Northern Valley Indian Health Inc

SPECIAL DIABETES PROGRAM FOR INDIANS

SPECIAL DIABETES PROGRAMS FOR INDIANS

SPECIAL DIABETES PROGRAM FOR INDIANS - NORTHERN VALLEY INDIAN HEALTH, INC. (NVIH) SERVES A FIVE COUNTY AREA IN NORTHERN CALIFORNIA. WE CURRENTLY PROVIDE PRIMARY DIABETES CARE AT OUR MEDICAL CLINICS LOCATED IN WILLOWS, WOODLAND, AND CHICO. COMMUNITY NEEDS ASSESSMENTS DONE ON AN ONGOING BASIS HAVE CONSISTENTLY SHOWN THAT DIABETES AND ITS RELATED HEALTH COMPLICATIONS ARE A PRIMARY CONCERN IN THE NATIVE AMERICAN COMMUNITIES WE SERVE. SDPI FUNDING HAS ENABLED THE NVIH DIABETES PROGRAM TO ADDRESS THE SPECIAL NEEDS OF OUR COMMUNITIES AND IMPLEMENT ACTION PLANS THAT LESSEN DIABETES BURDEN. FOR 2023 WE HAVE CHOSEN TO IMPLEMENT THE EYE EXAM BEST PRACTICE DUE TO POOR COMPLETION RATES OF THIS STANDARD OF CARE (SOC) ITEM OVER SEVERAL YEARS. DATA FROM THE ANNUAL IHS DIABETES CARE AND OUTCOMES AUDIT (DM AUDIT) SHOWED A PERSISTENT DECLINE IN RETINOPATHY SCREENING RATES FROM 2018 TO 2021. WE WERE ABLE TO SUBSTANTIALLY IMPROVE EYE EXAM RATES IN AUDIT YEAR 2022 AFTER IMPLEMENTING A NEW IN-CLINIC TELEOPHTHALMOLOGY PROGRAM AND MAKING IMPROVEMENTS IN OUR OUTSIDE REFERRAL AND TRACKING PROCESS TO IMPROVE RETINAL SCREENING BY AN EYE CARE SPECIALIST FOR THOSE WITH KNOWN EYE COMPLICATIONS. WE MADE ORGANIZATION WIDE IMPROVEMENTS TO ENSURE EYE EXAMS ARE SCHEDULED, COMPLETED, REPORTS ARE RETRIEVED FROM THE EYE CARE PROVIDER, AND THE DATA IS CAPTURED FOR REPORTING PURPOSES. WE WOULD LIKE TO CONTINUE THIS POSITIVE MOMENTUM AND WORK TO IMPROVE EYE EXAM RATES FURTHER. IN ADDITION TO IMPLEMENTING OUR CHOSEN BEST PRACTICE WE WILL CONTINUE TO PROVIDE A VARIETY OF CLINICAL AND COMMUNITY BASED DIABETES AND DIABETES PREVENTION SERVICES. OUR CERTIFIED DIABETES CARE AND EDUCATION SPECIALISTS (CDCESS), WHO HAVE KEY ROLES IN THE NVIH DIABETES PROGRAM, WILL CONTINUE TO PROVIDE DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT, CASE MANAGEMENT SERVICES, AND ACT AS PRIMARY PROVIDER EXTENDERS TO ENSURE SOC ITEMS ARE COMPLETED, AND HIGH QUALITY CULTURALLY APPROPRIATE DIABETES CARE IS DELIVERED. WE ALSO STRONGLY SUPPORT COMM UNITY ADVOCACY AND UTILIZE A CLINIC-COMMUNITY PARTNERSHIP TO PLAN ACTIVITIES AND EVENTS. COMMUNITY BASED ACTIVITIES AND EVENTS PROMOTE HEALTHY EATING, PHYSICAL ACTIVITY, AND WELLNESS BEHAVIORS. IN CONCLUSION, THE OVERALL MISSION OF THE NVIH DIABETES PROGRAM IS TO USE SDPI FUNDING TO IMPROVE THE HEALTH AND WELLNESS OF NATIVE AMERICANS LIVING WITH DIABETES.

