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Indian Health Service The Federal Health Program for American Indians and Alaska Natives

Division of Grants Management
HHS-2011-IHS-UIHP-0001

Billing Code:  4165-16

Department of Health and Human Services

Indian Health Service

Office of Urban Indian Health Programs

 

Announcement Type:  Limited Competition, Continuation

Funding Announcement Number:  HHS-2011-IHS-UIHP-0001

Catalogue of Federal Domestic Assistance Number:  93.193

 

Key Dates:        Application Deadline Date:          March 23, 2011

                                          (** Deadline extended to March 24, 2011**)

                            Review Period:                               April 25-27, 2011

                            Earliest Anticipated Start Date:  May 16, 2011

 

I.            Funding Opportunity Description

 

Statutory Authority

The Indian Health Service (IHS), Office of Urban Indian Health Programs (OUIHP), announces the FY 2011 limited competition, continuation grants for continued operation support for the 4-in-1 Title V grants to make health care services more accessible for American Indians and Alaska Natives (AI/AN) residing in urban areas.  This program is authorized under the authority of the Snyder Act, 25 U.S.C. §§1652, 1653, 1660a of Title V of the Indian Health Care Improvement Act (IHCIA), Public Law 94-437, as amended.  This program is described at 93.193 in the Catalog of Federal Domestic Assistance (CFDA).

Background

Prior to the 1950’s, most AI/ANs resided on reservations, in nearby rural towns, or in Tribal jurisdictional areas such as Oklahoma.  In the era of the 1950’s and 1960’s, the Federal Government passed legislation to terminate its legal obligations to the Indian Tribes, resulting in policies and programs to assimilate Indian people into the mainstream of American society.  This philosophy produced the Bureau of Indian Affairs (BIA) Relocation/Employment Assistance Programs (BIA Relocation) which enticed Indian families living on impoverished Indian Reservations to “relocate” to various cities across the country, i.e., San Francisco, Los Angeles, Chicago, Salt Lake City, Phoenix, etc.  BIA Relocation offered job training and placement, and was viewed by Indians as a way to escape poverty on the reservation.  Health care was usually provided for six months through the private sector, unless the family was relocated to a city near a reservation with an IHS facility service area, such as Rapid City, Phoenix, and Albuquerque.  Eligibility for IHS was not forfeited due to Federal Government relocation.

The American Indian and Policy Review Commission found that in the 1950’s and 1960’s, the BIA relocated over 160,000 AI/ANs to selected urban centers across the country.  Today, over 61 percent of all AI/ANs identified in the 2010 census reside off-reservation. 

In the late 1960’s, urban Indian community leaders began advocating at the local, State and Federal levels for culturally appropriate health programs addressing the unique social, cultural and health needs of AI/ANs residing in urban settings.  These community-based grassroots efforts resulted in programs targeting health and outreach services to the urban Indian community.  Programs that were developed at that time were in many cases staffed by volunteers, offering outreach and referral-type services, and maintaining programs in storefront settings with limited budgets and primary care services.

In response to efforts of the urban Indian community leaders in the 1960’s, Congress appropriated funds in 1966, through the IHS, for a pilot urban clinic in Rapid City.  In 1973, Congress appropriated funds to study the unmet urban Indian health needs in Minneapolis.  The findings of this study documented cultural, economic, and access barriers to health care and resulted in Congressional appropriations under the Snyder Act to support emerging Urban Indian clinics in several BIA relocation cities, i.e., Seattle, San Francisco, Tulsa, and Dallas.

The awareness of poor health status of all Indian people continued to grow, and in 1976, Congress passed the Indian Health Care Improvement Act (IHCIA), Pub. L. No. 94-437, establishing the urban Indian health program under Title V.  Congress reauthorized the IHCIA in 2010 under Pub. L. No. 111-148 (2010).  This law is considered health care reform legislation to improve the health and well-being of all AI/ANs, including urban Indians.  Title V specific funding is authorized for the development of programs for AI/ANs residing in urban areas.  Since passage of this legislation, amendments to Title V provided resources to and expanded urban Indian health programs in the areas of direct medical services, alcohol services, mental health services, human immunodeficiency virus (HIV) services, and health promotion - disease prevention services.

Purpose

Under this grant opportunity, the IHS proposes to award grants to 34 urban Indian Health Programs (UIHP), which are Urban Indian organizations that have existing IHS contracts, in accordance with 25 U.S.C. §§1653(c)-(e), 1660a.  This grant announcement seeks to ensure the highest possible health status for AI/ANs.  Funding will be used to continue the 34 urban Indian organizations’ successful implementation of the priorities of the Department of Health and Human Services (HHS), Strategic Plan Fiscal Years 2007 – 2012, Healthy People 2020, and the IHS Strategic Plan 2006 – 2011.  Additionally, funding will be utilized to meet objectives for Government Performance Rating Act (GPRA) reporting, collaborative activities with the Veterans Health Administration (VA), and four health programs that make health services more accessible to AI/ANs living in urban areas.  The four health services programs are: (1) Health Promotion/Disease Prevention (HP/DP) services, (2) Immunizations, and Behavioral Health Services consisting of (3) Alcohol/Substance Abuse services, and (4) Mental Health Prevention and Treatment services.  These programs are integral components of the IHS improvement in patient care initiative and the strategic objectives focused on improving safety, quality, affordability, and accessibility of health care.

II.          Award Information:

Type of Awards - Limited Competition, Continuation Grants

Estimated Funds Available - 

The total amount of funding identified for the current fiscal year (FY) 2011 is approximately $8 Million.  Competing and continuation awards issued under this announcement are subject to the availability of funds.  In the absence of funding, the Agency is under no obligation to make awards funded under this announcement.

Anticipated Number of Awards - Approximately 34 grants will be issued under this program announcement.

Project Period - Five year award.  April 1, 2011 – March 31, 2016. 

Award Amount - $135,289 to $612,893, subject to the availability of congressional appropriations.

 

III.         Eligibility Information

1.    Eligibility

Competition is limited to those urban Indian organizations currently contracted under Title V of the IHCIA.  It is legislatively mandated that the urban Indian organization must have a Title V contract in place to be eligible to apply for a Title V grants.  25 U.S.C. §§ 1653(c)-(e), 1660a.  Urban Indian organizations are defined by 25 U.S.C. §§ 1603(29) as a non-profit corporate body situated in an urban center, governed by an urban Indian controlled board of directors, and providing for the maximum participation of all interested Indian groups and individuals, which body is capable of legally cooperating with other public and private entities for the purpose of performing the activities described in 25 U.S.C. § 1653(a).   25 U.S.C. § 1603(29).  Each organization must provide proof of non-profit status with the application, including a copy of the 501 (c)(3) Certificate.

2.  Cost Sharing or matching

This program does not require matching funds or cost sharing.

3.  Other Requirements

If the application budget exceeds the stated dollar amount that is outlined within this announcement, it will not be considered for funding.

IV.         Application and Submission Information

1.     Obtaining Application Materials

The Applicant package and instructions may be located at Grants.gov (www.grants.gov ) or at: http://www.ihs.gov/NonMedicalPrograms/gogp/gogp_funding.asp.

Information regarding the electronic application process may be directed to Paul Gettys at (301) 443-2114.

2.     Content and Form of Application Submission

The application must include the project narrative as an attachment to the application package

Mandatory documents for all applications include:

·      Application forms:

o   SF-424

o   SF 424A

o   SF 424B

·      Budget Narrative (must be single spaced)

·      Project Narrative (must not exceed twenty-five pages)

·      501 (c)(3) Certificate

·      Biographical sketches of all Key Personnel

·      Disclosure of Lobbying Activities (SF-LLL) (if applicable)

http://www.whitehouse.gov/sites/default/files/omb/grants/sflllin.pdf

·      Documentation of current OMB A-133 required Financial Audits.  Acceptable forms of documentation include:

o   E-mail confirmation from the Federal Audit Clearinghouse (FAC) that audits were submitted; or

o   Face sheets from audit reports.  These can be found on the FAC website: http://harvester.census.gov/fac/dissem/accessoptions.html?submit=Retrieve+Records

Public Policy Requirements: 

All Federal wide public policies apply to IHS grants with exception of the Discrimination policy.

Requirements for Project and Budget Narratives

A.  Project Narrative:  This narrative should be a separate Word document that is no longer than 25 pages with consecutively numbered pages.  Be sure to place all responses and required information in the correct section or they will not be considered or scored.  If the narrative exceeds the page limit, only the first 25 pages will be reviewed.  The narrative consists of three parts:  Part A – Program Information; Part B – Program Planning and Evaluation; and Part C – Program Report.  See below for additional details about what must be included in the narrative.

Part A:  Program Information

Section 1: Needs

Part B:  Program Planning and Evaluation

Section 1: Program Plans

Section 2: Program Evaluation

Part C:  Program Report

Section 1: Describe major accomplishments for the last 9 months, from

April 1, 2010 – December 31, 2010

Section 2: Describe major activities planned for the next 12 months, beginning April 1, 2011.

B.  Budget Narrative:  This narrative must describe the budget requested and match the scope of work described in the project narrative.  The page limitation should not exceed three pages.

3.     Submission Dates and Times

Applications must be submitted electronically through Grants.gov by March 23, 2011 at 12:00 midnight Eastern Standard Time (EST).  Any application received after the application deadline will not be accepted for processing, and it will be returned to the applicant(s) without further consideration for funding.

If technical challenges arise and the Urban Indian Health Organization (UIHP) is unable to successfully complete the electronic application process, contact Grants.gov Customer Service Support via e-mail to support@Grants.gov or phone at (800) 518-4726.  Customer Support is available to address questions 24 hours a day, 7 days a week (except Federal holidays).  If problems persist, contact Paul Gettys, Division of Grants Management (DGM), Paul.gettys@ihs.gov at (301) 443-5204.  Please be sure to contact Mr. Gettys at least ten days prior to the application deadline.  Please do not contact the DGM until you have received a Grants.gov tracking number.  In the event you are not able to obtain a tracking number, call the DGM as soon as possible.

