Southcentral Foundation2011 Gathering and Nuka Conference

June 21-25, 2011Anchorage, Alaska

Alaska Native People Shaping Health Care

S Y S T E M O F C A R E It’s all about relationships

Nuka

Camai! Welcome!Thank you for your interest in Southcentral Foundation’s inaugural Nuka Conference.

Southcentral Foundation is an Alaska Native owned and managed nonprofit health care system located in Anchorage, Alaska. We were incorporated in 1982 under the tribal authority of Cook Inlet Region Inc. (CIRI), and have grown from a small organization of less than 100 people and two programs to over 1,400 employees and 65 programs.

Our Nuka System of Care is one of the nation’s most innovative health care systems. Alaska Native people have earned this recognition and we are constantly raising our expectations for what our health care will look and feel like.

Over the past decade, we have received an increasing number of requests from organizations around the world to visit us and learn more about our continuing journey with the Nuka System of Care. With that in mind, we are very excited to announce the launch of our annual conference! The theme of our inaugural conference is “It’s All About Relationships!” – this is something that our 1,400 employees live daily through our Mission, Vision, Core Concepts and Operational Principles.

We hope that you will join us to hear more about our story and our continu-ing journey to improve our health care system. We look forward to seeing you June 21–25, 2011, at our main campus in Anchorage, Alaska.

Sincerely,

Katherine GottliebKatherine Gottlieb, MBAPresident/CEO

A message from Katherine Gottlieb, MBASouthcentral Foundation President/CEO

1

Operational PrinciplesOur operational principles provide guidance from customer-owners when improving systems and/or developing new programs or services. Our mission and key points emphasize working to-gether with individuals, families and community, which means our systems and services are built on RELATIONSHIPS. Our vision is a Native Community that enjoys physical, mental, emotional and spiritual wellness. We believe that multidimensional wellness can only occur effectively in a relationship-based system of care designed by and for the customer-owner, when, where, and how they want it.

Relationships between the customer-owner, the family, and provider must be fostered and supported

Emphasis on wellness of the whole person, family, and community including physical, mental, emotional, and spiritual wellness

Locations that are convenient for the customer-owner and create minimal stops for the customer-owner

Access is optimized and waiting times are limited

Together with the customer-owner as an active partner

Intentional whole system design to maximize coordination and minimize duplication

Outcome and process measures to continuously evaluate and improve

Not complicated but simple and easy to use

Services are financially sustainable and viable

Hub of the system is the family

Interests of the customer-owner drive the system to determine what we do and how we do it

Population-based systems and services

Services and systems build on the strengths of Alaska Native cultures

Core ConceptsWork together in relationship to learn and grow

Encourage understanding

Listen with an open mind

Laugh and enjoy humor throughout the day

Notice the dignity and value of ourselves and others

Engage others with compassion

Share our stories and our hearts

Strive to honor and respect ourselves and others

“If you could design a health care system for yourself and your family, what standards would you set? Would you accept only the best, or would you settle for less?”

- Southcentral Foundation President/CEO Katherine Gottlieb2

Shared ResponsibilityWe value working together with the individual, the family, and the community. We strive to honor the dignity of every individual. We see the journey to wellness being traveled in shared responsibility and partnership with those for whom we provide services.

Commitment to QualityWe strive to provide the best ser-vices for the Native Community.We employ fully qualified staff in all positions and we commit ourselves to recruiting and training Native staff to meet this need. We struc-ture our organization to optimize the skills and contributions of our staff.

Family WellnessWe value the family as the heart of the Native Community. We work to promote wellness that goes beyond absence of illness and prevention of disease. We encourage physical, mental, social, spiritual & economic wellness in the individual, the family, the community and the world in which we live.

Nuka System of CareSouthcentral Foundation’s “Nuka System of Care” is a name given to the whole health care system created, managed, and owned by Alaska Native people to achieve physical, mental, emotional and spiritual wellness.

Nuka is an Alaska Native word used for strong, giant structures and living things.

The relationship-based Nuka System of Care is comprised of organizational strategies and processes; medical, behavioral, dental and traditional practices; and supporting infrastructure that work together – in relationship – to support wellness. By putting relationships at the forefront of what we do and how we do it, the Nuka System will continue to develop and improve for future generations.

Vision StatementA Native Community that enjoys physical, mental, emotional and spiritual wellness.

Mission StatementWorking together with the Native Community to achieve wellness through health and related services.

Key Points

Southcentral Foundation

SYSTEM OF CARENuka

3

U.S. Sen. Lisa Murkowski

Greetings:

Thank you for your interest in traveling all the way up north to visit my home state of Alaska for the inaugural Southcentral Foundation Nuka System of Care Conference. It is exhilarating to see the many groups of people around the world who show such commitment to improving the health of their respective communities.

Our unique demographics, vast geography and compounded history have re-quired Alaskans to find innovative ways to affect wellness in both the rural and urban areas of the state. While Alaska’s population is one of the most diverse in the country, we strive to work together toward a common goal, to provide a healthy environment for our children and our children’s children.The Southcentral Foundation Nuka System of Care has been a keystone in this effort through its transformation of health care provision for Alaska Native people in the south central region and beyond. Southcentral Foundation has a fascinating story to share, and we continue to discover it has a profound appli-cability to other populations across the globe.

I hope you will join us this summer to learn more about how Alaska Native people have turned conventional health care inside out to create a system that better serves the needs of its customers. I am confident, as you walk along side Southcentral Foundation on its journey to wellness, your experience will be a captivating one.

