; or (ii) a higher level easily accessible to the patient. (B) Expressing to Indians their rights and responsibilities as patients in receiving health care services through the Service. (C) Presenting at various meetings, and to various committees, a description of any issues experienced by Indians in receiving health care services through the Service. (D) Managing a patient advocate tracking system, if applicable. (E) Compiling data relating to any complaints made to the advocate by Indians with respect to the receipt of health care services through the Service, and the satisfaction of Indians with those services, to determine whether there exist any trends in those data. (F) Ensuring that a process exists for the distribution of data compiled under subparagraph (E) to Indian health programs, appropriate leaders, committees, and service providers, and staff of the Service. (G) Identifying, not less frequently than quarterly, opportunities for improvement in the provision of health care services to Indians by or through the Service, including based on complaints by Indian patients or immediate family members. (H) Ensuring that any significant complaint by an Indian patient or family member with respect to health care provided by or through the Service is brought to the attention of appropriate staff of the Service or Indian health program for the purpose of assessing whether further analysis of the problem is required at the Service, Service area, Service unit, or Indian health program level. (I) Supporting any other patient advocacy programs carried out by the Department. (J) Ensuring that all appeals and final decisions with respect to the receipt of health care services through the Service are entered into a patient advocate tracking system of the Office, if applicable. (K) Understanding all laws, directives, and other rules relating to the rights and responsibilities of Indians in receiving health care services through the Service, including the appeals processes available to Indian patients and immediate