NUMANEWS WWW.FPST.ORG JANUARY 2022 - Fallon Paiute Shoshone Tribe
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NUMA NEWS
FALLON PAIUTE SHOSHONE TRIBE
WWW. FPST.ORG JANUARY 2022
Fallon Tribal Health Center Makes the New York Times
Summer Youth Workers
learn about interest rates
It’s been a Year! 2021 Highlights & Accomplishments
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BRIEF OF THE 2021
FBC
ANNUAL
REPORT
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FALLON PAIUTE SHOSHONE TRIBE
LETTER FROM THE TRIBAL CHAIRMAN
On behalf of the Fallon Business Council, I am pleased to submit the Fallon Paiute Shoshone Tribe’s Annual
Reports for Fiscal Year 2021. Our directors and staff worked hard this year to provide leadership and dedicat-
ed service to our members. The 2021 Annual Report is an opportunity to take a moment to celebrate the suc-
cesses of our Tribal government.
This year as your Chairwoman, I chose to have all directors come together in the Council Chambers on
December 21, 2021 to share their annual program reports and goals for 2021-2022. The purpose being to
bring a sense of unity amongst our tribal departments as well as having commonality amongst the programs
for the most beneficial support and services for our membership and staff. This event was nearly 100% partic-
ipation which was truly appreciated.
Within the 2021 Annual Report, we share some of the year’s highlights and accomplishments. You will find
those goals highlighted throughout this report as our programs summarize their many accomplishments this
past year. I encourage all of you to read the report in detail and if you have more questions or would simply
like to meet program staff, please contact the department directors. I know they will be more than happy to
share more about their departments
It has been a very intense learning experience for me. As a person who follows policies & procedures, one of
my main goals for my term will be to work diligently with the Fallon Business Council and our legal counsel
with necessary tribal membership input to generate, modify any current and implement policies and proce-
dures to best meet the direct needs of the tribe. I encourage the membership to continue participation in as-
pects of tribal involvement as you are the true leaders of this tribe because we were elected for and/or chosen
to work for you!
This year brought several listening opportunities for the voices of the Fallon Tribal members to be heard:
Several strategic plan public meetings, General Council Meetings, department activities and annual tribal
events. The FPST adheres to COVID-19 health requirements, and in some instances, are more stringent as our
top priority is to ensure the safety of the FPST community. Any event is conditional on current health orders
to help reduce the spread of infection in our community and safeguard our ability to serve those who depend
on us.
We look forward to seeing you at the monthly tribal meetings and at other tribal events. I appreciate the sup-
port and encouragement you have given me when I came on board in August 2021 and will serve to the best
of my abilities through October 2022.
The Fallon Business Council looks forward to working for you for another year. Have a Happy & Prosperous
New Year.
Sincerely,
Cathi Williams-Tuni
Chairman
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FBC Secretary’s Office 775.423.6075
The FBC Secretary's Office is responsible for the administration of the Fallon Business Council meetings, certification
of enactments of ordinances, codes, resolutions, the management of the FPST land including Tribal Assignments, and
supervise over matters relating to enrollment and the elections. The goal of the Secretary's office is to support the FBC
and Tribal membership.
2021 Accomplishments
Instrumental in the re-establishment of the FPST Cultural Committee and the Cultural Committee by-laws as well as
kept membership in existing committees.
Participation in the TERO Summer Youth Program and provided Sofia DelaCruz mentorship on the secretarial assis-
tant duties and operations of the FBC office. Sofia continues to
support the FBC Secretary's Office as a TERO worker.
Attended various meetings, workshops and conferences including but not limited to the following; Water for the
Seasons Summit, Nevada Tribal Advisory Committee, American Rescue Act training, Community Strategic Plan-
ning Meeting, and FPST Strategic Planning with FBC and Daphne Hooper.
Assisted with the coordination and distributed Chromebooks to tribal youth in grades kindergarten to high school (K
-18 years old).
Completed tribal membership verification for the per capita distribution and various ARPA and CARES Funding
distributions approved by the FBC including but not limited to the
following; $1,400 COVID-19 relief checks, CARES ACT 2021 Economic Security Response Gift Cards, and the
CARES One-Time Heating Assistance.
Completed the first HUD 184 Residential Lease which was in progress since 2019.
Attended the National Indian Board and Council Members Conference and received a certification of completion.
Welcomed and met with the newly hired Big Fire Tribal attorneys.
2022 Program Goals
• Continue to actively participated in numerous meetings on the Navy Expansion, Dixie Valley Geothermal Project in
an concerted effort to protect the natural resources and spiritual areas of the tribal people.
Complete the BIA application process to put the FPST fee lands in to trust land. Continue to work on land matters
and working towards a land use plan.
• Collaborate with FBC and staff on the Strategic Plan for the Tribe. Identifying Tribal needs and set priorities.
• Cohesively work with FBC and Tribal Administrator to identify priorities and prepare a budget for the ARPA
funding.
Information Technology 775.423.6075
2021 Accomplishments
The IT Dept. was very busy again this year. The challenges posed by the ongoing pandemic are still in place. I
opened and resolved over 350 support issues ranging from day to day printer and computer issues to more complex
Server and Domain setup and configuration issues. Assisted with hardware and software upgrades to critical dept.
systems in several depts. Setup a Server for the EYS Dept. and setup and configured several new workstations for
them as well.
I worked on setting up more laptops for employees so that they could work from home when needed due to COVID-
19 restrictions. Access to the Teamviewer system has helped to allow me to assist with many issues in a more time-
ly manner since I could access a system that way and not have to drive out to a location if I did not need to do so.
Worked with Finance to get the new electronic time keeping system, Microix, in place and working.
2022 Program Goals
To continue to server the employees and members to the best of my ability and move us forward to make sure that
employees have everything that they need to perform their jobs. The completion of the upgrade of our Mail Server
is one of the first major projects and is scheduled for Mid-January. This will bring us up to a supported OS in Win-
dows Server 2016 and Exchange 2016.
