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Poor management and lack of accountability have contributed to inadequate healthcare for Native Americans in the Great Plains region, representatives of South Dakota tribes told a state Senate panel on Feb. 3, according to areport in the Argus Leader in Sioux Falls.

In response, federal officials announced initiatives including the creation of  a multi-agency group to focus on quality and patient safety and designating a single organization to accredit Indian Health Service hospitals, according to the Argus Leader report.