 

If an applicant needs to submit a paper application instead of submitting electronically via Grants.gov, prior approval must be requested and obtained (see page 11 for additional information).  The waiver must be documented in writing (e-mails are acceptable), before submitting a paper application.  A copy of the written approval must be submitted along with the hardcopy that is mailed to the DGM (Refer to Section IV to obtain mailing address).  Paper applications that are submitted without a waiver will be returned to the applicant without review or further consideration.  The application must be postmarked by March 23, 2011.  Applications received after this date will not be accepted for processing, will be returned to the applicant, and will not be considered for funding.

 

4.     Intergovernmental Review

Executive Order 12372 requiring intergovernmental review is not applicable to this program.

 

5.     Funding Restrictions

 

  • Pre-award costs are allowable pending prior approval from the awarding agency.  However, in accordance with 45 CFR Part 74, all pre-award costs are incurred at the recipient’s risk.  The awarding office is under no obligation to reimburse such costs if for any reason the UIHOs do not receive an award or if the award to the recipient is less than anticipated;
  • The available funds are inclusive of direct and appropriate indirect costs;
  • Only one grant/cooperative agreement will be awarded per applicant; and
  • IHS will not acknowledge receipt of applications.

 

6.     Electronic Submission Requirements:

Use the http://www.Grants.gov website to submit an application electronically and select the “Find Grant Opportunities” link on the homepage.  Download a copy of the application package, complete it offline, and then upload and submit the application via the Grants.gov website.  Electronic copies of the application may not be submitted as attachments to e-mail messages addressed to IHS employees or offices. 

Applicants that receive a waiver to submit paper application documents must follow the rules and timelines that are noted below.  The applicant must seek assistance at least ten days prior to the application deadline. 

Applicants that do not adhere to the timelines for Central Contractor Registry (CCR) and/or Grants.gov registration and/or request timely assistance with technical issues will not be considered for a waiver to submit a paper application.

Please be aware of the following: 

·        Please search for the application package in Grants.gov by entering the CFDA number or the Funding Opportunity Number.  Both numbers are located in the header of this announcement.

·        Paper applications are not the preferred method for submitting applications.  However, if you experience technical challenges while submitting your application electronically, please contact Grants.gov Support directly at: www.Grants.gov/CustomerSupport or (800) 518-4726.  Customer Support is available to address questions 24 hours a day, 7 days a week (except on Federal holidays). 

·        Upon contacting Grants.gov, obtain a tracking number as proof of contact.  The tracking number is helpful if there are technical issues that cannot be resolved and waiver from the agency must be obtained.

·        If it is determined that a waiver is needed, you must submit a request in writing (e-mails are acceptable) to GrantsPolicy@ihs.gov with a copy to Tammy.Bagley@ihs.gov. Please include a clear justification for the need to deviate from our standard electronic submission process.

·        If the waiver is approved, the application should be sent directly to the DGM with a postmark of no later than March 23, 2011.

Division of Grants Management

Indian Health Service

801 Thompson Avenue, TMP 360

Rockville, MD 20852

·        Applicants are strongly encouraged not to wait until the deadline date to begin the application process through Grants.gov as the registration process for CCR and Grants.gov could take up to fifteen working days.

·        Please use the optional attachment feature in Grants.gov to attach additional documentation that may be requested by the DGM.

·        All applicants must comply with any page limitation requirements described in this Funding Announcement.

·        After you electronically submit your application, you will receive an automatic acknowledgment from Grants.gov that contains a Grants.gov tracking number.  The DGM will download your application from Grants.gov and provide necessary copies to the appropriate agency officials.  Neither the DGM nor the OUIHP will notify applicants that the application has been received.

E-mail applications will not be accepted under this announcement.

 

Dun and Bradstreet (D&B) Data Universal Numbering Systems (DUNS)

All IHS applicants and grantee organizations are required to obtain a DUNS number and maintain an active registration in the CCR database.  Additionally, all IHS grantees must notify potential first-tier sub-recipients that no entity may receive a first-tier sub-award unless the entity has provided its DUNS number to the prime grantee organization. These requirements will ensure use of a universal identifier to enhance the quality of information available to the public when recipients begin on October 1, 2010 to report information on sub-awards, as required by the Federal Funding Accountability and Transparency Act (FFATA) of 2006, as amended ("the Transparency Act"). The DUNS number is a unique nine digit identification number provided by D&B, which uniquely identifies your entity.  The DUNS number is site specific; therefore each distinct performance site may be assigned a DUNS number. Obtaining a DUNS number is easy and there is no charge.  To obtain a DUNS number, you may access it through the following website http://fedgov.dnb.com/webform or to expedite the process call (866) 705-5711.

 

Central Contractor Registry (CCR)

Organizations that have not registered with CCR will need to obtain a DUNS number first and then access the CCR online registration through the CCR home page at https://www.bpn.gov/ccr/default.aspx (U.S. organizations will also need to provide an Employer Identification Number from the Internal Revenue Service that may take an additional 2-5 weeks to become active).  Completing and submitting the registration takes approximately one hour to finish and your CCR registration will take 3-5 business days to process. Registration with the CCR is free of charge.  Applicants may register online at www.ccr.gov

Additional information on implementing FFATA, including the specific requirements for - DUNS, CCR, can be found on the IHS Grants Policy website: http://www.ihs.gov/NonMedicalPrograms/gogp/index.cfm?module=gogp_policy_topics

 

V.          Application Review Information

 

  • Evaluation Criteria

The instructions for preparing the application narrative also constitute the evaluation criteria for reviewing the application. 

The narrative should address program progress for the 12 months continuation budget period activities, April 1, 2011 through March 31, 2012.

The narrative should be written in a manner that is clear to outside reviewers unfamiliar with prior related activities of the UIHP.  It should be well organized, succinct, and contain all information necessary for reviewers to fully understand the project. 

Points assigned for the criteria are as follows:

·      UNDERSTANDING OF THE NEED AND NECESSARY CAPACITY (30 Points)

·      WORK PLANS (40 Points)

·      PROJECT EVALUATION (15 Points)

·      ORGANIZATIONAL CAPABILITIES AND QUALIFICATIONS (10 Points)

·      CATEGORICAL BUDGET AND BUDGET JUSTIFICATION (5 Points)  

 A. PROJECT NARRATIVE: UNDERSTANDING OF THE NEED AND NECESSARY CAPACITY (30 points)

1.   Facility Capability

Urban Indian programs provide health care services within the context of the HHS Strategic Plan, Fiscal Years 2007-2012; the IHS Strategic Plan 2006-2011, and four IHS priorities.   

Describe the UIHP:  1) current budget period performance April 1, 2010 - December 31, 2010 accomplishments and 2) define activities planned for the 2011 continuation budget period April 1, 2011 – March 31, 2012 budget period in each of the following areas:   

       

a.     IHS Priorities for American Indian/Alaska Native Health Care

Current governmental trends and environmental issues impact AI/ANs residing in urban locations and require clear and consistent support by the Title V funded UIHP.  The IHS website is http://www.ihs.gov

1)     Renew and Strengthen Partnerships with Tribes and the UIHPs:  The UIHPs have a hybrid relationship with the IHS.  With the passage of

Pub. L. No. 111-148, the Indian Health Care Improvement Act was made permanent.  

·      Identify what the UIHP is doing to strengthen its partnerships with Tribes and other UIHPs.

a.     April 1, 2010 - December 31, 2010 accomplishments.

b.     April 1, 2011 – March 31, 2012 activities planned, including information on how results are shared with the community.

c.     List the top ten Tribes who members are seen by the program.

2)     Bring Health Care Reform to the UIHPs:   In order to support health care reform, it must be demonstrated there is a willingness to change and improve, i.e., in human resources and business practices. 

·      Describe activities the UIHP is taking to ensure health care reform is being applied.

a.     April 1, 2010 - December 31, 2010 accomplishments.

b.     April 1, 2011-March 31, 2012 activities planned.

3)     Improve the Quality of and Access to Care:  Customer service is the key to quality care.  Treating patients well is the first step to improving quality and access.  This area also incorporates Best Practices in customer service.

·      Identify activities that demonstrate the UIHP  improving quality of and access to care.

a.     April 1, 2010 - December 31, 2010 accomplishments.

b.     April 1, 2011 – March 31, 2012 activities planned.

4)     Ensure all UIHP work is Transparent, Accountable, Fair, and Inclusive:  Quality health care needs to be transparent, with all parties held accountable for that care.  Accountability for services is emphasized.

·      Describe activities that demonstrate how this is implemented in the UIHP program.

a.     April 1, 2010 - December 31, 2010 accomplishments.

b.     April 1, 2011 - March 31, 2012 activities planned.

b.     HHS Priorities for Health Care

Current governmental trends and environmental issues impact AI/ANs residing in urban locations and require clear and consistent support by the Title V funded UIHP. 

1.     Health Care Value Incentives:  The growth of health care costs is restrained because consumers know the comparative costs and quality of their health care – and they have a financial incentive to care.

·      Identify what the UIHP is doing to help its consumers gain control of their health care and have the knowledge to make informed health care decisions.

a.     April 1, 2010 - December 31, 2010 accomplishments.

b.     April 1, 2011 – March 31, 2012 activities planned, including information on how clinical quality data is shared with consumers and the community.

2.     Health Information Technology:  The medical clipboard is becoming a thing of the past.  Secure interoperable electronic records are available to patients and their doctors anytime, anywhere.

·      Describe activities the UIHP is taking to ensure immediate access to accurate information to reduce dangerous medical errors and help control health care costs.

a.     April 1, 2010 - December 31, 2010 accomplishments.

b.     April 1, 2011-March 31, 2012 activities planned.

3.     Medicare Rx:  Every senior has access to affordable prescription drugs.  Consumers will inspire plans to provide better benefits at lower costs.  Medicare Part D is streamlined and improved to better connect people with their benefits.  Pay for Performance methodologies act to increase health care quality.

