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TUBA CITY HEALTH CARE CORPORATION SPECIAL DIABETES PROGRAM FOR INDIANS

Award Number: H1D4IHS0181
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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TUBA CITY HEALTH CARE CORPORATION SPECIAL DIABETES PROGRAM FOR INDIANS - The Health Promotion Disease Prevention (HPDP) Programs' role within the Tuba City Regional Health Care Corporation (TCRHCC) is to provide diabetes prevention best practices in School Health & Community-Based Physical Activities. In addition, HPDP's role is to increase physical activity and health education among community members and their families. The HPDP’s biannual FitnessGram Assessment assesses the Tuba City service area schools. In 2019 the FitnessGram data has identified approximately 1,660 overweight and obese students, ages 6‐18, in 11 schools in the Western Agency portion of the Navajo reservation. The HPDP Childhood Obesity Intervention Program will serve as a resource to build the capacity of schools in implementing evidence‐based programs and strategies to reduce diabetes risk. The strategy is to integrate the services provided by TCRHCC with after‐school programs, community participation with regard to decision‐making, family activities, and the collection of data to support the activities. To complement these strategies, TCRHCCs' approach includes activities to keep students engaged as well as supporting academic success in the classroom. Additionally, the HPDP Community-Based Physical Activities targets over 20,000 participants/community members in the Western Navajo Agency. The HPDP program provides activities for youth & adults. These community-based programs are conducted seasonally throughout the year. The activities include but are not limited to: family walking/running series, community sport leagues, weight management programs, health education classes, social marketing, summer youth activities, healthy food demonstrations, and fitness classes. The Healthy Living Center (HLC) Diabetes Education and Clinical Nutrition (DECN) department collaborates with Health Promotion Disease Prevention in grant activities and program objectives. HLC/DECN is the clinical component for the fight against diabetes. The Healthy Living Center/ Diabetes Education and Clinical Nutrition includes a diabetes education program recognized by the American Association of Diabetes Educators, which allows reimbursement for the services they provide and as a indicator of the quality of those services. The HLC /DECN provides group and individual diabetes self-management education, medication management, medical nutrition therapy, foot exams, retinopathy screening as well as glucometer training and support. Nutrition therapy for health concerns other than diabetes, such as obesity, pregnancy, and hyperlipidemia are also available. The HLC is also responsible for providing nutrition care and diabetes education in the inpatient setting. The HLC is responsible for maintaining the diabetes registry and completing the annual diabetes audit. The HLC works closely with primary care clinics to coordinate referrals and ensure adherence to diabetes standards of care. HLC plays an integral role in the treatment of diabetes and is focused on providing culturally sensitive care to reduce complications associated with diabetes.


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 = $1,701,336 )
2026	2026	TUBA CITY REGIONAL HEALTH CARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	02	4	7/13/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$340,267
2026	2026	TUBA CITY REGIONAL HEALTH CARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	01	4	6/2/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$680,534
2026	2026	Tuba City Regional Health Care Corporation	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	00	4	1/14/2026	NON-COMPETING CONTINUATION	$680,535
2026	2023	Tuba City Regional Health Care Corporation	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	01	1	7/8/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,701,336

Issue Date FY: 2025 ( Subtotal = $1,361,069 )
2025	2025	Tuba City Regional Health Care Corporation	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	00	3	12/23/2024	NON-COMPETING CONTINUATION	$340,267
2025	2025	TUBA CITY REGIONAL HEALTH CARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	01	3	4/14/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$1,020,802
2025	2024	TUBA CITY REGIONAL HEALTH CARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	03	2	12/5/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,361,069

Issue Date FY: 2024 ( Subtotal = $1,611,069 )
2024	2024	TUBA CITY REGIONAL HEALTH CARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	02	2	9/6/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$250,000
2024	2024	TUBA CITY REGIONAL HEALTH CARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	01	2	5/16/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$680,535
2024	2024	TUBA CITY REGIONAL HEALTH CARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	00	2	12/15/2023	NON-COMPETING CONTINUATION	$680,534
														Subtotal = $1,611,069

Issue Date FY: 2023 ( Subtotal = $1,361,069 )
2023	2023	TUBA CITY REGIONAL HEALTHCARE CORPORATION	167 N MAIN ST	TUBA CITY	AZ	86045	COCONINO	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	00	1	12/23/2022	NEW	$1,361,069
														Subtotal = $1,361,069

Grand Total All Awards = $6,034,543

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TUBA CITY HEALTH CARE CORPORATION SPECIAL DIABETES PROGRAM FOR INDIANS

Award Number: H1D4IHS0181

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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