National Indian Health Board

ENHANCING THE CAPACITY OF TRIBAL PUBLIC HEALTH DEPARTMENTS

AMERICAN INDIAN/ALASKA NATIVE NATIONAL HITECH REC

DESCRIPTION:THE AGREEMENT PROVIDES FUNDING TO THE NATIONAL INDIAN HEALTH BOARD (NIHB). SPECIFICALLY, THE NATIONAL INDIAN HEALTH BOARD WILL SERVE AS A NATIONAL EJ TCTAC PROVIDING SERVICES RELATED TO ENVIRONMENTAL AND ENERGY JUSTICE AT THE TRIBAL LEVEL. LIKE ALL NIHB PROJECTS, THE EJ TCTAC WILL COVER THE NATIONAL GEOGRAPHIC AREA AND SERVE TRIBES THROUGHOUT THE UNITED STATES. NIHB WILL LEVERAGE THE 2018-2019 ENVIRONMENTAL HEALTH DISCUSSION SESSIONS AND THE 2021- 2022 REGIONAL ENVIRONMENTAL HEALTH SUMMITS HOSTED BY NIHB AND SUPPORTED BY CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) TO ADDRESS ENVIRONMENTAL JUSTICE CONCERNS IN INDIAN COUNTRY, SUCH AS THE IMPACTS OF CLIMATE CHANGE; EXTERNAL POLLUTANTS IN THE AIR, LAND, AND WATER; SUPERFUND SITES; SOLID WASTE DISPOSAL ISSUES, AND THE TRANSITION TO CLEAN ENERGY SOURCES. NIHB WILL STAND UP THE TRIBAL EJ TCTAC AS A ONE-STOP SHOP FOR TRIBAL NATIONS LOOKING FOR SUPPORT IN THE ENVIRONMENTAL AND ENERGY JUSTICE SPACES. NIHB WILL LEVERAGE ITS EXISTING FRAMEWORK OF OUTREACH TO INCREASE THE NUMBER OF TRIBES APPLYING FOR AND RECEIVING FUNDING FROM FEDERAL AND NON-FEDERAL PARTNERS ON ENVIRONMENTAL AND ENERGY JUSTICE PROJECTS. NIHB WILL PROVIDE GRANT WRITING COURSES, GRANT APPLICATION EXPLAINERS, TARGETED APPLICATION ASSISTANCE, AND PROJECT EVALUATION DESIGN TRAININGS THROUGHOUT INDIAN COUNTRY TO ADDRESS ENVIRONMENTAL AND ENERGY JUSTICE CONCERNS OVER THE COURSE OF THIS PROJECT. NIHB'S EJ TCTAC WILL PROVIDE TECHNICAL ASSISTANCE ON FUNDING OPPORTUNITIES, INCLUDING APPLICATIONS INVOLVING A COHORT OR PARTNERSHIP WITH TRIBES, MUNICIPAL PARTNERS, AND STATE GOVERNMENTS. NIHB WILL DEVELOP A CLEARINGHOUSE OF STATE-BASED GRANTS FOR WHICH TRIBES ARE ELIGIBLE AND PROVIDE TECHNICAL ASSISTANCE IN THE APPLICATION PROCESS. WITH EPA AND THE DEPARTMENT OF ENERGY'S (DOE) COORDINATION, THE TRIBAL TCTAC WILL ALSO WORK WITH REGIONAL TCTACS TO ENSURE CONSISTENCY, CULTURAL