--- title: What is Southcentral Foundation's Nuka System of Care? description: Southcentral Foundation's Nuka System of Care is the name given to SCF’s whole health care system created, managed and owned by Alaska Native people. image: https://blog.scfnuka.com/hubfs/Imported_Blog_Media/Student-slider-1-Jan-18-2024-05-04-48-1861-PM.jpg --- [![Nuka System of Care](https://blog.scfnuka.com/hs-fs/hubfs/raw_assets/public/SouthcentralFoundation_January2024/images/Nuka-System-of-Care-website-logo.png?width=506&height=186&name=Nuka-System-of-Care-website-logo.png "Nuka System of Care")](https://scfnuka.com/) - [Home](https://scfnuka.com/) - [About Us](https://scfnuka.com/about-us/) - [What is Nuka?](https://scfnuka.com/about-us/#what) - [Mission-Vision](http://scfnuka.com/our-story/#mission) - [Nuka FAQs](https://scfnuka.com/our-story/#nukafaqs) - [Leadership](https://scfnuka.com/our-story/#leadership) - [Awards & Recognitions](https://scfnuka.com/our-story/#awards) - [Opportunities](https://scfnuka.com/opportunities/) - 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[Trauma Informed Care](https://scfnuka.com/services/clinical-professionals/trauma-informed-care/) - [Primary Care](https://scfnuka.com/services/clinical-professionals/primary-care/) - [Improvement & Innovation](https://scfnuka.com/services/improvement-innovation/) - [Customer and Community Engagement](https://scfnuka.com/services/improvement-innovation/customer-community-engagement/) - [Data and Information Management](https://scfnuka.com/services/improvement-innovation/data-and-information-management/) - [Strategy and Improvement](https://scfnuka.com/services/improvement-innovation/strategy-and-improvement/) - [Facility Design](https://scfnuka.com/services/improvement-innovation/facility-design/) - [Software](https://scfnuka.com/nuka-strategic-planning-software/) - [Resources](https://scfnuka.com/resources/) - [Playbooks](https://scfnuka.com/resources/playbooks/) - [Documents](https://scfnuka.com/resources/documents/) - [Media](https://scfnuka.com/resources) - [Podcasts](https://scfnuka.com/resources/podcasts/) - 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[Trainings](https://scfnuka.com/opportunities/trainings/) - [Working With the Alaska Native Population](https://events.bizzabo.com/582902) - [Core Concepts](https://scfnuka.com/opportunities/trainings/core-concepts/) - [Integrated Care Training](https://scfnuka.com/opportunities/trainings/integrated-care-training/) - [Motivational Interviewing](https://scfnuka.com/opportunities/trainings/motivational-interviewing/) - [Certified Chemical Dependency Counselors Training](https://events.bizzabo.com/704751) - [Cultural Humility Training](https://events.bizzabo.com/564874) - [Team Opportunities](https://scfnuka.com/opportunities/team-opportunities/) - [Site Visits](https://scfnuka.com/opportunities/team-opportunities/site-visits/) - [Team Dynamics Workshop](https://scfnuka.com/opportunities/team-opportunities/team-dynamics-workshop/) - [Leadership Team Assessment and Workshop](https://scfnuka.com/leadership-team-assessment-and-workshop/) - [Students](https://scfnuka.com/opportunities/students/) - [Learning Experiences](https://scfnuka.com/opportunities/students/learning-experience/) - [Internship / Fellowship Opportunities](https://scfnuka.com/opportunities/students/internship-fellowship-opportunities/) - [Short-Term Observation](https://scfnuka.com/opportunities/students/short-term-observation/) - [Scholarship](https://www.southcentralfoundation.com/careers/scholarship_opportunities/) - [Calendar](https://scfnuka.com/calendar/) - [Services We Offer](https://scfnuka.com/services/) - [Executive & Leadership](https://scfnuka.com/services/executive-leadership/) - [Leadership Team Assessment and Workshop](https://scfnuka.com/leadership-team-assessment-and-workshop/) - [Leadership](https://scfnuka.com/services/executive-leadership/leadership/) - [Workforce Development](https://scfnuka.com/services/executive-leadership/workforce-development/) - [Clinical Professionals](https://scfnuka.com/services/clinical-professionals/) - [Behavioral Health](https://scfnuka.com/services/clinical-professionals/behavioral-health/) - [Trauma Informed Care](https://scfnuka.com/services/clinical-professionals/trauma-informed-care/) - [Primary Care](https://scfnuka.com/services/clinical-professionals/primary-care/) - [Improvement & Innovation](https://scfnuka.com/services/improvement-innovation/) - [Customer and Community Engagement](https://scfnuka.com/services/improvement-innovation/customer-community-engagement/) - [Data and Information Management](https://scfnuka.com/services/improvement-innovation/data-and-information-management/) - [Strategy and Improvement](https://scfnuka.com/services/improvement-innovation/strategy-and-improvement/) - [Facility Design](https://scfnuka.com/services/improvement-innovation/facility-design/) - [Software](https://scfnuka.com/nuka-strategic-planning-software/) - [Resources](https://scfnuka.com/resources/) - [Playbooks](https://scfnuka.com/resources/playbooks/) - [Document](https://scfnuka.com/resources/documents/) - [Media](https://scfnuka.com/resources/) - [Podcasts](https://scfnuka.com/resources/podcasts/) - [Videos](https://scfnuka.com/resources/videos/) - [Nuka Webinar Series](https://scfnuka.com/resources/webinar/) - [Articles](https://scfnuka.com/resources/articles/) - [Blog](https://blog.scfnuka.com/) - [Contact Us](https://scfnuka.com/contact-us/) You are here: [Home](https://scfnuka.com) / [Blog](https://blog.scfnuka.com) / Southcentral Foundation’s Nuka System of Care ![Southcentral Foundation’s Nuka System of Care](https://blog.scfnuka.com/hubfs/Imported_Blog_Media/Student-slider-1-Jan-18-2024-05-04-48-1861-PM.jpg) # Southcentral Foundation’s Nuka System of Care --- Southcentral Foundation’s Nuka System of Care is the name given to SCF’s whole health care system created, managed and owned by Alaska Native people to achieve physical, mental, emotional and spiritual wellness. Nuka is an Alaska Native word used for strong, giant structures and living things. You may have seen the SCF tagline “Alaska Native People Shaping Health Care.” But what does it mean? In 1982, SCF was incorporated under the tribal authority of Cook Inlet Region, Inc. Alaska Native people assumed management of the health care system from the Indian Health Service in 1984 when Public Law 92-638 was signed into law. In 1998, Southcentral Foundation completed the assumption of ownership and management of primary care and other programs located in the Anchorage Native Primary Care Center. It was then that SCF leadership sought input from Alaska Native and American Indian people on the health care system. Feedback included the desire to have improved access to primary care, to see one provider, to have same day access, for the facilities to be a clean, healing environment, and to own the  services provided and their wellness. Alaska Native people also shared the top five needs of the community: ending domestic violence, child sexual abuse, child neglect, and addressing addiction and alcohol through a focus on behavioral health. Using this feedback, SCF instituted significant philosophical and other changes in the design and administration of programs and services. SCF launched a total system-wide transformation of care, increasing the quality and adaptability of programs —and more importantly—the accountability of providers and customers alike. Alaska Native and American Indian people are in charge of designing and delivering health care. As a health care organization, SCF offers more than just a primary care center supported by specialty clinics. It is a system of care driven by Alaska Native and American Indian customer-owners. Customer-owners have a foundation creating long-term relationships and control of their own health care with integration of the mind, body and spirit, and a commitment to measurement and quality. The Nuka System of Care is built upon three simple, yet revolutionary, philosophies: - [**Customer-ownership**](https://scfnuka.com/customer-ownership/) – Not called patients, customer-owners are treated as equals and share decision-making for their health and wellness. Health care is a service, of which they’re customers and they own their health and the health care system. - [**Relationships**](https://scfnuka.com/relationships/) – Relationship between the primary care team and the customer-owner is the most important means to affect change. Recognizing customer-owners are ultimately in control of their own lifestyle choices and health care decisions, the Nuka System of Care focuses on understanding each customer-owner’s unique story, values and influencers to support them on their journey to wellness. - [**Whole system transformation**](https://scfnuka.com/whole-system-transformation/)– Customer-ownership and relationship impact the entire system, not just health care delivery. All five key work systems in the Nuka System of Care were redesigned, including workforce development, compliance, human resources and finance. For more information regarding the SCF Nuka System of Care, please visit [Our Story](https://scfnuka.com/about-us/).