Determining the Feasibility and Preferred MMRC Models to Serve American Indian and Alaska NativesWhat do Tribal and UIHO Leaders Need to Know?THIS SURVEY IS FOR TRIBAL AND UIHO LEADERSAND DELEGATED DECISION MAKERS

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* 1. What is your role at a Tribe or Urban Indian Health Organization?

Tribal Chair/or Council Member

UIHO Chair/or Broad Member

Tribal Health Director

UIHO Health Director

Other (please specify)

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* 2. What information is needed to understand the complex issues of maternal health, mortality, and morbidity to determine the feasibility of Tribal led MMRCs and serve as background for Tribal and Urban Indian Leaders to make decisions about effective models?

	Low interest		High Interest
Current data and prevalence of American Indian and Alaska Native Maternal Mortality in Washington State compared to other areas	Current data and prevalence of American Indian and Alaska Native Maternal Mortality in Washington State compared to other areas Low interest	Current data and prevalence of American Indian and Alaska Native Maternal Mortality in Washington State compared to other areas	Current data and prevalence of American Indian and Alaska Native Maternal Mortality in Washington State compared to other areas High Interest
Causes related or associated with American Indian and Alaska Native Maternal Mortality	Causes related or associated with American Indian and Alaska Native Maternal Mortality Low interest	Causes related or associated with American Indian and Alaska Native Maternal Mortality	Causes related or associated with American Indian and Alaska Native Maternal Mortality High Interest
Current strategies focused on American Indian and Alaska Native Maternal Mortality in Washington State and other parts of the country	Current strategies focused on American Indian and Alaska Native Maternal Mortality in Washington State and other parts of the country Low interest	Current strategies focused on American Indian and Alaska Native Maternal Mortality in Washington State and other parts of the country	Current strategies focused on American Indian and Alaska Native Maternal Mortality in Washington State and other parts of the country High Interest
Understanding the functions of the Washington State Maternal Mortality Review Committee	Understanding the functions of the Washington State Maternal Mortality Review Committee Low interest	Understanding the functions of the Washington State Maternal Mortality Review Committee	Understanding the functions of the Washington State Maternal Mortality Review Committee High Interest
Awareness of Tribal Leaders' recommendations to the Department of Health and Washington State Legislature regarding American Indian and Alaska Native Maternal Mortality	Awareness of Tribal Leaders' recommendations to the Department of Health and Washington State Legislature regarding American Indian and Alaska Native Maternal Mortality Low interest	Awareness of Tribal Leaders' recommendations to the Department of Health and Washington State Legislature regarding American Indian and Alaska Native Maternal Mortality	Awareness of Tribal Leaders' recommendations to the Department of Health and Washington State Legislature regarding American Indian and Alaska Native Maternal Mortality High Interest
Tribal and Urban Indian community perspectives regarding issues and impact related to American Indian and Alaska Native Maternal Mortality	Tribal and Urban Indian community perspectives regarding issues and impact related to American Indian and Alaska Native Maternal Mortality Low interest	Tribal and Urban Indian community perspectives regarding issues and impact related to American Indian and Alaska Native Maternal Mortality	Tribal and Urban Indian community perspectives regarding issues and impact related to American Indian and Alaska Native Maternal Mortality High Interest

Other (please specify)

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* 3. What venues and strategies would be the most effective and beneficial to reach Tribal and Urban Indian Leaders?

