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H1D4IHS0189

Cooperative Agreement

Overview

Grant Description
Citizen Potawatomi Nation Special Diabetes Programs for Indians FY2023 -

The Citizen Potawatomi Nation (CPN) in Shawnee, Oklahoma is requesting $1,092,387 in federal funding for the CPN Special Diabetes Program for Indians (SDPI) program. The SDPI program will provide quality care to those with diabetes, reduce the complications of diabetes, and reduce the threat of diabetes in at-risk individuals.

There is a critical need to address depression within our native population. In patients with diabetes, depression worsens the prognosis of diabetes, increases non-compliance to treatment, decreases quality of life, increases healthcare cost, and increases mortality. The prevalence of depression has become twice as high in people with type 2 diabetes.

For this reason, the CPN SDPI team has chosen depression screening as the best practice for FY2023. Depression screening forms will be incorporated into all diabetes program appointments. In addition, information relating to depression will be available at all Citizen Potawatomi Nation Health Services (CPNHS) locations with the opportunity for immediate depression screenings and resources for support. Patients without a recent depression screening in their chart will receive education and reminders to complete one as soon as possible.

In addition to our selected best practice, Diabetes Self-Management Education and Support (DSMES) program Building Education about Diabetes (BEAD) will be offered to both newly and previously diagnosed patients with diabetes. Patients commonly present with complications such as retinopathy, neuropathy, ulcers, obesity, and kidney problems in addition to disease denial, depression, and misinformation that leads to poor disease management. This program will provide education on all areas of diabetes management and equips participants with the necessary tools to better manage their diabetes, prevent long-term complications, and support patients in their journey with this chronic illness.

A registered dietitian will conduct a minimum of twelve cooking demonstrations with nutrition education throughout the year. Education will include food preparation, food safety, nutrition recommendations, guidelines, and disease management and prevention education.

Diabetic foot exams will be performed by a certified foot care nurse (CFCN). The CFCN will check feet for changes in blood flow, signs of nerve damage, ingrown nails, skin problems, and sores. Additional testing will be done to identify areas of low sensation. All patients on the CPN IHS diabetes registry with a diagnosis of type 1 or type 2 diabetes make up the target group for this activity. Diabetic foot care and orthopedic inserts provided through this activity will help prevent amputation of toes, feet, and possibly limbs with early treatment, proper footwear, and regular evaluation by the CFCN.

With federal funding, the CPN SDPI team will provide quality care to Native Americans with diabetes, reduce the complications of diabetes, and reduce the threat of diabetes in at-risk patients.
Funding Goals
NOT APPLICABLE
Place of Performance
Oklahoma United States
Geographic Scope
State-Wide
Analysis Notes
Amendment Since initial award the total obligations have increased 223% from $1,092,387 to $3,527,161.
Citizen Potawatomi Nation was awarded Native American Diabetes Care & Depression Screening Program Cooperative Agreement H1D4IHS0189 worth $3,527,161 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
58.0% Complete

Funding Split
$3.5M
Federal Obligation
$0.0
Non-Federal Obligation
$3.5M
Total Obligated
100.0% Federal Funding
0.0% Non-Federal Funding

Activity Timeline

Interactive chart of timeline of amendments to H1D4IHS0189

Transaction History

Modifications to H1D4IHS0189

Additional Detail

Award ID FAIN
H1D4IHS0189
SAI Number
H1D4IHS0189-1258782073
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
NMFYBB8HBGC1
Awardee CAGE
045N8
Performance District
OK-90
Senators
James Lankford
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) $1,092,387 100%
Modified: 4/21/25