Indian Health Center Of Santa Clara Valley

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

URBAN INDIAN HEALTH

SPECIAL DIABETES PROGRAMS FOR INDIANS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

INSTILLING WELLNESS THROUGH WORKFORCE DEVELOPMENT

INDIAN HEALTH CENTER OF SANTA CLARA VALLEY: SUBSTANCE ABUSE PREVENTION, TREATMENT, AND AFTERCARE

INDIAN HEALTH CENTER OF SANTA CLARA VALLEY: BEHAVIORAL HEALTH INTEGRATION INITIATIVE - INDIAN HEALTH CENTER OF SANTA CLARA VALLEY’S (IHC) INTEGRATED BEHAVIORAL HEALTH PROGRAM WILL CONTINUE LONG-TERM WORK FOCUSED ON STRENGTHENING INTEGRATION OF BEHAVIORAL HEALTH CARE SERVICES INTO THE PRIMARY CARE ENVIRONMENT. BY FOCUSING ON QUALITY OF SERVICES IN A SINGLE CLINIC, IHC INTENDS TO SCALE THE WORK TO THE REST OF THE AGENCY TO CREATE IMPROVEMENTS THE HEALTH AND WELLBEING OF THE AMERICAN INDIAN AND ALASKA NATIVE (AIAN) AS WELL AS OTHERS SERVED BY THE CLINIC. THE GOALS FOR THIS PROJECT REFLECT THE PRIORITY AREAS FOR ALL INTEGRATION WORK: A SPECIFIED CARE DELIVERY TEAM, WORKFORCE DEVELOPMENT, MAXIMIZING USE OF HEALTH INFORMATION TECHNOLOGY, A SPECIFIED SETTING AND TARGET POPULATION/CONDITIONS, CLINICAL PROCESSES, REVIEW OF COSTS, BILLING STRUCTURE AND SUSTAINABILITY OF APPROACHES, AND REVIEW OF MANAGEMENT POLICIES AND PROTOCOLS TO SUPPORT CHANGES. THE IHC BH2I POPULATION OF FOCUS ARE PATIENTS ENGAGING IN CARE AT THE SILVER CREEK CLINIC, ONE OF FOUR MEDICAL CLINICS. WITHIN THIS SITE THE EMPHASIS WILL BE ON PROCESS, CLINICAL, AND SATISFACTION OUTCOMES FOR AIAN PATIENTS, AS WELL AS THOSE ENGAGING PSYCHIATRIC CARE, PRESCRIBED PSYCHIATRIC MEDICATION OR CONTROLLED SUBSTANCES, OR WITH A POSITIVE SCREEN FOR FOLLOW-UP CARE ON A DEPRESSION/SUICIDE SCREENER OR ALCOHOL USE SCREENER. THE GOALS ARE: 1) TO STRENGTHEN COMMUNICATION AND TRAINING OF THE CARE DELIVERY TEAM WITH THE GOAL OF IMPROVING QUALITY AND CONSISTENCY OF INTEGRATED CARE, EARLY IDENTIFICATION, AND REFERRAL; 2) TO STRENGTHEN CLINICAL PROCESSES, DIGITAL ACCESS, AND BEHAVIORAL HEALTH-FOCUSED QUALITY IMPROVEMENT PROCESSES WITHIN THE INTEGRATED PRIMARY CARE ENVIRONMENT; AND 3) TO ADVANCE FISCAL, POLICY, AND SUSTAINABILITY MECHANISMS AROUND INTEGRATED CARE. PROJECT OUTCOMES WILL FOCUS ON BOTH PROCESS AND OUTCOMES AND WILL INCLUDE MEASURES RELATED TO: LEADERSHIP TEAM; TRAINING ATTENDANCE AND PARTICIPATION; WARM HAND-OFFS; PANEL MANAGEMENT; CLINICAL OUTCOMES AND PATIENT SATISFACTION. TOOLS WILL INCLUDE PROCESS ASSESSMENT FROM THE CENTER FOR INTEGRATED HEALTH SOLUTIONS WEBSITE AS WELL AS CLINIC DATA (SCREENS, REFERRALS, PANELS, OUTCOMES), PATIENT SATISFACTION, TRAINING LOGS.

