Southeast Alaska Regional Health Consortium (SEARHC) is a non-profit medical, dental, vision and mental health organization serving the health interests of the residents of Southeast Alaska.
Organizational structure
Mt. Edgecumbe Medical Center ER
As a non-profit tribal health consortium of 18 Native communities, SEARHC serves the health interests of the Tlingit, Haida, Tsimshian people, other Alaska Native people, and other residents of Southeast Alaska. It is one of the oldest and largest Native-run health organizations in the United States.
Each of the eighteen-member Board of Directors is elected by and represents one of the village tribal organizations. The board supervises the Chief Executive Officer of the Consortium. The Board typically alternates bi-monthly meetings between Juneau and Sitka, but will occasionally convene in a smaller village.
In Southeast Alaska, Southeast Alaska Regional Health Consortium runs healthcare facilities across 27 communities as of 2022, including hospitals in Sitka and Wrangell;[2] although it originally served Native Americans only, it has expanded access and combined with other local facilities over time.[3][4]
History
About a decade after the Alaska Statehood Act in 1959 there were two significant Federal acts that impacted Alaska Natives.
The next was the Indian Self-Determination and Education Assistance Act of 1975. This allowed Tribal organizations to form contracts with the Bureau of Indian Affairs and to transfer the responsibility for management and delivery of services such as housing, lands management, tribal government assistance, education and employment and natural resources programs. Also included in this was the delivery of health care services, previously supplied from the Indian Health Service (IHS).
SEARHC's contracting with IHS began in 1976 when it took over management of the Community Health Aides Program. In 1982, SEARHC took over operation of the IHS Juneau clinic and in 1986 it took over operation of Mt. Edgecumbe Hospital in Sitka. Following the creation of these anchor facilities, SEARHC began building and staffing regional outpatient facilities in most of the smaller villages it represented.
In 2004, SEARHC developed the Frontier Extended Stay Clinic (FESC) program that allows five primary care clinics in remote Alaska and Washington to provide around-the-clock care for seriously injured or ill patients, and patients who require monitoring before returning home. By covering longer patient stays, the program has saved $14 million in medical evacuations and improved the quality of care for patients.[5]
In 2006 a biography of the organization was written and entitled Gumboot Determination: The Story of the Southeast Alaska Regional Health Consortium, which won an recognition in the American Book Awards.
