H1D1IHS1156
Cooperative Agreement
Overview
Grant Description
San Carlos Apache Healthcare Corporation Diabetes Treatment and Prevention Program - The San Carlos Apache Indian Reservation is a 1.8-million-acre land base of the federally recognized San Carlos Apache Tribe located in southeastern Arizona. We are a rural Arizona tribe, located 90 miles east of the metropolitan Phoenix area.
The San Carlos Apache Tribe has approximately 17,050 enrolled members. In addition to type 2 diabetes, there are other diabetes-related comorbidities that are prevalent among the San Carlos Apache Tribe such as obesity, cardiovascular, and kidney disease.
The San Carlos Apache Healthcare Corporation ("SCAHC") is a subsidiary nonprofit healthcare enterprise of the San Carlos Apache Tribe established for the purpose of providing direct hospital and clinical services. SCAHC has been working on building a comprehensive diabetes treatment program specific to the San Carlos Apache Tribe alongside the community-driven diabetes prevention efforts.
Continuous efforts by SDPI coupled with SCAHC funds will be a significant step in addressing diabetes and its comorbidities on the San Carlos Apache Reservation. The San Carlos Apache Tribe has identified an increase in disease burden since the beginning of the current grant cycle FY2016-FY2022.
In 2015, 1392 individuals with diabetes were receiving their care in San Carlos. In March 2020, prior to the pandemic, we identified 1743 individuals with diabetes. During the pandemic, as more individuals began coming in to SCAHC for acute illness including COVID infections, the hospital began to identify undiagnosed individuals with uncontrolled diabetes.
As of this year, we now have over 1900 community members with diabetes that are actively receiving their care at SCAHC and an additional 675 individuals that are diagnosed with diabetes that are not actively receiving their care at SCAHC.
In our efforts to identify prediabetes and diabetes, SCAHC has taken the initiative of completing glucose checks when patients arrive for any appointment. SCAHC has also added a mobile health unit to assist in providing healthcare within the community to individuals that may not have otherwise received healthcare.
With the addition of this mobile health unit, our hope is that we can build trust within the community, provide healthcare and education to prevent the onset of diabetes and manage diabetes to decrease the risk of diabetes-related comorbidities.
Within our SDPI clinic, we continue to provide diabetes education and medical nutrition therapy as well as comprehensive diabetes care by nurse practitioners, endocrinologists, a podiatrist, optometrists, dentists, and our primary care team. Through this comprehensive care approach, our goal is to build long-lasting trust with the community members and in return improve glycemic control and decrease the risk of diabetes and all its comorbidities.
As of September 2021, we have also built a 3-tier comprehensive weight loss program including Tier 1 with nutrition and lifestyle modifications only, Tier 2 adding medication-assisted weight loss, and Tier 3 completing bariatric surgery when Tier 1 and 2 have failed. Since then, we have approximately 80 individuals that are utilizing our medication-assisted weight loss and 21 individuals that have undergone bariatric/metabolic surgery. Many individuals have been able to reduce or completely stop their chronic medications.
San Carlos has also identified approximately 2225 individuals within the community that have prediabetes who will have the possibility of improving their health through lifestyle modifications and decreasing their weight through community outreach, the Diabetes Prevention Program, and early intervention of dietitian support.
The SDPI grant would continue to assist in growing our current and new programs. Additional funding to be considered would also assist in our community outreach efforts through improvements to our fitness centers, including group fitness rooms and classrooms to provide a community
The San Carlos Apache Tribe has approximately 17,050 enrolled members. In addition to type 2 diabetes, there are other diabetes-related comorbidities that are prevalent among the San Carlos Apache Tribe such as obesity, cardiovascular, and kidney disease.
The San Carlos Apache Healthcare Corporation ("SCAHC") is a subsidiary nonprofit healthcare enterprise of the San Carlos Apache Tribe established for the purpose of providing direct hospital and clinical services. SCAHC has been working on building a comprehensive diabetes treatment program specific to the San Carlos Apache Tribe alongside the community-driven diabetes prevention efforts.
Continuous efforts by SDPI coupled with SCAHC funds will be a significant step in addressing diabetes and its comorbidities on the San Carlos Apache Reservation. The San Carlos Apache Tribe has identified an increase in disease burden since the beginning of the current grant cycle FY2016-FY2022.
