FY 2013FY 2013IndianRegistrantsFY 2013ActiveIndianRegistrantsFY 2013Indian UserPopulationEstimatesTucson Area- 57,0467,046Pascua Yaqui** Tribally Operated Service Unit
FROM: Chief Medical Officer Director, Office of Public Health Support . SUBJECT: Final User Population Estimates - FY 20 13 . Fiscal year 2013 (FY) user population estimates have been revised and included in the attached tables. Following Tribal consultation and Area review, IHS is releasing the estimates, the result
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