MCNDH SDPI Project - The Muscogee (Creek) Nation is the fourth largest federally recognized Tribe in the United States with a total population of 96,774 tribal citizens. The service area consists of urban, rural, and very rural remote areas. MCNDH provides services that include primary care, urgent care, dental, optometry, behavioral health services, ancillary services, and ancillary services such as pediatrics, wound care, physical therapy, diabetes management, and tobacco cessation. The estimated cost of this project is approximately $2.2 million for initial purchases, key personnel, training, outreach materials, and patient monitoring devices. With the funding, it would allow MCNDH to reach Native Americans that require substantial resources for diabetes. Goal One (1) is to provide treatment best practices, reduce the burden of diabetes, and improve the quality of life for American Indian/Alaskan Native (AI /AN) people who have or are at risk for diabetes within the Muscogee (Creek)Nation (MCN)reservation. Activity 1.1 Provide Diabetes Self-Management Education and Support (DSMES) to 200 patients within patient panel. Diabetes Educators and Case Managers will also provide DSMES education to the patient when a referral is received from provider for newly diagnosed or previously diagnosed patients. Activity 1.2 Glycemic Specialist and Endocrinologist to provide specialty care with medication management to 50 patients within patient panel when referral received from primary care provider. Activity 1.3 Dietitian to consult with 50 individuals out of patient panel that would benefit from nutrition services when a referral is received from a provider. Activity 1.4 Target 25 individuals out of patient panel that would benefit from Health & Wellness educator consult concerning physical activity.