COMPETENCY, AND THE HIGHEST LEVEL OF SERVICE POSSIBLE TO TRIBAL NATIONS. ADDITIONALLY, NIHB WILL WORK WITH TRIBAL GRANTEES TO HIGHLIGHT THEIR SUCCESS STORIES WIDELY THROUGH SOCIAL MEDIA, LOOK-BACK REPORTS, AND PUBLIC ANNOUNCEMENTS.ACTIVITIES:THE ACTIVITIES INCLUDE (BUT ARE NOT LIMITED TO) THE FOLLOWING: 1) NIHB WILL HOST A FREE FEDERAL GRANT WRITING 101 SEMINAR IN CONJUNCTION WITH THE ANNUAL NATIONAL TRIBAL HEALTH CONFERENCE AND A SECOND IN A SEPARATE LOCATION IN INDIAN COUNTRY. ATTENDEES WILL BE TRAINED IN USING GRANTS.GOV, GRANTSOLUTIONS.GOV, SAM, EERE EXCHANGE, AS WELL AS FAMILIARITY WITH FEDERAL BUDGET TEMPLATES, NARRATIVES, AND SUPPORTING DOCUMENTS; 2) NIHB WILL MONITOR THE ENVIRONMENTAL PROTECTION AGENCY, THE DEPARTMENT OF ENERGY, AND THE DEPARTMENT OF TRANSPORTATION FOR ENVIRONMENTAL AND ENERGY JUSTICE FUNDING OPPORTUNITIES OPEN TO TRIBES. NIHB WILL NOTIFY TRIBES AND PROVIDE UNBIASED TECHNICAL ASSISTANCE FOR POTENTIAL APPLICANTS IN THE PROCESS OF APPLYING FOR COMPETITIVE GRANTS, INCLUDING A REVIEW OF APPLICATION DRAFTS WITHIN THE LIMITS SET BY THE EJ TCTAC STRUCTURE; 3) NIHB WILL PROVIDE TECHNICAL ASSISTANCE FOR TRIBES APPLYING FOR GRANTS FROM THE FEDERAL GOVERNMENT, STATE GOVERNMENTS, AND OTHER PARTNERS. THIS WILL INCLUDE SPECIFIC GUIDANCE ON REGISTERING WITH SAM.GOV, GRANT EXPLAINERS WITH THE TRIBES TO EXAMINE ELIGIBILITY AND POTENTIAL IMPACT, GUIDANCE WITH THE APPLICATION PROCESS, AND REVIEW OF DRAFT GRANT PROPOSALS. NIHB WILL CREATE A CLEARINGHOUSE OF STATE-BASED ENVIRONMENTAL AND HEALTH GRANTS FOR WHICH TRIBAL GOVERNMENTS ARE ELIGIBLE; AND 4) NIHB WILL TRANSLATE MATERIALS INTO LANGUAGES SPOKEN BY A LARGE NUMBER OF AMERICAN INDIANS AND ALASKA NATIVES, SUCH AS DINE (NAVAJO), CHEROKEE, AND YUPIK.SUBRECIPIENT:ACTIVITIES TO BE IMPLEMENTED THROUGH SUBAWARDS INCLUDE FEASIBILITY STUDIES FOR THE TRANSITION AWAY FROM FOSSIL FUEL ELECTRICAL GENERATION ON TRIBAL LANDS AND THE TRANSITION FROM GAS POWERED VEHICLES TO ELECTRICAL VEHICLES IN TRIBAL FLEETS. OUTCOMES:THE ANTICIPATED DELIVERABLES INCLUDE (BUT ARE NOT LIMITED TO) THE FOLLOWI

