Thursday, April 10, 2025
4/10/2025
Special Diabetes Program for Indians (SDPI) - The Iowa Tribe of Oklahoma (ITO) is a federally recognized tribe located in rural Oklahoma with over 900 enrolled tribal citizens. The reservation boundary reaches portions of Lincoln, Logan, Payne, and Oklahoma Counties. The Iowa Tribe of Oklahoma has an established department of health, Perkins Family Clinic (PFC) located in the city limits of Perkins, Oklahoma, offering primary medical care and preventive health care services to Native Americans and the surrounding community. The Iowa Tribe of Oklahoma Special Diabetes Program for Indians (SDPI) participants predominately reside in rural areas and small communities designated as food deserts. These communities are also limited on transportation resources and have limited to non-existent access to public transportation. SDPI funding allows the Iowa Tribe of Oklahoma to provide diabetes education services and host prevention programs to Native Americans who receive their care from the Perkins Family Clinic. A registered dietitian and diabetes care and education specialist provides services, facilitates care, and ensures that all the diabetes care and education services provided by Perkins Family Clinic are culturally competent and relevant. The registered dietitian and diabetes care and education specialist is a citizen of the Choctaw Nation and has over 35 years of professional experience providing diabetes services to Oklahoma Native Americans. The Health Division Director is an administrator and an Advance Practice Registered Nurse. The Health Division Director serves as the organizational administrator. Having a health director that is also a provider allows for a unique perspective and allows us to make our patients the center of our practice. The Health Division Director role is actively involved with the SDPI program reporting and reports directly to Tribal Leadership. SDPI key personnel include a registered dietitian/diabetes care and education specialist, Health Division Director, Community Health Nurse, Physician Assistant, and Dental Hygienist. This team of individuals has been working together for the last five years, increasing the continuity and consistency of patient care. To ensure accuracy of our data and reporting, the Annual Diabetes Care and Audit Outcome results contain the entirety of the clinic’s active diabetes registry rather than a calculated percentage. Additional registries including retinopathy, high risk feet, cardiovascular disease, chronic kidney disease, and dental are maintained and updated. The 2022 diabetes audit was conducted on 142 patients from a diabetes registry of 145 patients (excluding three patients not meeting audit criteria). Elements selected to be improved in 2023 are based on the data collected during the 2022 audit: A1c <8.0%, depression screening, and dental exams. Foot Care has been selected as the Best Practice for 2023. Foot exams decreased to 33% during 2020-2021 due to the increase of telehealth visits during COVID-19 pandemic. Proper foot examinations could not be completed during telehealth visits. Required Key Measurement Data is updated regularly and entered mid-year and at end of the reporting period. The target group consists of 178 individuals on the diabetes registry who now receive primary care at the Perkins Family Clinic. Persons with a high-risk foot are educated on safe and appropriate foot care and shoe wear. These persons will also be fitted for and provided with therapeutic and protective shoes. Additional areas of focus will include dental exams, home blood pressure monitoring/education, influenza and COVID-19 vaccination and education. Community walking events, health fairs, and events with Native youth and elders will be focusing on health promotion and disease prevention. All targeted activities will monitor outcomes utilizing evaluation data to ensure effectiveness and promote program improvements.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).