Norton Sound Health Corporation

HEALTH CENTER CLUSTER DEMONSTRATION GRANTS -- ALASKA INITIATIVE

HEALTH CENTER CLUSTER DEMONSTRATION GRANTS -- ALASKA INITIATIVE

SPECIAL DIABETES PROGRAM FOR INDIANS

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING, AND MISCELLANEOUS GRANTS

NSHC DIABETES PROGRAM - NORTON SOUND HEALTH CORPORATION IS A TRIBALLY OWNED AND OPERATED, INDEPENDENT, NONPROFIT HEALTH CARE ORGANIZATION ESTABLISHED IN 1970 TO MEET THE HEALTH CARE NEEDS OF THE REGION’S INUPIAQ, ST. LAWRENCE ISLAND YUPIK AND YUP’IK PEOPLE. ITS’ MISSION IS TO PROVIDE QUALITY HEALTH SERVICES AND PROMOTE WELLNESS WITHIN OUR PEOPLE AND ENVIRONMENT. NSHC OPERATES NORTON SOUND REGIONAL HOSPITAL LOCATED IN NOME, ALASKA AND 16 FEDERALLY QUALIFIED HEALTH CLINICS (FQHC) IN NOME AND IT’S FIFTEEN (15) REMOTE VILLAGES. THE 16 TOTAL COMMUNITIES INCLUDE NOME, BREVIG MISSION, DIOMEDE, ELIM, GAMBELL, GOLOVIN, KOYUK, SAVOONGA, ST. MICHAEL, SHAKTOOLIK, SHISHMAREF, STEBBINS, TELLER, UNALAKLEET, WALES, AND WHITE MOUNTAIN. THE HEALTH CARE CENTERS THAT MAKE UP NORTON SOUND HEALTH CORPORATION ARE LOCATED IN THE BERING STRAIT REGION, A 22,962 SQUARE-MILE SECTION OF NORTHWESTERN ALASKA, RANGING IN SIZE FROM 150-750 RESIDENTS, SCATTERED ALONG THE BERING SEA COAST AND ON ISLANDS OF THE REGION. NORTON SOUND REGIONAL HOSPITAL HAS MANY SERVICES INCLUDING INPATIENT, EMERGENCY, PREVENTATIVE CARE AND OUTPATIENT SERVICES. NSHC SERVICES INCLUDE BUT ARE NOT LIMITED TO AUDIOLOGY, LABORATORY SERVICES, DENTAL, CAMP (CHRONIC CARE, ACTIVE MANAGEMENT & PREVENTION), NUTRITION SERVICES, EMS, ENVIRONMENTAL SERVICES, EYE CARE, INFECTION CONTROL, ACUTE CARE, MATERNAL & CHILD HEALTH, PRIMARY CARE CLINIC, PHARMACY, PHYSICAL THERAPY, RADIOLOGY, RESPIRATORY THERAPY, SOCIAL SERVICES, BEHAVIORAL HEALTH SERVICES AND VILLAGE HEALTH SERVICES. SPECIALTY MEDICAL SERVICES MAY REQUIRE RESIDENTS TO BE FLOWN INTO ANCHORAGE, ALASKA; 538 MILES AWAY. BARRIERS TO CARE INCLUDE GEOGRAPHY, REMOTENESS, CLIMATE, LANGUAGE AND CULTURE, UNEMPLOYMENT AND POVERTY. THE REGION IS ONLY ACCESSIBLE BY AIR. NORTON SOUND’S CLIMATE IS HARSH INCLUDING WINTER TEMPERATURES BELOW ZERO AND SNOW ANNUALLY. THE MAJORITY OF THE POPULATION IS ALASKA NATIVE (75%). THE ECONOMY IS A HYBRID OF CASH AND SUBSISTENCE. JOBS ARE SCARCE. MANY RESIDENTS STILL LIVE TRADITIONAL LIFESTYLES. RURAL ALASKA HAS SOME OF THE HIGHEST POVERTY RATES IN THE NATION. NORTON SOUND HEALTH CORPORATION IS THE ONLY PROVIDER OF HEALTH CARE IN THE REGION. AS OF THE 2021 CALENDAR YEAR, NSHC SERVED 8,777 AI/AK PATIENTS IN THE REGION. WITH THIS FUNDING, NSHC WILL CONTINUE TO PROVIDE ACCESSIBLE, COMPREHENSIVE HEALTH CARE SERVICES TO ALL THE REGION’S RESIDENTS UNDER THE COMMUNITY HEALTH CENTER MODEL FOR PREVENTION AND TREATMENT OF DIABETES IN AI/AK COMMUNITIES.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CF CONGRESSIONALLY DIRECTED GRANTS

