Tsallake zuwa babban abun ciki

Don tambayoyi game da GPHDN:

Becky Wahl
Darakta na Ƙirƙirar Ƙirƙiri da Ƙwararrun Lafiya
becky@communityhealthcare.net

GPHDN

OUR MISHAN

Manufar Cibiyar Bayanan Kiwon Lafiya ta Great Plains ita ce tallafawa membobinta ta hanyar haɗin gwiwa da raba albarkatu, ƙwarewa, da bayanai don inganta aikin asibiti, kuɗi, da aiki..

Babban Cibiyar Bayanan Kiwon Lafiyar Jama'a (GPHDN) ta ƙunshi cibiyoyin kiwon lafiya guda 11, wanda ya ƙunshi shafuka 70, tare da ba da sabis na marasa lafiya sama da 98,000. Cibiyoyin kiwon lafiya da ke halartar suna cikin biranen da ba a yi aiki da su ba da kuma yankunan karkara a fadin North Dakota, South Dakota da Wyoming. Cibiyoyin kiwon lafiya ba su da riba, dakunan shan magani na al'umma waɗanda ke ba da ingantaccen kulawa na farko da na rigakafi ga kowane ɗaiɗai, ba tare da la'akari da matsayin inshora ko ikon biya ba.  

An kafa GPHDN a watan Agusta 2019 kuma ta himmatu wajen inganta samun damar samun bayanan lafiyar marasa lafiya; haɓaka tsaro na bayanai; inganta gamsuwar mai bayarwa; inganta haɗin kai; da goyan bayan kulawa da kwangilar tushen ƙima.

Kwamitin jagoranci na GPHDN ya ƙunshi wakilai daga kowace cibiyar kiwon lafiya da ke halarta. Kwamitin zai ba da kulawa, tabbatar da aiwatarwa cikin nasara da ci gaba da nasarar shirin. Membobin za su yi aiki don ginawa da ƙarfafa GPHDN ta hanyoyi daban-daban: 

  • Tabbatar cewa GPHDN ya dace da buƙatun tallafi;
  • Raba ra'ayinsu a fagen gwaninta da ba da taimako don tallafawa cibiyoyin kiwon lafiya masu shiga;
  • Taimakawa ma'aikata don haɓaka tasiri da cimma burin GPHDN da sakamako;  
  • Bayar da jagorar dabarun kan alkiblar GPHDN na gaba, yayin da damar samar da kudade ke tasowa;  
  • Kula da ci gaban GPHDN; kuma,  
  • Bayar da rahoton shirin da matsayin kuɗi ga Hukumar. 
Dolbec
Dan kwamitin
Coal Country Community Health Center
www.coalcountryhealth.com

Amanda Ferguson
Dan kwamitin
Cikakken Lafiya
www.completehealthsd.care

Kaylin Frappier
Dan kwamitin
Kula da Lafiyar Iyali
wwww.famhealthcare.org

Scott Weatheril
Shugaban kwamitin
Horizon Health Care, Inc
www.horizonhealthcare.org

David Asa
Dan kwamitin
Cibiyoyin Lafiya na Northland
www.northlandchc.org

David Squires
Dan kwamitin
Cibiyoyin Kiwon Lafiyar Jama'a na Northland
www.wyhealthworks.org

Tim Buchin
Dan kwamitin
Spectra Lafiya
www.spectrahealth.org

Scott Cheney ne adam wata
Dan kwamitin
MAGAMA
www.calc.net/crossroads

Amy Richardson
Dan kwamitin
Falls Lafiyar Al'umma
www.siouxfalls.org

Afrilu Gindulis
Dan kwamitin
Cibiyar Kiwon Lafiyar Jama'a ta Tsakiya WY
www.chccw.org

Colette Mild
Dan kwamitin
Cibiyar Lafiya ta Heritage
www.heritagehealthcenter.org

Zai Weiser
Dan kwamitin
Cibiyar Lafiya ta Heritage
www.heritagehealthcenter.org

GPHDN yana ginawa da haɓaka ƙaƙƙarfan haɗin gwiwa tare da masu ruwa da tsaki na ƙasa, jaha, da na gida don ci gaba da manufar cibiyoyin kiwon lafiya a duk faɗin Dakotas da Wyoming. Haɗin kai, aiki tare, da maƙasudai da sakamakon da aka raba sune tsakiyar haɗin gwiwa da haɗin gwiwarmu, suna tallafawa ƙoƙarinmu don inganta samun damar samun damar marasa lafiya ga bayanan lafiyar su; haɓaka tsaro na bayanai; inganta gamsuwar mai bayarwa; inganta haɗin kai, da tallafawa kulawa da kwangilar tushen ƙima.

