[{"_1":2,"_123":-5,"_124":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,75,87,99,111],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":44,"_46":47,"_48":49,"_50":51,"_52":53,"_54":55,"_56":57,"_58":59,"_60":61,"_62":63,"_64":65,"_66":67,"_68":69,"_70":71,"_72":73,"_74":73},"mediaId",6615435,"mediaKeyId","2940160-2387233694817f4a10d4720afc41fdfe","parentId",2940160,"title","Council approves minutes and adjourns; no policy votes recorded","audioSeconds",0,"startMs",380130,"endMs","viewUrl","/Search/View?dp=1&key=2940160-2387233694817f4a10d4720afc41fdfe&start=380&end=380","thumbnailUrl","https://assets.pipeline.soar.com/2940160-2387233694817f4a10d4720afc41fdfe/thumbnail_380130.jpg","articleUrl","/articles/6615435/Oklahoma/Council-approves-minutes-and-adjourns-no-policy-votes-recorded","mediaUrl","https://secure.pipeline.soar.com/6615435-1ada9ee45fbd8ed342cbcd578ac9fd74/orig.mp4?Expires=1770925110&Signature=o7eX2vZfJ-hI~ohkgrbNFEkh-vsPGvHyUYr-NidiGNr3CwscRIRBTCUfUCtpe1FXHmU0reUKeUKglGVZeEufkas7mDh8o09uefymsMDm8AtzwVlifIxE9ii2364XBVyV9t46nBj73rb5CffSeCKkKDgJTEElI8G8ia4I0fbvAOuXva06yv3lmVCkbNu6jgoUBNHSYMvjj-TQxmXgVLrIP6zslS0PR~0E2B-oYwRoGTEAOAwupveHsfMgH1XcEiHDOPeHV4HiI2mOLlidXvOIRJe3fS6Yg2G6C1LliNZmDpGjTtstfkvDvi62xMh7QGUCq9HtVOheky-EdaucGlniXA__&Key-Pair-Id=KUT5TJCACFTXG","author","Cherokee Nation","date","2025-03-10T00:00:00Z","article","The Cherokee Nation Tribal Council approved the meeting minutes and later approved a motion to adjourn in voice votes during the session.

At the start of the meeting the chair asked for a motion to approve the minutes; a motion and a second were recorded and the chair said, \"All those in favor? Aye. Opposed? Motion passes.\" No mover/second names were recorded in the transcript for the minutes approval.

At the end of the meeting the chair said councilor Joe Dear offered a motion to adjourn; the chair recorded a second, the motion carried on a voice vote and the meeting was adjourned.

No roll-call tallies or recorded yes/no votes were taken for these procedural items, and the transcript does not show any formal votes on ordinances, resolutions, contracts or budget items during this session.

","mediaType","Video","parentTitle","Health Committee Meeting - 03/10/2025","oneSentenceSummary","The Tribal Council approved meeting minutes by voice vote and later approved adjournment; no ordinances, resolutions or budget items were voted on during the session.","taxTitle","Cherokee Nation, Oklahoma","taxId",76341,"location","Oklahoma","headline","","shortSummary",{"_33":76,"_35":36,"_37":38,"_39":77,"_41":78,"_43":79,"_45":80,"_46":81,"_48":82,"_50":83,"_52":84,"_54":55,"_56":57,"_58":85,"_60":61,"_62":63,"_64":86,"_66":67,"_68":69,"_70":71,"_72":73,"_74":73},6615440,"Cherokee Elder Care outlines PACE services, service area and enrollment; council seeks expansion details",905,1470575,2376250,"/Search/View?dp=1&key=2940160-2387233694817f4a10d4720afc41fdfe&start=1470&end=2376","https://assets.pipeline.soar.com/2940160-2387233694817f4a10d4720afc41fdfe/thumbnail_1470575.jpg","/articles/6615440/Oklahoma/Cherokee-Elder-Care-outlines-PACE-services-service-area-and-enrollment-council-seeks-expansion-details","https://secure.pipeline.soar.com/6615440-2cfb9b4b15a3101fafedc9f25f9b9608/orig.mp4?Expires=1770925110&Signature=nlANS60mq4MGASv3fQxPhRXGqBOyTIQFnho5QN6uGbQ4AMc4NfGDX~Do0Bsz99qrcOdtphxGCXYOjWeDIWNJ0m87yHqWSaBEQNSSiwEr5w07RYIgAEdn76iDiRShoDdcOCWxI82Getn7NAqU8vKRl1GFMCB-B2HIGZN4~j8Ilgwev0vNDEE06IGE0xosia0FTRsrpqunyO2qbcytuBl2Ysx60h5p14~bkQNHMBs5ea4hfIu0BeKRrCQL7tlI8YWOk0C55c5rozDS5PxWBs9iasKmLIDUz47Ovq8R65K1ncfDdceIvu1dn12iuWDUHVagcfsw8Yy1k29Sk6Ey9kkw~A__&Key-Pair-Id=KUT5TJCACFTXG","Janet Meredith and colleagues from Cherokee Elder Care presented an overview of the program to the Cherokee Nation Tribal Council, describing services, service area, enrollment and the program’s tribal sponsorship.

