Attachment B - IHS_Phoenix Area Master Plan_Fallon.pdf
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- Solicitation number
- IHS1513229
About this file
This document is a comprehensive Community Health Profile for the Fallon Health Center, part of the Phoenix Area Indian Health Service (IHS). The profile provides a detailed assessment of the current healthcare facility, its service area, population demographics, and strategic planning for 2035. Key highlights include:
The Fallon Tribal Health Center serves the Fallon Paiute-Shoshone Tribe and surrounding communities in northwestern Nevada, with a current user population of 1,411 expected to grow to 2,373 by 2035. The facility currently operates across 8 buildings totaling 31,504 square feet on 4.4 acres, with significant infrastructure challenges including aging equipment (mostly from 1997), inadequate space for patient volume, and multiple modular buildings. The health center's mission is to provide comprehensive, culturally sensitive healthcare to American Indian populations, offering services including primary care, dental, behavioral health, optometry, and specialty care. The strategic plan emphasizes expanding services, improving facility infrastructure, and addressing critical needs such as specialty care access and facility consolidation.
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IHS/Tribes Community Health Profile ‐ Fallon Health Center
Phoenix Area IHS Table of Contents
Table of Contents Pg Service Area Mission, Goal and Objectives 2
IHS Mission, Goals and Objectives 2
Service Area Communities and User Population 3
Map: Service Area, User Pop, and Drive Time 4
History of Tribes & Medical Services 5
Service Area Description & Access 5
Service Areas 5
Desired Health Outcomes in 2035 6
Services Summary (Existing & New) 6
Resource Requirements and Priorities Summary 7
Planning Priorities 7
Service Delivery Plan Narrative 8
Service Area Referral Plan 8
Nearest Facilities for Higher Level Care 8
Transportation 8
Delivery Plan and Resource Allocation ‐ Native American (IHS) 9
Remarks: Delivery Plan Decisions/Resource Allocation 21
Regional Workloads ‐ Referred Workloads 22
Workloads & Markets Assessment 26
Infrastructure and Functional Problems 32
Existing Assets 31
Past Priority Accomplishments 32
Location 1001 Rio Vista Dr
Fallon, NV 89406
GPS: 39°29'15.03" N 118°45'29.55" W
Phone: (775) 432‐3634
[Insert facility picture 1]
[Insert facility picture 2]
Fallon Health Center
M3 REVISED PAHSMP Draft Deliverable_Fallon.xlsm‐CVR_FNL
Phoenix Area IHS Mission
Service Area Mission, Goals and Objectives IHS Mission, Goals and Objectives
Mission
The mission of the Fallon Tribal Health Center is to elevate the health status of the American Indian people in our service area and in our communities to the highest level possible through a comprehensive system of preventive and therapeutic services. Our goal is to provide a broad range of culturally sensitive personal and public health services.
Goals and Objectives
FTHC Objectives:
•Providing health care with respect, compassion, & cultural awareness for the patients we serve.
•Providing health care services with a competent and dedicated staff committed to providing individualized care designed to improve the health of the patients we serve.
•Providing community‐based public health promotion and disease prevention activities that will help improve the overall health of the communities we serve.
•For the FTHC shall be recognized nationally, regionally, and locally as a provider of high‐quality health care.
•For the FTHC shall reduce the disease burden and raise health status of its clients with the goal of meeting or exceeding the health status of the
Northern Nevada general population.
•The right and need of our patients/clients to private, respectful, and confidential health service.
•The right of Tribal people to, preference, and equal access to quality treatment.
•The education of all patients/clients to empower them to take an active part in the maintenance and improvement of their own health status.
•Our traditions and ancestral rights including the right to make alternative choices in healthcare decisions.
•A safe and secure environment for patients and staff.
Mission
To raise the physical, mental, social and spiritual health of American Indians and Alaska Natives to the highest level.
Goals and Objectives
Goal 1: To ensure that comprehensive, culturally appropriate personal and public health services are available and accessible to American Indian and
Alaska Native people.
Objective 1.1: Recruit, develop and retain dedicated, competent and caring workforce.
Objective 1.2: Build, strengthen and sustain collaborative relationships.
Objective 1.3: Increase access to quality health care services.
Goal 2: To promote excellence and quality through innovation of the Indian health system into an optimally performing organization.
Objective 2.1: Create quality improvement capability at all levels of the organization.
Objective 2.2: Provide care to better meet the healthcare needs of
American Indian and Alaska Native communities.
Goal 3: To strengthen IHS program management and operations.
Objective 3.1: Improve communication within the organization with
Tribes, Urban Indian Organizations, and other stakeholders, and with the general public.
Objective 3.2: Secure and effectively manage the assets and resources.
Objective 3.3: Modernize information technology and information systems to support data driven decisions.
M3 REVISED PAHSMP Draft Deliverable_Fallon.xlsm‐MISSION
Phoenix Area IHS Service Area Populations and Communities
Service Area Communities and User Population Health Systems Planning (HSP) Current and Projected User Populations
Primary Service Area (PSA)
Year <1 1‐4 5‐9 10‐14 15‐19 20‐24 25‐34 35‐44 45‐54 55‐64 65+ Total
2019 0 32 58 57 52 57 93 59 69 82 58 617
2035 0 54 97 96 88 96 156 99 116 138 97 1,037
2019 2 33 45 62 54 75 126 97 81 99 120 794
2035 3 56 75 104 91 126 212 164 136 167 202 1,336
2019 2 65 103 119 106 132 219 156 150 181 178 1,411
2035 3 110 172 200 179 222 368 263 252 305 299 2,373
PSA 485 1,032 557 299 2,373
PSA
Communities
Extended Service Area #1 (ESA1)
Year <1 1‐4 5‐9 10‐14 15‐19 20‐24 25‐34 35‐44 45‐54 55‐64 65+ Total
2019 0 0 0 0 0 0 0 0 0 0 0 0
2035 0 0 0 0 0 0 0 0 0 0 0 0
2019 0 0 0 0 0 0 0 0 0 0 0 0
2035 0 0 0 0 0 0 0 0 0 0 0 0
2019 0 0 0 0 0 0 0 0 0 0 0 0
2035 0 0 0 0 0 0 0 0 0 0 0 0
ESA1 0 0 0 0 0
ESA1
Communities
ESA 1
Services
Extended Service Area #2 (ESA2)
Year <1 1‐4 5‐9 10‐14 15‐19 20‐24 25‐34 35‐44 45‐54 55‐64 65+ Total
2019 0 0 0 0 0 0 0 0 0 0 0 0
2035 0 0 0 0 0 0 0 0 0 0 0 0
2019 0 0 0 0 0 0 0 0 0 0 0 0
2035 0 0 0 0 0 0 0 0 0 0 0 0
2019 0 0 0 0 0 0 0 0 0 0 0 0
2035 0 0 0 0 0 0 0 0 0 0 0 0
ESA2 0 0 0 0 0
ESA2
Communities
ESA 2
Services
Fallon, Hazen, Imlay, Silver Springs, Stillwater
Male
Female
Combined
Male
Female
Combined
Male
Female
Combined
NO ESA 1 PLANNED
NO ESA 2 PLANNED
M3 REVISED PAHSMP Draft Deliverable_Fallon.xlsm‐POP
Site Maps-Fallon Health Center
H
H
H
H
C
C
C
C
CHS
SHM
HC
Fallon
Silver Springs
Hazen Fallon Health Center
Yerington
Health Center
Pyramid Lake
Health Center
Washoe Health Center
Reno Sparks
Health Center
Walker River Health Center
Lovelock Service Area
NV
AZ
UT
Fallon Health Center Schurz Service Unit
0 10 20 Mi
30 - 60 minutes
0 - 30 minutes Drive Time to Facility
51% - 100% 31% - 50% 0% - 30%
2019-2035 Growth Rate by Community
2035 HSP User Population by Community
1 - 138 139 - 587 588 - 1,319 1,320 - 2,500 > 2,500
H Hospital
AH
Alternative Rural Hospital
HC Health Center
*If planned facility is SAC, see Resource Allocation and Delivery Plan for specific designation.
