• St. Ignatius Health Center
    St. Ignatius Health Center
  • Ronan Health Center
    Ronan Health Center
  • Polson Health Center
    Polson Health Center
  • SKC Student Health Center
    SKC Student Health Center

Our Promise:  

"We are dedicated to

helping every Tribal Health

recipient receive

high-quality health care

grounded in our Tribal


Improvements for Recipients Using Tribal Health Pharmacy


St. Ignatius, Mont. — Recently, in an effort to improve recipient care, Tribal Health Pharmacies at both St. Ignatius and Polson, have adopted a new electronic system called Pioneer Rx.  


With this transition at the Polson Pharmacy, there has been some unanticipated challenges that have affected Tribal Health recipients and staff.   Tribal Health is focused on trying to correct issues that ensure improved pharmacy care and customer service for every recipient.


One important change includes identifying the needs of each recipient, prior to getting to the pharmacy window.  


  • During the check-in process at Registration, recipients will be asked if they are filling a new prescription.


  • Those who are filling new prescriptions will be provided priority, and asked to wait while their prescription is filled.


  • Once a new prescription is complete, the recipient’s name will appear on the electronic message board, and their name will be called to come to the window to pick up their new prescription.


  • Tribal Health staff will also work with those who are waiting in line, to determine the status of their prescription, and to provide for more timely pick-up of prescriptions that are already completed.


  • Additionally, Tribal Health staff will be on hand to help recipients access the new online refill program (weblink located at www.CSKThealth.org) and the mobile app (search for RxLocal at the app store on any mobile device) that allows recipients to order refills quickly and efficiently.


To order through the online and mobile systems, recipients need the following information:


  • Prescription number 
  • Name
  • Phone number
  • Date of birth


The online refill program and mobile app offers recipients the following benefits:


  • Choice of pharmacy prescription pickup
  • Choice in the time for pick up (please note, that just as the phone refill system, Tribal Health pharmacy needs at least 24 hours to refill an order)
  • Ability to manage prescription refills for individuals and their family members
  • Access to view medication profiles
  • Setup medication reminders to alert recipients when a dose is to be taken (this is helpful for Tribal Health recipients who may be having problems taking their daily medications properly, or for those who take many drugs  and/or complex dosing schedules)


In addition to the online and mobile app options of refilling prescriptions, Pioneer Rx provides for other improved services at Tribal Health pharmacies including:


  • Photo Identification:  Pioneer can capture a recipient’s image by camera or by scanning a drivers license. This provides extra protection from individuals seeking to unlawfully obtain prescriptions.


  • Electronic Refill Request:  Pioneer can send an electronic refill request to a recipient’s medical provider.  This is a very convenient service for both the recipient and their health care provider.


  • Tribal Health Recipient Information:  All recipients and sensitive information is encrypted to ensure personal  information is secure using some of the strongest encryption formats and procedures.


To make the time at Tribal Health more comfortable, Tribal Health provides complimentary coffee to recipients when visiting any of the Tribal Health facilities.  Please be sure to ask for a cup of coffee! 


Tribal Health appreciates the patience of the community, and remains focused on working on the promise of being dedicated to helping every Tribal health recipient to receive high-quality health care grounded in Tribal values. 


Tribal Health of the Confederated Salish and Kootenai Tribes provides comprehensive health care services to recipients including audiology/speech; behavioral health; dental; medical; nursing; optical; pharmacy; physical therapy; radiology; and wellness across a broad network on the Flathead Indian Reservation.  Tribal Health is dedicated to a promise that every Tribal Health recipient receives high-quality health care grounded in tribal values— supporting each recipient’s journey of “Being in a Good Way.”



# # #

CSKT Tribal Health Fitness centers in Arlee, St. Ignatius, and Elmo, would like to announce their Open Houses on September 25th & 26th, 2017 at all locations. Come check it out, visit exercise and have fun. Join our fitness Specialist for evaluations and specialized personal exercise programs for recipients. New equipment coming soon.