Sincerely,

United States Senator

4

U.S. Sen. Mark Begich

Greetings!

Quality, affordable and accessible health care is a priority for individuals, families, and organizations throughout our country. As a former mayor and current U.S. Senator, I have come to know the great work of Southcentral Foundation quite well. Last year, it was an honor to speak about the Nuka System of Care on the Senate floor and to present it to Congress as a model for national reform.

Your conference couldn’t be better timed. Following the historic enactment of health insurance reform, which included the first permanent reauthoriza-tion of the Indian health Care Improvement Act in nearly two decades, better access and affordable health care will now become a reality. Further, Alaska Native people have made major strides toward improving and strengthening health care delivery through self-determination on behalf of tribal communi-ties in our great state. The success of tribal health organizations is marked through improvements in health measures and high satisfaction rates.

I am confident your guests’ visit to Alaska will be well worth the miles, as we continue to work toward a common goal of healthy, happy and vibrant communities. Alaska is a state of vast beauty, both in land and people. I look forward to hearing about the great work you will accomplish.

Again, welcome to Alaska and thank you for all you do to make our world a healthier place.

Sincerely,

United States Senator

5

U.S. Rep. Don Young

Dear Potential Participant,

Health care has become an important issue in the United States today regardless of where you call home. Tribal leaders, government officials, health reform groups and others are at work trying to solve health care issues at all levels. There are obviously no easy answers. However, there are a few systems in place around the world that have shown successes in priority areas such as access and affordability.

Alaska showcases one such system. The Southcentral Foundation Nuka System of Care is the result of nearly 30 years of collaboration within the Alaska Native Com-munity. Nuka has shifted the focus of health care from pills and prognosis to funda-mental human relationships—a change that has effected significant improvements to health statistics for Alaska Native people.

There is much about Alaska that makes me proud to be an Alaskan. I have had the opportunity to work and live with our Alaska Native people for many years, and I can say with certainty, nothing equates to the passion and commitment this Com-munity has for reaching its vision of wellness.

Southcentral Foundation’s inaugural Nuka System of Care Conference in June promises to tell a fascinating story, one that has created a multitude of realities for the people it serves. Please visit us in Anchorage this summer and be part of effect-ing wellness for our families, and yours.

With warmest regards and best wishes, I remain.

Sincerely,

Congressman for all Alaska

6

Mayor Dan Sullivan

Hello!

On behalf of the Municipality of Anchorage, it is my pleasure to invite you to our city for Southcentral Foundation’s inaugural Nuka System of Care Conference.

Southcentral Foundation’s vision of an Alaska Native Community that enjoys wellness has made SCF a strong partner on issues affecting health. The Nuka System of Care continues to gain attention around the world for its changed approach to health care delivery—typifying Alaska’s pioneering spirit. This year’s conference theme, “It’s all about relationships!” encourages us to think about the bigger picture of health care and to raise our expectations for how we experience health care delivery.

The overall Alaskan experience promises to be an amazing one! Anchorage is beautiful in the summer and attracts thousands of visitors each year to take part in all the city has to offer. From hiking rugged trails and ample wildlife viewing to appreciating the arts and taking in our diverse culture, we have cer-tainly earned our tagline Big. Wild. Life! I hope to see you in June—when the sun is shining, the moose are roaming and the fish are jumping.

Sincerely,

Anchorage Mayor

7

Greetings!

On behalf of the Board of Directors and Membership of the Alaska Federation of Natives, I would like to welcome you to Anchorage in June for a special con-ference and to learn more about the transformation of health care within the Alaska Native Community.

Health care is a relevant topic for all of us as our country’s leaders continue their work to address access, cost and quality issues. Tribal leadership works to ad-dress these same issues. Alaska Native people have created a system that aligns with our values and beliefs about what health care should look and feel like. Southcentral Foundation and others have walked alongside the Native Commu-nity with a vision to achieve physical, mental, emotional and spiritual wellness. We are proud to share the Nuka System of Care, supported by Southcentral Foundation, which is resulting in a multitude of improved health statistics and climbing satisfaction rates.

There is so much to learn from the health care story of Alaska Native people – from the successes and the lessons learned. Through collaboration opportu-nities like the Nuka System of Care Conference, we too can learn from other groups who are striving to effect health in their homelands.

Alaska is known for its adventurous lifestyle – rugged mountains, vast waters and breathtaking wildlife. And summer is a wonderful time to share in this spirit. I hope you’ll join us in Anchorage this June and take part in creating healthy communities across our state and nation – and ultimately our world.

Sincerely,

Alaska Federation of Natives President

8

Hello!

Thank you for your interest in visiting Anchorage for Southcentral Foundation’s inaugural Nuka System of Care Conference.

This conference is an exciting event for the Alaska Native Community. The health care journey of Alaska Native people across the state has been full of successes and challenges. Southcentral Foundation has been a partner on this journey, as tribal leadership work to create better health opportunities for our people.

Today, relationships make us strong – a basic principle that is true in our com-munity and in so many around the world. Through a deep focus on relation-ships, the Nuka System of Care has empowered Alaska Native people to take charge of our health. We continue to invest our lives’ work in changing health statistics for the better; we are encouraged by what we have seen. The Nuka System of Care demonstrates the potential for – and the realization of – a Native Community that experiences wellness.

Southcentral Foundation has a fascinating story to share. Please join Southcentral Foundation’s family and friends for a time of learning and collaboration. Thank you for all you do in your daily work to create healthier communities.

