< Previoushealth ITThe Department of Health and Human Services IHS Health IT Modernization Research Project is a major step towards replacing or modernizing our Resource and Patient Management System, commonly known as RPMS, and health IT infrastructure in 2019. In September 2018, HHS awarded a contract to Emerging Sun, LLC, with subcontractors Pistis, LLC and Regenstrief Institute for this project. This contract is sponsored by the HHS Office of the Chief Technology Officer and was planned in close cooperation with IHS senior staff and OIT. The project will provide valuable insights, paving the way for IHS to modernize our health IT infrastructure, applications and capabilities. Updates for the project can be found on the IHS website and the Modernization listserv.The Indian Health Service has released its Strategic Plan for fiscal years 2019-2023. The Strategic Plan will help guide ongoing efforts in providing health care for American Indians and Alaska Natives throughout the United States. The IHS Strategic Plan reflects the feedback received from tribes, tribal organizations, urban Indian organizations, IHS staff and other stakeholders. THE PLAN FOCUSES ON THREE STRATEGIC GOALS CENTERED ON ACCESS, QUALITY, AND MANAGEMENT & OPERATIONS: • Ensure that comprehensive, culturally appropriate personal and public health services are available and accessible to American Indian and Alaska Native people• Promote excellence and quality through innovation of the Indian health system into an optimally performing organization• Strengthen IHS program management and operationsIn addition to the objectives in the IHS strategic plan, IHS is committed both to responding to the opioid epidemic that is affecting our country and to supporting the Ending the HIV Epidemic initiative that was recently announced by President Trump during the state of the union address this year. The IHS Electronic Prescribing for Controlled Substances project is currently in Alpha testing and on schedule to be released in summer 2019 to support opioid efforts in every state. The Electronic Clinical Quality package was recently released to further support uniform quality reporting across the country. OIT continues to support the existing RPMS Electronic Health Record and health IT to ensure IHS has the right tools to support quality care in our healthcare facilities and aggressively pursue our mission “To raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest level.”Follow us on social media and if you are interested in supporting the IHS mission and furthering your career in health information technology, informatics, administration or direct patient care, please apply. We post new positions weekly on the IHS website and on USAJOBS.GOV.Modernizing Health Information TechnologyOne of the most pressing discussions in the Indian Health Service (HIS) Office of Information Technology (OIT) is the need to modernize our health information technology infrastructure to meet the evolving needs of our patients. AGENCY UPDATE: IHSINDIAN HEALTH SERVICE (IHS)FOR MORE INFORMATION VISIT: WWW.IHS.GOVAGENCY UPDATE | INDIAN HEALTH SERVICE (IHS)| tribalnetonline.com40tribalnetonline.com |41One of the greatest advances in modern medicine over the past 150 years has been the development of vaccines that prevent diseases which were often debilitating and frequently fatal. Through national vaccination campaigns that were embraced by patients and providers alike, we have been able to eliminate smallpox, polio, measles, whooping cough, diphtheria and many other infectious diseases that plagued our citizens regardless of age, gender, nationality or ethnicity. Nowhere has this effort been more noteworthy than in our American Indian and Alaskan Native (AIAN) populations, whose healthcare needs were often unmet for a variety of reasons that included cultural, logistical, and other mitigating factors. As noted by the Centers for Medicare & Medicaid Services (CMS), this effort has been especially noteworthy in our American Indian and Alaskan Native (AIAN) populations. Focused efforts by physicians and nurse practitioners working in AIAN communities and governmental agencies — be they federal, state, or tribal — have helped eliminate diseases that once decimated our country’s indigenous populations due to their lack of immunity. Although the war on infectious disease has made great strides, there remains a serious amount of work to be done to prevent diseases for which vaccines are underutilized.According to statistics compiled by the Centers for Disease Control and Prevention (CDC), in 2015 (the most recent data available), only 39.3% of AIANs received the flu vaccine, compared to slightly less than 60% in non-AIAN populations. In addition, only 60% of AIANs in 2015 reported having received the vaccination for pneumococcal pneumonia. These matters are literally of life and death. According to the CDC, the combined death rate from pneumonia and influenza is almost 8% of those infected. All available evidence suggests that increased immunization could lead to significantly fewer deaths.The Centers for