H1D4IHS0187
Cooperative Agreement
Overview
Grant Description
THE CHICKASAW NATION'S APPLICATION FOR THE SPECIAL DIABETES PROGRAM FOR INDIANS.
THE CHICKASAW NATION (CN) DIABETES CARE CENTER (DCC) IS LOCATED AT THE CHICKASAW NATION MEDICAL CENTER (CNMC) IN ADA, OKLAHOMA. THE CN DCC IS FUNDED BY THE SPECIAL DIABETES PROGRAM FOR INDIANS (SDPI) COMMUNITY-DIRECTED GRANT.
THE CN DCC IS PRIMARILY CLINIC BASED, BUT HOSTS OR PARTICIPATES IN COMMUNITY EVENTS AND IS STAFFED BY A MULTIDISCIPLINARY TEAM. TWELVE KEY CN PERSONNEL ARE PAID THROUGH SDPI FUNDS.
THE CN DCC TEAM PROVIDES MEDICAL AND EDUCATIONAL SERVICES FOR IN-PATIENT AND OUT-PATIENT CARE. ONE PROVIDER AND ONE NURSE TRAVEL TO SATELLITE CLINICS IN ARDMORE, TISHOMINGO OR PURCELL A TOTAL OF TWELVE TIMES PER MONTH TO PROVIDE SERVICES AND IMPROVE ACCESS TO CARE.
IN FISCAL YEAR 2023, THE TEAM WILL FOCUS ON IMPROVING THE NUMBERS OF CN COMMUNITY MEMBERS WHO COMPLETE YEARLY INFLUENZA IMMUNIZATIONS, AS WELL AS DENTAL AND FOOT EXAMS, AS THESE WERE THE SERVICES FOUND TO BE MOST IN NEED OF IMPROVEMENT PER THE 2021 AND 2022 INDIAN HEALTH SERVICE (IHS) DIABETES AUDITS.
FURTHERMORE, THE TEAM WILL PLACE A PARTICULAR EMPHASIS ON INCREASING RATES OF FOOT EXAMS IN THE CN COMMUNITY, AS THIS WAS CHOSEN TO BE THE DESIGNATED BEST PRACTICE. THE IHS AUDITS REVEALED, SPECIFICALLY, THAT THERE WERE DECREASED RATES OF COMPLETED DENTAL EXAMS AND ONLY MINOR IMPROVEMENTS IN BOTH INFLUENZA VACCINATIONS AND COMPREHENSIVE FOOT EXAM RATES IN 2021 AND 2022.
THE CN DCC HAS DECIDED THAT THE BEST OPTION TO ADDRESS BOTH EXAM AND VACCINATION RATES WILL BE TO EDUCATE PATIENTS AT EACH VISIT ON THE IMPORTANCE OF ANNUAL EXAMS AND VACCINATIONS TO PREVENT COMPLICATIONS, IDENTIFY ISSUES AT THE EARLIEST STAGES BEFORE ADDITIONAL COMPLICATIONS ARISE AND PROTECT OVERALL HEALTH.
ADDITIONALLY, THE PROGRAM WILL BEGIN TO IMPLEMENT A DETAILED INTERNAL SCREENING AND HISTORY FORM AND WILL USE ALL VISITS AS OPPORTUNITIES TO IDENTIFY PATIENTS DUE FOR EXAMS, PLACE CONSULTS FOR EXAMS DUE AND DOCUMENT ACCORDINGLY.
THE GOAL IS THAT BY IMPLEMENTING MORE THOROUGH MEASURES TO IDENTIFY PATIENTS DUE FOR DENTAL AND FOOT EXAMS, AS WELL AS INFLUENZA VACCINATIONS, THE COMPLETION RATES FOR THESE SERVICES WILL IMPROVE.
MOREOVER, IN THE WAKE OF COVID-19 RESTRICTIONS BEING LIFTED IN THE CN COMMUNITY, THE RESULTING INCREASED NUMBER OF IN-PERSON PATIENT VISITS WILL CREATE MORE OPPORTUNITIES TO IDENTIFY PATIENTS DUE FOR A DENTAL EXAM, COMPREHENSIVE FOOT EXAM AND/OR INFLUENZA VACCINATION.
CLINICAL CARE PERFORMANCE MEASURES WERE COLLECTED FROM DATA FROM THE GOVERNMENT PERFORMANCE AND RESULTS ACT (GPRA) MEASURES TO ASSESS PATIENT POPULATION NEEDS.
A PATIENT POPULATION OF 2,500 AMERICAN INDIAN (AI) DIAGNOSED WITH DIABETES MELLITUS (DM) WAS IDENTIFIED AND ASSESSED TO SEE WHETHER OR NOT THEY WERE UP TO DATE ON THEIR INFLUENZA IMMUNIZATIONS AND DENTAL AND FOOT EXAMS.