Sincerely,

Yukon-Kuskokwim Health Corporation President/CEO

9

Pre-Conference WorkshopTuesday – Thursday, June 21-23, 2011Core Concepts is a three-day workshop that was developed to support Southcentral Foundation’s vision of a Native Community that enjoys physi-cal, mental, emotional, and spiritual wellness and its relationship-based operational principles. During this training you will learn:n How you impact othersn How to articulate your story from the heartn To understand your personal and professional aspirationsn Methods for good dialogue and productive conversation

Southcentral Foundation believes that our ability to develop relationships with customers directly impacts our effectiveness. The training experi-ence will be hands-on and interactive, and will include individual work, large group discussion,

pairs, and learning circles to engage and respond. The

tools you will learn dur-ing the Core Concepts training will help you as you walk beside your customers and coworkers on a jour-ney toward wellness.

A full breakfast, lunch and snacks will be provided.

General Conference Options and TracksFriday – Saturday, June 24-25, 2011Day One of the Nuka Conference offers two tracks, Nuka 101 and Nuka 201, to learn about Southcentral Foundation’s Nuka System of Care. Lunch, a light morning and afternoon snack, cof-fee, tea and water will be provided for partici-pants.

The Nuka 101 track will be offered for partici-pants who are just learning about Southcentral Foundation’s Nuka System of Care and will con-tain an overview and introduction to our system. Conference participants that register for Nuka 101 will attend each of the sessions: a planned sequence of topics designed to share knowledge about Southcentral Foundation’s Nuka System of Care.

The Nuka 201 track will be offered for partici-pants who have already had an introduction to Southcentral Foundation’s Nuka System of Care and desire to learn more about Southcentral Foundation’s specific programs. Within Nuka 201, three tracks are defined to share categories of targeted knowledge. The three tracks are: Be-havioral track, an Improvement and Skill Building track, and a Medical track. A total of 19 sessions will be presented and participants can select a mix of sessions or follow one complete track of presentations.

Day Two of the conference will focus on Spe-cial Interest topics designed for participants to rotate through a variant of opportunities to engage in learning and sharing. Participants are also invited to attend the healthy lunch at Southcentral Foundation’s Family Wellness Festival.

General Conference Information

10

General Conference ScheduleDay One, Friday, June 24, 2011 7 – 8 a.m. On-site Registration 8 – 9 a.m. Opening Plenary 9:15 – 10 a.m. Session A 10:15 – 11 a.m. Session B 11:15 a.m. – noon Session C noon – 1 p.m. Lunch 1:15 – 2 p.m. Session D 2:15 – 3 p.m. Session E 3:15 – 4 p.m. Session F 4:15 – 5 p.m. Plenary Session Two 6 – 8:30 p.m. Optional Networking and Cultural Reception

Day Two, Saturday, June 25, 2011 8:15 – 8:45 a.m. Opening Plenary 8:45 – 9:45 a.m. Special Interest Topic A 10:45 – 11:45 a.m. Special Interest Topic B noon SCF President/CEO Address 1:15 – 2:15 p.m. Special Interest Topic C 2:30 – 3:30 p.m. Special Interest Topic D

Gathering and Wellness Activities

In addition to the two conference days of learning and sharing, and the pre-conference workshop, Southcentral Foundation has the following activities planned for all participants and community members:

Saturday, June 25, 2011 10 a.m. Fun Run starts – a 3K run 11 a.m. Family Wellness Festival 11 a.m. 14th Annual Gathering Expo Noon SCF President/CEO Address 4 p.m. Event ends

11

CHARLES ANDERSONSouthcentral FoundationVice Chairman, Board of Directors

Charles Anderson, Aleut, was born in Kodiak, Alaska. Now re-tired, he dedicated his working life to public service. He began a law enforcement career in 1953 with the Anchor-age Police Depart-ment, and after several

promotions, was named chief of police. He has also served as an Alaska State legislator, and has sat on a number of state advisory boards and commissions. Mr. Anderson has been an active member of the Cook Inlet Region Inc. (CIRI) Board of Directors since 1987, and currently serves as the board’s chairman. He also serves as a director of several CIRI subsid-iaries and as the vice chairman of the Southcentral Foundation Board of Directors.

ROY M. HUHNDORFSouthcentral Foundation Board of Directors Roy M. Huhndorf, Yup’ik Eskimo, is rec-ognized locally, state-wide and nationally for his efforts to ensure that Alaska Native people are empow-ered economically and socially in the quest for an improved standard of life. Mr. Huhndorf’s

family moved to Anchorage in 1955 from the Alaska Interior village of Nulato, Alaska, where he was born and raised, so that the Huhndorf children could continue with their education. Mr. Huhndorf has dedicated himself to promoting the importance of education and an improved quality of life for Alaska Native people. This commitment has been reflected in his career with Cook Inlet Region Inc. and service through the years on the boards of many corpora-tions, foundations and public organizations.

KATHERINE GOTTLIEB, MBASouthcentral Foundation President/CEO

Katherine Gottlieb, MBA, has served as president and CEO of Southcentral Founda-tion (SCF) since 1991. Under her direction and guidance, SCF has become a leader among the nation’s health care

organizations, winning national recognition for inno-vations such as same-day access to care. She serves on numerous boards, including the National Library of Medicine Board of Regents, and is active at the national level in Alaska Native and American Indian policy issues. In 2004, she was a recipient of the MacArthur “Genius Award.” In 2005, she received an honorary doctoral degree, a doctor of public service, honoris causa, from Alaska Pacific University in recognition of her extraordinary public service. She is the daughter of an Aleut mother and a Filipino father, and has six children and 24 grandchildren.