[mailto:?subject=Southcentral%20Foundation%E2%80%99s%20Nuka%20System%20of%20Care&body=https://scfnuka.com/southcentral-foundations-nuka-system-of-care/](mailto:?subject=Southcentral%20Foundation%E2%80%99s%20Nuka%20System%20of%20Care&body=https://scfnuka.com/southcentral-foundations-nuka-system-of-care/) --- ##### Share this entry - Share on Facebook - Share on Twitter - Share on WhatsApp - Share on Linkedin - [mailto:?subject=https://blog.scfnuka.com/southcentral-foundations-nuka-system-of-care](mailto:?subject=https://blog.scfnuka.com/southcentral-foundations-nuka-system-of-care) Share by Mail [**Follow** on Twitter](http://twitter.com/scfnuka/) ### Latest news - [![Sharing Knowledge of the Nuka System of Care Worldwide](https://blog.scfnuka.com/hubfs/IMG_8962.jpeg)](https://blog.scfnuka.com/sharing-knowledge-of-the-nuka-system-of-care-worldwide) [Sharing Knowledge of the Nuka System of Care Worldwide](https://blog.scfnuka.com/sharing-knowledge-of-the-nuka-system-of-care-worldwide) - 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[Southcentral Foundation](https://blog.scfnuka.com/tag/southcentral-foundation) - [Nuka System of Care](https://blog.scfnuka.com/tag/nuka-system-of-care) - [Integrated Care Teams](https://blog.scfnuka.com/tag/integrated-care-teams) - [Customer-Owner](https://blog.scfnuka.com/tag/customer-owner) - [Nuka System of Care Conference](https://blog.scfnuka.com/tag/nuka-system-of-care-conference) - [Training](https://blog.scfnuka.com/tag/training) - [Improvement](https://blog.scfnuka.com/tag/improvement) - [Operations](https://blog.scfnuka.com/tag/operations) - [Behavioral Health](https://blog.scfnuka.com/tag/behavioral-health) - [COVID-19](https://blog.scfnuka.com/tag/covid-19) - [Core Concepts](https://blog.scfnuka.com/tag/core-concepts) - [Evaluation](https://blog.scfnuka.com/tag/evaluation) - [Relationship-based Care](https://blog.scfnuka.com/tag/relationship-based-care) - [Virtual Nuka Conference](https://blog.scfnuka.com/tag/virtual-nuka-conference) - [Clinical Operations](https://blog.scfnuka.com/tag/clinical-operations) - [Data & Improvement](https://blog.scfnuka.com/tag/data-improvement) - [Leadership](https://blog.scfnuka.com/tag/leadership) - [Relationships](https://blog.scfnuka.com/tag/relationships) - [Nuka Conference](https://blog.scfnuka.com/tag/nuka-conference) - [Data](https://blog.scfnuka.com/tag/data) - [Health Marketing](https://blog.scfnuka.com/tag/health-marketing) - [Management](https://blog.scfnuka.com/tag/management) - [Operational Principles](https://blog.scfnuka.com/tag/operational-principles) - [Whole System Transformation](https://blog.scfnuka.com/tag/whole-system-transformation) - [Administrative Support](https://blog.scfnuka.com/tag/administrative-support) [![Customer-Ownership Transforms Health, Wellness & Health Care Delivery](https://blog.scfnuka.com/hs-fs/hubfs/Imported_Blog_Media/1131-300x200@2x-2.jpg?width=90&name=1131-300x200@2x-2.jpg) Customer-Ownership Transforms Health, Wellness & Health Care Delivery](https://blog.scfnuka.com/customer-ownership-transforms-health-wellness-and-health-care-delivery) ### Southcentral Foundation’s Nuka Learning Institute 4085 Tudor Centre Drive Anchorage, Alaska 99508 For information about consulting and events, please contact (907) 729-NUKA (6852) or [SCFNukaEvent@scf.cc](mailto:SCFNukaEvent@scf.cc) For information about student opportunities, please visit [www.scfnuka.com/opportunities/students/](https://scfnuka.com/opportunities/students/) or call (907) 729-6800. ### Southcentral Foundation For information about Southcentral Foundation’s health and wellness programs and services, please visit [www.southcentralfoundation.com](http://www.southcentralfoundation.com/) or call (907) 729-4955 ![Sothcentral Foundation](https://blog.scfnuka.com/hs-fs/hubfs/raw_assets/public/SouthcentralFoundation_January2024/images/SCF_Logo_New_white-300x170.png?width=300&name=SCF_Logo_New_white-300x170.png "Sothcentral Foundation") Copyright © 2025 Southcentral Foundation - 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