American Indian Health Grantees

American Indian Health Grantees

  • Billings Clinic - +

    American Indian Healthcare Advocate Program

    Grant Amount: $46,829
    Project Term: 1 year; Ended 2017

    The American Indian Healthcare Advocate Program (AHEAD) provided outreach, information, and health insurance enrollment assistance to American Indian people residing on the Crow Reservation, Northern Cheyenne Reservation and the urban American Indian population residing in Billings. Through this program, outreach events, presentations, and informational materials were distributed to over 700 individuals with questions about the Montana Medicaid Expansion Program and how obtaining health insurance could increase their access to quality healthcare. 26 individuals were directly enrolled in a health insurance product for which they were eligible but not yet enrolled and 177 individuals were assisted in the enrollment process. Additionally, a qualitative research project was initiated to gain insight into American Indian perceptions of health insurance and healthcare.

  • Blackfeet Tribal Health - +

    School and Community-Based Health Services for Blackfeet Youth

    Project Term: 24 months, Aug 1, 2015 – July 30, 2017
    Grant Amount: $20,000

    This project will support the Blackfeet Tribe to plan and implement tribally-run, school-based health services. Through this grant, the tribal health department will explore how to utilize tribal authority to provide sustainable, community-based mental and physical health services to youth in public schools and possibly the youth court system. The project will be led by the Tribal Health Department in partnership with the Blackfeet Tribal Council and the Browning and Heart Butte Public Schools, with the Indian Health Service and the juvenile justice system as partners.

  • Blackfeet Tribe - +

    Blackfeet Centralized Third Party Billing System

    Project Term: 24 months, Nov 1, 2016 – Oct 31, 2018
    Grant Amount: $100,000

    This project will strengthen the Blackfeet tribal health system by creating a centralized third party billing office. A centralized billing office will allow the tribe to maximize revenue from health services they currently provide, and improve financial management of revenue from third party billing. Funding will be used to create two staff positions: a benefit coordinator and a patient accounts coordinator. The new staff will identify risks and existing problems, and provide solutions for the billing and collection process; enroll uninsured tribal members in Medicaid or Affordable Care Act exchange insurance plans; and provide in-house training to tribal health program directors and staff. Once implemented, the centralized billing office with help the tribe improve and expand health services to better serve the needs of their community, and create a more fiscally stable and sustainable structure for existing health programs.

  • Browning Alternative School - +

    Using Blackfeet Cultural Values to Create a Trauma-Informed School Setting

    Project Term: 18 months, Nov 1, 2015 – Apr 30, 2017
    Grant Amount: $15,000

    This project will create a trauma-informed school using Blackfeet cultural values, and implement an adverse childhood experiences (ACEs) survey for students. The project will begin in the alternative school program (one of the largest and most respected in the state), and then extend to the entire school district. The project will focus on training staff in trauma-informed approaches to school discipline, and then stepwise implementation of this approach.

  • Confederated Salish and Kootenai Tribal Health Department - +

    Understanding and Utilizing Health Care Resources on the Flathead Indian Reservation

    Project Term: 24 months, Nov 1, 2015 – Oct 31, 2017
    Grant Amount: $100,000

    The CSKT Tribal Health Department seeks to accomplish three objectives with this grant: (1) Pursuant to public law 638, assume the Indian Health Service budget for purchased and referred care (PRC), and tribally manage this program. This will vastly expand the available resources to cover services not available on the reservation; (2) enroll eligible members in Medicaid now that Montana’s Medicaid expansion has been approved, and enroll those above the Medicaid income thresholds in private insurance on the exchange; and (3) educate providers that see CSKT members on this new coverage approach, and educate patients on how to effectively use coverage.