Continuing to work on consolidating services into a single, more manageable format. Work to increase our ability to
have remote meetings and conferences more efficiently and easier to manage for users of Zoom and other remote
meeting platforms. Work with the new Tribal Administrator and HR Director to streamline the On-boarding and Off-
boarding process to make it more efficient. Work with CivicPlus and Council to get the CivicClerk system in place and working
to help streamline the Agenda Creation process and to cut back on the amount of paper needed by allowing the Agendas to be
viewed electronically
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Communications 775.423.6075
2021 Accomplishments
Interactive/Creative Services
Manage creation, production and dissemination of printed publications for administration purposes. (Monthly
newsletter, calendars, and event flyers)
Manage creation and selection of photography for print and electronic communications for departments.
Managing media coverage for tribal events to write media advisory.
Managing media relations including collecting stories/news articles by building relationships with tribal programs
Manages in-house Newsletter printing basis, handling multiple assignments, meeting deadlines consistently while
working with program directors and community members to meet those deadlines
Established an archive of military records from photos to be available.
Created tribes first Annual Wall of Honor in the tribal Administration Building.
Communications and Public Affairs
Coordinate with appropriate staff and provide oversight on public relations activities and consistency in all organi-
zational communications
Manage media projects, generate story line opportunities utilizing new media and traditional outlets
Manage external communication efforts, including but not limited to publicity for events, program launches, break-
ing news.
Coordinating Events
Selecting venues/Liaise with vendors and exhibitors to ensure everything is in order
Determining costs, calculate events budgets and ensure they are adhered to.
Keep track of event finances including check requests, invoicing, and reporting
Plan layout of seating set up/take down and decorations.
Conduct final inspections on the day of the event to ensure everything adheres to Councils standards.
2022 Program Goals
Help build public interest and involvement in the tribal events and activities
Continue the Wall of Honor Project/create a permanent Wall of Honor in our Tribal Administration Bldg.
Expand communication network between relevant tribal, city, county, state and national points of contacts with the
specific ideology of an expanding tribal presence.
Being part of an emergency communications network./Establish ‘rules of engagement’ for effective communica-
tion.
Maintaining system for tracking, organizing and archiving news media and relevant news clippings.
Newsworthy topics, government to government.
Empowering the tribe through civic engagement.
Tribal Court 775.423.8883
2021 Accomplishments
All court records that were in the court’s file cabinets and storage room have been digitally archived
Some Court sessions continue to run with Zoom. It is still a bit of a challenge getting some participants on board
with it, but doing well.
The Wellness Court graduated 2 participants in 2021
2022 Program Goals
Review and update all court documents, as needed
Provide updated forms for the Court on the Web Site.
Research fee schedules for other court and evaluate update the fee schedule for the Court
Finish out Wellness Court Grant and hopefully successfully graduate remaining participants in program.
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Community Learning Center 775.423.8065
2021 Highlights
CLC operations for 2021 has been hampered due to Covid-19 closures and operations. The CLC operated in Phase 2
a majority of the year which limited public access. CLC was able to operate in person youth programs in Phase 3
June – August and November to current. Educational services for 2021 included After School Tutoring (ASP),
Summer Recreation, and Higher Education. Additional in person community activities were prevented due to Covid
-19 constraints. We are looking forward to returning to 100% normal operations in 2022.
After School Program (ASP) - There was No ASP programming in the Spring of 2021 due to Covid-19 and school
closures. Fall Semester ASP began November 1 after the September Covid-19 surge that resulted in CLC return to
Phase 2. On 10/26/21 FBC approved CLC designation to Phase 3 which initiated ASP start-up. We currently have
25 Students enrolled and additional students arrive daily.
Summer Recreation - Recreation ran at ½ capacity in 2021 to accommodate Covid-19 guidelines. Program ran
from June 21 – August 12 with a variety of Covid-19 safe activities. Some activities included academic enhance-
ment, Paiute/Shoshone culture, health and wellness, field trips, and arts and crafts and other fun activities celebrate a
break from Covid-19 lockdowns.
Johnson O’Malley (JOM) – 172 Back-to-School Backpack Kits were distributed, 140 CCSD Exchange Forms
complete to share information with CCSD however we are still waiting for Infinite Campus Access. JOM funds
were also used to assist with 18 eligible individual students with assistance with school fees, graduation caps/gowns,
band and athletic sports packages.
Higher Education (Higher Ed, Adult Vocational, Enr ichment) – 47 Students were funded in 2021 with a total
funding allocation $129,187.
CLC Projects Completed
CLC Commercial Kitchen Expansion Completed
Installation ADA compliant Doors and Emergency Exits and Sidewalks
Completed New Laminate Flooring – CLC/Head Start
Purchase of new Transport Van via USDA Grant
Replacement of four 20 year old Nonfunctioning A/C Units
Fire Sprinklers installed in CLC/ITCN to meet fire safety guidelines
Purchased nearly 500 new books for Tribal library
CLC-Kitchen Expansion 775.423.8065
Commercial Grade completed March 2021
This 1800 Sq. Ft. addition will contain a large walk in freezer and refrigerator for community food storage and com-
mercial grade appliances for community food safety preparations.
2022 Program Goals
Expanded Program Services. Extended Hours M-TR 8:00 am – 8:00 pm and Fridays 8:00 - 5:00 pm.
Implement and Expand Program Services by Partnering with the Boys and Girls Club Native Programs.
Resume Community classes to pre-Covid-19 levels.
Programming for Head start students After-school/Summer recreation programming Adult/Senior Programming
Paiute/Shoshone Language Community Craft classes (beading, sewing, art) Career Development and Job
Expand Tribal Library access Evening Gym Activities Delinquency prevention
Personal Finance programming Personalized Scholarship Programming Computer Lab Classes
Collaborate with other Tribal and Community programs to expand funding and service opportunities for program
participants.
Policy and Grant Development to expand services
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Stepping Stones 775.423.1132
2021 Accomplishments
Served 8 Native American Youth from 4 NV Tribes and billed for 437 Bed Nights
Reopened the Shelter in June of 2021 (Stepping Stones was closed due to the Covid-19 Pandemic from March
2020-June 2021)
Developed a Covid-19 Policy for Clients and Staff
Maintained licensing & up-keep on building and health and safety codes by completing associated annual inspec-
tions, quarterly trainings and daily forms.
Worked with BIA Human Services & Acting Superintendent, Finance, Grants Compliance Social Services and the
Chairman and found a solution to the funding issue that arose. For years, the WAG and Admin Funding was not
separated by the Tribe. We worked out a solution for this issue. Stepping Stones did not lose any funding with this
issue.
