H1D4IHS0180
Cooperative Agreement
Overview
Grant Description
Winslow Indian Health Care Center Diabetes Program that serves Winslow service area of 8 chapter location and 3 border towns.
The Winslow Indian Health Care Center is a non-profit ambulatory healthcare corporation chartered under the laws of the Navajo Nation. WIHCC is authorized, pursuant to Navajo Nation Council Resolution CJY-33-10, to administer and operate the Winslow Indian Health Service Program under Title V, Self-Governance, of the Indian Self Determination and Education Assistance Act.
The WIHCC is a primary healthcare provider with a target population of approximately 18,000 beneficiaries. The service area situates in the southwestern portion of the Navajo Reservation encompassing the rural chapter communities of Grazing Districts 5 and 7: Leupp, Tolani Lake, Birdsprings, Dilkon, Teesto, Indian Wells, Whitecone, and Jeddito. The service area includes the bordertown communities of Winslow, Joseph City, and Holbrook.
The WIHCC is opening the new Dilkon Medical Center during fiscal year 2023. The WIHCC Diabetes Program is grantee of the SDPI grant since 1998. The program name has formally changed to a more cultural appropriate name: Hozhogoo Iina Wellness Program (HIWP) including the SDPI funded program and activities.
The mission, vision, and value of the HIWP follow the WIHCC's operational statements:
Mission: Accessibility, quality, and cost-effective health care;
Vision: A healing and harmonious environment in partnership with communities;
Values: Hozhojii do k'e (harmonious relationships), trustworthiness, justice, respect, dignity, service, humility.
The operational structure of the HIWP is a culturally sensitive and patient-centered care paradigm referencing the Dine Wellness Model. The concepts and principles of Hozhogoo Iina target health and wellness at the individual, family, and community levels. The Dine Wellness teachings are holistic in context and are based on the spiritual concept of Ke', represent wellness across the age spectrum, and are integrated with proactive and preventive approaches to health and wellness.
The objectives of the HIWP including the SDPI funded program and activities follow the themes representing the four cardinal directions of the Dine Wellness Model:
- East-Thinking (Nitsahakees) and beginning of life: To create a patient-centered and culturally sensitive diabetes prevention program across the age spectrum. The screening portion (across the age spectrum) of the SDPI funded programs address this aim: youth wellness, health and fitness, and nutrition efforts support this aim, including other outreach screening programs.
- South-Planning (Nahat'a) and targets school age: To increase patient access to a patient-centered and culturally sensitive health and wellness program to counter diabetes across the age spectrum. The efforts under this aim that are grant funded include: youth wellness- Victory Clinic, health and fitness including DM and PCMH referrals to this program in the wellness center, and nutrition activities for school-age children.
- West-Iina (Life) and targets adults: To provide educational resources to improve the self-management skill sets of patients and families to prevent diabetes complications at the primary, secondary, and tertiary levels. The DSME program efforts to improve diabetes-related education is part of this aim. The health and fitness hands-on educational efforts in the wellness center as well as the nutrition outreach program address this aim. The shoe clinic and insulin titration clinics are access points for this aim. The proposed CGM activity is part of this aim.
- North-Siihasin (Hope/Assurance): To ensure a patient-centered and culturally sensitive diabetes prevention and treatment program which integrates with the WIHCC's practice model: the patient-centered medical home. This is the policy-making portion of the SDPI funded programs to establish and seed as part of the WIHCC operation.
Overall, HIWP strives to improve access to quality and cost-effective health care, create a healing and harmonious environment in partnership with communities, and promote harmonious relationships, trustworthiness, justice, respect, dignity, service, and humility.
The Winslow Indian Health Care Center is a non-profit ambulatory healthcare corporation chartered under the laws of the Navajo Nation. WIHCC is authorized, pursuant to Navajo Nation Council Resolution CJY-33-10, to administer and operate the Winslow Indian Health Service Program under Title V, Self-Governance, of the Indian Self Determination and Education Assistance Act.