ANALYSIS, RESEARCH, AND STUDIES TO ASSESS THE IMPACT OF CMS PROGRAMS ON AMERICAN INDIAN/ALASKA NATIVES (AI/ANS) AND THE INDIAN HEALTH CARE SYSTEM SERVING AI/AN BENEFICIARIES

CATEGORY A: TRIBAL HEALTH DEPARTMENTS - ABSTRACT: BACKGROUND: THE CAPACITY OF TRIBAL HEALTH DEPARTMENTS TO ADDRESS PERSISTENT PUBLIC HEALTH CHALLENGES, AND THOSE UNIQUE TO AMERICAN INDIAN AND ALASKA NATIVE TRIBES, IS SIGNIFICANTLY LOWER THAN MAINSTREAM PUBLIC HEALTH AGENCIES OPERATING AT THE NATIONAL OR STATE LEVELS. THE CHALLENGES (INCLUDING, BUT NOT LIMITED TO, FRAGMENTED PROGRAMMING, LACK OF ACCESS TO RELIABLE SURVEILLANCE DATA, STRAINED WORKFORCE, INCONSISTENT ABILITY TO ADDRESS EMERGING PUBLIC HEALTH THREATS, AND LACK OF INCLUSION IN THE MAINSTREAM PUBLIC HEALTH SYSTEM) ARE EXACERBATED BY A LACK OF AVAILABLE TRIBALLY-SPECIFIC CAPACITY BUILDING SERVICES,LACK OF AWARENESS OF TRIBAL PUBLIC HEALTH PROMISING PRACTICES, AND LACK OF ACCESS TO TRIBALLY-SPECIFIC AND CULTURALLY RESPONSIVE PRODUCTS, MATERIALS, AND PUBLIC HEALTH WORKFORCE. PURPOSE: NIHB PROPOSES TO PROVIDE NATION - WIDE SUPPORT FOR TRIBAL HEALTH DEPARTMENTS TO STRENGTHEN THEIR CAPACITY TO PROVIDE PUBLIC HEALTH SERVICES THROUGH DEVELOPING, IDENTIFYING, AND DISTRIBUTING TRAININGS AND RESOURCES, PROVIDING TECHNICAL ASSISTANCE, AND BUILDING RELATIONSHIPS ACROSS ORGANIZATIONS. NIHB WILL ADDRESS KEY PRIORITY AREAS, INCLUDING DEVELOPING A WELL-TRAINED TRIBAL PUBLIC HEALTH WORKFORCE; IMPROVING DATA ACCESS FOR TRIBES AND THE ORGANIZATIONS THAT SUPPORT THEM SUCH AS TRIBAL EPIDEMIOLOGY CENTERS; PROVIDING DATA ON TRIBAL PUBLIC HEALTH INFRASTRUCTURE THAT TRIBAL HEALTH DEPARTMENTS CAN USE FOR ADVOCACY, RESOURCE ALLOCATION, AND DECISION MAKING; AND CREATING A CENTRAL RESOURCE CENTER FOR TRIBES TO EXCHANGE IDEAS, BUILD RELATIONSHIPS, AND LEARN FROM ONE-ANOTHER ON PROMISING AND WISE PRACTICES FOR TRIBAL PUBLIC HEALTH. THESE RESOURCES ARE EXPECTED TO IMPROVE TRIBAL PLANNING FOR MORE CONSISTENT SERVICES, ACCESS TO DATA, A RELIABLE WORKFORCE, A STRONGER CAPACITY TO NETWORK AND IDENTIFY BEST PRACTICES WHEN RESPONDING TO PUBLIC HEALTH THREATS, AND THE RESOURCES NEEDED TO ADVOCATE FOR INCLUSION IN THE MAINSTREAM PUBLIC HEALTH SYSTEM. WITH THIS STRENGTHENED CAPACITY, TRIBAL HEALTH DEPARTMENTS WILL BE WELL POSITIONED TO SIGNIFICANTLY ADVANCE HEALTH EQUITY FOR THEIR CITIZENS. OUTCOME: OVER FIVE YEARS, NIHB EXPECTS TO ACHIEVE THE FOLLOWING OUTCOMES: 1) INCREASED AWARENESS OF BEST/PROMISING PRACTICES AND/OR TOOLS BY TRIBAL HEALTH DEPARTMENTS OF CBA SERVICES AND PRODUCTS, 2) INCREASED AVAILABILITY OF AND ACCESS TO CBA SERVICES AND PRODUCTS THAT ADDRESS STRATEGIC AREAS, AND 3.) INCREASED USE OF CBA SERVICES AND PRODUCTS BY POPULATION OF FOCUS. WE SPECIFICALLY EXPECT TO ACHIEVE THESE OUTCOMES THROUGH OUR PROPOSED WORK ACROSS FOUR STRATEGIC AREAS: 1) WORKFORCE-DEVELOP A YOUTH FELLOWSHIP PROGRAM TO BUILD TRIBAL HEALTH DEPARTMENT WORKFORCE, 2) DATA MODERNIZATION, INFORMATICS, AND INFORMATION TECHNOLOGY-DEVELOP TOOLS AND TRAININGS ON TRIBAL DATA SHARING AND DATA MODERN IZATION, 3) PARTNERSHIP DEVELOPMENT AND ENGAGEMENT-CONDUCT A NATIONAL SCAN ON TRIBAL PUBLIC HEALTH CAPACITY AND PROVIDE TRAINING AND RESOURCES ON USING THIS TRAINING TO IMPROVE CAPACITY, AND 4) POLICY AND PROGRAMS -DEVELOP A TRIBAL HEALTH DEPARTMENT LEARNING COMMUNITY AND RESOURCE CENTER DEDICATED TO ELEVATING THE SHARING OF BEST/PROMISING PRACTICES FOR TRIBAL PUBLIC HEALTH.