  • Arlee open Monday through Friday 6am to 9pm.
  • St Ignatius open Monday through Friday 6am to 9pm and, Saturday and Sunday 9am to 9pm.
  • Elmo open Monday through Friday 6am to 9pm.


If you have additional questions please contact Willie Stevens at ext. 5151 or This email address is being protected from spambots. You need JavaScript enabled to view it.


(St. Ignatius, Mont.) — Tribal Health is going EPIC. EPIC is the name of a new electronic health records system adopted by Tribal Health to improve the delivery of health care services to recipients.

To help Tribal Health recipients and staff understand what this means for them, here are some commonly asked questions and answers below:

Q. Why Go EPIC?
A. Right now, Tribal Health is using an old, antiquated electronic health records (EHR) system that was used by the Indian Health Service, called RPMS. As of today, this old system is not meeting the needs of Tribal Health.

Q. Why can’t Tribal Health keep using the current electronic health records system?
A. In the near future RPMS will no longer be supported and viable. As CSKT Tribal Health continues to pioneer a new way of delivering health care to our community, Tribal Health has decided to get ahead of the curve and adopt the new electronic health record (EHR) called EPIC.

Q. Why choose EPIC?
A. EPIC is going to improve the health care and records of all Tribal Health recipients by streamlining workflows of staff and health care providers, in addition to improving the business processes to help bring Tribal Health to a new standard of delivering health care to the community.

Q. What is an Electronic Health Record (EHR)?
A. An Electronic Health Record (EHR) is an electronic version of a recipients medical history, that is maintained by the health care provider over time, and may include all of the key clinical data relevant to the recipients care under a particular provider, including demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports.

EPIC will help strengthen the relationship between recipients and their health care providers. With EPIC, there is better access to data, allowing providers to make better decisions and provide better care.

For example, EPIC will improve recipient care by:
• Reducing the incidence of medical error by improving the accuracy and clarity of medical records;
• Making the health information more available to the provider(s), reducing duplication of tests, reducing delays in treatment, and assisting recipients to be better informed to make better health related decisions.

Q. What is valuable about moving to this new electronic health records system?
A. One valuable aspect of EPIC includes the ability to become part of the larger Providence network of health care that includes St. Patrick Hospital; Providence St. Josephs Medical Center; St Joseph Medical Clinic - Polson; and St. Joseph Medical Clinic - Ronan.

In addition to linking into the Providence network of health care, Tribal Health will also be able to access the data available regarding recipient care (obtained outside of Tribal Health) such as radiology images, and lab results to name a few.

Internally, the EPIC user interface and efficiency in processes will help Tribal Health providers provide better health care while Tribal Health business staff will be able to implement improved business practices.

One other great benefit with being more integrated with the regional health care network is that Tribal Health recipients will now get more timely access (i.e., immediately as needed) to MRI and mammograms within the Providence network verses waiting for the mobile units that parked outside of the Tribal Health facilities every two weeks.

Q. How will recipients be affected by these changes?
A. Tribal Health is working hand-in-hand with technical staff to make the transition to EPIC smooth. Staff are being trained as well in the new systems as they go live. During the transition phase, recipients may be asked to verify their demographic records to ensure that they are correct and accurate moving forward.

As each new change unfolds, Tribal Health is working to inform staff and the public about what is happening, why and when.

Q. Will Tribal Health recipients also get additional access to their health care information through EPIC?
A. Yes, EPIC allows for the implementation of an online connection to recipients’ health care providers, through software called MyChart.

MyChart is a free service that gives secure, online access to a recipient’s health care team and medical record — wherever and whenever they want.

With MyChart, recipients will be able to:

  • Review medications, immunizations and medical history;
  • Communicate with their health care team;
  • Request prescription renewals;
  • Review results for most tests;
  • Get clinic after-visit summaries;
  • Schedule the next primary care appointment;
  • Receive electronic statements and pay bills.