The WIHCC is a primary healthcare provider with a target population of approximately 18,000 beneficiaries. The service area situates in the southwestern portion of the Navajo Reservation encompassing the rural chapter communities of Grazing Districts 5 and 7: Leupp, Tolani Lake, Birdsprings, Dilkon, Teesto, Indian Wells, Whitecone, and Jeddito. The service area includes the bordertown communities of Winslow, Joseph City, and Holbrook.
The WIHCC is opening the new Dilkon Medical Center during fiscal year 2023. The WIHCC Diabetes Program is grantee of the SDPI grant since 1998. The program name has formally changed to a more cultural appropriate name: Hozhogoo Iina Wellness Program (HIWP) including the SDPI funded program and activities.
The mission, vision, and value of the HIWP follow the WIHCC's operational statements:
Mission: Accessibility, quality, and cost-effective health care;
Vision: A healing and harmonious environment in partnership with communities;
Values: Hozhojii do k'e (harmonious relationships), trustworthiness, justice, respect, dignity, service, humility.
The operational structure of the HIWP is a culturally sensitive and patient-centered care paradigm referencing the Dine Wellness Model. The concepts and principles of Hozhogoo Iina target health and wellness at the individual, family, and community levels. The Dine Wellness teachings are holistic in context and are based on the spiritual concept of Ke', represent wellness across the age spectrum, and are integrated with proactive and preventive approaches to health and wellness.
The objectives of the HIWP including the SDPI funded program and activities follow the themes representing the four cardinal directions of the Dine Wellness Model:
- East-Thinking (Nitsahakees) and beginning of life: To create a patient-centered and culturally sensitive diabetes prevention program across the age spectrum. The screening portion (across the age spectrum) of the SDPI funded programs address this aim: youth wellness, health and fitness, and nutrition efforts support this aim, including other outreach screening programs.
- South-Planning (Nahat'a) and targets school age: To increase patient access to a patient-centered and culturally sensitive health and wellness program to counter diabetes across the age spectrum. The efforts under this aim that are grant funded include: youth wellness- Victory Clinic, health and fitness including DM and PCMH referrals to this program in the wellness center, and nutrition activities for school-age children.
- West-Iina (Life) and targets adults: To provide educational resources to improve the self-management skill sets of patients and families to prevent diabetes complications at the primary, secondary, and tertiary levels. The DSME program efforts to improve diabetes-related education is part of this aim. The health and fitness hands-on educational efforts in the wellness center as well as the nutrition outreach program address this aim. The shoe clinic and insulin titration clinics are access points for this aim. The proposed CGM activity is part of this aim.
- North-Siihasin (Hope/Assurance): To ensure a patient-centered and culturally sensitive diabetes prevention and treatment program which integrates with the WIHCC's practice model: the patient-centered medical home. This is the policy-making portion of the SDPI funded programs to establish and seed as part of the WIHCC operation.
Overall, HIWP strives to improve access to quality and cost-effective health care, create a healing and harmonious environment in partnership with communities, and promote harmonious relationships, trustworthiness, justice, respect, dignity, service, and humility.
Funding Goals
NOT APPLICABLE
Grant Program (CFDA)
Awarding Agency
Funding Agency
Place of Performance
Tennessee
United States
Geographic Scope
State-Wide
Related Opportunity
Analysis Notes
Amendment Since initial award the total obligations have increased 225% from $734,394 to $2,386,781.
Winslow Indian Health Care Center was awarded
Cooperative Agreement H1D4IHS0180
worth $2,386,781
from the HIS Office of the Director in January 2022 with work to be completed primarily in Tennessee 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
$2.4M
Federal Obligation
$0.0
Non-Federal Obligation
$2.4M
Total Obligated
Activity Timeline
Transaction History
Modifications to H1D4IHS0180
Additional Detail
Award ID FAIN
H1D4IHS0180
SAI Number
H1D4IHS0180-1738661024
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
ZLLLCB4F5L49
Awardee CAGE
3WWE7
Performance District
TN-90
Senators
Marsha Blackburn
Bill Hagerty
Bill Hagerty
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) | $734,394 | 100% |
Modified: 4/21/25