Northwest Portland Area Indian Health Board Meeting SDPI Activities in the NW

Northwest Portland Area Indian Health Board Meeting

SDPI Activities in the NWJuly 2013Sharon Stanphill Portland Area TLDC Representative

Northwest Portland Area Indian Health Board

TLDC Fact SheetStrategic Plan4 workgroups completing Strategic PlanDialysis Services update

Update from TLDC*


Healthy Heart ProjectYakamaDiabetes Prevention Projects3 consortiumsSouthern Oregon (Klamath, Cow Creek, Coquille) NW WA Health Board (Lummi, Swinomish, Samish, Nooksack, Upper Skagit)SPIPA (Skokomish, Squaxin Island, Chehalis, Shoalwater Bay)Warm Springs and Colville

Portland Area Demonstrations (15 tribes) 8 grants*


50 SDPI community-directed grant programsMultiple best practicesNPAIHB data project3 Urban (SIHB, NARA, Spokane)Western Oregon ChemawaSubcontract pharmacy-Colville, WS,SDPI community grants Portland Area*


2nd annual diabetes awareness day20th annual heart smart dinnerHoliday and the Pi-ume-she ParadeMonthly fun runs/walks for communityBunny run Head start wee-bee runs

Community gardenVolunteers maintainElder drop offs Warm Springs (Healthy Heart)*


Diabetes Health Fair17 booths/stationsFoot exams, shoe fitting, nutrition and traditional foods, blood sugar and blood pressure testing, water challenge, eye care, behavioral healthKey note Taking Control of your Diabetes"Healthy lunchTools for diabetes managementLog books, nail clippers, diabetes bracelets, glucose tablets, living with diabetes dvd, and low blood sugar treatmentNooksack*


Diabetes healthy heart projectKey note: Frank AthertonHealth exhibitorsComprehensive screeningMassagesMedical team for questionsEducational resources and assistance125 tribal members attendedSamish 7th annual*


Klamath WalkTheme past present and future: make the right healthy choicesNurses station with glucose and blood pressure: before and after walkHealthy Snacks117 tribal participantsKlamath*


DPP program25 participants16 week classAll have been successful in lifestyle changes for health

9th Annual Tribal Health WalkScreeningsHealth education and awareness450 participants

Cowlitz*


I strengthen my nationYouth conference focus on nutrition and physical activity Monthly support groupMonthly clinicTransformation caf Focus on weight lossCow Creek*


Community outingsFamily snow showingHead start gardening cooking class with veggies Community screenings4 senior center 30 screenedFamily fun night 20 screened 150 attendedEmployee screening at Casino 16 screened

Public outreach3 open mic ( 2 attendees one radio show interview)Diabetes survey at fun run65 surveys for diabetes outreach and activity

Nurses diabetes trainings6 trainings 30 attendeesVarious topics

Umatilla Activities*


16 health display boothsNutrition, traditional food, living an active life style, and tobacco cessationKey note diabetes preventionchanges in diet and exercise for diabetes controlKey Note living smartLiving tobacco free and behavioral risk factorsNez Perce - Women's health day

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IHS diabetes audit due on May 15, 2013Portland Area Tribes had 100% audit submissionHealth Status Report based on the audit; every tribe receives a report that shows a comparison (to Portland Area) and a trend (of their program) SDPI programs in NW*


Hands on computer trainingManaging and updating your registry IcareQmanEHRVisual DMSDiabetes Management System trainings with the WTDP*


July 30th and 31st , 2013Partnership with Nike and Native American Fitness CouncilFitness Training: aerobics, walk strong, native gamesMotivational InterviewingData, tracking, and fitnessResources: best practices, curricula, and dataUpcomingNike Native Fitness - WTDP*


Northwest Tribes Meet the Challenge10,000 STEPSYouth screening in schoolsAerobics/Water Aerobics VideoMile Moccasin ClubYogaFitness centers/personal trainersGolf tournamentsCommunity GardensBiggest LoserHealth FairsWalk to SmithsonianNike Native Fitness 7th