Meredith introduced Brian Maloney (intake marketing manager) and Ashley Echols (CFO and interim CEO). A Cherokee Elder Care outreach speaker said the program is ‘‘an all inclusive health care’’ designed to keep older adults in their homes and communities. Staff described services including primary care, transportation, home care, medication and medical supplies, behavioral health, social services, in-house rehabilitation (physical, occupational, speech therapy and assistants) and an adult day center that provides meals and activities.

The presenters said Cherokee Elder Care serves seven counties (Adair, Cherokee, Sequoyah, Mayes, Delaware, Muskogee and Wagoner) and about 32 ZIP codes. The program began in February 2008 and, presenters said, was the first PACE program in the state and the only tribally linked PACE in the nation. Meredith said about 85% of participants are Cherokee Nation citizens.

Councilors asked detailed questions about eligibility, enrollment, funding and transportation. Presenters said the program accepts Medicare and Medicaid, dual-eligibles and private pay options and that program expansion into additional ZIP codes requires Centers for Medicare & Medicaid Services (CMS) approval and an application process. Presenters said Cherokee Elder Care can provide transportation to specialty appointments and to the day center, and that in some cases they contract with Cherokee Nation outreach home health and hospice for in-home services.

Councilors expressed support for outreach into northern reservation areas and asked for the program application and contact information; staff agreed to provide materials to the council. Several councilors shared personal positive experiences with the program’s transitions to hospice and in-person outreach at community nutrition centers.

No formal action was taken; councilors asked staff to follow up with written materials and to consider expansion options that would require CMS approval.

","Cherokee Elder Care staff presented the organization’s services — primary care, transportation, home care, rehabilitation and adult day services — described its PACE structure and tribal sponsorship, and answered council questions about service area, eligibility, transportation and growth plans.",{"_33":88,"_35":36,"_37":38,"_39":89,"_41":90,"_43":91,"_45":92,"_46":93,"_48":94,"_50":95,"_52":96,"_54":55,"_56":57,"_58":97,"_60":61,"_62":63,"_64":98,"_66":67,"_68":69,"_70":71,"_72":73,"_74":73},6615445,"Cherokee Nation public health highlights 13 heart-health events, plans spring walking series",38,1284705,1323395,"/Search/View?dp=1&key=2940160-2387233694817f4a10d4720afc41fdfe&start=1284&end=1323","https://assets.pipeline.soar.com/2940160-2387233694817f4a10d4720afc41fdfe/thumbnail_1284705.jpg","/articles/6615445/Oklahoma/Cherokee-Nation-public-health-highlights-13-heart-health-events-plans-spring-walking-series","https://secure.pipeline.soar.com/6615445-5a6993cb201e6f529df9eded68b95e47/orig.mp4?Expires=1770925110&Signature=fCcwyXH1kaFVhatrL6i9DI3DE1m752izMim9YoXVZgtAJTZMis4PKesiESU-4VO7LhiXFqsqtwa90p5mnyqYwtJW7Q-gcCbosa74KaAmRPz9Gxtk-WYDbztXNRZum0yqxjIxRpeewjQhK-71uyBQLta6YhHA3BEGJmE35O0xeU7P0aJDAEbMmd4FeQnz7xQ2m9hyswOwb6DJvFpPQe70ICj3UzcMgf6WxZcofXwVoS9a44xP1Uq8tKOqtEHQn5bOuaseCsD-wyRLaxB2s~EgaTvlHvktfOcxpoJQXvLH-CRjH7OiWj9lc~TQ8sU4ZWqOPrrxCbxv3SmBOTkFSQaZWw__&Key-Pair-Id=KUT5TJCACFTXG","Kim Chukulek, presenting the Cherokee Nation public health report, told the Tribal Council that February — heart-health month — included 13 events across the reservation with over 426 participants.