Completed the Septic Tank Project for the Shelter
Purchased a new server, computers, printers and a commercial refrigerator for the facility
Completed the 2022 Budget Process and Federal and Tribal Reports for 2021
Hired a Case Manager and Cook/House Keeper
2022 Program Goals
Maintain licensing & up-keep on building, & health and safety codes by completing associated annual inspec-
tions, quarterly trainings and daily forms.
Provided a safe environment for our clients along with delinquency, education, culture and life skills activities
(January 2022-December 2022)
Finish new Policy and Procedures for the Shelter.
Be fully staffed (Director, Case Manager, Facility Manager, Cook/House Keeper, 7 Youth Techs)
Environmental Protection Program 775.423.0590
2021 Accomplishments
Revised and updated the FPST Integrated Solid Waste Management Plan for solid waste management.
Successfully completed the 20th Annual Earth Day Activity Week.
Successfully completed water quality sampling and monitoring of surface waters on the reservation.
Developed a program Geographical Information System (GIS) for mapping and purchased a new plotter.
Implemented a new curbside recycling collection program for Tribal departments and the community.
Successfully completed an EPA Non-Point Source Project for the removal of approximately 100 acres of tama-
risk in the tribal wetlands.
Successfully completed the Tribal Mosquito Abatement management program for the community.
2022 Program Goals
Submit for an EPA Non Point Source Competitive grant to continue the removal of tamarisk from the tribal
wetlands.
Update and revise the FPST Open Dump Ordinance to protect public health and the environment.
Host an Earth Day community household hazardous waste collection day, and the 20th annual Earth Day Cele-
bration at Oats Park.
Implement a new seasonal Tribal Mosquito and Weed Abatement program for the community.
Revise and update the FPST EPA – Tribal Environmental Plan (ETEP).
Research and complete a Tribal Climate Change Vulnerability Assessment.
Develop lab capacity to conduct e. Coli analysis of water sampling and mosquito speciation for the west Nile
virus.
Complete an FPST Comprehensive Emergency Management Plan (CEMP).
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Water & Sanitation 775.427.9954
2021 Accomplishments
Provide clean and safe drinking water to all water consumers on FPST water system with minimal disruptions in ser-
vice.
Took all required water samples and monitoring required by EPA. Stayed in compliance on all systems.
Maintained FPST wastewater system, lift stations and lagoons, while working on getting the lift stations upgraded
and a new lagoon built.
Both major and minor modernization upgrades to Treatment Plant and Distribution system.
Installed new pH controller in Treatment Plant, Installed new PALL Micro filters onto Treatment Plant filter rack,
Replaced broken/obsolete fire hydrants, installed new meter setters and water meters on tribal and non-tribal custom-
ers, installed water lines to new tribal buildings, safety valves on co2 tank replaced, obtained 2021 Chevrolet utility
truck, numerous break repairs and preventive maintenance completed on all systems.
Completed numerous tours of Treatment Plant and system and meetings with multiple agencies, IHS, NvRW, RCAC,
EPA.
Attended first aid/CPR, HAZWOPER, and certification trainings. Maintained CEU’s for current certifications and
test prep for operator testing. Cody Downs received Nomination for Tribal Operator of the year through ITCA.
2022 Program Goals
Continuing to provide clean and safe drinking water to all water consumers with minimal disruptions in service, and
staying in compliance with all regulations.
Continue making upgrades and improvements across all water and waste water systems.
Begin upgrade on sewage lagoon project.
Finalize water storage tank project.
Receive new 14 ton co2 storage tank, and have installed.
Install meters on all water users and establish a metered rate.
Continue attending certification and safety trainings to maintain current certification and to get other technicians cer-
tified.
Law Enforcement 775.423.8848
2021 Accomplishments
Despite being shorthanded, and for a period where only one officer was working, the Police Department was able to
maintain 24 hour coverage throughout the year. During the report period County Deputies , to include the Sheriff
himself were cross-commissioned as tribal police officers to compensate for the staffing shortage. Officers were able
to participate in community events and represent the tribe in first responder events in Churchill County. A positive
relationship with the Churchill County Sheriff’s Office was continually improved throughout the reporting period.
2022 Program Goals
Updating departmental practices, policies and procedures in compliance with BIA 638 Contract
Training; Use of Force; Complaint review; Investigations etc.
Recruitment and retention of Police Officers using best practices
Decommission and disposal of surplus fleet vehicles
Full implementation of evidence based Community Oriented Policing Strategies
Continuation and Improvement of Interagency Relationships via MOU’s/MOA’s
Neighboring Tribes; Churchill County; State of Nevada
US DOJ grant application submission via the Coordinated Tribal Assistance Solicitation
Personnel; Training; Equipment; Overtime
Vocational Rehabilitation Program 775.428.2250
2021 Accomplishments
Hattie Williams, VR Counselor participated in Tribal Vocational Rehabilitation College classes to become a Certi-
fied VR Counselor. To date she has completed nine classes and is enrolled in another class this fall.
The FPST VR Program was evaluated by the Training & TA Specialist with the American Indian VR Training
& TA Center at Northern Arizona University. The evaluation was completed within 6-8 months to improve
our program documentation and performance. Results are being compiled and will be
shared with our program as soon as they are completed.
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Vocational rehabilitation program cont. 775.428.2250
2020-2021 VR Program statistics are as follows: Active Cases: 8 (In Eligibility Process: 5, Eligible: 3), Active
Requests: 19, Incomplete Requests: 26, Cases Closed: 6, and Total Requests for Services: 59.
Impacts of COVID-19 on VR Services: The VR Program continued “non-essential” status from October 2020
through February 2021 with minimal consumer services provided.
2022 Program Goals
Continue an improved successful VR Program for the FPST and for other American Indians living on or near
the FPST and its designated IHS service areas (Lovelock and Yomba).
Successfully provide a continuing VR Program for the FPST.
Serve 30 consumers through IPE’s with 24 consumers closed with successful employment outcomes.
Child Care Program 775.423.6075
2021 Accomplishments
Fallon Tribe’s Child Care Program qualified for 4 different subsidy grants from the Department of Health & Human
Services, Administration of Children & Families and Office of Child Care. The were the CARES, CRRSA, ARPA
Discretionary and the ARPA Stabilization funds totaling $707,153.00.
The major accomplishment was to be able to continue assisting families during the Coronavirus Pandemic of 2020.