Medicare & Medicaid Services (CMS) has made immunizations a priority for the 120 million beneficiaries it serves. CMS is particularly focused on increasing the rate of immunization for seniors as well as underserved, rural and AIAN populations in order to prevent influenza, pneumococcal pneumonia and shingles. CMS has contracted much of this important work to healthcare quality-improvement experts. There are 14 of these groups, called Quality Innovation Network-Quality Improvement Organizations (QIN-QIOs), throughout the country.Health Services Advisory Group (HSAG), the QIN-QIO for Arizona, California, Ohio, Florida and the U.S. Virgin Islands, has worked diligently with providers serving AIAN and non-AIAN Medicare and Medicaid populations to improve immunization rates. HSAG delivers actionable data to patients and providers in AIAN, underserved and rural communities. HSAG also explains the payment incentive program available to providers who document and administer vaccines.By reporting immunization activity to CMS, providers are rewarded in the form of added payment for helping prevent disease, and the healthcare system potentially saves millions of dollars in averted emergency room and hospital costs. And the best part of vaccination, of course, is that patients are kept safe from deadly, preventable diseases.To learn more about the no-cost assistance HSAG provides patients and providers, please visit the HSAG immunizations at https://www.hsag.com/en/medicare-providers/improving-adult-immunization-rates/. The site includes resources such as informational flyers available for download and distribution. Vaccines can be lifesaving. Every American, regardless of background or socio-economic status, should take the opportunity to immunize against illnesses such as influenza, pneumonia and shingles — and prevent their deadly consequences. The health of our nation depends on it.This material was prepared by Health Services Advisory Group, the Medicare Quality Improvement Organization for Arizona, California, Florida, Ohio, and the U.S. Virgin Islands, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. Publication No. QN-11SOW-XC1-03042019-01The Importance of Immunizations FOR AMERICAN INDIANS AND ALASKA NATIVESBYHOWARD PITLUK, MD, MPH, FACSVICE PRESIDENT FOR MEDICAL AFFAIRS AND CHIEF MEDICAL OFFICER, HEALTH SERVICES ADVISORY GROUP (HSAG)Dr. Pitluk, Vice President for Medical Affairs and Chief Medical Officer at Health Services Advisory Group (HSAG), helps healthcare providers and stakeholders implement evidenced-based measures into patient care. He touts 40+ years of healthcare experience, an American College of Surgeons fellowship, prior surgical board certification, and he has authored several peer-reviewed clinical articles. ABOUT THE AUTHORHEALTHCARE | FEATURE 2019 Board MembersGAMING & HOSPITALITY BOARDVirgil Debrosse, IT Sr. Account Manager, Chickasaw NationChris DeCamp, Director of Technical Services, Win-River Resort & CasinoRenita DiStefano, VP of IT/CIO, Seneca Gaming CorporationJohn Filippe, Executive Director of MIS, Quinault Beach Resort & CasinoAmy Gates, Director of IT, Saginaw Chippewa Indian Tribe of MichiganAngie Litchy, Chief Innovation Ocer, Mille Lacs Corporate VenturesFran Moore, VP of IT, Cache Creek Casino ResortEric Olander, VP of IT, Grand CasinosJohn Ormond, Executive Director of Tech. Services, Chumash Casino Resort & HotelRam Patrachari, CIO/VP of IT Services, Viejas EnterprisesRichard Rader, CTO, Cow Creek Band of Umpqua IndiansBryant Santini, CIO, Casino Arizona/Talking Stick ResortPatrick Tinklenberg, VP of IT, Sycuan Casino The majority of our Gaming/Hospitality Board members indicate that they estimate allocating 50% or more of their resources on NEW installs, innovative technology, construction and development projects in 2019. This compared to resources dedicated to daily operations, help-desk responses and upgrades to current systems.TribalNet has always been about peer-to-peer connections. Meet your peers representing tribal gaming, government, leadership and health IT. Join them plus hundreds of others at the 20th Anniversary TribalNet Conference & Tradeshow. These board members work year-round to shape the conference agenda-bringing topics and speakers that addressthe issues and subjects that matter to you! | tribalnetonline.com42 HEALTH IT BOARDKatie Johnson, Integrated Care Coordinator, Northwest Portland Area Indian Health BoardLisa Lyon, Senior Clinical Informatics Coordinator, Cherokee Nation Health ServicesDouglas W. McLemore, Management Analyst, Phoenix Indian Medical CenterSharon Postoak, IT Database Administration Supervisor, Chickasaw Nation Medical CenterToni Potts, Director of Health Applications, Cherokee Nation Health ServicesMichael Rogers, Health Information Manager/CAC/RPMS Site Manager, Pit River Health Service Andrea Scott, IHS Deputy CIO/Deputy Director OIT, Headquarters IHS (not pictured)Andrea Storm, Clinical Applications & Data Manager, Forest County Potawatomi Health & Wellness CenterDavid Taylor, Clinical Informaticist/BCMA Training & Deployment Manager, IHS/OIT (not