The goal of the Port Gamble S’Klallam Health Clinic is to provide the highest quality medical care and treatment to individuals within the tribal community. The Health clinic works closely with the Contract Health Service, Basic Health Plan and other insurance carriers.
Primary health care
Prevention health care
Women’s health care
Children’s Well Child Checks and immunizations
Referral authorization for CHS and BHP
All Tribal services are located on the Port Gamble S’Klallam Reservation. During the first month of 2001, the primary health clinic moved to a 4,700 square foot facility with seven exam rooms and a large procedure room. A four-chair Dental Clinic was added to the Health Center in 1996. The Health Center also houses HHS Administration and various health and human service programs including community health services, maternal child health, and emergency medical services. Youth prevention programs are housed in the nearby Youth Center. The Tribe’s Wellness Program is located about a half mile away.
According to the Portland Area Indian Health Service (IHS), the user population for 1998 is 893. During year 2000 about 949 people were served with 4,774 visits. The Tribe maintained its health programs under the status as a Federally Qualified Health Center between August 1, 1995 and December 31, 1998. The Tribe now bills Medicaid under the Memorandum of Agreement between Indian Health Service and Health Care Financing Administration. The Tribe is still billing Medicare as a Federally Qualified Health Center. The HHS Department plans to request a review through Accreditation Association for Ambulatory Health Care (AAAHC) in the future. A Health Advisory Committee meets monthly to guide the programs and policies of the Health and Human Services Department. Tribal members eligible for Contract Health Services are required to use the Tribal Health Clinic as a primary care resource and referral center. Over the past several years, the Port Gamble S’Klallam Tribe has been able to significantly expand the programs and services within the Health and Human Services Department and provide extra Contract Health Services (CHS) benefits to the tribal community. The Tribal Clinic is a primary care case manager for the State of Washington Healthy Options program and a primary provider for the Basic Health Plan, a State subsidized health program. The Tribe purchases health care coverage through the Washington State Health Care Authority’s Basic Health Plan. This approach to health care has been able to sustain the costs of additional providers and administrative billing staff. The Tribe is managing the Dental Services Program for all Native Americans in Kitsap County. Construction of the four chair dental facility was completed in April, 1996, and new equipment was installed. Additional dental staff were hired to address the serious need for dental services and the range of services expanded. Emergent, routine and reconstructive dental services are provided. A hygienist provides dental hygiene care, oral health education and prevention efforts. A contractual endodontist provides on-site services to children twice monthly, and the Tribe has an on-going contract with an oral surgeon for referral purposes.
The Community Health Department provides health and social services to the Tribal community. They are responsible for a maternal child health program that includes a First Steps Program for high risk pregnant women, WIC, childbirth education, testing of children with possible FAS/FAE,coordination of an infant and toddler car seat and seat belt safety program. They also collaborate with the Health Clinic and the Tribal Early Childhood Education Department on immunizations and health outreach. A home health nurse visits frail and ill elders in their home as well as coordinates our breast and cervical health program and diabetes program. The Department established and implements an annual Health Fair and Fetal Alcohol Syndrome (FAS) Conference.
The Tribe’s Emergency Services Program coordinates response with a nearby fire district and responds to Reservation emergency medical and trauma situations. An ambulance is used to provide basic life support transports. The HHS Department contracts with nine individuals who work on an on-call basis. Two of them are Emergency Medical Technicians.
The Tribe began a Family Assistance Program in October, 1998, taking over TANF from the State. The Tribe has compacted TANF, Work First, Welfare to Work and other federal employment programs through a Bureau of Indian Affairs (BIA) 477 plan. Many of the Tribe’s social service programs (LIHEAP, food vouchers, etc.), which assist individuals and families, are managed through the Family Assistance Program. The Tribe has also begun to implement it’s own federally funded child support program.
On the North Side of the Tribal Center a new Youth Center was dedicated in January, 2010. The new building features spacious areas for recreation, arts and crafts, and computer use as well as a high tech media studio and a covered outdoor patio for youth activities. It also includes two meeting/counseling rooms, staff offices, and a kitchen.
The Tribe’s Wellness Programs (Mental Health, Chemical Dependency Treatment and Prevention) are located about two miles away near the south entrance to the Reservation.