INDIAN HEALTH CENTER OF SANTA CLARA VALLEYS BEHAVIORAL HEALTH INTEGRATION INITIATIVE (BH2I)

SPECIAL DIABETES PROGRAM

INDIAN HEALTH CENTER OF SANTA CLARA VALLEY - SPECIAL DIABETES PROGRAM FOR INDIANS - STATEMENT OF NEED/ PROBLEM STATEMENT IHC IS REQUESTING $303,773 TO FUND A VITAL DIABETES MANAGEMENT PROGRAM FOR OUR AI/AN COMMUNITY. THESE FUNDS WILL BE USED TO INCREASE PROGRAM ENROLLMENT AND ENGAGEMENT IN OUR AI/AN PATIENTS PARTICIPATING IN ANNUAL DIABETES RETINOPATHY SCREENING, NUTRITIONAL EDUCATION, ABC BUNDLE (A1C, BLOOD PRESSURE, CHOLESTEROL), AND THE IMPROVEMENT OF COUNSELING FOR CURRENT TOBACCO USERS, AS WELL AS THE 50 OTHER MEASURES OF HEALTH INCLUDED IN THE IHS DIABETES AUDIT AND GPRA REPORT MEASURES. RETINOPATHY SCREENING IS A CRITICAL NEED AND REQUIRES ADDITIONAL FOCUS TO ADDRESS THE COMPLICATIONS OF UNCONTROLLED DIABETES. OF THE 79 CURRENT CASES OF DIAGNOSED DIABETICS, OVER 86% ARE OVERWEIGHT OR OBESE. MANY PATIENTS ARE ALSO DUAL-DIAGNOSED, INCLUDING MENTAL HEALTH CHALLENGES SUCH AS DEPRESSION. FOR EXAMPLE, MANY PATIENTS HAVE EXPERIENCED HISTORICAL TRAUMA, WHICH HAS CREATED BARRIERS PREVENTING THEM FROM FOCUSING ON DIABETES MANAGEMENT. SOME OF THESE BARRIERS INCLUDE FOOD AND HOUSING INSECURITY AND LACK OF TRANSPORTATION. WE AIM TO CONTINUE LEARNING FROM AND WORKING WITH PATIENTS AS PARTNERS IN THEIR CARE TO ADDRESS BARRIERS AND MAINTAIN OPTIMAL WELLNESS, SO THEY CAN SUCCESSFULLY MANAGE THEIR DIABETES AND IMPROVE THEIR QUALITY OF LIFE. AGAIN, IHC’S CWO IS THE ONLY COMPREHENSIVE, CULTURALLY COMPETENT PROGRAM IN THE SAN JOSE AREA, AND OVER THE YEARS, IT HAS SERVED OVER 400 PEOPLE WITH DIABETES. MANY HAVE RETURNED TO ATTEND REFRESHER COURSES OR TO SHARE THEIR EXPERIENCE IN THE PROGRAM AND BECOME MENTORS TO OTHERS WHO HAVE STRUGGLED TO MANAGE THEIR