Mishra Meenoo, Lupi Monica Valdes, Carter Sara Sally, Meeks Kevin
Mishra Consulting, Alexandria, Virginia (Ms Mishra); Association of State and Territorial Health Officials, Arlington, Virginia (Ms Valdes Lupi); Oklahoma State Department of Health, Oklahoma City (Ms Carter); and Oklahoma City Area Office of the Indian Health Service, Oklahoma City (Mr Meeks).
J Public Health Manag Pract. 2016 Jan-Feb;22 Suppl 1:S94-9. doi: 10.1097/PHH.0000000000000329.
Oklahoma has a history of strong partnerships with their tribal health leaders and tribal communities. In 2012, the Oklahoma State Department of Health (OSDH) established the Office of the Tribal Liaison, as Oklahoma has 39 tribal nations in the state, of which 38 are federally recognized. The Office of the Tribal Liaison is responsible for promoting relationships with Oklahoma Tribal Nations and implementing the OSDH Tribal Consultation policy.
The strength of the partnership between the OSDH and the Tribal Nations enabled a new collaboration during an event hosted by a tribal casino event center that brought tattoo artists to provide tattoos to patrons over 3 days. Licensure issues that crossed the jurisdiction boundaries of the OSDH emerged before the event, which required the OSDH, Indian Health Service, and the Tribal Nation to work together to protect the public's health. The 3 jurisdictions drew upon their previously established partnership, OSDH's tribal consultation policy, and their open and trusting relationship to come together quickly to protect the public's health.
This event and interjurisdictional partnership highlighted the importance of adopting the "Spectrum of Processes for Collaboration and Consensus-Building" model as outlined by Orenstein et al to help guide and support state, tribal, and federal collaborations. This case example highlights the opportunities for collaboration between different regulatory public health and tribal bodies to improve the communities' health.
俄克拉荷马州与部落卫生领袖及部落社区有着长期紧密的合作历史。2012年，俄克拉荷马州卫生部（OSDH）设立了部落联络办公室，因为该州有39个部落民族，其中38个得到联邦政府认可。部落联络办公室负责促进与俄克拉荷马部落民族的关系，并实施OSDH的部落协商政策。
OSDH与部落民族之间的合作优势促成了一次新的合作，在一个部落赌场活动中心举办的活动中，纹身艺术家在3天时间里为顾客提供纹身服务。活动前出现了跨越OSDH管辖边界的执照问题，这要求OSDH、印第安卫生服务局和部落民族共同努力以保护公众健康。这三个管辖区利用他们先前建立的合作关系、OSDH的部落协商政策以及他们开放且相互信任的关系，迅速联合起来保护公众健康。
此次活动及跨辖区合作突出了采用奥伦斯坦等人概述的“协作与共识建立流程谱”模型的重要性，以帮助指导和支持州、部落及联邦之间的合作。这个案例突出了不同监管性公共卫生机构与部落机构之间开展合作以改善社区健康状况的机会。