GPHDN

Upcoming Events

GPHDN

Aikace-Aikace

Taron kolin GPHDN 2022

Afrilu 12-14, 2022

2022 BABBAR BAYANIN KIWON LAFIYA DA TSARI DA SHARRI

Babban taron kula da harkokin kiwon lafiya na kasa (GPHDN) ya ƙunshi masu gabatar da shirye-shirye na ƙasa waɗanda suka ba da labaran nasarorin bayanan lafiyar su, darussan da aka koya, da kuma hanyoyin da cibiyoyin kiwon lafiya za su iya aiki tare ta hanyar cibiyar sadarwa mai sarrafa cibiyar kiwon lafiya (HCCN) don inganta fasahar kiwon lafiya da bayanai. Da safe, masu magana sun zayyana kalubale da damammaki na kulawa, kuma suna jagorantar cibiyoyin kiwon lafiya a tattaunawar bita kan yadda kulawa ta zahiri zai dace da dabarun dabarun cibiyar kiwon lafiya. La'asar ta mayar da hankali kan ɗaukar bayanai da gudanar da nazarin bayanai - ciki har da abin da GPHDN ya cim ma ya zuwa yanzu da kuma inda zai yi la'akari da gaba. Wannan taron ya ƙare tare da tsarin dabarun GPHDN, kuma ya haifar da sabon tsarin shekaru uku na hanyar sadarwa.

Click ta
e don gabatarwar PowerPoint.

Taron Kungiyar Masu Amfani da Tsaro na GPHDN

Disamba 8, 2021

Shirya don Ransomware? Bi Shirin Amsa Lamarin ku

Ransomware tsohuwa ce amma barazanar da ke ci gaba da tasowa wacce ke ci gaba da karuwa. A yau, ransomware ba wai kawai kama fayilolin haƙuri bane da kulle mahimman hanyoyin sadarwa amma har ma da zurfafa zurfafa cikin cibiyoyin sadarwa da tura ɓarna bayanai da satar bayanai. Tare da ƙarancin albarkatu, cibiyoyin kiwon lafiya suna da rauni musamman. Don ƙarin fahimtar sababbin hanyoyin da za a fuskanci kalubale na ransomware, ƙungiyoyi suna buƙatar ɗaukar lokaci don yin shiri sosai.

Tsayawa mataki gaba yana da mahimmanci, kuma yadda ƙungiyar kula da lafiyar ku ke kare bayanan mara lafiya da sarrafa abubuwan gaggawa yana da mahimmanci don isar da lafiya, haɗin kai, kulawa mai inganci. An tsara wannan gabatarwar don taimakawa sanya shirin mayar da martani a wuri tare da mai da hankali kan sabon samfurin harin ransomware. Za mu mai da hankali kan sabbin bayanai da wayar da kan jama'a ga barazanar ransomware da kuma yadda suke tasiri a shirye-shiryen gaggawa na kiwon lafiya.

Abin da Za Ku Koya:

1. Muhimmancin tsarawa - amsawar lamarin.
2. Tasirin ransomware na yau ga cibiyar lafiyar ku.
3. Abubuwan da ke faruwa na amsawa akan tebur da za a yi amfani da su da kuma aiki a cibiyar kiwon lafiyar ku.
4. Horo shine mabuɗin.
5. Sa ido kan tsaro na yanar gizo.

Click nan don yin rikodi.
Click nan don powerpoint.