Small Ambulatory Care (SAC) Facility *
IHS/Tribal Facility or Point of Care
Map: Service Area, User Pop, and Drive TimePhoenix Area IHS Phoenix Area Health Services Master PlanIHS / Tribes
N
Phoenix Area IHS History, Access, and Service Areas
History of Tribes & Medical Services Service Area Description & Access
Service Areas
Primary Service Area Communities
Extended Service Area Communities
Extended Service Area 2 Communities
NO ESA 1 PLANNED
NO ESA 2 PLANNED
The Fallon Paiute‐Shoshone Tribe is a federally recognized Native American
Tribe located in the northwestern part of the State of Nevada – the Tribe is affiliated with the Toi‐Ticutta (cattail eaters) band of the Northern Paiute and Western Shoshone people. The Tribe is a non‐IRA Tribe established through executive order and is governed by the Fallon Business Council. The
Tribe has a resident population estimated at 1,500 individuals with about
88% being Native Americans. The Tribe is comprised primarily of two communities – the Stillwater Reservation, about 8,500 acres and is located about 12 miles from the city of Fallon, and the Fallon Colony, about 60 acres and is located about one mile from the city of Fallon.
The Tribe started the Fallon Tribal Health Center (FTHC) in the late 1980’s through a 93‐638 contract and over the years as taken all its shares except for the PRC program (which is currently planned for CY2022‐2023). The
FTHC serves three tribal communities – the Fallon Tribe, as well as the
Lovelock Paiute Tribe and Yomba Shoshone Tribe. This was done by resolution of the other two Tribes to allow the Fallon Tribe to handle their shares since these two Tribes are too small to operate their own clinics and the FTHC is the closest tribal health facility to these two Tribes. The FTHC offers medical care (family health, podiatry, chiropractic, audiology), laboratory services, optical and ophthalmology, dental and endodontic, behavioral health (mental health and substance abuse), pharmacy, diabetes program, CHR Program, a PRC Program (to coordinate with IHS), a wellness/fitness center and an administrative/business side (patient registration, environmental services, medical records, billing, CAC, etc.)
Fallon Health Center is located in the town of Fallon, NV, approximately 63 miles east of Reno, NV and Carson City, NV. The Health Center is located on it's Colony which is 10‐15 miles from the main population center on the
Reservation.
The Fallon Tribal Health Center (FTHC) is a tribally owned and operated clinic, located on the Fallon Paiute Shoshone Indian Colony at 1001 Rio Vista Drive, Fallon, NV. The health center is committed to enhancing the quality of life of all of American Indians by providing a culturally competent and patient‐ centered continuum of care.
It is a hub of primary care for Native Americans in the Churchill County area.
The Health Center also provides primary care to Lovelock and the Yomba
Tribe which are located 60‐110 miles away (one‐way). Fallon sends most of its referral workload to Reno, NV.
Fallon, Hazen, Imlay, Silver Springs, Stillwater
M3 REVISED PAHSMP Draft Deliverable_Fallon.xlsm‐HIST‐SA_DESC
Phoenix Area IHS Desired Outcomes and Services Summary
Desired Health Outcomes in 2035 New services are identified in blue.
Department Discipline
Physical Therapy, Clinical Lab, Pharmacy, Radiography
Preventive Care
Post Acute Care
Admin, IM, HIM, BO, PRC, Security
Services Summary (Existing & New)
Family Practice, Internal Medicine, Pediatrics, OB/GYN, CHAPS, Telemedicine
Dental, Optometry, Audiology, Podiatry
Cardiology , Pain Management
Primary Care
Emergency Care
Specialty Care
Other Ambulatory
Visiting services are identified in italics.
Senior Center
Home Health Care
The Fallon Service Area desires to realize the following health outcomes in 2035.
• Recognition of the cost differences in regions of the
Phoenix Area Office and proper allocation of funds to cover such differences.
• Appropriate funding to the Tribes through their 93‐638 contracts/compacts to provide quality healthcare to the
Native American population in our service area.
• Establishments of a program by IHS to provide for upgrades/updates to medical, dental, and optical equipment.
• Justification of need and funding allocations to provide for specialty and urgent care services in areas where Phoenix
Indian Medical Center is not a viable option such as in northern Nevada.
• Justification for replacement of the current facility to allow the FTHC to operate in a single building instead of having one main facility and four (4) modular buildings.
• Establish more satellite services into the remote areas served by the Health Center to provide more preventive healthcare and family provider services instead of working on urgent matters in which a patients has devolved to providing critical and stabilizing care.
Behavioral Health
Inpatient Care
Ancillary Services
Administration
Facility Support
Add'l Services: IHS
Supportable
Add'l Services: Non‐
IHS Supportable
Mental Health, Psychiatry , Social Work, Alcohol & Substance Abuse, BHAs
Child Sexual Abuse & Prevention Treatment
Facility Management, Central Sterile, Property & Supply, Housekeeping & Linen
Public Health Nutrition, Public Health Nursing, Environmental Health, Health Education, Tribal SDOH & CDS, CHRs, Wellness Center
Substance Abuse
Non Acute
M3 REVISED PAHSMP Draft Deliverable_Fallon.xlsm‐OUTCOME‐SVCSUM
Phoenix Area IHS Resource Requirements and Priorities
Resource Requirements and Priorities Summary Planning Priorities
Resource Requirements Existing 2019 Required 2035 % of Need
Facility
Total Building Gross Square Feet 31,900 63,157 51%
IHS Supportable Building Gross
Square Feet 26,750 58,995 45%
Parking (Spaces) 135 165 82%
Total Site (Acres) 4.4 8.0 56%
New IHS Supportable Space
Construction Cost* 46,423$
New IHS Supportable Space Total
Project Cost* 63,252$
20 Year Amortization ‐ Annual Cost* 5,855$
*Costs are in thousands of dollars
Operations
Recurring IHS Positions vs. RRM
Staff
60.4 119.0 51%
All Staff 67.0 126.7 53%
IHS RRM Staff Operational Budget 4,991$ 9,842$ 51% 7
Purchased & Referred Care 8
Purchased & Referred Care 302$ 17,588$ 2% 9
Annual Operating Costs 10
Annual Operating Costs 7,432$ 31,648$ 23% 11
Development of a Resource Tool that can better help the FTHC search out funding for facility expansion and introducing needed services.
A guide for the Indian Health Services to better coordinate with Tribes in the northern Nevada Area to address the health shortfalls and disparities that we are facing.
Identification of much needed hospital and/or urgent care facility in the northern Nevada area to fill a critical need since Phoenix Indian Medical
Center is too far from the Tribes in this area to access for most type of services.
Identification of health care services, as well as the supporting services, that are needed for our population in the short and long‐term basis, including any remote/mobile services.
Identification of current, actual, and needed space to provide quality healthcare services in the short and long‐term basis.
A plan to help the FTHC and FPST better layout services to meet the needs of our three tribal communities and that aligns with our goals and objectives.
If PRC demand shown is $0, the required PRC $'s are shown at the Service Unit Primary Facility
M3 REVISED PAHSMP Draft Deliverable_Fallon.xlsm‐RSC‐SUM
Phoenix Area IHS Service Area Delivery, Referrals, and Transportation
Type Distance
(miles)
Time
(minutes)
Clinic 60‐75 60‐90
The Fallon Tribe does not have an operational transit program currently though it is in development. The only method of patients to get to their appointments is from CHR Program. The Fallon Tribal Health Center has a
CHR Program with three full‐time personnel (one supervisor who drives as well and two drivers) for the Fallon area.