  • Eagle Shield Center - +

    Blackfeet Community Hospice Project

    Project Term: 12 months; Dec 1, 2017 – Nov 30, 2018
    Grant Amount: $26,262

    This planning grant aims to achieve two primary objectives: (1) establish a partnership among tribal agencies on the Blackfeet reservation who will collaborate toward developing hospice services for the community; and (2) provide a one-day workshop to educate the Blackfeet community about hospice and end-of-life care. Since 2007, Blackfeet community members and a researcher from Montana State University have been collaborating on end-of-life experiences among Blackfeet people using a participatory approach. The partnership includes the Blackfeet Tribal Business Council, the Eagle Shield Center, the Blackfeet Tribal Health Department, Tribal Planning, Blackfeet Community College, Blackfeet Family and Child Services, Indian Health Service, and the Tribal Diabetes Clinic. At the conclusion of this project, a solid partnership will be established in the community and the workshop on available hospice services in the Blackfeet community will increase the community’s knowledge of end-of-life care needs and services.

  • Fort Belknap Indian Community - +

    Centralized Billing Capacity Building Project

    Project Term: 24 months; April 2017 – March 2019
    Grant Amount: $65,000

    This project will help establish Fort Belknap’s centralized billing department by expanding the range of billable services and establishing internal controls to ensure legal compliance. The revenue generated will support prevention programs and help the tribe assume management of their behavioral health services from the Indian Health Service. Funding will also be used to hire a consultant to assess the revenue cycle process, controls and operations, and recommend specific improvements.

  • Fort Peck Tribal Health Department - +

    Needle Exchange Program

    Project Term: 24 months; Nov 1, 2015 – Oct 31, 2017
    Grant Amount: $50,000

    This project will revive a needle exchange program that operated on the Fort Peck Reservation from the summer of 2009 to January 2012. The main objective of this intervention will be to reduce transmission of blood-borne illnesses such as hepatitis C and HIV.  Fort Peck developed and implemented a unique and successful needle exchange protocol which was one of the first operated in a rural reservation in the US.   This program will be reinstated and expanded to provide injection drug users with clean needles, education, sharps containers for safe disposal of needles, and referrals to addictions counselling if needed.

    Rapid HIV and HCV Testing Services

    Project Term: 24 months; May 1, 2016 – Apr 30, 2018
    Grant Amount: $50,000

    This project will expand Fort Peck’s current needle exchange to provide testing services for HIV and hepatitis C (HCV). With 446 cases of HCV between 2011 and 2015, the HCV rates on Fort Peck are among the highest in the state and six times the national rate. A more systematic system for screening is intended to facilitate both prevention and treatment of this serious and costly disease. HIV screenings will be provided at an annual community-wide screening (which will be available to non-Native community members), and the adult and juvenile correction facilities. The project involves partnerships with the tribal corrections facilities, Roosevelt County Health Department, and Indian Health Services.

  • Fort Peck Tribes - Spotted Bull Recovery Resource Center - +

    Fort Peck Substance Abuse Inpatient Treatment Center Development Project

    Project Term: 12 months; Nov 1, 2016 – Oct 31, 2017
    Grant Amount: $50,000

    The Fort Peck Tribes will develop a business plan to guide the establishment of a new inpatient chemical dependency treatment center to compliment Spotted Bull Recovery Center’s current outpatient facility on the Fort Peck reservation. The business plan will include logistical details for the new center as well as plans for integration between the inpatient and outpatient facilities, third party billing, integration with outpatient primary care and behavioral health, and coordination with other treatment facilities. The project will be carried out through a partnership among the Tribal Action Plan Committee, the tribal executive board, the tribal health department, tribal courts, and the law enforcement agencies with jurisdiction on the reservation. While the population of focus will be Native American patients from the Fort Peck region, the facility would also serve non-Native patients.

  • Fort Peck Tribes Health Promotion Disease Prevention Program - +

    Fort Peck Tribes HPDP Staff Recruitment and Telemedicine Systems Project

    Project Term: 24 months, Aug 1, 2015 – Jul 31, 2017
    Grant Amount: $25,000

    This project will develop long-term, innovative solutions to the critical shortage of health providers on the Fort Peck reservation. The project will seek to develop formal agreements with larger healthcare systems, professional healthcare provider organizations, and universities who will agree to partner with the Fort Peck HPDP program to regularly send licensed healthcare professionals to serve the tribes. The project will also explore developing the capacity to use telemedicine to deliver needed healthcare services.