pictured)Ashley Tuomi, CEO, American Indian Health and Family ServicesLEADERSHIP/EXECUTIVE BOARDScott Cannaday, CFO, Isleta Resort & CasinoRoy Corby, Senior Vice President & General Manager, Agua Caliente Casino Andrew Economon, Executive Director of Hospitality, Chumash Casino Resort & HotelDan Garrow, Board Member, St. Regis Mohawk Tribe & Consultant, VPS/The Hartmann GroupChris Orozco, Director of Team Member Relations, Win-River Resort & CasinoDavid Owens, CEO, Skokomish Indian Tribal Enterprise, Inc.Christopher Abel, Director of IT, Citizen Potawatomi NationSarah R. Adler, Business Solutions Supervisor, Forest County Potawatomi CommunityJames Castillo, Director of IT, Picayune Rancheria of the Chukchansi IndiansJon B. James, CIO, Cherokee NationChris Luter, CIO, Forest County Potawatomi CommunityRaul Mavis, IT Director, Pascua Yaqui TribeCharles Scharnagle, CIO, Mohegan TribeJimmy Williams, Executive Director IT/CIO, Choctaw Nation GOVERNMENT & MEMBER SERVICES BOARD100% of our Government & Member Services Board members report that they plan to spend $5,000 or more on training and education for their IT Department in 2019. 75% or our Health IT Board members say that the most important factor when evaluating a new health technology solution is the impact it will have on user performance/efficiency. Members of the Leadership/Executive Board report that their preferred tools for keeping teams motivated and engaged involve strategies to elevate communication and direct face-to-face time spent. They work to include their teams in decision making and collaboration to increase feelings of comradery and community. tribalnetonline.com |43| tribalnetonline.com44PRODUCT SPOTLIGHT | DIGITAL SUPPLY INTERNATIONAL| tribalnetonline.com44| tribalnetonline.com44SALES CONTACTCandy Williams candyw@digitalsupplyintl.comdigitalsupplyintl.comVALUE TO NATIVE AMERICAN MARKETThe SOLID-510 OC Card Printer with OpenCard Format is an Ideal Solution for Casinos and other Gaming Venues to create Player and VIP Cards, Room Keys and Employee Badges.• Most major casinos have now selected the SOLID-510 Player Card Printer over all other competitors.• Find out why over 180 Casinos love the IDP SOLID-510 OC. WHO WE AREDSI is a premier distributor of the IDP 510OC printer in addition to a full line of complimentary add-on products. DSI is your one-stop shop for all things ID. We offer complete solutions to fit most needs in the Casino industry as well as traditional IDs.IDP SOLID-510 OCThe SOLID-510 OC is the only player card printer manufactured exclusively for the casino industry.• Player Card Printer (“Embosser”)• 16 Second Startup• Ultra-Fast Printing and Encoding (6 Second Print Time)• “Open Card” Compatible• Exclusive Hot Swap Technology• Best in Class• Ribbon Saving TechnologyPLAYER CARD PRINTERAll CXOs, SVPs, VPs, Department Heads are Welcome to Join Us!Contact jeannie@mygamingandleisure.comto reserve your seat and learn more at www.mygamingandleisure.com.Property Executives•A vast majority of gaming & hospitality technology spend in North America in attendance•Hosts the most gaming CIOs in one private forum in North America•Unique peer forum•Share best practices•Leverage knowledge•Solidify relationships •Maintain connections throughout the yearOctober 13th& 14th, 2019Top Private Industry Forum in North Americatribalnetonline.com |45| tribalnetonline.com46FEATURE | SERVANT LEADERSHIPEvery once and a while you’ll be lucky enough to meet one of your biggest influencers. For me, that meeting was with Ken Blanchard. Dr. Ken Blanchard is the co-author of the groundbreaking best-sellers, Gung Ho! and The One Minute Manager. Together, these leadership books have sold more than 21,000,000 copies and have been translated into 42 languages. My meeting with Ken Blanchard happened at the Servant Leadership Institute in San Diego in 2017. I shared with him that I read The One Minute Manager 25 years ago, and it was so life-changing that I gave a copy to every new manager that I supervised. I told him that reading his book allowed me to come to understand how powerful an individual’s self-esteem is and just how far positive recognition of people’s successes can really go. Ken was in San Diego promoting his book Servant Leadership In Action: How You Can Achieve Great Relationships and Results, which includes a collection of essays from 44 authorities and practitioners of servant leadership. I was especially interested in what he had to say about servant leadership since I had been practicing this style of leadership at Mille Lacs Corporate Ventures since 2013. So, what is Servant Leadership? I get that question a lot. Often in life and work, we become focused on tasks instead of people. This allows the “results first, people second” mentality to creep in, which can lead to low morale and even lower performance.Servant Leadership is just that — serving as a leader. That means supporting, engaging, re-investing, valuing and empowering your teams. If you think about it, it’s common sense. So why are too few leaders capable of exhibiting the qualities that employees most seek