RURAL STRATEGIES FOR MITIGATING COSTLY EFFECTS OF SUBSTANCE ABUSE IN BERING STRAIT REGION

SPECIAL DIABETES PROGRAM

RURAL IMPLEMENTATION OF EARLY IDENTIFICATION AND PREVENTION ACTIVITIES FOR YOUTH - NORTON SOUND HEALTH CORPORATION’S (NSHC) BEHAVIORAL HEALTH SERVICES’ (BHS) “RURAL IMPLEMENTATION OF EARLY IDENTIFICATION AND PREVENTION ACTIVITIES FOR YOUTH” PROPOSES TO REDUCE SUICIDAL BEHAVIOR AND SUBSTANCE MISUSE BY SCREENING FOR AND PROMOTING BEHAVIORAL HEALTH AMONG REGIONAL ALASKA NATIVE YOUTH AGES 12-24 YEARS. THROUGH A COMBINATION OF EARLY INTERVENTION AND PREVENTION ACTIVITIES, YOUTH AND ADULTS WILL ACCESS SKILLS CONTRIBUTING TO INDIVIDUAL AND COMMUNITY WELLNESS. THE NORTON SOUND REGION, HOME TO 9,865 PEOPLE AND COMPRISED OF 15 LARGELY ALASKA NATIVE VILLAGES AND THE CITY OF NOME, HAS HIGH RATES OF SUICIDE AND SUBSTANCE MISUSE PREVALENT AMONG YOUTH AND ADULTS, AND HISTORICAL TRAUMA HAS A SIGNIFICANT IMPACT ON OVERALL WELLNESS. THIS PROJECT SEEKS TO COLLABORATE WITH STAKEHOLDERS TO CONDUCT COMMUNITY ASSESSMENTS CULMINATING IN AN ACTION PLAN DESIGNED TO ADDRESS SERVICE GAPS IN THE REGION. AN ADVISORY GROUP AND STAFF MEMBERS WILL UTILIZE INFORMATION GAINED TO REVISE PROTOCOLS WITH YOUTH-SERVING AGENCIES FOR COLLABORATIVE APPROACHES TO PREVENTION, INTERVENTION, AND POSTVENTION. A PROJECT DIRECTOR WILL OVERSEE THE ACTIVITIES WITH A PREVENTION SPECIALIST AND AN EVALUATOR WITH OVERSIGHT FROM THE NSHC BHS ADMINISTRATIVE DIRECTOR. PROJECT STAFF MEMBERS PROPOSE TO IMPLEMENT EVIDENCE BASED TRAINING FOR THE NOME PUBLIC SCHOOL AND BERING STRAIT SCHOOL DISTRICTS. BOTH STAFF MEMBERS AND STUDENTS WILL RECEIVE THE TRAINING WITH EMPHASIS ON DEVELOPING PEER LEADERS THROUGH THE MODEL. PROJECT STAFF MEMBERS WILL FURTHER OFFER THE PROGRAM TO REGIONAL COMMUNITIES AS THE PROJECT PROGRESSES. TRAINING WILL INCLUDE, BUT NOT LIMITED TO, PROVIDING COMMUNITY CONVERSATIONS ABOUT RESEARCH TO END SUICIDE (PC CARES), MENTAL HEALTH FIRST AID, AND SAFETALK OR LIFESKILLS. PROJECT ACTIVITIES INCLUDE THE REVISION AND DEPLOYMENT OF A DEPRESSION SCREENER FOR EARLY IDENTIFICATION AND INTERVENTION OF BEHAVIORAL CONCERNS AMONG THE TARGET POPULATION. BY PROJECT’S END, THE SCREENER WILL BE IMPLEMENTED IN ALL REGIONAL PRIMARY CARE AND CLINIC SETTINGS. PROJECT STAFF WILL COLLABORATE WITH STAKEHOLDERS TO DEVELOP CULTURALLY-ATTUNED CRISIS RESPONSE AND POSTVENTION PLANS FOR TARGETED COMMUNITIES. PROJECT MEMBERS WILL PROVIDE ACCESSIBILITY OUTREACH IN THE COMMUNITIES AND OFFER YOUTH ACTIVITIES OUTSIDE OF THE OFFICE SETTING. ACTIVITIES WILL FOCUS ON STRENGTHENING THE FAMILY CORE BY REINFORCING COMMUNICATION AND ENGAGEMENT SUPPORTS. AT THE CONCLUSION OF THE PROJECT, IT IS EXPECTED THAT YOUTH SUICIDE ATTEMPTS AND COMPLETIONS IN ADDITION TO CHRONIC SUBSTANCE USE WILL DECREASE AS A RESULT OF COMMUNITY TRAINING AND EDUCATION, FAMILY ENGAGEMENT, AND PROTOCOL DEVELOPMENT.