Transportation
Patients face multiple challenges in accessing referral care. Cost and lack of access create difficulties for patients traveling for care. Referral service most impacted include imaging, emergency room visits, urgent care services, specialty care, inpatient hospitalization and outpatient surgery. Patients in need of some basic and specialty services, such as timely mental health counseling, have no where else to go, and for service such as substance abuse residential care, are often referred out of state. Sending referrals to PIMC is a direct expense to Fallon as most patients lack the financial resources to travel to Phoenix. Instead, Fallon will use their own PRC funds for local providers in
Reno or avoid treatment altogether. Finding providers in Reno who will accept IHS funding is limited due to their inability to be paid in a timely manner. Collaboration with referral sources is limited including the sharing of medical records and the coordination of care with social services.
Fallon Health Center is planning on expanding ambulatory, ancillary and specialty services to limit the need to refer patients out. They are also planning on increasing tele‐medicine and housing more visiting providers from the community to decrease the need for referrals.
Service Area Referral Plan
Fallon Health Center operates as a 40 hour per week
Health Center with complete primary care, dental, behavioral health, optometry, podiatry, audiology and supporting ancillary services. New services anticipated for 2035 include; rehab services, imaging services, additional preventive care, and additional specialists. There is no extended service area planned, although it is anticipated that Lovelock, Winnemucca, and Yomba will send various workloads to Fallon Health Center.
Acute Care
Service Delivery Plan Narrative
Specialty Care
Name of FacilityCare
Multiple
60‐75 60‐90
15 15‐20
Nearest Facilities for Higher Level Care
Ambulatory Surgical
Center
Tertiary Care
Renown Health, Reno
ER, Acute, Surgical
Centers
Emergency Care Banner Churchill
Community Hospital Hospital
M3 REVISED PAHSMP Draft Deliverable_Fallon.xlsm‐SVC‐DESC
Phoenix Area IHS Delivery Plan and Resource Allocation
Delivery Plan and Resource Allocation ‐ Native American (IHS) 2019 User Pop => 1,411 Projected 2035 User Pop => 2,373
Historical
Total LOE DC
& PRC
2035 COR
Direct Care
Planning
Assumption
2035 Total
Adjusted
Workload
(Crossover &
Referrals)
Decision Key
Characteristic (KC)
Number
Needed
Direct Care
On Site On Site VP
Referred
(PRC)
Sent to
Service Unit
Consider for
Regional
Service
Key
Characteristic # in 2035 # Now
% of
Need PRC $ Needed
Note
Code
Primary Care Planned Crossover=> 0.0%
5,344 6,904 6,904 Providers 2.6 6,904 Providers 2.6 4.0 157% $0
Visiting Providers to outlying areas. 0.0
Exam Rooms 6.0 8.0 133%
0 1,177 1,177 Providers 0.4 1,177 Providers 0.4 0% $0
Visiting Providers to outlying areas. 0.0
Inpatient Physician 0.0 100%
Exam Rooms 1.0 0%
0 995 995 Providers 0.4 995 Providers 0.4 0% $0
Visiting Providers to outlying areas. 0.0
Inpatient Physician 0.0 100%
Exam Rooms 1.0 0%
0 946 946 Providers 0.3 946 Providers 0.3 0% $0 1
Visiting Providers to outlying areas. 0.0
32 Inpatient Physician 0.0 100%
Exam Rooms 1.0 0%
CHAPS 0 0 0 CHAPS 1.0 0 CHAPS 1.0 0% $0
2 2 2 Providers 0.0 2 Providers 0.0 100% $0
Exam Rooms 0.0 100%
5,346 10,023 10,023 3.7 10,023 Providers 3.7 4.0 109% $0
Exam Rooms 9.0 8.0 89%
Space reflects IPC and team room for physicians (no private offices) Dept. Gross Sq. Ft. 7,763 1,900 24%
Emergency Care Planned Crossover=> 0.0%
Emergency/Urgent 0 1,132 1,132 ER Providers 0.4 1,132 ER Providers 0.0 100% $1,900,533
Patient Spaces 0.0 100%
Emergency Total 0 1,132 1,132 0.4 0 Dept. Gross Sq. Ft. 0 100% $1,900,533
Internal
Medicine
Pediatrics
Family
Practice
Primary
Care Total
Provider Visits Only
Delivery Plan Decision
Discipline
These columns establish projected workloads and key characteristics per product line, identifying a delivery option. The workloads under each sub‐header represent the delivery decision agreed upon driving the resource requirements in the next set of columns.
These columns show historical workloads (according to RPMS, P&R
Care, and Questionnaire data), referred workloads, as well as projected workloads
Projected Resource Requirements
These columns compare the Key Characteristics required in 2035 to the Existing
(collected from the site visit questionnaires) and project necessary Purchased and Referred Care dollars by product line.
OB/GYN
Urgent
Care
Workloads
HSP
Formula Result
M3 REVISED PAHSMP Draft Deliverable_Fallon.xlsm‐DP‐RA
Delivery Plan and Resource Allocation ‐ Native American (IHS) 2019 User Pop => 1,411 Projected 2035 User Pop => 2,373
Historical
Total LOE DC
& PRC
2035 COR
Direct Care
Planning
Assumption
2035 Total
Adjusted
Workload
(Crossover &
Referrals)
Decision Key
Characteristic (KC)
Number
Needed
Direct Care
On Site On Site VP
Referred
(PRC)
Sent to
Service Unit
Consider for
Regional
Service
Key
Characteristic # in 2035 # Now
% of
Need PRC $ Needed
Note
Code
Delivery Plan Decision
Discipline
These columns establish projected workloads and key characteristics per product line, identifying a delivery option. The workloads under each sub‐header represent the delivery decision agreed upon driving the resource requirements in the next set of columns.
These columns show historical workloads (according to RPMS, P&R
Care, and Questionnaire data), referred workloads, as well as projected workloads
Projected Resource Requirements
These columns compare the Key Characteristics required in 2035 to the Existing
(collected from the site visit questionnaires) and project necessary Purchased and Referred Care dollars by product line.
Workloads
HSP
Formula Result
Emergency Medical Services 0 766 766 #FTE 0.0 766 Loc #1 ‐ # of FTE 0.0 100% $1,986,069
# of Ambulances 0.0 100%
Emergency Medical Services Total # of FTE 0.0 100% $1,986,069
# of Ambulances 0.0 100%
Dept. Gross Sq. Ft. 0 100%
Specialty Care Planned Crossover=> 0.0%
Medical Specialties
Cardiology 0 241 241 Providers 0.1 241 Providers 0.1 0% $0 4
Visiting Providers to outlying areas. 0.0
Dermatology 0 288 288 Providers 0.1 288 288 Providers 0.0 100% $40,297 3
Visiting Providers to outlying areas. 0.0
Neurology 0 117 117 Providers 0.0 117 117 Providers 0.0 100% $28,457 3
Visiting Providers to outlying areas. 0.0
Other Medical Specialties
0 8 8 Providers 0.0 8 8 Providers 0.0 100% $3,420 3
Visiting Providers to outlying areas. 0.0
Endocrinology 0 0 0 Providers 0.0 0 0 Providers 0.0 100% $0 3
Visiting Providers to outlying areas. 0.0
Gastroenterology 0 7 7 Providers 0.0 7 7 Providers 0.0 100% $2,833 3
Visiting Providers to outlying areas. 0.0
Geriatrics 0 0 0 Providers 0.0 0 0 Providers 0.0 100% $0 3
Visiting Providers to outlying areas. 0.0
0 5 5 Providers 0.0 5 5 Providers 0.0 100% $2,098 3
Visiting Providers to outlying areas. 0.0
Infectious Disease 0 0 0 Providers 0.0 0 0 Providers 0.0 100% $0 3
Visiting Providers to outlying areas. 0.0
Allergy &
Immunology
Hematology /
Oncology
Patient Transports
Transports
Specialty Provider Visits
M3 REVISED PAHSMP Draft Deliverable_Fallon.xlsm‐DP‐RA
Delivery Plan and Resource Allocation ‐ Native American (IHS) 2019 User Pop => 1,411 Projected 2035 User Pop => 2,373
Historical
Total LOE DC
& PRC
2035 COR
Direct Care
Planning
Assumption
2035 Total
Adjusted
Workload
(Crossover &
Referrals)
Decision Key
Characteristic (KC)
Number
Needed
Direct Care
On Site On Site VP
Referred
(PRC)
Sent to
Service Unit
Consider for
Regional
Service
Key
Characteristic # in 2035 # Now
% of
Need PRC $ Needed
Note
Code
Delivery Plan Decision
Discipline
These columns establish projected workloads and key characteristics per product line, identifying a delivery option. The workloads under each sub‐header represent the delivery decision agreed upon driving the resource requirements in the next set of columns.
