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Lake Roosevelt Community Health Centers (LRCHC) are located respectively in Inchelium and Keller Washington, on the Colville Indian Reservation.  Second to the Confederated Tribes of the Colville Reservation, we are the largest employer in the Inchelium area.  The Confederated Tribes of the Colville Reservation established the Colville Tribal Health Authority by Resolution 2004-146 Title 11 of the Colville Tribal Law and Order Code, incorporated as an independent LLC.


The Confederated Tribes of the Colville Indian Reservation (Colville Tribes) consist today of 1.4 million acres. The aboriginal territories for the 12 Tribes which comprise the Colville Tribes of the Colville Indian Reservation spanned from British Columbia, along the Eastern Slope of the Cascade Range to the Wenatchee Valley, across Northcentral Washington, the Palouse, and Northeastern Oregon.


The reservation has four distinct political and geographic districts of Omak, Inchelium, Nespelem and Keller. Ambulatory Health Services are provided in all four. In Nespelem and Omak the Colville Service Unit provide the direct patient care, with Inchelium and Keller operating clinics under a P.L. 93-638 contract for the Lake Roosevelt Health Centers. Tribal members utilize any of the four facilities.  LRCHC also bills patient insurance for third party payment and is also grant funded through the Health Resources and Services Administration.


Tribal cultural practices are maintained through many ceremonies, activities, and practices. Tribal members continue traditional gathering of edible roots, berries, medicines, and weaving materials across the traditional areas for the tribes. Additionally, Tribal members include deer, elk, and moose as well as salmon and other fish as part of the diet. Traditional dancing, rodeo, sports are some of the activities enjoyed by the membership.


There are approximately 9,500 enrolled tribal members the enrollment office indicates approximately 2/3 living on or near the reservation.  The Inchelium District population is approximately 2000, and the Keller District lists 234.


LRCHC provide direct care services including Medical, Dental, Vision, Physical Therapy, Pharmacy, Optometry, Laboratory, Radiology, Acupuncture, and Mental Health Services, under a memorandum of understanding within the Colville Tribe’s Annual Funding Agreement.

Strategic Plan reviewed annually by the administration and the board*


Working together to provide excellence in health care.


Lake Roosevelt Community Health Centers will achieve excellence, and provide quality, value, and safety in everything we do.


Medical staff, clinicians, and employees will exhibit core values and perform daily activities with the highest professionalism and ethical standards.


The community will benefit from LRCHC’s local focus as it addresses the healthcare needs of our patients through focusing on improving patient experiences, and our community’s health, while maintaining financial stewardship.


Patient Oriented – Engage patients as individuals in a mindful, empathetic, and meaningful way.  Take the time to communicate and listen to our patients.


Community Involvement and Awareness - Incorporate public surveys and evaluations and collaborative efforts to enhance our services.


Trust, Respect, and Accountability – Adhere to moral principals that include honesty, sincerity, fairness, and decency, and reflect these principals in the care and service we provide.  Ensure all employees account for services delivery and promote confidence in our communities served.


Confidentiality, and Professionalism – Carefully and responsibly protect and manage the resources entrusted to our facilities, while maintaining our professionalism in all our dealings.  Staff development to ensure competent and quality professional care.


Wellness, Adaptability, and Quality – provide care that is safe, effective, timely, efficient, and equitable.  Engage in a mindful, empathetic, and meaningful way.


LRCHC is a beacon in our community, a vital source of safe, quality health care.  We continue to take thoughtful, planned steps to maintain future viability, and grow our services to meet community need despite the unpredictability of the health care environment in which we operate.  Our strategic plan sets our direction and defines our path.


Quality, Value, and Safety


Goal 1:  To promote excellence and quality healthcare to optimal performance for our organization. 


  • Annual review of all policies and practices to ensure the highest quality of standards for the facility, function, and staff requirements.

  • Ensure all staff are meeting position knowledge, skills, and abilities through staff orientation, training, and development.

  • Maintain the facilities in accordance with BEMAR facility management, accreditation and building codes and standards to meet service delivery.

  • Providers to promote and identify a strong prevention program for communities.

  • Promote alternative and complimentary medical procedures.

  • Promote teambuilding and collaboration among all staff and providers.

  • Care focus on prevention measures/early intervention.

  • Research and provide where possible, alternative, and complimentary medical options.

  • Ensure full staffing at both facilities.

  • Research other medical procedures for in-house application.

  • Enhance and expand existing services, tobacco cessation, prevention programs, nutritional services, acupuncture, and diabetic care, (podiatry).

  • Update the organization chart and realign services/reporting to maximize care provided.

Community Collaboration


Goal 2:  LRCHC Health Board Communication and Development.


  • Develop an orientation packet for new Board members.

  • Update Board IT applications and equipment for improved communication.

  • Provide training opportunities and meeting opportunities.

  • Improve Board meetings through standardized agendas and meeting protocols.

  • Efficient oversight of the Executive Director, development of evaluation and expectations.

  • Complete annual self-evaluation of the Board.

  • Provide periodic surveys of service delivery.

  • Participate in communities’ meetings and activities to market the LRCHC.

  • Market LRCHC with all local events, booths, fairs, etc.



Administration/Financial Competence


Goal 3:  Improve administration and financial requirements


  • Improve reporting throughout LRCHC and the Board of Directors.

  • Develop a comprehensive HR program.  Includes:  Hiring process, orientation, exit, benefits, file audits, salary surveys, training plans, and an incentive program.

  • Develop a viable Emergency Management Plan with drills, establish a Board of Survey, provide EM drills, safety trainings, reporting requirements.

  • Meet all contractual obligations, HRSA, Indian Health, and employee contracts.

  • Complete monthly financial reporting requirements, audit preparations, and review of CTCR A-133 audits, and completion of any audit findings.

  • Work for financial independence from the CTCR, coordinate financial processes and procedures, coordination, and participation in development of IHS negotiations for LRCHC shares.

  • Develop IT applications that meet the needs of the LRCHC departments and services, automate Patient Portal, and check in procedures.

  • Improve fiber optics and necessary connections for electronic equipment, provide a consistent backup for the system servers.

  • Implement employee orientation, training, recognition, and evaluation of all staff.

  • Ensure all contractual agreements with third parties for services/insurances are reviewed and up to date.


Long-range Plans


Goal 4:  Expansion and development of additional services


  • Provide Dialysis services – need site and service requirements.

  • Expand Physical Therapy with space and therapy pool.

  • Provide Naturopathic, Chiropractic, traditional healing, and massage therapy services.

  • Host exercise clinics, and exercise programs.

  • Develop a nurturing home health care for the disabled, and elder population.

  • Develop housing alternatives for providers, property development and coordinate with Tribal Treatment housing project.

  • Pharmacy will research and create opportunities for Collaborative Practice Agreements with the medical department to expand pharmacy services.

  • Increase providers for medical, dental, physical therapy, pharmacy, and optometry services.

  • Expansion of existing facility and redesign office space. 

Plan upgrades for roofing repairs and water drainage issues at Inchelium.

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