DISEASE SUCCESSFULLY. THIS HAS CREATED A SUPPORT SYSTEM AMONG THE GROUP AND KEEPS THE AI/AN COMMUNITY ENGAGED IN THE PROGRAM. THE CONTINUED INVESTMENT OF THE SDPI FUNDING IS CRITICAL TO SUPPORT THIS VITAL SERVICE FOR CURRENT AND FUTURE PARTICIPANTS OF THE PROGRAM. PROJECT SUMMARY THE INDIAN HEALTH CENTER OF SANTA CLARA VALLEY (IHC) IS A NONPROFIT ORGANIZATION PROVIDING HIGH-QUALITY, CULTURALLY COMPETENT MEDICAL AND WELLNESS SERVICES TO AMERICAN INDIANS/ALASKA NATIVES (AI/AN) FOR OVER 45YEARS. IHC IS PURSUING THE FY 2023 SPECIAL DIABETES PROGRAM FOR INDIANS (SDPI) COMMUNITY-DIRECTED GRANT TO CONTINUE OUR EFFORTS IN ASSISTING THE AI/AN COMMUNITY WITH DIABETES CARE AND SERVICES. IHC’S COMMUNITY WELLNESS AND OUTREACH (CWO) DEPARTMENT IS A CULTURALLY COMPETENT, COMMUNITY-DRIVEN DIABETES MANAGEMENT AND PREVENTION PROGRAM DESIGNED TO MEET THE DIVERSE NEEDS OF THE COMMUNITY IT SERVES. THE FUNDING FROM THIS GRANT WILL BE AN INVESTMENT IN THE HEALTH AND WELL-BEING OF THE MOST DISENFRANCHISED POPULATION IN OUR COMMUNITY, AND IT WILL HELP TO BUILD ON AN ALREADY SUCCESSFUL DIABETES PREVENTION AND MANAGEMENT PROGRAM. THESE ADDITIONAL SERVICES WILL MEET A CRITICAL, YET UNSERVED COMPONENT IN THEIR HEALTH PLAN. BEST PRACTICES INCLUDE NUTRITION EDUCATION WHICH IS VITAL IN THE SELF MANAGEMENT OF DIABETES AS FOOD AFFECTS THE BLOOD SUGAR, BODY WEIGHT, AND HEART HEALTH. IHC MEDICAL STAFF AND LEADERSHIP TEAMS ARE COMMITTED TO PROVIDING HIGH-QUALITY NUTRITION EDUCATION TO THE AI/AN COMMUNITY. OUR GOAL IS TO IMPROVE NUTRITION EDUCATION WITH THE FOLLOWING KEY ACTIVITIES FREE ACCESS TO OUR FITNESS CENTER AND WORKOUT CLASS SUCH AS PIYO AND ZUMBA TO PROMOTE A HEALTHIER LIFESTYLE AND WEIGHT LOSS. ADDITIONALLY, WE WILL HOST TWO NUTRITION EDUCATION EVENTS TO TEACH HEALTHY EATING HABITS.