in the person they think of as their leader? In today’s fast-paced and highly competitive marketplace, leaders are faced with having to motivate and inspire employees in new ways to retain talent. Success may take a new level of engagement, reconnecting and paying attention to the real conversation behind every interaction. As Ken Blanchard wrote in Leading at a Higher Level, “An essential characteristic of great leaders is their ability to mobilize people around a shared vision.” Employees want to feel that they matter, and if treated as such, they will usually rise to the occasion. I’ll always remember what Ken said to me at our chance meeting: “Servant leadership is not a sprint. It’s a marathon. It can take eight to ten years to shift a corporate culture to this type of leadership, and it’s something you have to work on every day.”The most successful leaders commit to learning and sharpening the skills and behaviors necessary to serve others. What leadership development will you commit to in 2019? BYANDREA BOLINDIRECTOR OF STRATEGIC INITIATIVES, MILLE LACS CORPORATE VENTURES (MLCV)Andrea Bolin is the Director of Strategic Initiatives for Mille Lacs Corporate Ventures (MLCV), the business arm of the Mille Lacs Band of Ojibwe. MLCV employees nearly 3,500 associates and operates four different lines of businesses: gaming, hospitality, marketing and local businesses in and around the three districts of the reservation.MLCV has carefully invested time, talent and resources to build a social and economic foundation that will last for generations. The Mille Lacs Band has worked towards greater self-sufficiency — the kind only achieved through economic strength. That is our opportunity. That is our responsibility. It is our destiny. We do it for the Mille Lacs Band, for native people, and for all citizens of our state and region.ABOUT THE AUTHORSERVANT LEADERSHIP— Not a Sprint, a Marathontribalnetonline.com |47From game content and cabinets that creates trailblazing player experiences to financial technology solutions that bring security, utility, and efficiency to the gaming floor, Everi was built to be a transformative force. The company delivers superior game content and hardware with a recurring revenue install base of 14,000 games inclusive of both original content and licensed brand themes. From its award winning mechanical reel slot machines to its innovative Empire series of cabinets, Everi designs and manufactures gaming cabinets that are impossible to miss on the casino floor and resonate with a variety of players. Everi has at least one financial technology product in more than 800 casinos in North America all aimed at driving funds to the floor. In fact, the company’s more than 4,000 fully integrated kiosks and ATMs deployed in the field processed more than 105 million transactions, totaling more than $27 billion in dollar volume over the last year. The company also helps operators comply with the growing burden of regulatory obligations and is the leading gaming industry supplier of Anti-Money Laundering (AML) compliance software with installations in more than 500 North American locations.OUR MESSAGE TO TRIBESEveri has a long, successful history of support for tribal gaming operators providing a broad portfolio of products that enhance the player experience with engaging gaming entertainment solutions while significantly improving the efficiency of the operator’s cage, cash access, and compliance operations. Everi remains deeply committed to understanding its partners’ needs in this rapidly evolving industry and continues to make significant investments to address these needs, developing innovative gaming technology solutions including new cabinets and creative new games as well as further enhancements to its leading financial technology solutions. These investments are reflective of Everi’s ongoing commitment to Class II and Class III Native American gaming partners to help them increase performance and efficiency at their properties. USING MOBILE TECHNOLOGYMobile technology plays a big part in our product roadmap particularly as an imperative for digital transformation moves across the casino. The digital wallet is a key piece of this transformation which is being driven by demand for self-service options from patrons, the convenience of accessing and managing funds via a smartphone, and consumer adoption that is already occurring in the retail space with the likes of Apple Wallet. Everi’s CashClub Wallet® is a fairly dramatic shift for operators in terms of the experience they offer to their patrons in how they access cash. The company’s interactive wallet consolidates payment options for patrons, enabling them to store multiple payment methods, easily move funds in and out of the casino, and manage spend limits, all aimed at supporting responsible gaming. Everi is currently involved in test programs of its CashClub Wallet at two large casino properties where it’s tailoring the solution for these customers — as they each have different operating goals and objectives. The wealth of development in the company’s digital