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

Office of Direct Service and Contracting Tribes

Project Details


A study of a specific IHS program or segment of a program to determine if Tribal management of the program is possible. The study shall present necessary plans, approach, training and resources required to assume Tribal management of the program. The study shall include the following components:
  • Health needs and health care services assessments that identify existing health care services and delivery system, program divisibility issues, health status indicators, unmet needs, volume projections, and demand analysis.
  • Management analysis of existing management structures, proposed management structure, implementation plans and requirements, personal staffing requirements and recruitment barriers.
  • Financial analysis of historical trends data, financial projections and new resource requirements for program management costs, and analysis of potential revenues from Federal/non-Federal sources.
  • Decision state incorporates findings, conclusions, and recommendations; the presentation of the study and recommendations to the governing body for Tribal determination regarding whether Tribal assumption of program(s) is desirable or warranted.

Funding & Period Support

Up to $70,000 per year*; Limited to one year of funding.
* Amount includes direct and indirect costs.


A collection of data to establish goals and performance measures for the operation of current health programs or anticipated PSFAs under a Title I contract. Planning will specify the design of health programs and management systems (including appropriate policies and procedures) to accomplish the health priorities of the tribe. For example, planning could include the development of a Tribal Specific Health Plan or a Strategic Health Plan.

Funding & Period Support

Up to $50,000 per year*; Limited to one year of funding
*Amount includes direct and indirect costs.


A systematic collection, analysis, and interpretation of data for the purpose of determining the value of a program, the extent of the previous studies as they relate to the goals, objectives, policies and procedures, or programs regarding targeted groups as well as determining the effectiveness and efficiency of tribal program operation which will assist tribal efforts to improve their health care delivery system. The following are examples of areas where an evaluation project may be beneficial:
  • direct services
  • financial management
  • personnel
  • data collection and analysis
  • third party billing
**Please note that evaluation proposals are not limited to the above mentioned areas.

Funding & Period Support

Up to $50,000 per year*; Limited to one year of funding
*Amount includes direct and indirect costs.


Creation or enhancement and implementation of systems to manage or organize Programs, Services, Functions and Activities (PSFA). Management structures include health department organizations, health boards, financial management systems, including systems for accounting, personnel, third-party billing, medical records, management information systems, etc. This includes the design, improvements, and correction of management systems that address audit weaknesses identified through quality control measures, internal reviews and audit report findings under the Office of Management and Budget (OMB) Circular No. A-133 - Revised June 24, 1997, "Audits of States, Local Governments, and Non-Profit Organizations."

Funding & Period Support

Up to approximately $100,000 per year*; Up to 3 years, not to exceed $300,000.
*Amount include direct and indirect costs.
If considering Health Management Structure project for more than 1 year of funding, refer to information regarding Multi-Year Projects.

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