Littafin Bayanai na 2021

Oktoba 12, 2021

Littafin Bayanai na 2021

Ma'aikatan CHAD sun gabatar da cikakken bayyani na 2020 CHAD da Great Plains Health Data Network (GPHDN) Littattafan Bayanai, suna ba da bayyani na bayanai da jadawali waɗanda ke nuna halaye da kwatancen alƙaluman majiyyata, gaurayawan masu biyan kuɗi, matakan asibiti, matakan kuɗi, da mai bayarwa. yawan aiki.
Click nan don yin rikodi (ana kiyaye rikodin don membobin kawai)
Don Allah a kai ga Melissa Craig idan kuna buƙatar samun dama ga littafin bayanai

Jerin Yanar Gizon Mai Ba da Gamsuwa

Yuni - Agusta 2021

Aunawa da Ƙarfafa Gamsuwar Mai Bayar da Tsarin Yanar Gizon Yanar Gizo

Gabatarwa: Shannon Nielson, CURIS Consulting

wannan jerin sassa uku za su bayyana mahimmancin gamsuwar mai bayarwa, tasirin sa akan ayyukan cibiyar kiwon lafiya, da yadda za a gano da auna gamsuwar mai bayarwa. Shafin yanar gizon yanar gizon zai ƙare a cikin zaman karshe a taron CHAD a cikin mutum a watan Satumba, yana tattauna yadda za a inganta gamsuwa ta amfani da fasahar bayanan kiwon lafiya (HIT). An gabatar da shi ta hanyar CURIS Consulting, jerin za su haɗa da tsarin rarraba binciken ga masu samarwa don kimanta gamsuwa da kuma nazarin sakamakon membobin CHAD da Babban Cibiyar Kula da Lafiya ta Plains (GPHDN). Masu sauraro da aka yi niyya don wannan jerin sassa uku sune ma'aikatan c-suite, jagororin asibiti, da ma'aikatan albarkatun ɗan adam.


Muhimmancin Tantance Gamsarwar Mai Ba da Shawara
Yuni 30, 2021

Wannan gidan yanar gizon yanar gizon zai bayyana rawar da masu ba da gudummawa da matakan gamsuwar su ke da shi akan ayyukan cibiyar kiwon lafiya gabaɗaya. Mai gabatarwa zai raba kayan aikin daban-daban da aka yi amfani da su don auna gamsuwar mai bayarwa, gami da safiyo.

Gane nauyin mai bayarwa
Yuli 21, 2021

A cikin wannan gabatarwar, masu halarta za su mayar da hankali kan gano abubuwan da ke ba da gudummawa da abubuwan da ke tattare da nauyin mai bayarwa. Mai gabatarwa zai tattauna tambayoyin da aka haɗa a cikin kayan aikin bincike na gamsuwa na CHAD da GPHDN da kuma tsarin rarraba binciken.

Danna nan don yin rikodi.
Danna nan don ma'aunin wutar lantarki.


Auna gamsuwar mai bayarwa
Agusta 25, 2021

A cikin wannan rukunin yanar gizon na ƙarshe, masu gabatarwa za su raba yadda ake auna gamsuwar mai bayarwa da kuma yadda ake kimanta bayanai. Za a bincika sakamakon binciken gamsuwar mai ba da CHAD da GPHDN tare da masu halarta yayin gabatarwa.

Danna nan don yin rikodi.
Danna nan don ma'aunin wutar lantarki.


Fasahar Watsa Labarai ta Lafiya (HIT) da Gamsar da Mai bayarwa
Nuwamba 17, 2021

Wannan zaman zai ɗan yi bitar binciken gamsuwa na mai ba da GPHDN gabaɗaya kuma ya haɗa da zurfafa nutsewa cikin yadda fasahar bayanan kiwon lafiya (HIT) za ta iya tasiri gamsuwar mai bayarwa. Za a gabatar da mahalarta ga dabarun ƙirƙirar ingantacciyar ƙwarewar mai bayarwa yayin amfani da fasahohin bayanan kiwon lafiya daban-daban. Masu sauraro da aka yi niyya don wannan gidan yanar gizon sun haɗa da c-suite, jagoranci, albarkatun ɗan adam, HIT, da ma'aikatan asibiti.
Click nan don yin rikodi.