In 2015, 1392 individuals with diabetes were receiving their care in San Carlos. In March 2020, prior to the pandemic, we identified 1743 individuals with diabetes. During the pandemic, as more individuals began coming in to SCAHC for acute illness including COVID infections, the hospital began to identify undiagnosed individuals with uncontrolled diabetes.
As of this year, we now have over 1900 community members with diabetes that are actively receiving their care at SCAHC and an additional 675 individuals that are diagnosed with diabetes that are not actively receiving their care at SCAHC.
In our efforts to identify prediabetes and diabetes, SCAHC has taken the initiative of completing glucose checks when patients arrive for any appointment. SCAHC has also added a mobile health unit to assist in providing healthcare within the community to individuals that may not have otherwise received healthcare.
With the addition of this mobile health unit, our hope is that we can build trust within the community, provide healthcare and education to prevent the onset of diabetes and manage diabetes to decrease the risk of diabetes-related comorbidities.
Within our SDPI clinic, we continue to provide diabetes education and medical nutrition therapy as well as comprehensive diabetes care by nurse practitioners, endocrinologists, a podiatrist, optometrists, dentists, and our primary care team. Through this comprehensive care approach, our goal is to build long-lasting trust with the community members and in return improve glycemic control and decrease the risk of diabetes and all its comorbidities.
As of September 2021, we have also built a 3-tier comprehensive weight loss program including Tier 1 with nutrition and lifestyle modifications only, Tier 2 adding medication-assisted weight loss, and Tier 3 completing bariatric surgery when Tier 1 and 2 have failed. Since then, we have approximately 80 individuals that are utilizing our medication-assisted weight loss and 21 individuals that have undergone bariatric/metabolic surgery. Many individuals have been able to reduce or completely stop their chronic medications.
San Carlos has also identified approximately 2225 individuals within the community that have prediabetes who will have the possibility of improving their health through lifestyle modifications and decreasing their weight through community outreach, the Diabetes Prevention Program, and early intervention of dietitian support.
The SDPI grant would continue to assist in growing our current and new programs. Additional funding to be considered would also assist in our community outreach efforts through improvements to our fitness centers, including group fitness rooms and classrooms to provide a community
Funding Goals
NOT APPLICABLE
Grant Program (CFDA)
Awarding Agency
Funding Agency
Place of Performance
Arizona
United States
Geographic Scope
State-Wide
Related Opportunity
Analysis Notes
Amendment Since initial award the End Date has been shortened from 12/31/28 to 12/31/27 and the total obligations have increased 213% from $1,993,912 to $6,231,736.
San Carlos Apache Healthcare Corporation was awarded
San Carlos Apache Diabetes Treatment & Prevention Program
Cooperative Agreement H1D1IHS1156
worth $6,231,736
from the HIS Office of the Director in January 2022 with work to be completed primarily in Arizona United States.
The grant
has a duration of 5 years and
was awarded through assistance program 93.237 Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects.
The Cooperative Agreement was awarded through grant opportunity Special Diabetes Program for Indians.
Status
(Ongoing)
Last Modified 4/21/25
Period of Performance
1/1/23
Start Date
12/31/27
End Date
Funding Split
$6.2M
Federal Obligation
$0.0
Non-Federal Obligation
$6.2M
Total Obligated
Activity Timeline
Transaction History
Modifications to H1D1IHS1156
Additional Detail
Award ID FAIN
H1D1IHS1156
SAI Number
H1D1IHS1156-2483523228
Award ID URI
SAI UNAVAILABLE
Awardee Classifications
Indian/Native American Tribal Government (Federally-Recognized)
Awarding Office
75A1HS IHS Office of Management Services/Division of Grants Management
Funding Office
75GA00 IHS OFFICE OF THE DIRECTOR
Awardee UEI
SH9ZPYX785A6
Awardee CAGE
7FVK5
Performance District
AZ-90
Senators
Kyrsten Sinema
Mark Kelly
Mark Kelly
Budget Funding
| Federal Account | Budget Subfunction | Object Class | Total | Percentage |
|---|---|---|---|---|
| Indian Health Services, Indian Health Service, Health and Human Services (075-0390) | Health care services | Grants, subsidies, and contributions (41.0) | $1,993,912 | 100% |
Modified: 4/21/25