DR. PAT DELEON, PH.D, MPH, JD

Dr. Pat DeLeon, chief of staff for U.S. Senator Daniel Inouye of Hawaii, has worked for Inouye since 1973. He has been a longtime advocate for improving mental health care in underserved areas, as well as closer relationships between psychology and law. He

served as president of the American Psychological Association in 2000, and was elected to the Institute of Medicine of the National Academies in 2008. He has served as editor or reviewer on several top-tier journals, including Psychological Services and Ameri-can Psychologist. He received his doctorate in clinical psychology from Purdue University, his master’s in public health from the University of Hawaii and his juris doctor degree from The Columbus School of Law at The Catholic University of America.

Plenary Speakers

12

Customer-Owner Panel Plenary Session Day One of the General Conference will close with a panel of SCF’s customer-owners sharing their personal stories of how they experienced health care in the past and how they experience it today. This is a very moving session as the presenters share their stories from the heart.

Southcentral Foundation Vice Presidents

ILEEN SYLVESTER, MBASouthcentral FoundationVice President of Executive & Tribal Services

Ileen Sylvester, of Yup’ik, Athabas-can and Aleut descent, has served as a Southcentral Foundation vice president for 15 years. She currently

oversees tribal relations and village initiatives for health care delivery to 55 rural villages, as well as traditional healing, youth internship and Elder programming, public relations, planning and grants, and more. She holds bachelor’s and master’s degrees in business administra-tion.

CHARLES CLEMENT, MPASouthcentral Foundation Vice President of Operations/Chief Operating Officer

Charles Clement, of Tsimshian and Athabascan descent, has served Southcentral Foundation (SCF) for the last 12 years, focusing primarily on the planning and development

of information systems, construction and real estate, and other infrastructure projects before being named chief operating officer in 2009. He has represented SCF on the Alaska Native Tribal Health Consortium Board and other boards and committees. He holds a master’s degree in public administration.

KEVIN GOTTLIEB, DDSSouthcentral FoundationVice President of Resource & Development/Chief of Staff

Dr. Kevin Gottlieb, DDS, transi-tioned out of an Indian Health Service career in 1982 to become the first dentist hired by Southcen-tral Foundation (SCF). Dr. Gottlieb

helped conceive a health care organization designed to function well into the future as a system the Native Community would own and operate. Today, he serves as the SCF Chief of Staff and Vice President of Resource and Development and oversees several programs and departments, including SCF’s dental programs.

LEE OLSON, CPASouthcentral FoundationVice President of Finance/Chief Financial Officer

Lee Olson has served as the Southcentral Foundation (SCF) Vice President of Finance for 14 years. As the organization’s chief financial officer, he plans, organizes, and co-

ordinates its finances under the general direction of the president/CEO. Prior to his career with SCF, he worked in Bethel, Alaska. He has a bachelor’s in business admin-istration and is a certified public accountant.

MICHELLE TIERNEY, MPASouthcentral FoundationVice President of Organizational Develop-ment & Innovation

Michelle Tierney has worked in support of organizational change at Southcentral Foundation for over 14 years, and has held both medical services and organizational devel-

opment leadership positions. She has over 25 years of management experience in various service industries, including government and health care. She holds a mas-ter’s degree in public administration and is a certified senior human resources professional.

DOUG EBY, MD, MPHSouthcentral FoundationVice President of Medical Services

Dr. Doug Eby has served on the leadership teams of Southcentral Foundation (SCF) and the Alaska Na-tive Medical Center for 16 years. He has played a key role in the develop-ment of SCF’s innovative primary care

system, and speaks, nationally and internationally, on health care system design and quality improvement. In addition to his medical degree, he holds a master’s in public health.

CHANDA ALOYSIUS, MBASouthcentral Foundation Vice President of Behavioral Services

Chanda Aloysius, originally from a small, Deg Hit’an Athabascan community, began her career with Southcentral Foundation (SCF) in 1990. After years of implementing and sustaining important changes in the delivery of care within

the SCF Behavioral Services Division, she assumed the role of its vice president in 2008. She holds bachelor’s and mas-ter’s degrees in business administration.

13

Nuka 101 Friday, June 24, 2011

Time: 9:15-11 a.m. (Session A & B)Title: Integrated Care Teams Presenters: Verlyn Corbett, Brenda Cook, Melissa Merrick, Brandi OzioDescription:n Explore Southcentral Foundation’s Nuka Sys-tem of Care n Review the differences between traditional health care systems and integrated health care systems n Illustrate the different Integrated Care Team roles and how they contribute to the team

Time: 11:15 a.m.-noon (Session C)Title: Family Wellness Warriors Initiative (FWWI)Presenters: Marie Stewman, Max Dolchok, Clair KeeDescription:n Recognize the purpose and goals of the Fam-ily Wellness Warriors Initiative (FWWI)n Survey the FWWI process of large group ses-sions, smaller group sessions, and how these two session types help participants connect with topics such as Anger, Recovery, Respond-ing, Disappointment, Shame, and Relational Stylesn Discern the impact of the FWWI program based on the participant, the FWWI group lead-ers, and care team feedback

Time: 1:15-2 p.m. (Session D)Title: Improvement and Improvement Tools Presenters: Jana Towne, Laura KotelmanDescription:n Explore the way Nuka approaches improve-mentn Discuss the framework for improvement used by Nukan Inventory the common improvement tools and methodologies used

