[Federal Register Volume 76, Number 35 (Tuesday, February 22, 2011)]
[Notices]
[Pages 9789-9805]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-3856]


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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.
    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.


[[Page 9790]]


    This program is described at 93.193 in the Catalog of Federal 
Domestic Assistance (CFDA).

Background

    Prior to the 1950s, most AI/ANs resided on reservations, in nearby 
rural towns, or in Tribal jurisdictional areas such as Oklahoma. In the 
era of the 1950s and 1960s, 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 
1950s and 1960s, 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 1960s, 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 
1960s, 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), Public Law 94-437, establishing the Urban 
Indian Health Program under Title V. Congress reauthorized the IHCIA in 
2010 under Public Law 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 grant. 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 
(http://www.grants.gov) or at: http://www.ihs.gov/NonMedicalPrograms/gogp/gogp_funding.asp.

[[Page 9791]]

    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:
    <bullet> Application forms:
     [cir] SF-424.
     [cir] SF-424A.
     [cir] SF-424B.
    <bullet> Budget Narrative (must be single spaced).
    <bullet> Project Narrative (must not exceed twenty-five pages).
    <bullet> 501(c)(3) Certificate.
    <bullet> Biographical sketches of all Key Personnel.
    <bullet> Disclosure of Lobbying Activities (SF-LLL) (if 
applicable), http://www. whitehouse.gov/sites/default/ files/omb/
grants/sflllin.pdf.
    <bullet> Documentation of current OMB A-133 required Financial 
Audits. Acceptable forms of documentation include:
     [cir] E-mail confirmation from the Federal Audit Clearinghouse 
(FAC) that audits were submitted; or
     [cir] Face sheets from audit reports. These can be found on the 
FAC Web site: 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 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 <a href="/cdn-cgi/l/email-protection#7704020707180503374b16571f0512114a" http: Grants.gov">Grants.gov</a>">support@Grants.gov</a> 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), <a href="/cdn-cgi/l/email-protection#134372667f3d747667676a60537a7b603d747c65"><span class="__cf_email__" data-cfemail="1c4c7d6970327b796868656f5c75746f327b736a">[email protected]</span></a> 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

    <bullet> 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;
    <bullet> The available funds are inclusive of direct and 
appropriate indirect costs;
    <bullet> Only one grant/cooperative agreement will be awarded per 
applicant; and
    <bullet> IHS will not acknowledge receipt of applications.

6. Electronic Submission Requirements

    Use the http://www.Grants.gov Web site 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 
Web site. 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:
    <bullet> 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.
    <bullet> 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: http://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).

[[Page 9792]]

    <bullet> 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.
    <bullet> If it is determined that a waiver is needed, you must 
submit a request in writing (e-mails are acceptable) to 
<a href="/cdn-cgi/l/email-protection#de99acbfb0aaad8eb1b2b7bda79eb7b6adf0b9b1a8"><span class="__cf_email__" data-cfemail="317643505f4542615e5d585248715859421f565e47">[email protected]</span></a> with a copy to <a href="/cdn-cgi/l/email-protection#5c083d313125721e3d3b3039251c35342f723b332a"><span class="__cf_email__" data-cfemail="4f1b2e222236610d2e28232a360f26273c61282039">[email protected]</span></a>. Please 
include a clear justification for the need to deviate from our standard 
electronic submission process.
    <bullet> 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.
    <bullet> 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.
    <bullet> Please use the optional attachment feature in Grants.gov 
to attach additional documentation that may be requested by the DGM.
    <bullet> All applicants must comply with any page limitation 
requirements described in this Funding Announcement.
    <bullet> 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 Web site 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 http://www.ccr.gov.
    Additional information on implementing FFATA, including the 
specific requirements for--DUNS, CCR, can be found on the IHS Grants 
Policy Web site: http://www.ihs.gov/NonMedicalPrograms/gogp/index.cfm?module=gogp_policy_topics

V. Application Review Information

1. 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:
    <bullet> UNDERSTANDING OF THE NEED AND NECESSARY CAPACITY (30 
Points)
    <bullet> WORK PLANS (40 Points)
    <bullet> PROJECT EVALUATION (15 Points)
    <bullet> ORGANIZATIONAL CAPABILITIES AND QUALIFICATIONS (10 Points)
    <bullet> 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 Web site 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 
Public Law 111-148, the Indian Health Care Improvement Act was made 
permanent.
    <bullet> 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.
    <bullet> 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.
    <bullet> Identify activities that demonstrate the UIHP improving 
quality of and access to care.
    a. April 1, 2010-December 31, 2010 accomplishments.

[[Page 9793]]

    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.
    <bullet> 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.
    <bullet> 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.
    <bullet> 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.
    <bullet> 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.
    <bullet> 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.
    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.
    <bullet> 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.
    <bullet> 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.
    <bullet> 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.
    <bullet> 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
    <bullet> 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, <a href="/cdn-cgi/l/email-protection#573336393e323b3b327924233220362533173e3f2479303821"><span class="__cf_email__" data-cfemail="8befeae5e2eee7e7eea5f8ffeefceaf9efcbe2e3f8a5ece4fd">[email protected]</span></a>
    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: (<greek-i>1) Diabetes: Ideal Glycemic Control: Proportion 
of patients with diagnosed diabetes with ideal glycemic control (A1c < 
7.0) achieve 2011 and 2012 target rates. (<greek-i>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. (<greek-i>9) Cancer Screening: Colorectal Rates: 
Proportion of eligible patients who have had appropriate colorectal 
cancer screening.

[[Page 9794]]

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 
(<greek-i>16) Domestic Violence/Intimate Partner Violence Screening, 
(<greek-i>17) Depression Screening, and (<greek-i>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 Web site 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.
    <bullet> 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, Public Law 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; or \1\
    (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.
    <SUP>1</SUP> Eligibility 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.

[[Page 9795]]