NIHB

SUPPORTING CMS-TRIBAL COLLABORATION, PARTICIPATION AND ENGAGEMENT IN HEALTH POLICY DEVELOPMENT AND IMPLEMENTATION

PPHF 2013: OSTLTS PARTNERSHIPS - CBA OF THE PUBLIC HEALTH SYSTEM

STRENGTHENING THE TRIBAL VOICE TO SUPPORT NATIONAL INFECTIOUS DISEASE RESPONSE AND PLANNING

NATIONAL INDIAN HEALTH OUTREACH AND EDUCATION I

NATIONAL INDIAN HEALTH OUTREACH AND EDUCATION I

TRIBAL HEALTH CARE ADVOCACY PROGRAM

NATIONAL INDIAN HEALTH OUTREACH AND EDUCATION

NATIONAL INDIAN HEALTH OUTREACH AND EDUCATION - AS THE ONLY NATIONAL ORGANIZATION DEDICATED SOLELY TO ADDRESSING AMERICAN INDIAN AND ALASKA NATIVE (AI/AN) HEALTH ISSUES, THE NATIONAL INDIAN HEALTH BOARD (NIHB) IS RECOGNIZED FOR ITS EXPERTISE IN INDIAN HEALTH CARE AND PUBLIC HEALTH PROGRAMS AND POLICY; ITS UNMATCHED ABILITY TO EFFECTIVELY ENGAGE WITH TRIBES, TRIBAL ORGANIZATIONS, AREA INDIAN HEALTH BOARDS, STATE AND FEDERAL PARTNERS, AND KEY STAKEHOLDERS; AND ITS EXTENSIVE EXPERIENCE IN PROVIDING OUTREACH AND EDUCATION ON A NATIONAL SCALE. FORMED IN 1972, NIHB IS A NATIONAL 501(C)(3) NOT FOR PROFIT, CHARITABLE ORGANIZATION PROVIDING HEALTH CARE ADVOCACY; RESEARCH; POLICY ANALYSIS; OUTREACH AND EDUCATION; AND CAPACITY BUILDING AND TECHNICAL ASSISTANCE (CBA/TA). NIHB CONDUCTS ALL ACTIVITIES ON BEHALF OF ALL 574+ FEDERALLY RECOGNIZED TRIBAL GOVERNMENTS TO PROMOTE AND SUPPORT THEIR EFFORTS TO ADVANCE AI/AN HEALTH, AND TO FOCUS ATTENTION ON INDIAN HEALTH CARE NEEDS – WITH THE ULTIMATE GOAL OF IMPROVING HEALTH OUTCOMES FOR TRIBES. NIHB’S MISSION FOCUSES SOLELY ON HEALTH AND PUBLIC HEALTH; IT OPERATES NO ACTIVITIES OUTSIDE OF THIS SCOPE. NIHB’S CURRENT HEALTH, EDUCATION, AND TECHNICAL ASSISTANCE OPERATIONS ENCOMPASS THE DIVERSE NEEDS OF INDIAN COUNTRY, AND THE SYSTEMS AND PROCESSES IN PLACE AT NIHB ENSURE BROAD ACCESS TO RESOURCES, PROGRAMS, STAFF, AND MATERIALS. NIHB IS SUBMITTING THIS PROPOSAL TO THE INDIAN HEALTH SERVICE (IHS) FOR THE HHS 2023 IHS NIHOE 0001 FUNDING ANNOUNCEMENT NUMBER. NIHB IS PROPOSING A SINGLE PROJECT TO ADDRESS ALL SEVEN (7) COMPONENTS: (1) LINE 128 HEALTH EDUCATION AND OUTREACH, (2) HEALTH CARE POLICY ANALYSIS AND REVIEW, (3) SUBSTANCE ABUSE AND SUICIDE PREVENTION (SASP), (4) DOMESTIC VIOLENCE PREVENTION (DVP), (5) SPECIAL DIABETES PROGRAM FOR INDIANS (SDPI), (6) TRIBAL BUDGET FORMULATION, AND (7) AFFORDABLE CARE ACT (ACA) AND INDIAN HEALTH CARE IMPROVEMENT ACT (IHCIA) OUTREACH AND EDUCATION. NIHB IS SUBMITTING DISTINCT WORKPLANS FOR EACH OF THE COMPONENTS, BUT ALL FALL UNDER A SINGLE PROJECT GOAL: TO INCREASE AWARENESS, VISIBILITY, ADVOCACY, AND QUALITY OF AI/AN HEALTH AND PUBLIC HEALTH SERVICES AND PROGRAMMING THROUGH TARGETED OUTREACH AND EDUCATION, SUPPORT, TECHNICAL ASSISTANCE AND TRAINING TO TRIBES AND TRIBAL LEADERSHIP. TO COMPLETE THIS WORK OVER THE THREE (3) YEARS OF THE COOPERATIVE AGREEMENT, NIHB IS APPLYING FOR $851,311FOR GRANT YEAR ONE (1), AND SIMILAR AMOUNTS FOR GRANT YEARS TWO (2) AND THREE (3) (DEPENDING ON AVAILABLE FUNDING). THIS PROJECT – DUE TO ITS LARGE SCOPE AND THE SIGNIFICANT REACH OF NIHB AND THE PROPOSED PROJECT ACTIVITIES, WILL SERVE AN ESTIMATED 2.8 MILLION AI/AN PEOPLE.