Al'adar Ƙungiya da Gudunmawarta don Gamsar da Ma'aikata
Disamba 8, 2021

A cikin wannan gabatarwar, mai magana ya bayyana rawar da al'adun kungiya ke takawa da tasirinsa ga mai bayarwa da gamsuwar ma'aikata. An gabatar da masu halarta zuwa mahimman dabaru don tantance yanayin al'adun ƙungiyoyin su na yanzu da kuma koyon yadda ake gina al'adun da ke haɓaka ƙwarewar ma'aikata. Masu sauraro da aka yi niyya don wannan gidan yanar gizon sun haɗa da c-suite, jagoranci, albarkatun ɗan adam, da ma'aikatan asibiti.
Click nan don yin rikodi.
Click nan don powerpoint.

Jerin Koyon Ƙwararrun Ƙwararrun Ƙwararru na Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararru da Ma'aikata

Fabrairu 18, 2021 

A cikin wannan zama na ƙarshe, ƙungiyar ta tattauna yadda za a tattara ra'ayoyin masu haƙuri da ma'aikata game da amfani da tashar mara lafiya da kuma yadda za a yi amfani da ra'ayoyin da aka tattara don inganta ƙwarewar haƙuri. Mahalarta taron sun ji takwarorinsu kan wasu kalubalen da majiyyata ke fuskanta na samun bayanan lafiyarsu da kuma bincika hanyoyin inganta sadarwar mara lafiya.

Danna nan don yin rikodi.
Danna nan don ma'aunin wutar lantarki.

Haɗin Bayanai, Tsarin Nazari da Binciken Gudanar da Kiwon Lafiyar Jama'a

Disamba 9, 2020

Babban Cibiyar Bayanan Kiwon Lafiyar Jama'a (GPHDN) ta karbi bakuncin gidan yanar gizon yanar gizon yanar gizon yanar gizon yanar gizon yanar gizon yanar gizon yanar gizon yanar gizon yanar gizon yanar gizon yanar gizon yanar gizon yanar gizon yanar gizon yanar gizon yanar gizon yanar gizon yanar gizon yanar gizon yanar gizon yanar gizon yanar gizon yanar gizon yanar gizon yanar gizon yanar gizon yanar gizo na Great Plains Health Data Network (GPHDN) don samar da wani bayyani na Tsarin Tsarin Bayanai da Ƙididdiga (DAAS) da tsarin da aka yi amfani da shi don ƙayyade shawarar da aka ba da shawarar kula da lafiyar jama'a (PMH). Kayan aikin PMH zai zama muhimmin sashi na DAAS, kuma mai siyarwar da aka ba da shawarar, Azara, yana samuwa don yin taƙaitaccen nuni idan an buƙata. Masu sauraron da aka yi niyya sune ma'aikatan cibiyar kiwon lafiya, ciki har da jagoranci, wanda zai iya buƙatar ƙarin bayani don taimakawa tsarin yanke shawara ko samun wasu tambayoyi akan tsarin PMH ko DAAS. Manufar ita ce yin tattaunawa gaba ɗaya akan mai siyar da PMH da kuma samar da cibiyoyin kiwon lafiya tare da mahimman bayanai don yanke shawara ta ƙarshe.

Danna nan don yin rikodi

Jerin Koyon Ƙwararrun Ƙwararru na Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararru

Nuwamba 19, 2020 

A lokacin zama na uku, mahalarta sun koyi yadda ake haɓaka kayan horarwa ga ma'aikata akan ayyukan tashar da kuma yadda za a bayyana fa'idodin tashar ga marasa lafiya. Wannan zaman ya ba da sauƙi, bayyanannun wuraren magana da umarni don tashar mara lafiya wanda ma'aikata za su iya bita tare da majiyyaci.

Danna nan don yin rikodi.
Danna nan don ma'aunin wutar lantarki.

Jerin Koyon Ƙungiyoyin Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararru

Oktoba 27, 2020 

Wannan zaman ya tattauna fasalulluka na tashar tashar haƙuri da ke akwai da kuma tasirin da zasu iya yi akan ƙungiyar. Mahalarta sun koyi yadda za su ƙara yawan aiki kuma sun ji la'akari idan ya zo ga manufofi da matakai a cikin cibiyoyin kiwon lafiya.