STANDING STRONG ON YOUR FEET ? A FALL PREVENTION PROGRAM

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

STRONGER TOGETHER - DEMENTIA AWARENESS PROGRAM

STRONGER TOGETHER - DEMENTIA AWARENESS PROJECT - ABSTRACT SUMMARY NORTHERN VALLEY INDIAN HEALTH STRONGER TOGETHER- DEMENTIA AWARENESS PROGRAM APPROXIMATELY ONE IN FIVE AI/NA ADULTS AGED 45 AND OLDER REPORT EXPERIENCING MEMORY OR THINKING PROBLEMS THAT MIGHT BE A SIGN OF DEMENTIA. AS CALIFORNIA HAS THE LARGEST POPULATION OF OLDER ADULTS AND THE LARGEST PERCENTAGE OF RESIDENTS WHO IDENTIFY AS AMERICAN INDIAN AND ALASKA NATIVE (AI/AN) ALONE OR IN COMBINATION WITH ANOTHER RACE AT 14%, IT COMPELLED NORTHERN VALLEY INDIAN HEALTH TO PARTNER WITH CALIFORNIA AREA INDIAN HEALTH SERVICES (CA IHS), DEPARTMENT OF ENVIRONMENT HEALTH SERVICES (DEHS) AND INITIATE A DEMENTIA AWARENESS PROGRAM. THE FIRST YEAR OF THIS PARTNERSHIP FOCUSED ON BUILDING AND ADOPTING THE PROGRAM. FOLLOWED WITH TRAINING NVIH STAFF ON SIGNS OF DEMENTIA AND HOW TO SUPPORT CAREGIVERS TAKING CARE OF PATIENTS WITH DEMENTIA. BY THE SECOND YEAR, NVIH WAS ABLE TO OFFER WORKSHOPS FOR CAREGIVERS, ADDITIONAL RESOURCES FOR DEMENTIA PATIENTS AND PRELIMINARY SURVEYS INDICATED THAT PATIENTS WERE IMPLEMENTING LIFESTYLE CHANGES. UNFORTUNATELY, THE PANDEMIC RESTRICTION MAY PUT HOLDS ON IN PERSON TRAINING AND SUPPORT. NVIH RECOGNIZES THAT DEMENTIA IS A MISSED DIAGNOSIS AND THERE ARE NOT MANY RESOURCES, THEREFORE, WE ARE APPLYING FOR FUNDING TO FORMALIZE A DEMENTIA AWARENESS PROGRAM. WE HAVE DEFINED A LONG-TERM GOAL THAT WILL GUIDE US IN SERVING THE NEEDS OF OUR NATIVE COMMUNITIES WITH SHORT-TERM GOALS FOR YEARS 1 AND 2 THAT WILL HELP US WITH IMMEDIATE ASSESSMENTS WHILE WE FIND AN INNOVATIVE WAY OF OFFERING COACHING FOR CAREGIVERS AND SUPPORT WORKSHOPS. LONG-TERM GOAL: BY THE END OF THE PROJECT, INCREASE THE DIAGNOSES OF OLDER ADULTS WITH SIGNS OF DEMENTIA BY 40% WITH A COGNITIVE SCREENING TOOL. OBJECTIVE # 1 IMPLEMENT CARE COORDINATION SERVICES TO ASSURE THAT REFERRALS MADE BY PRIMARY CARE PROVIDERS ARE COMPLETED FOR 40% OF THE ELDERS’ AGE 45+ WHO SCREENED AND SHOW SIGNS OF DEMENTIA WITH A COGNITIVE SCREENING QUESTIONNAIRE. OBJECTIVE # 2 INCREASE THE SUPPORT AND COACHING FOR CAREGIVERS TO INDIVIDUALS WITH DEMENTIA BY 50%. WE APPRECIATE THE OPPORTUNITY TO APPLY FOR FUNDING TO FORMALIZE A DEMENTIA AWARENESS PROGRAM FOR OUR NATIVE COMMUNITIES, AND SINCERELY THANK YOU FOR YOUR CONSIDERATION OF OUR REQUEST.

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

FUNDING TO OBTAIN PROFESSIONAL CONSULTATION SERVICES TO DETERMINE FISCAL AND SOCIAL EFFECTS OF EXPANDING FILL SCOPE PROG