CME Snack

Population-Based Health in Practice: Addressing Health-Related Social Needs for Indigenous/American Indian/Alaska Native Patients

Launch Date
10/20/2023
Credit Amount
0.5
Credit Expires
10/20/2025
This activity is part of a series

Faculty

Lisa Richardson, MD, MA, FRCPC
(she/her/hers)
Staff Physician, Toronto General Hospital, Ottawa, ON Canada
Associate Dean, Inclusion and Diversity, Temerty Faculty of Medicine
Strategic Lead, Indigenous Health, Women's College Hospital
Co-Chair, Indigenous Health Committee, Royal College of Physicians and Surgeons of Canada
Lisa Richardson, MD, MA, FRCPC

Dr. Lisa Richardson is a physician in General Internal Medicine at the University Health Network and is a Centre Researcher at the Wilson Centre with a scholarly focus on the integration of Indigenous and critical perspectives from the social sciences into medical education.  Dr. Richardson is the Associate Dean, Inclusion and Diversity at Temerty Medicine and is the Strategic Lead in Indigenous Health for Women’s College Hospital where she founded the Centre for Wise Practices in Indigenous Health.

Kenneth Smoker Jr., MBA
Director, Health Promotion Disease Prevention
Fort Peck Tribes
Poplar, MT
Kenneth Smoker Jr., MBA

Kenneth Smoker, Jr., MBA, is a Health Program Specialist and the Director of the Fort Peck Tribes Health Promotion Disease Prevention (HPDP) program. HPDP is a tribally operated, locally controlled initiative whose mission is to restore the traditional values of the Assiniboine and Sioux Tribes and help those communities return to a healthier lifestyle.

Mr. Smoker served on the Fort Peck Tribal Executive Board for 10 years and as the Indian Health Services (IHS) CEO at Fort Peck for 14 years before starting HPDP 20 years ago. HPDP currently operates the Thundering Buffalo Health and Wellness Center and five school-based health clinics. These clinics offer mental health, primary care, and dental services to all students on the Fort Peck Indian Reservation regardless of race, insurance status, or ability to pay.

A major prevention initiative, the Tribal Health Improvement Program (THIP), has provided resources to implement evidence-based practices that address health disparities and improve health outcomes for Medicaid clients. In 2015, the HPDP School Based Health Centers program was one of only three tribal programs nationwide to be awarded High Honors. More recently, HPDP was one of three tribal programs in 2023 to be awarded for Excellence in Tribal Governance in the Honoring Nations Program from the John F. Kennedy School of Public Policy at Harvard University in Boston, Massachusetts.

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Statement of Need Learning Objectives Financial Support Target Audience Credit Information Disclosure Declaration Obtaining Credit

Statement of Need

Indigenous/American Indian/Alaska Native patients face considerable obstacles when accessing health care, resulting in lower life expectancy, increased mortality from preventable chronic diseases, and the highest rate of kidney failure from diabetes of any race. These disparities are rooted in historical and structural racism, discriminatory laws and practices, and cultural trauma. Inadequate and discriminatory educational facilities, higher exposure to violence, subpar housing, and high levels of poverty persist and complicate clinical care. Indigenous/American Indian/Alaska Native patients contend with immense trauma, both the historic experience of having been colonized and the modern-day realities of political disempowerment and community disorganization.

Clinicians who engender trust and establish a therapeutic rapport with these patients practice trauma-informed care, establishing a safe space for open communication and keeping in mind intergenerational trauma. In this educational presentation, faculty will share best practices for integrating a trauma-informed approach into clinical practice to improve outcomes for Indigenous/American Indian/Alaska Native patients.

Learning Objectives

  • Identify the unique health-related social needs of Indigenous patients and their impact on clinical care practices.
  • Incorporate strategies into clinical practice to address the health-related social needs of Indigenous/AIAN patients and improve cultural humility.

Financial Support

This program is supported by an independent medical education grant from CVS Health.