                                           SAMPLE 2011 HP/DP Work plan
----------------------------------------------------------------------------------------------------------------
            Objectives                 Activities/time line       Person responsible           Evaluation
----------------------------------------------------------------------------------------------------------------
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.
----------------------------------------------------------------------------------------------------------------
1. Develop school policies to       1. Schedule a meeting with  Program Coordinator..  Progress report on status
 address physical inactivity and     the school health board    School Administrator.   of policy and
 consumption of unhealthy foods in   in the first quarter of                            documentation of number
 the first year of the funding       the project.                                       of participants in
 year.                              2. Establish a parent                               parent advisory
                                     advisory committee to                              committee, and number of
                                     assist with the                                    meetings held.
                                     development of the policy
                                     in 2nd quarter.
2. Implement a classroom nutrition  1. Design pre/post test     Program Coordinator..  Pre/post knowledge,
 curriculum to increase awareness    survey and pilot test      IHS Nutritionist.....   attitude, and behavior
 about the importance of healthier   with group of students by                          survey.
 foods.                              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.
3. Implement physical activity in   1. Contract with SPARK PE   Program Coordinator..  1. Training evaluation
 at least four schools for grades    to train classroom         School Counselor and    and number of
 4th to 6th in first year of the     teachers to implement       PE teacher.            participants.
 funding.                            SPARK PE in the school by
                                     3rd Quarter.
                                    2. Train volunteers to      .....................  2. Pre/post FITNESSGRAM
                                     administer FITNESSGRAM to                          Data.
                                     collect baseline data and
                                     post data to assess
                                     changes.
----------------------------------------------------------------------------------------------------------------
Goal: To reduce tobacco use among residents of community X and Y.
----------------------------------------------------------------------------------------------------------------
1. Establish a tobacco-free policy  1. Schedule a meeting with  Tobacco Coordinator..  Documentation of the
 in the schools and Tribal           the Tribal Council and                             number of participants.
 buildings by year 1.                school board to increase
                                     awareness of the health
                                     effects of tobacco by
                                     June 2010.
                                    2. Schedule and conduct     Tobacco Coordinator..  Documentation of the
                                     tobacco awareness          Health Educator......   number of participants.
                                     education in the
                                     community, schools, and
                                     worksites by July 2010
                                     through September 2010.
                                    3. Draft a policy and       .....................  Documentation of whether
                                     present to the Tribal                              the policy was
                                     Council for approval by                            established.
                                     January 2011.
2. Coordinate and establish         1. Partner with the         Tobacco Coordinator..  Progress toward timeline.
 tobacco cessation programs with     American Cancer            Health Educator......
 the local hospitals and clinics.    Association and the        Pharmacist...........
                                     Tribal Health Education
                                     Coordinators to establish
                                     8-week tobacco cessation
                                     programs by July 2010.
                                    2. Meet with the hospital/  Tobacco Coordinator..  Progress report
                                     clinic administrators and  Health Educator......   indicating timeline is
                                     pharmacist to discuss and                          being met.
                                     develop a behavior-based
                                     tobacco cessation program.
                                    3. Design and disseminate   Tobacco Coordinator..  Number of brochures
                                     brochures and flyers of                            distributed.
                                     the tobacco cessation
                                     programs that are
                                     available in the
                                     community and clinic.
                                    4. Meet with nursing and    Health Educator        .........................
                                     medical provider staff to  Tobacco Coordinator..
                                     increase patient referral
                                     to tobacco cessation
                                     program.
                                    5. Implement the 8-week     Tobacco Coordinator    RPMS data--baseline
                                     tobacco cessation program                          <greek-i> of referrals,
                                     at the community X and Y                           <greek-i> of
                                     clinic.                                            participants who
                                                                                        completed program,
                                                                                        <greek-i> who quit
                                                                                        tobacco.
----------------------------------------------------------------------------------------------------------------


[[Page 9796]]

(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 <a href="/cdn-cgi/l/email-protection#c1a0acb8efa6b3aeaeac81a8a9b2efa6aeb7"><span class="__cf_email__" data-cfemail="bcddd1c592dbced3d3d1fcd5d4cf92dbd3ca">[email protected]</span></a> 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 doses of pneumococcal conjugate vaccine 
(PCV).

                                Sample Urban Grant FY 2012 Work Plan Immunization
----------------------------------------------------------------------------------------------------------------
                                  Service or         Target
 Primary prevention objective      program         population         Process measure         Outcome measures
----------------------------------------------------------------------------------------------------------------
Protect children and           Immunization     Children <3      On a quarterly basis:      As of June 30th
 communities from vaccine       program.         years.          <greek-i> of children 3-    2012:
 preventable diseases.                                            27 months old..
                                                                 <greek-i> of children 3-
                                                                  27 months old who are
                                                                  children up to date with
                                                                  age appropriate
                                                                  vaccinations.
                                                                 % of 3-27 month old        % of 19-35 month
                                                                  children up to date with   olds up to date
                                                                  age appropriate            with the 431331 and
                                                                  vaccinations.              4313314 vaccine
                                                                                             series.
                                                                 <greek-i> of children 19-
                                                                  35 months old.
                                                                 <greek-i> of children 19-
                                                                  35 months old who
                                                                  received the 431331 and
                                                                  4313314 vaccine series.
                                                                 <greek-i> of children 19-
                                                                  35 months old who
                                                                  received the 431331 and
                                                                  4313314 vaccine series.
Protect adolescents and        Immunization     Adolescents 13-  On a quarterly basis:      As of June 30th
 communities from vaccine       program.         17 years.       <greek-i> of adolescents    2012:
 preventable diseases.                                            13-17 years old..
                                                                 <greek-i> of adolescents   % of adolescents 13-
                                                                  13-17 years old who are    17 years old who
                                                                  up to date with Tdap,      are up to date with
                                                                  Tdap/Td, Meningococcal,    Tdap.
                                                                  and 1, 2 and 3 dose of
                                                                  HPV (females only).
                                                                 % of adolescents 13-17     % of adolescents 13-
                                                                  years old who are up to    17 years old who
                                                                  date with Tdap, Tdap/Td,   are up to date with
                                                                  Meningococcal, and 1, 2    Tdap, females only.
                                                                  and 3 dose of HPV
                                                                  (females only).
                                                                                            <greek-i> of
                                                                                             adolescents 13-17
                                                                                             years old who are
                                                                                             up to date with
                                                                                             Meningococcal
                                                                                             vaccine.
                                                                                            <greek-i> of
                                                                                             adolescents 13-17
                                                                                             years old who are
                                                                                             up to date with 1,
                                                                                             2 and 3 dose of HPV
                                                                                             (females only).
Protect adults and             Immunization     All ages.......  On a quarterly basis       As of June 30th,
 communities from influenza.    program.                          during flu season (e.g.,   2012:
                                                                  Sept-June)
                                                                 <greek-i> of patients
                                                                  (all ages)..
                                                                 <greek-i> of patients who  <greek-i> of
                                                                  received a seasonal flu    patients who
                                                                  shot during the flu        received a seasonal
                                                                  season.                    flu shot during the
                                                                                             flu season.

[[Page 9797]]

 
                                                                 % of patients who          % of patients who
                                                                  received a seasonal flu    received a seasonal
                                                                  shot during flu season.    flu shot during the
                                                                                             flu season.
Protect adults and             Immunization     Adults >65       On a quarterly basis:      As of June 30th,
 communities from influenza &   program.         years.          <greek-i> of adults 65+     2012:
 Pneumovax.                                                       years..
                                                                 <greek-i> of adults 65+    % of adults 65+
                                                                  years who received an      years who received
                                                                  influenza shot during      an influenza shot
                                                                  flu season.                Sept. 1, 2010-June
                                                                 <greek-i> of adults 65+     30, 2011.
                                                                  years who received a
                                                                  pneumovax shot.
                                                                 % of adults 65+ years who  % of adults 65+
                                                                  received an influenza      years who received
                                                                  shot during flu season.    a pneumovax shot
                                                                 % of adults 65+ years who   ever
                                                                  received a pneumovax
                                                                  shot..
----------------------------------------------------------------------------------------------------------------

(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:
    <bullet> State the number of patient encounters (or specific 
service) per provider staff for this program service,
    <bullet> List populations and age groups that were targeted 
(homeless, women, youth, elders, men, etc.), and
    <bullet> 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 Halfway 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:
    <bullet> Percentage of FTEs funded by IHS grant funding; and
    <bullet> 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
    <bullet> Name of Program Accreditation
    <bullet> Type of evidence-based practice
    <bullet> Type of practice-based model
D. Attach the Alcohol/Substance Abuse Work Plan.