OF PATIENTS WHO RECEIVED A SCREENING AT CNMC, DATA INDICATED THE RATE MET FOR COMPLETED DM FOOT EXAMS AS 54.5 PERCENT, DM INFLUENZA VACCINATION AS 72.1 PERCENT AND DM DENTAL EXAMS AS 32.5 PERCENT.
IT WAS DECIDED BY THE CN DCC TEAM TO PLACE THE MOST FOCUS ON FOOT EXAMS AND USE THEM AS THEIR BEST PRACTICE, WITH THE PROGRAM GOAL OF INCREASING THE NUMBER OF COMPREHENSIVE FOOT EXAMS COMPLETED.
THIS PROJECT SEEMED MOST PERTINENT GIVEN THAT PEOPLE WITH DIABETES ARE AT HIGH RISK FOR VASCULAR AND NERVE DAMAGE THAT MAY COMPROMISE BLOOD FLOW AND REDUCE SENSATION IN THE FEET.
PAIN SENSATION PROVIDES PROTECTION AND EARLY INDICATION OF WOUNDS AND OTHER ISSUES; WITHOUT THAT PROTECTION, FOOT ULCERS, INFECTIONS AND AMPUTATIONS MAY RESULT, WHICH CAN AFFECT MOBILITY AND OVERALL QUALITY OF HEALTH.
THE AIM WILL BE TO IMPROVE THE PROCESS OF IDENTIFYING PATIENTS DUE FOR COMPREHENSIVE FOOT EXAMS, DOCUMENT CONSULTATIONS FOR EXAMS AND INCREASE OPPORTUNITIES TO EDUCATE PATIENTS.
THE TARGET POPULATION WILL BE MADE UP OF AI PATIENTS DIAGNOSED WITH DIABETES REFERRED TO THE CN DCC FOR ANY DIABETES CARE VISIT. THE CLINIC NAVIGATOR MANAGES ALL REFERRALS AND CONSULTS AND WILL BE RESPONSIBLE FOR TR.
THE CHICKASAW NATION (CN) DIABETES CARE CENTER (DCC) IS LOCATED AT THE CHICKASAW NATION MEDICAL CENTER (CNMC) IN ADA, OKLAHOMA. THE CN DCC IS FUNDED BY THE SPECIAL DIABETES PROGRAM FOR INDIANS (SDPI) COMMUNITY-DIRECTED GRANT.
THE CN DCC IS PRIMARILY CLINIC BASED, BUT HOSTS OR PARTICIPATES IN COMMUNITY EVENTS AND IS STAFFED BY A MULTIDISCIPLINARY TEAM. TWELVE KEY CN PERSONNEL ARE PAID THROUGH SDPI FUNDS.
THE CN DCC TEAM PROVIDES MEDICAL AND EDUCATIONAL SERVICES FOR IN-PATIENT AND OUT-PATIENT CARE. ONE PROVIDER AND ONE NURSE TRAVEL TO SATELLITE CLINICS IN ARDMORE, TISHOMINGO OR PURCELL A TOTAL OF TWELVE TIMES PER MONTH TO PROVIDE SERVICES AND IMPROVE ACCESS TO CARE.
IN FISCAL YEAR 2023, THE TEAM WILL FOCUS ON IMPROVING THE NUMBERS OF CN COMMUNITY MEMBERS WHO COMPLETE YEARLY INFLUENZA IMMUNIZATIONS, AS WELL AS DENTAL AND FOOT EXAMS, AS THESE WERE THE SERVICES FOUND TO BE MOST IN NEED OF IMPROVEMENT PER THE 2021 AND 2022 INDIAN HEALTH SERVICE (IHS) DIABETES AUDITS.
FURTHERMORE, THE TEAM WILL PLACE A PARTICULAR EMPHASIS ON INCREASING RATES OF FOOT EXAMS IN THE CN COMMUNITY, AS THIS WAS CHOSEN TO BE THE DESIGNATED BEST PRACTICE. THE IHS AUDITS REVEALED, SPECIFICALLY, THAT THERE WERE DECREASED RATES OF COMPLETED DENTAL EXAMS AND ONLY MINOR IMPROVEMENTS IN BOTH INFLUENZA VACCINATIONS AND COMPREHENSIVE FOOT EXAM RATES IN 2021 AND 2022.
THE CN DCC HAS DECIDED THAT THE BEST OPTION TO ADDRESS BOTH EXAM AND VACCINATION RATES WILL BE TO EDUCATE PATIENTS AT EACH VISIT ON THE IMPORTANCE OF ANNUAL EXAMS AND VACCINATIONS TO PREVENT COMPLICATIONS, IDENTIFY ISSUES AT THE EARLIEST STAGES BEFORE ADDITIONAL COMPLICATIONS ARISE AND PROTECT OVERALL HEALTH.
