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Emergency Management Highlight: Arizona’s Tribal Health Care Coalition

SRPD Off. Daniel Brown and Off. Seth Graham provide hands-on training using tourniquets.
Submitted photos.

In late April, the Salt River Pima-Maricopa Indian Community participated in a newly formed Arizona Tribal Health Care Coalition (THCC) conference held at The Falls in Gilbert. The purpose of the two-day conference was to provide Arizona tribal healthcare partners with a venue for tribal communities to work together as partners to meet compliance with updated Centers for Medicare & Medicaid Services (CMS) Conditions of Participation (CoP) requirements.

With the recently signed self-governance compact, the SRPMIC is now responsible for meeting the federal CMS CoP rules within the Salt River Health Center. Updated requirements include an emphasis on further developing emergency preparedness in the healthcare system and establishing a more coordinated response to disasters. Several healthcare facilities nationwide currently work with healthcare coalitions to share resources and expertise to comply with and implement updated regulations.

Arizona is currently the first state to formalize a tribal-specific healthcare coalition.

SRFD Capt. Robert Scabby provides hands-on training for wound packing.
The conference was well attended, with several Arizona tribes who now participate in the THCC. Conference attendees had the opportunity to preview how other tribes coordinate efforts through provided presentations. Topics ranged from Whole Community Partnerships and Working with Community Partners to Achieving Regulatory Compliance and Salt River Fields and Talking Stick Resort & Casino’s Large-Scale Exercises for Mass Casualty Incidents.

Attendees had the opportunity to hear from other tribes about how they managed and experienced disasters and how they coordinated training exercises within their individual communities. In addition to presentations, participants could receive training on the Stop the Bleed Campaign. The Stop the Bleed awareness campaign is intended to cultivate grassroots efforts that encourage bystanders to become trained, equipped and empowered to help in a bleeding emergency before professional help arrives. Attendees practiced hands-on skills such as properly applying tourniquets and wound packing. These lifesaving skills, along with the course information, were presented through the partnership with the Salt River Fire Department and Salt River Police Department.

Re-creating a simulated laceration and impaled piece of glass as part of the moulage training. Moulage training included how to recreate simulated “road rash.”
On day two, participants received training on the use of moulage, which is the art of applying mock injuries to pretend “victims” for the purpose of training emergency-response teams and medical personnel by adding an element of realism to training exercises.

By the end of the conference, several contacts were made and relationships formed to further efforts going forward to enhance resiliency in responding to disasters and emergencies in tribal communities. Participants walked away with good information and a new partner through the THCC.

For more information on the Tribal Health Care Coalition or other related topics, contact SRPMIC Emergency Management at (480) 362-7929 or at Terry.Nelson@srpmic-nsn.gov.