IHS Urban Grant FY 2011 Work Plan

[[Page 9798]]



                                                    Alcohol/Substance Abuse Program Sample Work Plan
--------------------------------------------------------------------------------------------------------------------------------------------------------
             Objectives                Service or program       Target population       Process measure        Outcome measures       Data source for
----------------------------------------------------------------------------------------------------------------------------------        measures
                                                                                                            What information will ----------------------
                                      What type of program     Who do you hope to    What information will   you collect to find    Where will you find
 What are you trying to accomplish?      do you propose?     serve in your program?  you collect about the    out the results of    the information you
                                                                                      program  activities?      your program?             collect?
--------------------------------------------------------------------------------------------------------------------------------------------------------
To prevent substance abuse among     Community-based         American Indian youth   <greek-i> of youth     Incidence/prevalence   Medical records, RPMS
 urban American Indian youth.         substance abuse         ages 5-18 years old.    completing the         of substance abuse/    behavioral health
                                      prevention curriculum.                          curriculum, <greek-    dependence.            package, National
                                                                                      i> of sessions                                Youth Survey.
                                                                                      conducted, <greek-i>
                                                                                      of staff trained.
To prevent substance abuse and       Afterschool, summer,    American Indian youth   <greek-i> of youth     Incidence of           Charts, RPMS
 related problems.                    and weekend             ages 5-14 years old.    completing community-  substance abuse,       behavioral health
                                      activities (e.g.                                based sessions,        incidence of           package, National
                                      outdoor experiential                            <greek-i> of parents   negative and           Youth Survey.
                                      activities, camps,                              completing community-  positive attitudes
                                      classroom based                                  based sessions,       and behaviors,
                                      problem solving                                 <greek-i> of           incidence of peer
                                      activities).                                    community-based        drug use.
                                                                                      sessions.
Reduce drug use and increase         Matrix model for        American Indian adult   <greek-i> of clients   Incidence of drug      Medical records, RPMS
 treatment retention.                 outpatient treatment.   methamphetamine         completing program,    use, increase or       behavioral health
                                                              clients.                <greek-i> of relapse   decrease in            package, Addiction
                                                                                      prevention sessions,   treatment retention,   Severity Index,
                                                                                      <greek-i> of family    positive or negative   results of urine
                                                                                      and group therapies,   urine samples.         tests.
                                                                                      <greek-i> of drug
                                                                                      education sessions,
                                                                                      <greek-i> of self-
                                                                                      help groups, <greek-
                                                                                      i> 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 information will ----------------------
                                      What type of program     Who do you hope to    What information will   you collect to find    Where will you find
 What are you trying to accomplish?      do you propose?     serve in your program?  you collect about the    out the results of    the information you
                                                                                      program  activities?      your program?             collect?
--------------------------------------------------------------------------------------------------------------------------------------------------------
To promote mental health...........  American Indian Life    American Indian youth   <greek-i> of youth     Feelings of            Medical records, RPMS
                                      Skills Development      ages 13-17 years old.   completing the         hopelessness,          behavioral health
                                      curriculum.                                     curriculum, <greek-    problem solving        package, Beck
                                                                                      i> of sessions         skills.                Hopelessness Scale,
                                                                                      conducted, <greek-i>                          problem solving
                                                                                      of teachers trained,                          skills.
                                                                                      number of community
                                                                                      resource leaders
                                                                                      trained.
Improve the mental health of         Home-based, community-  American Indian         <greek-i> of           Reduced child          Medical records, RPMS
 American Indian children and their   based, and office-      children and their      individual, couples,   involvement in         behavioral health
 families.                            based mental health     families needing        group, and family      juvenile justice and   package coping skill
                                      counseling.             services from our       counseling sessions,   child welfare,         measure, report
                                                              community-based         <greek-i> of home,     improved coping        cards, attendance
                                                              program.                community, and         skills, improved       records.
                                                                                      office-based visits.   school attendance
                                                                                                             and grades.
Reduce symptoms related to trauma..  Mental health           American Indian adults  <greek-i> of           Incidence of Post-     Self-report PTSD,
                                      counseling with                                 individual, couples,   Traumatic Stress       Beck Depression
                                      cognitive behavioral                            group, and family      Disorder (PTSD)        Inventory, coping
                                      therapy intervention                            counseling sessions,   symptoms, incidence    skills measure, peer
                                      and historical trauma                           <greek-i> of           of depression,         and family support
                                      intervention.                                   historical trauma      increased coping       measure, medical
                                                                                      groups, <greek-i> of   skills, increased      records, RPMS
                                                                                      adults counseled.      peer and family        behavioral health
                                                                                                             support.               package.
--------------------------------------------------------------------------------------------------------------------------------------------------------


[[Page 9799]]

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

BILLING CODE 4165-16-P

[[Page 9800]]

[GRAPHIC] [TIFF OMITTED] TN22FE11.033

BILLING CODE 4165-16-C

[[Page 9801]]

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:
    <bullet> 45 CFR Part 92, Uniform Administrative Requirements for 
Grants and Cooperative Agreements to State, Local and Tribal 
Governments.
    <bullet> 45 CFR Part 74, Uniform Administrative Requirements for 
Grants and Agreements with Institutions of Higher Education, 
Hospitals, and other Non-profit Organizations.
    C. Grants Policy:
    <bullet> HHS Grants Policy Statement, Revised 01/07.
    D. Cost Principles:
    <bullet> Title 2: Grant and Agreements, Part 225--Cost 
Principles for State, Local, and Indian Tribal Governments (OMB A-
87).
    <bullet> Title 2: Grant and Agreements, Part 230--Cost 
Principles for Non-Profit Organizations (OMB Circular A-122).
    E. Audit Requirements:
    <bullet> OMB Circular A-133, Audits of States, Local 
Governments, and Non-profit Organizations.

[[Page 9802]]

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. 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: http://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 Web site 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 <a href="/cdn-cgi/l/email-protection#d7a7bfaebbbbbea4f9a0b8bbb1b297bebfa4f9b0b8a1"><span class="__cf_email__" data-cfemail="394951405555504a174e56555f5c7950514a175e564f">[email protected]</span></a>.

    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 <a href="/cdn-cgi/l/email-protection#573336393e323b3b327924233220362533173e3f2479303821"><span class="__cf_email__" data-cfemail="dabebbb4b3bfb6b6bff4a9aebfadbba8be9ab3b2a9f4bdb5ac">[email protected]</span></a>.

    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 
<a href="/cdn-cgi/l/email-protection#2656474a4a495608454e4754434948504949524f52474b664f4e5508414950"><span class="__cf_email__" data-cfemail="3141505d5d5e411f52595043545e5f475e5e455845505c715859421f565e47">[email protected]</span></a>.

