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Oyate Health Center Special Diabetes Program for Indians

Award Number: H1D1IHS1086
ORGANIZATION: INDIAN HEALTH SERVICE
OPDIV: IHS
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: DEMONSTRATION
PERIOD OF PERFORMANCE START DATE: 01/01/2023
PERIOD OF PERFORMANCE END DATE: 12/31/2027

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Oyate Health Center Special Diabetes Program for Indians - Founded in 1986, the Great Plains Tribal Leaders Health Board (GPTLHB) stands as a formal representative board of the seventeen tribal nations and one service unit in the Great Plains area (GPA) of South Dakota, North Dakota, Nebraska, and Iowa. The mission of GPTLHB, a 501(c)(3) community-based tribal entity, is to work with tribal communities and provide quality public health support and healthcare advocacy to improve the health status and eradicate health disparities among the region's estimated 265,837 tribal members (according to provisional 2020 U.S. Census data). In 2019, the Oglala Sioux Tribe and Cheyenne River Sioux Tribe authorized GPTLHB to manage their shares of the IHS health care facility in Rapid City, South Dakota. GPTLHB assumed administration of IHS’ Sioux San facility, renaming it Oyate Health Center (OHC). In 2022, GPTLHB assumed the Rosebud Sioux Tribe’s IHS health care shares and began the development of a tribally managed health system that serves as a specialty care referral site for urgent care and primary preventative services, including the Special Diabetes Program for Indians (SDPI). The OHC SDPI program has provided diabetes treatment and prevention services to the Rapid City AI/AN community since IHS released the first SDPI funding in 1998. Diabetes is one of the most prevalent health issues facing AI/AN in the Rapid City area. According to the most recent OHC GPRA report run in August 2023, 1,040 AI/AN of the health center’s patient-relatives were diagnosed as diabetic. Based on the current SDPI program’s 2022 Diabetes Audit, 60% of patient-relatives with diabetes suffer from obesity (BMI ≥ 30.0), and 26% are overweight (BMI 25.0-29.9). 12% of patient-relatives with diabetes have an A1c level of 11.0 or higher, and 11% do not have a recent A1c level (not tested or no valid result). Additional diabetes-related health issues include meeting standards of care due to missed dental appointments. Health habits impacted by poverty, high prices, access to traditional foods, lack of access to fruits and vegetables, and poor dental hygiene lead to poor nutrition, high obesity rates, and chronic disease in Great Plains tribal communities. The OHC SDPI Program recognizes the need for increased and improved diabetes education to address these issues. By hiring a Registered Dietitian, the program will offer individualized Diabetes Management education for each program participant, focusing on dietary choices and physical wellness. Lifestyle Coaches will utilize OHC’s Okiciyapi Fitness Center to provide physical activity training, fitness activities, and physical activity education. The program will also partner with the Fight Against Diabetes: SD Produce Prescription Program to provide fresh fruits and vegetables to patient-relatives who present as at-risk for diabetes. Additional instruction will address the impact of dental hygiene on diabetes and the importance of maintaining oral health. Program staff will work to increase awareness of the adverse effects of missing provider appointments so that patient-relatives understand the importance of attending all clinical services. The OHC SDPI program will continue participating in the Joslin Vision Network (JVN) and performing retinopathy screening eye exams for patient-relatives with diabetes. A JVN Acquisition specialist (Lifestyle Coach) will provide diabetes education based on findings from the completed exams.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $1,055,854 )
2026	2026	GREAT PLAINS TRIBAL LEADERS HEALTH BOARD	2611 ELDERBERRY BLVD	RAPID CITY	SD	57703	PENNINGTON	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	03	4	7/28/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$199,627
2026	2026	GREAT PLAINS TRIBAL LEADERS HEALTH BOARD	2611 ELDERBERRY BLVD	RAPID CITY	SD	57703	PENNINGTON	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	01	4	6/26/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$57,721
2026	2026	GREAT PLAINS TRIBAL LEADERS HEALTH BOARD	2611 ELDERBERRY BLVD	RAPID CITY	SD	57703	PENNINGTON	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	04	4	8/20/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2026	GREAT PLAINS TRIBAL LEADERS HEALTH BOARD	2611 ELDERBERRY BLVD	RAPID CITY	SD	57703	PENNINGTON	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	02	4	7/9/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$399,253
2026	2026	GREAT PLAINS TRIBAL LEADERS HEALTH BOARD	2611 ELDERBERRY BLVD	RAPID CITY	SD	57703	PENNINGTON	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	00	4	12/18/2025	NON-COMPETING CONTINUATION	$399,253
														Subtotal = $1,055,854

Issue Date FY: 2025 ( Subtotal = $798,506 )
2025	2025	GREAT PLAINS TRIBAL LEADERS HEALTH BOARD	2611 ELDERBERRY BLVD	RAPID CITY	SD	57703	PENNINGTON	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	01	3	4/2/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$598,880
2025	2025	GREAT PLAINS TRIBAL LEADERS HEALTH BOARD	2611 ELDERBERRY BLVD	RAPID CITY	SD	57703	PENNINGTON	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	00	3	12/17/2024	NON-COMPETING CONTINUATION	$199,626
2025	2024	GREAT PLAINS TRIBAL LEADERS HEALTH BOARD	2611 ELDERBERRY BLVD	RAPID CITY	SD	57703	PENNINGTON	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	03	2	11/4/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $798,506

Issue Date FY: 2024 ( Subtotal = $998,133 )
2024	2024	GREAT PLAINS TRIBAL LEADERS HEALTH BOARD	2611 ELDERBERRY BLVD	RAPID CITY	SD	57703	PENNINGTON	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	01	2	5/3/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$399,253
2024	2024	GREAT PLAINS TRIBAL LEADERS HEALTH BOARD	2611 ELDERBERRY BLVD	RAPID CITY	SD	57703	PENNINGTON	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	00	2	12/18/2023	NON-COMPETING CONTINUATION	$399,253
2024	2024	GREAT PLAINS TRIBAL LEADERS HEALTH BOARD	2611 ELDERBERRY BLVD	RAPID CITY	SD	57703	PENNINGTON	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	02	2	9/6/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$199,627
2024	2023	GREAT PLAINS TRIBAL LEADERS HEALTH BOARD	2611 ELDERBERRY BLVD	RAPID CITY	SD	57703	PENNINGTON	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	01	1	11/14/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $998,133

Issue Date FY: 2023 ( Subtotal = $798,506 )
2023	2023	Great Plains Tribal Leaders Health Board	2611 Elderberry Blvd	Rapid City	SD	57703	PENNINGTON	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	00	1	12/22/2022	NEW	$798,506
														Subtotal = $798,506

Grand Total All Awards = $3,650,999

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Oyate Health Center Special Diabetes Program for Indians

Award Number: H1D1IHS1086

ORGANIZATION: INDIAN HEALTH SERVICE

OPDIV: IHS

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: DEMONSTRATION

PERIOD OF PERFORMANCE START DATE: 01/01/2023

PERIOD OF PERFORMANCE END DATE: 12/31/2027

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