These columns show historical workloads (according to RPMS, P&R
Care, and Questionnaire data), referred workloads, as well as projected workloads
Projected Resource Requirements
These columns compare the Key Characteristics required in 2035 to the Existing
(collected from the site visit questionnaires) and project necessary Purchased and Referred Care dollars by product line.
Workloads
HSP
Formula Result
Nephrology 0 0 0 Providers 0.0 0 0 Providers 0.0 100% $0 3
Visiting Providers to outlying areas. 0.0
Pulmonology 0 3 3 Providers 0.0 3 3 Providers 0.0 100% $1,469 3
Visiting Providers to outlying areas. 0.0
Rheumatology 0 0 0 Providers 0.0 0 0 Providers 0.0 100% $0 3
Visiting Providers to outlying areas. 0.0
Sleep Medicine 0 0 0 Providers 0.0 0 0 Providers 0.0 100% $0 3
Visiting Providers to outlying areas. 0.0
0 1,048 1,048 Providers 0.4 1,048 1,048 Providers 0.0 100% $453,407 3
Visiting Providers to outlying areas. 0.0
Surgical Specialties
General Surgery 0 215 215 Providers 0.1 215 215 Providers 0.0 100% $63,823 3
Visiting Providers to outlying areas. 0.0
Ophthalmology 15 526 526 Providers 0.1 526 526 Providers 0.0 100% $155,451 3
Visiting Providers to outlying areas. 0.0
Orthopedics 0 407 407 Providers 0.1 407 407 Providers 0.0 100% $117,351 3
Visiting Providers to outlying areas. 0.0
Otolaryngology 0 199 199 Providers 0.1 199 199 Providers 0.0 100% $55,810 3
Visiting Providers to outlying areas. 0.0
Urology 0 169 169 Providers 0.1 169 169 Providers 0.0 100% $43,578 3
Visiting Providers to outlying areas. 0.0
Other Surgical Specialties
0 267 267 Providers 0.1 267 267 Providers 0.0 100% $115,515 3
Visiting Providers to outlying areas. 0.0
Pain Management
Pain Management 1,920 2,666 2,666 Providers 1.1 1,333 1,333 Providers 0.5 0.4 80% $576,709 2
Visiting Providers to outlying areas. 0.0
1,935 6,165 6,165 4,592 3,259 Providers 0.6 0.4 67% $1,660,217 4
Exam Rooms 0.0 100% 4
Dept. Gross Sq. Ft. 0 100%
Other Surgical
Specialties
Specialty Care Sub‐
Total
Other Medical
Specialties
M3 REVISED PAHSMP Draft Deliverable_Fallon.xlsm‐DP‐RA
Delivery Plan and Resource Allocation ‐ Native American (IHS) 2019 User Pop => 1,411 Projected 2035 User Pop => 2,373
Historical
Total LOE DC
& PRC
2035 COR
Direct Care
Planning
Assumption
2035 Total
Adjusted
Workload
(Crossover &
Referrals)
Decision Key
Characteristic (KC)
Number
Needed
Direct Care
On Site On Site VP
Referred
(PRC)
Sent to
Service Unit
Consider for
Regional
Service
Key
Characteristic # in 2035 # Now
% of
Need PRC $ Needed
Note
Code
Delivery Plan Decision
Discipline
These columns establish projected workloads and key characteristics per product line, identifying a delivery option. The workloads under each sub‐header represent the delivery decision agreed upon driving the resource requirements in the next set of columns.
These columns show historical workloads (according to RPMS, P&R
Care, and Questionnaire data), referred workloads, as well as projected workloads
Projected Resource Requirements
These columns compare the Key Characteristics required in 2035 to the Existing
(collected from the site visit questionnaires) and project necessary Purchased and Referred Care dollars by product line.
Workloads
HSP
Formula Result
Visiting Professional Clinic 1,574 Exam Rooms 1.0 0% 4
Team Room Seats 1.0 0%
Dept. Gross Sq. Ft. 441 0% 4
Telemedicine (Staffing/Space included in Departments)
Telemedicine Coordinators 3.0 0%
Telemedicine Rooms 3 0%
Other Ambulatory Care Services Visits converted to User Pop to match HSP workload output*
Dental Visits* 2,174 3,656 3,656
Dental User Pop HSP 3,098 3,098 Dentists 1.7 3,098 Dentists 1.7 1.0 59% $0 5
Planned Crossover=> 0.0% DHAT 0.5 Dental Health Aide Therapists 0.5 0.0 0% 5
Oral & Maxillo Dental Specialists 0.0 0.0 100%
Pedodontics Visiting Providers to outlying areas. 0.0
Endodontist Hygenist 1.0 1.0 100%
Prosthodontist Dental Chair 5.0 4.0 80%
Orthodontist Specialist Chair 0.0 0.0 100%
Periodontist Dept. Gross Sq. Ft. 3,278 1,109 34%
Optometry Visits 917 1,542 1,542 Optometrist 0.5 1,542 Optometrist 0.5 0.6 113% $0 6
Planned Crossover=> 0.0% Visiting Providers to outlying areas. 0.0 100%
Eye Lanes 0.0 2.0 100%
Dept. Gross Sq. Ft. 0 625 100% 6
Dialysis Patients 0 0 0 Stations 0 0 Stations 0.0 100% $0
Dept. Gross Sq. Ft. 0 100%
Audiology Visits 0 297 297 Audiologists 0.1 297 Audiologists 0.1 0.1 69% $0 6
Visiting Providers to outlying areas. 0.0 100%
Audiology Booths 0.0 1.0 100%
Dept. Gross Sq. Ft. 0 83 100% 6
Podiatry 331 557 557 Podiatrists 0.2 557 Podiatrists 0.2 0.1 56% $0 6
Visiting Providers to outlying areas. 0.0
Exam Rooms 0.0 1.0 100%
Dept. Gross Sq. Ft. 0 90 100% 6
M3 REVISED PAHSMP Draft Deliverable_Fallon.xlsm‐DP‐RA
Delivery Plan and Resource Allocation ‐ Native American (IHS) 2019 User Pop => 1,411 Projected 2035 User Pop => 2,373
Historical
Total LOE DC
& PRC
2035 COR
Direct Care
Planning
Assumption
2035 Total
Adjusted
Workload
(Crossover &
Referrals)
Decision Key
Characteristic (KC)
Number
Needed
Direct Care
On Site On Site VP
Referred
(PRC)
Sent to
Service Unit
Consider for
Regional
Service
Key
Characteristic # in 2035 # Now
% of
Need PRC $ Needed
Note
Code
Delivery Plan Decision
Discipline
These columns establish projected workloads and key characteristics per product line, identifying a delivery option. The workloads under each sub‐header represent the delivery decision agreed upon driving the resource requirements in the next set of columns.
These columns show historical workloads (according to RPMS, P&R
Care, and Questionnaire data), referred workloads, as well as projected workloads
Projected Resource Requirements
These columns compare the Key Characteristics required in 2035 to the Existing
(collected from the site visit questionnaires) and project necessary Purchased and Referred Care dollars by product line.