Target Audience

Physicians, nurses, pharmacists, pharmacy technicians, physician associates (PAs), nurse practitioners (NPs), and other applicable health care clinicians

Credit Information

Jointly Accredited Provider

In support of improving patient care, CME Outfitters, LLC, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Interprofessional (IPCE) 0.5

This activity was planned by and for the healthcare team, and learners will receive 0.5 Interprofessional Continuing Education (IPCE) Credit for learning and change.

Physicians (ACCME) 0.5

CME Outfitters, LLC, designates this enduring activity for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses (ANCC) 0.5

This activity is designated for 0.5 contact hours.

Note for California Nurses

This continuing nursing education activity was approved by the California Board of Registered Nursing. CME Outfitters, LLC’s provider number is CEP15510.

Pharmacists/Pharmacy Tech (ACPE) 0.5

This application-based activity is approved for 0.5 contact hours (0.05 CEUs) of continuing pharmacy credit.
Activity UAN: Pharmacist JA0007185-0000-23-115-H01-P
Technician JA0007185-0000-23-115-H01-T

Physician Assistants (AAPA): 0.5

CME Outfitters, LLC, has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 0.5 AAPA Category 1 CME credits. Approval is valid until expiration date listed above. PAs should only claim credit commensurate with the extent of their participation.

ABIM MOC 0.5

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.5 medical knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

MIPS Improvement Activity

Completion of this accredited CME activity meets the expectations of an Accredited Safety or Quality Improvement Program (IA_PSPA_28) for the Merit-based Incentive Payment Program (MIPS). Clinicians should submit their improvement activities by attestation via the CMS Quality Payment Program website.

Royal College MOC

Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Dietetics (CDR)

Completion of this RD/DTR profession-specific or IPCE activity awards CPEUs (One IPCE credit = One CPEU). If the activity is dietetics-related but not targeted to RDs or DTRs, CPEUs may be claimed which are commensurate with participation in contact hours (One 60 minute hour = 1 CPEU). RDs and DTRs are to select activity type 102 in their Activity Log. Performance indicator selection is at the learner’s discretion.

Disclosure Declaration

It is the policy of CME Outfitters, LLC, to ensure independence, balance, objectivity, and scientific rigor and integrity in all of their CE activities. Faculty must disclose to the participants any relationships with commercial companies whose products or devices may be mentioned in faculty presentations, or with the commercial supporter of this CE activity. CME Outfitters, LLC, has evaluated, identified, and mitigated any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer review process.

Dr. Richardson reports no financial relationships to disclose.

Mr. Smoker reports no financial relationships to disclose.

Disclosures were obtained from the following peer reviewer and CME Outfitters, LLC, staff, with no disclosures to report:

  • Joshua Caballero, PharmD, BCPP, FCCP (peer reviewer)
  • Morgan Stockberger, MD (planning committee)
  • Jessica Whelan, DNP, APRN, FPMHNP-BC, RN-BC (planning committee)
  • Susan H. Yarbrough, CHCP (planning committee)
  • Sandra Caballero, PharmD (planning committee)
  • Sharon Tordoff (planning committee)

Faculty of this CE activity may include discussions of products or devices that are not currently labeled for use by the FDA. The faculty have been informed of their responsibility to disclose to the audience if they will be discussing off-label or investigational uses (any uses not approved by the FDA) of products or devices.

Obtaining Credit

Post-tests, credit request forms, and activity evaluations must be completed online (requires free account activation), and participants can print their certificate or statement of credit immediately (75% pass rate required). This website supports all browsers except Internet Explorer for Mac. For complete technical requirements and privacy policy, visit our Privacy & Confidentiality page.

Questions about this activity?

Call us at 877.CME.PROS (877.263.7767).

SN-222-102023-80

Population-Based Health in Practice: Addressing Health-Related Social Needs for Indigenous/American Indian/Alaska Native Patients
Event Date: 10/20/2023
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