Puyallup Tribe

Following a major tribally-initiated restructuring in the early 1980s that created a quality improvement committee and a flatter organizational structure, the PTHA has increased patient access for urgent care visits, reduced “no show” rates, created clinical objectives, increased dental treatments, and incorporated the use of traditional healers into health care delivery. The Puyallup Tribe's Quality Improvement Program has enabled the PTHA to address effectively many of the health care needs of the community that were previously unmet under the Indian Health Service's management. With 6 full time physicians and a staff of 210, the PTHA has become a model for other Indian nations seeking to create and sustain health systems that meet the highest standard of excellence.

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"…In 1991, the Tribal Council of the Puyallup Tribe of Indians in Tacoma, Washington, identified five long-range goals for the Tribe. The first among these was a stated desire to buy back lands within the Reservtion which had been previously sold by the Tribe or lost through the pssage of the laws and policies of non-Indian governments. For this reson, combined with a requirement by the Land Claims Settlement Act of 1988, the Tribe's Land Use Director is developing a comprehensive land use plan. This report addresses the land acquisition component of the broader land use plan.

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View Report (PDF)