Danna nan don yin rikodi.
Danna nan don ma'aunin wutar lantarki.

Gabatarwar Littattafan Bayanai na CHAD 2019 UDS

Oktoba 21, 2020 

Ma'aikatan CHAD sun gabatar da cikakken bayyani na 2019 CHAD da Great Plains Health Data Network (GPHDN) Littattafan Bayanai, suna ba da bayyani na bayanai da jadawali waɗanda ke nuna halaye da kwatancen alƙaluman majiyyata, gaurayawan masu biyan kuɗi, matakan asibiti, matakan kuɗi, da mai bayarwa. yawan aiki.

Danna nan don yin rikodi da GPHDN Data Book.

Jerin Koyon Ƙwararrun Ƙwararru na Ƙarfafa Ƙira - Haɓaka Harshen Haƙuri

Satumba 10, 2020 

A cikin wannan zama na farko, Jillian Maccini na HITEQ ya ilmantar da fa'idodin da yadda ake inganta tashar mara lafiya. Ana iya amfani da tashar mai haƙuri don haɓaka haɗin kai na haƙuri, daidaitawa da taimakawa tare da wasu manufofin ƙungiya, da haɓaka sadarwa tare da marasa lafiya. Wannan zaman ya kuma ba da hanyoyin haɗa amfani da hanyar sadarwa a cikin ayyukan cibiyar kiwon lafiya.

Danna nan don yin rikodi
Danna nan don ma'aunin wutar lantarki

Horizon TytoCare Demo

Satumba 3, 2020

Babban samfura sune TytoClinic da TytoPro. TytoPro shine samfurin Horizon da aka yi amfani da shi don wannan zanga-zangar. TytoClinic da TytoPro duka suna zuwa tare da na'urar Tyto tare da kyamarar jarrabawa, thermometer, otoscope, stethoscope da mai hana harshe. Hakanan TytoClinic yana zuwa tare da firikwensin O2, cuff ɗin hawan jini, belun kunne, tsayawar tebur da iPad.

Click nan don yin rikodi

Data-titude: Amfani da Bayanai don Canza Kiwon Lafiya

Agusta 4, 2020
webinar

CURIS Consulting ya ba da bayyani game da yadda amfani da tsarin tattara bayanai da tsarin nazari (DAAS) zai iya tallafawa haɓaka ingancin haɗin gwiwa da ƙoƙarin sake fasalin biyan kuɗi a cikin yanayin cibiyar sadarwa. Wannan horon ya gano abubuwan da za a yi la'akari da su yayin zabar kayan aikin kiwon lafiyar jama'a tare da haɗari da dawowa kan saka hannun jari tare da kula da lafiyar jama'a. Mai gabatarwa ya kuma ba da haske kan yadda bayanan da aka tattara ta hanyar DAAS za su iya ba da damar sabis na gaba don hanyar sadarwa.

Danna nan don yin rikodi
Danna nan don ma'aunin wutar lantarki

Taron GPHDN da Taron Tsare Tsare Tsare Tsare

Janairu 14-16, 2020
Rapid City, South Dakota

Babban taron dabarun shirya don babban filin sadarwa na lafiya (GPCDN) a cikin tsananin gari Cibiyoyin (CHCs) suna ci gaba da yunƙurin Fasahar Watsa Labarai na Lafiya (HIT). Batutuwan taron sun mayar da hankali kan manufofin GPHDN ciki har da haɗin kai na haƙuri, gamsuwar mai bayarwa, raba bayanai, nazarin bayanai, ƙimar haɓaka bayanai, da cibiyar sadarwa da tsaro na bayanai.

Taron tsare-tsare ya biyo baya ne a ranakun Laraba da Alhamis, 15-16 ga Janairu. Taron tsare-tsare da mai gudanarwa ya jagoranta tattaunawa ce ta bude baki tsakanin shugabannin GPHDN daga cibiyoyin kiwon lafiya da suka halarci taron da kuma ma’aikatan GPHDN. An yi amfani da tattaunawar don daidaita abubuwan da suka fi dacewa, ganowa da kuma rarraba albarkatun da ake buƙata, da haɓaka manufofin da za a yi a cikin shekaru uku masu zuwa na hanyar sadarwa.

