Additional Services - Yellowhawk Tribal Health Center

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Additional Services

Outstation Outreach Worker & Tribal Navigator

Yellowhawk offers tribal assisters to help with applications through our Outstation Outreach Worker (OSOW) and Tribal Navigator positions. Tribal assister offices are available Monday through Friday during regular business hours, appointments are preferred but walk-in help is offered if staff are available. Outstation Outreach Workers (OSOW) are available to navigate insurance options and enrollment. For social security questions please contact the Local Social Security office 877.405.0480.

OUTSTATION OUTREACH WORKER (OSOW)

OSOW’s are responsible for screening patients for Oregon Health Plan/Medicaid. If a patient is eligible for Purchase Referred Care (PRC) this an annual requirement to maintain eligibility. Oregon Health Plan (OHP) is a state medical insurance available to Oregon residents for free.

Eligibility is dependent on multiple factors. Our staff can assist patients with applications for Oregon Health Plan/Medicaid or the Federal Marketplace (for those not eligible for Medicaid).

Outstation Outreach Workers offer navigation of the Health Insurance Marketplace for our clients who are not eligible for Medicaid, Medicare, Tricare, or private insurance through an employer. Our team will help you shop for private insurance options.

TRIBAL NAVIGATOR

The purpose of Tribal Navigator Program is to assist community elders with applications for APD, CAPECO. We also work with the state SHIBA office to help with Medicare applications. The APD Tribal Navigator Program is a formal partnership between local APD/AAA local offices and Tribal Entities. Programs and services are not always easy to access, and the process can be confusing and complicated. That’s why Yellowhawk has partnered with the Oregon Department of Human Services, Office of Aging and People with Disabilities to provide a Tribal Navigator.

What Tribal Navigators do:

- Assist with applications in person or by phone for
  - APD for medical or long term care assessment.
  - CAPECO for senior services, rental assistance, money management services.
  - Medicare for medical Part A/B
- Accompany /Transport elder for APD applications and help APD staff with annual assessments
- Help elders report changes for programs that need updates and changes
- Provide information (referrals) for local programs and services to help with activities of daily living.

What Tribal Navigators do NOT:

- Cannot transport elders in private vehicles for official business.
- Cannot provide house cleaning, shopping, or cooking services.

ASL Translation Services

Language is vital for both patients and staff to communicate effectively. Yellowhawk Tribal Health Center is committed to ensuring that all patients are able to communicate with staff in a way that ensures the patient receives the care that they need in an understandable manner. If you are in need of ASL translation services please contact Yellowhawk as far in advance of your appointment time as possible.

Advanced Directive

An advance directive explains the specific health care measures a person’s wants if they have a terminal illness or injury and are incapable of indicating whether to continue beneficial and life-sustaining treatment, or to remove life support systems.

The person must develop the advance directive while they are able to clearly and definitively express themselves verbally, in writing, or in sign language. It must express the person’s own free will regarding their health care, not the will of anyone else. It does not affect routine care for cleanliness and comfort. This care must be given whether or not there is an advance directive.

In Oregon, the Health Care Decisions Act (ORS 127.505 – 127.660 and ORS 127.995) allows an individual to preauthorize health care representatives to allow the natural dying process if they are medically confirmed to be in one of the conditions described in his or her health care instructions. This act does not authorize euthanasia, assisted suicide, or any overt action to end the person’s life.

PATIENT’S TRIBAL CUSTOMS AND TRADITIONAL BELIEFS. A patient’s Tribal customs and traditional beliefs that relate to death and dying will be respected whenever possible.

PATIENT REVOCATION OF ADVANCE DIRECTIVE. A patient may revoke an advance directive at any time in accordance with applicable law.

To learn more about advanced directives, their purpose and how you can fill one out, please speak to your Yellowhawk primary care provider. They can assist with obtaining the form for you but we are unable to give legal advice.

Yellowhawk want you to be proactive on your health and records, learn more about the Advanced Directive from OHA here.

Advance Directive Documents

POLST Factsheet

Advance Directive Form

How to complete the Advance Directive