Time: 2:15-3pm (Session E)Title: Data Management Presenters: Janice Conrads, Sharon FennDescription:n Examine Nuka’s journey towards data man-agement n Distinguish how Nuka approaches and deploys the management of data n Demonstrate the SCF Data Mall

Time: 3:15-4 p.m. (Session F)Title: Workforce Development Presenters: April Kyle, Barb Sappah,Elizabeth Martz, Brenda MetrokinDescription: n Become familiar with Nuka’s recruitment and hiring approach for “right fit” n Be introduced to the Nuka orientation and on-boarding philosophy and programs n Explore the Nuka approach to workforce learning and development (L&D) n Examine how Nuka drives workforce and em-ployee performance in alignment and support of organizational goals

Nuka 201 BEHAVIORAL TRACKFriday, June 24, 2011

Time: 9:15-10 a.m. (Session A)Title: Family Wellness Warriors Initiative (FWWI)Presenters: Bobbi Outten, Rick McCafferty, Maggie NapoleonDescription:n Explore the key components of creating a safe path on a journey of healing for those who have been harmed in the pastn Analyze how the FWWI programs deal with the source or root issues – not just the symp-toms and the benefits of looking below the surface and working on unresolved woundsn Share lessons learned and feedback from participants, FWWI group leaders and care team

Time: 10:15-11 a.m. (Session B)Title: BSD Redesign Presenters: Chanda Aloysius, Michelle Baker, Genie Dillon, Esther StevensDescription:n Explain the redesign of the SCF Behavioral Health Clinics to integrate the FWWI philosophy for serving customer-owners’ needs and devel-oping strong relationships with them n Explore key elements of SCF’s redesigned care flow – and how it is working to establish deeper relationships with customer-owners and serve their non-medical needs such as grief, depres-sion, frustration, fear, anger, parenting, and relationshipsn Itemize lessons learned, including what worked well, what did not work as well as desired, the new flow design, the pilot experi-ence, and how SCF engaged staff and addressed communication

14

Time: 11:15 a.m.-noon (Session C)Title: Addressing Substance Abuse Presenters: Tara Lovin-Curry, Carolee Kuka-Hindin Description:n Explain how the Nuka System of Care’s cus-tomer-focused care model has helped address substance use and abusen Review SCF’s key measures for substance abuse positive outcomes and learn the steps and process used to help create the outcomesn Examine lessons learned from staff who work to reduce substance abuse - what works best as well as the challenges and barriers

Time: 1:15-2 p.m. (Session D)Title: Working with Seriously Mentally Ill Customer-Owners Presenters: Leonard Trenton, James AloesDescription:n Illustrate how Nuka provides a safe and wel-coming environment for adults with severe and persistent mental illness n Review the redesign process and lessons learned in the transition of the SCF Quyana Club-house to a true “Clubhouse Model” n Explore examples of how SCF has engaged se-riously mentally ill customer-owners in projects that honor the dignity of every individual while promoting wellness and building self-esteem

Time: 2:15-3 p.m. (Session E)Title: Suicide Prevention Presenters: Amber Latham, Maesha Champion-ReadDescription:n Discuss SCF’s suicide prevention public rela-tions campaign, Lead the Change – Speak. Connect. Act, which connects youth (ages 10-24) with mentors to promote resiliency and protec-tive factorsn Examine how Behavioral Urgent Response Team (BURT) helps at-risk customer-owners by utilizing our Mobile Unit, on-call 24 hours a day, 7 days a week n Explore the work of Denaa Yeets’ (Our Breath of Life) – a program providing clinical treatment, counseling, and social activities to make positive differences in the lives of at-risk individuals

Time: 3:15-4 p.m. (Session F)Title: Corporate Initiatives – Focus on Wellness Presenters: Mark Erickson, Genie Dillon, Steve Tierney, Laura OdenDescription:

n Review two current examples of SCF’s corpo-rate initiatives that focus on wellnessn Discuss SCF’s New Generations concept model for the entire fabric of family health and specifi-cally to the new life from pre-conception to age 5, including discussion on measuring impact of the experience of caren Explore the rationale and methodology for the Wellness Care Program and provide a case ex-ample of how the Wellness Care Plan may work in the clinic

Nuka 201 IMPROVEMENT AND SKILL BUILDING TRACKFriday, June 24, 2011

Time: 9:15-10 a.m. (Session A)Title: Using Data for Improvement Presenters: Mike Hirst, Steve TierneyDescription:n Explore how the Nuka System of Care uses data to determine acceptable performance levelsn Recognize how Nuka utilizes data for improvementn Discuss what is done if data shows perfor-mance is not acceptable

Time: 10:15-11 a.m. (Session B)Title: Behavioral-Based Interviewing Presenters: April KyleDescription:n Share why Nuka uses behavioral-based interviewing for recruitment and selection and how this methodology helps identify “best-fit” employee candidatesn Review the behavioral-based process, see examples of the behavioral-based exploratory questions, and understand the group interview processn Examine lessons learned – what SCF has dis-covered through use of this methodology Time: 11:15 a.m.-noon (Session C)Title: The Friendly Face of Corporate Quality Assurance and Corporate CompliancePresenters: Donna Galbreath, Michelle Aregood, Fran Arseneau Description:n Provide support through partnerships and shared responsibility n Ensure cross-divisional alignment and staff engagement in quality and compliance activities n Demonstrate leadership support for a Culture of Quality

15

Time: 1:15-2 p.m. (Session D)Title: PDSA (Plan, Do, Study, Act) Presenters: Kiatcha Benson, Lisa Dolan-Branton Description:n Illustrate how to design changes to a process n Generalize how to test changes and build upon them to test subsequent changes in order to continuously improve and meet customer needsn Review real examples of PDSAs conducted at SCF

