Friday, December 19, 2025 12/19/2025

COMPREHENSIVE MULTIDISCIPLINARY DIABETES CLINIC: DM EDUCATION BY REGISTERED NURSES AND DIETICIANS (MANY ARE CERTIFIED DIABETES EDUCATORS) IN THE COMMUNITY; A FULL SERVICE FITNESS CENTER

Award Number: H1D4IHS0192
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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COMPREHENSIVE MULTIDISCIPLINARY DIABETES CLINIC: DM EDUCATION BY REGISTERED NURSES AND DIETICIANS (MANY ARE CERTIFIED DIABETES EDUCATORS) IN THE COMMUNITY; A FULL SERVICE FITNESS CENTER - The Choctaw Nation of Oklahoma (CNO) is a Federally-recognized Tribe that operates an Indian health program, the Choctaw Nation Health Services Authority (CNHSA). The Choctaw Nation Special Diabetes Program is based on “Best Practices” established by the Indian Health Service (IHS) and the American Diabetes Association (ADA). SDPI is a multi-site clinic and community-based program. The Diabetes Wellness Center (DWC) is located at Talihina, Oklahoma and is the hub location for the nine multi-site clinics throughout Choctaw Nation. At our central location in Talihina, we offer podiatry, diabetic educators, Community Health Nurses immunization clinic, registered dietician(s), RN case management and a fitness center with Lifestyle coaches. The well prepared DWC staff provides extensive care for American Indian and Alaska Native (AI/AN) with or at-risk for diabetes and its complications. Project personnel have participated in health fairs, providing health education, physical fitness screening, and numerous physical activities. These activities are positively impacting communities through awareness of diabetes, cardiovascular disease (CVD), and specific lifestyle changes to prevent or delay these illnesses. SDPI regularly partners with CDC staff working within Diabetes prevention program teaching diabetic prevention. In the most recent year, a workstation for Dental exams has been created. The dental patients can be seen on a walk-in basis. Looking ahead, the desire for Choctaw Nation SDPI, to hire a full-time dental team in the next five years to serve our diabetes patients as they are scheduled for DM visits. Other services offered under the SDPI grant include two pediatric endocrinologist that are contracted with OU Children’s Hospital. They provide monthly tele-med and/or on-site visits at Talihina/Durant. We also send a midlevel weekly with her nurse to see diabetes patients in satellite clinics in the southern region of the Choctaw Nation service area. Community services are also offered under the SDPI grant. These service offer access to our Diabetic educators, Registered dietitians, lifestyle coaches, fitness counselors at community events, camps, schools, and outreach programs. SDPI also collaborates with the Choctaw Nation healthy lifestyle department by hosting 5K/1mile/Trail of Tears walks and employee fitness events. Although CNHSA has made great strides toward improving the health of AI/AN’s served, there remains a continued trend toward rising diabetes prevalence and complications such as CVD. This places an extensive financial burden upon our health care system.


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 = $0 )
2026	2025	CHOCTAW NATION OF OKLAHOMA	1802 CHUKKA HINA	DURANT	OK	74701	BRYAN	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	02	3	12/5/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2025 ( Subtotal = $3,331,639 )
2025	2025	CHOCTAW NATION OF OKLAHOMA	1802 CHUKKA HINA	DURANT	OK	74701	BRYAN	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	01	3	4/1/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$2,498,730
2025	2025	CHOCTAW NATION OF OKLAHOMA	1802 CHUKKA HINA	DURANT	OK	74701	BRYAN	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	00	3	12/17/2024	NON-COMPETING CONTINUATION	$832,909
2025	2024	CHOCTAW NATION OF OKLAHOMA	1802 CHUKKA HINA	DURANT	OK	74701	BRYAN	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	03	2	12/18/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $3,331,639

Issue Date FY: 2024 ( Subtotal = $3,581,639 )
2024	2024	CHOCTAW NATION OF OKLAHOMA	1802 CHUKKA HINA	DURANT	OK	74701	BRYAN	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	00	2	1/16/2024	NON-COMPETING CONTINUATION	$1,665,819
2024	2024	CHOCTAW NATION OF OKLAHOMA	1802 CHUKKA HINA	DURANT	OK	74701	BRYAN	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	01	2	5/9/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$1,665,820
2024	2024	CHOCTAW NATION OF OKLAHOMA	1802 CHUKKA HINA	DURANT	OK	74701	BRYAN	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
														Subtotal = $3,581,639

Issue Date FY: 2023 ( Subtotal = $3,331,639 )
2023	2023	CHOCTAW NATION OF OKLAHOMA	1802 Chukka Hina	Durant	OK	74701	BRYAN	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	00	1	12/19/2022	NEW	$3,331,639
2023	2023	Choctaw Nation of Oklahoma	1802 Chukka Hina	Durant	OK	74701	BRYAN	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	01	1	12/29/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $3,331,639

Grand Total All Awards = $10,244,917

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COMPREHENSIVE MULTIDISCIPLINARY DIABETES CLINIC: DM EDUCATION BY REGISTERED NURSES AND DIETICIANS (MANY ARE CERTIFIED DIABETES EDUCATORS) IN THE COMMUNITY; A FULL SERVICE FITNESS CENTER

Award Number: H1D4IHS0192

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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