SPECIAL DIABETES PROGRAM FOR INDIANS

NORTON SOUND HEALTH CORPORATION'S FORENSIC NURSING SERVICES PROJECT

MEDICAL-FORENSIC SERVICES FOR THE PEOPLE OF THE BERING STRAIT REGION OF ALASKA

RURAL CHILD AND FAMILY EARLY INTERVENTION AND POSITIVE ENGAGEMENT COLLABORATIVE

GRADUATE PSYCHOLOGY EDUCATION PROGRAMS

TELEHEALTH NETWORK GRANT PROGRAM

NSHC RURAL IMPLEMENTATION OF EARLY IDENTIFICATION AND PREVENTION ACTIVITIES FOR YOUTH

SUPPORTING TRIBAL PUBLIC HEALTH CAPACITY IN CORONAVIRUS PREPAREDNESS AND RESPONSE ? 2020

BEHAVIORAL HEALTH WORKFORCE EDUCATION AND TRAINING (BHWET) PROGRAM

GRADUATE PSYCHOLOGY EDUCATION PROGRAMS

RURAL INTEGRATED PREVENTION AND EARLY INTERVENTION MODEL

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

THE RURAL DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING PROGRAM (RURAL PROGRAM) IS AUTHORIZED BY 34 U.S.C. 12341. RURAL PROGRAM FUNDS ARE USED TO SUPPORT PROGRAMS THAT: 1) IDENTIFY, ASSESS, AND APPROPRIATELY RESPOND TO CHILD, YOUTH, AND ADULT VICTIMS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT, DATING VIOLENCE, AND STALKING IN RURAL COMMUNITIES BY ENCOURAGING COLLABORATION AMONG VICTIM SERVICE PROVIDERS, LAW ENFORCEMENT AGENCIES, PROSECUTORS, COURTS, OTHER CRIMINAL JUSTICE SERVICE PROVIDERS, HUMAN AND COMMUNITY SERVICE PROVIDERS, EDUCATIONAL INSTITUTIONS, AND HEALTH CARE PROVIDERS; 2) ESTABLISH AND EXPAND VICTIM SERVICES IN RURAL COMMUNITIES TO CHILD, YOUTH, AND ADULT VICTIMS; 3) INCREASE THE SAFETY AND WELL-BEING OF WOMEN AND CHILDREN IN RURAL COMMUNITIES, BY (A) DEALING DIRECTLY AND IMMEDIATELY WITH DOMESTIC VIOLENCE, SEXUAL ASSAULT, DATING VIOLENCE, AND STALKING; AND (B) CREATING AND IMPLEMENTING STRATEGIES TO INCREASE AWARENESS AND PREVENT THESE CRIMES; AND 4) DEVELOP, EXPAND, IMPLEMENT, AND IMPROVE THE QUALITY OF SEXUAL ASSAULT FORENSIC MEDICAL EXAMINATION OR SEXUAL ASSAULT NURSE EXAMINER PROGRAMS. GRANTEES MUST USE AT LEAST ONE OF THE FOLLOWING STRATEGIES IN IMPLEMENTING THEIR PROJECTS: 1) IMPLEMENT, EXPAND, AND ESTABLISH COOPERATIVE EFFORTS AND PROJECTS AMONG LAW ENFORCEMENT OFFICERS, PROSECUTORS, VICTIM SERVICE PROVIDERS, AND OTHER RELATED PARTIES TO INVESTIGATE AND PROSECUTE INCIDENTS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING; 2) PROVIDE TREATMENT, COUNSELING, ADVOCACY, LEGAL ASSISTANCE, AND OTHER LONG-TERM AND SHORT-TERM VICTIM AND POPULATION SPECIFIC SERVICES TO ADULT AND MINOR VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND STALKING IN RURAL COMMUNITIES; 3) WORK IN COOPERATION WITH THE COMMUNITY TO DEVELOP EDUCATION AND PREVENTION STRATEGIES DIRECTED TOWARD SUCH ISSUES; 4) DEVELOP, ENLARGE, OR STRENGTHEN PROGRAMS ADDRESSING SEXUAL ASSAULT; AND 5) DEVELOP PROGRAMS AND STRATEGIES THAT FOCUS ON THE SPECIFIC NEEDS OF VICTIMS OF WHO RESIDE IN REMOTE RURAL AND GEOGRAPHICALLY ISOLATED AREAS. THROUGH THIS NEW OVW RURAL PROGRAM PROJECT, NORTON SOUND HEALTH CORPORATION (NSHC), IN PARTNERSHIP WITH KAWERAK CHILD ADVOCACY CENTER, WILL IMPLEMENT THE RURAL FORENSIC SERVICES PROGRAM PROJECT. THIS SANE PROJECT ADDRESSES THE FOLLOWING PURPOSE AREAS: 1, 2, 3, AND 4 FOR NOME, ALASKA. SPECIFICALLY, THIS PROJECTAIMS TO: 1) INCREASE ACCESS TO FORENSICALLY TRAINED PROVIDERS IN THE EMERGENCY DEPARTMENT AT NORTON SOUND HEALTH CORPORATION AND THE KAWERAK CHILD ADVOCACY CENTER; 2) HIRE FULL-TIME SEXUAL ASSAULT EXAMINER FOR EDUCATION, TRAINING, AND PATIENT CARE; 3) TRAIN PRIMARY CARE CLINIC STAFF AND EMERGENCY DEPARTMENT STAFF IN THE CARE OF THE SEXUAL ASSAULT PATIENTS AND KEY POINTS OF TRAUMA INFORMED/CULTURALLY COMPETENT CARE; 4) DEVELOP AN OVERVIEW OF CARE FOR SEXUAL ASSAULT PATIENTS INCLUDING MEDICATIONS, TESTING AND FOLLOW UP; 5) COLLABORATE WITH KAWERAK CHILD ADVOCACY CENTER STAFF ON EDUCATION FOR PROVIDERS REGARDING PEDIATRIC SEXUAL ABUSE/PHYSICAL ABUSE/MANDATORY REPORTING/SIGNS AND SYMPTOMS; 6) INCREASE ACCESS TO FORENSICALLY TRAINED PROVIDERS IN THE 15 SURROUNDING VILLAGES; 7) FACILITATE EDUCATION OF CHILDREN, FAMILIES, AND COMMUNITY MEMBERS ON SEXUAL ASSAULT RESOURCES, AFTER ASSAULT CARE AND PROCEDURES, SIGNS AND SYMPTOMS OF CHILD ABUSE AND WHAT TO DO IF THEY OR A LOVED ONE ARE A VICTIM OF SEXUAL VIOLENCE; 8) PROVIDE TRAINING TO THE COMMUNITY HEALTH AIDES ON PROVIDING AFTER ASSAULT CARE IN THE EVENT THE PATIENT IS NOT ABLE TO REACH NOME IN A TIMELY MANNER; AND 9) INCREASE SERVICES IN THE VILLAGES WITH COMMUNITY EDUCATION AND TRAINING OF PROVIDERS AND CASE MANAGEMENT. THE PROJECT WILL ADDRESS THE FOLLOWING PRIORITY AREAS: PRIORITY AREA 1: ADVANCE EQUITY AND TRIBAL SOVEREIGNTY; AND PRIORITY AREA 2: PREVENT AND END SEXUAL ASSAULT. THIS PROJECT TARGETS ALASKA NATIVE COMMUNITIES. THE TIMING FOR PERFORMANCE OF THIS AWARD IS 36 MONTHS.