    Dated: February 7, 2011.
Yvette Roubideaux,
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             Alaska Area IHS Office
Janelle Trottier, MSW, LCSW,         Margaret David, BS, Alaska Native
 Aberdeen Area Health Systems         Tribal Health Consortium,
 Specialist, 115 Fourth Avenue, SE,   Community Health Services, Office
 Rm 309, Aberdeen, SD 57401, Phone:   of Alaska Native Health Research,
 (605) 226-7474, Fax: (605) 226-      4000 Ambassador Drive--Floor 4,
 7670, Email:                         Anchorage, AK 99508, Phone: (907)
 <a href="/cdn-cgi/l/email-protection#dfb5beb1bab3b3baf1abadb0ababb6baad9fb6b7acf1b8b0a9"><span class="__cf_email__" data-cfemail="4e242f202b22222b603a3c213a3a272b3c0e27263d60292138">[email protected]</span></a>..           729-3634, Fax: (907) 729-3652,
                                      Email: <a href="/cdn-cgi/l/email-protection" class="__cf_email__" data-cfemail="f89597909c998e919cb899968c909bd6978a9f">[email protected]</a>.
Albuquerque Area IHS Office          Bemidji Area IHS Office

[[Page 9803]]

 
Theresa Clay, MS, 5300 Homestead     Michelle Archuleta, MS, 522
 Road, NE, Division of Clinical       Minnesota Ave., NW, Bemidji, MN
 Quality/HPDP, Albuquerque, NM        56601, Phone: (218) 444-0492, Fax:
 87110, Phone: (505) 248-4772, Fax:   (218) 444-0513, Email:
 (505) 248-4257, Email:               <a href="/cdn-cgi/l/email-protection#1c71757f7479707079327d6e7f74697079687d5c75746f327b736a"><span class="__cf_email__" data-cfemail="016c686269646d6d642f60736269746d647560416869722f666e77">[email protected]</span></a>.
 <a href="/cdn-cgi/l/email-protection#d4a0bcb1a6b1a7b5fab7b8b5ad94bdbca7fab3bba2"><span class="__cf_email__" data-cfemail="2b5f434e594e584a0548474a526b424358054c445d">[email protected]</span></a>..
Billings Area IHS Office             California Area IHS Office
VACANT, 2900 4th Ave. N., P.O. Box   Beverly Calderon, RD, MS, CDE, 1320
 36600, Billings, MT 59107, Phone:    W. Valley Parkway, Suite 309,
 (406) 247-7118, Fax: (406) 247-      Escondido, CA 92029, Phone: (760)
 7231, Email:.                        735-6884, Fax: (760) 735-6893,
                                      Email: <a href="/cdn-cgi/l/email-protection#6a080f1c0f18061344090b060e0f1805042a030219440d051c"><span class="__cf_email__" data-cfemail="88eaedfeedfae4f1a6ebe9e4ecedfae7e6c8e1e0fba6efe7fe">[email protected]</span></a>.
Nashville Area IHS Office            Navajo Area IHS Office
VACANT, 711 Stewarts Ferry Pike,     Marie Nelson, BS, Navajo Area
 Nashville, TN 37214-2634, Phone:     Indian Health Service, P.O. Box
 (615) 467-1628, Fax: (615) 467-      9020 (NAIHS Complex), Window Rock,
 1665, Email:.                        AZ 86515-9020, Phone: (928) 871-
                                      1338, Fax: (928) 871-5872, Email:
                                      <a href="/cdn-cgi/l/email-protection#127f73607b773c7c777e617d7c527c733c7b7a613c757d64"><span class="__cf_email__" data-cfemail="402d213229256e2e252c332f2e002e216e2928336e272f36">[email protected]</span></a>.
Oklahoma Area IHS Office             Phoenix Area IHS Office
Freda Carpitcher, MPH, Five          Shannon Beyale, MPH, Phoenix Area
 Corporate Plaza, 3625 NW 56th        Indian Health Service, Two
 Street, Oklahoma City, OK 73112,     Renaissance Square, 40 North
 Phone: (405) 951-3717, Fax: (405)    Central Ave., Phoenix AZ 85004,
 951-3916 , Email:                    Phone: (602) 364-5155, Fax: (602)
 <a href="/cdn-cgi/l/email-protection#57312532333679343625273e23343f3225173e3f2479303821"><span class="__cf_email__" data-cfemail="80e6f2e5e4e1aee3e1f2f0e9f4e3e8e5f2c0e9e8f3aee7eff6">[email protected]</span></a>..           364-5025, Email:
                                      Shannon.beyale@ihs. gov.
Portland Area IHS Office             Tucson Area IHS Office
Joe W. Law, BS, 1414 NW Northrup     Shawnell Damon, MPH, 7900 South
 St., Ste. 800, Portland, OR 97209,   ``J'' Stock Road, Tucson, AZ 85746-
 Phone: (503) 414-5597, Fax: (503)    7012, Phone: (520) 295-2492, Fax:
 414-7795, Email: <a href="/cdn-cgi/l/email-protection#462c2923682a2731062f2e3568212930"><span class="__cf_email__" data-cfemail="52383d377c3e3325123b3a217c353d24">[email protected]</span></a>.    (520) 295-2602, Email:
                                      <a href="/cdn-cgi/l/email-protection#2c5f444d5b4249404002484d4143426c45445f024b435a"><span class="__cf_email__" data-cfemail="ea99828b9d848f8686c48e8b878584aa838299c48d859c">[email protected]</span></a>.
IHS National Programs Albuquerque
Alberta Becenti, MPH, 5300           ...................................
 Homestead Rd., NE, Albuquerque, NM
 87110, Phone: (505) 248-4238,
 Email: <a href="/cdn-cgi/l/email-protection#2a4b46484f585e4b04484f494f445e436a434259044d455c"><span class="__cf_email__" data-cfemail="b4d5d8d6d1c6c0d59ad6d1d7d1dac0ddf4dddcc79ad3dbc2">[email protected]</span></a>.
------------------------------------------------------------------------

