H1D1IHS1168
Cooperative Agreement
Overview
Grant Description
Special Diabetes Program for Indians
Yakama Nation Wak'ishwi Program - The Confederated Tribes and Bands of the Yakama Nation received funding from the Special Diabetes Program for Indians (SDPI) Community Directed Grant in 1998 to establish the Yakama Nation Diabetes Program (YNDP).
Initially, the program was located within the Yakama Indian Health Service Clinic and provided services and education to address the treatment and prevention of diabetes. The YNDP employed a certified diabetes educator registered nurse for over ten years, along with community health aids, to address the health issues.
In 2009, per community request, the YNDP opened doors to a new facility with access to an exercise facility and focused the majority of services toward physical activity for treatment and prevention of diabetes in the community.
Due to the continuing burden of diabetes on the health care system, the Yakama Indian Health Service received funding from the SDPI Cardiovascular Disease Risk Reduction Healthy Heart Demonstration Project and implemented the Yakama Healthy Heart Program (YHHP) in 2004.
The main objective was to decrease the disease morbidity and mortality in the AI/AN diabetic population. The implementation of the program utilized pharmacists as clinical case managers under collaborative practice agreements to remedy a decline in the number of primary care family practice medical providers available to improve access to care, education in diabetes treatment and prevention, and improve clinical outcomes.
The YHHP resulted in improved clinical outcomes in all categories on the diabetes audit. The YHHP received accreditation in 2011 from the Association of American Diabetes Educators and became a CDC recognized diabetes prevention program in 2018.
Currently, over half of the patients with diabetes have consented to receive the majority of their diabetic care through this program. The YHHP has been a leader within the SDPI community and Indian Country through dissemination of program implementation and presentation of clinical outcomes utilizing pharmacists as clinical providers.
With the FY 2016 change in the SDPI C-D funding opportunity, the Confederated Tribes and Bands of the Yakama Nation recognized that both programs are extremely valuable in the treatment and prevention of diabetes in our community.
The two programs were merged, with the YNDP as the grantee and YHHP as a sub-contract within the grant to continue clinical services. The YNDP provides the majority of efforts towards providing physical activities, educational events, and community-driven requests to the community, while the YHHP provides intense clinical case management services for patients with diabetes.
This approach has allowed the programs to continue key services in the prevention and treatment of diabetes. With increased partnerships and collaboration and the negative connotation associated with diabetes, YNDP changed their name to Yakama Nation Wak'ishwi Program.
Wak'ishwi means "to be healthy" or "to become healthy" in Ichishk'iin, the language of the Yakama Nation. The name change opened the doors for more community members to feel welcome and utilize the services.
It is the mission of the merged programs to provide greater access to quality care to AI/AN patients with diabetes or those with risk factors for diabetes, to improve clinical outcomes, and provide safe and effective physical activities to treat and prevent diabetes in our community using culture and traditional values.
Yakama Nation Wak'ishwi Program - The Confederated Tribes and Bands of the Yakama Nation received funding from the Special Diabetes Program for Indians (SDPI) Community Directed Grant in 1998 to establish the Yakama Nation Diabetes Program (YNDP).
Initially, the program was located within the Yakama Indian Health Service Clinic and provided services and education to address the treatment and prevention of diabetes. The YNDP employed a certified diabetes educator registered nurse for over ten years, along with community health aids, to address the health issues.
In 2009, per community request, the YNDP opened doors to a new facility with access to an exercise facility and focused the majority of services toward physical activity for treatment and prevention of diabetes in the community.
Due to the continuing burden of diabetes on the health care system, the Yakama Indian Health Service received funding from the SDPI Cardiovascular Disease Risk Reduction Healthy Heart Demonstration Project and implemented the Yakama Healthy Heart Program (YHHP) in 2004.
The main objective was to decrease the disease morbidity and mortality in the AI/AN diabetic population. The implementation of the program utilized pharmacists as clinical case managers under collaborative practice agreements to remedy a decline in the number of primary care family practice medical providers available to improve access to care, education in diabetes treatment and prevention, and improve clinical outcomes.
The YHHP resulted in improved clinical outcomes in all categories on the diabetes audit. The YHHP received accreditation in 2011 from the Association of American Diabetes Educators and became a CDC recognized diabetes prevention program in 2018.
Currently, over half of the patients with diabetes have consented to receive the majority of their diabetic care through this program. The YHHP has been a leader within the SDPI community and Indian Country through dissemination of program implementation and presentation of clinical outcomes utilizing pharmacists as clinical providers.
With the FY 2016 change in the SDPI C-D funding opportunity, the Confederated Tribes and Bands of the Yakama Nation recognized that both programs are extremely valuable in the treatment and prevention of diabetes in our community.
The two programs were merged, with the YNDP as the grantee and YHHP as a sub-contract within the grant to continue clinical services. The YNDP provides the majority of efforts towards providing physical activities, educational events, and community-driven requests to the community, while the YHHP provides intense clinical case management services for patients with diabetes.
This approach has allowed the programs to continue key services in the prevention and treatment of diabetes. With increased partnerships and collaboration and the negative connotation associated with diabetes, YNDP changed their name to Yakama Nation Wak'ishwi Program.
Wak'ishwi means "to be healthy" or "to become healthy" in Ichishk'iin, the language of the Yakama Nation. The name change opened the doors for more community members to feel welcome and utilize the services.
It is the mission of the merged programs to provide greater access to quality care to AI/AN patients with diabetes or those with risk factors for diabetes, to improve clinical outcomes, and provide safe and effective physical activities to treat and prevent diabetes in our community using culture and traditional values.
Funding Goals
NOT APPLICABLE
Grant Program (CFDA)
Awarding Agency
Funding Agency
Place of Performance
Washington
United States
Geographic Scope
State-Wide
Related Opportunity
Analysis Notes
Amendment Since initial award the total obligations have increased 325% from $776,890 to $3,301,783.
Confederated Tribes And Bands Of The Yakama Nation was awarded
Yakama Nation Wak'ishwi Program: SDPI Grant Success
Cooperative Agreement H1D1IHS1168
worth $3,301,783
from the HIS Office of the Director in January 2022 with work to be completed primarily in Washington 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 7/6/26
Period of Performance
1/1/23
Start Date
12/31/27
End Date
Funding Split
$3.3M
Federal Obligation
$0.0
Non-Federal Obligation
$3.3M
Total Obligated
Activity Timeline
Transaction History
Modifications to H1D1IHS1168
Additional Detail
Award ID FAIN
H1D1IHS1168
SAI Number
H1D1IHS1168-3446768031
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
Q4EDSUR34U61
Awardee CAGE
1MJT1
Performance District
WA-90
Senators
Maria Cantwell
Patty Murray
Patty Murray
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) | $776,890 | 100% |
Modified: 7/6/26