Most tribal health consultants have never run a clinic. We do. Our consulting draws directly from what we are learning in Los Angeles, Northern California, and every other engagement we take. You get advice from the operator's seat, not the advisor's.
Our feasibility studies use the same assumptions we apply to our own clinics. If a number does not pencil for us, we will not pretend it pencils for you.
We know 638, ISDEAA, IHCIA, and the current CMS rule sets cold. We also know where the gaps are and where tribal sovereignty gives you options others will not surface.
We ship implementation plans, staffing models, RCM specs, and compliance frameworks your team can run. Not 80-slide strategy decks that sit on a shared drive.
Tribal self-determination, federal funding pathways, rural hospital strategy.
We help tribes move into 638 self-determination contracting, stand up FQHC and FQHC Look-Alike programs, and evaluate Critical Access Hospital strategies. Currently executing a 638 transition for a tribal partner in 2026.
Learn more →The cultural supplement to AAAHC and IHS GPRA.
ICHAS is a 66-standard, 208-element cultural care accreditation framework developed with Richard Moves Camp. It complements existing accreditation bodies with standards for cultural competence, traditional medicine integration, and community accountability.
Learn more →Feasibility, market entry, service gap analysis.
We run exploratory market analyses, site selection studies, and competitive positioning for tribal programs. Powered by the IHA Market Intelligence platform, delivered with the three-phase analytical engine we use internally.
Learn more →Build the clinical team the tribe actually needs.
Provider recruitment, credentialing support, compensation benchmarking with MGMA data, and staffing model design, with active placements across the 2026 dual-site clinic model.
Learn more →From audit-reactive to audit-ready.
Policy suites, standard operating procedures, quality assurance and improvement programs, HIPAA and 42 CFR Part 2 compliance, RPMS training, and standardization across sites. Currently executing a 24-policy standardization suite for a federally recognized tribe in Louisiana.
Learn more →Every IHA consulting engagement runs the 4D Method: Discover, Design, Deliver, Demonstrate. We start with an exploratory phase before any deliverable commitment, so the scope fits the real problem, not a boilerplate SOW.
Exploratory phase, data pulls, stakeholder interviews, scope confirmation.
Strategic options, pathway analysis, financial frameworks, decision gates.
Implementation artifacts, staffing models, policy suites, training materials.
Metrics, reviews, audit readiness, transition handoff.
ICHAS (Indigenous Cultural Health Accreditation Standards) is a cultural care accreditation framework with 66 standards, 208 elements, and ten domains. Developed with Richard Moves Camp, Lakota medicine man, it complements AAAHC and IHS GPRA with standards for cultural competence, traditional medicine integration, and community accountability.
IHA consulting is informed by live clinic operations. IHA builds and operates its own tribal clinics, so every consulting engagement draws from active operational experience, not theoretical knowledge. Deliverables are implementation-ready: staffing models, policy suites, and compliance frameworks, not strategy decks.
Yes. IHA provides advisory engagements for tribes evaluating Federally Qualified Health Center (FQHC) or FQHC Look-Alike designation. The engagement covers eligibility assessment, application strategy, governance requirements, and operational planning, informed by IHA’s own clinic development experience.
The 4D Method is IHA’s consulting framework: Discover (exploratory phase, data, stakeholder interviews), Design (strategic options, pathway analysis, financial frameworks), Deliver (implementation artifacts, staffing models, policy suites), and Demonstrate (metrics, reviews, audit readiness, transition handoff). Every engagement starts with Discover before committing to scope.
Tell us what's broken. A 30-minute discovery call decides whether we can help.
Book a discovery callRead the Truth as Medicine podcast archive or our recent writing to see how we think about tribal health.
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