DIVISION OF BEHAVIORAL HEALTH

Behavioral Health Area Consultants Point of Contacts

------------------------------------------------------------------------
 
------------------------------------------------------------------------
ABERDEEN:
    Vicki Claymore-Lahammer, PhD, (605)  Federal Building, 115 Fourth
     226-7341, vicki.claymore-            Avenue, SE., Aberdeen, SD
     <a href="/cdn-cgi/l/email-protection" class="__cf_email__" data-cfemail="c4a8a5aca5a9a9a1b684adacb7eaa3abb2">[email protected]</a>.                    57401.
ALBUQUERQUE:
    Christopher Fore, PhD, (505) 248-    5300 Homestead Road, NE.,
     4444, <a href="/cdn-cgi/l/email-protection#90f3f8e2f9e3e4ffe0f8f5e2bef6ffe2f5d0f9f8e3bef7ffe6"><span class="__cf_email__" data-cfemail="c4a7acb6adb7b0abb4aca1b6eaa2abb6a184adacb7eaa3abb2">[email protected]</span></a>.      Albuquerque, NM 87110.
ALASKA:
    Kathleen Graves, PhD, (907) 729-     4000 Ambassador Drive, Room
     4594, <a href="/cdn-cgi/l/email-protection#325955405344574172535c5f511c5d4055"><span class="__cf_email__" data-cfemail="1b707c697a6d7e685b7a7576783574697c">[email protected]</span></a>.              443, Anchorage, AK 99508.
BEMIDJI:
    Dawn L. Wylie, MD, MPH, (218) 444-   522 Minnesota Avenue, Bemidji,
     0491, <a href="/cdn-cgi/l/email-protection#432722342d6d343a2f2a26032a2b306d242c35"><span class="__cf_email__" data-cfemail="1b7f7a6c75356c6277727e5b727368357c746d">[email protected]</span></a>.            MN 56601.
BILLINGS:
    Susan Fredericks, RPH, MA, (406)     2900 4th Avenue North,
     247-7104, <a href="/cdn-cgi/l/email-protection#5e2d2b2d3f3070382c3b3a3b2c373d352d1e37362d70393128"><span class="__cf_email__" data-cfemail="3c4f494f5d52125a4e5958594e555f574f7c55544f125b534a">[email protected]</span></a>.  Billings, MT 59101.
    Margene Tower, R.N., M.S., (406)      Do.
     247-7116, <a href="/cdn-cgi/l/email-protection#e588849782808b80cb918a928097a58c8d96cb828a93"><span class="__cf_email__" data-cfemail="bad7dbc8dddfd4df94ced5cddfc8fad3d2c994ddd5cc">[email protected]</span></a>.
CALIFORNIA:
    David Sprenger, MD, (916) 930-3981,  650 Capitol Mall, Suite 7-100,
     Ext. 321, <a href="/cdn-cgi/l/email-protection#3e5a5f48575a104d4e4c5b50595b4c7e57564d10595148"><span class="__cf_email__" data-cfemail="8aeeebfce3eea4f9faf8efe4edeff8cae3e2f9a4ede5fc">[email protected]</span></a>.    Sacramento, CA 95814.
    Dawn M. Phillips, R.N., M.P.A.,       Do.
     (916) 930-3981, Ext. 331,
     <a href="/cdn-cgi/l/email-protection#ef8b8e9881c19f87868383869f9caf86879cc1888099"><span class="__cf_email__" data-cfemail="1f7b7e6871316f77767373766f6c5f76776c31787069">[email protected]</span></a>.
NASHVILLE:
    Palmeda Taylor, PhD, (615) 467-      711 Stewarts Ferry Pike,
     1534, <a href="/cdn-cgi/l/email-protection#ea9a8b86878f8e8bc49e8b93868598aa838299c48d859c"><span class="__cf_email__" data-cfemail="0171606d6c6465602f7560786d6e73416869722f666e77">[email protected]</span></a>.        Nashville, TN 37214.
NAVAJO:
    Jayne Talk-Sanchez, (505) 368-7420,  N. HWY 666, P.O. Box 160,
     <a href="/cdn-cgi/l/email-protection#573d362e39327923363b3c7a243639343f322d173e3f2479303821"><span class="__cf_email__" data-cfemail="147e756d7a713a6075787f3967757a777c716e547d7c673a737b62">[email protected]</span></a>.          Shiprock, NM 87420.
OKLAHOMA:
    Don Carter, (405) 951-3817,          5 Corporate Plaza, 3625 NW.
     <a href="/cdn-cgi/l/email-protection#cca8a3a2e2afadbeb8a9be8ca5a4bfe2aba3ba"><span class="__cf_email__" data-cfemail="90f4fffebef3f1e2e4f5e2d0f9f8e3bef7ffe6">[email protected]</span></a>.                  56th Street, Oklahoma City, OK
                                          73112.
PHOENIX:
    David Atkins, LISW, ACSW, (602) 364- 40 North Central Avenue, Suite
     5159, <a href="/cdn-cgi/l/email-protection#2b4f4a5d424f054a5f404245586b424358054c445d"><span class="__cf_email__" data-cfemail="7115100718155f10051a181f02311819025f161e07">[email protected]</span></a>.          606, Phoenix, AZ 85004.
    David McIntyre, (602) 364-5183,       Do.
     <a href="/cdn-cgi/l/email-protection#f39792859a97dd9e909a9d878a8196b39a9b80dd949c85"><span class="__cf_email__" data-cfemail="cda9acbba4a9e3a0aea4a3b9b4bfa88da4a5bee3aaa2bb">[email protected]</span></a>, Mental
     Health Consultant.
    Linda Westover, LCSW, (602) 364-      Do.
     5157, <a href="/cdn-cgi/l/email-protection#ddb1b4b3b9bcf3aab8aea9b2abb8af9db4b5aef3bab2ab"><span class="__cf_email__" data-cfemail="0e6267606a6f20796b7d7a61786b7c4e67667d20696178">[email protected]</span></a>,
     Social Work Consultant.
PORTLAND:
    Ann Arnett, (503) 326-2005,          1220 SW. Third Avenue, Room
     <a href="/cdn-cgi/l/email-protection#96d7f8f8b8f7e4f8f3e2e2d6fffee5b8f1f9e0"><span class="__cf_email__" data-cfemail="c584ababeba4b7aba0b1b185acadb6eba2aab3">[email protected]</span></a>.                  476, Portland, OR 97204.
TUCSON:
    Patricia Nye, MD, LISAC, (520) 295-  7900 South J Stock Road,
     2469, <a href="/cdn-cgi/l/email-protection#7000110402191319115e1e0915301918035e171f06"><span class="__cf_email__" data-cfemail="b9c9d8cdcbd0dad0d897d7c0dcf9d0d1ca97ded6cf">[email protected]</span></a>.          Tucson, AZ 85746.
HQ STAFF:
    Shelly Carter, (301) 443-0226,       801 Thompson Ave., Suite 300,
     <a href="/cdn-cgi/l/email-protection#17647f727b7b6e39747665637265577e7f6439707861"><span class="__cf_email__" data-cfemail="9ceff4f9f0f0e5b2fffdeee8f9eedcf5f4efb2fbf3ea">[email protected]</span></a>.               Rockville, MD 20852.
    Michele Muir, (301) 443-2040,         Do.
     <a href="/cdn-cgi/l/email-protection#05686c666d6069602b68706c77456c6d762b626a73"><span class="__cf_email__" data-cfemail="34595d575c5158511a59415d46745d5c471a535b42">[email protected]</span></a>.
    Rose Weahkee, PhD, (301) 443-1539,    Do.
     <a href="/cdn-cgi/l/email-protection#e0928f9385ce978581888b8585a0898893ce878f96"><span class="__cf_email__" data-cfemail="a1d3ced2c48fd6c4c0c9cac4c4e1c8c9d28fc6ced7">[email protected]</span></a>.
    Amina Bashir, (301) 443-6581,         Do.
     <a href="/cdn-cgi/l/email-protection#0564686c6b642b6764766d6c77456c6d762b626a73"><span class="__cf_email__" data-cfemail="6c0d0105020d420e0d1f04051e2c05041f420b031a">[email protected]</span></a>.
    Debbie Black, (301) 443-8028,         Do.
     <a href="/cdn-cgi/l/email-protection#a3c7c6c1c1cac68dc1cfc2c0c8e3cacbd08dc4ccd5"><span class="__cf_email__" data-cfemail="e98d8c8b8b808cc78b85888a82a980819ac78e869f">[email protected]</span></a>.
    Jon Perez, PhD, (301) 281-1777,      Phoenix, AZ.
     <a href="/cdn-cgi/l/email-protection#97fdf8f9b9e7f2e5f2edd7feffe4b9f0f8e1"><span class="__cf_email__" data-cfemail="2c464342025c495e49566c45445f024b435a">[email protected]</span></a>.
------------------------------------------------------------------------