The Child Care Program provides child care service vouchers, provides literature on different child care subjects,
Native families to select what type of child care services that meet their child care needs and provided PPE & clean-
ing items to providers and the tribal community at different social events.
2022 Program Goals
To provide child care services to more families and to recruit more Child Care providers on the funding allocations
from the Grantor.
To continue to work on obtaining a Tribal Day Care Center in 2022.
To continue to collaborate with the different local and State programs on the continual changes on Health & Safety
issues, setting standards on continual changes of the child care industry.
To continue to provide a positive child care program is assist native families with the cost of child care services and
to provide a safe and healthy environment for the children while their parents are at work or going to school.
To prepare a approvable plan for the submission of the 2023-2025 Tribal Child Care Plan to the Grantor for the next
grant funding cycle.
Victim Services Program 775.867.8398
2021 Accomplishments
In collaboration with the University of Nevada Reno, our program applied for the OVC Tribal Victim Services Pro-
gram Comprehensive Assessment Project in the amount of $505,795. We have since begun working on the commu-
nity needs assessment model that will be utilized to collect our data in 2022.
The Victim Services Program hired a new Client Advocate, Kari Gonzalez. Kari brings with her extensive
knowledge in victim advocacy and has a great working relationship with our sister agencies within the City and
County.
October was Domestic Violence Awareness Month and Kari was able to bring several direct service providers, law
enforcement officers, and victim advocates to a round table discussion on services which was video taped and up-
loaded onto our Facebook page every Friday during the month of October.
Our program assisted 37 clients this year, and hosted 10 outreach activities in Fallon and Lovelock.
2022 Program Goals
Collaborate with UNR to ensure the successful completion of the community needs assessment survey under our
OVC grant.
Continue to provide direct services to victims of crime and victims of intimate partner violence.
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FTHC-Health Center Management & Administration 775.423.3634
2021 Accomplishments
COVID-19 Pandemic. We continue to navigate thr ough the pandemic. We have been doing ongoing testing
& vaccinations event on the Fallon, Lovelock, and Yomba Tribes (nearly 3,200 tests to date). Our internal controls
and the involvement of the HICS & EOC allowed us to minimize interruptions to healthcare over the past year.
Facility Improvements. Completed facility changes based on COVID-19 including reception remodeling, added
a pharmacy drive-thru lane, and a Wellness Center expansion all to reduce cross-exposures. We also finished up the
expansion project which involved a new conference room and enlarging the lab and optical.
Healthcare Positions. Due to demand, we added a 2nd physician and are fully staffed in medical. However our
Dentist resigned in December and our Optometrist moves in July so we are working to fill these positions.
Job Description Enhancement. As we look into AAAHC accr editation we updated or cr eated a number of job
descriptions over the year that better meet the needs of the facility and to promote recruitment/retention.
Electronic Health Records and Revenue Enhancement. We tr ansitioned to a new EHR pr ogr am fr om the
outdated IHS program (RPMS) which has enhanced our ability to provide services and revenue generation.
Coordination. Continued par ticipation with the Nevada Tr ibal Health Dir ector s Gr oup (monthly), State of
Nevada Tribal Consultations (quarterly), and IHS Phoenix Area Office (consultations, meetings, hearings, etc.).
2022 Program Goals
AAAHC Accreditation. We went thr ough a confer ence focused on getting accr editation and ther e is a lot of
work to be done including policy updates, establishing an advisory committee, and internal committees.
IHS Programs – PRC and Section 105 Lease. We ar e looking at submitting a r equest to take over our PRC
shares in the 1st quarter of 2021 and submitting a 105 applications by the end of the year.
Health Advocacy. Wor king with the Nevada Tr ibal Health Dir ector ’s Group to develop a group either like a
Health Board on a board within ITCN to better coordinate with Nevada Tribes on health issues.
Senior Services. With a gr owing senior population, the Nevada Tr ibal Health Dir ector s continue to discuss
and advocate with IHS for a long-term care facility.
FTHC-Patient Advocacy Services 775.423.3634
2021 Accomplishments
Made 377 patient contacts by providing support, resources and coordination of care. Made contact with patients 173
times to provide support, contact was made 119 times to provide resources to patients and made 85 contacts with
patients to provide care coordination services. The PAS received 7 grievance/concerns calls, however, only 2 were
ever filed with the PAS in 2021. All grievance/concerns have been resolved with patients.
Successful at finding Durable Medical Equipment (DME) both for those with Medicare/Medicaid or insurance and
those who have no coverage for DME.
Developed relationships with organizations in Churchill, Lyon and Washoe County, these organizations have pro-
vided DME, funding for respite care, support to families through hospice services, funding to pay for funeral cost
and help filling out Social Security and disability paper work.
Created a list of resources, created a Patient Grievances Process and a brochure “What’s a Patient Advocate”.
Developed and organized Team Building/Supporting activities for the FTHC staff to engage in during breaks and
lunch. The activities are designed to provide fun, relaxation and team interaction through conversation and friendly
competition. All activities are virtual so they follow CDC guidelines for social distancing.
Fallon, Lovelock & Yomba Wellness Community (FLY WELCOM) meetings February, March, April, May, June,
July, August, October, November events planning meeting, Health Fair meetings and Greenway system trainings.
2022 Program Goals
Continue supporting patients and medical staff to ensure the highest quality of care though outreach, coordination
and networking.
Looking for new community contacts/supports while strengthening existing contacts, resources and supports.
Depending on COVID-19 restrictions, would like to collaborate with FTHC medical, FTHC Senior Center and out-
side community resources to provide an Elders Summit on “Healthy Aging”, This had to be postponed the last two
years due to the pandemic. The PAS is also hopeful that FTHC will be able to have the 2022 Health Fair.11
FTHC-Substance Abuse & Mental Health Programs 775.423.3634
2021 Accomplishments
Fully Staffed: Substance Abuse Counselor, BA Assistant, Counselor Intern (8 hrs./wk. treatment services); Contrac-
tual Services - Psychiatrist, Psychologist and Marriage and Family Therapist (LMFT), and Licensed Clinical Alco-
hol and Drug Counselor (LCADC)
Provided estimated 436 psychiatric and therapy services to Tribal Health Center patients.