Workloads
HSP
Formula Result
Wound Care 0 0 0 Specialists 0.0 0 0 Wound Specialists 0.0 100% $0 2
Visiting Providers to outlying areas. 0.0
Exam Rooms 0.0 100%
Dept. Gross Sq. Ft. 0 100%
Other Ambulatory Care Sub‐Total Dept. Gross Sq. Ft. 3,278 1,907 58% $0
Behavioral Health Mental Health 531 893 893 Counselors 1.2 893 Counselors 1.2 1.6 133%
Psychiatry 204 343 343 Providers 0.2 343 Providers 0.2 0.2 100%
Social Work 0 0 0 Counselors 1.1 0 Counselors 1.1 0%
Alcohol & Sub Abuse 638 1,073 1,073 Counselors 2.2 1,073 Counselors/Therapists 2.2 3.2 145%
BHAs BHAs 3.0 BHA 3.0 0%
1,373 2,309 2,309 Counselors 4.7 1,966 4.7 5.0 106% $0
PCT Offices 5 5 100%
Dept. Gross Sq. Ft. 2,488 1,838 74% $0
Inpatient Care Bed Days
Births 0 23 23 LDRPs 0 23 LDR/LDRPs 0.0 100% $37,590
Labor & Delivery Dept. Gross Sq. Ft. 0.0 100%
Obstetric 0 67 67 # of Beds 0 67 Post Partum beds 0.0 100% $112,638
Dept. Gross Sq. Ft. Incl in L&D
Pediatric 0 27 27 # of Beds 0 27 # of Beds 0.0 100% $83,754
Planned Crossover=> 0.0% Dept. Gross Sq. Ft. 0.0 100%
Adult Medical 0 457 457 # of Beds 0 457 # of Beds 0.0 100% $445,695
Planned Crossover=> 0.0% Dept. Gross Sq. Ft. 0.0 100%
Adult Surgical Acute 0 156 156 # of Beds 0 156 # of Beds 0.0 100% $610,041
Planned Crossover=> 0.0% Dept. Gross Sq. Ft. 0.0 100%
Intensive Care 0 90 90 # of Beds 0 90 # of Beds 0.0 100% $293,901
Dept. Gross Sq. Ft. 0.0 100%
Behavioral Health
Total
Visits
Bed Days
Total Providers / Counselors
/Therapists
M3 REVISED PAHSMP Draft Deliverable_Fallon.xlsm‐DP‐RA
Delivery Plan and Resource Allocation ‐ Native American (IHS) 2019 User Pop => 1,411 Projected 2035 User Pop => 2,373
Historical
Total LOE DC
& PRC
2035 COR
Direct Care
Planning
Assumption
2035 Total
Adjusted
Workload
(Crossover &
Referrals)
Decision Key
Characteristic (KC)
Number
Needed
Direct Care
On Site On Site VP
Referred
(PRC)
Sent to
Service Unit
Consider for
Regional
Service
Key
Characteristic # in 2035 # Now
% of
Need PRC $ Needed
Note
Code
Delivery Plan Decision
Discipline
These columns establish projected workloads and key characteristics per product line, identifying a delivery option. The workloads under each sub‐header represent the delivery decision agreed upon driving the resource requirements in the next set of columns.
These columns show historical workloads (according to RPMS, P&R
Care, and Questionnaire data), referred workloads, as well as projected workloads
Projected Resource Requirements
These columns compare the Key Characteristics required in 2035 to the Existing
(collected from the site visit questionnaires) and project necessary Purchased and Referred Care dollars by product line.
Workloads
HSP
Formula Result
Psychiatric 0 33 33 # of Beds 0 33 # of Beds 0.0 100% $36,600
Dept. Gross Sq. Ft. 0.0 100%
Inpatient Care Total 0 853 853 0 853 # of patient beds 0.0 100% $1,620,219
Dept. Gross Sq. Ft. 0 100%
Ancillary Services Infusion Center
Chemotherapy Txs 0 0 0 Chairs 0 0 Chairs 0 100% $0
Dept. Gross Sq. Ft. 0 100%
Infusions 0 0 0 Chairs 0 0 Chairs 0 100% $0
Dept. Gross Sq. Ft. 0 100%
0 0 0 Chairs 0 0 Patient Spaces 0 100% $0
Dept. Gross Sq. Ft. 0 100%
Rehabilitation Services
PT Visits 0 1,822 1,822 Therapy FTE 1.5 1,822 Therapy FTE 1.5 0% $0
OT Visits 0 368 368 Therapy FTE 0.2 368 368 Therapy FTE 0.0 100% $185,678 3
Speech Therapy Visits 0 65 65 Therapy FTE 0.0 65 65 Therapy FTE 0.0 100% $41,460 3
Rehab Total 0 2,255 2,255 Therapy FTE 1.7 1,822 433 Therapy FTE 1.5 0% $227,138
Dept. Gross Sq. Ft. 2,770 0%
Planned Crossover=> 0.0%
Laboratory Services
Clinical Lab 5,405 9,263 9,263 9,263 0.9 $522
Microbiology Lab 1,066 1,347 1,347 1,347 0.0 $2,062
Blood Bank 0 182 182 0 0.0 $160
Anatomical Pathology 0 0 0 0 0.0 $20
Lab Total 6,471 10,792 10,792 9,263 1,347 Dept. Gross
Sq. Ft.
865 490 57% $548,467
Planned Crossover=> 0.0%
Pharmacy
OP Pharmacy Scripts 37,301 62,732 62,732 62,732 OP Pharmacy WLUs HSP 300,856 300,856 Pharmacists 4.3 300,856 $0
Infusion Center
Total
Lab Billable Tests
OP Scripts / IP Orders
Therapy Visits
M3 REVISED PAHSMP Draft Deliverable_Fallon.xlsm‐DP‐RA
Delivery Plan and Resource Allocation ‐ Native American (IHS) 2019 User Pop => 1,411 Projected 2035 User Pop => 2,373
Historical
Total LOE DC
& PRC
2035 COR
Direct Care
Planning
Assumption
2035 Total
Adjusted
Workload
(Crossover &
Referrals)
Decision Key
Characteristic (KC)
Number
Needed
Direct Care
On Site On Site VP
Referred
(PRC)
Sent to
Service Unit
Consider for
Regional
Service
Key
Characteristic # in 2035 # Now
% of
Need PRC $ Needed
Note
Code
Delivery Plan Decision
Discipline
These columns establish projected workloads and key characteristics per product line, identifying a delivery option. The workloads under each sub‐header represent the delivery decision agreed upon driving the resource requirements in the next set of columns.
These columns show historical workloads (according to RPMS, P&R
Care, and Questionnaire data), referred workloads, as well as projected workloads
Projected Resource Requirements
These columns compare the Key Characteristics required in 2035 to the Existing
(collected from the site visit questionnaires) and project necessary Purchased and Referred Care dollars by product line.