BEHAVIORAL HEALTH WORKFORCE EDUCATION AND TRAINING (BHWET) PROGRAM

SPECIAL DIABETES PROGRAM

NORTON SOUND HEALTH CORPORATION'S TRIBAL INJURY PREVENTION PROGRAM

GENETICS OF CORONARY ARTERY DISEASE IN ALASKA NATIVES

SPECIAL DIABETES PROGRAM FOR INDIANS

HEALTH CENTER INFRASTRUCTURE SUPPORT

NORTON SOUND HEALTH CORPORATION?S (NSHC) BEHAVIORAL HEALTH SERVICES? ?MEDICATION-ASSISTED TREATMENT SERVICES FOR RURAL POPULATIONS?

TO ENHANCE RESPONSES TO VIOLENCE COMMITTED AGAINST AMERICAN INDIAN WOMEN AND GIRLS WITHIN THE BERING STRAITS REGION

DESCRIPTION:THIS PROJECT WILL ASSIST THE NORTON SOUND HEALTH CORPORATION IN BUILDING CAPACITY AND DEVELOPING PROGRAMS TO PROTECT THE TRIBAL ENVIRONMENT AND HEALTH. THE PURPOSES OF THIS AWARD ARE TO: BUILD TRIBAL CAPACITY TO DEVELOP, IMPLEMENT AND MANAGE ENVIRONMENTAL PROGRAMS; DEVELOP CAPACITY OF REGIONAL TRIBES TO ASSESS AND MONITOR ENVIRONMENTAL (LAND, WATER, AND AIR) BASELINES AND ENVIRONMENTAL IMPACTS; AND DEVELOPMENT OF HARMFUL ALGAL BLOOM PROGRAM.ACTIVITIES: ACTIVITIES TO BE PERFORMED IN THIS PROJECT INCLUDE: PROVIDE ENVIRONMENTAL EDUCATION AND TRAINING TO ALL TRIBES BASED ON IDENTIFIED ENVIRONMENTAL PRIORITIES; COORDINATE AND FACILITATE A FY'24 EPA GENERAL ASSISTANCE PROGRAM GRANT PROPOSAL WORKSHOP IN NOME FOR REGIONAL TRIBES; COLLECT AND CATALOGUE STUDIES, REPORTS, PERMITS, AND INFORMATION CONCERNING ENVIRONMENTAL MONITORING IMPACTS; PROVIDE ON-SITE TECHNICAL ASSISTANCE AND BASELINE ENVIRONMENTAL ASSESSMENT, DATA MANAGEMENT AND MONITORING EFFORTS; AND BUILD CAPACITY BY ATTENDING TRAINING PROVIDED ON PHYTOPLANKTON MONITORING, COLLECTING, AND ANALYSIS THROUGH RESOURCES IDENTIFIED IN COLLABORATION WITH PARTNERS SUCH AS NOAA'S PHYTOPLANKTON MONITORING NETWORK. SUBRECIPIENT:NO SUBAWARDS ARE INCLUDED IN THIS ASSISTANCE AGREEMENT.OUTCOMES: DELIVERABLES, OUTCOMES, AND INTENDED BENEFICIARIES INCLUDE: STANDARDIZED ENVIRONMENTAL DATA MANAGEMENT FOR ENVIRONMENTAL MONITORING AND ARCHIVING SYSTEMS; PROVIDE BASELINE DATA AND OUTREACH INFORMATION TO TRIBAL COMMUNITIES WITHIN THE NORTON SOUND HEALTH CORPORATION (NSHC) NETWORK TO PROTECT HUMAN HEALTH; FY'24 PROPOSALS WORKSHOP PROVIDED WITH NUMBER AND LIST OF PARTICIPANTS; PROPOSALS SUBMITTED AND AWARDED; AND COMMUNICATIONS AND PARTNERSHIPS DEVELOPED AND REPORTED IN THE QUARTERLY REPORT.

