Tribal Health Program Development

Building future generations of care led by your Tribe.

The future of your community’s health starts with your vision.

You know what your people need—care on your terms, built to last.

Still, turning vision into reality isn’t easy. Funding doesn’t always last. Staff are hard to keep. Technology falls short. Compliance takes focus away from care.

With the right foundation, your Tribe can build programs that are more than healthcare—they are living expressions of who you are and the strength of your community, carried forward.

We’re here to support your journey.

We begin by listening— understanding where your program is today and where you want it to go. Together, we shape a roadmap that fits your vision.

Throughout the journey, we walk beside you—designing solutions together, respecting how you govern, and staying with you even after programs are running strong. Our role is supporting your Tribe in creating care that lasts and truly serves your people.

With guidance and expertise, we help you move from where you are now toward the future you envision.

Building healthcare on your terms.

We bring every part together—wellness, workforce, compliance, technology, and more—so your Tribe leads healthcare that reflects who you are and achieves the outcomes your people deserve.

Together, we create a path that meets your needs today and sustains care for generations.

How The PACT Partners With You

Community Wellness

Strong health programs start with understanding what your people need most. Community Wellness ensures your care is shaped by the voices and experiences of your members.

We work with you to identify care needs, gaps, and priorities—whether stating new services or strengthening existing programs—so your Tribe can move closer to true health equity.

Workforce & Organizational Development

Every strong health system depends on strong leadership and a capable workforce. This area focuses on building the foundation your health department needs to thrive.

We work with Tribal health leaders to assess organizational structure and workforce capacity—identifying where to strengthen, enhance, or align so your team can carry out your vision with confidence.

Self Determination (638)

Exercising self-determination through 638 contracting gives your Tribe greater control over their healthcare programs. This pathway ensures care is delivered on your terms, under your governance.

We support Tribes who are new to contracting OR transitioning from Title I to Title V—helping navigate evolving requirements and ensuring compliance for successful self-determination.

Regulatory Compliance

Meeting complex regulations shouldn’t stand in the way of delivering care. We help Tribal health departments strengthen compliance and move confidently toward accreditation.

Our team works alongside you to assess current practices, align with requirements, and build systems that support both quality care and long-term success.

Partnership Coordination

Strong partnerships expand what Tribal health departments can achieve for their people. We support collaboration between Tribes and other organizations to carry out shared health priorities.

By strengthening knowledge, organizational structure, and workforce capacity, we help your department meet Federal, State, and local initiatives in ways that put Tribal communities first.

Culture & Healing

True wellness comes when healthcare reflects the traditions and spirit of the people it serves. We help Tribes bring cultural practices and healing into modern systems.

In partnership with your community, we explore traditional methods and ways of healing—integrating them into programs, facilities, and environments so care feels both familiar and whole.

Technology Assistance

The right tools make it easier to deliver the best care. We help Tribes strengthen their health systems with technology that fits their needs.

From evaluating options to configuring and implementing new electronic health software—or upgrading existing systems—we support your department every step of the way.

What You Can Expect from Our Partnership

A clear path forward, shaped by your community

A practical plan that turns vision into action—guided by culture and values.

Multi-year healthcare planning

Long-range strategies that strengthen infrastructure and services for future generations.

Evaluations and feasibility studies

Full program reviews and in-depth analysis to show what works, what doesn’t, and what new initiatives can succeed.

Stronger coordination and alignment

Clarifying roles, connecting departments, and bringing leadership, providers, and community members together.

Sustainable funding support

Linking goals to funding and strengthening Tribal control over resources.

Making the most of what you have

Helping you use time, staff, and budget efficiently.

Your culture guides everything

Traditional knowledge and ways of deciding stay at the center—not added later.

A lasting partnership

No Tribe should have to navigate healthcare planning alone. We walk with you long after the plan is written.

Get Clarity on Where to Start & What Comes Next.

Find Out What It Means To
Join The PACT

“Tribal healthcare should be led by our tribes, solidly grounded in our own cultures; only leveraging dominant-culture healthcare where it is necessary and when it enhances our tribal healthcare offerings.”