San Carlos Apache Healthcare Corporation

IGF::OT::IGF PEST CONTROL SERVICES FOR THE SAN CARLOS APACHE HEALTHCARE CORPORATION LOCATED IN PERIDOT, AZ

Department of Health and Human Services · Indian Health Service

CONT_AWD_HHSI247201800025G_7527_GS06F0013L_4730

IGF::OT::IGF EMERGENCY GENERATOR PM, SAN CARLOS APACHE HEALTHCARE CORPORATION, PERIDOT, AZ

Department of Health and Human Services · Indian Health Service

CONT_AWD_HHSI247201700108P_7527_-NONE-_-NONE-

IGF::OT::IGF PEST CONTROL SERVICES FOR THE SAN CARLOS APACHE HEALTHCARE CORPORATION LOCATED IN PERIDOT, AZ

Department of Health and Human Services · Indian Health Service

CONT_AWD_HHSI247201700179G_7527_GS06F0013L_4730

THE TRIBAL SEXUAL ASSAULT SERVICES PROGRAM (TSASP), WHICH IS AUTHORIZED BY 34 U.S.C. 12511(E), IS ONE OF FIVE GRANT PROGRAMS FUNDED WITHIN THE SEXUAL ASSAULT SERVICES PROGRAM (SASP). SASP WAS CREATED BY THE VIOLENCE AGAINST WOMEN AND DEPARTMENT OF JUSTICE REAUTHORIZATION ACT OF 2005 (VAWA 2005) AND IS THE FIRST FEDERAL FUNDING STREAM DEDICATED SOLELY TO THE PROVISION OF DIRECT INTERVENTION AND RELATED ASSISTANCE FOR VICTIMS OF SEXUAL ASSAULT. OVERALL, THE PURPOSE OF SASP IS TO PROVIDE INTERVENTION, ADVOCACY, ACCOMPANIMENT (E.G., ACCOMPANYING VICTIMS TO COURT, MEDICAL FACILITIES, POLICE DEPARTMENTS), SUPPORT SERVICES, AND RELATED ASSISTANCE FOR ADULT, YOUTH, AND CHILD VICTIMS OF SEXUAL ASSAULT, NON-OFFENDING FAMILY AND HOUSEHOLD MEMBERS OF VICTIMS, AND THOSE COLLATERALLY AFFECTED BY THE SEXUAL ASSAULT. TSASP SUPPORTS PROJECTS TO CREATE, MAINTAIN, AND EXPAND SUSTAINABLE SEXUAL ASSAULT SERVICES PROVIDED BY TRIBES, TRIBAL ORGANIZATIONS, AND NONPROFIT TRIBAL ORGANIZATIONS WITHIN INDIAN COUNTRY AND ALASKA NATIVE VILLAGES. THE SAN CARLOS APACHE TRIBE, ONE OF 22 FEDERALLY RECOGNIZED TRIBES LOCATED IN ARIZONA, WITH AN ENROLLMENT OF 10,815, SPANS THE COUNTIES OF GRAHAM, GILA AND PINAL COUNTIES IN SOUTHEASTERN ARIZONA. THROUGH THIS THREE-YEAR IMPROVING TRIBAL RESPONSES TO SEXUAL ASSAULT (ITRSA) CAPACITY-BUILDING AWARD THE SAN CARLOS APACHE TRIBE WILL WORK WITH TTA TO ESTABLISH TRIBAL SA PROGRAM SERVICES INCLUDING ACCOMPANIMENT, TRANSPORTATION, COMPREHENSIVE SA SERVICES.

