The Nuka System of Care: improving health through ownership and relationships

Southcentral Foundation’s Nuka System of Care, based in Anchorage, Alaska, is a result of a customer-driven overhaul of what was previously a bureaucratic system centrally controlled by the Indian Health Service. Alaska Native people are in control as the “customer-owners&#...

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Bibliographic Details
Published in:International Journal of Circumpolar Health
Main Author: Katherine Gottlieb
Format: Article in Journal/Newspaper
Language:English
Published: Taylor & Francis Group 2013
Subjects:
Online Access:https://doi.org/10.3402/ijch.v72i0.21118
https://doaj.org/article/f31c83328f6e4a8c81627c53ba8c95d1
Description
Summary:Southcentral Foundation’s Nuka System of Care, based in Anchorage, Alaska, is a result of a customer-driven overhaul of what was previously a bureaucratic system centrally controlled by the Indian Health Service. Alaska Native people are in control as the “customer-owners” of this health care system. The vision and mission focus on physical, mental, emotional, and spiritual wellness and working together as a Native Community. Coupled with operational principles based on relationships, core concepts and key points, this framework has fostered an environment for creativity, innovation and continuous quality improvement. Alaska Native people have received national and international recognition for their work and have set high standards for performance excellence, community engagement, and overall impact on population health. In this article, the health care transformation led by Alaska Native people is described and the benefits and results of customer ownership and the relationship-based Nuka System of Care are discussed.