Q. Are there other software programs that will fit into the new Tribal Health electronic health records system besides just EPIC?
A. Yes, because Tribal Health is unique in the population it serves, it’s funding sources and the rich network of services that are offered— Tribal Health is adopting other systems to integrate with EPIC to make the business of delivering health care services to recipients run smoothly.

Some of the new software includes Pioneer (for the Pharmacy program); Dentrix (for the Dental program) and Nuvodia (an Inland Imaging program for the new Personal Archiving Communications System also called PACS for viewing radiology images).

Q. What is the timeline for adopting EPIC?
A. Tribal Health has begun the process of adopting the new electronic health records system called EPIC. As of May 2017, Dentrix is now live and working for the Dental program. Nuvodia is slated to start July 18, 2017, and Pioneer is scheduled to start on August 1, 2017. All of these additional software systems will operate under the EPIC umbrella which will go live for the rest of Tribal Health in December 2017.

Q. How is Tribal Health preparing for the transition to EPIC?
A. Currently, the transition to EPIC includes a lot of technical work behind the scenes, first through identifying the specific needs of Tribal Health, then writing specific programming that will then be uploaded as the new system goes live in December.

Staff are being briefed and introduced to the new aspects of the system, with training to follow as necessary. Hardware is being evaluated and replaced with needed. Some updates of current software is also be implemented.

Q. How are changes about the transition to EPIC being broadcasted?
A. Tribal Health is using various ways to educate and inform their staff, and the public, about changes during the implementation of EPIC— including posting notices on EPIC bulletin boards that are located throughout Tribal Health facilities, CharKoosta, website, intranet, paycheck flyers, Facebook and email.

As staff continue training to use the new systems, they are also being updated, and in addition, an EPIC Workgroup has been formed, with representatives from each division/department of Tribal Health responsible for communicating information to their respective division/department staff.

Tribal Health
Tribal Health

St. Ignatius, Mont. - On October 25, 2017, Tribal Health will distribute Deterra® Drug Deactivation bags, free to Tribal Health recipients, and any community members, from all Tribal Health facilities.

Deterra® Drug Deactivation systems allow recipients to safely dispose of prescription drugs and over-the-counter painkillers at home safely and effectively.

This comes as part of an effort to curb substance abuse involving unused medication acquired by family members and/or acquaintances.  

The Deterra® technology is easy to use.  Recipients simply put their medication in a bag containing a carbon that bonds to pharmaceutical compounds when water is added. Next, the person adds water and shakes the bag to neutralize the active ingredient in the drug.  The biodegradable bag can then be placed into the trash.

Deterra® bags will be handed out from 8am - 5pm, on October 25, 2017 from the following Tribal Health sites:

  • Elmo Health Center
  • Elmo Fitness Center
  • Hot Springs Health Center
  • Polson Health Center (throughout all clinics)
  • Salish Kootenai College Student Health Center
  • Ronan Health Center
  • St. Ignatius Health Center (throughout all clinics)
  • St. Ignatius Fitness Center
  • Arlee Health Center

In addition to providing Deterra® Drug Deactivation bags, both St. Ignatius and Polson Tribal Health Pharmacy sites offer permanent drop boxes for disposal of unused prescriptions.  

These pharmacy drop boxes are always available, and anyone can dispose of unused medication in the boxes. Restrictions include: illegal drugs, liquids greater than four ounces, sharps containers, needles, syringes, aerosol spray cans, trash, medical devices, chemicals, or other hazardous materials.

The Deterra® bags are being provided to Tribal Health through a State Targeted Response (STR) grant from the Substance Abuse and Mental Health Services Administration, to the State of Montana.

Tribal Health of the Confederated Salish and Kootenai Tribes provides comprehensive health care services to recipients including audiology/speech; behavioral health; dental; medical; nursing; optical; pharmacy; physical therapy; radiology; and wellness across a broad network on the Flathead Indian Reservation.  Tribal Health is dedicated to a promise that every Tribal Health recipient receives high-quality health care grounded in tribal values - supporting each recipient's journey of "Being in a Good Way."

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