Time: 2:15-3 p.m. (Session E)Title: Strategic Planning Presenters: Sharon Fenn, Mayquelle BuckleyDescription:n Introduce strategic planning; explore why and how we plan n Highlight Nuka’s approach to strategic planningn Discuss the annual planning process at SCF and how it fits into the SCF Strategic Plan

Time: 3:15-4 p.m. (Session F)Title: Using the Baldrige Process for Continuous Improvement Presenters: Sharon Fenn; Karen McIntire Description:n Be introduced to SCF’s approach toward the use of Baldrige as a tool for improvementn Explore SCF’s use of the Baldrige criteria as a tool for continuous improvementn Examine SCF’s use of the Baldrige feedback report and OFI’s in our strategic planning cycle

Nuka 201 MEDICAL TRACKFriday, June 24, 2011

Time: 9:15-10 a.m. (Session A)Title: Case Management in the Nuka System of CarePresenters: Brenda Cook, Peggy Porter Description:n Define case management in the Nuka System of Caren Describe the case manager role in the Integrated Care Team (ICT)n Outline the role of internal and external rela-tionships in Nuka case management

Time: 10:15-11 a.m. (Session B)Title: Behavioral Health Integration Presenters: Wendy Bradley, Melissa Merrick, KJ WorbeyDescription:n Examine the critical elements of how we integrated behavioral health consultants into the primary care settingn Define the benefits of this model for both cus-tomers and cliniciansn Extrapolate how this model might be applied to other organizations

Time: 11:15 a.m.-noon (Session C)Title: Complementary Medicine Presenters: Michael K. LaMagdeleine, Angela MichaudDescription:n Journey through the evolution of Complemen-tary Medicinen Analyze how Complementary Medicine has helped make an impact on Nukan Discuss how Complementary Medicine has helped SCF’s customer-owners

Time: 1:15-2 p.m. (Session D)Title: Dental Presenters: Kevin Gottlieb, Tom KovaleskiDescription:n Discover how SCF Dental is utilizing the ef-ficiency model and has enhanced the waiting room experiencen Share highlights from clinic operations in customer-owner care and provider training and methodsn Illustrate how SCF Dental provides unique and innovative care to customer-owners in rural loca-tions

Working together with the Native Community to achieve wellness through health and related services.

16

Time: 2:15-3 p.m. (Session E)Title: Traditional Healing Presenters: Buz Daney, Ted Mala, Lisa DolchokDescription:n Learn about what traditional healing offers customer-ownersn Discover details about traditional healing and how it integrates with Nukan Discuss how we use traditional healing prac-tices side-by-side with Western medicine to incorporate Alaska Native values, beliefs and practices for the ultimate benefit of customer-owners, families and communities

Time: 3:15-4 p.m. (Session F)Title: Health Education Presenters: Laurie Wiese, Lavonne HessDescription:n Demonstrate how health education and social marketing play a role in our corporate objectives that address cardiovascular disease, obesity, diabetes and cancer n Review and discuss the various programs and services offered through the SCF Health Educa-tion Department n Discover how health education has helped make an impact on Nuka

Special Interest TopicsSaturday, June 25, 2011

Time: 8:45-9:45 a.m. (Session A)Title: Absorbing lessons from SCF’s visit to Fife Presenters: Margaret Hannah, Patricia Boyle, Fiona MacKenzieDescription:n Share the background and content of SCF’s visit to Fife in June 2010 n Describe the Nuka System of Care’s impact on the local health care system in terms of lessons learned n Outline future plans for service transformation in Fife

Time: 10:45-11:45 a.m. (Session B)Title: How Institutional Priorities Inform Re-search Priorities and ProcessesPresenters: Denise Dillard, Vanessa Hiratsuka Description:n Describe how research conducted by SCF is driven by Alaska Native people and tribal leader-ship

n Illustrate how SCF encourages careers in re-search among Alaska Native and American Indian peoplen Describe how the tribal and scientific commu-nity are working together to develop research projects and disseminate meaningful project findings

Time: 1:15-2:15 p.m. (Session C)Title: Facility Design Presenters: Charles ClementDescription:n Discuss how the philosophies behind Nuka are infused in facility designn Show how the beautiful facilities contribute to Alaska Native pride, honor, dignity and self-confi-dencen Discover how facility design fosters effective clinical interactions

Time: 2:30-3:30 p.m. (Session D)Title: Community Focus Presenters: Ileen Sylvester, Robert Roehl, Shirley TuzroylukeDescription:n Examine how Nuka is helping to achieve com-munity wellnessn Detail opportunities for cross-generational connectionsn Describe how SCF’s RAISE Program and Elder Program foster tribal leadership for the future

17

Presenters SCF Board of Directors: n Charles Andersonn Roy Huhndorf

SCF President/CEO: n Katherine Gottlieb

SCF Vice Presidents: n Ileen Sylvestern Charles Clementn Kevin Gottlieb n Lee Olson