Cooking classes/healthy eatingPre-diabetes ScreeningJust Move ItYouth and Adult Diabetes CampsTribal Diabetes ConferencesLifestyle Intervention Classes*


Yakama is the only healthy heart project in the NWIt uses a unique approach the pharmacist work with the patient on the intervention

DPP16 week lifestyle classes48 participants per yearFocus on nutrition, physical activity and weight loss (7% of body weight)Southern Oregon project has been a model project for consortiumWarm Springs DPP model*In November 2012 we held our Second Annual Diabetes Awareness Day which was in collaboration with IHS Model Diabetes Program, Diabetes Prevention Program and Confederated Tribes of Warm Springs SDPI Community Directed grant programs. We had a number of guest speakers and presentations from topic experts throughout Central Oregon. This was a day-long seminar which was attended by 111 community members. The event included healthy breakfasts and lunches and a number of fitness activities. Target audience was adults(see attached video clip)In February we held our 20th Annual Heart Smart Dinner and Health Fair. There were 255 community members who attended. The health fair included approximately 30 different education tables including tribal departments, IHS, and other community groups from throughout Jefferson County. A local childrens dance group provided entertainment during a healthy dinner of local salmon. Early Childhood Education classes provided decorations with an emphasis on healthy living and heart health. Focus was the entire Warm Springs community with collaboration for the event between Model Diabetes Program, IHS Diabetes Prevention, and Tribal SDPI grant. IHS Diabetes Prevention Program participates in the Holiday Parade and the Pi-ume-she Parade.IHS Diabetes Prevention Program staff continues to provide monthly diabetes fun runs/walks for community participants in collaboration with the tribal diabetes prevention staff members. Pictures are from the Bunny Run in late March. Tribal SDPI staff members continue to do monthly fun runs with the students of the Early Childhood Education Program. They also sponsor a community garden for all who want to participate.

*The Nooksack Diabetes Program along with the Health Clinic coordinated a Diabetes Health Fair "Treatment and Prevention" on 5/22/2013 from 10am to 2 pm - Our target audience was Nooksack Community tribal members with diabetes and community members who may be at risk (everyone welcome!). We had 63 who signed in along with clinic staff who staffed booths and outside vendors with booths. We had 17 booths, including foot exams, diabetes shoe fitting, traditional plants,nutrition, A1C, blood sugar and BP testing, upcoming "Water Challenge" promotion with information on sugar in beverages, eye care, behavioral health and more. We provided a healthy lunch and had a speaker during lunch who spoke on "Taking Control" The speaker was sponsored by the Sanofi A1C Champion Program. We provided a number of tools for diabetes management such as logbooks, Diabetes ID bracelets, DVD "Living with Diabetes", glucose tablets, lotion, nail files, hand sanitizer, and information on Low Blood Sugar treatment. Many of the booths provided "take aways" for participants as well. Barb Himes, RD, CDE Diabetes Program Coordinator Special Diabetes Program for Indians - Nooksack Indian Tribe *

We had hosted our annual Klamath Walk; which had taken place on May 19th, 2013 in Klamath Falls, Oregon at Moore Park by Klamath Lake. This event is for Prevention and Awareness purposes. It is an event that is open to the community and had hosted 117 individuals this year. This event was planned and organized by the Diabetes Management Program and there was also a Nurses Station for glucose and blood pressure readings for those curious or for those we wanted to track their levels before and after physical activity. The Walk route was no more than 1.5 miles in length and the entire event lasted about 2 hours in length. Jessie