THIS PROJECT WILL ASSIST NORTON SOUND HEALTH CORPORATION IN BUILDING CAPACITY AND DEVELOPING PROGRAMS TO PROTECT TRIBAL ENVIRONMENT AND HEALTH. TASKS INCLUDE MANAGING AN ENVIRONMENTAL OFFICE TO SUPPORT SUCCESSFUL TRIBAL ENVIRONMENTAL PROGRAMS; DEVELOP CAPACITY OF REGIONAL TRIBES TO MONITOR AND ASSESS ENVIRONMENTAL (LAND, WATER, & AIR) BASELINES AND IMPACTS; AND DEVELOP CAPACITY OF REGIONAL TRIBES TO IDENTIFY, ADDRESS, AND MANAGE WATER QUALITY ISSUES.

TELEMEDICINE GRANT

** AWARDS ISSUED PRIOR TO JANUARY 20, 2025, WERE FUNDED UNDER PREVIOUS ADMINISTRATIONS AND MAY NOT REFLECT THE PRIORITIES AND POLICIES OF THE CURRENT ADMINISTRATION.**, THE NORTON SOUND HEALTH CORPORATION (NSHC) IS COMPRISED OF 16 FEDERALLY QUALIFIED HEALTH CENTERS IN WESTERN ALASAK, WHICH PROVIDES HEALTHCARE TO PREDOMINANTLY ALASKA NATIVE POPULATIONS, WITH POOR NUTRITIOUS FOOD ACCESS AND A HIGH BURDEN OF CHRONIC DISEASES. NSHC PLANS TO HAVE A PRESCRIPTION PRODUCE PROGRAM (PPR) THAT INCENTIVIZES THE PURCHASE OF FRUITS AND VEGETABLES FOR LOW-INCOME INDIVIDUALSWHO HAVE, OR ARE AT RISK FOR, A DIET RELATED HEALTH CONDITION; SUCH AS DIABETES, HEART DISEASE OR OBESITY. THE PPR PLANS TO USE HEMOGLOBIN A1C, BLOOD PRESSURE OR WEIGHT TO DETERMINE ELIGIBILITY.NSHC HAS A CHRONIC CARE ACTIVE MANAGEMENT PROGRAM (CAMP), WHICH CURRENTLY PROVIDES MEDICAL NUTRITION EDUCATION, PHYSICAL ACTIVITY PROMOTION AND WELLNESS CHALLENGES AND IS EXPERIENCED WITH DELIVERING OTHER FOOD PROGRAMS WITH A VARIETY OF OTHER PARTNERS.HEALTHCARE PROVIDERS WILL REFERPATIENTS TO THE CAMP DEPARTMENT,WHO WILL MANAGE DELIVERY OF PRODUCE, EVALUATE CHANGES IN FRUIT AND VEGETABLE INTAKE, FOOD SECURITY AND BIOMETRIC INDICATORS, AND PARTNERSHIPS FORMED. EACH PARTICIPANT WILL RECEIVE FRESH FRUITS AND VEGETABLES ONCE PER MONTH, BASED ON HOUSEHOLD SIZE. THE PRESCRIPTIONS WILL BE FILLED THROUGHA PRODUCE BOX SHIPMENT.THE ANTICIPATED IMPACT OF THIS PROJECT IS INCREASED ACCESS TO PRODUCE AND, IN TURN, IMPROVE HEALTHCARE OUTCOMESAS EVALUATED BY THE NUMBER OF REFILLS USED, NUTRITION RELATED KNOWLEDGEAND THE INDIVIDUALS' FOLLOW UP A1C, BLOOD PRESSURE AND WEIGHT VALUES, RESPECTIVELY.