[[Page 9804]]


                Area GPRA Coordinators as of August 2009
------------------------------------------------------------------------
                                         GPRA               Contact
              Area                  coordinator(s)        information
------------------------------------------------------------------------
Aberdeen........................  Janelle Trottier..  <a href="/cdn-cgi/l/email-protection#97fdf6f9f2fbfbf2b9e3e5f8e3e3fef2e5d7feffe4b9f0f8e1"><span class="__cf_email__" data-cfemail="2349424d464f4f460d57514c57574a4651634a4b500d444c55">[email protected]</span></a>, (605) 226-
                                                       7474
Alaska..........................  Bonnie Boedeker...  <a href="/cdn-cgi/l/email-protection#94d6fbfafafdf1bad6fbf1f0f1fff1e6d4fdfce7baf3fbe2"><span class="__cf_email__" data-cfemail="baf8d5d4d4d3df94f8d5dfdedfd1dfc8fad3d2c994ddd5cc">[email protected]</span></a>, (907) 729-
                                                       3665.
Albuquerque.....................  Steve Petrakis....  <a href="/cdn-cgi/l/email-protection#3a494e5f4c5f144a5f4e485b5153497a535249145d554c"><span class="__cf_email__" data-cfemail="2c5f58495a49025c49585e4d47455f6c45445f024b435a">[email protected]</span></a>, (505) 248-
                                                       1361.
Bemidji.........................  Jason Douglas.....  <a href="/cdn-cgi/l/email-protection#b1fbd0c2dedf9ff5dec4d6ddd0c2f1d8d9c29fd6dec7"><span class="__cf_email__" data-cfemail="1a507b697574345e756f7d767b695a737269347d756c">[email protected]</span></a>, (218) 444-
                                                       0550.
Billings........................  Carol Strashiem...  <a href="/cdn-cgi/l/email-protection#553634273a397b26212734263d303c38153c3d267b323a23"><span class="__cf_email__" data-cfemail="b7d4d6c5d8db99c4c3c5d6c4dfd2dedaf7dedfc499d0d8c1">[email protected]</span></a>, (406) 247-
                                                       7111.
California......................  Elaine Brinn......  <a href="/cdn-cgi/l/email-protection#8acfe6ebe3e4efa4c8f8e3e4e4cae3e2f9a4ede5fc"><span class="__cf_email__" data-cfemail="12577e737b7c773c50607b7c7c527b7a613c757d64">[email protected]</span></a>, (916) 930-
                                                       3927 ext. 320.
Nashville.......................  Kristina Rogers...  <a href="/cdn-cgi/l/email-protection#b2f9c0dbc1c6dbdcd39ce0ddd5d7c0c1f2dbdac19cd5ddc4"><span class="__cf_email__" data-cfemail="662d140f15120f080748340901031415260f0e1548010910">[email protected]</span></a>, (615) 467-
                                                       2926.
Navajo..........................  Jenny Notah.......  <a href="/cdn-cgi/l/email-protection#f5b2909b90839c908390dbbb9a81949db59c9d86db929a83"><span class="__cf_email__" data-cfemail="bff8dad1dac9d6dac9da91f1d0cbded7ffd6d7cc91d8d0c9">[email protected]</span></a>, (928) 871-
                                                       5836.
Oklahoma........................  Marjorie Rogers...  <a href="/cdn-cgi/l/email-protection#f8b5998a92978a919dd6aa979f9d8a8bb895999194d691908bd69f978e"><span class="__cf_email__" data-cfemail="0c416d7e66637e6569225e636b697e7f4c616d65602265647f226b637a">[email protected]</span></a>, (405)
                                                       951-6020.
Phoenix.........................  Jody Sekerak......  <a href="/cdn-cgi/l/email-protection#fab0959e83d4a99f919f889b91ba939289d49d958c"><span class="__cf_email__" data-cfemail="2963464d50077a4c424c5b48426940415a074e465f">[email protected]</span></a>, (602) 364-
                                                       5274.
Portland........................  Mary Brickell.....  <a href="/cdn-cgi/l/email-protection#ca87abb8b3e488b8a3a9a1afa6a68aa3a2b9e4ada5bc"><span class="__cf_email__" data-cfemail="5a173b28237418283339313f36361a333229743d352c">[email protected]</span></a>, (503) 326-
                                                       5592.
Tucson..........................  Scott Hamstra, M.D  <a href="/cdn-cgi/l/email-protection#2a7949455e5e04424b47595e584b6a434259044d455c"><span class="__cf_email__" data-cfemail="d88bbbb7acacf6b0b9b5abacaab998b1b0abf6bfb7ae">[email protected]</span></a>, (520) 295-
                                                       2406.
------------------------------------------------------------------------


                                                              IHS/VA Area Points of Contact
--------------------------------------------------------------------------------------------------------------------------------------------------------
 