·      Identify activities the UIHP is taking to implement Medicare Rx.

a.     April 1, 2010 - December 31, 2010 accomplishments.

b.     April 1, 2011 – March 31, 2012 activities planned.

4.     Personalized Health Care:  Health care is tailored to the individual.  Prevention is emphasized.  Propensities for disease are identified and addressed through preemptive intervention.

  • Describe activities that demonstrate how this is implemented in the UIHP program.
  • April 1, 2010 - December 31, 2010 accomplishments.
  • April 1, 2011 - March 31, 2012 activities planned.

 

5.     Obesity Prevention:  The risk of many diseases and health conditions are reduced through actions that prevent obesity.  A culture of wellness deters or diminishes debilitating and costly health events.  Individual health care is built on a foundation of responsibility for personal wellness.

·      Describe activities that demonstrate how the UIHP program is implementing this priority.

a.     April 1, 2010 - December 31, 2010 accomplishments.

b.     April 1, 2011 - December 31, 2012 activities planned.

6.     Tobacco Cessation:  The only proven strategies to reduce the risks of tobacco-caused disease are preventing initiation, facilitating cessation, and eliminating exposure to secondhand smoke. 

·      Describe activities that demonstrate how the UIHP is implementing this priority.

a.     April 1, 2010 - December 31, 2010 accomplishments.

b.     April 1, 2011 - December 31, 2012 activities planned.

7.     Pandemic Preparedness:  The United States is better prepared for an influenza pandemic.  Rapid vaccine production capacity is increased, national stockpiles and distribution systems are in place, disease monitoring and communication systems are expanded and local preparedness encompasses all levels of government and society.

·      Describe activities that demonstrate how the UIHP is prepared and identify changes, if any, made to the UIHP pandemic preparedness plan.

8.     Emergency Response:  We have learned from the past and are better prepared for the future.  There is an ethic of preparedness at the urban program and throughout the Nation.  

·      Describe activities that demonstrate how the UIHP is prepared and identify changes, if any, made to the UIHP emergency preparedness plan.

9.     Hours of Operation Ensure Access to Care

 

  • Identify the urban program hours of operation and provide assurance that services are available and accessible at times that meet the needs of the urban Indian population, including arrangements that assure access to care when the UIHP is closed.

             

c.     UIHP Collaboration with the Veteran’s Health Administration (VA)

 

In 2007, the UIHPs contacted their local VA Veterans Integrated Services Network and established agreements to collaborate at the local level to expand opportunities to enhance access to health services and improve the quality of health care of AI/AN veterans. 

1.     Report April 1, 2010 - December 31, 2010 results/outcomes of the collaborative activities implemented or explored between your UIHP and your local area VA.  Include number of patients who used VA services, number of visits made, and types of healthcare services provided.

2.     Identify areas of collaboration and activities that will be conducted between your UIHP and your local area VA for continuation budget period April 1, 2011-March 31, 2012.

d.     GPRA Reporting

All UIHPs report on IHS GPRA clinical performance measures.  This is required of both urban facilities using the Resource and Patient Management System (RPMS) and facilities not using RPMS.  RPMS users must use the Clinical Reporting System (CRS) for reporting, and non-RPMS users must develop a bridge to transfer data from their current data system to RPMS for CRS reporting.   Questions related to GPRA reporting may be directed to the IHS Area Office GPRA Coordinator, or Danielle Steward, Health Systems Specialist, OUIHP, danielle.steward@ihs.gov

The 2012 GPRA Report Period is July 1, 2011 through June 30, 2012.  The GPRA measures to report for 2012 will include the 20 GPRA measures reported for 2010.

Note that the target rates for FY 2011 GPRA are not currently available.  They will be provided in calendar year 2011.  

1.     During the continuation budget period, April 1, 2011 – March 31, 2012, the following GPRA measures are priority focus areas for target achievement:  #1) Diabetes: Ideal Glycemic Control: Proportion of patients with diagnosed diabetes with ideal glycemic control (A1c<7.0) achieve 2011 and 2012 target rates. #4) Diabetes: Blood Pressure Control: Proportion of patients with diagnosed diabetes that have achieved blood pressure control (<130/80) achieve 2011 and 2012 target rates.  #9) Cancer Screening: Colorectal Rates: Proportion of eligible patients who have had appropriate colorectal cancer screening.  Briefly describe the steps/activities you will take to ensure your program meets the 2011 target rates for these measures.   

2.     Significant increases to the measurement targets of #16) Domestic Violence/Intimate Partner Violence Screening, #17) Depression Screening, and #12) Mammography Screening will occur in the 2011 GPRA year.  Describe at least two actions you will complete to meet the 2011 desired performance outcomes/results.  For programs using RPMS, a Performance Improvement Toolbox is available on the CRS website at http://www.ihs.gov/cio/crs_performance_improvementtoolbox.asp

3.     GPRA Behavioral Health performance measures include alcohol screening, Fetal Alcohol Syndrome (FAS) prevention, domestic (intimate partner) violence screening, depression screening, HIV/AIDS screening and suicide surveillance.  Describe actions you will take to improve 2011-2012 desired behavioral health performance outcomes/results.

4.     Document your ability to collect and report on the required performance measures to meet GPRA requirements.  Include information about your health information technology system. 

FY 2011 GPRA MEASURES

 

 

1.     Diabetes DX Ever (not a GPRA measure, used for context only)

2.     Documented A1c (not a GPRA measure, used for context only)

3.     Poor Glycemic Control

4.     Ideal Glycemic Control

5.     Controlled Blood Pressure

6.     Dyslipidemia (LDL) Assessment

7.     Nephropathy Assessment

8.     Influenza 65 years old +

9.     Pneumovax 65 years old +

10.   Childhood Immunizations

11.   Pap Smear Rates

12.   Mammography Rates

13.   Colorectal Cancer Rates

14.   Tobacco Cessation

15.   Alcohol Screening (FAS Prevention)

16.   Domestic Violence/Intimate Partner Violence Screening

17.   Depression Screening

18.   Prenatal HIV Screening

19.   Childhood Weight Control

20.   Suicide Surveillance

 

e.     Schedule of Charges and Maximization of Third Party Payments

1.     Describe the UIHP established schedule of charges and consistency with local prevailing rates.

·      If the UIHP is not currently billing for billable services, describe the process the UIHP will take to begin third party billing to maximize collections.

2.     Describe how reimbursement is maximized from Medicare, Medicaid, State Children’s Health Insurance Program, private insurance, etc.

3.     Describe how the UIHP achieves cost effectiveness in its billing operations with a brief description of the following:

a.     Establishes appropriate eligibility determination.

b.     Reviews/updates and implements up-to-date billing and collection practices.

c.     Updates insurance at every visit.

d.     Maintains procedures to evaluate necessity of services.

e.     Identifies and describes financial information systems used to track, analyze and report on the program’s financial status by revenue generation, by source, aged accounts receivable, provider productivity, and encounters by payor category.

f.      Indicates the date the UIHP last reviewed and updated its Billing Policies and Procedures.

B.   PROGRAM PLANNING:  WORK PLANS (40 Points)

A program narrative and a program specific work plan are required for each health services program:  (1) Health Promotion/Disease Prevention, (2) Immunizations, (3) Alcohol/Substance Abuse, and (4) Mental Health.  Title V of the IHCIA,

Pub. L. No. 94-437, as amended, identifies eligibility for health services as follows. 

Each grantee shall provide health care services to eligible Urban Indians living within the urban service area.  An “Urban Indian” eligible for services, as codified at 25 U.S.C. § 1603(13), (27), (28), includes any individual who:

(1)    Resides in an urban center, which is any community that has a sufficient urban Indian population with unmet health needs to warrant assistance under Title V, as determined by the Secretary, HHS; and who

(2)    Meets one or more of the following criteria:

(A)   Irrespective of whether he or she lives on or near a reservation, is a member of a Tribe, band, or other organized group of Indians, including: (i) those Tribes, bands, or groups terminated since 1940, and (ii) those recognized now or in the future by the State in which they reside; or

(B)   Is a descendant, in the first or second degree, of any such member described in (A); or

(C)   Is an Eskimo or Aleut or other Alaska Native; or

(D)   Is the descendant of an Indian who was residing in the State of California on June 1, 1852, so long as the descendant is now living in said State; or¹

(E)   Is considered by the Secretary of the Department of the Interior to be an Indian for any purpose; or

(F)   Is determined to be an Indian under regulations pertaining to the Urban Indian Health Program that are promulgated by the Secretary, HHS.

¹Eligibility of California Indians may be demonstrated by documentation that the individual:

(1)          Holds trust interests in public domain, national forest, or Indian reservation allotments; or

(2)          Is listed on the plans for distribution of assets of California Rancherias and reservations under the Act of August 18, 1958 (72 Stat. 619), or is the descendant of such an individual.

Each grantee is responsible for taking reasonable steps to confirm that the individual is eligible for IHS services as an urban Indian. 

PROGRAM NARRATIVES AND WORKPLANS

(1)    HP/DP  

      Program Narrative and Work Plan

Contact your IHS Area Office HP/DP Coordinator to discuss and identify effective and innovative strategies to promote health and enhance prevention efforts to address chronic diseases and conditions.  Identify one or more of the strategies you will conduct during budget period April 1, 2011 - March 31, 2012. 

1.     Applicants are encouraged to use evidence-based and promising strategies which can be found at the IHS best practice database at http://www.ihs.gov/hpdp/ and the National Registry for Effective Programs at http://modelprograms.samhsa.gov/ 

2.     Program Narrative.  Provide a brief description of the collaboration activities that: 1) were accomplished April 1, 2010 – December 31, 2010, and 2) are planned and will be conducted between your UIHP and the IHS Area Office HP/DP Coordinator during the budget period April 1, 2011 through March 31, 2012.

3.     An example of an HP/DP work plan is provided on the following pages.  Develop and attach a copy of the UIHP HP/DP Work Plan for April 1, 2011 through March 31, 2012.

 


SAMPLE 2011 HP/DP Work plan

Goal: To address physical inactivity and consumption of unhealthy food among youth who are in the 4th to 6th grade in the Watson, Kennedy, Blackwood, and Rocky Hill Elementary schools.