NORTON SOUND HEALTH CORPORATION'S SBIRT AND MEDICATION-ASSISTED TREATMENT PRACTICES FOR RURAL POPULATIONS UTILIZING SHELTERAND SOBERING SERVICES - NORTON SOUND HEALTH CORPORATION’S (NSHC) BEHAVIORAL HEALTH SERVICES’ “SBIRT AND MEDICATION-ASSISTED TREATMENT PRACTICES FOR RURAL POPULATIONS UTILIZING SHELTER AND SOBERING SERVICES” PROPOSES TO REDUCE REGIONALLY-PREVALENT SUBSTANCE MISUSE BY SCREENING FOR, PROMOTING, AND PROVIDING MEDICATION-ASSISTED TREATMENT (MAT) SERVICES FOR A MINIMUM OF 150 UNIQUE HOMELESS, AND/OR SUBSTANCE USING ALASKA NATIVE ADULTS AGES 18 AND OLDER IN YEAR ONE OF THE PROJECT BY MEETING PEOPLE WHERE THEY PRESENT MOST OFTEN OUTSIDE OF A TRADITIONAL OFFICE AND/OR HOSPITAL SETTING. TARGETED LOCATIONS ARE NSHC’S DAY SHELTER AND SOBERING CENTER, CO-LOCATED WITH BEHAVIORAL HEALTH SERVICES FOR EASE IN ACCESSING NECESSARY RESOURCES. ALASKA’S BERING STRAIT REGION OF 9,869 PEOPLE HAS HIGH RATES OF SUBSTANCE MISUSE INTERFERING WITH BASIC LIVING NEEDS. RESULTANT OF MISUSE IS LACK OF EMPLOYMENT AND HOUSING, AND A RECIDIVIST POPULATION MOVING THROUGH THE CORRECTIONAL SYSTEM THAT IS DISPROPORTIONATELY ALASKA NATIVE. A SHELTER RECOVERY COACH AND A SOBERING CENTER RECOVER COACH WILL SCREEN GUESTS FOR SUBSTANCE MISUSE AND REFER FOR ASSESSMENT FOR MAT. A SHELTER CLINICIAN WILL DELIVER SCREENING, ASSESSMENT, AND TREATMENT FOR THOSE SCORING POSITIVELY ON AN SBIRT AND WILL COORDINATE MAT SERVICES WITH PROVIDERS. A PROJECT DIRECTOR WILL OVERSEE ACTIVITIES AND AN EVALUATOR WILL ANALYZE OUTCOMES. TO ENSURE PATIENTS ARE RECEIVING THE PRESCRIBED CARE NECESSARY TO ENTER AND/OR MAINTAIN RECOVERY, PROJECT STAFF WILL MAINTAIN AND UPDATE A REGISTRY OF PATIENTS UTILIZING MAT SO THEY MAY BE TRACKED. A CASE MANAGER WILL COLLABORATE WITH THE SHELTER CLINICIAN TO MAINTAIN THE REGISTRY AND PROVIDE APPROPRIATE OUTREACH FOR APPOINTMENT REMINDERS AND COORDINATION FOR RESOURCE REFERRAL. PROJECT STAFF WILL COORDINATE AND FACILITATE RECOVERY SERVICES AT THE DAY SHELTER AND SOBERING CENTER THROUGH REFERRALS AND EDUCATION ON OPIOID USE, SUBSTANCE MISUSE, AND MAT. EDUCATIONAL MATERIALS ON OUD AND MAT SERVICES DESCRIPTIONS, PROCESSES, AND AVAILABILITIES WILL BE ON-HAND. A REGIONAL POPULATION OF 7,100 ADULTS HAS ACCESS TO SERVICES. PARTICIPATION IS EXPECTED TO BE 360 UNIQUE INDIVIDUALS ACCESSING SERVICES WITH 130 INDIVIDUALS REFERRED FOR MAT AND 70 ENROLLING, ALL FROM THROUGHOUT THE REGION. AT THE CONCLUSION, IT IS EXPECTED THAT PARTICIPATING INDIVIDUALS FROM THE TARGET POPULATIONS WILL MOVE INTO RECOVERY, RESTORE BASIC LIVING NEEDS (HOUSING, EMPLOYMENT), REMAIN FREE FROM THE PRISON SYSTEM, AND DECREASE DEPENDENCY ON EMERGENCY SERVICES.

THIS PROPOSAL IS FOR A TWO YEAR PERIOD AND CONTAINS FOUR PRIMARY OBJECTIVES WITH A SPECIAL PROJECT REQUEST FOR AN ADDITIONAL FIFTH COMPONENT. THE FIR

ARRA - CAPITAL IMPROVEMENT PROGRAM

NORTON SOUND HEALTH CORPORATION DEMENTIA SERVICES COORDINATION PROGRAM

INJURY PREVENTION PROGRAM

SPECIAL DIABETES PROGRAM

THIS PROPOSAL CONTAINS FOUR PRIMARY OBJECTIVES WHICH ARE IDENTIFIED AS PROGRAM COMPONENTS: 1) DEVELOP TRIBAL CAPACITY TO IMPLEMENT AND MANAGE ENVIRO

