H1D4IHS0239
Cooperative Agreement
Overview
Grant Description
Special Diabetes Program for Indians (SDPI) Diabetes Prevention and Treatment Projects - The SDPI Diabetes Program is based out of Bristol Bay Area Health Corporation, which is an IHS compacted facility.
Abstract: Bristol Bay Area Health Corporation (BBAHC), a nonprofit tribal health care organization, was incorporated in 1973 as a 501(c)(3) non-profit IHS compacted facility. Bristol Bay Area Health Corporation SDPI has been running since 1998. The Kanakanak Hospital and Community Health Center are located in Dillingham, with 21 village-based clinics throughout the region. Ten of the clinics are recognized as Federally Qualified Health Centers by the Bureau of Primary Health Care and the Centers for Medicare and Medicaid Services of the U.S. Department.
The hospital has a full medical staff that offers diabetic care, lab, pharmacy, optometry, radiology, physical therapy, audiology, and dental. The diabetes team travels to the villages to provide diabetic care and testing.
Bristol Bay Area Health Corporation, Bristol Bay Area SDPI Program engages in a multi-faceted and integrated approach in providing diabetes management plus prevention activities and services to Alaska Natives/American Indians throughout Bristol Bay Area service area, Alaska. The Bristol Bay Area SDPI Program identified goals and objectives that are rooted in the IHS SDPI 2021 audit finding, input from BBAHC's region-wide medical staff stakeholders, and diabetes-related regional clinical health outcomes routinely monitored by BBAHC's tribally-led Diabetes Advisory Committee.
The SDPI Diabetes Program selected best practice of glycemic control. The SDPI Program is structured to advance this best practice within three central programmatic components, including:
Component I - Collaborative Diabetic Care Coordination, Management, and Prevention: The Bristol Bay Area SDPI Program, in collaboration with the village-based Community Health Aide Program (CHAPs) and community stakeholders, will be providing a range of diabetic care services and prevention activities. Coordination of care with medical staff and RNs will schedule labs and specialty referrals. HbA1c screening by RNs and comprehensive nurse case management. Patient education will be provided by RNs, RD, health educators, and MD to all community participants. The team will include the following disciplines: diabetes team of podiatrist, MD specializing in diabetes care, registered nurses, CDE registered dietitian, CDE, pharmacists, physical therapist, village community health aide, optometrist, dental, and ancillary staff.
Component 2 - Foot Exams: Patients will see the podiatrist during their yearly diabetes appointments. RN and/or certified diabetic nurse will also provide diabetic foot exams and refer patients to the podiatrist for any abnormal assessment findings.
Component 3 - Retinopathy Screening: Diabetics will have a retinopathy exam once a year. The diabetes program has 2 portable retinopathy machines, which are taken out on villages travel and used to provide eye exams. The results are then taken to the optometrist at the main hospital, where they will be reviewed by the optometrist to see if further eye care is needed.
Each year, the Bristol Bay Area SDPI team and the Anchorage IHS Diabetes team come together in Dillingham to have a week-long intensive joint diabetes clinic.
Abstract: Bristol Bay Area Health Corporation (BBAHC), a nonprofit tribal health care organization, was incorporated in 1973 as a 501(c)(3) non-profit IHS compacted facility. Bristol Bay Area Health Corporation SDPI has been running since 1998. The Kanakanak Hospital and Community Health Center are located in Dillingham, with 21 village-based clinics throughout the region. Ten of the clinics are recognized as Federally Qualified Health Centers by the Bureau of Primary Health Care and the Centers for Medicare and Medicaid Services of the U.S. Department.
The hospital has a full medical staff that offers diabetic care, lab, pharmacy, optometry, radiology, physical therapy, audiology, and dental. The diabetes team travels to the villages to provide diabetic care and testing.
Bristol Bay Area Health Corporation, Bristol Bay Area SDPI Program engages in a multi-faceted and integrated approach in providing diabetes management plus prevention activities and services to Alaska Natives/American Indians throughout Bristol Bay Area service area, Alaska. The Bristol Bay Area SDPI Program identified goals and objectives that are rooted in the IHS SDPI 2021 audit finding, input from BBAHC's region-wide medical staff stakeholders, and diabetes-related regional clinical health outcomes routinely monitored by BBAHC's tribally-led Diabetes Advisory Committee.
The SDPI Diabetes Program selected best practice of glycemic control. The SDPI Program is structured to advance this best practice within three central programmatic components, including:
Component I - Collaborative Diabetic Care Coordination, Management, and Prevention: The Bristol Bay Area SDPI Program, in collaboration with the village-based Community Health Aide Program (CHAPs) and community stakeholders, will be providing a range of diabetic care services and prevention activities. Coordination of care with medical staff and RNs will schedule labs and specialty referrals. HbA1c screening by RNs and comprehensive nurse case management. Patient education will be provided by RNs, RD, health educators, and MD to all community participants. The team will include the following disciplines: diabetes team of podiatrist, MD specializing in diabetes care, registered nurses, CDE registered dietitian, CDE, pharmacists, physical therapist, village community health aide, optometrist, dental, and ancillary staff.
Component 2 - Foot Exams: Patients will see the podiatrist during their yearly diabetes appointments. RN and/or certified diabetic nurse will also provide diabetic foot exams and refer patients to the podiatrist for any abnormal assessment findings.
Component 3 - Retinopathy Screening: Diabetics will have a retinopathy exam once a year. The diabetes program has 2 portable retinopathy machines, which are taken out on villages travel and used to provide eye exams. The results are then taken to the optometrist at the main hospital, where they will be reviewed by the optometrist to see if further eye care is needed.
Each year, the Bristol Bay Area SDPI team and the Anchorage IHS Diabetes team come together in Dillingham to have a week-long intensive joint diabetes clinic.
Funding Goals
NOT APPLICABLE
Grant Program (CFDA)
Awarding Agency
Funding Agency
Place of Performance
Dillingham,
Alaska
United States
Geographic Scope
City-Wide
Related Opportunity
Analysis Notes
Amendment Since initial award the total obligations have increased 325% from $775,388 to $3,295,399.
Bristol Bay Area Health Corporation was awarded
BBAHC SDPI Diabetes Prevention & Treatment Projects
Cooperative Agreement H1D4IHS0239
worth $3,295,399
from the HIS Office of the Director in January 2022 with work to be completed primarily in Dillingham Alaska 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 6/22/26
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 H1D4IHS0239
Additional Detail
Award ID FAIN
H1D4IHS0239
SAI Number
H1D4IHS0239-3891287952
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
NL5HNWNUFMK4
Awardee CAGE
35AE5
Performance District
AK-00
Senators
Lisa Murkowski
Dan Sullivan
Dan Sullivan
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) | $775,388 | 100% |
Modified: 6/22/26