Objectives

Activities/Time line

Person Responsible

Evaluation

1.  Develop school policies to address physical inactivity and consumption of unhealthy foods in the first year of the funding year.

1. Schedule a meeting with the school health board in the first quarter of the project.

2. Establish a parent advisory committee to assist with the development of the policy in 2nd quarter.

Program Coordinator

School Administrator

Progress report on status of policy and documentation of number of participants in parent advisory committee, and number of meetings held.

2. Implement a classroom nutrition curriculum to increase awareness about the importance of healthier foods.

1. Design pre/post test survey and pilot test with group of students by 2nd quarter.

2. Schedule a meeting with the School Principal to discuss dates of program implementation by 3rd quarter.

3.  Implement the “Healthy Eating” curriculum, a 6 week program in the 2nd quarter.

4. Collect pre/post survey at beginning and end of the program to assess changes.

Program Coordinator

IHS Nutritionist

Pre/post knowledge, attitude, and behavior survey.

3. Implement physical activity in at least four schools for grades 4th to 6th in first year of the funding.

1. Contract with SPARK PE to train classroom teachers to implement SPARK PE in the school by 3rd Quarter.

2. Train volunteers to administer FITNESSGRAM to collect baseline data and post data to assess changes.

Program Coordinator

School Counselor and PE teacher

1.  Training evaluation and number of participants.

2.   Pre/post FITNESSGRAM Data

 

SAMPLE 2011 HP/DP Work plan

 

Goal:  To reduce tobacco use among residents of community X and Y. 

Objectives

Activities/Time line

Person Responsible

Evaluation

1. Establish a tobacco-free policy in the schools and Tribal buildings by year 1. 

1. Schedule a meeting with the Tribal Council and school board to increase awareness of the health effects of tobacco by June 2010.

 

2. Schedule and conduct tobacco awareness education in the community, schools, and worksites by July 2010 through September 2010.

3. Draft a policy and present to the Tribal Council for approval by January 2011.

Tobacco Coordinator

 

 

Tobacco Coordinator

Health Educator

Documentation of the number of participants.

 

Documentation of the number of participants.

 

Documentation of whether the policy was established.

2. Coordinate and establish tobacco cessation programs with the local hospitals and clinics.

1.  Partner with the American Cancer Association and the Tribal Health Education Coordinators to establish 8-week tobacco cessation programs by July 2010.

2. Meet with the hospital/clinic administrators and pharmacist to discuss and develop a behavior-based tobacco cessation program.

3.   Design and disseminate brochures and flyers of tobacco cessation program that are available in the community and clinic.

4.  Meet with nursing and medical provider staff to increase patient referral to tobacco cessation program.

5. Implement the 8-week tobacco cessation program at the community X and Y clinic.

Tobacco Coordinator

Health Educator

Pharmacist

Tobacco Coordinator

Health Educator

 

Tobacco Coordinator

 

Health Educator,  Tobacco Coordinator

Tobacco Coordinator

Progress toward timeline.

 

Progress report indicating timeline is being met.

 

# of brochures distributed.

 

 

 

RPMS data – baseline

# of referrals, # of participants who completed program, # who quit tobacco.


(2)    IMMUNIZATION SERVICES

Program Narrative and Work Plan

1.     Program Management Required Activities

A.    Provide assurance that your facility is participating in the Vaccines for Children program.

B.    Provide assurance that your facility has look up capability with State/regional immunization registry (where applicable).  Please contact Amy Groom, Immunization Program Manager at amy.groom@ihsgov or (505) 248-4374 for more information.

2.     Service Delivery Required Activities – For Sites using RPMS

A.    Provide trainings to providers and data entry clerks on the RPMS Immunization package.

B.    Establish process for immunization data entry into RPMS (e.g., point of service or through regular data entry).

C.    Utilize RPMS Immunization package to identify 3 – 27 month old children who are not up to date and generate reminder/recall letters.

3.     Immunization Coverage Assessment Required Activities

A.    Submit quarterly immunization reports to Area Immunization Coordinator for the 3 – 27 month old, Two year old and Adolescent and influenza reports.  Sites not using the RPMS Immunization package should submit a Two Year old immunization coverage report – an excel spreadsheet with the required data elements that can be found under the “Report Forms for non-RPMS sites” section at: http://www.ihs.gov/Epi/index.cfm?module=epi_vaccine_reports

4.     Program Evaluation Required Activities

A.    Establish baseline for coverage with the 431331* and 4313314**vaccine series for children 19 – 35 months old.

B.    Establish baseline for coverage with influenza vaccine for adults 65 years and older.

C.    Establish baseline for coverage with at least one dose of pneumococcal vaccine for adults 65 years and older.

D.    Establish baseline coverage for patients (all ages) who received at least one dose of seasonal flu vaccine during flu season.

* The 4:3:1:3:3:1 vaccine series is defined as:  = 4 doses diphtheria and tetanus toxoids and pertussis vaccine, diphtheria and tetanus toxoids, or diphtheria and tetanus toxoids and any pertussis vaccine, = 3 doses of oral or inactivated polio vaccine, = 1 dose of measles, mumps, and rubella vaccine, = 3 doses of Haemophilus influenzae type b vaccine, = 3 doses of hepatitis B vaccine, and, = 1 of varicella vaccine.

**The 4:3:1:3:3:1:4 vaccine series includes the 4:3:1:3:3:1 series outlined above, +4 or more does of pneumococcal conjugate vaccine (PCV).


SAMPLE Urban Grant FY 2012 Work Plan

Immunization

Primary Prevention Objective

Service or Program

Target Population

Process Measure

Outcome measures

Protect children and communities from vaccine preventable diseases

Immunization Program

Children < 3 years

On a quarterly basis:

# of children 3 – 27 months old

# of children 3 – 27 months old who are children up to date with age appropriate vaccinations

% of 3 – 27 month old children up to date with age appropriate vaccinations

# of children 19 – 35 months old

# of children 19 – 35 months old who received the 431331 and 4313314 vaccine series

% of children 19 – 35 months old who received the 431331 and 4313314 vaccine series

As of June 30th, 2012:

% of 19-35 month olds up to date with the 431331 and 4313314 vaccine series

Protect adolescents and communities from vaccine preventable diseases

Immunization Program

Adolescents 13 – 17 years

On a quarterly basis:

# of adolescents 13 – 17 years old

# of adolescents 13 – 17 years old who are up to date with Tdap, Tdap/Td, Meningococcal, and 1, 2 and 3 dose of HPV (females only)

% of adolescents 13 – 17 years old who are up to date with Tdap, Tdap/Td, Meningococcal, and 1, 2 and 3 dose of HPV (females only)

As of June 30th, 2012:

% of adolescents 13 – 17 years old who are up to date with Tdap

% of adolescents 13 – 17 years old who are up to date with Tdap, females only

# of adolescents 13 – 17 years old who are up to date with Meningococcal vaccine

# of adolescents 13 – 17 years old who are up to date with 1, 2 and 3 dose of HPV (females only)

Protect adults and communities from influenza

Immunization Program

All Ages

On a quarterly basis during flu season (e.g., Sept – June)

# of patients (all ages)

# of patients who received a seasonal flu shot during the flu season

% of patients who received a seasonal flu shot during flu season

As of June 30th, 2012:

# of patients who received a seasonal flu shot during the flu season

% of patients who received a seasonal flu shot during flu season

 

Protect adults and communities from influenza & Pneumovax

Immunization Program

Adults > 65 years

On a quarterly basis:

# of adults 65+ years

# of adults 65+ years who received an influenza shot during flu season

# of adults 65+ years who received a pneumovax shot

% of adults 65+ years who received an influenza shot during flu season

% of adults 65+ years who received a pneumovax shot

As of June 30th, 2012:

% of adults 65+ years who received an influenza shot Sept. 1, 2010 – June 30, 2011

% of adults 65+ years who received a pneumovax shot ever

 


(3)    ALCOHOL/SUBSTANCE ABUSE

Program Narrative and Work Plan

1.     Program Progress Report or Results/Outcomes for April 1, 2010 - December 31, 2010

A.    Briefly address the extent to which the program was able to achieve its objectives and demonstrate effective use of funding for April 1, 2010 - December 31, 2010.

B.    Include quantifiable and qualitative information and describe the relationship to the UDS data submitted for calendar year 2009.

C.    Identify Specific Program Services Outcomes/Results:

·      State the number of patient encounters (or specific service) per provider staff for this program service,

·      List populations and age groups that were targeted (homeless, women, youth, elders, men, etc.), and

·      Identify specific outcomes/results that were measured in addition to the number of patient encounters/staff (and not included in the UDS).

 

2.  Narrative Description of Program Services for April 1, 2011 –

March 31, 2012 Continuation Budget Period

A.    Program Objectives

1.     Clearly state the outcomes of the health service.

2.     Define needs related outcomes of the program health care service.

3.     Define who is going to do what, when, how much, and how you will measure it.

4.     Define the population to be served and provide specific numbers regarding the number of eligible clients for whom services will be provided.

5.     State the time by which the objectives will be met.

6.     Describe objectives in numerical terms – specify the number of clients that will receive services.

7.     Describe how achievement of the goals will produce meaningful and relevant results (e.g., increase access, availability, prevention, outreach, pre-services, treatment, and/or intervention).

8.     Provide a one-year work plan that will include the primary objectives, services or program, target population, process measures, outcome measures, and data source for measures (see work plan sample in Appendix 2).

a.     Identify Services Provided:  Primary Residential; Detox; Halfway House; Counseling; Outreach and Referral; and Other (Specify)

b.     Number of beds:  Residential ___, Detox___; or Half way House ___.

c.     Average monthly utilization for the past year.

d.     Identify Program Type:  Integrated Behavioral Health; Alcohol and Substance Abuse only; Stand Alone; or part of a health center or medical establishment.