Jessie Hecocta-Diabetes Program Coordinator: Giving a Pre-walk speech about this years theme; Past. Present. Future Health. Reflecting on the way our ancestors lived during a time in which seeking sustenance was physically taxing and our current generation living in a time of disease, alcohol and substance abuse-all causing the terrible health of our community. Participants made the best choice they could have by getting up early, facing the chilly breeze and taking that next step toward health. History often repeats itself. Choose Health. *Monthly Diabetes Clinic The second Wednesday of each month all clinic staff focus on the care of patients with diabetes. In addition to routine clinical providers we have a contracted Podiatrist join us for additional diabetic patient care.Monthly Diabetes Support Group meetings The first Thursday of each month we have a patient centered Diabetes Support Group Meeting. This meeting is co-hosted by a lead diabetic patient and the Tribal RD/CDE. This class is mainly for individuals who have received previous DSME and are in need of review of information or motivation. Topics covered vary from month to month and include such things as kidney care, exercise, medications, meal planning, foot care and avoiding complications.Diabetes Self-Management Education (DSME) Patients receive DSME in a group setting or one on one with the Tribal CDE/RD. DSME classes are scheduled to begin the first week of each month. There are 4 classes to a set and each class is 2 hours long. Individual patient education needs vary and are addressed appropriately on an as needed basis.I Strengthen My Nation youth conference was held in March of 2013 Education was provided on Diabetes with a focus on diabetes prevention/nutrition/physical activity.Transformation Caf (TC) This is a popular activity that was started last year. The focus is on weight loss. TC ties in with the Diabetes/Diabetes Prevention Programs in that overweight and obesity are usually the common thread in lifestyle diseases such as diabetes.

*Community OutingsYellowhawk snow-shoe outing on Feb 2 with about 15 participants; target audience was CTUIR community membersHeadstart gardening for 2 classes of children ages 3-5yo; 20 in each group for a total of 40; planted marigolds in community gardenIn July last yr and this year, we will repeat our Headstart walks to the garden for plant identification, tasting and then back to our cooking room for cooking what we picked. Last year, we had 15 students each day. This year will be twice per week. Nurses Diabetes Training via IHS/AADE collaboration15 Jan Behavior change and goal setting-6 attended6 Feb-Insulin Therapy, Patient Education, and Treatment Individualization: The Next Generation-5 attended5 Mar-Concepts & Controversies in Type 2 Diabetes: Experts Review the Evidence-3 attended2 Apr-Behavior Change and Motivational Interviewing-5 attended9 Apr-10 Foods to reduce cardiac risks-5 attended30 April-Metabolic Syndrome & Diabetes-5 attendedCommunity Diabetes Screenings1 Feb Senior Center-6 attended1 Mar Senior Center-1 attended14 Mar 14 Mar Family Fun Night-on planning committee and participated with healthy snacks and presented sugar content in soft drinks; screened about 15 people for diabetes; attended by about 150 people21 Mar Nixyaawii Community School (NCS) diabetes and height/weight screenings; attended by 14 teens5 April Senior Center-7 attended11 Apr Cayuse Tech diabetes screenings; attended by 9 people; target audience was employees there3 May Senior Center-8 attended15 May NCS-4 attended29 May Wildhorse Casino-16 attendedPublic Outreach1 May Open Mic with Alanna French (Outreach Consultant) no one came6 May Open Mic with Alanna French (Outreach Consultant) no one came18 May-Yellowhawk Fun Run-on planning committee; collected registration fees and conducted community outreach; set up kiosk & obtained surveys on public interest in our Diabetes programs; about 65 competitors in attendance with families23 May Open Mic with Alanna French-2 attended5 Jun-talked on our local radio regarding our diabetes program and interviewed diabetes patient

**10thth Nike Native Fitness training

Over 1,000 people trained from across the country

This is an exciting and interative trainings. Participants walk away with the skills to go back to the community and implement any or all components of the training**This is a list of community programs and activities that the tribes in the northwest are doingIt is important with all of the gloom and doom to emphasize our successesOur tribes have been progressive and creative

The program overall have been very effective in Indian coutry

Northwest Portland Area Indian Health Board Meeting SDPI Activities in the NW

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