Provided 357 substance abuse screening, assessment, treatment and recovery support services to Tribal Health Cen-
ter patients via in-office, telephone or teleconferencing
Facilitated weekly Talking Circles (onsite or via Zoom); several were canceled due to COVID-19
Continued collaboration with the Youth & Family TREE Grant regarding treatment & recovery support services
Collaborated with SAMHSA grant Circles of Care to work on the development of the Tribal Action Plan (TAP)
Provider Trainings included: Intermountain Tribal & Rural Opioid Wellness Summit, May 18-20; Greenway Elec-
tronic Health Record trainings, May 3-6; PESI Suicide Prevention Summit, September 9-10; Tobacco Cessation
Training (Univ. of AZ, HealthCare Partnership), October 12-14 (web-based); Red Road Leadership Consulting
Wraparound Training, Oct. 18-21; Dialectical Behavioral Therapy for Substance Abusers, Nov. 4-5
Ellen Johnson attended the Dialectical Behavioral Therapy for Substance Abusers, November 4-5
2022 Program Goals
Maintain staffing and continue to provide substance abuse screening, evaluation, treatment & referral services
Continue to provide weekly Talking Circles
Collaborate in hosting 2nd DBT training & Tobacco Cessation training for FTHC medical/nursing staff
Collaborate with SAMHSA grants and other tribal programs to complete the TAP.
Conduct a patient satisfaction survey on patients receiving substance abuse treatment services.
Advertise, recruit and obtain (or renew) contracted providers to continue the provision of mental health assessment
and treatment services for children, adolescents and adults.
Conduct a patient satisfaction survey for patients receiving Mental Health services.
FTHC-Youth & Family Tree Grant Program 775.423.3634
2021 Accomplishments
Fully staffed with a Family Therapist, Family Support Coordinator and Recovery Support Coordinator.
Family Therapist provided estimated 244 therapy services to Tribal Health Center patients.
Family Support Coordinator provided services to 8 clients/families.
Recovery Support Coordinator provided services to 11 clients
Continued collaboration with the IHS 638 Substance Abuse and Mental Health programs regarding treatment and
recovery support services
Collaborated with SAMHSA grant Circles of Care to work on the development of the Tribal Action Plan (TAP)
Provider Trainings (all web-based) included: Intermountain Tribal and Rural Opioid Wellness Summit, May 18-20;
Greenway Electronic Health Record trainings, May 3-6; PESI Suicide Prevention Summit, September 9-10; Tobacco
Cessation Training (Univ. of AZ, HealthCare Partnership), October 12-14 (web-based); Red Road Leadership Con-
sulting WrapAround Training, October 18-21; and Dialectical Behavioral Therapy for Substance Abusers, November
4-5
2022 Program Goals
Maintain staffing and continue to provide therapy, family support and recovery support.
Host another Motivational Enhancement Therapy/Cognitive Behavioral Therapy (MET/CBT) Training.
Host a Trauma Informed Care training for FTHC and FPST staff.
Collaborate with other BH grants and other tribal programs to complete the TAP.12
FTHC-Circles of Care Grant Program 775.423.3634
2021 Accomplishments
Maintained staff for Project Manager (Kathrine Wright) and Community Coordinator (Hannah Arthur)
Co-Facilitated eight FLY WELCOM/Tribal Advisory Council meetings.
Laid the foundation for the completing the development of the Tribal Action Plan
Used adaptive measures to reach out to community youth & adults using social media tools (Facebook, website,
Zoom)
Created one additional billboard on suicide prevention.
120 people in the mental health and related workforce were trained in mental health-related practices/activities.
Hosted a second Wraparound training from the Red Road Leadership Consulting.
A pilot wraparound was completed with one FPST family successfully (completed in May)
Submitted Close-Out report to SAMHSA for the Circles of Care Grant (grant is now completed and over)
2022 Program Goals (grant is now done, however several items will be sustained through other BH programs)
Continue to work toward completing the development of the TAP
Continue the monthly FLY WELCOM meeting
Continue using Wraparound approach in working with families
Continue social marketing efforts to educate community on mental health and substance abuse issues.
Maintain the website (now the FPST Circles of Care Behavioral Health Program) and Facebook page.
FTHC-Tribal Opiod Response (TOR) Grant Program 775.423.3634
2021 Accomplishments
Provided Opioid Overdose education and the Administration of Naloxone training for Opioid Overdoses to 3 FPST
staff and 7 community members (one community member actually administered the Naloxone on a relative and
saved a life)
Provided Opioid Use/Misuse Prevention education and materials in the Numa News, FTHC quarterly news letter,
Circles of Care Facebook webpage and the Circles of Care website
Provided Opioid Use Disorder treatment to 5 FTHC patients without Medicated Assisted Treatment (MAT)
A Pain Management Specialist (PMS) was recruited and contracted with in May, however this provider did not work
out and his contracted was terminated in August. In this period the PMS provided 25 services to 7 patients and pro-
vided MAT
2022 Program Goals
Seek another option for referring patients with Opiate Use Disorders in need of MAT. Current providers are New
Frontier Treatment Center (Outpatient), and Rural Nevada Counseling, Quest Counseling and Nevada HOPES in
Reno and Carson Tahoe Hospital in Carson City
Continue to provide Opioid Overdose Education and training on the administration of Naloxone for Opioid Overdos-
es
Collaborate with SAMHSA grants and substance abuse program to host a 2nd Tobacco Cessation training
Collaborate with BH program to complete the development of the Tribal Action Plan
FTHC-Medical Services 775.423.3634
2021 Accomplishments
Replaced Podiatrist, Dr. Doxey with Dr. Dameron. Patients are giving good feedback on Dr. Dameron
Added another MD to the medical provider team. Dr. Quinton Thomas has been fantastic working complex patients
diseases
Lab expansion has been a success and we have added a Medical Technologist to take the lab to the next level
Enhanced Optical with the JVN machine and the HVF Machine for diagnosing pre diabetic retinopathy and other eye
diseases. Also enhanced with a remodel of the Optical area for better patient flow and privacy13
FTHC-Medical Services Cont. 775.423.3634
Greenway improved our documentation, ability to report, patient care and efficiency in all clinics
Administered 3,188 COVID-19 tests 1,284 vaccines – est. as we are behind in entry due to staff shortage)
Total Visits – 15594
Chai (MD) - 1128 Thomas (MD) - 443 (part of year) Wood (MD) – 264 (part of year)
Kim (NP) – 856 Zegler (PA) – 1024 Bolen (OD) – 581
Dameron (Podiatry) – 128 Giles (Podiatry) – 71 Lab (non-COVID) – 1443
Emm (Chiro.) – 423 Lowe (Chiro). – 371
2022 Program Goals
We will be replacing Dr. Lowe in Chiro with a new Chiropractor
To improve Optical inefficiencies, also to gain a new Optometrist as Dr. Bolen will be leaving us in June 2022
To gain high complexity licensure in the laboratory reducing outside lab expenses
Ability to run labs on demand when the patient arrives for a medical visit and have results in 30 minutes
Complete the improvement of patient scheduling for all departments in a centralized call center
Continue to streamline COVID vaccine and testing clinics
FTHC-Special Diabetes Program for Indians (SDPI)
2021 Accomplishments
Handed off the Hoop House to the tribe to maximize usage
Executed diabetic cooking classes and posted them online.