9.     Address methamphetamine-related contacts:

a.     Identify the documented number of patient contacts during the April 1, 2010 - December 31, 2010 budget period, and  estimate the number patient contacts during the continuation budget period, April 1, 2011 – March 31, 2012.

b.     Describe your formal methamphetamine prevention and education program efforts to reduce the prevalence of methamphetamine abuse related problems through increased outreach, education, prevention and treatment of methamphetamine-related issues.

c.     Describe collaborative programming with other agencies to coordinate medical, social, educational, and legal efforts.

B.    Program Activities

1.     Clearly describe the program activities or steps that will be taken to achieve the desired outcomes/results.  Describe who will provide (program, staff) what services (modality, type, intensity, duration), to whom (individual characteristics), and in what context (system, community).

2.     State reasons for selection of activities.

3.     Describe sequence of activities.

4.     Describe program staffing in relation to number of clients to be served.

5.     Identify number of Full Time Equivalents (FTEs) proposed and adequacy of this number:

·      Percentage of FTEs funded by IHS grant funding; and

·      Describe clients and client selection.

6.     Address the comprehensive nature of services offered in this program service area.

7.     Describe and support any unusual features of the program services, or extraordinary social and community involvement.

8.     Present a reasonable scope of activities that can be accomplished within the time allotted for program and program resources.

             

C.    Accreditation and Practice Model

·      Name of Program Accreditation

·      Type of evidence-based practice

·      Type of practice-based model

D.    Attach the Alcohol/Substance Abuse Work Plan.


IHS Urban Grant FY 2011 Work Plan

 

Alcohol/Substance Abuse Program Sample Work Plan

Objectives

Service or Program

Target Population

Process Measure

Outcome Measures

Data Source for Measures

What are you trying to accomplish?

What type of program do you propose?

Who do you hope to serve in your program?

What information will you collect about the program activities?

What information will you collect to find out the results of your program?

Where will you find the information you collect?

To prevent substance abuse among urban American Indian youth

Community-based substance abuse prevention curriculum

American Indian youth ages 5 – 18 years old

# of youth completing the curriculum, # of sessions conducted,

# of staff trained

Incidence/prevalence of substance abuse/dependence

Medical records, RPMS behavioral health package, National Youth Survey

To prevent substance abuse and related problems

Afterschool, summer, and weekend activities (e.g. outdoor experiential activities, camps, classroom based problem solving activities)

American Indian youth ages 5 – 14 years old

# of youth completing community-based sessions, # of parents completing community- based sessions, # of community-based sessions

Incidence of substance abuse, incidence of negative and positive attitudes and behaviors, incidence of peer drug use

Charts, RPMS behavioral health package, National Youth Survey

Reduce drug use and increase treatment retention

Matrix model for outpatient treatment

American Indian adult methamphetamine clients

# of clients completing program, # of relapse prevention sessions, # of family and group therapies, # of drug education sessions, # of self-help groups, # of urine tests

Incidence of drug use, increase or decrease in treatment retention, positive or negative urine samples

Medical records, RPMS behavioral health package, Addiction Severity Index, results of urine tests


(4)    MENTAL HEALTH SERVICES

Program Narrative and Work Plan

Use the alcohol/substance abuse program narrative description template to develop the Mental Health Services program narrative.  Attach the UIHP Mental Health Services Work Plan.


IHS Urban Grant FY 2011 Work Plan

 

Mental Health Program Sample Work Plan

Objectives

Service or Program

Target Population

Process Measure

Outcome Measures

Data Source for Measures

What are you trying to accomplish?

What type of program do you propose?

Who do you hope to serve in your program?

What information will you collect about the program activities?

What information will you collect to find out the results of your program?

Where will you find the information you collect?

To promote mental health

American Indian Life Skills Development curriculum

American Indian youth ages 13 – 17 years old

# of youth completing the curriculum, # of sessions conducted,

# of teachers trained, number of community resource leaders trained

Feelings of hopelessness, problem solving skills

Medical records, RPMS behavioral health package, Beck Hopelessness Scale, problem solving skills

Improve the mental health of American Indian children and their families

Home-based, community-based, and office-based mental health counseling

American Indian children and their families needing services from our community-based program

# of individual, couples, group, and family counseling sessions, # of home, community, and office-based visits

Reduced child involvement in juvenile justice and child welfare, improved coping skills, improved school attendance and grades

Medical records, RPMS behavioral health package coping skill measure, report cards, attendance records

Reduce symptoms related to trauma

Mental health counseling with cognitive behavioral therapy intervention and historical trauma intervention

American Indian adults

# of individual, couples, group, and family counseling sessions, # of historical trauma groups, # of adults counseled

Incidence of  Post-Traumatic Stress Disorder (PTSD) symptoms, incidence of depression, increased coping skills, increased peer and family support

Self-report PTSD, Beck Depression Inventory, coping skills measure, peer and family support measure, medical records, RPMS behavioral health package


RPMS Suicide Reporting Form

Instructions for Completing

             

This form is intended as a data collection tool only.  It does not replace documentation of clinical care in the medical record and it is not a referral form.  The provider should complete a corresponding RPMS Patient Care Components (PCC) or MH/SS encounter form and update the PCC and/or BH problem lists accordingly. Health Record Number, Date of Act and Provider Name are required fields. If the information requested is not known or not listed as an option, choose “Unknown” or “Other” (with specification) as appropriate.

 

LOCAL CASE NUMBER: 

Indicate internal tracking number if used, not required.

DATE FORM COMPLETED:

Indicate the date the Suicide Reporting Form was completed.

 

PROVIDER NAME: 

Record the name of Provider completing the form.

 

DATE OF ACT: 

Record Date of Act as mm/dd/yy.  If exact day is unknown, use the month, 1st day of the month (or another default day), year. If exact date of act is unknown, all providers should use the same default day of the month.

 

HEALTH RECORD NUMBER:

Record the patient’s health record number.

 

DOB/AGE:

Record Date of Birth as mm/dd/yy and patient’s age.

 

SEX: 

Indicate Male or Female.

 

COMMUNITY WHERE ACT OCCURRED:

Record the community code or the name, county and state of the community where the act occurred.

 

EMPLOYMENT STATUS:

Indicate patient’s employment status, choose one.

 

RELATIONSHIP STATUS: 

Indicate patient’s relationship status, choose one.

 

EDUCATION: 

Select the highest level of education attained and if less than a High School graduate, record the highest grade completed. Choose one.

 

SUICIDAL BEHAVIOR: 

Identify the self destructive act, choose one.  Generally, the threshold for reporting should be ideation with intent and plan, or other acts with higher severity, either attempted or completed.

 

LOCATION OF ACT: 

Indicate location of act, choose one.

 

PREVIOUS ATTEMPTS: 

Indicate number of previous suicide attempts, choose one.

 

METHOD: 

Indicate method used. Multiple entries are allowed, check all that apply. Describe methods not listed.

 

SUBSTANCE USE INVOLVED:

If known, indicate which substances the patient was under the influence of at the time of the act. Multiple entries allowed, check all that apply. List drugs not shown.

 

CONTRIBUTING FACTORS: 

Multiple entries allowed, check all that apply. List contributing factors not shown.

 

LETHALITY:

Indicate the level of risk (based on type and location of act, previous number of attempts, method, substance use involved, contributing factors and other clinically relevant information), choose one.

 

DISPOSITION:

Indicate the type of follow-up planned, if known.

 

NARRATIVE:

Record any other relevant clinical information not included above.

Note:  This document should be shredded after electronic entry into RPMS.                  updated: 07/16/07


RPMS Suicide Reporting Form

Local Case Number:

 

Health Record Number:

 

Date Form Completed:

 

DOB/Age:

 

Provider Name:

 

Sex (M/F):

 

Date of Act:

 

Community Where Act Occurred:

 

?

Employment Status

?

Relationship Status

?

Education

 

Part-time

 

Single

 

High School Graduate/GED

 

Full-time

 

Married

 

Less than High School, highest grade completed:

 

Self-employed

 

Divorced/Separated

 

Some College/Technical

 

Unemployed

 

Widowed

 

College Graduate

 

Student

 

Cohabitating/Common-Law

 

Post Graduate

 

Student and employed

 

Same Sex Partnership

 

Unknown

 

Retired

 

Unknown

   
 

Unknown

       

?

Suicidal Behavior

?

Location of Act

?

Previous Attempts

 

Ideation with Plan and Intent

 

Home or Vicinity

 

0

 

Attempt

 

School

 

1

 

Completed Suicide

 

Work

 

2

 

Attempted suicide w/  Homicide

 

Jail/Prison/Detention

 

3 or more

 

Completed suicide w/  Homicide

 

Treatment Facility

 

Unknown

     

Medical Facility

   
     

Unknown

   
     

Other (specify):

   

Method   ( ? all  that apply)

 

Gunshot

 

Overdose list:

 

Non-prescribed opiates (e.g. Heroin)

 

Hanging

 

Aspirin/Aspirin-like medication

 

Sedatives/Benzodiazepines/Barbiturates

 

Motor Vehicle

 

Acetaminophen (e.g. Tylenol)

 

Alcohol

 

Jumping

 

Tricyclic Antidepressant (TCA)

 

Other Prescription Medication (specify):

 

Stabbing/Laceration

 

Other Antidepressant (specify):

 

Carbon Monoxide

 

Other Over-the-counter Medication (specify):

 

Overdosed Using (select from list)

   
 

Unknown

 

Amphetamine/Stimulant

 

Other (specify):

 

Other (specify):

 

Prescribed Opiates (e.g. Narcotics)

Substances Involved   ( ? all that apply)

 

None

 

Alcohol

 

Inhalants

 

Alcohol & Other Drugs (select from list)

 

Amphetamine/Stimulant

 

Non-Prescribed Opiates (e.g. Heroin)

 

Unknown

 

Cannabis (Marijuana)

 

Prescribed Opiates (e.g. Narcotics)

 

 

 

Cocaine

 

Sedatives/Benzodiazepines/Barbiturates

 

 

 

Hallucinogens

 

Other (specify):

 

 

 

 

Contributing Factors ( ? all that apply)

 

Suicide of Friend or Relative

 

History of Substance Abuse/Dependency

 

Divorce/Separation/Break-up

 

Death of Friend or Relative

 

Financial Stress

 

Legal

 

Victim of Abuse (Current)

 

History of Mental Illness

 

Unknown

 

Victim of Abuse (Past)

 

History of Physical Illness

 

Other (specify):

 

Occupational/Educational Problem

   

?

