Direct Clinic services are operated from four sites:
Kayenta Health Center, constructed in 1959, has square footage of 10,663 in its main building. The complex consists of multiple trailers being used for office space and patient care, in addition to the main clinic, administration, supply, and environmental health buildings.The facility was completely renovated in 1999. The entire campus was re-designed and the usable square footage nearly doubled. The emergency room was expanded from four beds to eight; equipment was replaced throughout, and two new buildings were added to the complex. One new building gives enlarged space for the Optometry and Pharmacy services and the other new building was constructed to house Environmental Services. Kayenta Health Center advanced to Phase III of the IHS Health Facilitates Priority System. Site selection is complete and a community steering committee has been formed to oversee funding acquisition.
Inscription House Health Center, constructed in 1982, has 19,480 square feet. Some minor modifications have been made to improve space efficiency and increase examination and treatment spaces in the Ambulatory Care and Optometry Departments. Inscription House Health Center Clinic
KSU also operates two health stations, one at Navajo Mountain and one at Dennehotso, each providing primary care two days per week.
Dennehotso Clinic, constructed in 1963, has 1262 square feet.
Navajo Mountain, owned by Navajo Mountain Chapter, is leased and operated by IHS, and has about 1500 square feet.
Health Services
Emergency services are fully available at Kayenta Health Center. Inscription House Clinic provides urgent care services 40 hours per week, but is not open after regular hours or on weekends.
Consultant specialty care (surgery, obstetrics, orthopedics, cardiology, ENT, ophthalmology, etc) is provided on a regularly scheduled basis from visiting specialists.
Direct primary care (general medical care, pediatrics, internal medicine, mental health, women’s health, etc.) is routinely available at most sites. Kayenta and Inscription House clinics are open daily. Navajo Mountain and Dennehotso clinics are open 2 days per week.
Health Promotion/Disease Prevention services including community education, comprehensive school health curriculum support, injury prevention, and fitness activities.
Special Diabetes programs include Hooghan Project (in-home intensive education for people newly diagnosed with Diabetes), support of Kayenta Township Park Project, additional funding for eye care and dental care for denture patients (IHHC).
Environmental and Engineering services include vector control, epidemiology, plan reviews, commercial and industrial safety and code inspections, home assessments, water supply and wastewater disposal systems, and environmental hazard assessments.
Recent Significant Accomplishments
Continued Accreditation by the Joint Commission on Accreditation of Health Care Organizations (In 1995, Kayenta had the highest score in Navajo Area – 98 of possible 100 points, 95 in 1998 and 96 in 2001).
All Medical Staff are Board Certified in their respective specialties.
All providers working in the ER are certified in Advanced Cardiac Life Support (ACLS) and Advanced Trauma Life Support (ATLS). Most are also current in Pediatric Advanced Life Support (PALS).
Active participation of community members through the Health Advisory Board and Hospital Steering Committee. These groups are chaired by local leaders to promote community support for health care services and IHS understanding of local health and cultural needs.
Strong collaborative effort with Navajo Nation Tribal Programs including Public Health Nursing, Emergency Medical Services, Behavioral Health Services and Health Education.
Prenatal program is one of the models in the area.
100-105 patients seen per month
Average of 240 pregnancies supervised per year
12-15 obstetrical deliveries each year in the ER, plus 15-25 per month referred to other IHS facilities.
75% of patients begin their care during the first trimester
20-25 prenatal patients per month are considered High Risk
Diabetes care is comprehensive and includes clinic screening, education, treatment and home follow-up.
Modified sign-in procedure for patients with appointments
Added eye care services at IHHC ? visual field testing and ocular photography.
IHHC Eye clinic size increased from 372 square feet to 600 square feet.
IHHC implemented computerized appointment system.
Model Injury Prevention and Control activities. The Kayenta IPC Committee (multi-agency) received the Area Director’s Award for Outstanding Group Performance in 1998.
Integration of Navajo culture and traditions with “western” management and medicine adds richness and depth to life and work in the area. Murals painted at Kayenta Health Center depict important aspects of Navajo culture and traditional hogans at both Kayenta and Inscription House are used for cultural orientation and other events. The Kayenta Health Center also has a sweat lodge used for various behavioral health treatment programs.
High quality Laboratory services
Blood services were added at KHC in 1998
CAP proficiency studies – participation is excellent
Lab staff “on call” at KHC
JCAHO Accredited Laboratory
Third party billing collections are increasing. Kayenta was the first Navajo Area Service Unit to implement charge forms and first to implement direct billing for outpatient pharmacy services. The pharmacy Viking system is the model for the Navajo Area.
Strong student programs, including nursing, medical, optometry, dietetics and dental students and residents.