  • Helena Indian Alliance - +

    Development of Best Practices for Excellence in Opiate Dependence Treatment

    Project Term: 18 months, Nov 1, 2015 – Apr 30, 2017
    Grant Amount: $20,000

    This project seeks to support effective, office-based treatment of opioid addiction by physicians (opioids include drugs such as heroin and oxycodone). Buprenorphine is an opioid that is used in medications that are approved for office-based treatment of opioid addiction, such as Suboxone. Providers must receive special approval from the Drug Enforcement Agency (DEA) to use buprenorphine-containing products for this purpose. This proposal will engage primary care providers in developing, piloting, and evaluating a practical, best-practices guide grounded in the challenges unique to Montana.

    Helena Indian Alliance Master Plan

    Project Term: 12 months; Aug 1, 2016 – Jul 31, 2017
    Grant Amount: $25,000

    The Helena Indian Alliance will work with an architecture firm to complete a master plan to include a preliminary architecture plan and feasibility study to determine the possibility of expanding services including dental and pharmacy services. The plan will position Helena Indian Alliance to submit a successful application for Community Development Block Grant funding for facility updates.

  • Messengers for Health - +

    Traditional Relationships Improve Contemporary Health

    Project Term: 24 months, Nov 1, 2015 – Oct 31, 2017
    Grant Amount: $50,000

    Messengers for Health, a Crow non-profit, will carry out two projects with this grant: (1) broadening a cancer screening outreach program to include colon cancer screening for men; and (2) implementing and evaluating a culturally-based chronic disease self-management program for illnesses such as diabetes. Messengers for Health has been working in the area of cancer screening since 1996, in partnership with Professor Suzanne Christopher at Montana State University (MSU), using a community-based participatory research framework. The program uses a volunteer-driven, culturally-based model to encourage women to seek screening for breast and cervical cancer. To contribute to the chronic disease self-management program, this grant will support development of a training manual for volunteers, and pilot test the elements of the model with patients of Bighorn Valley Community Health Center.

  • Missoula Urban Indian Health Center - +

    Walking Well With Traditional Healing

    Project Term: 24 months; Jan 2016 – Dec 2017
    Grant Amount: $50,000

    The Missoula Urban Indian Health Center (MUIHC) serves the urban Indian population in Missoula County and surrounding areas in Western Montana by offering a comprehensive holistic healing model for those struggling with historical trauma. This project will focus on increasing MUIHC’s capacity to provide culturally adapted, evidence based, and trauma informed awareness and care to the more than 540 active clients they see every year. As part of the project, they will incorporate the self-help techniques of the Community Resiliency Model for community members, and the Trauma Resiliency Model for counselors and therapists to incorporate into client therapy.

  • Montana State University - Sociology & Anthropology - +

    Responding to Secondary Trauma among American Indian Victim Service Providers

    Project Term: 24 months; May 1, 2016 – Apr 30, 2018
    Grant Amount: $25,000

    This grant will create a program to address secondary trauma (trauma experienced by people who serve victims of violence). Secondary trauma is recognized as an occupational hazard that contributes to health problems and burnout among victim service providers. The program will serve employees in programs that support victims of domestic violence, elder abuse, child abuse and neglect, sexual assault, and other forms of trauma. Desired outcomes include an increase in awareness, normalization, and knowledge of secondary trauma, as well as an improvement in individual and organizational responses. Over the long term, this project will help address the shortage of behavioral healthcare and victim support providers.

  • North American Indian Alliance - +

    Electronic Health Record and Revenue Cycle Optimization Project

    Project Term: 12 months; December 2016 – November 2017
    Grant Amount: $15,000

    This project will optimize the North American Indian Alliance’s electronic health records and improve third party revenue within the organization. Partners include the Helena Indian Alliance who will provide technical support in developing office procedures that ensure accountability, producing efficient managers capable of teaching staff, and building the correct measures to report progress.

