April and Doug bring their long familiarity to describe the transformative change when the indigenous community became the “customer-owners,” as they now call the members of the Native American community. They explore the way commonly occurring meetings happen and some of the implications for their work as executive-persons in the setting. April describes what it’s like getting a professional-person’s help for a problem. Doug describes some of the data that is used to measure the changes that have occurred since the change.
Guests

April Kyle
President and CEO for Southcentral Foundation’s Nuka System of Care.
More about April
Kyle is of Athabascan descent.
SCF’s Nuka System of Care is a customer-owned system that provides health care and related services to approximately 65,000 Alaska Native and American Indian people. Nuka has earned national and international recognition for the quality of care it provides.
Most recently, Kyle served as Vice President of Behavioral Services which includes crisis, outpatient, integrated, collocated, day and residential program and services. Kyle received her master’s degree from the University of Washington Foster School of Business. In 2013 she was nominated by her peers and received the Top 40 Under 40 award from the Alaska Journal of Commerce, and 2014 completed the Alaska Pacific University Alaska Native Executive Leadership Program. Kyle is a mother and a customer-owner.
Kyle speaks nationally and internationally on various topics including whole system transformation, behavioral health, leadership, and innovation in the industry.

Doug Eby
Vice President of Medical Services for Southcentral Foundation’s Nuka System of Care.
More about Doug
Doug is a physician executive who has done extensive work with the Institute for Healthcare Improvement and other organizations around the Triple Aim, Accountable Care Organizations (ACOs), Patient Centered Medical Homes, whole system transformation, workforce, cultural competency, health disparities, and other topics. His speaking and consulting includes work across the U.S., Canada, and portions of Europe and the South Pacific. Doug has spent more than 20 years working in support of Alaska Native leadership as they created a very innovative integrated system of care that has significantly improved health outcomes. Doug received his medical degree from the University of Cincinnati in Cincinnati, Ohio, and his master’s in public health degree from the University of Hawaii.
Supplementary materials
Readings
https://indiancountrytoday.com/news/native-owned-healthcare-makes-a-difference-in-alaska
https://www.kingsfund.org.uk/publications/intentional-whole-health-system-redesign-nuka-southcentral
A website dedicated to exporting the best practices from Nuka system of care: https://scfnuka.com/
This article provides really great context: https://ssir.org/articles/entry/native_wisdom_is_revolutionizing_health_care
Gottlieb K. The Nuka System of Care: Improving health through ownership and relationships. Int J Circumpolar Health (2013) 72:21118-http://dx.doi.org/10.3402/ijch.v72i0.21118
Self-study
www.SCFNuka.com is a website with several materials and self-study activities
