Indigenous Governance Database
Puyallup Tribe
Puyallup's Institutionalized Quality Improvement Program
Following a major tribally-initiated restructuring in the early 1980s that created a quality improvement committee and a flatter organizational structure, the PTHA has increased patient access for urgent care visits, reduced "no show" rates, created clinical objectives, increased dental treatments…
Northwest Portland Area Indian Health Board
Serving tribes in Oregon, Washington, and Idaho, the Northwest Portland Area Indian Health Board (NPAIHB) was created in 1972 to increase tribes’ ability to exercise control over the design and development of tribal health care delivery systems. Governed by tribal government delegates, NPAIHB…
Growth a Source of Pride - And Strain - At Some Northwest Tribes
The membership rolls at some Northwest tribes are swelling much faster than growth in the general population. Some of that increase is due to a high birth rate among American Indians. Also, rising prosperity from casinos and other businesses is luring Native Americans back into the fold. However,…