Department of Justice · Offices, Boards and Divisions

ASST_NON_15JOVW23GG04449SASP_015

SAN CARLOS APACHE HEALTHCARE CORPORATION DIABETES TREATMENT AND PREVENTION PROGRAM - THE SAN CARLOS APACHE INDIAN RESERVATION IS A 1.8-MILLION-ACRE LAND BASE OF THE FEDERALLY RECOGNIZED SAN CARLOS APACHE TRIBE LOCATED IN SOUTHEASTERN ARIZONA. WE ARE A RURAL ARIZONA TRIBE, LOCATED 90 MILES EAST OF THE METROPOLITAN PHOENIX AREA. THE SAN CARLOS APACHE TRIBE HAS APPROXIMATELY 17,050 ENROLLED MEMBERS. IN ADDITION TO TYPE 2 DIABETES, THERE ARE OTHER DIABETES-RELATED COMORBIDITIES THAT ARE PREVALENT AMONG THE SAN CARLOS APACHE TRIBE SUCH AS OBESITY, CARDIOVASCULAR AND KIDNEY DISEASE. THE SAN CARLOS APACHE HEALTHCARE CORPORATION (“SCAHC”) IS A SUBSIDIARY NONPROFIT HEALTHCARE ENTERPRISE OF THE SAN CARLOS APACHE TRIBE ESTABLISHED FOR THE PURPOSE OF PROVIDING DIRECT HOSPITAL AND CLINICAL SERVICES. SCAHC HAS BEEN WORKING ON BUILDING A COMPREHENSIVE DIABETES TREATMENT PROGRAM SPECIFIC TO THE SAN CARLOS APACHE TRIBE ALONGSIDE THE COMMUNITY DRIVEN DIABETES PREVENTION EFFORTS. CONTINUOUS EFFORTS BY SDPI COUPLED WITH SCAHC FUNDS WILL BE A SIGNIFICANT STEP IN ADDRESSING DIABETES AND ITS COMORBIDITIES ON THE SAN CARLOS APACHE RESERVATION. THE SAN CARLOS APACHE TRIBE HAS IDENTIFIED AN INCREASE IN DISEASE BURDEN SINCE THE BEGINNING OF THE CURRENT GRANT CYCLE FY2016-FY2022. IN 2015, 1392 INDIVIDUALS WITH DIABETES WERE RECEIVING THEIR CARE IN SAN CARLOS. IN MARCH 2020 PRIOR TO THE PANDEMIC, WE IDENTIFIED 1743 INDIVIDUALS WITH DIABETES. DURING THE PANDEMIC, AS MORE INDIVIDUALS BEGAN COMING IN TO SCAHC FOR ACUTE ILLNESS INCLUDING COVID INFECTIONS, THE HOSPITAL BEGAN TO IDENTIFY UNDIAGNOSED INDIVIDUALS WITH UNCONTROLLED DIABETES. AS OF THIS YEAR, WE NOW HAVE OVER 1900 COMMUNITY MEMBERS WITH DIABETES THAT ARE ACTIVELY RECEIVING THEIR CARE AT SCAHC AND AN ADDITIONAL 675 INDIVIDUALS THAT ARE DIAGNOSED WITH DIABETES THAT ARE NOT ACTIVELY RECEIVING THEIR CARE AT SCAHC. IN OUR EFFORTS TO IDENTIFY PREDIABETES AND DIABETES, SCAHC HAS TAKEN THE INITIATIVE OF COMPLETING GLUCOSE CHECKS WHEN PATIENTS ARRIVE FOR ANY APPOINTMENT. SCAHC HAS ALSO ADDED A MOBILE HEALTH UNIT TO ASSIST IN PROVIDING HEALTHCARE WITHIN THE COMMUNITY TO INDIVIDUALS THAT MAY NOT HAVE OTHERWISE RECEIVED HEALTHCARE. WITH THE ADDITION OF THIS MOBILE HEALTH UNIT, OUR HOPE IS THAT WE CAN BUILD TRUST WITHIN THE COMMUNITY, PROVIDE HEALTHCARE AND EDUCATION TO PREVENT THE ONSET OF DIABETES AND MANAGE DIABETES TO DECREASE THE RISK OF DIABETES-RELATED COMORBIDITIES. WITHIN OUR SDPI CLINIC, WE CONTINUE TO PROVIDE DIABETES EDUCATION AND MEDICAL NUTRITION THERAPY AS WELL AS COMPREHENSIVE DIABETES CARE BY NURSE PRACTITIONERS, ENDOCRINOLOGISTS, A PODIATRIST, OPTOMETRISTS, DENTISTS, AND OUR PRIMARY CARE TEAM. THROUGH THIS COMPREHENSIVE CARE APPROACH OUR GOAL IS TO BUILD LONG LASTING TRUST WITH THE COMMUNITY MEMBERS AND IN RETURN IMPROVE GLYCEMIC CONTROL AND DECREASE RISK OF DIABETES AND ALL ITS COMORBIDITIES. AS OF SEPTEMBER 2021, WE HAVE ALSO BUILT A 3-TIER COMPREHENSIVE WEIGHT LOSS PROGRAM INCLUDING TIER 1 WITH NUTRITION AND LIFESTYLE MODIFICATIONS ONLY, TIER 2 ADDING MEDICATION ASSISTED WEIGHT LOSS AND TIER 3 COMPLETING BARIATRIC SURGERY WHEN TIER 1 AND 2 HAVE FAILED. SINCE THEN, WE HAVE ~80 INDIVIDUALS THAT ARE UTILIZING OUR MEDICATION ASSISTED WEIGHT LOSS AND 21 INDIVIDUALS THAT HAVE UNDERGONE BARIATRIC/METABOLIC SURGERY. MANY INDIVIDUALS HAVE BEEN ABLE TO REDUCE OR COMPLETELY STOP THEIR CHRONIC MEDICATIONS. SAN CARLOS HAS ALSO IDENTIFIED ~2225 INDIVIDUALS WITHIN THE COMMUNITY THAT HAVE PREDIABETES WHO WILL HAVE THE POSSIBILITY OF IMPROVING THEIR HEALTH THROUGH LIFESTYLE MODIFICATIONS AND DECREASING THEIR WEIGHT THROUGH COMMUNITY OUTREACH, THE DIABETES PREVENTION PROGRAM, AND EARLY INTERVENTION OF DIETITIAN SUPPORT. THE SDPI GRANT WOULD CONTINUE TO ASSIST IN GROWING OUR CURRENT AND NEW PROGRAMS. ADDITIONAL FUNDING TO BE CONSIDERED WOULD ALSO ASSIST IN OUR COMMUNITY OUTREACH EFFORTS THROUGH IMPROVEMENTS TO OUR FITNESS CENTERS INCLUDING GROUP FITNESS ROOMS AND CLASSROOMS TO PROVIDE A COMMUNITY-BASED DIABETES PREVENTION PROGRAM.

Department of Health and Human Services · Indian Health Service

ASST_NON_H1D1IHS1156_075

SAN CARLOS APACHE HEALTHCARE CORPORATION COVID-19 RESPONSE AND MITIGATION MEASURES

Department of Health and Human Services · Centers for Disease Control and Prevention

ASST_NON_NU1ROT000293_075

SAN CARLOS APACHE HEALTHCARE CORPORATION IMPROVING SEXUAL ASSAULT RESPONSE

Department of Justice · Offices, Boards and Divisions

ASST_NON_2020SIAX0004_015

SAN CARLOS APACHE TRIBAL OPIOID RESPONSE

Department of Health and Human Services · Substance Abuse and Mental Health Services Administration

ASST_NON_H79TI082585_075

SPECIAL DIABETES PROGRAM FOR INDIANS

Department of Health and Human Services · Indian Health Service

ASST_NON_H1D1IHS1025_075