Built a room for a JVN machine to be at the Wellness Center where Diane Locanas can screen patients for Diabetic
Retinopathy.
Expanded the Wellness Center hours adding Saturday and Sunday times for working out.
Expanded the Wellness Center for indoor/outdoor workouts, a cardio room, and ability to social distance
Completed 110 JVN screenings for the grant which is low due to COVID but we will be striving for 300 in 2022
226 total diabetic patients registered in the program
2022 Program Goals
Hire a Community Health Nurse (replacing the Diabetes Prevention Coordinator) who will a registered nurse (RN)
to better monitor the diabetes patients, oversee the Wellness Center, as well as the Senior Center and to coordinate
the hew In-Home Health Aide program.
Dietician will work closely with the head cook at the Senior Center to create healthier options for diabetic elders
Implement an incentive program to encourage more diabetics or pre diabetics to work out.
Restart the Biggest Loser Program that was halted due to COVID
Final installation of the JVN machine
Plan and execute two 5k run/walks
FTHC-Pharmacy Services 775.423.3634
2021 Accomplishments
Migrate to new software program called RX30
Completed a remodel and expansion of the pharmacy
Addition of the Pharmacy drive thru and tube for increased efficiency and patient satisfaction.
Solidified staffing with new permanent Pharmacist, James Dexter
Able to maintain staffing and increase productivity by maintaining 2 Technicians
Had to manually rebuild 3rd party database, now have highest reimbursements recorded in at least last 5 years
Oct and Nov back to back >$30,000 in 3rd party reimbursements
Nov 2021 had the highest RX/day counts (170/day) for 5 day work weeks. We had accomplished this feat during
the COVID shutdowns when operating on 4 day work weeks. It looks like that hadn’t been accomplished since
2015 or even before.
Two (2) successful pharmacy returns, cleaning up outdated drug from pharmacy14
FTHC-Pharmacy Services Cont. 75.423.3634
2022 Program Goals
Continue to expand on third party billing and capture as much revenue as possible
Proactively work with Enrollment Specialist and Patient Registration to assure as many patients as possible have a
third party insurer
See continued growth in patient compliance
Maintain inventory in spite of ever increasing drug shortages and massive drug cost inflation (18-20%)
FTHC-Dental Services 775.423.3634
2021 Accomplishments
Centralized calls to one location and a direct phone number to improve patient access
Upgraded Dentrix software and implemented/bridged Greenway
Give Kids a Smile 2021 outreach program
OSAP (Organization for Safety, Asepsis and Prevention) training completed
Implemented IHS comprehensive medical history form
Total Visits: 932
Hansen (DDS) – 381 Sitton (hygienist) - 551
2022 Program Goals
Hire new permanent dentist and dental assistant
Increase efficiency of scheduling through new centralized call center
Fix panoramic computer for improved patient care and satisfaction
FTHC-Patient Registration and Benefits Coordinator 775.423.3634
2021 Accomplishments
All staff successfully completed all Greenway Electronic Health Records (EHR) training
Patient Registration
Implemented Telephonic Pre-Registration for a Zero-Contact Registration Process
Continued with implementing strategies for decreasing patient “No Show” rate - Total “No Show”: 2,098
Registered 15,645 patients
Assisted with employee and community testing and vaccine events
Benefits Coordinator & Connecting Kids to Coverage
Continued improving community awareness on services provided to Tribal Members and/or their Descendants
Continued increasing benefits enrollment with Medicaid, Medicare, Marketplace, Marketplace Health, etc.
Assisted 177 patients in applying for alternative resources
Successful in meeting enrollment requirements of the Connecting Kids to Coverage grant (Benefits Coordinator)
Children % of new enrollment achieved: 137% Children % of renewed enrollment achieved: 235%
Parents % of new enrollment achieved: 127% Parents % of new enrollment achieved: 250%
2022 Program Goals
Become fully staffed, hire Patient Registration Clerk (Patient Registration)
Develop/Update/Implement desktop SOP’s
Improve efficiencies in Patient Registration and the Benefit Coordinator position15
FTHC-Billing/Coding, CHR, Medical Records, Billing/Coding 75.423.3634
2021 Accomplishments
Purchased/Referred Care (PRC)
Purchased/Referred Care processed 2,638 referrals
Community Health Representative (CHR)
Continued COVID-19 education and provided patient transportation and medication delivery
Total Transports: 1,131 Total Medication Deliveries: 1,433 Total Elder Visits: 91
Billing & Coding
Refined RPMS/EHR data to be transferred to Greenway, including all accounts receivable (A/R)
Continued to improve billing and coding through continuing education. Learned charge posting in Greenway
Outsourced Billing/Coding to MJP and Greenway Revenue Services in August
Collected revenue from Third Party payers totaling $3,513,181 (still pending full December report)
Medical Records
Scanned 4,465 patient medical records (Medical Records)
2022 Program Goals
Refine RPMS/HER data to be transferred to Greenway, including all A/R. Continue this process through Greenway
training.
Continue to improve billing and coding through continuing education. Learn charge posting in Greenway. Complete
all Greenway training.
FTHC-Procurement, Environmental Services, & Clinical IT Services 775.423.3634
2021 Accomplishments
Procurement & Property Office
Successfully stocked in procurement, i.e. Personal Protective Equipment (PPE), office supplies, medical/dental/
optical supplies, etc.
