Kerri Lopez Western Tribal Diabetes and Northwest Tribal Comprehensive Cancer Projects July 9, 2015 Western Tribal Diabetes Project Update 2015

Portland Area IHS  ADC IHS division of diabetes SDPI Office of information and technology  Advertise trainings Nike Native American Fitness Council Partners

Partnerships – sub contracts Diabetes charities of America OR Healthy Communities  Nine tribes in OR  Aggregate report for cdc change tool Policy development – tobacco, physical activity, and nutrition National Native Network  Cancer prevention coordinator

76 NW Tribal programs attended conference Round table sessions: physical activity, traditional food, nutrition Panel presentations: DPP, Healthy Heart, and Community SDPI projects Ann Bullock: key note speaker (historical trauma) Excellent evaluations Northwest Diabetes Conference January 21 and 22 nd

Western Tribal Diabetes Project 6 DMS Trainings  Icare, EHR, Qman, visual DMS  85 tribal participants trained  1 off site / remote  Hands on interactive instruction 15 tribal site visits 200 technical assistance call 10 Project Presentations

Hands on computer training  Managing and updating your registry Icare Qman EHR Visual DMS Sept December Diabetes Management System trainings with the WTDP 6

Portland Area Tribes had 100% audit submission 2014 Health 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 7

Draft: The data for 2015 has not yet been verified by IHS. Weight Control

Draft: The data for 2015 has not yet been verified by IHS. Tobacco Use

Draft: The data for 2015 has not yet been verified by IHS. Tobacco Cessation Referrals

Draft: The data for 2015 has not yet been verified by IHS. Diabetes-Related Education

32 participants in Warm Springs, Oregon Topics  Tobacco - Antoinette Aguirre  Nutrition - Nora Alexander  Adverse Childhood Experiences & Chronic Disease - Ryan Swafford  Tribal BRFSS - Monika Damron  Chronic Disease - Kerri Lopez  Physical Activity - Erik Kakuska  HPV - Kerri Lopez  Cancer Survivorship Resources - Eric Vinson Cancer Risky Business – 6/25/2015 Northwest Portland Area Indian Health Board 9/9/

Partnership with Nike and Native American Fitness Council Fitness Training: aerobics, walk strong, native games Motivational Interviewing Data, tracking, and fitness Resources: best practices, curricula, and data Nike Native Fitness - WTDP 14

Native Fitness September 1&2 nd 2015 NW & National Programs Motivational Interview  Daryl Tonemah  Native specific Resource CD  Best practice, toolkits, fact sheets, diabetes data Fitness activities  Boot camp  Aerobics  Walk Strong  Native games Nike  Play on Native Land  N-7 products

July th participants From across the nation Excellent evaluations 98.5% excellent 55% returning participants 60% reported starting or changing a fitness program as a result of NF Nike Native Fitness Western Tribal Diabetes Program (WTDP) 16

Evaluation of Native Fitness Native Fitness I – 74 participants 26 Northwest tribes 6 National Native Tribes & Organizations Native Fitness II – 136 participants 35 Northwest Tribes 10 National Native Tribes & Organizations …… Native Fitness X – 200 participants 24 Northwest Tribes 66 National Native Tribes & Organizations Native Fitness XI – 185 participants 25 Northwest tribes 68 Out of areas tribes

WTDP resources Short cut and reference manual – DMS class Tribal Health Status Report  comparison report for standards of care tribe/area  diabetes surveillance trends (seven years) Diabetes Screening Toolkit Native fitness resources

50 SDPI community-directed grant programs  Multiple best practices  NPAIHB – data project  3 Urban (SIHB, NARA, Spokane)  Western Oregon – Chemawa  Subcontract pharmacy-Colville, WS, SDPI community grants Portland Area 19

Healthy Heart Project  Yakama Diabetes Prevention Projects  3 consortiums Southern 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 20

Northwest Tribes Meet the Challenge 10,000 STEPS Youth screening in schools Aerobics/Water Aerobics Video Mile Moccasin Club Yoga Fitness centers/personal trainers Golf tournaments Community Gardens Biggest Loser Health Fairs Walk to Smithsonian Nike Native Fitness 7 th Cooking classes/healthy eating Pre-diabetes Screening Just Move It Youth and Adult Diabetes Camps Tribal Diabetes Conferences Lifestyle Intervention Classes 21

Western Tribal Diabetes Program Kerri Lopez (Tolowa), Project Director Don Head (Gwich'in), Project Specialist Erik Kakuska (Zuni), Project Specialist Phone: Contact Information Northwest Portland Area Indian Health Board9/9/