Danna nan don albarkatu
Danna nan don Tsarin Dabarun 2020-2022

GPHDN

Cibiyar Bidiyo

Barka da zuwa Cibiyar Watsa Labarai ta GPHDN! Anan zaku sami sabbin labarai da bayanai game da GPHDN da cibiyoyin lafiya masu shiga. Fitowar labarai, wasiƙun labarai, gidan yanar gizon hoto duk suna nan don faɗakar da sanarwa da ayyuka na yau da kullun. Akwai abubuwa masu mahimmanci da yawa da ke faruwa a GPHDN da fadin Wyoming, North Dakota da South Dakota, don haka tabbatar da duba
dawo akai-akai ko yi rajista don karɓar wasiƙarmu da sakewa.

Babban Plains Health Data Network 

Ƙungiyar Kiwon Lafiyar Al'umma ta Dakotas da Ƙungiyar Kula da Farko ta Wyoming An Ba da Kyauta don Samar da Babban Cibiyar Bayanai
Yuli 26, 2019

SIOUX FALS, SD - Ƙungiyar Kiwon Lafiyar Jama'a ta Dakotas (CHAD) ta sanar da haɗin gwiwa tare da Ƙungiyar Kula da Farko ta Wyoming don samar da Babban Cibiyar Bayanan Kiwon Lafiya ta Plains (GPHDN). GPHDN wani haɗin gwiwa ne wanda zai yi amfani da ƙarfin shirin Cibiyar Kula da Cibiyoyin Kula da Lafiya (HCCN) don tallafawa ƙarfin fasaha na wasu cibiyoyin kiwon lafiya mafi nisa da kuma rashin wadata a cikin kasar. GPHDN yana yiwuwa ne ta hanyar tallafin shekaru uku da Hukumar Kula da Albarkatun Kiwon Lafiya da Sabis (HRSA) ta bayar, jimlar dala miliyan 1.56 a cikin shekaru 3.  KARA KARANTAWA…

Taron GPHDN da Tsare Tsare Tsare
Janairu 14-16

An gudanar da taron koli da tsare-tsare na GPHDN daga ranar 14-16 ga Janairu a Rapid City, SD. Wannan shine karo na farko da dukkanin cibiyoyin kiwon lafiya goma sha ɗaya daga ND, SD, da WY suka taru a matsayin hanyar sadarwa don tarurrukan ido-da-ido. Bangaren taron koli na shirin yana nufin ya zama ilimi kuma don ba wa mahalarta hangen nesa game da abin da cibiyar sadarwa ke sarrafa cibiyar kiwon lafiya (HCCN) iya kasance. Wadanda suka yi jawabi sun hada da shugabannin kasa da suka jagoranci HCCN masu nasara. Babban mai magana ya gabatar akan tasirin haɗin gwiwa da ikon haɗin gwiwa da haɗin gwiwar da ke haifar da fa'ida da damar koyo.

An shafe kashi na biyu na taron akan tsare-tsare. Taron koli da taron tsare-tsare sun kasance babbar dama ga mambobin su fara hada kai da abokan aikinsu da kuma bunkasa makomar GPHDN. Ƙungiyar ta daidaita kan manufa mai zuwa ga GPHDN:

Manufar Cibiyar Bayanan Kiwon Lafiya ta Great Plains ita ce tallafawa membobin ta hanyar haɗin gwiwa da raba albarkatu, ƙwarewa, da bayanai don inganta kuɗin asibiti, da aikin aiki.

Wannan gidan yanar gizon yana samun goyan bayan Ma'aikatar Albarkatun Kiwon Lafiya da Sabis (HRSA) na Ma'aikatar Lafiya da Sabis na Jama'a ta Amurka (HHS) a matsayin wani ɓangare na kyautar da ta kai $1,560,000 tare da kashi sifili da aka samu daga kafofin da ba na gwamnati ba. Abubuwan da ke ciki na marubucin ne kuma ba dole ba ne su wakilci ra'ayi na hukuma, ko amincewa, ta HRSA, HHS ko Gwamnatin Amurka.