FUTURE GENERATIONS

RESTORING BALANCE TO OUR YOUTH II - WITH RESTORING BALANCE TO OUR YOUTH II, THE INDIAN HEALTH CENTER OF SANTA CLARA VALLEY (IHC) WILL PROVIDE SUICIDE AND SUBSTANCE USE AND ABUSE PREVENTION WORK TO URBAN AMERICAN INDIAN/ALASKA NATIVE (AI/AN) YOUTH UNDER 25, AND THEIR FAMILIES, BY PROVIDING SUBJECT-SPECIFIC TRAININGS AND SERVICES, TRADITIONAL AND CULTURAL PROGRAMS, STRENGTHENING EARLY INTERVENTION CAPACITY, AND REVISING SUICIDE PREVENTION, INTERVENTION, AND POSTVENTION POLICIES AND PROCEDURES. THE TARGET POPULATION FOR THIS GRANT IS AI/AN YOUTH UNDER THE AGE OF 25, THEIR FAMILIES, THE PREVENTION STAFF WHO SERVE THEM, IHC STAFF AGENCY-WIDE AND PARTNER ORGANIZATIONS WHO WORK WITH THE SAME COMMUNITY. RESTORING BALANCE TO OUR YOUTH II WILL SERVE A MINIMUM OF 110 UNIQUE INDIVIDUALS OVER THE COURSE OF 5 YEARS, APPROXIMATELY 22 PER YEAR. THE FIRST GOAL OF THE PROGRAM IS TO INCREASE THE CAPACITY OF IHC STAFF TO IDENTIFY AND INTERVENE WITH AI/AN YOUTH AND THEIR FAMILIES IN ORDER TO REDUCE SUBSTANCE USE AND SUICIDE RISK. THE SECOND GOAL OF THE PROGRAM IS TO DECREASE YOUTH SUBSTANCE USE AND SUICIDE RISK BY IMPLEMENTING CULTURALLY-BASED AND EVIDENCE-BASED PROGRAMS IN IHC'S AI/AN YOUTH-SERVING PROGRAM THAT ADDRESS BEHAVIORS THAT MAY LEAD TO INITIATION OF USE AND DEVELOPMENT OF SUBSTANCE USE AND SUICIDE RISK. THIS WILL BE ACHIEVED WITH AN ARRAY OF APPROACHES INCLUDING PREVENTION TRAININGS AND EVIDENCE/COMMUNITY-BASED INTERVENTIONS, EARLY INTERVENTION TRAINING WITH PREVENTION STAFF, MENTAL HEALTH SCREENINGS FOR YOUTH, AND CULTURALLY-BASED COMMUNITY OUTREACH AND SERVICES. IHC WILL EMPLOY THE FOLLOWING STRATEGIES AND INTERVENTIONS: 1) TRAINING YOUTH, FAMILY, COMMUNITY AND STAFF TRAINING IN QUESTION, PERSUADE, RESPOND AND MENTAL HEALTH FIRST AID; 2) IN-DEPTH EARLY INTERVENTION TRAINING AND ONGOING CONSULTATION TO PREVENTION STAFF; 3) POLICY WORK FOCUSED ON SUICIDE INTERVENTION AND POSTVENTION, CULTURAL PRACTICES AND APPROACHES AND SOCIAL MEDIA; 4) DIRECT PREVENTION USING PHOTOVOICE, GATHERING OF NATIVE AMERICANS AND OTHER CULTURALLY-BASED ACTIVITIES (ROUND DANCE, WIPING OF THE TEARS CEREMONY, TALKING CIRCLES, SPIRITUAL SUPPORT); 5) DEVELOPMENT OF SOCIAL MARKETING MATERIALS FOR OUTREACH, EDUCATION AND STIGMA REDUCTION; AND 6) IMPLEMENTATION OF A SUICIDE SCREENING PROCESSES FOR THE PREVENTION ENVIRONMENT. ALL ACTIVITIES WILL OCCUR IN A VIRTUAL ENVIRONMENT UNTIL SUCH TIME AS IHC RECEIVES GUIDANCE THAT IT IS SAFE TO RE-OPEN AND GATHER IN-PERSON. ANY PHYSICAL GATHERINGS WILL FOLLOW SAFETY GUIDELINES TO MINIMIZE THE SPREAD OF COVID-19. THE IMPACT OF THIS PROGRAM WILL BE MEASURED BY 1) STAFF CAPACITY TO ASSESS AND INTERVENE ON SUICIDE RISK AND TO PREVENT YOUTH SUBSTANCE USE AND SUICIDE, AND 2) PREVALENCE RATES OF SUBSTANCE USE AND SUICIDAL IDEATION AND RISK. IT IS ANTICIPATED THAT YOUTH SERVED BY THE PROJECT WILL EXPERIENCE INCREASED RESILIENCY AND COPING SKILLS RESULTING IN REDUCED SUBSTANCE USE, DELAYED ONSET OF FIRST USE OF SUBSTANCES, REDUCED SUICIDAL IDEATION, REDUCED ER VISIT DUE TO EITHER, AND PREVENTION OF HOSPITALIZATIONS FOR SELF-INFLICTED INJURY OVER TIME AND ULTIMATELY, REDUCING THE YOUTH SUICIDE RATE AMONG AI/AN IN SANTA CLARA COUNTY.