--------------------------------------------------------------------------------------------------------------------------------------------------------
IHS                                                                    VA
--------------------------------------------------------------------------------------------------------------------------------------------------------
Aberdeen Area--North Dakota, South   Dr. George Ceremuga     <a href="/cdn-cgi/l/email-protection" class="__cf_email__" data-cfemail="8cebe9e3feebe9a2efe9fee9e1f9ebedcce5e4ffa2ebe3">[email protected]</a>  VISN 23--South         Ms. Carla Belle        carlabelle.alexander@
 Dakota, Iowa, Nebraska.              (Acting).               v, (605)-964-7724.      Dakota, North          Alexander.             va.gov, (605) 720-
                                                                                      Dakota, Nebraska,                             7337.
                                                                                      Iowa, Minnesota.
Alaska Area--Alaska................  Dr. Kenneth Glifort...  <a href="/cdn-cgi/l/email-protection" class="__cf_email__" data-cfemail="3b705e55555e4f53157c57525d54494f7b525348155c54">[email protected]</a>  VISN 20--Alaska,       Mr. Alexander Spector  alexander.spector@va.
                                                              v, (907) 729-3686.      Idaho, Oregon,                                gov, (907) 257-5460.
                                                                                      Washington.
Albuquerque Area--Colorado, New      Dr. Leonard Thomas....  <a href="/cdn-cgi/l/email-protection" class="__cf_email__" data-cfemail="0a466f6465646b786e245e6265676b794a636279246d65">[email protected]</a>  VISN 18--New Mexico,   VISN 18--Ms. Deborah   deborah.thompson7ec@
 Mexico, Texas.                                               v, (505) 248-4115.      Texas, Arizona.        Thompson.              va.gov, (928) 776-
                                                                                                                                    6001.
                                                                                     VISN 19--Colorado,     VISN 19--Mr. James     <a href="/cdn-cgi/l/email-protection#1c767d71796f327a707365785c207d3c746e797a21" http: va.gov">va.gov</a>">james.floyd@va.gov</a>,
                                                                                      Utah, Montana.         Floyd.                 (801) 582-1565
                                                                                                                                    x1500.
Bemidji--Minnesota, Wisconsin,       Dr. Dawn Wyllie.......  <a href="/cdn-cgi/l/email-protection#85c1e4f2ebabd2fce9e9ece0c5ecedf6abe2eaf3"><span class="__cf_email__" data-cfemail="de9abfa9b0f089a7b2b2b7bb9eb7b6adf0b9b1a8">[email protected]</span></a>,    VISN 11--Michigan,     VISN 11--Mr. Gabriel   <a href="/cdn-cgi/l/email-protection#71165f011403140b314d1051190314174c" http: va.gov">va.gov</a>">g.perez@va.gov</a>, (734)
 Michigan.                                                    (218) 444-0491.         Illinois, Indiana.     Perez.                 761-5488.
                                                                                     VISN 12--Illinois,     VISN 12--Dr. Ed        <a href="/cdn-cgi/l/email-protection#d8bdbcafb1b6f6a2b9aab4b1b6bf98e4b9f8b0aabdbee5" http: va.gov">va.gov</a>">edwin.zarling@va.gov</a>,
                                                                                      Wisconsin, Michigan.   Zarling.               (708) 202-8413.
                                                                                     VISN 23--Minnesota,    VISN 23--Ms. Carla     carlabelle.alexander@
                                                                                      SD, ND, IA, NE.        Belle Alexander.       va.gov, (605) 720-
                                                                                                                                    7337.
Billings--Montana, Wyoming.........  Dr. Doug Moore........  <a href="/cdn-cgi/l/email-protection#3c5853495b125153534e597c55544f125b534a"><span class="__cf_email__" data-cfemail="cda9a2b8aae3a0a2a2bfa88da4a5bee3aaa2bb">[email protected]</span></a>,     VISN 19--Wyoming,      Mr. James Floyd......  <a href="/cdn-cgi/l/email-protection#5238333f37217c343e3d2b36126e33723a2037346f" http: va.gov">va.gov</a>">james.floyd@va.gov</a>,
                                                              (406) 247-7129.         Colorado, Montana,                            (801) 582-1565
                                                                                      Utah.                                         x1500.
California--California, Hawaii.....  Dr. David Sprenger....  <a href="/cdn-cgi/l/email-protection#9efaffe8f7fab0edeeecfbf0f9fbecdef7f6edb0f9f1e8"><span class="__cf_email__" data-cfemail="076366716e63297477756269606275476e6f7429606871">[email protected]</span></a>  VISN 21--Northern      VISN 21--Ms. Martha    <a href="/cdn-cgi/l/email-protection#f79a9685839f96d9969c859887b7cb96d79f859291ca" http: va.gov">va.gov</a>">martha.akrop@va.gov</a>,
                                                              , (916) 930-3981.       California, Hawaii,    Akrop.                 (775) 328-1428.
                                                                                      Nevada.
                                                                                     VISN 22--So.           VISN 22--Ms. Barbara   <a href="/cdn-cgi/l/email-protection#ea888b98888b988bc48c8b86868f84aad68bca82988f8cd7" http: va.gov">va.gov</a>">barbara.fallen@va.gov</a>
                                                                                      California, Nevada.    Fallen.                , (562) 826-5963.
Headquarters--Washington D.C./       Dr. Susan Karol.......  <a href="/cdn-cgi/l/email-protection#0d7e787e6c6323666c7f62614d64657e236a627b"><span class="__cf_email__" data-cfemail="e89b9d9b8986c683899a8784a881809bc68f879e">[email protected]</span></a>,    VA Central Office....  Ms. Louise Van Diepen  <a href="/cdn-cgi/l/email-protection" class="__cf_email__" data-cfemail="713d1e041802145f27101f35181401141f3107105f16">[email protected]</a>
 Rockville MD.                       Mr. Leo Nolan.........   (301) 443-1083.                                                       ov, (202) 273-5878.
                                                             <a href="/cdn-cgi/l/email-protection#afc3cac081c1c0c3cec1efc6c7dc81c8c0d9"><span class="__cf_email__" data-cfemail="e38f868ccd8d8c8f828da38a8b90cd848c95">[email protected]</span></a>,
                                                              (301)-443-7261.
Nashville--TX, LA, AR, MS, AL, MO,   Ms. Elizabeth Neptune.  Elizabeth.Neptune@ihs.  VISN 1--MA, NH, CT,    VISN 1--Dr. Gail Goza- gail.goza-
 IL, IN, TN, KY, OH, GA, FL, SC,                              gov, (207) 214-6524..   RI, ME, VT.            MacMullan.             macmullan@med.va.gov
 NC, VA, WV, PA, MD, DC, DE, NY,                                                                                                    , (781) 687-3412.
 CT, MA, VT, NH, RI, ME, NJ.
                                                                                     VISN 2--New York       VISN 2--Dr. Scott      <a href="/cdn-cgi/l/email-protection#cebdada1babae0a3bbbcbcafb78ef2afeea6bcaba8f3" http: va.gov">va.gov</a>">scott.murray@va.gov</a>,
                                                                                      State.                 Murray VISN 2 (alt)--  (518) 626-7310
                                                                                                             Dr. Bruce Nelson.     <a href="/cdn-cgi/l/email-protection#fe9c8c8b9d9bd0909b928d9190bec29fde968c9b98c3" http: va.gov">va.gov</a>">bruce.nelson@va.gov</a>,
                                                                                                                                    (518) 626-5320.
                                                                                     VISN 3--NYC, NJ......  VISN 3--Dr. James      <a href="/cdn-cgi/l/email-protection" class="__cf_email__" data-cfemail="4b212a262e38653826223f230b262e2f653d2a652c24">[email protected]</a>
                                                                                                             Smith.                 v, (718) 741-4135.
                                                                                     VISN 6--NC, WV, VA...  VISN 6--Mr. Mark Hall  <a href="/cdn-cgi/l/email-protection#8de0ecffe6a3e5ece1e1cde0e8e9a3b1ecade5ffe8ebb0" http: va.gov">va.gov</a>">mark.hall@med.va.gov</a>,
                                                                                                                                    (919) 956-5541.
                                                                                     VISN 7--GA, AL, SC...  VISN 7--Mr. Brian      <a href="/cdn-cgi/l/email-protection#ccaebea5ada2e2a4a9afa7a9beb88cf0adeca4bea9aaf1" http: va.gov">va.gov</a>">brian.heckert@va.gov</a>,
                                                                                                             Heckert.               (803) 695-7980.
                                                                                     VISN 8--FL, PR.......  VISN 8--TBD..........  TBD.
                                                                                     VISN 12--IL, MI, WI..  VISN 12--Dr. Ed        <a href="/cdn-cgi/l/email-protection#076263706e69297d66756b6e6960473b66276f7562613a" http: va.gov">va.gov</a>">edwin.zarling@va.gov</a>,
                                                                                                             Zarling.               (708) 202-8413
                                                                                                            VISN 15--Dr. James     <a href="/cdn-cgi/l/email-protection" class="__cf_email__" data-cfemail="89e3e8e4ecfaa7fae8e7edecfbfac9e4eceda7ffe8">[email protected]</a>.
                                                                                                             Sanders.               gov, (816) 701-3000.
                                                                                     VISN 16--OK, LA, MS,   VISN 16--Mr. Adam      <a href="/cdn-cgi/l/email-protection#2e4f4a4f4300594f42435b5d1c6e124f0e465c4b4813" http: va.gov">va.gov</a>">adam.walmus2@va.gov</a>,
                                                                                      AR, TX,.               Walmus.                (918) 680-3644.
                                                                                     VISN 17--TX..........  VISN 17--Mr. Jack      <a href="/cdn-cgi/l/email-protection" class="__cf_email__" data-cfemail="85efe4e6eeabe1f0e3eaebb7c5e8e0e1abf3e4abe2ea">[email protected]</a>
                                                                                                             Dufon.                 v, (817) 385-3786.
                                                                                     VISN 18--NM, TX, AZ..  VISN 18--Ms. Deborah   deborah.thompson7ec@v
                                                                                                             Thompson.              a.gov, (928) 776-
                                                                                                                                    6001.
Navajo--Arizona, Utah, New Mexico..  Ms. Patricia Olson....  <a href="/cdn-cgi/l/email-protection#b6e6d7c2c4dfd5dfd798f9dac5d9d8f6dfdec598d1d9c0"><span class="__cf_email__" data-cfemail="d888b9acaab1bbb1b9f697b4abb7b698b1b0abf6bfb7ae">[email protected]</span></a>  VISN 18--New Mexico,   VISN 18--Ms. Deborah   deborah.thompson7ec@v
                                                              , (928) 871-5811.       TX, Arizona.           Thompson.              a.gov, (928) 776-
                                                                                                                                    6001.
                                     Dr. Douglas Peter       <a href="/cdn-cgi/l/email-protection#bdf9d2c8dad1dcce93edd8c9d8cffdd4d5ce93dad2cb"><span class="__cf_email__" data-cfemail="7c3813091b101d0f522c1908190e3c15140f521b130a">[email protected]</span></a>,  VISN 19--Wyoming,      VISN 19--Mr. James     <a href="/cdn-cgi/l/email-protection#fa909b979f89d49c9695839ebac69bda92889f9cc7" http: va.gov">va.gov</a>">james.floyd@va.gov</a>,
                                      (alt.).                 (928) 871-5813.         Colorado, Montana,     Floyd.                 (801) 582-1565
                                                                                      Utah.                                         x1500.
Oklahoma--Oklahoma, Kansas, Texas..  Dr. John Farris.......  <a href="/cdn-cgi/l/email-protection#0b41646365254d6a797962784b626378256c647d"><span class="__cf_email__" data-cfemail="266c494e4808604754544f55664f4e5508414950">[email protected]</span></a>,    VISN 15--Kansas,       VISN 15--Dr. James     <a href="/cdn-cgi/l/email-protection" class="__cf_email__" data-cfemail="a3c9c2cec6d08dd0c2cdc7c6d1d0e3cec6c78dd5c2">[email protected]</a>.
                                                              (405) 951-3776.         Missouri.              Sanders.               gov, (816) 701-3000.
                                                                                     VISN 16--Oklahoma,     VISN 16--Mr. Adam      <a href="/cdn-cgi/l/email-protection#cbaaafaaa6e5bcaaa7a6beb8f98bf7aaeba3b9aeadf6" http: va.gov">va.gov</a>">adam.walmus2@va.gov</a>,
                                                                                      Louisiana,             Walmus.                (918) 680-3644.
                                                                                      Mississippi,
                                                                                      Arkansas, Texas.