Lethality

?

Disposition

 

Narrative

 

Low

 

Mental Health (MH) Follow-up

 

 

 

Medium

 

Alcohol/Substance Abuse Follow-up

 

 

 

High

 

Inpatient MH Treatment Voluntary

 

 

 

 

 

Inpatient MH Treatment Involuntary

 

 

 

 

 

Medical Treatment (ED or In-patient)

 

 

 

 

 

Outreach to Family/School/Community

 

 

 

 

 

Unknown

 

 

 

 

 

Other (specify):

 

 

 

 

 

 


C.  PROJECT EVALUATION (15 Points)

1.     Describe your evaluation plan.  Provide a plan to determine the degree to which objectives are met and methods are followed.

2.     Describe how you will link program performance/services to budget expenditures.  Include a discussion of UDS and GPRA Report Measures here.

3.     Include the following program specific information:

a.     Describe the expected feasibility and reasonable outcomes (e.g., decreased drug use in those patients receiving services) and the means by which you determined these targets or results.

b.     Identify dates of reviews by the internal staff to assess efficacy:

I.            Assessment of staff adequacy.

II.          Assessment of current position descriptions.

III.         Assessment of impact on local community.

IV.         Involvement of local community.

V.          Adequacy of community/governance board.

VI.         Ability to leverage IHS funding to obtain additional funding.

VII.       Additional IHS grants obtained.

VIII.      New initiatives planned for funding year.

IX.         Customer satisfaction evaluations.

4.     Quality Improvement Committee (QIC). 

The UIHP QIC, a planned, organization-wide, interdisciplinary team, systematically improves program performance as a result of its findings regarding clinical, administrative and cost-of-care performance issues, and actual patient care outcomes including the GPRA and UDS reports (results of care including safety of patients). 

a.     Identify the QIC membership, roles, functions, and frequency of meetings. Frequency of meeting shall be at least quarterly.

b.     Describe how the results of the QIC reviews provide regular feedback to the program and community/governance board to improve services.

1.     April 1, 2010 - December 31, 2010 accomplishments.

2.     April 1, 2011 – March 31, 2012 activities planned.

c.     Describe how your facility is integrating the care model into your health delivery structure:

1.     Identify specific measures you are tracking as part of the Improvements in Patient Care (IPC) work.

2.     Identify community members that are part of your IPC team.

3.     Describe progress meeting your program’s goals for the use of the IPC model within your healthcare delivery model.

D.    PROGRESS REPORT: ORGANIZATIONAL CAPABILITIES AND QUALIFICATIONS (10 Points)

This section outlines the broader capacity of the organization to complete the project outlined in the continuation application and program specific work plans.  This section includes the identification of personnel responsible for completing tasks and the chain of responsibility for successful completion of the project outlined in the work plans.

1.     Describe the organizational structure with a current approved one page organizational chart that shows the board of directors, key personnel, and staffing.  Key positions include the Chief Executive Officer or Executive Director, Chief Financial Officer, Medical Director, and Information Officer.

2.     Describe the board of directors that is fully and legally responsible for operation and performance of the 501(c)(3) non-profit urban Indian organization: 

a.     List all current board members by name, sex, and Tribe or race/ethnicity,

b.     Indicate their board office held,

c.     Indicate their occupation or area of expertise,

d.     Indicate if the board member uses the UIHP services,

e.     Indicate if the board member lives in the health service area.

f.      Indicate the number of years of continuous service.

g.     Indicate number of hours of Board of Directors training provided, training dates and attach a copy of the Board of Directors training curriculum.

3.  List key personnel who will work on the project.

a.     Identify existing key personnel and new program staff to be hired. 

b.     For all new key personnel only include position descriptions and resumes in the appendix.  Position descriptions should clearly describe each position and duties indicating desired qualifications, experience, and requirements related to the proposed project and how they will be supervised.  Resumes must indicate that the proposed staff member is qualified to carry out the proposed project activities and who will determine if the work of a contractor is acceptable. 

c.     Identify who will be writing the progress reports.

d.     Indicate the percentage of time to be allocated to this project and identify the resources used to fund the remainder of the individual’s salary if personnel are to be only partially funded by this grant.

E.  CATEGORICAL BUDGET AND BUDGET JUSTIFICATION (5 Points)


This section should provide a clear estimate of the project program costs and justification for expenses for the continuation budget period April 1, 2011 - March 31, 2012.  The budget and budget justification should be consistent with the tasks identified in the work plan.

       

1.     Categorical Budget (Form SF 424A, Budget Information Non-Construction Programs) complete each of the budget periods requested.

a.     Provide a narrative justification for all costs, explaining why each line item is necessary or relevant to the proposed project.  Include sufficient details to facilitate the determination of cost allowability.

b.     If indirect costs are claimed, indicate and apply the current negotiated rate to the budget.  Include a copy of the current rate agreement in the appendix.

 

2.     Review and Selection

Each application will be prescreened by the DGM staff for eligibility and completeness as outlined in the funding announcement.  Incomplete applications and applications that are non-responsive to the eligibility criteria will not be referred to the Objective Review Committee.  Applicants will be notified by DGM, via letter, to outline the missing components of the application. 

To obtain a minimum score for funding by the Objective Review Committee, applicants must address all program requirements and provide all required documentation.  Applicants that receive less than a minimum score will be considered to be “Disapproved” and will be informed via e-mail or regular mail by the IHS Program Office of their application’s deficiencies.  A summary statement outlining the strengths and weaknesses of the application will be provided to each disapproved applicant.  The summary statement will be sent to the Authorized Organizational Representative (AOR) that is identified on the face page of the application within 60 days of the completion of the Objective Review.

 

VI.         Award Administration Information

            

1.     Award Notices

The Notice of Award (NoA) will be initiated by DGM and will be mailed via postal mail to each entity that is approved for funding under this announcement. The NoA will be signed by the Grants Management Officer and this is the authorizing document for which funds are dispersed to the approved entities.  The NoA will serve as the official notification of the grant award and will reflect the amount of Federal funds awarded, the purpose of the grant, the terms and conditions of the award, the effective date of the award, and the budget/project period. The NoA is the legally binding document and is signed by an authorized grants official within the IHS.

2.     Administrative Requirements

Grants are administered in accordance with the following regulations, policies, and OMB cost principles:

A.    The criteria as outlined in this Program Announcement.

B.    Administrative Regulations for Grants:

·      45 C.F.R., Part 92, Uniform Administrative Requirements for Grants and Cooperative Agreements to State, Local and Tribal Governments.

·      45 C.F.R., Part 74, Uniform Administrative Requirements for Grants and Agreements with Institutions of Higher Education, Hospitals, and other Non-profit Organizations.

C.    Grants Policy:

·      HHS Grants Policy Statement, Revised 01/07.

D.    Cost Principles:

·      Title 2: Grant and Agreements, Part 225—Cost Principles for State, Local, and Indian Tribal Governments (OMB A-87).

·      Title 2: Grant and Agreements, Part 230—Cost Principles for Non-Profit Organizations (OMB Circular A-122).

E.     Audit Requirements:

·      OMB Circular A-133, Audits of States, Local Governments, and Non-profit Organizations.

 

3.     Indirect Costs

 This section applies to all grant recipients that request reimbursement of indirect costs in their grant application.  In accordance with HHS Grants Policy Statement, Part II-27, IHS requires applicants to obtain a current indirect cost rate agreement prior to award.  The rate agreement must be prepared in accordance with the applicable cost principles and guidance as provided by the cognizant agency or office.  A current rate covers the applicable grant activities under the current award’s budget period.  If the current rate is not on file with the DGM at the time of award, the indirect cost portion of the budget will be restricted.  The restrictions remain in place until the current rate is provided to the DGM.

Generally, indirect costs rates for IHS grantees are negotiated with the Division of Cost Allocation http://rates.psc.gov/ and the Department of Interior (National Business Center) http://www.aqd.nbc.gov/services/ICS.aspx .  If your organization has questions regarding the indirect cost policy, please call

(301) 443-5204 to request assistance.

 

4.     Reporting Requirements

 

Failure to submit required reports within the time allowed may result in suspension or termination of an active agreement, withholding of additional awards for the project, or other enforcement actions such as withholding of payments or converting to the reimbursement method of payment.  Continued failure to submit required reports may result in one or both of the following:

(1) the imposition of special award provisions; and (2) the non-funding or non-award of other eligible projects or activities.  This applies whether the delinquency is attributable to the failure of the organization or the individual responsible for preparation of the reports.

The reporting requirements for this program are noted below:

 

A.    Program Progress Report

Program progress reports are required quarterly.  These reports will include a brief comparison of actual program accomplishments to the goals established for the period, reasons for slippage (if applicable), and other pertinent information as required.  A final program report must be submitted within 90 days of expiration of the budget/project period.

B.    Financial Status Report

A quarterly financial status report must be submitted within 30 days of the end of the half year.  A final financial status report is due within 90 days of expiration of the budget period.  Standard Form 269 (long form) will be used for financial reporting.

C.  Annual Audit Report

The reports and records of the urban Indian organization with respect to a contract or grant under Subchapter IV, 25 U.S.C. Section 1657 shall be subject to audit by the Secretary and the Comptroller General of the United States.

The Secretary shall allow as a cost to any contract or grant entered into under section 1653 of this title the cost of an annual private audit conducted by a certified public accountant.

D.    GPRA Report

GPRA reports are required quarterly.  These reports are submitted to the IHS Area GPRA Coordinator.  RPMS users must use CRS for reporting.  Non-RPMS users must use the interface system to transfer data from their current data system to RPMS for CRS reporting.

E.    Quarterly Immunization Report

Immunization reports are required quarterly.  These reports are submitted to the IHS Area Immunization Coordinator.

F.     Federal Cash Transaction Reports

Federal Cash Transaction Reports are due every calendar quarter to the Division of Payment Management, Payment Management Branch, HHS at: www.dpm.gov.  Failure to submit timely reports may cause a disruption in timely payments to your organization.

Grantees are responsible and accountable for accurate reporting of the Progress Reports and Financial Status Reports which are generally due annually.  Financial Status Reports (SF-269) are due 90 days after each budget period and the final SF-269 must be verified from the grantee records on how the value was derived.

F.  Federal Subaward Reporting System (FSRS)

This award may be subject to the Transparency Act subaward and executive compensation reporting requirements of 2 CFR Part 170.  The FFATA "Transparency Act", requires the OMB to establish a single searchable database, accessible to the public, with information on financial assistance awards made by Federal agencies.  The Transparency Act also includes a requirement for recipients of Federal grants to report information about first-tier subawards and executive compensation under Federal assistance awards.   

Effective as of October 1, 2010, IHS implemented a Term of Award into all Notice of Awards issued on/after the date of this announcement by incorporating it on all IHS Standard Terms and Conditions. For the full IHS award term implementing this requirement and additional award applicability information see the Grants Policy Website at: http://www.ihs.gov/NonMedicalPrograms/gogp/index.cfm?module=gogp_policy_topics

Although referenced on all Notices of Award, the following IHS Term of Award is applicable to all New (Type 1) IHS grant and cooperative agreement awards issued on or after October 1, 2010.  Additionally, all IHS Renewal (Type 2) grant and cooperative agreement awards and Competing Revision awards (Competing T-3s) issued on or after October 1, 2010 may also be subject to the following award term.  Further guidance on Renewal and Competing Revision awards is expected to be provided as it becomes available.

Telecommunication for the hearing impaired is available at: TTY (301) 443-6394.    

G.  Unmet Needs Report

An unmet needs report is required quarterly.  These reports will include information gathered to: (1) identify gaps between unmet health needs of urban Indians and the resources available to meet such needs; and (2) make recommendations to the Secretary and Federal, State, local, and other resource agencies on methods of improving health service programs to meet the needs of urban Indians.


VII.       Agency Contacts                                                  

For program-related information:

Phyllis S. Wolfe, Director

Office of Urban Indian Health Programs

801 Thompson Avenue, Suite 200

Rockville, Maryland  20852

(301) 443-4680 or phyllis.wolfe@ihs.gov

For general information regarding this announcement:

Danielle Steward, Health Systems Specialist

Office of Urban Indian Health Programs

801 Thompson Avenue, Room 200

Rockville, MD 20852

(301) 443-4680 or danielle.steward@ihs.gov

For specific grant-related and business management information:

Pallop Chareonvootitam

Grants Management Specialist

801 Thompson Avenue, TMP 360

Rockville, MD 20852

(301) 443-5204 or pallop.chareonvootitam@ihs.gov

 

Date: ____________________                         ______________________________

                                                                                   Yvette Roubideaux, M.D., M.P.H.

                                                                                   Director

                                                                                   Indian Health Service

              APPENDIX

TITLE V URBAN INDIAN HEALTH

4-IN-1 GRANTS

 

 

1.           Indian Health Service Area HP/DP Coordinators

 

2.           Indian Health Service Behavioral Health Area Consultants

 

3.           Indian Health Service Area GPRA Coordinators

 

4.           Indian Health Service/Veterans Health Administration Area Points of     Contact


Indian Health Service
Area HP/DP Coordinators

 

Aberdeen Area IHS Office

Janelle Trottier, MSW, LCSW

Aberdeen Area Health Systems

Specialist

115 Fourth Avenue, SE, Rm 309

Aberdeen, SD  57401

Phone: (605) 226-7474

Fax:  (605) 226-7670

Email: janelle.trottier@ihs.gov

Alaska Area IHS Office
Margaret David, BS
Alaska Native Tribal Health Consortium
Community Health Services
Office of Alaska Native Health Research
4000 Ambassador Drive - Floor 4
Anchorage , AK 99508
Phone: (907) 729-3634
Fax: (907) 729-3652
Email: mohdavid@anthc.org

Albuquerque Area IHS Office
Theresa Clay, MS
5300 Homestead Road, NE
Division of Clinical Quality/HPDP
Albuquerque, NM 87110
Phone: (505) 248-4772
Fax: (505) 248-4257
Email: theresa.clay@ihs.gov

Bemidji Area IHS Office
Michelle Archuleta, MS

522 Minnesota Ave., NW

Bemidji, MN  56601

Phone: (218) 444-0492

Fax: (218) 444-0513

Email: michelle.archuleta@ihs.gov

Billings Area IHS Office
VACANT
2900 4th Ave. N.
P.O. Box 36600
Billings, MT 59107 
Phone: (406) 247-7118
Fax: (406) 247-7231
Email:

California Area IHS Office
Beverly Calderon, RD, MS, CDE
1320 W. Valley Parkway, Suite 309
Escondido, CA 92029
Phone: (760) 735-6884
Fax: (760) 735-6893
Email: beverly.calderon@ihs.gov

Nashville Area IHS Office
VACANT

711 Stewarts Ferry Pike
Nashville, TN 37214-2634
Phone: (615) 467-1628

Fax: (615) 467-1665

Email:

Navajo Area IHS Office
Marie Nelson, BS
Navajo Area Indian Health Service
P.O. Box 9020 (NAIHS Complex)
Window Rock, AZ 86515-9020
Phone:  (928) 871-1338
Fax: (928) 871-5872
Email: marie.nelson@na.ihs.gov


Oklahoma Area IHS Office
Freda Carpitcher, MPH
Five Corporate Plaza
3625 NW 56th Street
Oklahoma City, OK 73112
Phone: (405) 951-3717
Fax: (405) 951-3916
Email: freda.carpitcher@ihs.gov

Phoenix Area IHS Office
Shannon Beyale, MPH
Phoenix Area Indian Health Service
Two Renaissance Square
40 North Central Ave.
Phoenix AZ 85004
Phone: (602) 364-5155
Fax: (602) 364-5025
Email: Shannon.beyale@ihs.gov

 

Portland Area IHS Office
Joe W. Law, BS
1414 NW Northrup St.,

Ste. 800

Portland, OR 97209
Phone: (503) 414-5597
Fax: (503) 414-7795
Email: joe.law@ihs.gov

 

Tucson Area IHS Office
Shawnell Damon, MPH
7900 South "J" Stock Road
Tucson, AZ 85746-7012
Phone: (520) 295-2492

Fax: (520) 295-2602

Email: shawnell.damon@ihs.gov

 

IHS National Programs Albuquerque
Alberta Becenti, MPH
5300 Homestead Rd., NE

Albuquerque, NM  87110
Phone: (505) 248-4238
Email: alberta.becenti@ihs.gov

 

 

 


DIVISION OF BEHAVIORAL HEALTH

 

FeatherDiv-1.gif

Behavioral Health Area Consultants

Point of Contacts

 

ABERDEEN                                                                                                                                              

Vicki Claymore-Lahammer, PhD.                      Federal Building          

(605) 226-7341                                                       115 Fourth Avenue, SE

vicki.claymore-lahammer@ihs.gov                     Aberdeen, SD 57401                                             

 

ALBUQUERQUE                                                                                                                                   

Christopher Fore, PhD.                                         5300 Homestead Road NE

(505) 248-4444                                                       Albuquerque, NM 87110

christopher.fore@ihs.gov

ALASKA                                                                                                                                                    

Kathleen Graves, Ph.D                                         4000 Ambassador Drive

(907) 729-4594                                                       Room 443

kgraves@anmc.org                                                 Anchorage, AK 99508                                         

BEMIDJI                                                                                                                                                    

Dawn L. Wylie, MD, MPH                                522 Minnesota Avenue

(218) 444-0491                                                       Bemidji, MN 56601

dawn.wylie@ihs.gov                                                                                                                   

BILLINGS                                                                                                                                                  

Susan Fredericks, RPH, MA                                2900 4th Avenue North

(406) 247-7104                                                       Billings, MT 59101

susan,fredericks@ihs,.gov

Margene Tower, R.N., M.S.                                  “                          “

(406) 247-7116

margene.tower@ihs.gov

                                                                                                 

CALIFORNIA                                                                                                                                         

David Sprenger, MD                                            650 Capitol Mall

(916) 930-3981, Ext. 321                                      Suite 7-100

david.sprenger@ihs.gov                                       Sacramento, CA 95814            

Dawn M. Phillips, R.N., M.P.A.                         “                          “

(916) 930-3981, Ext. 331

dawn.phillips@ihs.gov


NASHVILLE                                                                                                                                                         

Palmeda Taylor, Ph.D.                                          711 Stewarts Ferry Pike

(615) 467-1534                                                       Nashville, TN 37214

palmeda.taylor@ihs.gov                                                                                                                          

 

NAVAJO                                                                                                                                                    

Jayne Talk-Sanchez                                                 N HWY 666

(505) 368-7420                                                       P.O. Box 160

jayne.talk-sanchez@ihs.gov                                  Shiprock, NM 87420                                             

OKLAHOMA                                                                                                                                           

Don Carter                                                                5 Corporate Plaza

(405) 951-3817                                                       3625 NW 56th Street

don.carter@ihs.gov                                                 Oklahoma City, OK 73112                                  

PHOENIX                                                                                                                                                  

David Atkins, LISW, ACSW                               40 North Central Avenue

(602) 364-5159                                                       Suite 606

david.atkins@ihs.gov                                             Phoenix, AZ 85004

David McIntyre                                                      “             ”

(602) 364-5183

david.mcintyre@ihs.gov

Mental Health Consultant

Linda Westover, LCSW                                       “             ”

(602) 364-5157

linda.westover@ihs.gov

Social Work Consultant

                                                       

PORTLAND                                                                                                                                              

Ann Arnett                                                                1220 S. W. Third Avenue

(503) 326-2005                                                       Room 476

Ann.arnett@ihs.gov                                                Portland, OR 97204                                               