Chukulek said the events offered walking activities, cookbooks and educational material, and basic screenings such as A1C and cholesterol checks. She told the council that walking events will continue through spring and that event information is included in the council packet.

Several councilors asked about communicable-disease outreach and measles vaccination efforts. Chukulek said public-health staff are in continual discussion about outreach and will coordinate with medical leadership to provide the council with follow-up information.

Councilors also asked about arrangements with private exercise facilities and whether membership subsidies exist; Chukulek said she did not have that information at the meeting but would follow up.

No formal action or vote was taken on the public-health report; councilors generally offered thanks for the outreach and requested written follow-up on vaccine messaging and facility arrangements.

","Public health staff told the council they held 13 heart-health events across the reservation in February with more than 426 participants, will begin spring walking events, and will follow up about measles vaccine outreach at council request.",{"_33":100,"_35":36,"_37":38,"_39":101,"_41":102,"_43":103,"_45":104,"_46":105,"_48":106,"_50":107,"_52":108,"_54":55,"_56":57,"_58":109,"_60":61,"_62":63,"_64":110,"_66":67,"_68":69,"_70":71,"_72":73,"_74":73},6615450,"Cherokee Nation Health System reports January volumes: 40,000 ambulatory visits, 217,745 prescriptions",136,873875,1010480,"/Search/View?dp=1&key=2940160-2387233694817f4a10d4720afc41fdfe&start=873&end=1010","https://assets.pipeline.soar.com/2940160-2387233694817f4a10d4720afc41fdfe/thumbnail_873875.jpg","/articles/6615450/Oklahoma/Cherokee-Nation-Health-System-reports-January-volumes-40000-ambulatory-visits-217745-prescriptions","https://secure.pipeline.soar.com/6615450-0badfe41e10a893d2de62826bc5b730f/orig.mp4?Expires=1770925110&Signature=gixcQEh1KiS~3QU4LOHs7OMDP3RtfYKbLwIE52BHpsN2NmN9UKFrzSMg8fxPonelNlKKm2clVGwBvKe3M5tbQI806Dg7nLRWfXthvfz7ms9~ExlnypQ7gRSmvla45lJmcKO7L2xj6vlHo2UKktB1GKAOLOl6y-LWJ-DAHsneW-e~MSlk8~El6M-dzgqHACrL4hx2t6oZLU5Us3hkYh5dDLCyMMt3fv1sFGnQb~7W1MkjSM425nFyhFEC2xvisbXKaEbrwjIwwF4uEtr9G8YjODOUr9cqMV1r6biLIzEGaLCkMYCEkOYobum4L5~kCEQomA1a1ZzxEW58YREwSjjBBA__&Key-Pair-Id=KUT5TJCACFTXG","Wayne Caldwell, presenting on behalf of Dr. Steve Jones, reported January 2025 activity across Cherokee Nation’s health system to the Tribal Council, including ambulatory care visits, pharmacy volume and construction updates.

Caldwell said the system recorded about 40,000 ambulatory care visits in January and filled 217,745 prescriptions that month. The emergency department at Hastings served 5,417 patients, and the system recorded 84 births in January, he said. Purchase-referred-care referrals totaled roughly $5,064,622 for the month, with about 14,000 referrals submitted and a 98% approval rate for PRC, Caldwell reported.

Caldwell also gave workforce and records metrics: Cherokee Nation medical staff vacancy was about 4.8% and the vacancy rate across all health professionals was about 3.1%, and the system created 309 new patient charts in January. He briefly noted ongoing construction projects across the health system and said schedules were generally on track but weather can affect timelines.

Council members asked follow-up questions about care coordination for patients from other tribes, the denture program status, availability of patient advocates at clinics, and whether certain OBGYN techniques (\"v-notes\") were being used. Caldwell said contract health staff facilitate PRC routing and that he would follow up on the denture program and OBGYN practice items.

Most comments from councilors were expressions of gratitude or requests for additional written information and follow-up; no formal council action was taken on the metrics report.