Environmental Services (EVS) Program
Completed staff office relocations
Improved aesthetics in patient waiting areas
Secured and completed set up of a modular building for the CHR Program to assist with space limitations
Successfully performed 3 Drills and managed 2 incidents
Successfully cleaned and maintained 6 buildings
Performed AED training
Clinical Information Technology (IT) Services
Successfully implemented Greenway (EHR) and RX30 (pharmacy system)
Performed Dentrix system upgrade (dental system)
Established communication connections, i.e. wi-fi/phone/data lines in new CHR building and conference room
Obtained new server to support all programs throughout the clinic
Received and processed approximately 1,100 help desk tickets
2022 Program Goals
Secure inventory management software system to improve supply ordering (Procurement)
Implement Cuff account to assist with budget tracking (Procurement)
Complete set up for the FTHC Behavioral Health/Procurement Modular building (EVS)
Implement FTHC website, to include on-line portal access for patients (Clinical IT)
Secure project management software to track, priority, and monitor all projects/activities (Clinical IT)
Develop/Update/Implement desktop SOP’s16
Tribal Senior Center 775.423.7569
2021 Accomplishments
Expanded the kitchen pantry and created more storage
Cleaned up leaves and debris in the back of the center to make it much more safe
Cleaned out all of the clutter in the entire center, painted and redecorated with new furniture
Hired a head cook, Virginia Bragg
Doubled the size of the meals and enhanced freshness with whole fruits and vegetables
Got the second oven working; serviced the vent extinguisher system
Developed a cleaning schedule and temperature log schedules
Ordered a transport vehicle to transport elders to/from activities and also to/from the Senior Center
Transfer Senior Center management from Youth & Family Services/Tribal Administration to the Health Center
(approximately August/September 2021)
2022 Program Goals
To open congregate service on January 1, 2022
Introduce a fresh salad bar and soup of the day on January 1, 2022
Hire an Assistant Cook, Activities Coordinator, In-Home Health Aide and a Community Health Nurse
Introduce activities and get the Elders socially engaged and active
Continue to improve the quality of foods and services offered at the Senior Center
Emergency Management & Volunteer Fire Department 775.423.8848
2021 Accomplishments
Emergency Management: Assisted with food distr ibution events to the FPST Tr ibal Community; distr ibuted
box fans, heaters and air purifiers to local Tribal Elders upon request; procured Personal Protective Equipment (PPE)
such as various masks, face shields, gowns, gloves and hand sanitizers; procured equipment such as a truck, cones,
barriers, light towers, enclosed trailer, cargo trailer, forklift, refrigeration units, walk-in freezers, portable sign and
stationary signs; procured items for a COVID-19 two-week household quarantine supply kit and delivered to Tribal
Member households within an 80-mile radius of Fallon; assisted with the Emergency Operations Center (EOC)
COVID-19 meetings; assisted with FPST Employee COVID-19 training; held a Hazardous Waste operations and
Emergency Response (HAZWOPER) 8-hr Refresher course; and attended a NV Tribal Communications Drill.
VFD: Responded and conducted mop-up operations for a fire in the wetlands.
2022 Program Goals
Emergency Management: To over see a str uctur al engineer to conduct inspections of the FPST public build-
ings and critical infrastructure, to develop engineering schematics for seismic structural retrofitting projects, to de-
velop mitigation strategies and obtain data to prioritize, select and develop community mitigation projects; to provide
training to emergency personnel consistent with their current and potential responsibilities; and to implement an ex-
ercise program that tests the skills, abilities and experience of emergency personnel, as well as the plans, policies,
procedures, equipment and facilities of the EM program.
VFD: To r espond to wildland/ur ban inter face fir e events; to pr oper ly tr ain and equip the VFD Member s to
be able to respond efficiently, effectively and safely to fires and other emergencies; to provide fire prevention out-
reach such as newsletter articles, outreach events and working with the community on controlled burns.
Facilities & Maintenance Department 775.423.6075
2021 Accomplishments
Cleaned and maintained tribal buildings
Landscaped, sprayed, and removed weeds around buildings as needed, purchased mulch for Admin Building
Set up for all tribal functions including but not limited to: council sessions, meetings, funerals, celebrations, holidays
Maintaining the tribal cemetery
Cleaned, sanitized, and fogged buildings due to Covid-19.
Completed work requests submitted by departments.
Repaired multiple tribal buildings including but not limited to: patching holes in walls, fixing/replacing faucets,
doors, caulking windows, HVAC, painting, framing, cleaned condensers, roof repairs/
leaks, installation of electrical, built public safety measures due to Covid-19 etc…
Assisting with food distributions17
Facilities & Maintenance Department Cont. 775.423.6075
2022 Program Goals
Continuing to clean and maintain all tribal buildings including but not limited to: sweeping, dusting, moping, paint-
ing, vacuuming, trash removal, cleaning restrooms, replacing cleaning supplies, etc….
Improve landscaping and appearance of all tribal buildings
Weeding and watering the tribal cemetery
Setting up tables and chairs for any and all tribal events and helping cover gym floor before the events
Prepare for additional Covid-19 issues
Fallon Paiute Shoshone Housing Department 775.423.3321
2021 Accomplishments
In 2020 COVID hit and the pandemic had a huge impact on our Tribal Housing Program. Many of the services pro-
vided to the community were put on hold, no inspections were completed, and work within homes was stopped.
In June of 2021, Housing staff were employed and some Housing activities resumed.
Housing projects were prioritized, with work needed on Tribal Elder and handicapped homes being placed at the top
of the list. Since June of this year, over ten handicap projects have been completed in our community. This work
involved assistance for ramps, handicap showers and bathroom renovations, removal of carpeting from some homes
and other flooring installed,
Another great program that has benefited the community is the Emergency Rental Assistance Policy. The Tribe re-
ceived over $1,800,000 to provide financial assistance and housing stability services to eligible households. This
program was such a success - Housing was able to assist over 108 Households with this funding. The program
was limited to rental assistance only but was open to renters residing on and off the Reservation and Colony. Hous-
ing was able to assist people as far as Hawaii.
Another program that has proved beneficial to the community is Housing’s Heating Assistance Program. Wood,
wood pellets, oil, and propane are offered under the program. Housing plans to consider increasing the budget for
this program in the future because so many families are eligible and need the assistance.