RURAL TRIBAL COVID-19 RESPONSE

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

SAVOONGA WATER TREATMENT PLANT UPGRADES

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

SOLID WASTE MANAGEMENT GRANTS

WELLNESS AND TRAINING CENTER CONSTRUCTION - NOME, ALASKA

SOLID WASTE MANAGEMENT GRANTS

NORTON SOUND HEALTH CORPORATION'S ADDRESSING DEMENTIA IN THE BERING STRAITS REGION OF ALASKA - THE NORTON SOUND HEALTH CORPORATION (NSHC) PROPOSES TO CONTINUE TO DEVELOP AN INCREASED CLINICAL CAPACITY TO COORDINATE THOROUGH AND TIMELY SERVICES FOR THOSE EXPERIENCING COGNITIVE IMPAIRMENT BECAUSE OF ALZHEIMER’S DISEASE AND OTHER RELATED DEMENTIAS IN THE BERING STRAITS REGION. THE REGION INCLUDES THE HUB TOWN OF NOME, ALASKA AND 15 REGIONAL VILLAGES, WITH A COMBINED POPULATION OF JUST OVER 10,000. NSHC PROVIDES HEALTH CARE, INCLUDING ACUTE CARE, PRIMARY CARE AND THERAPIES THROUGH THE NORTON SOUND REGIONAL HOSPITAL IN NOME, PRIMARY CARE SERVICES THROUGH VILLAGE CLINICS UTILIZING COMMUNITY HEALTH AIDES, AND A LONG-TERM CARE CENTER. NSHC HOSTS SPECIALTY PROVIDERS FROM THE ALASKA NATIVE MEDICAL CENTER SUCH AS NEUROLOGY, ETC. TO INCREASE PATIENT CARE RESOURCES. NSHC ALSO PROVIDES IN-HOME SUPPORT, PERSONAL CARE PROVISION AND CASE MANAGEMENT THROUGH ITS IN-HOME PROGRAMS. AS A 2023 GRANTEE OF THE INDIAN HEALTH SERVICES “ADDRESSING DEMENTIA IN INDIAN COUNTRY: MODELS OF CARE” GRANT, NSHC HAS MADE CONSIDERABLE PROGRESS TOWARDS DEVELOPING A HOLISTIC AND SUSTAINABLE APPROACH TO OFFERING CARE AND RESOURCES TO THOSE IN OUR REGION WHO ARE EXPERIENCING COGNITIVE IMPAIRMENTS. HOWEVER, WE RECOGNIZE THAT WE CONTINUE TO HAVE SERVICE GAPS THAT WE PROPOSE TO ADDRESS UNDER THIS GRANT. THE FIRST IS EARLY RECOGNITION OF DEMENTIA, TO ALLOW THOSE PATIENTS AND CAREGIVERS TIME TO ADEQUATELY PLAN FOR SERVICES IN A WAY THAT THE PATIENT WOULD PREFER. ANOTHER IS THAT NSHC HAS A VARIETY OF CLINICAL SERVICES TO OFFER, BUT THAT CARE IS NOT ALWAYS WELL COORDINATED UNLESS THE PERSON EXPERIENCING DEMENTIA IS ADMITTED INTO ACUTE CARE. NEXT IS THAT THE REGION DOES NOT HAVE AN IN-HOME PERSONAL CARE SERVICE SYSTEM LARGE ENOUGH TO MEET THE NEEDS OF THE NUMBER OF PATIENTS WHO REQUIRE THOSE SERVICES. SERVICES ARE NOT AVAILABLE REGIONALLY FOR ALL CARE NEEDS, AS WE LACK AN ASSISTED LIVING FACILITY AND HEAVY CHORE ASSISTANCE. THE NSHC PROPOSED GRANT ACTIVITIES WILL FOCUS ON IMPLEMENTING BEST PRACTICES AS OUTLINED IN THE CDC/ALZHEIMER’S ASSOCIATION’S “HEALTHY BRAIN INITIATIVE ROAD MAP FOR AMERICAN INDIAN AND ALASKA NATIVE PEOPLES” THROUGH PROVIDING CULTURALLY APPROPRIATE MESSAGING ABOUT DEMENTIA AND RESOURCES AT COMMUNITY EVENTS, INCREASING TRAINING FOR NSHC STAFF TO USE STANDARDIZED SCREENING TOOLS, AND AN EMPHASIS ON CONSISTENTLY SCREENING PATIENTS IN OUTPATIENT AND INPATIENT SETTINGS, INCLUDING VILLAGE CLINICS. THE PROPOSAL ALSO OUTLINES STEPS TO INCREASE OUR CAPABILITY TO MAKE ACCURATE AND TIMELY DIAGNOSES THROUGH STANDARDIZED EVALUATIONS AND INCREASED USE OF PSYCHIATRY/PSYCHOLOGY STAFF FOR COMPLEX DIAGNOSIS. THIS STANDARDIZED EVALUATION WOULD INCLUDE CONTINUED USE OF AN ESTABLISHED MULTIDISCIPLINARY TEAM TO ASSESS PATIENT FUNCTIONALITY, CARE NEEDS, CHALLENGING BEHAVIORS, SAFETY, CAREGIVER SUPPORT AND MORE, AND THEN DEVELOP PATIENT CENTERED CARE PLANS WITH CAREGIVER FEEDBACK. THE CARE PLAN WOULD BE USED TO GUIDE COMPREHENSIVE CASE MANAGEMENT AND REFERRAL TO OTHER RESOURCES, INCLUDING CAREGIVER RESOURCES SUCH AS RESPITE CARE, SUPPORT SERVICES AND EDUCATION. QUALITY OF LIFE MEASURES WILL BE UTILIZED TO INFORM PATIENT AND CAREGIVER SUPPORT ACTIVITIES. THE GRANT WILL BE USED TO CONTINUE TO FUND STAFF, INCLUDING A FULL-TIME REFERRAL COORDINATOR POSITION. THIS POSITION WILL COORDINATE REFERRALS OF IDENTIFIED PATIENTS THROUGH COMPREHENSIVE ASSESSMENT AND FACILITATE ACCESS TO RESOURCES FOR CAREGIVING AND OTHER NEEDS. THAT STAFF WILL ALSO WORK WITH REGIONAL TRIBAL AND COMMUNITY SERVICES TO EXPAND COLLABORATIVE CARE FOR PATIENTS. RESOURCES AND PRACTICES THAT ARE PROVEN TO BE BENEFICIAL WILL BE SHARED WITH OTHER I.H.S. PROGRAMS THROUGH THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM AND OTHER MEANS. THE MULTIDISCIPLINARY TEAM WILL PURSUE FUNDING STREAMS TO SUPPORT SUSTAINABILITY, INCLUDING EXPANDING BILLING FOR MEDICAID AND MEDICARE REIMBURSEMENT FOR COGNITIVE ASSESSMENT AND CARE PLANNING. NSHC WILL ALSO USE SOME LIMITED NSHC FUNDS TO PROVIDE RESPITE CARE FOR THOSE PATIENTS WHO ARE

