H1D4IHS0192
Cooperative Agreement
Overview
Grant Description
Comprehensive Multidisciplinary Diabetes Clinic: DM Education by Registered Nurses and Dieticians (many are certified diabetes educators) in the community. A full-service fitness center - The Choctaw Nation of Oklahoma (CNO) is a federally-recognized tribe that operates an Indian Health Program, the Choctaw Nation Health Services Authority (CNHSA). The Choctaw Nation Special Diabetes Program is based on "best practices" established by the Indian Health Service (IHS) and the American Diabetes Association (ADA). SDPI is a multi-site clinic and community-based program.
The Diabetes Wellness Center (DWC) is located at Talihina, Oklahoma and is the hub location for the nine multi-site clinics throughout Choctaw Nation. At our central location in Talihina, we offer podiatry, diabetic educators, community health nurses, immunization clinic, registered dieticians, RN case management, and a fitness center with lifestyle coaches. The well-prepared DWC staff provides extensive care for American Indian and Alaska Native (AI/AN) individuals with or at risk for diabetes and its complications.
Project personnel have participated in health fairs, providing health education, physical fitness screening, and numerous physical activities. These activities are positively impacting communities through awareness of diabetes, cardiovascular disease (CVD), and specific lifestyle changes to prevent or delay these illnesses. SDPI regularly partners with CDC staff working within the Diabetes Prevention Program teaching diabetic prevention.
In the most recent year, a workstation for dental exams has been created. The dental patients can be seen on a walk-in basis. Looking ahead, the desire for Choctaw Nation SDPI is to hire a full-time dental team in the next five years to serve our diabetes patients as they are scheduled for DM visits.
Other services offered under the SDPI grant include two pediatric endocrinologists that are contracted with OU Children's Hospital. They provide monthly tele-med and/or on-site visits at Talihina/Durant. We also send a midlevel weekly with her nurse to see diabetes patients in satellite clinics in the southern region of the Choctaw Nation service area.
Community services are also offered under the SDPI grant. These services offer access to our diabetic educators, registered dieticians, lifestyle coaches, fitness counselors at community events, camps, schools, and outreach programs. SDPI also collaborates with the Choctaw Nation Healthy Lifestyle Department by hosting 5K/1mile/Trail of Tears walks and employee fitness events.
Although CNHSA has made great strides toward improving the health of AI/AN's served, there remains a continued trend toward rising diabetes prevalence and complications such as CVD. This places an extensive financial burden upon our healthcare system.
The Diabetes Wellness Center (DWC) is located at Talihina, Oklahoma and is the hub location for the nine multi-site clinics throughout Choctaw Nation. At our central location in Talihina, we offer podiatry, diabetic educators, community health nurses, immunization clinic, registered dieticians, RN case management, and a fitness center with lifestyle coaches. The well-prepared DWC staff provides extensive care for American Indian and Alaska Native (AI/AN) individuals with or at risk for diabetes and its complications.
Project personnel have participated in health fairs, providing health education, physical fitness screening, and numerous physical activities. These activities are positively impacting communities through awareness of diabetes, cardiovascular disease (CVD), and specific lifestyle changes to prevent or delay these illnesses. SDPI regularly partners with CDC staff working within the Diabetes Prevention Program teaching diabetic prevention.
In the most recent year, a workstation for dental exams has been created. The dental patients can be seen on a walk-in basis. Looking ahead, the desire for Choctaw Nation SDPI is to hire a full-time dental team in the next five years to serve our diabetes patients as they are scheduled for DM visits.
Other services offered under the SDPI grant include two pediatric endocrinologists that are contracted with OU Children's Hospital. They provide monthly tele-med and/or on-site visits at Talihina/Durant. We also send a midlevel weekly with her nurse to see diabetes patients in satellite clinics in the southern region of the Choctaw Nation service area.
Community services are also offered under the SDPI grant. These services offer access to our diabetic educators, registered dieticians, lifestyle coaches, fitness counselors at community events, camps, schools, and outreach programs. SDPI also collaborates with the Choctaw Nation Healthy Lifestyle Department by hosting 5K/1mile/Trail of Tears walks and employee fitness events.
Although CNHSA has made great strides toward improving the health of AI/AN's served, there remains a continued trend toward rising diabetes prevalence and complications such as CVD. This places an extensive financial burden upon our healthcare system.
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 208% from $3,331,639 to $10,244,917.
Choctaw Nation Of Oklahoma was awarded
Comprehensive Diabetes Clinic: DM Education & Fitness Center
Cooperative Agreement H1D4IHS0192
worth $10,244,917
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
$10.2M
Federal Obligation
$0.0
Non-Federal Obligation
$10.2M
Total Obligated
Activity Timeline
Transaction History
Modifications to H1D4IHS0192
Additional Detail
Award ID FAIN
H1D4IHS0192
SAI Number
H1D4IHS0192-2449228051
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
GNZLNKLREX72
Awardee CAGE
0M764
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) | $3,331,639 | 100% |
Modified: 4/21/25