NATIONAL INDIAN HEALTH OUTREACH AND EDUCATION

NATIONAL INDIAN HEALTH OUTREACH AND EDUCATION II: BEHAVIORAL HEALTH

PPHF 2013: OSTLTS PARTNERSHIPS - CBA OF THE PUBLIC HEALTH SYSTEM

TRIBAL HEALTH CARE ADVOCACY PROGRAM

STRENGTHENING EXISTING NATIONAL ORGANIZATIONS SERVING RACIAL/ETHNIC POPUL

NATIONAL INDIAN HEALTH OUTREACH AND EDUCATION - CMS AWARD

NATIONAL INDIAN HEALTH OUTREACH AND EDUCATION II: HIV & AIDS

NATIONAL INDIAN HEALTH OUTREACH AND EDUCATION - HEALTH REFORM - TRIBAL LEADERS

NIHOE I

NATIONAL INDIAN HEALTH OUTREACH AND EDUCATION II

MSPI COOPERATIVE AGREEMENT - HIV-AIDS COMPONENT

NATIONAL INDIAN HEALTH OUTREACH AND EDUCATION (NIHOE III) PROGRAM

HEALTH CARE REFORM AND INDIAN HEALTH CARE IMPROVEMENT ACT OUTREACH AND EDUCATION

NATIONAL INDIAN HEALTH BOARD MSPI AND HIV/AIDS COOPERATIVE AGREEMENT

NATIONAL INDIAN HEALTH OUTREACH AND EDUCATION II PROGRAM

NATIONAL INDIAN HEALTH OUTREACH AND EDUCATION II PROGRAM - METHAMPHETAMINE AND SUICIDE PREVENTION INITIATIVE (MSPI)

TRIBAL HEALTH CARE ADVOCACY PROGRAM