ADDITIONALLY, THE PROGRAM WILL BEGIN TO IMPLEMENT A DETAILED INTERNAL SCREENING AND HISTORY FORM AND WILL USE ALL VISITS AS OPPORTUNITIES TO IDENTIFY PATIENTS DUE FOR EXAMS, PLACE CONSULTS FOR EXAMS DUE AND DOCUMENT ACCORDINGLY.
THE GOAL IS THAT BY IMPLEMENTING MORE THOROUGH MEASURES TO IDENTIFY PATIENTS DUE FOR DENTAL AND FOOT EXAMS, AS WELL AS INFLUENZA VACCINATIONS, THE COMPLETION RATES FOR THESE SERVICES WILL IMPROVE.
MOREOVER, IN THE WAKE OF COVID-19 RESTRICTIONS BEING LIFTED IN THE CN COMMUNITY, THE RESULTING INCREASED NUMBER OF IN-PERSON PATIENT VISITS WILL CREATE MORE OPPORTUNITIES TO IDENTIFY PATIENTS DUE FOR A DENTAL EXAM, COMPREHENSIVE FOOT EXAM AND/OR INFLUENZA VACCINATION.
CLINICAL CARE PERFORMANCE MEASURES WERE COLLECTED FROM DATA FROM THE GOVERNMENT PERFORMANCE AND RESULTS ACT (GPRA) MEASURES TO ASSESS PATIENT POPULATION NEEDS.
A PATIENT POPULATION OF 2,500 AMERICAN INDIAN (AI) DIAGNOSED WITH DIABETES MELLITUS (DM) WAS IDENTIFIED AND ASSESSED TO SEE WHETHER OR NOT THEY WERE UP TO DATE ON THEIR INFLUENZA IMMUNIZATIONS AND DENTAL AND FOOT EXAMS.
OF PATIENTS WHO RECEIVED A SCREENING AT CNMC, DATA INDICATED THE RATE MET FOR COMPLETED DM FOOT EXAMS AS 54.5 PERCENT, DM INFLUENZA VACCINATION AS 72.1 PERCENT AND DM DENTAL EXAMS AS 32.5 PERCENT.
IT WAS DECIDED BY THE CN DCC TEAM TO PLACE THE MOST FOCUS ON FOOT EXAMS AND USE THEM AS THEIR BEST PRACTICE, WITH THE PROGRAM GOAL OF INCREASING THE NUMBER OF COMPREHENSIVE FOOT EXAMS COMPLETED.
THIS PROJECT SEEMED MOST PERTINENT GIVEN THAT PEOPLE WITH DIABETES ARE AT HIGH RISK FOR VASCULAR AND NERVE DAMAGE THAT MAY COMPROMISE BLOOD FLOW AND REDUCE SENSATION IN THE FEET.
PAIN SENSATION PROVIDES PROTECTION AND EARLY INDICATION OF WOUNDS AND OTHER ISSUES; WITHOUT THAT PROTECTION, FOOT ULCERS, INFECTIONS AND AMPUTATIONS MAY RESULT, WHICH CAN AFFECT MOBILITY AND OVERALL QUALITY OF HEALTH.
THE AIM WILL BE TO IMPROVE THE PROCESS OF IDENTIFYING PATIENTS DUE FOR COMPREHENSIVE FOOT EXAMS, DOCUMENT CONSULTATIONS FOR EXAMS AND INCREASE OPPORTUNITIES TO EDUCATE PATIENTS.
THE TARGET POPULATION WILL BE MADE UP OF AI PATIENTS DIAGNOSED WITH DIABETES REFERRED TO THE CN DCC FOR ANY DIABETES CARE VISIT. THE CLINIC NAVIGATOR MANAGES ALL REFERRALS AND CONSULTS AND WILL BE RESPONSIBLE FOR TR.
Awardee
Funding Goals
NOT APPLICABLE
Grant Program (CFDA)
Awarding Agency
Funding Agency
Place of Performance
Oklahoma
United States
Geographic Scope
State-Wide
Related Opportunity
Analysis Notes
Amendment Since initial award the total obligations have increased 218% from $1,378,327 to $4,384,981.
Chickasaw Nation was awarded
CN DCC SDPI Grant: Improving Diabetes Care
Cooperative Agreement H1D4IHS0187
worth $4,384,981
from the HIS Office of the Director in January 2022 with work to be completed primarily in Oklahoma 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
$4.4M
Federal Obligation
$0.0
Non-Federal Obligation
$4.4M
Total Obligated
Activity Timeline
Transaction History
Modifications to H1D4IHS0187
Additional Detail
Award ID FAIN
H1D4IHS0187
SAI Number
H1D4IHS0187-3106420430
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
KS8HLVMJEMW9
Awardee CAGE
1YWC2
Performance District
OK-90
Senators
James Lankford
Markwayne Mullin
Markwayne Mullin
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) | $1,378,327 | 100% |
Modified: 4/21/25