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

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

INDIAN HEALTH CENTER OF SANTA CLARA VALLEY: FY23 CONGRESSIONAL DIRECTIVE SPENDING PROJECT

INSTILLING WELLNESS THROUGH WORKFORCE DEVELOPMENT II - WITH INSTILLING WELLNESS THROUGH WORKFORCE DEVELOPMENT II (INSTILLING WELLNESS II), THE INDIAN HEALTH CENTER OF SANTA CLARA VALLEY (IHC) WILL INCREASE THE CAPACITY OF THE LOCAL SERVICE SYSTEM TO USE DATA-DRIVEN APPROACHES TO CREATE AND IMPLEMENT EFFECTIVE SUBSTANCE USE PREVENTION PROGRAMMING AND POLICIES FOR URBAN AMERICAN INDIAN/ALASKA NATIVE (AI/AN) YOUTH AGED 9-20 IN SANTA CLARA COUNTY (SCC). INSTILLING WELLNESS II HAS TWO OVERARCHING GOALS: 1) TO DEVELOP AND INCREASE INFRASTRUCTURE AND CAPACITY TO CONDUCT DATA-DRIVEN SUBSTANCE ABUSE PREVENTION FOR AI/AN YOUTH, AND 2) TO PROVIDE THE SAMHSA DEVELOPED AND RECOMMENDED CULTURALLY BASED BEST-PRACTICE MODEL FOR AI/AN YOUTH SUBSTANCE ABUSE PREVENTION, GONA, ADAPTED TO INCLUDE ECONOMIC DEVELOPMENT STRATEGIES. AS PART OF THIS WORK, IHC WILL COMPLETE A NEEDS ASSESSMENT AND CREATE A STRATEGIC PLAN. THE STRATEGIC PLAN WILL IDENTIFY A COLLABORATIVE APPROACH TO UTILIZE ASSETS TO PRIORITIZE AND ADDRESS LONG-TERM SUBSTANCE ABUSE PREVENTION NEEDS IN THE COMMUNITY. THESE PRIORITIES WILL BE REINFORCED DURING REGULAR INTERACTIONS WITH THE STAKEHOLDER GROUPS. INSTILLING WELLNESS II WILL PROVIDE OF AN ADAPTED, EVIDENCE-BASED GATHERING OF NATIVE AMERICANS (GONA) ANNUALLY, AIMING TO PROMOTE CULTURAL CONNECTEDNESS AND INCREASE JOB PREPAREDNESS FOR 265 AI/AN YOUTH AND TRANSITIONAL AGE YOUTH (TAY) BY THE END OF THE GRANT. IHC WILL ENGAGE THREE KEY STAKEHOLDER GROUPS TO ENSURE THAT OUR CULTURALLY APPROPRIATE DATA-BASED PROGRAMMING MEETS THE BEHAVIORAL PRIORITIES OF THE COMMUNITIES: THE NATIVE YOUTH COUNCIL, THE CALIFORNIA STATEWIDE EPIDEMIOLOGICAL WORKGROUP (SEW), AND THE COMMUNITY COALITION: 1) THE STATE OF CALIFORNIA HAS AN OPERATIONAL AND ON-GOING SEW THAT MEETS MONTHLY. IHC WILL CONTINUE TO PARTICIPATE IN THESE MEETINGS SO THAT THE NEEDS OF THE AI/AN POPULATION ARE INTEGRATED INTO OVERALL WORK; 2) THE NATIVE YOUTH COUNCIL (YC) WILL MEET QUARTERLY AND WILL PROVIDE FEEDBACK AND SUGGESTIONS FOR THE PROGRAM APPLICATION PROCESS, WORKSHOPS, TRAININGS, AND FOLLOW-UP ACTIVITIES; AND 3) A COMMUNITY COALITION COMPRISED OF QUARTERLY MEETINGS WITH COMMUNITY-BASED PARTNERS THAT WILL REVIEW DATA, PROVIDE INPUT ON PRIORITIES, POLICY, AND E PROGRAMMING FOR URBAN AI/AN YOUTH IN SCC. IT IS ANTICIPATED THAT YOUTH SERVED BY THE PROJECT WILL EXPERIENCE INCREASED JOB SKILLS, CULTURAL, RESILIENCY AND COPING SKILLS RESULTING IN REDUCED SUBSTANCE USE. PROGRAM IMPACTS WILL BE MEASURED BY MONITORING THE FOLLOWING OUTCOMES: 30-DAY USE OF ALCOHOL, MARIJUANA, TOBACCO AND PRESCRIPTION DRUG USE, ACCESS, PERCEPTION OF HARM, PARENT/PEER DISAPPROVAL, IMPROVEMENT IN CULTURAL CONNECTEDNESS, IMPROVEMENT IN JOB SKILLS PERCEPTION, EXPANSION OF THE YOUTH PARTICIPANTS PROFESSIONAL SOCIAL NETWORK, INCREASES IN HOPE FOR THE FUTURE, AND CHANGES IN JOB ACQUISITION.