SCF Workforce:n Amber Latham, Yup’ik from Akiachak, Alaska; Clinical Associate for Denaa Yeets’; with SCF for seven years. n Angela Michaud, DC, Tlingit from Ketchikan, Alaska; Chiropractor in Complementary Medi-cine; with SCF for two years.n April Kyle, Athabascan from Eagle River, Alaska; Director of Human Resources; with SCF for eight years. n Barb Sappah, PHR, Eyak from Anchorage, Alaska; Improvement Specialist in Organization Development; with SCF for five years.n Bobbi Outten, Mississippi Band of Chippewas from White Earth Reservation, Clinical Director of FWWI, with SCF for 12 years. n Brandi Hennard, Registered Dietician in Medical Services Division; with SCF for seven years. n Brenda Cook, RN, BSN, CCM, Quality Improve-ment Nursing Director of Medical Services Divi-sion; with SCF for eight years. n Brenda Metrokin, Aleut, Alutiiq, Russian and Irish from Anchorage, Alaska; Learning & Devel-opment Trainer; with SCF for seven years.n Buz Daney, MPH, Choctaw Nation; Manager in Traditional Healing Clinic; with SCF for 21 years. n Carolee Kuka-Hindin, BSW, CDCS, NCAII, Intake Coordinator in Dena A Coy Program; with SCF for 20 years. n Donna Galbreath, MD, Ahtna Athabascan from Mentasta, Alaska; Medical Director of Quality As-surance in Medical Services Division; with SCF for five years. n Elizabeth Martz, Yup’ik Eskimo from Bethel, Alaska; Learning and Development Manager; with SCF for five years.

n Esther Stevens, BA, Alutiiq from Old Harbor, Alaska; Improvement Specialist in Behavioral Health Services; with SCF for 15 years. n Fran Arseneau, CPC, CHC, CCEP, Director of Corporate Compliance; with SCF for three years. n Genie Dillon, Improvement Advisor in Behav-ioral Health Services; with SCF for two years.n Gill Prickett, LPC, from Albany Georgia, Be-havioral Health Consultant, with Southcentral Foundation for 6.5 years.n Janice Conrads, Senior Data Analyst in Data Services; with SCF for four years.n James Aloes, from Boston, Mass.; Clinical Asso-ciate Supervisor at Quyana Clubhouse; with SCF for seven years. n Karen McIntire, Aleut and Yup’ik Eskimo from Anchorage, Alaska; Director of Organizational Development; with SCF for 14 years.n Kiatcha Benson, Inupiaq Eskimo and Tlingit from Eagle River, Alaska; Improvement Special-ist in Medical Services Division; with SCF for nine years.n KJ Worbey, Clinical Director for Behavioral Services Division; with SCF for 16 years.n Laura Kotelman, MBA, Improvement Specialist in Medical Services Division; with SCF for three years. n Laura Oden, BA, Improvement Specialist in Medical Services Division; with SCF for five years. n Laurie Wiese, BA, English, Cherokee and Scotch-Irish originally from Texas; Manager of Health Education Department; with SCF for three years. n Lavonne Hess, Navajo from Arizona; Health Educator; with SCF for eight years. n Leonard Trenton, Dena’ina Athabascan from the Native Village of Tyonek; Manager at Quyana Clubhouse; with SCF for three years. n Lisa Dolan-Branton, RN, BSN, Improvement Advisor in Medical Services Division; with SCF for under a year. n Lisa Dolchok, Yup’ik and Filipino from Clark’s Point, Alaska; Tribal Doctor in Traditional Healing Clinic; with SCF for 11 years. n Maesha Champion-Read, LCSW, Tlingit from Southeast Alaska; Clinical Supervisor in Behav-ioral Health PCC; with SCF for three years. n Marie Stewman, Alutiiq from the Kenai Penin-sula, Alaska; Manager at FWWI; with SCF for 15 years. n Mark Erickson, MD, from Kearney, Nebraska; Medical Director for Behavioral Services Division; with SCF for five years.

18

n Michelle Tierney n Doug Ebyn Chanda Aloysius

n Mayquelle Buckley, CDA, Tlingit Indian from Anchorage, Alaska; Administrator in Dental; with SCF for 15 years. n Melissa Merrick, Clinical Supervisor in Primary Care; with SCF for four years.n Michael LaMagdeleine, DC, Clinical Director in Complementary Medicine; with SCF for 11 years.n Michelle Aregood, Corporate Quality Assur-ance Administrator; with SCF for four years.n Michelle Baker, MBA, Yup’ik Eskimo from Bris-tol Bay, Alaska; Director of Operations in Behav-ioral Services Division; with SCF for 11 years. n Mike Hirst, RN, BSN, MPH, CPHQ, Director of Data Services; with SCF for five years. n Peggy Porter, RN, BSN, Inupiaq from Eagle River, Anchorage; Nurse Case Manager Special-ist in Medical Services Division; with SCF for 10 years. n Rick McCafferty, Inupiaq from Kotzebu Alaska, Training Specialist at FWWI, with Southcentral Foundation for 3 years including volunteering for 6 years.n Robert Roehl, Dena’ina Athabascan, Aleut and Yup’ik Eskimo from Anchorage, Alaska; RAISE Intern Program Supervisor; with SCF for 7 years.n Sam Rowley, Inupiaq from Anchorage Alaska, Improvement Specialist in Medical Services Divi-sion, with Southcentral Foundation for 11 years.n Sharon Fenn, Navajo from New Mexico; Improvement Advisor in Organizational Develop-ment; with SCF for eight years.n Shirley Tuzroyluke, Tlingit, Nisga’a from Ju-neau, Alaska; Manager of RAISE Program; with SCF for four years. n Steve Tierney, MD, Medical Director of Quality Improvement; with SCF for 15 years.n Tara Lovin-Curry, BA, Manager of Dena A Coy Program and Willa’s Way Program; with SCF for seven years. n Ted Mala, MD, MPH, Eskimo and Russian from the Native Village of Buckland (IRA); Director of Tribal Relations and Traditional Healing Clinic; with SCF for 11 years. n Tom Kovaleski, DDS, Director of Dental; with SCF for 13 years.n Vanessa Hiratsuka, MPH, Navajo and Wintu; Researcher in Research Department; with SCF for two years.n Verlyn Corbett, MD, Walker River Paiute tribe; PCC Medical Director in Medical Services Divi-sion; with SCF for 11 years. n Wendy Bradley, Clinical Supervisor in Organiza-tional Development; with SCF for seven years.

