April 2023 | Issue 25
Emergency Department (ED) Affinity Group Wrap-Up: Strategies for Optimizing ED Metrics
Partnership to Advance Tribal Health (PATH) recently hosted an ED affinity group for 12 sessions,
six educational sessions and six discussion sessions, discussing ED efficiencies and utilization.
This document compiles key action items discovered by the group as well as identified barriers and
mitigation tactics to ensure a positive patient outcomes.

A big THANK YOU to Indian Health Service (IHS) hospital staff who participated and shared
their challenges and successes. Sharing your experiences and insights is much appreciated!
Great News for Combating Community Opioid Overdose:
Over-the-Counter Naloxone
Last month, the U.S. Food and Drug Administration (FDA) approved the first naloxone nasal spray product for over-the-counter (OTC) use:

Naloxone is a medication that rapidly reverses the effects of opioid overdose and is the standard treatment for opioid overdose. Today’s action paves the way for the life-saving medication to reverse an opioid overdose to be sold directly to consumers in places like drug stores, convenience stores, grocery stores and gas stations, as well as online" (FDA NEWS RELEASE: FDA Approves First Over-the-Counter Naloxone Nasal Spray).

The overdose crisis is national, but the impact is personal.” ​

Opioid overdose deaths, including those caused by fentanyl and fentanyl-laced drugs, have hit our tribal communities hard. Unfortunately, opioid overdoses can happen anywhere and to anyone. Expanding access to naloxone through OTC Narcan is a great step towards saving the lives of our friends, families and communities members.

Take some action to support your community in combating opioid-related harms!
Hospital Quality Reporting Important Dates and Deadlines | Check them out
Keep 2023 quality reporting deadlines at the forefront with this handout from the
Centers for Medicare & Medicaid Services (CMS).
Join the Hospitals Against Violence (HAV) Movement | Get more details
Violence is a significant public health issue and of great concern to hospitals and health systems.
The American Hospital Association is working to confront this challenge with campaigns bearing the #HAVHope theme, and a national day of awareness will be held on June 2.
Health Care Equity Standard Elevated to National Patient Safety Goal | Learn more
Effective July 1, The Joint Commission (TJC) is elevating the standard to improve health care equity
to a new National Patient Safety Goal (NPSG), which will apply to TJC-accredited organizations,
including critical access hospitals and hospitals.
Just-in-Time Response to a New TJC Requirement
A new, 2023 requirement from TJC had an IHS facility looking for assistance in developing a new policy.

Luckily, the PATH team had just developed and was able to share a couple of tools just for the occasion.

Check out what's blooming this season!

Springtime is the season to refresh and renew. Join PATH as we spring into action with two upcoming events.

Hitting the Mark: Ensuring Triage Accuracy to Improve Emergency Department (ED) Care | Register now!
Wednesday, May 24
1-2 p.m. ET | 12-1 p.m. CT | 11 a.m.-12 p.m. MT | 10-11 a.m. PT
Join PATH for an interactive event, where we will share best practices and triage scenarios to ensure staff have well-tested knowledge in Emergency Severity Index (ESI) assignment. Emergency departments (EDs) are a vital part of our health care system. EDs across the nation are operating frequently at or over capacity, while often being understaffed. ED staff are responding to patients who have a variety of needs, from non-urgent conditions to high-level trauma. It is extremely important for staff to quickly and effectively categorize patients into levels of care when they present to the ED. The ESI is an essential tool for the appropriate triage of patients using the ED, which can lead to improved quality outcomes.

National Healthcare Safety Network (NHSN) User Tips and FAQs | Register now! | View event flyer
Wednesday, June 7
3-4 p.m. ET | 2-3 p.m. CT | 1-2 p.m. MT | 12-1 p.m. PT

Experts from the Centers for Disease Control and Prevention (CDC), the Indian Health Service (IHS) and PATH come together to share tips and best practices and respond to frequently asked questions (FAQs) related to NHSN. All levels of users, from beginners to experts, are welcome to join, learn from the partner organizations and ask questions.   
Looking Ahead
Our PATH team is excited to bring you diverse offerings this spring and summer. Upcoming topics include
  • "Candid Conversations" podcast series, first recording this May, where we will be discussing real-life examples and challenges experienced by both patients and staff in emergency care settings;
  • ongoing support for Just Culture Champions continues this June with a session, "Leadership Development and Support for Champions;"
  • PATH Learning Circle this July on understanding indigenous social drivers of health;
  • ...and more!

More information to come! Keep an eye on your inbox!

Did You Know?
We know life happens, and though you may have wanted to attend a live event, a time conflict or any other many possible reasons kept you from it. Not to worry! PATH has got you covered. Many of our past event recordings, key takeaways, flyers and resources can be found on our event page on our website. 

Please feel free to check out our PATH Events page if you missed an event or would like a refresher. While you are there, check out some of our other postings and materials available to you.
2023 CMS Quality Conference | May 1-3
The 2023 Centers for Medicare & Medicaid Services (CMS) Quality Conference is quickly approaching! This virtual conference will feature:
  • Expert speakers on critical topics related to this year's theme: Building Resilient Communities: Having an Equitable Foundation for Quality Health Care
  • Professional networking opportunities with key decision-makers in health care quality improvement
  • Opportunities to learn about health equity, patient empowerment and how CMS uses data-driven results to inform changes to the future of health care quality improvement

This conference is virtual, representing the widest reaching gathering of health care quality leaders to have a broader, positive impact on pervasive health system challenges. Leaders in health care will explore and educate how advocates, providers, researchers and champions in health care quality improvement can spread solutions.
Join the PATH and IHS HOPE session on May 2!
Be sure to join PATH and the IHS Committee on Heroin Opioids, and Pain Efforts (HOPE) for a breakout session on day two of the CMS Quality Conference to hear about opioid-related harm reduction in Indian Country.
Harm Reduction in Indian Country: PATH & IHS HOPE Align
Tuesday, May 2 | 3 p.m. Eastern
Women's Health Month
SHE MATTERS: Supporting AI/AN women throughout
the birthing process and post-delivery.

Every woman deserves a safe and comprehensive pregnancy, delivery and post-natal care regardless of their race, socio-economic background, or locality. Unfortunately, this is often not the case for many AI/AN women. Did you know AI/AN women are two to three times more likely to die from pregnancy-related causes than white women? Indigenous women have the second highest pregnancy-related mortality rate of all races.
The nation is recognizing the need for comprehensive care throughout the pregnancy life cycle.
The disparities among AI/AN maternal and child health compared to the rest of the population was a highly discussed topic at last year’s White House Tribal Nations Summit. The U.S. Department of Health and Human Services (HHS), the CDC and the Office of Minority Health (OMH) joined together and launched the new Hear Her campaign segment, which works to raise awareness of warning signs during and after pregnancy and to provide tips for both patients and health care workers to improve maternal outcomes. Learn additional ways to improve maternal health: Surgeon General's Call to Action to Improve Maternal Health

This material was prepared by Comagine Health for the American Indian Alaska Native Healthcare Quality Initiative under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. Views expressed in this material do not necessarily reflect the official views or policy of CMS or HHS, and any reference to a specific product or entity herein does not constitute endorsement of that product or entity by CMS or HHS. NQIIC-AIHQI-354-04/18/2023