The Fresno American Indian Health Project (FAIHP) is an American Indian non-profit organization that is recognized by the Indian Health Service (IHS) as an Urban Indian Health Program under Title V of the Indian Health Care Improvement Act, PL 94-437. FAIHP serves a client population representative of over 120 tribes across the nation, who currently reside in Fresno County. FAIHP is a culturally sensitive health access and advocacy program designed to enhance the health and wellbeing of the American Indian community in Fresno. FAIHP provides public health services and access to free and low-cost quality health care.
Since first awarded the 4-in-1 Grant Funding in 2010, FAIHP has continued our work to ensure the highest possible health status for Urban Indians. Given this expanded infrastructure, we are able to work at higher levels of functionality and accountability. We have increased our capacity for Operations – adopted an electronic health record system and established health plan contracts for program and service reimbursement. To ensure Quality Improvement, we have adopted a Population Health Management Software System and designed an annual Board Approved QI Plan, which is focused around the four IHS program areas.
In 2021, FAIHP served over 4,500 total patients with over 9,500 encounters. The client demographic makeup for gender consists of 44% males and 56% females. Age distribution data show 23% of our client population are less than 18 years; 63% are 19-64 years; and 14% are 65 years and older. Two percent speak a language other than English. Thirty-three percent are uninsured and 40% live at or below the federal poverty level.
The four areas of focus for this grant will be led by seasoned staff who are vested in ensuring positive health outcomes and high quality of life experiences for Native clients and their families.
Specifically, Health Promotion & Disease Prevention Services are led by the Director of Health Services who works with a full time Registered Dietician; Immunization Services are also led by the Director of Health Services who works with a full time Pediatrician; Alcohol and Substance Abuse Services are led by the Director of Youth Services who works with a team of culturally competent staff running after school programs, tutoring services, leadership and development programs as well as conducting community education and outreach services. Mental Health Services are led by the Director of Behavioral Health who works with two (soon to be three) full time therapists.
Four new Patient Tracking Types will be created within the Population Health Management system (i2iTracks) and used to improve patient care and referral processes as administered by the Medical and Health Services Departments. These reports will be monitored monthly by dedicated staff to track outcomes. Additionally, quarterly Peer Quality Review provider data will also be used.
Data reports will be used for improving quality and monitoring and evaluating performance outcomes in relation to planned activities and expected results. Improvement processes will be designed and implemented when needed. This team based approach will be the responsibility of a multidisciplinary team of organizational leadership and program leads from across the organization.