","Health system representatives reported monthly metrics to the Tribal Council including ambulatory visits, prescription fills, emergency department volume, deliveries, purchase/referred care costs, staff vacancy rates and active construction projects.",{"_33":112,"_35":36,"_37":38,"_39":113,"_41":114,"_43":115,"_45":116,"_46":117,"_48":118,"_50":119,"_52":120,"_54":55,"_56":57,"_58":121,"_60":61,"_62":63,"_64":122,"_66":67,"_68":69,"_70":71,"_72":73,"_74":73},6615454,"Claremore Indian Hospital reports surgery visits rise, begins Cherokee Nation EHR migration after 14-hour water outage",135,421415,557255,"/Search/View?dp=1&key=2940160-2387233694817f4a10d4720afc41fdfe&start=421&end=557","https://assets.pipeline.soar.com/2940160-2387233694817f4a10d4720afc41fdfe/thumbnail_421415.jpg","/articles/6615454/Oklahoma/Claremore-Indian-Hospital-reports-surgery-visits-rise-begins-Cherokee-Nation-EHR-migration-after-14-hour-water-outage","https://secure.pipeline.soar.com/6615454-e202a9d45d3d83ae2c2b4ec956c40583/orig.mp4?Expires=1770925110&Signature=A~b1Hh7UQYNXpFxp6Suc~T2u6Rxlg5itwlEsut8fiUiNyZVbXC3VSaAZyHcM7ZXhBplRF0694yZGMXWrRNgqMG1Sw-H8Hf2LDSrauegltFNEpWmUbhgUlp6e9clruQfj2MAchZZ5dc~NVNcrUQm0lJvdzrSP9lA-wQDJ11r2GuTvP86CA2HbzdNqrv-osKK7MvmqH-PXuikgO28ULbj8mcFi60P3hbvY2j5f4WUCTryCysPD46zJ4K7sIBjr4-P5RwgqbH8pqancJFVQssOgrsHgTDB7cj6euW8mz4H5QXNn9B-3~j-s7VNkDPMNMQHtrQ00rlMOmUZ36o089tdH-w__&Key-Pair-Id=KUT5TJCACFTXG","Captain Murray, presenting the Claremore Indian Hospital report, told the Cherokee Nation Tribal Council that surgery-clinic visits rose after the hospital aligned its surgery schedule with Cherokee Nation Health Systems.

The change led to a 52% increase in surgery clinic visits to 198 in February compared with February 2024 and a 63% increase in endoscopy procedures in the first month after scheduling changes, Captain Murray said. He also reported that the hospital hosted a three-day electronic health record (EHR) migration kickoff with Cherokee Nation Health Systems.

The EHR kickoff introduced staff to the Oracle/Cerner system used by Cherokee Nation and contrasted it with RPMS, the EHR used by Indian Health Service. ‘‘This was an introductory to the Oracle or Cerner version that Cherokee Nation uses the health record, comparing it with RPMS,’’ Captain Murray said, describing about 78 meetings or sessions for roughly 75 supervisors and frontline staff.

Hospital staff also described an operational disruption after a city water main break on Feb. 11. \"The entire facility lost pressure ... we had to go on a little bit of a divert and surgery and OB divert,\" Captain Murray said. He said the facility remained on divert for about 14 hours while city crews attempted multiple repairs to an aging cast-iron main on the east side of the hospital.

Council members asked follow-up questions about the causes of the surgical uptick and about federal notifications. Captain Murray said the increase resulted in part from longer surgical clinic hours and flex scheduling—switching to a 10-hour day to add slots—and confirmed the hospital receives federal notices and sometimes seeks IHS exemptions when agency policy changes affect operations.

The report also included praise from council members for certification achievements at the facility. Councilor Sasha Black Fox Claws singled out a recent designation: \"...Claire Moore was recently awarded to be certified safe infant sleep hospital ... First of IHS,\" and thanked staff for work on maternal and infant care.

Hospital staff did not present any motion or formal decision during the report; the council did not take an action on the items discussed.

The council discussion distinguished operational data and ongoing projects from formal decisions: the scheduling change and EHR kickoff were presented as implemented or planned operational changes, and the water-main outage was described as an incident that temporarily forced service diversions.

","Hospital staff told the Cherokee Nation Tribal Council that aligning clinic schedules with Cherokee Nation increased February surgery clinic visits 52% and endoscopy procedures 63%; staff also held an electronic health record migration kickoff and weathered a 14-hour water-main outage that forced surgery and obstetrics diversions.","actionData","errors"]

Article not found

Council approves minutes and adjourns; no policy votes recorded

Cherokee Elder Care outlines PACE services, service area and enrollment; council seeks expansion details

Cherokee Nation public health highlights 13 heart-health events, plans spring walking series

Cherokee Nation Health System reports January volumes: 40,000 ambulatory visits, 217,745 prescriptions

Claremore Indian Hospital reports surgery visits rise, begins Cherokee Nation EHR migration after 14-hour water outage