[[Page 9805]]


                                                        IHS/VA Area Points of Contact--Continued
--------------------------------------------------------------------------------------------------------------------------------------------------------
 
--------------------------------------------------------------------------------------------------------------------------------------------------------
IHS                                                                    VA
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                     VISN 18--New Mexico,   VISN 18--Ms. Deborah   deborah.thompson7ec@v
                                                                                      Texas, Arizona.        Thompson.              a.gov, (928) 776-
                                                                                                                                    6001.
Phoenix--Nevada, Utah, Arizona.....  Dr. Charles (Ty)        <a href="/cdn-cgi/l/email-protection" class="__cf_email__" data-cfemail="e3808b82918f8690cd91868a878b868287a38a8b90cd84">[email protected]</a>  VISN 18--New Mexico,   VISN 18--Ms. Deborah   deborah.thompson7ec@v
                                      Reidhead.               ov, (602) 364-5039.     Texas, Arizona.        Thompson.              a.gov, (928) 776-
                                                                                                                                    6001.
                                     Dr. Augusta Hays        <a href="/cdn-cgi/l/email-protection#adecd8cad8ded9cc83e5ccd4deedc4c5de83cac2db"><span class="__cf_email__" data-cfemail="f1b0849684828590dfb9908882b1989982df969e87">[email protected]</span></a>,   VISN 19--Wyoming,      VISN 19--Mr. James     <a href="/cdn-cgi/l/email-protection#600a010d05134e060c0f1904205c0140081205065d" http: va.gov">va.gov</a>">james.floyd@va.gov</a>,
                                      (alt.).                 (602) 364-5039.         Colorado, Montana,     Floyd.                 (801) 582-1565
                                                                                      Utah.                                         x1500.
                                                                                     VISN 21--Northern      VISN 21--Ms. Martha    Martha.Akrop@va.gov,
                                                                                      California, Hawaii,    Akrop.                 (775) 328-1428.
                                                                                      Nevada.
                                                                                     VISN 22--So.           VISN 22--Ms. Barbara   <a href="/cdn-cgi/l/email-protection#086a697a6a697a69266e6964646d6648346928607a6d6e35" http: va.gov">va.gov</a>">barbara.fallen@va.gov</a>
                                                                                      California, Nevada.    Fallen.                , (562) 826-5963.
Portland--Washington, Oregon, Idaho  Mr. Terry Dean........  <a href="/cdn-cgi/l/email-protection#2d79485f5f540369484c436d44455e034a425b"><span class="__cf_email__" data-cfemail="64300116161d4a2001050a240d0c174a030b12">[email protected]</span></a>,     VISN 20--Alaska,       Mr. Alexander Spector  alexander.spector@va.
                                                              (503) 326-7270.         Idaho, Oregon,                                gov, (907) 257-5460.
                                                                                      Washington.
Tucson--Arizona....................  Dr. John R. Kittredge.  <a href="/cdn-cgi/l/email-protection#baf0d5d2d494f1d3cecec8dfdedddffad3d2c994ddd5cc"><span class="__cf_email__" data-cfemail="e2a88d8a8ccca98b96969087868587a28b8a91cc858d94">[email protected]</span></a>  VISN 18--New Mexico,   Ms. Deborah Thompson.  deborah.thompson7ec@v
                                                              , (520) 295-2406.       Texas, Arizona.                               a.gov, (928) 776-
                                                                                                                                    6001.
--------------------------------------------------------------------------------------------------------------------------------------------------------

[FR Doc. 2011-3856 Filed 2-18-11; 8:45 am]
BILLING CODE 4165-16-P


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