2022 Program Goals
Build and strengthen the Housing program to better serve our Tribal Community
Seek more grants and funding to provide more housing services and activities in our Tribal Community
Work with our Housing participants to make improvements in the Housing areas by cleaning the areas,
adding landscaping, better parking, and planting trees and shrubs
Building new homes for those in need
Providing training sessions and classes for community residents on maintenance and upkeep of homes
Creating a Neighborhood Watch Program to protect our Community
Social Services 775.423.1215
2021 Accomplishments
Completed an adoption of a child in need of care
Successfully reunified children with their families
Successfully established a bonded, licensed notary for the Membership
Established in office protocols for 2021 Covid resumption of operation
Request for additional Welfare assistance was submitted and approved
Remained in full compliance with all BIA 638 reporting requirements
2022 Program Goals
Begin to establish policy’s and procedures to adapt a Homeless program for Tribal Membership
Recruit new Foster Homes
Establish more resources for the Tribal Membership
Obtain an alarm system for addition security of Social Services office
Obtain a storage Unit for client files18
Project Management Department 775.423.6075
2021 Accomplishments
Worked with directors and staff to complete projects such as but not limited to, CLC commercial kitchen, purchase
of truck for F&M, concrete for Senior Center parking lot, Emergency Management Storage building, C02 tank pur-
chase for water treatment plant, John Deere tractor purchased for Transportation Department, installation of new fire
hydrants to replace broken ones, engineering report for FPST Lagoon Expansion Project, BIA Row's for Lagoon
Project, etc...
Attend training to provide better project management to tribal departments.
2022 Program Goals
Provide technical assistance to any tribal departments with projects.
Continue to work on ongoing projects till project completion.
Attend additional trainings to further knowledge so as to better assist tribal departments with projects.
Roads Department 775.423.3725
2021 Accomplishments
Graded and maintained multiple roads and access ways throughout the reservation
Installed/repaired road signs
Completed work requests submitted to the department including but not limited to: dirt removal, hauling and grad-
ing, mowing, fence repair, road patching, etc.
Mowed and maintained the roadsides to reduce weeds and site hazards, including elder yards
Snow removal
Assisted other Departments in various projects
Placed gravel on roads to repair them
Cleaned and maintained multiple ditches throughout the reservation
Used tractor to remove food from trailer for the food distributions
2022 Program Goals
Work with Transportation Project Coordinator to assess road conditions and proposed road improvement projects
Maintain the roads throughout the reservation including but not limited to: mowing, grading, spraying, burning, trash
removal, snow removal, etc..
Improving tribal ditches
Maintenance Program for equipment under Roads Department
Continue to assist any departments that need help.
Transportation Department 775.423.3725
2021 Accomplishments
The Tribal Transportation Department has continued its commitment to the improvement of our roadways this year
by acquiring (2) new pieces of equipment. Although no major construction project broke ground this year, the De-
partment has big plans for the upcoming years.
2021 John Deere 507E Tractor with front-end 520 loader
Will help the Transportation Department in numerous upcoming projects and maintenance of roadways
Allows department personal to tackle small projects daily in a timely manner
Benefits several other Tribal programs cut down on equipment rental cost
Cimline 150 Gallon Crack Sealer
Provide adequate care & maintenance to our new roadways/parking lots
Begin fixing existing roadways/parking lots at a fraction of general contractor cost
Will allow safe & comfortable travel on our roadways19
Transportation Department Cont. 775.423.3725
2022 Program Goals
With Corona Virus closure’s in the past, The Transportation Department will be looking to start several projects that
were postponed these past years. We also know some roadways & parking lots are in need of repair so we will also
begin rejuvenating them with the new equipment we acquired this year.
Prospective Projects for 2022
FIC 101 (4) Rio Vista Road - Grade, Base and Pave 0.3 miles of Rio Vista Rd in front of the Health Clinic &
Tribal Police Department
FIR 7 (2) Mission Road – Grade, Base, Pave 0.5 miles of Mission Rd
Transit Department 775.423.3725
2021 Accomplishments
Purchase and delivery of new 2021 Transit bus in July, 2021.
Applied for new funding to expand transit program service, including another driver and expanded hours of operations.
Started operating again in July-August of 2021 transporting community members to various destinations.
Added safety features to the buses including sneeze guards, new seat covers and sanitizing products to protect the health
of the community.
2022 Program Goals
Hire new Transit Supervisor and Bus Driver.
Continue to provide service to the community.
Apply for new grants to purchase new equipment and expand service area and bus operational times.
Work with Tesla, Panasonic, and other companies in the area to provide employment opportunities for the community.
Install bike racks on buses to provide additional options.
Grants Department 775.423.6075
2021 Accomplishments:
Submitted eleven (11), BIA P.L. 93-638 Contracts totaling $1.7MSubmitted 3.1M in Federal, State and Foundation
Grants.
The Grants Dept. was involved in various site visit activities to advance compliance oversight. Types of site visits
and reviews included:
Proactive Compliance Site Visits (PCSV): PCSVs assessed 42 Tribal programs understanding of Federal policies
and regulations, minimized or eliminated areas of non-compliance, and nurtured partnerships between Federal and
State agencies and the Tribe. These site visits were not designed to address specific problems and were not viewed as
investigations or audits. Rather they were conducted in a proactive mode, intended to facilitate dialogue regarding
tribal policies in a non-crises, non-adversarial manner.
Targeted Site Review: The Tar geted Site Review (TSR) is a gr ants dept. activity that focuses specifically on
compliance with OMB 2 CFR Part 200 as they pertain to Federal grants. The TSR is a component of grants compli-
ance oversight responsibilities and were implemented on seven (7) Programs to determine if (1) Program is fully and
correctly implementing the OMB regulations, and (2) reporting requirements are being met. All seven programs are
currently in compliance.
The Grant Writer, Jennifer John left June 2021. Current the Tribe has been without a grant writer for seven (7)
months.
The Tribe had no audit findings in FY 2021.
2022 Program Goals
Purchase a Grants Management Software System that centralizes grant activity and grant management which will
decrease administrative costs and burdens associated with grants to ensure the Tribe is compliant and audit ready.
Increase Tribal grant funding by seeking Federal, State and Foundation Grants.
The Grants Administrator and the Grants & Contracts Compliance Officer will attend two (2) grant related trainings
and/or webinars to improve grant management, grant writing and grant compliance
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