INDIAN HEALTH CENTER OF SANTA CLARA VALLEY'S TRIBAL PRACTICES FOR WELLNESS IN INDIAN COUNTRY PROJECT - THE INDIAN HEALTH CENTER OF SANTA CLARA VALLEY’S (IHC) TRADITIONAL PATH TO WELLNESS PROJECT AIMS TO DECREASE THE PREVALENCE OF OBESITY, DIABETES, HEART DISEASE, AND THE IMPACT OF CO OCCURRING MENTAL HEALTH DISORDERS BY USING CULTURAL AND TRADITIONAL PRACTICES TO PROVIDE HOLISTIC HEALTH AND WELLNESS EDUCATION. IN YEAR 1, PARTICIPANTS WILL RECEIVE SUPPORT IN DEVELOPING POSITIVE BEHAVIOR CHANGES TO ADDRESS THEIR MENTAL, EMOTIONAL, SPIRITUAL, AND PHYSICAL HEALTH THEREBY PROMOTING POSITIVE HEALTH OUTCOMES FOR AMERICAN INDIAN/ALASKAN NATIVE (AI/AN) FAMILIES IN SANTA CLARA COUNTY. UTILIZING A TRADITIONAL COMMUNITY-BASED BEST PRACTICE APPROACH, A 6-WEEK INTERGENERATIONAL WELLNESS SERIES MODEL WAS DEVELOPED TO ADDRESS CHRONIC DISEASE WHICH INCLUDES THE WHOLE FAMILY. PARTICIPANTS WILL RECEIVE INTENSIVE EDUCATION AROUND MEAL PLANNING, SHOPPING, MINDFUL EATING, HISTORICAL TRAUMA, TRADITIONAL MEDICINES, TRADITIONAL AND CONTEMPORARY FORMS OF EXERCISE AND ACTIVITIES TO IMPROVE FAMILY COHESION AND DEVELOP SUPPORT NETWORKS. IN-BETWEEN EACH 6- WEEK WELLNESS SERIES, THE PROJECT COORDINATOR WILL WORK WITH PARTICIPANTS TO DEVELOP A WELLNESS PLAN AND WILL REFER PARTICIPANTS TO EXISTING, ON-GOING ACTIVITIES OFFERED AT THE INDIAN HEALTH CENTER OF SANTA CLARA VALLEY. ACTIVITIES INCLUDE POWWOW DANCE AND DRUM CLASS, DIABETES EDUCATION CLASSES, DAILY FITNESS CLASSES, NUTRITION COUNSELING, ACCESS TO A FITNESS CENTER, SAN JOSE NATIVE YOUTH EMPOWERMENT GROUP, AND SERVICES AT THE MEDICAL, DENTAL, AND COUNSELING DEPARTMENTS AS NEEDED. INTERMEDIATE OUTCOMES: THE PROJECT WILL MEET THIS OUTCOME BY OFFERING ACTIVITIES THAT INCLUDE CULTURAL COMMUNITY PROGRAMS, PHYSICAL ACTIVITY, AND INTERGENERATIONAL INTERACTIONS THAT PROMOTE WELLBEING. IHC WILL ALSO MEET THE FOLLOWING INTERMEDIATE OUTCOMES: 1) INCREASED SENSE OF CULTURAL CONNECTEDNESS 2) INCREASED SENSE OF SOCIAL CONNECTEDNESS 3) INCREASED CONSUMPTION OF HEALTHY TRADITIONAL FOODS AND/OR INCREASED PHYSICAL ACTIVITY LONG-TERM OUTCOMES: THIS PROJECT WILL IMPLEMENT EVIDENCE-BASED STRATEGIES AND ACTIVITIES THAT MEET THE NEEDS OF OUR URBAN INDIAN COMMUNITY. THE LONG-TERM OUTCOMES THAT IHC WOULD LIKE TO MEET THROUGH INTERGENERATIONAL INTERACTIONS ARE: 1) REDUCED MORBIDITY/MORTALITY DUE TO DIABETES, HEART DISEASE, STROKE, AND CANCER 2) INCREASED RESILIENCE AND USE OF CULTURAL PRACTICES TO REDUCE DIABETES, HEART DISEASE, STROKE, AND CANCER. USING CULTURAL AND TRADITIONAL TEACHINGS ENSURES THAT OUR PROJECT WILL HELP INCREASE THE HEALTH AND WELLBEING OF AI/ANS IN SANTA CLARA COUNTY.

HEALTH CENTER INFRASTRUCTURE SUPPORT

SPECIAL DIABETES PROGRAM

INDIAN HEALTH CENTER OF SANTA CLARA VALLEY'S NATIVE CONNECTIONS PROGRAM

INDIAN HEALTH CENTERS TRIBAL PRACTICES FOR WELLNESS IN INDIAN COUNTRY

CAPITAL DEVELOPMENT

ARRA - CAPITAL IMPROVEMENT PROGRAM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

INDIAN HEALTH CENTER OF SANTA CLARA VALLEYS NATIVE CONNECTIONS PROGRAM

SPECIAL DIABETES PROGRAM

HEALTH CARE AND OTHER FACILITIES

FY 2023 EXPANDING COVID-19 VACCINATION

SPECIAL DIABETES PROGRAMS FOR INDIANS

URBAN INDIAN HEALTH

ARRA - INCREASE SERVICES TO HEALTH CENTERS

TBH COVID-19

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

FUTURE GENERATIONS

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM