Power Point Presentation to Tribal Leaders

To gain support, orientate, and as a method of Buy In of the tribal leaders a

PowerPoint on the grant progress is delivered quarterly.

Gaining tribal leader supportFort Belknap Indian Community

Montana/WyomingTribal Consortium The Special Diabetes Program for Indians funded by • Balanced Budget Act

1997Prevention/Treatment of Diabetes in AIANs

• Administered by the IHS -2002 ReauthorizationCongressional direction – develop a competitive grant program to demonstrate diabetes prevention and also address the most compelling complication of diabetes

(cardiovascular disease)

The Cardiovascular Disease Risk Reduction arm (Healthy Heart Project) targets individuals diagnosed with type 2 diabetes and

utilizes a case management approach. Special Diabetes Program for Indians

• Comprehensive Evaluation, Coordinating Center

Program Overview

Montana Tribal Consortium goal is to recruit and retain 50 type II diabetic participants over the age of 18 per year (25 per site) per year to prevent CVD. The Consortium will assess and care for the patients according to the Indian Health Services Type II Diabetes Standards of Care and through intensive case management.

BudgetBudget awarded for FY 2011 is $324,300.00 to be shared between three consortia sites.

Personnel: The SDPI Healthy Heart Project Consortia consists of Site 1-Fort Belknap, Site 2-Rocky

Boy, and Site 3-Crow Nations. Site 1Velva Doore BS Project ManagerDoreen Bell BS/MHA Project CoordinatorAmber Belgard Data CoordinatorRuth Burleigh RN/BSN CVD Nurse Case ManagerSite 2Tamra Baker RN/BSN CVD Nurse Case ManagerSite 3Casaja Fritzler RN/BSN CVD Nurse Case Manager

Using Healthy Heart Databy Doreen Bell, BS/MHA

Montana/Wyoming Tribal Consortium

• Site 1 – Fort Belknap As of 8/30/2011

• Entered into the Excel Registry - 153Consented in the program - 128

• Receiving Intensive Case Management - 120

• Site 2 – Rocky Boy• Entered into the Excel Registry – 79• Consented in the Program – 79• Receiving Intensive Case Management – 79

• Site 3 – Crow Nations• Entered into the Excel Registry – 103• Consented in the Program – 88• Receiving Intensive Case Management – 65 Overall Total Consented: 295

• Three Hearts - Three Nations together serve 1424 tribal members on the diabetes registry. “This is the first attempt in the history of SDPI for consortia to share resources in providing diabetes education and healthcare through intensive case management to dense diabetic user populations over large land base.” Quote from the SDPI Spotlight Newsletter.

• Current Fort Belknap Participant Data as of 9/6/11

• Individuals in the HHP registry 153

• Number of consented participants 128

• Number with completed baseline• assessments 102

• Number with completed annual• assessments 64

• Number with completed 2-year• assessments 46

How Are We Doing?As of January 1, 2010

• National Average Fort Belknap Average3rd Annual

• Weight loss 1% Gained 4lbs• BMI decrease 1% 1.% gain• Waist decrease .9% .1% decrease• LDL decrease .9% .8% decrease• HDL increase 1.2% 1.05% increase• Triglyc. Decrease 1% 1% decrease• Tot. Chol. Decrease 1% 1% decrease• HbA1C decrease 1% 1% decrese

• Perspective

• A one point drop in HbA1C reduces diabetes-related• complications by 40%.

• Over a period of nine years, the 333 community-• directed grants dropped their national average by 1 • point.

• In three years Fort Belknap’s HHP participants dropped their • average HbA1C level by 1 point.