Guest Presentersn Pat Deleon, Chief of Staff for U.S. SenatorDaniel Inouye of Hawaii n Margaret Hannah, Deputy Director of Public Health; NHS Fife, 14 yearsn Patricia Boyle, Head of Organizational Devel-opment; NHS Fife, three years n Carolyn McDonald, Associate Director of AHPs; NHS Fife, 23 years n Fiona MacKenzie, Local Clinical Services Man-ager; NHS Fife, 30 years

The Nuka System has measurable impact on: • health outcomes• customer and employee satisfaction• operational effectiveness

19

Registration Fees REGISTER ON OR BEFORE APRIL 15, 2011 REGISTER ON OR AFTER APRIL 16, 2011Pre-Conference Workshop $1,745.00 $2,045.00General Conference $1,195.00 $1,295.00

Cancellation PolicyA cancellation must be in writing and faxed to (907) 729-6132 or e-mailed to SCFNukaConference@scf.cc. Cancellations will be assessed a $250 administrative fee until April 15. Fifty percent (50%) of the registra-tion fee will be refunded for cancellations received from April 16 through May 27. Cancellations received after May 28 are nonrefundable. Registrations may be transferred to another person by requesting the change and faxing the replacement attendee’s name and contact information to (907) 729-6132 or e-mailed to SCFNukaConference@scf.cc.

RegistrationRegister for the 2011 Nuka Conference online at www.scf.cc/nuka/nukaconference.ak

Accreditation:Physicians:

Alaska Native Medical Center is accredited as a sponsor and provider of continuing medical education for physicians by the Alaska State Medical Association.

ANMC designates this activity as meeting the criteria for one hour of AMA PRA Category 1 Credit™ for each hour of participation up to a maximum of 9.25 hour(s). Each participant should only claim credit commensurate with the extent of participation in the activity. Nurses:

Alaska Native Medical Center is an approved provider of continuing nursing education by the Montana Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commis-sion on Accreditation. ANMC designates this activity as meeting the criteria for one nursing contact hour credit for each hour of participation up to a maximum of 9.25 hour(s). Each participant should only claim credit commen-surate with the extent of participation in the activity. “This continuing education is being offered without the influence of bias. No conflicts of interest have been identified, no commercial support was received, the event was not sponsored, and no off-label products will be discussed. Our presentations do not imply endorsement of any product, individual or therapeutic practice.” 20

Special RequestsWe want to make your experience at the Nuka Conference as comfortable as possible and will do our best to accommodate special requests such as dietary needs. If you have special requests, please contact us at SCFNukaConference@scf.cc.

Dress CodeThere will be some walking required and we suggest casual clothing and comfortable shoes. If you plan to participate in the Fun Run on Saturday morning, exercise clothing, running shoes, and light-weight rain jackets are appropriate.

Healthy FacilitiesSouthcentral Foundation’s facilities are designated as Tobacco and Soda Pop Free. Please refrain from using any tobacco products in or around our facilities. As alternatives to soda pop, juice and water are available in our vending machines.

Hotels and TravelIf you book your accommodations early, you will receive a discounted rate:

Dimond Center Hotel – book by May 15 and mention you are with SCF to receive a discount. www.dimondcenterhotel.com

The Coast International Inn – book by May 15 and mention you are with SCF to receive a discount. www.intlinnanchorage.com

Spring Hill Suites Anchorage University Lake – book by May 19 and mention you are with SCF to re-ceive a discount. www.marriott.com/ancum

Many airlines fly into the Ted Stevens Anchorage International Airport, including Alaska Airlines, Delta, Continental and US Airways. Please check online or with your travel agent for the best rates.

Car rental options at the Ted Stevens Anchorage International Airport include Budget, National, Avis, Hertz, Enterprise and Dollar. Please check online or with your travel agent for the best rates.

Want to stay a few extra days to visit Alaska?Please visit the Anchorage Convention and Visitors Bureau at www.anchorage.net or CIRI Tourism and Hospitality at www.ciri.com/content/company/tourism.aspx for many ideas on what to do, where to stay, and how to get around Alaska.

Networking and Cultural ReceptionOn the evening of June 24, Southcentral Foundation will be partnering with the Alaska Native Heritage Center to offer an opportunity to network with other health care professionals and to experience an introduction to many Alaska Native cultures and traditions in a business-free environment. The event will take place at the Alaska Na-tive Heritage Center and heavy hors d’oeuvres, beer and wine will be provided. There will also be a silent auction and opportunities to purchase authentic Alaska Native art. All profits will benefit the Alaska Native Heritage Center, a nonprofit educational and cultural institution.

21

For more information on the Alaska Native Heritage Center, please visit their website at www.alaskanative.net

Southcentral Foundation offers thanks and appreciation for the continuing support

of our board of directors.

Back row, left to right: Dr. Terry Simpson (Director), Roy Huhndorf (Director), Loretta Throop (Director), Charles G. Anderson (Vice Chairman), Charles Akers (Director)

Seated, left to right: James Segura (Chairman), Karen Caindec (Secretary/Treasurer)

22