Workloads
HSP
Formula Result
IP Pharmacy Pharmacists 0.0 0 $0
Pharmacy Total Pharmacists 4.3 300,856 Pharmacists 4.3 2.0 47% $0
Dept. Gross Sq. Ft. 3,086 578 19% 0
Diagnostic Imaging
Radiographic Exams 0 1,034 1,034 Rooms 0.2 1,034 Rooms 1.0 0% $0 7
Fluoroscopy Exams 0 73 73 Rooms 0.0 73 73 Rooms 0.0 100% $0 3
Bone Density Exams 0 87 87 Rooms 0.0 87 87 Rooms 0.0 100% $32,840 3
Ultrasound Exams 0 146 146 Rooms 0.1 146 146 Rooms 0.0 100% $61,123 3
Mammography Exams 0 411 411 Rooms 0.1 411 411 Rooms 0.0 100% $175,989 3
CT Exams 0 174 174 Rooms 0.1 174 174 Rooms 0.0 100% $79,492 3
MRI Exams 0 110 110 Rooms 0.1 110 110 Rooms 0.0 100% $44,620 3
0 103 103 Rooms 0.1 103 Rooms 0.0 100% $41,232
DGSF 0
0 2,138 2,138 1 1,034 1,104 Radiologists 0.1 0% $435,295
Dept. Gross Sq. Ft. 753 0%
Interventional Medicine
0 12 12 Suites 0 12 Suites 0.0 100% $0
DGSF 0
0 22 22 Suites 0 22 Suites 0.0 100% $91,306
DGSF 0
0 35 35 0 1,526 Rooms 0.0 100% $91,306
Dept. Gross Sq. Ft. 0 100%
0 14,207 14,207 Therapy FTE 0.0 14,207 14,207 Therapy FTE 0.0 100% $2,198 3
Dept. Gross Sq. Ft. 0 100%
Surgery
Endoscopy Cases 0 53 53 Endo Suites 0 53 53 oscopy Suites 0.0 100% $78,414 3
OP Surgery Cases 0 107 107 OP ORs 0 107 107 utpatient ORs 0.0 100% $176,834 3
IP Surgical Cases 0 27 27 IP ORs 0 27 Inpatient ORs 0.0 100% $44,622
# of Pre‐Op Spaces 0.0 100%
# of PACU Spaces 0.0 100%
# of Phase II Spaces 0.0 100%
Interventional
Medicine Total
Imaging Exams
Surgical Episodes
Cardiac
Catheterization
Interventional
Radiology
Diagnostic Imaging
Total
Respiratory Therapy
Workload Minutes
Nuclear Medicine
Exams
M3 REVISED PAHSMP Draft Deliverable_Fallon.xlsm‐DP‐RA
Delivery Plan and Resource Allocation ‐ Native American (IHS) 2019 User Pop => 1,411 Projected 2035 User Pop => 2,373
Historical
Total LOE DC
& PRC
2035 COR
Direct Care
Planning
Assumption
2035 Total
Adjusted
Workload
(Crossover &
Referrals)
Decision Key
Characteristic (KC)
Number
Needed
Direct Care
On Site On Site VP
Referred
(PRC)
Sent to
Service Unit
Consider for
Regional
Service
Key
Characteristic # in 2035 # Now
% of
Need PRC $ Needed
Note
Code
Delivery Plan Decision
Discipline
These columns establish projected workloads and key characteristics per product line, identifying a delivery option. The workloads under each sub‐header represent the delivery decision agreed upon driving the resource requirements in the next set of columns.
These columns show historical workloads (according to RPMS, P&R
Care, and Questionnaire data), referred workloads, as well as projected workloads
Projected Resource Requirements
These columns compare the Key Characteristics required in 2035 to the Existing
(collected from the site visit questionnaires) and project necessary Purchased and Referred Care dollars by product line.
Workloads
HSP
Formula Result
Surgical Case Total 0 187 187 0 0 187 # of ORs/Suites 0.0 100% $299,870
Dept. Gross Sq. Ft. 0 100%
Administrative Support Administration # of FTE 15.5 15.5 # of FTE 15.5 6.0 39%
Dept. Gross Sq. Ft. 2,489 732 29%
Information Management # of FTE 5.0 5.0 # of FTE 5.0 0.0 0%
Dept. Gross Sq. Ft. 916 243 27%
Health Information Management # of FTE 7.3 7.3 # of FTE 7.3 1.0 14%
Dept. Gross Sq. Ft. 1,416 93 7%
Business Office # of FTE 5.3 5.3 # of FTE 5.3 8.5 160%
Dept. Gross Sq. Ft. 1,100 2,195 199%
Purchased & Referred Care # of FTE 2.6 2.6 # of FTE 2.6 2.0 77%
Dept. Gross Sq. Ft. 417 227 54%
Security # of FTE 2.6 2.6 # of FTE 2.6 0.0 0%
Dept. Gross Sq. Ft. 196 0 0%
Administration Total # of FTE 38.3 18 46%
Dept. Gross Sq. Ft. 6,535 3,490 53%
Facility Support Services Clinical Engineering # of FTE 0.0 # of FTE 0.0 100%
Dept. Gross Sq. Ft. 0 100%
Facility Management # of FTE 3.9 3.9 # of FTE 3.9 2.0 51%
Dept. Gross Sq. Ft. 685 455 66%
Central Sterile # of FTE 1.3 1.3 # of FTE 1.3 1.0 77%
Dept. Gross Sq. Ft. 0 100%
Dietary/Food Services # of FTE 0.0 # of FTE 0.0 100%
Dept. Gross Sq. Ft. 0 100%
Property & Supply # of FTE 1.5 1.5 # of FTE 1.5 0%
Dept. Gross Sq. Ft. 1,855 1,587 86%
M3 REVISED PAHSMP Draft Deliverable_Fallon.xlsm‐DP‐RA
Delivery Plan and Resource Allocation ‐ Native American (IHS) 2019 User Pop => 1,411 Projected 2035 User Pop => 2,373
Historical
Total LOE DC
& PRC
2035 COR
Direct Care
Planning
Assumption
2035 Total
Adjusted
Workload
(Crossover &
Referrals)
Decision Key
Characteristic (KC)
Number
Needed
Direct Care
On Site On Site VP
Referred
(PRC)
Sent to
Service Unit
Consider for
Regional
Service
Key
Characteristic # in 2035 # Now
% of
Need PRC $ Needed
Note
Code
Delivery Plan Decision
Discipline
These columns establish projected workloads and key characteristics per product line, identifying a delivery option. The workloads under each sub‐header represent the delivery decision agreed upon driving the resource requirements in the next set of columns.
These columns show historical workloads (according to RPMS, P&R
Care, and Questionnaire data), referred workloads, as well as projected workloads
Projected Resource Requirements
These columns compare the Key Characteristics required in 2035 to the Existing
(collected from the site visit questionnaires) and project necessary Purchased and Referred Care dollars by product line.
Workloads
HSP
Formula Result
Housekeeping & Linen # of FTE 5.3 5.3 # of FTE 5.3 2.0 38%
Dept. Gross Sq. Ft. 853 105 12%
Facility Support Total # of FTE 12.0 5 42%
Dept. Gross Sq. Ft. 3,393 2,147 63%
Preventive Care Public Health Nursing # of FTE 4.5 4.5 # of FTE 4.5 1.0 22%
Visiting FTEs to outlying areas. 0.0 100%
Dept. Gross Sq. Ft. including CHRs 2,005 493 25%
Public Health Nutrition # of FTE 1.3 1.3 # of FTE 1.3 0.2 15%
Visiting FTEs to outlying areas. 0.0 100%
Dept. Gross Sq. Ft. 227 310 137%
Environmental Health # of FTE 2.6 2.6 # of FTE 2.6 0%
Dept. Gross Sq. Ft. 534 0%
Health Education # of FTE 1.1 1.1 # of FTE 1.1 0%
*Includes SDOH & CDS Space Dept. Gross Sq. Ft. 542 0%
Tribal SDOH & Community Development Specialist* # of FTE 2.0 2.0 # of FTE 2.0 0%
CHRs # of FTE 4.1 4.1 # of FTE 4.1 4.0 98%
Wellness Center # of FTE 3.9 3.9 # of FTE 3.9 3.3 85%
Dept. Gross Sq. Ft. 2,205 3,131 142%
Preventive Care Total # of FTE 19.5 9 44%
Dept. Gross Sq. Ft. 5,512 3,934 71%
Substance Abuse Non‐Acute Care 0 2 2 # of Patients 2 2 2 # of Beds 0.0 100% $29,900 3
Total FTE 0.0 100% Dept. Gross Sq. Feet 0 100%
0 1 1 # of Patients 1 1 1 # of Beds 0.0 100% $9,514 8
Total FTE 0.0 100%
Dept. Gross Sq. Feet 0 100%
Patients
Adult Residential
Treatment
Adolescent
Residential
Treatment
M3 REVISED PAHSMP Draft Deliverable_Fallon.xlsm‐DP‐RA
Delivery Plan and Resource Allocation ‐ Native American (IHS) 2019 User Pop => 1,411 Projected 2035 User Pop => 2,373
Historical
Total LOE DC
& PRC
2035 COR
Direct Care
Planning
Assumption
2035 Total
Adjusted
Workload
(Crossover &
Referrals)
Decision Key
Characteristic (KC)
Number
Needed
Direct Care
On Site On Site VP
Referred
(PRC)
Sent to
Service Unit
Consider for
Regional
Service
Key
Characteristic # in 2035 # Now
% of
Need PRC $ Needed
Note
Code
Delivery Plan Decision
Discipline
These columns establish projected workloads and key characteristics per product line, identifying a delivery option. The workloads under each sub‐header represent the delivery decision agreed upon driving the resource requirements in the next set of columns.
