By: Teddie Rae Herman-Rogers
MISSION - Allied Health of Sinte Gleska University held a collaboration meeting recently with local Healthcare providers to discuss the possibility of starting a Home Health Care/Hospice Care program for the elders and disabled here on the Rosebud Reservation.
A total of 19 individuals from the following programs were in attendance: Rosebud Sioux Tribe Diabetes Prevention Program, RST Elderly Affairs, RST Community Health Representative (CHR) Program, Rosebud Indian Health Service-SSR, RST Health Administration, RST Elderly Caregiver program, South Dakota Department of Social Services-Adult Services & Aging, Davita, SGU Business Department, and the SGU-Allied Health program.
This is a first of meetings amongst the area’s health care providers, so each program introduced themself and explained about their services and provisions. Some of the other things discussed were:
~Who has custody of family member(s) when family member can’t take care of their self and their personal matters?
~There are jurisdiction issues on our reservation, who has jurisdiction in certain areas?
~When an elder denies abuse while living in their home, how is this handled, and by who?
~Home Health Care providers will need to know Medical Billing for Medicare/Medicaid.
~How much of Medicare/Medicaid covers expenses for home health/hospice?
~What are all our local resources, for example, when an elder needs a ramp for their home, which program covers this? What about other home modifications?
~We have local CNA’s (Certified Nursing Assistants), but they’re not following their career path, why? (Lack of transportation? Low salaries for their many responsibilities? Etc…)
~Need more exposure at the High School level to get those interested in the Healthcare field into training in the healthcare field.
~Health care is a 24-hours a day/7-days a week field. Sacrifices must be made to be a Healthcare provider. When one gets into the Healthcare field, they must know this.
~What is the exact age of an elder? 55? 62? 65? At the RST Elderly Affairs, the age of an elder is 60. Discussion that the tribe should decide which age is considered to be an “elder” so all programs are on the same page.
~The SD Dept. of Social Services said they need other programs to help share-cost with new heaters in the homes and with ramps.
The next meeting will take place on Wednesday, Sept. 2, 2015, from 10 am - Noon at the SGU Wakinyan Wanbli Multipurpose building. A special invitation goes out to the RST Law Enforcement Services, Sicangu Wicoti Awayankape, and other programs and people involved with the elderly or disabled who would like to be involved in the planning for Home Healthcare/Hospice Care. See you there!