wallet has enabled Everi to address the diverse needs of operators and demonstrate to them how it can help their patrons seamlessly move financial value across the gaming ecosystem. INTRODUCING NEW PRODUCTSSince its launch earlier this year, Everi Games new hardware innovation Empire Arena™ is in casinos today supported by the newly licensed Discovery Shark Week™ bonus game and four exciting Everi base games. Empire Arena enhances the already proven form factor Empire 5527™ and expands it to create a fully featured banked product with multiple unit configurations. The dual-screen base games feature a touch capable 27-inch landscape oriented lower LCD screen and a 55-inch portrait format non-touch upper screen with integrated content seamlessly flowing between the electronic gaming machines (EGM).For Everi FinTech, Jackpot Xpress® is a highly intuitive software platform that enables floor staff to securely and efficiently process jackpots using a mobile device (Jackpot Xpress Mobile) right at the player’s gaming machine or at the JackpotXchange® Lite (JXC-L) kiosk. Jackpot Xpress is the only jackpot management system that combines mobile productivity, secure kiosk payment, tax forms management, and AML tracking into a single solution. The solution effectively reduces or eliminates paper, reduces cage lines, player wait times, and improves efficiency of casino staff.DARREN SIMMONSExecutive Vice President and FinTech Business LeaderDEAN EHRLICHExecutive Vice President and Games Business LeaderFOR MORE INFORMATION VISIT US AT WWW.EVERI.COMEVERI HOLDINGS INC. | GAMING TITANAristocrat was founded in 1953 and has been a pioneer in the gaming industry since inception. Aristocrat began as a games manufacturer with breakthrough slot products and introduced the Oasis 360 solution in 1993. Today, Aristocrat employs over 5,000 team members and operates in 90 countries and over 300 jurisdictions globally. Oasis 360 s is currently deployed in 300+ locations throughout North America with more than 30% tribal enterprise within our install base. We have continued our strong heritage of growth with recent acquisitions of Paltronics assets, House Advantage code, Phi Gaming Kiosk, and SIC mobile assetsOUR MESSAGE TO TRIBESAristocrat is a firm believer in partnership, innovation, and commitment to delivering the very best solutions. Oasis 360 has built significant relationships throughout many tribal enterprises and continues to seek ways to enhance our connection and further develop a competitive edge for customers within the Aristocrat network; through systems innovation such as Drinks on Tap, Oasis Loyalty and Interfaces to auxiliary tribal enterprise, Class II and Class III development, and 3rd party integration.We are strong supporters of tribal sovereignty and self-determination through involvement with many programs including the National Indian Gaming Association, The American Indian Science and Engineering Society and a contributor to other localized tribal organizations.SCOTT RICHARDSDirector of Western Regional System Salessrichards@aristocrat.com ZELLETTA WYATTDirector of Eastern Region System Saleszwyatt@aristocrat.com FOR MORE INFORMATION VISIT US AT WWW.ARISTOCRAT-US.COMGAMING TITAN | ARISTOCRAT| tribalnetonline.com48USING MOBILE TECHNOLOGYCasino operators have two basic needs when it comes to a mobile strategy. First they want to engage and recognize their active patrons in real-time via a connected enterprise environment. Additionally, they want to attract new players. The good news is, we can help operators with both of these with our mobile strategy. With our mobile strategy, players will experience gaming when, where and how they desire. Plus, it will be more personal and will reward them for continued loyalty. With our mobile solutions, Aristocrat will help our customers to provide their players with the greatest and most personalized gaming experience, no matter where they are, on and off property. INTRODUCING NEW PRODUCTSWe are constantly thinking about our customers and how they can engage with their players. With that in mind, our strategy includes providing a complete B2B ecosystem of products and professional services to operators that enables every form of gaming on and off property for increased revenue potential. This strategy includes our unique solutions like PlayerMax, B2B social casino, BYOD (bring your own device), personalized bonusing, iGaming/Real Money Gaming (RMG), and iLottery. WHAT KEEPS YOU UP AT NIGHT AS IT RELATES TO YOUR PRODUCTS AND STRATEGY?Our customers’ worries are our worries because we succeed when they succeed. We have excellent partnerships with our customers, and one of our favorite parts of our jobs is listening — really hearing what our customers’ needs are and then engaging our global development teams to provide the perfect solution for each customer’s unique business needs.| tribalnetonline.com48 ' % %'" '% !' ' %' '! &' ' % ' '$ ' !' ! '#' $'! ' ''" '% !' ' # ' ' ' ' ' ' ' ' ' ' ' ' ' !' ''" %# ' '% ! ' ' ' % %' ' ' % %' ! ' ' '#%'% ! ' % ' %' ' ' ' ' '& '#% ' '' '' '! ' ' #' ' % %' ' ' ' ' Next >