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SMH Special Diabetes Grant Program

Award Number: H1D1IHS1127
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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SMH Special Diabetes Grant Program - Navajo Health Foundation – Sage Memorial Hospital (SMH) is a 25-bed acute and critical access hospital located in Ganado, Arizona on the Navajo Nation. It serves eight surrounding communities including Cornfields, Ganado, Greasewood, Klagetoh, Kinlichee, Steamboat, Wide Ruins, and Nazlini. The population for the service area is approximately 10,700 community members and SMH serves an average of 9,500 patients per year. According to data extracted from SMH's EHR system, in 2021 over 1,097 A1C tests were administered to 885 patients. Of these patients, approximately 236 patients (27%) had an A1C level between 5.7-6.49 indicating they were prediabetic and 363 patients (41%) had an A1C of 6.5 and over showing an indication of Type 2 diabetes. For patients who had diabetes, 49% were female and 51% were male. For all patients who were tested, 68% came back with prediabetes or having diabetes So far in 2022 (January - September), 606 A1C tests have been administered to 530 patients. Of these patients, 169 (32%) were prediabetic, and 218 patients (41%) showed Type 2 diabetes results. For patients with diabetes, 42% were female and 58% were male. Results for all patients who were tested, 73% showed they have prediabetes or have diabetes. According to the Annual Audit Report, dental exams have not surpassed 40% for the target group for the past five years; therefore, SMH has chosen Dental Exam as its required key measure for 2023. The goal is to increase the percentage of patients who complete their oral exams as part of their standards of care to at least 80%. The Diabetes Team proposes to accomplish this through brief oral exams during each encounter, designating a day each month in the Dental Clinic specifically for patients with diabetes, and through awareness messaging. SMH’s Diabetes Program is designed to address two of five highest health needs identified by its 2019 Community Health Needs Assessment: diabetes and obesity. Utilizing American Diabetes Association’s Standards of Medical Care in Diabetes as a guide for comprehensive care, the Diabetes Team will continue to take a patient-centered care approach to treatment.


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 = $525,459 )
2026	2026	NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL INC	191 HIGHWAY 264 & JCT	GANADO	AZ	86505	APACHE	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	03	4	7/13/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$105,092
2026	2026	NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL INC	191 HIGHWAY 264 & JCT	GANADO	AZ	86505	APACHE	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	02	4	6/2/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$210,183
2026	2026	NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL INC	191 HIGHWAY 264 & JCT	GANADO	AZ	86505	APACHE	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	01	4	2/19/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2026	NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL INC	191 HIGHWAY 264 & JCT	GANADO	AZ	86505	APACHE	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	00	4	12/18/2025	NON-COMPETING CONTINUATION	$210,184
2026	2024	NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL INC	191 HIGHWAY 264 & JCT	GANADO	AZ	86505	APACHE	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	03	2	1/12/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $525,459

Issue Date FY: 2025 ( Subtotal = $420,367 )
2025	2025	NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL INC	191 HIGHWAY 264 & JCT	GANADO	AZ	86505	APACHE	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	00	3	12/31/2024	NON-COMPETING CONTINUATION	$105,091
2025	2025	NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL INC	191 HIGHWAY 264 & JCT	GANADO	AZ	86505	APACHE	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	01	3	4/25/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$315,276
														Subtotal = $420,367

Issue Date FY: 2024 ( Subtotal = $525,459 )
2024	2024	NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL INC	191 HIGHWAY 264 & JCT	GANADO	AZ	86505	APACHE	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	00	2	12/19/2023	NON-COMPETING CONTINUATION	$210,183
2024	2024	NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL INC	191 HIGHWAY 264 & JCT	GANADO	AZ	86505	APACHE	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	01	2	5/16/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$210,184
2024	2024	NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL INC	191 HIGHWAY 264 & JCT	GANADO	AZ	86505	APACHE	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	02	2	9/6/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$105,092
2024	2023	NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL INC	191 HIGHWAY 264 & JCT	GANADO	AZ	86505	APACHE	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	01	1	11/14/2023	SUPPLEMENT FOR EXPANSION	$0
														Subtotal = $525,459

Issue Date FY: 2023 ( Subtotal = $420,367 )
2023	2023	NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL INC	191 HIGHWAY 264 & JCT	GANADO	AZ	86505	APACHE	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	00	1	12/21/2022	NEW	$420,367
														Subtotal = $420,367

Grand Total All Awards = $1,891,652

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SMH Special Diabetes Grant Program

Award Number: H1D1IHS1127

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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