These columns show historical workloads (according to RPMS, P&R
Care, and Questionnaire data), referred workloads, as well as projected workloads
Projected Resource Requirements
These columns compare the Key Characteristics required in 2035 to the Existing
(collected from the site visit questionnaires) and project necessary Purchased and Referred Care dollars by product line.
Workloads
HSP
Formula Result
0 1 1 # of Patients 1 1 1 # of Beds 0.0 100% $13,754 3
Total FTE 0.0 100% Dept. Gross Sq. Feet 0 100%
Total SANAC ‐ Department Gross Square Feet # Beds 0.0 100% $53,169
Total FTE 0.0 100%
Dept. Gross Sq. Feet 0 100%
Post Acute Care Skilled Nursing 0 10 10 # of Patients 10 10 10 f patient beds 0.0 100% $44,397 3
# of FTE 0.0 100%
Dept. Gross Sq. Ft. 0 100%
0 5 5 # of Patients 5 5 5 resident beds 0.0 100% $0 3
# of FTE 0.0 100%
Dept. Gross Sq. Ft. 0 100%
Hospice 0 2 2 # of Patients 2 2 # of patient beds 0.0 100% $32,109
# of FTE 0.0 100%
Dept. Gross Sq. Ft. 0 100%
0 2 2 2 2 # of Adult Day Care FTE 0.0 100% $0
Dept. Gross Sq. Ft. 0 100%
0 30 30 # of Patients 30 30 # of Home Health Care FTE 0.2 1.0 536% $0
Dept. Gross Sq. Ft. 90 0%
Post Acute Care Total # of patient beds 0.0 100% $76,506
# of FTE 0.2 1.0 536%
Dept. Gross Sq. Ft. 90 0%
Additional Services ‐ IHS Supportable # of FTE 0.0 # of FTE 0.0 100%
Dept. Gross Sq. Ft. 0 100%
# of FTE 0.0 # of FTE 0.0 100%
Dept. Gross Sq. Ft. 0 100%
Substance Abuse
Transitional Care
Home Health Care
Adult Day
Care
Alternative Medicine
Alcohol & Substance
Abuse Prevention
Patients / Participants
Long Term Care
# of Participants
M3 REVISED PAHSMP Draft Deliverable_Fallon.xlsm‐DP‐RA
Delivery Plan and Resource Allocation ‐ Native American (IHS) 2019 User Pop => 1,411 Projected 2035 User Pop => 2,373
Historical
Total LOE DC
& PRC
2035 COR
Direct Care
Planning
Assumption
2035 Total
Adjusted
Workload
(Crossover &
Referrals)
Decision Key
Characteristic (KC)
Number
Needed
Direct Care
On Site On Site VP
Referred
(PRC)
Sent to
Service Unit
Consider for
Regional
Service
Key
Characteristic # in 2035 # Now
% of
Need PRC $ Needed
Note
Code
Delivery Plan Decision
Discipline
These columns establish projected workloads and key characteristics per product line, identifying a delivery option. The workloads under each sub‐header represent the delivery decision agreed upon driving the resource requirements in the next set of columns.
These columns show historical workloads (according to RPMS, P&R
Care, and Questionnaire data), referred workloads, as well as projected workloads
Projected Resource Requirements
These columns compare the Key Characteristics required in 2035 to the Existing
(collected from the site visit questionnaires) and project necessary Purchased and Referred Care dollars by product line.
Workloads
HSP
Formula Result
# of FTE 0.0 # of FTE 0.0 100%
Dept. Gross Sq. Ft. 0 100%
# of FTE 4.0 4.0 # of FTE 4.0 2.0 50%
Dept. Gross Sq. Ft. 758 0%
Other Diabetes Program # of FTE 0.0 # of FTE 0.0 100%
Dept. Gross Sq. Ft. 0 100%
# of FTE 0.0 # of FTE 0.0 100%
Dept. Gross Sq. Ft. 0 100%
# of FTE 0.0 # of FTE 0.0 100%
Dept. Gross Sq. Ft. 0 100%
HIV/AIDS # of FTE 0.0 # of FTE 0.0 100%
Dept. Gross Sq. Ft. 0 100%
Hostel # of FTE 0.0 # of FTE 0.0 100%
Dept. Gross Sq. Ft. 0 100%
Injury Prevention # of FTE 0.0 # of FTE 0.0 100%
Dept. Gross Sq. Ft. 0 100%
Jail Health # of FTE 0.0 # of FTE 0.0 100%
Dept. Gross Sq. Ft. 0 100%
Maternal Child Health # of FTE 0.0 # of FTE 0.0 100%
Dept. Gross Sq. Ft. 0 100%
Suicide Prevention # of FTE 0.0 # of FTE 0.0 100%
Dept. Gross Sq. Ft. 0 100%
Tobacco Cessation # of FTE 0.0 # of FTE 0.0 100%
Dept. Gross Sq. Ft. 0 100%
Traditional Healing # of FTE 0.0 # of FTE 0.0 100%
Dept. Gross Sq. Ft. 0 100%
WIC # of FTE 0.0 # of FTE 0.0 100%
Dept. Gross Sq. Ft. 0 100%
Additional Services ‐ IHS Supportable Total 4.0 4.0 # of FTE 4.0 2.0 50%
Dept. Gross Sq. Ft. 758 0 0%
Bio‐Terrorism
Emergency Prep
Fetal Alcohol
Spectrum Disorders
Program
Domestic & Sexual
Violence Prevention
Child Sexual Abuse &
Prevention
M3 REVISED PAHSMP Draft Deliverable_Fallon.xlsm‐DP‐RA
Delivery Plan and Resource Allocation ‐ Native American (IHS) 2019 User Pop => 1,411 Projected 2035 User Pop => 2,373
Historical
Total LOE DC
& PRC
2035 COR
Direct Care
Planning
Assumption
2035 Total
Adjusted
Workload
(Crossover &
Referrals)
Decision Key
Characteristic (KC)
Number
Needed
Direct Care
On Site On Site VP
Referred
(PRC)
Sent to
Service Unit
Consider for
Regional
Service
Key
Characteristic # in 2035 # Now
% of
Need PRC $ Needed
Note
Code
Delivery Plan Decision
Discipline
These columns establish projected workloads and key characteristics per product line, identifying a delivery option. The workloads under each sub‐header represent the delivery decision agreed upon driving the resource requirements in the next set of columns.
These columns show historical workloads (according to RPMS, P&R
Care, and Questionnaire data), referred workloads, as well as projected workloads
Projected Resource Requirements
These columns compare the Key Characteristics required in 2035 to the Existing
(collected from the site visit questionnaires) and project necessary Purchased and Referred Care dollars by product line.
