CDC Projects & Materials<
Tribal Public Health Capacity and Quality Improvement

OSTLTS has announced the six tribal and Native-serving awardees for its five-year Tribal Public Health Capacity Building and Quality Improvement Cooperative Agreement (2013-2018). Activities will focus on strengthening and improving the infrastructure and performance of tribal public health agencies and systems through capacity building and quality improvement.

The awardees for Priority Area 1 (tribal public health capacity building) are

    Bad River Band of Lake Superior Tribe of Chippewa Indians (Wisconsin)
    The Journey Towards Wellness Initiative will address cancer disease and prevention, decrease the incidence of late-stage cancer diagnosis, implement quality improvement measures, and progress toward public health accreditation. Funding will be used to create and implement resources and disease intervention programming currently unavailable due to limited resources.

    Inter-Tribal Council of Michigan (Michigan)
    The Upper Peninsula Tribal Breast Health Project will implement quality improvement projects to integrate evidence-based population interventions into the tribal public health system within four federally recognized tribes in Michiganís rural Upper Peninsula. Project goals are to improve health outcomes and lower rates of morbidity and mortality due to breast cancer for American Indian women by

    • Increasing breast health screening rates by 20% among the women aged 40 to 49
    • Decreasing the time between breast cancer screening, diagnosis, and treatment

    Kalispel Tribe of Indians (Washington)
    Kalispel Tribe developed a comprehensive array of health services; however, these programs and services typically operate in isolation from one another. Funding will be used to

    • Conduct a practice assessment to better understand opportunities for system improvement
    • Develop a system for data analysis to better integrate information, including financial and operational information, from various systems for the purposes of data mining
    • Provide training for the board of directors as well as staff and tribal leadership on health services, health system reform, and leadership requirements for a successful integrated healthcare system
    • Develop partnerships with experts, including the Spokane Regional Health District, around quality improvement
    • Achieve accreditation by the Public Health Accreditation Board
    • Implement an integrated system of continuous quality improvement that allows the tribe to realize its vision of healthy and active lifestyles

    Pascua Yaqui Tribe (Arizona)
    (we will give you this one later today or Monday)

    Toiyabe Indian Health Project (California)
    The Toiyabe Indian Health Project (Toiyabe) is a community medical center founded by nine tribes to bring medical care to tribal members in the remote high desert region of eastern California. Funds will allow community health representatives to

    • Provide in-home specialized primary prevention diabetes programs
    • Work collaboratively with other programs within Toiyabe to provide specialized services for families at high risk of developing diabetes
    • Undergo additional training in evidence-based methodology, motivational interviewing, and diabetes education

    The awardee for Priority Area 2 (project evaluator) is
    Native American Cancer Research Corporation (Colorado)
    The Priority 2 recipient will collaborate with the five Priority 1 awardees to evaluate the effectiveness of their respective, culturally adapted, evidence-based public health interventions. The goals of the project are to

    • Assess evaluation plans of Priority 1 projects
    • Evaluate tribal public health capacity building among Priority 1 awardees
    • Disseminate lessons learned through Priority 1 projects
    • Provide technical assistance

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