Thursday, April 3, 2025
4/3/2025
SMH Product Prescription Pilot Program (P4) - SMH is a 501(c)(3) not-for-profit, P.L. 638 designated healthcare corporation established in 1978. It operates two healthcare facilities on the Navajo Nation: SMH and the Greasewood Springs Clinic. SMH is a 25-bed critical access hospital located in Ganado, Arizona and provides emergency, outpatient, and behavioral health services to over 9,300 patients each year who reside in seven service area communities including Cornfields, Ganado, Kinlichee, Klagetoh, Greasewood Springs, Steamboat, and Wide Ruins. SMH also servers a small segment of the Nazlini community which belongs to and adjacent service area. SMH's P4 program proposes to provide fresh fruits and vegetables to 200 patients who reside in four target communities which includes Kinlichee, Klagetoh, Greasewood Springs and Wide Ruins. Each community is settled more than 20 miles from a grocery store. The objective of the program is to reduce food insecurity and reduce the body mass index of participating community members by ensuring they obtain quarterly health exams, attend educational workshops in nutrition, health improvement, and exercise, and receive a box of fresh fruits and vegetables to increase consumption in healthy foods. Data extracted from SMH's EHR system revealed that currently, there are 3,496 patients in the service area who have a BMI ≥ 30. Of the 3,496 patients, in the last 12 months: • 1,687 were seen in the Emergency Department, • 92 had an inpatient visit, • 71 had a primary care physician visit. Moreover, 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 women and 51% were men. For all patients who were tested, 68% came back with prediabetes or having diabetes. SMH anticipates that by addressing these chronic health conditions, P4 can foster a healthy lifestyle one household at a time.
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).