 

TUCSON                                                                                                                                                    

Patricia Nye, MD, LISAC                                    7900 South J Stock Road

(520) 295-2469                                                       Tucson, AZ 85746

patricia.nye@ihs.gov                                                                                                                                 

 

HQ STAFF                                                                                                                                                 

Shelly Carter                                                             801 Thompson Ave, Suite 300

(301) 443-0226                                                       Rockville, MD 20852

shelly.carter@ihs.gov                                                           

                                                                                     

Michele Muir                                                                           “             ”

(301) 443-2040

michele.muir@ihs.gov

Rose Weahkee              , Ph.D.                                                           “             ”

(301) 443-1539

rose.weahkee@ihs.gov

Amina Bashir                                                                          “              “

(301) 443-6581

amina.bashir@ihs.gov

Debbie Black                                                                          «              « 

(301) 443-8028

debbie.black@ihs.gov

Jon Perez, Ph.D.                                                                    Phoenix, AZ

(301) 281-1777

jon.perez@ihs.gov


AREA GPRA COORDINATORS

AS OF AUGUST, 2009

 

AREA

GPRA COORDINATOR(S)

CONTACT INFORMATION

Aberdeen         

Janelle Trottier

janelle.trottier@ihs.gov

(605) 226-7474

Alaska

Bonnie Boedeker

Bonnie.Boedeker@ihs.gov

(907) 729-3665

Albuquerque

Steve Petrakis

steve.petrakis@ihs.gov

(505) 248-1361

Bemidji

Jason Douglas

Jason.Douglas@ihs.gov

(218) 444-0550

Billings

Carol Strashiem

carol.strasheim@ihs.gov

(406) 247-7111

California

Elaine Brinn

Elaine.Brinn@ihs.gov

(916) 930-3927 ext. 320

Nashville

Kristina Rogers

Kristina.Rogers@ihs.gov

(615) 467-2926

Navajo

Jenny Notah

Genevieve.Notah@ihs.gov

(928) 871-5836

Oklahoma

Marjorie Rogers

Marjorie.Rogers@mail.ihs.gov

(405) 951-6020

Phoenix

Jody Sekerak

Jody.Sekerak@ihs.gov

(602) 364-5274

Portland

Mary Brickell

Mary.Brickell@ihs.gov

(503) 326-5592

Tucson

Scott Hamstra, M.D.

 

Scott.hamstra@ihs.gov

(520) 295-2406


IHS/VA Area Points of Contact

 

IHS

VA

Aberdeen Area –
North Dakota, South Dakota, Iowa, Nebraska

Dr. George Ceremuga (Acting)

george.ceremuga@ihs.gov (605)-964-7724

VISN 23 –
South Dakota, North Dakota, Nebraska, Iowa, Minnesota

Ms. Carla Belle Alexander

carlabelle.alexander@va.gov

(605) 720-7337

Alaska Area –
Alaska

Dr. Kenneth Glifort

Kenneth.Glifort@ihs.gov

(907) 729-3686

VISN 20 –
Alaska, Idaho, Oregon, Washington

Mr. Alexander Spector

alexander.spector@va.gov

(907) 257-5460

Albuquerque Area –
Colorado, New Mexico, Texas

Dr. Leonard Thomas

Lenonard.Thomas@ihs.gov

(505) 248-4115

VISN 18 –
New Mexico, Texas, Arizona

VISN 19 –
Colorado, Utah, Montana

VISN 18 – Ms. Deborah Thompson

 

VISN 19 – Mr. James Floyd

deborah.thompson7ec@va.gov

(928) 776-6001


james.floyd@va.gov

(801) 582-1565 x1500

Bemidji –
Minnesota, Wisconsin, Michigan

Dr. Dawn Wyllie

Dawn.Wyllie@ihs.gov

(218) 444-0491

VISN 11 –
Michigan, Illinois, Indiana

VISN 12 –
Illinois, Wisconsin, Michigan

VISN 23
Minnesota,
SD, ND, IA, NE

VISN 11 – Mr. Gabriel Perez



VISN 12 – Dr. Ed Zarling


VISN 23 – Ms. Carla Belle Alexander

g.perez@va.gov

(734) 761-5488


edwin.zarling@va.gov

(708) 202-8413

 

carlabelle.alexander@va.gov

(605) 720-7337


IHS

VA

Billings –
Montana, Wyoming

Dr. Doug Moore

doug.moore@ihs.gov

(406) 247-7129

VISN 19 -
Wyoming, Colorado, Montana, Utah

Mr. James Floyd

james.floyd@va.gov

(801) 582-1565 x1500

California –
California, Hawaii

Dr. David Sprenger

david.sprenger@ihs.gov

(916) 930-3981

VISN 21 –
Northern California, Hawaii, Nevada

VISN 22 –
So. California, Nevada

VISN 21 – Ms. Martha Akrop

 

VISN 22 – Ms. Barbara Fallen

martha.akrop@va.gov

(775) 328-1428

 

barbara.fallen@va.gov

(562) 826-5963

Headquarters –
Washington D.C./Rockville MD

Dr. Susan Karol

Mr. Leo Nolan

susan.karol@ihs.gov

(301) 443-1083

leo.nolan@ihs.gov

(301)-443-7261

VA Central Office

Ms. Louise Van Diepen

Louise.VanDiepen@va.gov

(202) 273-5878

Nashville –
TX, LA, AR, MS, AL, MO, IL, IN
TN, KY, OH, GA, FL, SC, NC, VA
WV, PA, MD, DC, DE, NY, CT, MA
VT, NH, RI, ME, NJ

Ms. Elizabeth Neptune

Elizabeth.Neptune@ihs.gov

(207) 214-6524

VISN 1 –
MA, NH, CT, RI, ME, VT


VISN 2 –
New York State

 

 

VISN 1 – Dr. Gail Goza-MacMullan

VISN 2 – Dr. Scott Murray
VISN 2 (alt) – Dr. Bruce Nelson

gail.goza-macmullan@med.va.gov

(781) 687-3412

 

scott.murray@va.gov

(518) 626-7310

bruce.nelson@va.gov

(518) 626-5320


IHS

VA

 

 

 

VISN 3 –
NYC, NJ


VISN 6 –
NC, WV, VA


VISN 7 –
GA, AL, SC


VISN 8 –
FL, PR


VISN 12 –
IL, MI, WI

 


VISN 16 –
OK, LA, MS, AR, TX,

VISN 17 –
TX


VISN 18 –
NM, TX, AZ

VISN 3 – Dr. James Smith

VISN 6 – Mr. Mark Hall

VISN 7 – Mr. Brian Heckert


VISN 8 – TBD

VISN 12 – Dr. Ed Zarling

VISN 15 – Dr. James Sanders

VISN 16 – Mr. Adam Walmus
VISN 17 – Mr. Jack Dufon

VISN 18 – Ms. Deborah Thompson

james.smith@med.va.gov

(718) 741-4135

mark.hall@med.va.gov

(919) 956-5541

brian.heckert@va.gov

(803) 695-7980

TBD

 

edwin.zarling@va.gov

(708) 202-8413

james.sanders@med.va.gov

(816) 701-3000

adam.walmus2@va.gov

(918) 680-3644

jack.dufon2@med.va.gov

(817) 385-3786

deborah.thompson7ec@va.gov

(928)776-6001

 


IHS

VA

Navajo –
Arizona, Utah, New Mexico

Ms. Patricia Olson


Dr. Douglas Peter (alt.)

Patricia.Olson@ihs.gov

(928) 871-5811


Douglas.Peter@ihs.gov

(928) 871-5813

VISN 18 –
New Mexico, TX, Arizona

VISN 19 –
Wyoming, Colorado, Montana, Utah

VISN 18 – Ms. Deborah Thompson



VISN 19 – Mr. James Floyd

deborah.thompson7ec@va.gov

(928) 776-6001



james.floyd@va.gov

(801) 582-1565 x1500

Oklahoma –
Oklahoma, Kansas, Texas

Dr. John Farris

John.Farris@ihs.gov

(405) 951-3776

VISN 15 –
Kansas, Missouri


VISN 16 –
Oklahoma, Louisiana, Mississippi, Arkansas, Texas


VISN 18 –
New Mexico, Texas, Arizona

VISN 15 – Dr. James Sanders

 

VISN 16 – Mr. Adam Walmus

 


VISN 18 – Ms. Deborah Thompson

james.sanders@med.va.gov

(816) 701-3000


adam.walmus2@va.gov

(918) 680-3644


deborah.thompson7ec@va.gov

(928) 776-6001

Phoenix –
Nevada, Utah, Arizona

Dr. Charles (Ty) Reidhead


Dr. Augusta Hays (alt.)

charles.reidhead@ihs.gov (602) 364-5039


Augusta.Hays@ihs.gov

(602) 364-5039

VISN 18 –
New Mexico, Texas, Arizona

VISN 19 –
Wyoming, Colorado, Montana, Utah

VISN 18 – Ms. Deborah Thompson

VISN 19 – Mr. James Floyd



deborah.thompson7ec@va.gov

(928) 776-6001


james.floyd@va.gov

(801) 582-1565 x1500

IHS

VA

 

 

 

VISN 21

Northern California, Hawaii, Nevada

VISN 22 –
So. California, Nevada

VISN 21 – Ms. Martha Akrop

VISN 22 – Ms. Barbara Fallen

Martha.Akrop@va.gov

(775) 328-1428

barbara.fallen@va.gov

(562) 826-5963

Portland –
Washington, Oregon, Idaho

Mr. Terry Dean

Terry.Dean@ihs.gov

(503) 326-7270

VISN 20 – 
Alaska, Idaho, Oregon, Washington

Mr. Alexander Spector

alexander.spector@va.gov

(907) 257-5460

Tucson –
Arizona

Dr. John R. Kittredge

John.Kittredge@ihs.gov

(520) 295-2406

VISN 18 –

New Mexico, Texas, Arizona

Ms. Deborah Thompson

deborah.thompson7ec@va.gov

(928) 776-6001

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