Workloads
HSP
Formula Result
Projected IHS Supportable Space Staff ‐ Required vs. Existing 119.0 60.4 51%
Projected IHS Supportable Space ‐ Building Gross Square Feet 58,995 26,750 45%
Additional Services ‐ Non IHS Supportable Elder Outreach Care # of FTE 0.0 # of FTE 0.0 100%
Dept. Gross Sq. Ft. 0 100%
Security ‐ Tribal # of FTE 0.0 # of FTE 0.0 100%
Dept. Gross Sq. Ft. 0 100%
Senior Center # of FTE 7.7 7.7 # of FTE 7.7 4.6 59%
Dept. Gross Sq. Ft. 4,162 5,150 124%
Transportation ‐ Tribal # of FTE 0.0 # of FTE 0.0 100%
Dept. Gross Sq. Ft. 0 100%
Tribal Health Administration # of FTE 0.0 # of FTE 0.0 100%
Dept. Gross Sq. Ft. 0 100%
Other # of FTE 0.0 # of FTE 0.0 100%
Dept. Gross Sq. Ft. 0 100%
Additional Services ‐ Non IHS Supportable Total 7.7 7.7 # of FTE 7.7 4.6 59%
Dept. Gross Sq. Ft. 4,162 5,150 124%
Projected Grand Total All Staff ‐ Required vs. Existing 126.7 67.0 53%
Projected All Space ‐ Building Gross Square Feet 63,157 31,900 51%
Projected Purchased & Referred Care Dollars Demand Sub‐Total
Other Expenditures ‐ Purchased & Referred Care
Total Projected Inflation Adjusted PRC Dollars Demand $17,588,351
$8,900,988
$2,670,296
M3 REVISED PAHSMP Draft Deliverable_Fallon.xlsm‐DP‐RA
Phoenix Area IHS Delivery Plan and Resource Allocation Remarks
Remarks: Delivery Plan Decisions/Resource Allocation
Remark Code Explanation
Space integrated in Primary Care.
Site override. Site indicates an agreement exists to receive workload from Walker River. HSP room utilization indicates 20%.
Planning indicates referrals should be sent to the community or to Nevada Skies.
Site indicates a VP from the community. Space integrated in Primary Care.
Planned 50% workload met by VP and 50% of workload met by community.
Planning indicates referrals should be sent to the community or potentially referred to Specialty Care site in Nevada.
Space integrated in Primary Care.
Site indicates desire to include DHAT in dental program with a ratio of .25 DHAT per .75 direct supervising dentist.
M3 REVISED PAHSMP Draft Deliverable_Fallon.xlsm‐RMKS
Phoenix Area IHS Referred Workloads for Delivery Plan Inclusion
Regional Workloads ‐ Referred Workloads
Workloads referred for delivery of care at this location.
Planned
Discipline Facility Facility Facility Facility Facility Facility Facility Facility Facility Facility Facility Facility Direct Care
Primary Care
Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0
Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0
Pediatric 0 0 0 0 0 0 0 0 0 0 0 0 0
OB‐GYN 0 0 0 0 0 0 0 0 0 0 0 0 0
CHAPS 0 0 0 0 0 0 0 0 0 0 0 0 0
Urgent Care 0 0 0 0 0 0 0 0 0 0 0 0 0
Primary Care Sub‐Total 0 0 0 0 0 0 0 0 0 0 0 0 0
Emergency Care
Emergency/Urgent 0 0 0 0 0 0 0 0 0 0 0 0 0
ER/Urgent Sub‐Total 0 0 0 0 0 0 0 0 0 0 0 0 0
Emergency Medical Services
EMS Pre‐Hospital Responses 0 0 0 0 0 0 0 0 0 0 0 0 0
EMS Inter Hospital Responses 0 0 0 0 0 0 0 0 0 0 0 0 0
EMS Totals 0 0 0 0 0 0 0 0 0 0 32 0 0
Specialty Care
Cardiology 0 0 0 0 0 0 0 0 0 0 0 0 0
Dermatology 0 0 0 0 0 0 0 0 0 0 0 0 0
Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0
Allergy & Immunology 0 0 0 0 0 0 0 0 0 0 0 0 0
Endocrinology 0 0 0 0 0 0 0 0 0 0 0 0 0
Gastroenterology 0 0 0 0 0 0 0 0 0 0 0 0 0
Geriatrics 0 0 0 0 0 0 0 0 0 0 0 0 0
Hematology ‐ Oncology 0 0 0 0 0 0 0 0 0 0 0 0 0
Infectious Disease 0 0 0 0 0 0 0 0 0 0 0 0 0
Nephrology 0 0 0 0 0 0 0 0 0 0 0 0 0
Pulmonology 0 0 0 0 0 0 0 0 0 0 0 0 0
Rheumatology 0 0 0 0 0 0 0 0 0 0 0 0 0
Sleep Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Medical Specialty 0 0 0 0 0 0 0 0 0 0 0 0 0
Provider Visits Only Provider Visits Only Provider Visits Only Provider Visits Only
Referred Workloads for Service Delivery Planning
Provider Visits Only Provider Visits Only Provider Visits Only Provider Visits Only
Provider Visits Only Provider Visits Only Provider Visits Only Provider Visits Only
M3 REVISED PAHSMP Draft Deliverable_Fallon.xlsm‐REG‐LK
Regional Workloads ‐ Referred Workloads
Workloads referred for delivery of care at this location.
Planned
Discipline Facility Facility Facility Facility Facility Facility Facility Facility Facility Facility Facility Facility Direct Care
Referred Workloads for Service Delivery Planning
General Surgery 0 0 0 0 0 0 0 0 0 0 0 0 0
Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 0 0
Orthopedics 0 0 0 0 0 0 0 0 0 0 0 0 0
Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 0 0
Urology 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Surgical Specialty 0 0 0 0 0 0 0 0 0 0 0 0 0
Pain Management 0 0 0 0 0 0 0 0 0 0 0 0 0
Specialty Care Sub‐Total 0 0 0 0 0 0 0 0 0 0 0 0 0
Outpatient Visit Totals 0 0 0 0 0 0 0 0 0 0 0 0 0
* Provider Visits ‐ Documented visits to a Physician, Nurse Practitioner, Midwife, and or Physician Assistant.
Other Ambulatory Care Services
Dental Visits 0 0 0 0 0 0 0 0 0 0 0 0 0
Oral & Maxillo Facial 0 0 0 0 0 0 0 0 0 0 0 0 0
Optometry Visits 0 0 0 0 0 0 0 0 0 0 0 0 0
Dialysis Patients 0 0 0 0 0 0 0 0 0 0 0 0 0
Audiology Visits 0 0 0 0 0 0 0 0 0 0 0 0 0
Podiatry Visits 0 0 0 0 0 0 0 0 0 0 0 0 0
Wound Care Visits 0 0 0 0 0 0 0 0 0 0 0 0 0
Outpatient Behavioral Health
Mental Health Visits 0 0 0 0 0 0 0 0 0 0 0 0 0
Psychiatry Visits 0 0 0 0 0 0 0 0 0 0 0 0 0
Social Work Visits 0 0 0 0 0 0 0 0 0 0 0 0 0
Alcohol & Subst. Abuse Visits 0 0 0 0 0 0 0 0 0 0 0 0 0
Outpatient BH Visit Totals 0 0 0 0 0 0 0 0 0 0 0 0 0
Inpatient Care
Labor & Delivery Births 0 0 0 0 0 0 0 0 0 0 0 0 0
Pediatric Patient Days 0 0 0 0 0 0 0 0 0 0 0 0 0
Adult Medical Patient Days 0 0 0 0 0 0 0 0 0 0 0 0 0
Adult Surgical Patient Days 0 0 0 0 0 0 0 0 0 0 0 0 0
M3 REVISED PAHSMP Draft Deliverable_Fallon.xlsm‐REG‐LK
Regional Workloads ‐ Referred Workloads
Workloads referred for delivery of care at this location.
Planned
Discipline Facility Facility Facility Facility Facility Facility Facility Facility Facility Facility Facility Facility Direct Care
Referred…
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