    Strategic Planning Initiative

    Project Term: 12 months; August 2017 – July 2018
    Grant Amount: $50,000

    For this project, North American Indian Alliance (NAIA) will complete a needs assessment and strategic plan. This initiative will take place in two stages: first, a consultant will work with organizational leadership to create an interim plan to stabilize the organization by fall 2017; and second, NAIA will work with partner organizations including the county health department, hospital, and behavioral health providers to conduct an in-depth needs assessment and develop a more comprehensive strategic plan. The strategic plan will reveal current and potential service provision gaps and formulate a plan that addresses programming, operations, and financing. The goal is to stabilize the organization internally and build on the strengths of their current work while looking for ways to extend their services to the community.

  • Northern Cheyenne Tribal Board of Health - +

    Northern Cheyenne Injury Prevention Project

    Project Term: 24 months, Nov 1, 2015 – Oct 31, 2017
    Grant Amount: $99,453

    The Northern Cheyenne Tribal Board of Health will establish an injury prevention program.  Montana has one of the nation’s highest rates of motor vehicle injury among American Indians.  The project will establish a comprehensive, public health approach to injury prevention on the Northern Cheyenne Indian Reservation.  Key elements include (1) revising the current Tribal Safety Belt Ordinance; (2) conducting community-based activities to increase the use of seat belts and child restraints, such as community education campaigns and partnering with Head Start to distribute and encourage the use of child seats; and (3) collaborating with law enforcement to strengthen traffic safety.  The grant will fund a fulltime injury prevention coordinator to lead the activities. The Indian Health Service and Centers for Disease Control and Prevention offer longer-term funding for tribal injury prevention programs: this grant will also help the tribe establish the foundation needed to successfully apply for these longer-term grants.

    Revenue Enhancement Project

    Project Term: 18 months; April 2017 – October 2018
    Grant Amount: $75,000

    This project will help increase revenue by billing third party insurance, and will strengthen tribal health services by improving the tribe’s revenue management system. Funding will be used to hire a new staff position to focus on insurance enrollment, and a consultant to help with revenue cycle management. Expected outcomes include educating the revenue enhancement staff in third party insurance billing, increasing revenue by approximately 25 percent, and hiring a permanent patient registration staff.

  • Rocky Boy Health Board - +

    Rocky Boy Health Board Centralized Coding, Billing, and Revenue Maximization Project

    Project Term: 24 months, Nov 1, 2015 – Oct 31, 2017
    Grant Amount: $99,608

    This project will strengthen the Rocky Boy health system by improving administration, coding, and billing through developing and implementing a centralized billing system. The project will begin by identifying current challenges in billing and collections, and then develop a plan to address these issues and train staff in billing and coding.  The project will also focus on enrolling uninsured tribal members in Medicaid or Affordable Care Act (ACA) exchange insurance plans.  In addition, the project will begin a consideration of how to better serve the health needs of the community through, for example, providing reimbursable school-based services, and providing on-site services for tribal Temporary Assistance for Needy Families recipients. The overall goal for this project is to develop a sound administration and stable revenue base, which will allow the tribe to design and run effective, tribally-led health programs.

  • Rocky Mountain Tribal Epidemiology Center - +

    Feasibility of Maintenance Therapy in Pregnancy among Opioid Users in Tribal Communities

    Project Term: 12 months; May 1, 2016 – Apr 30, 2017
    Grant Amount: $25,000

    This planning grant will investigate the feasibility of providing medication-assisted treatment for women on the Blackfeet reservation who are using opioids during pregnancy. This treatment is recommended by the American College of Obstetricians and Gynecologists as an evidence-based standard of care, because it can prevent maternal and fetal complications of opioid use and withdrawal; encourage prenatal care and drug treatment; and reduce social complications and criminal activity associated with addiction. The planning process will determine acceptability, cost, training needs, community educational needs, and steps which must be taken to liaise with the Indian Health Service and Blackfeet tribal health. The project will result in a strategic plan for the Blackfeet reservation which could potentially be replicated in other Montana tribes.

