LTSS Videos

Drawing from interviews with tribal health experts, community planners, elders, and caregivers, these videos discuss proven strategies for tribal LTSS programs and show examples of successful programs.

Recent LTSS Program Examples

It Takes a Village
Medicine Wheel Village Nursing Facility

Time: 3:46

Hear how the staff at Medicine Wheel Village Nursing Facility in Eagle Butte, South Dakota, keeps tribal elders connected to their families and their culture.

Ketchikan Indian Community
Elders Program

Time: 3:02

Hear how the Ketchikan Indian Community Elders Program enriches the lives of people in Ketchikan, Alaska.

Dementia Initiatives and Resources for Native Families and Communities

These videos showcase efforts of the International Association for Indigenous Aging (IA²) around Alzheimer’s disease and related dementias.

LTSS and COVID-19

Hear about strategies for supporting the physical, spiritual, and emotional health of tribal care facility residents and staff in the context of COVID-19.

COVID-19 in Indian Country: Updated Considerations and Resources for LTSS
Time: 4:38

What Works for Tribal LTSS Programs

These videos bring together experts from different tribal LTSS programs to present successful strategies.: What Works for Us: Building Partnerships and Coordinating Services
Time: 4:11
Most LTSS programs are stitched together from state and federal funding sources, community services, and different types of tribal support. "There's always a way" to fill gaps in services, explains an experience health administrator in this video
Read about how Pueblo of Zuni’s LTSS Network collaborates across multiple community programs, CMS, and IHS.
What Works for Us: Culture and Community
Time: 4:19
Involving elements of tribal cultures, such as Native languages, ceremonies, and traditional foods, can enhance LTSS programs. In this video, tribal health care leaders discuss how they incorporated culture into their programs.
Learn promising practices from tribal nursing homes on how they include cultural considerations in care.

What Works for Us: Staff Hiring and Retention
Time: 3:55
Locations can be remote and paychecks are sometimes low, but experienced administrators of tribal LTSS programs know how to hire and keep good employees. In this video, they share some solutions to these challenges.
Learn about planning and implementation steps for LTSS programs, including how to plan for staffing.

What Works for Us: State and Federal Relationships
Time: 3:59
Much of the funding needed for LTSS comes from state and federal sources. Here, experienced tribal planners and administrators describe challenges and rewards of forming good working relationships with state and federal officials and agencies.
Learn more about building relationships with state and federal partners.

Program examples

These videos highlight several tribal LTSS programs, with those involved in the programs sharing their challenges and successes in meeting the needs of elders and those with disabilities in their communities.: Confederated Tribes of the Colville Reservation Convalescent Center
Time: 2:18
Colville Tribes’ Convalescent Center helps ensure that elders and adults with disabilities can receive culturally appropriate care close to home. The facility provides high-quality LTSS while preserving residents' dignity.
Learn more about different LTSS program models, including facility-based care.

Oneida Community Health Center
Time: 3:10
Oneida Nation’s community health center worked with the state of Wisconsin to switch from a fee-for-service program to managed care to offer a full range of services for tribal elders and adults with disabilities.
Learn more about Oneida Nation's Family Care program, which also provides LTSS.

Phoenix Native Health: Serving Diverse Populations and Places
Time: 6:53
Phoenix Native Health is an urban Indian organization that serves over 300 tribes. It also provides long-term services and supports to the growing senior population among urban Indians in Arizona.

Tohono O'odham Nation's Nursing Care Authority: LTSS in Indian Country
Time: 5:48
The Tohono O'odham Nation's Nursing Care Authority (TONCA) coordinates and delivers skilled nursing care, hospice, and other LTSS. TONCA received an All-Stars Award from the Honoring Nations project as an outstanding example of tribal governance. Read the Honoring Nations Profile on TONCA (PDF).

Tanana Chiefs Conference Community Health Outreach Program: Keeping Elders in the Village
Time: 7:31
The Tanana Chiefs Conference delivers home- and community-based services in remote villages across the interior of Alaska to help elders stay in their communities.
Salt River Pima-Maricopa Indian Community Senior Services Program
Time: 3:13
Salt River Pima-Maricopa Indian Community’s Senior Services Program provides culturally sensitive services to its rapidly growing senior population, including meal delivery, exercise programs, transportation, and more.
See what LTSS services tribes commonly provide and why those services are important to tribal communities.

Makah Tribe Health Home Program
Time: 3:19
Involving elements of tribal cultures, such as Native languages, ceremonies, and traditional foods, can enhance LTSS programs. In this video, tribal health care leaders discuss how they incorporated culture into their programs.
Learn promising practices from tribal nursing homes on how they include cultural considerations in care.

Pueblo of Zuni: LTSS in Indian Country
Time: 5:35
Home- and community-based services are delivered in the Pueblo of Zuni through the coordinated efforts of the Zuni Home Health Care Agency, Zuni Senior Citizen Center, and the Zuni IHS hospital. To learn more about this LTSS network, visit Pueblo of Zuni's profile page.

Oneida Nation of Wisconsin: LTSS in Indian Country
Time: 6:47
The Oneida Nation worked with the State of Wisconsin to create a "win-win" solution for the state and tribe through a reimbursement scenario called 100% FMAP. The Oneida Nation uses needs assessments and research to inform care delivery. To learn more about this program, visit the Oneida Nation's profile page.

Eastern Band of Cherokee Indians: LTSS in Indian Country
Time: 4:56
The Eastern Band of Cherokee Indians offers a wide range of LTSS. The tribe created a long-term care center by collaborating with North Carolina's state agencies and coordinating tribal resources.