	Not recommended		Highly recommended
Meeting with individual Tribal Councils and UIHOs	Meeting with individual Tribal Councils and UIHOs Not recommended	Meeting with individual Tribal Councils and UIHOs	Meeting with individual Tribal Councils and UIHOs Highly recommended
Virtual Presentations for Tribal and Urban Indian Leadership and opportunity for Q&A	Virtual Presentations for Tribal and Urban Indian Leadership and opportunity for Q&A Not recommended	Virtual Presentations for Tribal and Urban Indian Leadership and opportunity for Q&A	Virtual Presentations for Tribal and Urban Indian Leadership and opportunity for Q&A Highly recommended
Special convening focused on American Indian and Alaska Native Maternal Mortality in Washington State	Special convening focused on American Indian and Alaska Native Maternal Mortality in Washington State Not recommended	Special convening focused on American Indian and Alaska Native Maternal Mortality in Washington State	Special convening focused on American Indian and Alaska Native Maternal Mortality in Washington State Highly recommended
Individual opportunities to connect with AIHC consultants and staff regarding American Indian and Alaska Native Maternal Mortality in Washington State	Individual opportunities to connect with AIHC consultants and staff regarding American Indian and Alaska Native Maternal Mortality in Washington State Not recommended	Individual opportunities to connect with AIHC consultants and staff regarding American Indian and Alaska Native Maternal Mortality in Washington State	Individual opportunities to connect with AIHC consultants and staff regarding American Indian and Alaska Native Maternal Mortality in Washington State Highly recommended
Fact Sheets and Q&A regarding American Indian and Alaska Native Maternal Mortality	Fact Sheets and Q&A regarding American Indian and Alaska Native Maternal Mortality Not recommended	Fact Sheets and Q&A regarding American Indian and Alaska Native Maternal Mortality	Fact Sheets and Q&A regarding American Indian and Alaska Native Maternal Mortality Highly recommended

Other (please specify)

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* 4. Based on your current knowledge of MMRCs, do you have a leaning toward any of the five (5) models?

	A Natiional AI/AN MMRC - one national Tribally-led MMRC	Tribal Specific MMRC - Individual Tribes establish an MMRC	Area-wide MMRC - IHS Area -wide represented by multiple Tribes	A State hybred MMRC - State-led MMRC with addition of Tribal -led element	Tribal/Urban Indian statewide MMRC - Tribes and UIHOs in a single state established MMRC for AI/ANs
Exeremely interested	Exeremely interested A Natiional AI/AN MMRC - one national Tribally-led MMRC	Exeremely interested Tribal Specific MMRC - Individual Tribes establish an MMRC	Exeremely interested Area-wide MMRC - IHS Area -wide represented by multiple Tribes	Exeremely interested A State hybred MMRC - State-led MMRC with addition of Tribal -led element	Exeremely interested Tribal/Urban Indian statewide MMRC - Tribes and UIHOs in a single state established MMRC for AI/ANs
Very interested - would like information send to me	Very interested - would like information send to me A Natiional AI/AN MMRC - one national Tribally-led MMRC	Very interested - would like information send to me Tribal Specific MMRC - Individual Tribes establish an MMRC	Very interested - would like information send to me Area-wide MMRC - IHS Area -wide represented by multiple Tribes	Very interested - would like information send to me A State hybred MMRC - State-led MMRC with addition of Tribal -led element	Very interested - would like information send to me Tribal/Urban Indian statewide MMRC - Tribes and UIHOs in a single state established MMRC for AI/ANs
Somewhat interested - need more information	Somewhat interested - need more information A Natiional AI/AN MMRC - one national Tribally-led MMRC	Somewhat interested - need more information Tribal Specific MMRC - Individual Tribes establish an MMRC	Somewhat interested - need more information Area-wide MMRC - IHS Area -wide represented by multiple Tribes	Somewhat interested - need more information A State hybred MMRC - State-led MMRC with addition of Tribal -led element	Somewhat interested - need more information Tribal/Urban Indian statewide MMRC - Tribes and UIHOs in a single state established MMRC for AI/ANs
Not interested	Not interested A Natiional AI/AN MMRC - one national Tribally-led MMRC	Not interested Tribal Specific MMRC - Individual Tribes establish an MMRC	Not interested Area-wide MMRC - IHS Area -wide represented by multiple Tribes	Not interested A State hybred MMRC - State-led MMRC with addition of Tribal -led element	Not interested Tribal/Urban Indian statewide MMRC - Tribes and UIHOs in a single state established MMRC for AI/ANs

Other (please specify)

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* 5. Have you reviewed the AIHC Addendum to the Washington State Department of Health Maternal Mortality Review Panel Report to the Legislature and the Tribal and Urban Indian Health Leaders' Recommendations?

Yes

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