    From Plan to Action: Prevention and Support for Pregnant Blackfeet Women Using Opioids on Blackfeet

    Project Term: 12 months; April 2017 – March 2018
    Grant Amount: $75,000

    This project will support RMTLC and their Boston University-based partners to work with the Blackfeet tribe and the Indian Health Service Blackfeet Community Hospital to address opioid prevention among pregnant women on the Blackfeet reservation. Funds will be used to conduct focus group/key informant interviews with clinicians and substance-using pregnant women; produce a gap analysis to determine treatment shortfalls; and work with the tribe to create a feasibility analysis and protocol for medication-assisted treatment to include integrated behavioral health, assessing the accuracy of prenatal screening, analyzing reimbursable billing, and helping to establish a referral system for care. The grant will also be used to foster relationships between the Lummi and Blackfeet tribes, as well a organizations working on similar issues in the Flathead region.

  • Salish Kootenai College - +

    Type 2 Diabetes Intervention for At-Risk Youth on the Flathead Indian Reservation

    Project Term: 24 months; August 2017 – July 2019
    Grant Amount: $75,000

    This project will develop a screening and exercise-based intervention project for teens who are at-risk for type 2 diabetes on the Flathead Indian Reservation. Salish Kootenai College (SKC) nursing students will work with the CSKT Tribal Health Department to identify at-risk teens based on family history and other risk factors. Quarterly, for two years, identified teens will be screened for diabetes as part of a “field day” that will provide intensive education on diet and exercise. Field day activities will include completing physical parameters, education on nutrition and the need for regular checkups, physical activity sessions with a fitness trainer, and screening for hypertension and diabetes. Students who screen positive for diabetes will be referred immediately to CSKT primary care or their private primary care provider.

  • Special Olympics Montana - +

    Insurance Enrollment, Health Screenings, and Follow-Up Care for CSKT Special Olympics Athletes

    Project Term: 24 months; Aug 1, 2016 – Jul 31, 2018
    Grant Amount: $20,000

    Special Olympics Montana (SOMT) will partner with the Confederated Salish and Kootenai Tribal Health Department (CSKT), and the Department of Public Health and Human Services to work towards improving health for those with intellectual disability on the Flathead Reservation. A SOMT tribal outreach director will work in the CSKT Health Department one day a week to identify potential CSKT Special Olympics athletes, involve them in SOMT, and facilitate participation in SOMT-required health screenings. CSKT staff will assist with insurance enrollment, bill insurance for care received, and ensure robust coordination of care among all of each individual’s health providers.

  • The Center Pole - +

    Oosha Itchik/Healthy Food System

    Project Term: 24 months; May 1, 2016 – Apr 30, 2018
    Grant Amount: $50,000

    The goal of this project is to provide a healthy, sustainable food system for the Crow Reservation, while teaching community members about food sovereignty and health. Activities include creating a farm at Center Pole, harvesting wild fruits and vegetables, hunting, and traditional food preservation. These activities will be carried out in partnership with elementary schools and the Tribe’s diabetes prevention program, and will be linked to a series of community education and outreach activities intended to disseminate the program throughout the reservation. The Center Pole will also work to develop a tribal ordinance to support local and traditional food production.

  • University of Montana - ORSP - +

    Assessing Access to Asthma Education Services for Montana’s American Indian Population

    Project Term: 12 months; Aug 1, 2016 – Jul 31, 2017
    Grant Amount: $25,000

    The Pharmacist Managed Asthma Clinics Program at the University of Montana-Skaggs School of Pharmacy will assess current access to asthma self-management education and determine the feasibility of multi-disciplinary, pharmacist-led managed asthma care in Montana’s American Indian communities. This project will adapt current toolkits to expand the program into pharmacies on the reservations and urban communities. In addition to looking at the need for asthma programs in American Indian communities in Montana, the program will help patients and health care professionals understand the need and importance of asthma management. Partners include the Native American Center of Excellence, Missoula Urban Indian Health Center, Rocky Boy Health Board, the Montana Asthma Control Program, and the Improving Health Among Rural Montanans program.

  • Western Native Voice - +

    HELP Act Outreach and Assistance in Native American Communities across Montana

    Project Term: 12 months; Aug 1, 2016 – Jul 31, 2017
    Grant Amount: $25,000

    Western Native Voice will engage in outreach and coordination activities to support enrollment of Native American people in Medicaid or other insurance. The project seeks to identify people (primarily Native Americans living on remote reservations or in urban areas) who may be eligible for coverage, and regional resources available to assist with enrollment, and connect them.