ARRA - INCREASE SERVICES TO HEALTH CENTERS

FY 2023 EXPANDING COVID-19 VACCINATION

SOLID WASTE MANAGEMENT GRANTS

NORTON SOUND HEALTH CORPORATION'S INJURY PREVENTION PROGRAM IN THE BERING STRAITS REGION - TRIBE(S) SERVED: NATIVE VILLAGE OF BREVIG MISSION CHINIK ESKIMO COMMUNITY (AKA GOLOVIN) NATIVE VILLAGE OF COUNCIL NATIVE VILLAGE OF DIOMEDE NATIVE VILLAGE OF ELIM NATIVE VILLAGE OF GAMBELL KING ISLAND NATIVE COMMUNITY NATIVE VILLAGE OF KOYUK NATIVE VILLAGE OF MARY’S IGLOO NOME ESKIMO COMMUNITY NATIVE VILLAGE OF SAVOONGA NATIVE VILLAGE OF SAINT NATIVE VILLAGE OF SHAKTOOLIK NATIVE VILLAGE OF SHISHMAREF VILLAGE OF SOLOMON STEBBINS COMMUNITY ASSOCIATION NATIVE VILLAGE OF TELLER NATIVE VILLAGE OF UNALAKLEET NATIVE VILLAGE OF WALES NATIVE VILLAGE OF WHITE MOUNTAIN NORTON SOUND HEALTH CORPORATION'S, A TRIBAL HEALTH CONSORTIUM LOCATED IN THE RURAL BERING STRAIT REGION OF ALASKA POPULATION NEARING 10,000, PROPOSED PROJECT WILL FOCUS INJURY PREVENTION EFFORTS TOWARDS: (1) FIRE/BURN PREVENTION AND (2) TRAUMATIC BRAIN INJURY PREVENTION THE PRIMARY PURPOSE OF THE PROPOSED PROJECT IS TO REDUCE THE INCIDENCE OF FIRE-RELATED INJURIES AND FATALITIES AND TRAUMATIC BRAIN INJURIES (TBIS) WITHIN THE NORTON SOUND REGION. THIS INITIATIVE DIRECTLY ADDRESSES TWO PUBLIC HEALTH CONCERNS IDENTIFIED IN THE REGION: HIGH RATES OF RESIDENTIAL FIRES AND SIGNIFICANT TBI INCIDENCE, OFTEN RELATED TO RECREATIONAL AND TRANSPORTATION ACTIVITIES. THIS PROJECT WILL WORK WITH HIGH-RISK COMMUNITIES TO COORDINATE DISTRIBUTION AND INSTALLMENT OF LIFE-SAVING SMOKE AND CARBON MONOXIDE ALARMS TO HOMES. THIS PROJECT WILL ALSO WORK TO DISTRIBUTE HELMETS (E.G., FOR SNOWMACHINES, BICYCLES, ATVS) ALONGSIDE COMPREHENSIVE EDUCATION ON BRAIN INJURY RISKS AND PROPER HELMET USE TO HIGH-RISK COMMUNITIES. THIS APPROACH ENSURES IMMEDIATE RISK MITIGATION THROUGH EQUIPMENT PROVISION, COUPLED WITH COMMUNITY EDUCATION FOR LONG-TERM BEHAVIORAL CHANGE. EXPECTED OUTCOMES INCLUDE INCREASED HOMES IN NORTON SOUND COMMUNITIES TO HAVE WORKING FIRE AND CO ALARMS INSTALLED, INCREASED FIRE/BURN SAFETY EDUCATION AND A REDUCTION IN THE RATE OF FIRE-RELATED INJURIES DURING THE PROJECT PERIOD COMPARED TO THE PREVIOUS 5 YEARS. EXPECTED OUTCOMES INCLUDE AN INCREASE IN HELMETS AND TBI RISK EDUCATION DISTRIBUTED TO HIGH-RISK COMMUNITIES IN THE NORTON SOUND REGION AND A REDUCTION IN THE RATE OF HOSPITALIZATIONS INVOLVING BRAIN INJURY COMPARED TO THE PREVIOUS 5 YEARS.

SOLID WASTE MANAGEMENT GRANTS

NORTON SOUND HEALTH CORPORATION HEALTH INFORMATION ...

NON-COMPETITIVE SPECIAL DIABETES PROGRAM FOR INDIANS

TBH COVID-19

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

INJURY PREVENTION - PART 1 BASIC

SOLID WASTE MANAGEMENT GRANTS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

NSHC CHIP OUTREACH AND ENROLLMENT PROJECT

WWD TECHNICAL ASSISTANCE & TRAINING GRANTS

FY 2023 BRIDGE ACCESS PROGRAM

COMMODITY LOANS-LOAN DEFICIENCY PYMTS: TO IMPROVE & STABILIZE FARM INCOME, ASSIST WITH A BETTER BALANCE BETWEEN SUPPLY AND DEMAND OF THE COMMODITIES

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

COMMUNITY FACILITY GRANTS

WELLNESS AND TRAINING CENTER CONSTRUCTION - NOME, ALASKA

COMMUNITY FACILITIES - ECONOMIC IMPACT INITIATIVE GRANTS

INJURY PREVENTION PART I

GRADUATE PSYCHOLOGY EDUCATION PROGRAMS

WELLNESS AND TRAINING CENTER CONSTRUCTION - NOME, ALASKA