PWS_for_FedBizOPS.pdf

PERFORMANCE WORK STATEMENT DIABETES

EDUCATION PROFESSIONAL CONSULTANT

SECTION 1. GENERAL INFORMATION

1.1 Through the Special Diabetes Program for Indians (SDPI), the Indian Health

Service/California Area Office (IHS/CAO) is authorized to contract for a Diabetes Education Professional Consultant.

1.2 The Diabetes Education Professional Consultant is a person with current knowledge and considerable experience that is acceptable by medical standards of practice. This Consultant is to be a reliable resource to the diabetes health educators and other medical providers working in California tribal or urban healthcare centers. To be qualified to fill the consultant position a current health occupations license or registration (such as Registered Nurse, Physician Assistant, Physician, Registered Dietitian) is required, along with experience in diabetes care and education, knowledge of federally funded tribal and urban Indian healthcare clinics and considerable proficiency in providing diabetes care management and evaluation of the diabetes programs. Other requirements are as follows Certified Diabetes Educator (CDE) who possesses comprehensive knowledge of and experience in diabetes management, prediabetes, and diabetes prevention as well as a demonstrated ability to teach these skills to others to support improving diabetes outcomes, prevent diabetes, improve efficiency, coordination of services and increasing resource utilization.

The contract involves close coordination with the IHS/CAO, IHS/ DGM and DDTP and has responsibility for monitoring the programmatic aspects diabetes education and diabetes clinical care among California Tribal and urban Indian healthcare centers. In coordination with the IHS/CAO and DDTP exercises responsibility for evaluation of the healthcare centers diabetes programs capacities and in sustaining compliance with the terms and conditions by the grant program. The work also involves provision of technical programmatic expertise regarding diabetes prevention, education, and treatment to California SDPI grantee programs. The IHS provides the SDPI grant funds to potentially thirty-seven (37) California tribal and urban healthcare centers. The CAO and its contractors will be able to provide individualized assistance to the tribal and urban Indian healthcare programs during the application process. The Contractor will evaluate capacity of grantees and provide program feedback that can assist in strengthening submission of their continuation application. To continue to be eligible to receive the SDPI grant funds, these healthcare centers must:

1.2.1 Successfully apply annually via the Federal GrantSolutions System to IHS for their Continuation SDPI Community Directed grant or Grants.gov if the process becomes competitive Perform and submit an Annual Diabetes Care and Outcomes Audit to continue their eligibility for the SDPI grant

1.2.2 Create and maintain a current diabetes registry of their patients with a Diabetes diagnosis

1.2.3 Perform and submit an Annual Diabetes Care and Outcomes Audit to continue their eligibility for the SDPI grant

1.2.4 Concentrate grant effort on at least one of the IHS Diabetes Best Practices

1.2.5 Follow the IHS Diabetes Standards of Care

1.2.6 Participate in, and receive continuous training and technical assistance provided by IHS/DDTP to optimize diabetes care, to include California Area Native

American Diabetes Organization (CAN-DO) conference calls that provide support and education on current diabetes topics and standards; facilitate sharing between tribal programs.

1.2.7. Provide mid-year and annual reports via GrantSolutions, including Narrative and

Create and maintain a current diabetes registry of their patients with a Diabetes diagnosis Federal Financial Statement - SF 425 and comply with all grant regulations

1.2.8 Manage grant funds within IHS grant guidelines and comply with the IHS Diabetes Best Practice templates.

1.3 Period of Performance: One year from time of award.

SECTION 2. DEFINITIONS

The language in this section is suggested for use only as appropriate and necessary.

ADC Area Diabetes Consultant AI/AN American Indian/Alaska Native CAC Clinical Applications Coordinator CAN-DO California Area Native American Diabetes Organization CAO California Area Office CAO-ADC California Area Office Area Diabetes Consultant CDE Certified Diabetes Educator CQI Continuous Quality Improvement CRS Clinical Reporting System DDTP Division of Diabetes Treatment and Prevention DGM Division of Grants Management DM Diabetes Mellitus DP Diabetes Prevention Initiative GPRA Government Performance and Results Act HbA1c Hemoglobin A1c HH Healthy Heart Initiative IHS Indian Health Service IPC Improving Patient Care IT Information Technology ORC Objective Review Committee PA Physician Assistant PCMH Patient Centered Medical Home QI Quality Improvement Q-Man Query Utility Manager RPMS Resource and Patient Management System SDPI Special Diabetes Program for Indians TA Technical Assistance

TLDC Tribal Leaders Diabetes Committee Web Audit Diabetes Audit submitted via the internet to IHS

2.2 Area

A defined geographical region for Indian Health Service administrative purposes. There are 12 Areas in the IHS System, with California Area one of the 12 Areas.

2.3 Annual Diabetes Outcomes Audit

Data entered during the calendar year for diabetes care.

2.4 Best Practices

Indian Health Services approach to Quality Diabetes Care

2.5 Contracting Officer (CO)

A government employee authorized and warranted to issue contracts, and to make subsequent modification(s). The CO has full authority to make determinations on all changes and disputes regarding the contract.

2.6 Contractor

The individual awarded a legal binding contract to provide supplies and/or services.

2.7 Diabetes Registry

A registry of patients served by the program and maintained through RPMS or other software.

2.8 Defective Service

A service output that does not meet the standard of performance requirement specified in the contract for that service.

2.9 Inspector

A government employee authorized to provide verbal and written performance direction to the Contractor that the Contractor must follow without exception.

2.10 Performance Requirement

The point that divides acceptable and unacceptable performance of a task according to the PRS and the Inspection of Services Clause.

2.11 Performance Requirements Summary

A listing of the service outputs under the contract that are to be evaluated by the project officer on a regular basis, the surveillance methods to be used for these outputs, and the performance requirements of the listed outputs.

2.12 Pre-Diabetes

The metabolic condition that exists prior to diabetes

2.13 Project Officer

A government representative appointed by the IHS/CAO to assist in the management of the contract. The project officer will work cooperatively under the direction of the contracting officer.

2.14 Quality Assurance

A planned and systematic pattern of all government actions necessary to provide confidence that adequate technical requirements are established; products and services conform to established technical requirements; and satisfactory performance is achieved. Quality assurance refers to actions by the government assurance functions for a contracted service.

2.15 Quality Control

Those actions taken by a contractor to control the production of outputs to ensure that they conform to the contract requirements.

2.16 Standards of Care

IHS evidence based standards of Quality Diabetes Care

SECTION 3 GOVERNMENT FURNISHED INFORMATION AND

PROPERTY

None

SECTION 4 CONTRACTOR FURNISHED PROPERTY

The contractor shall provide all equipment, material, and supplies necessary to provide Diabetes Management services described herein.

SECTION 5 SPECIFIC REQUIREMENTS

5.1 This Performance Work Statement (PWS) is to provide virtual technical assistance to each of the 39 California Indian Health clinic sites during the period of performance (37 SDPI funded sites currently and 2 non-funded sites with diabetes programs). On-site visits will be provided to the programs requiring increased assistance as determined by the Contractor and CAO-ADC. Provide one on-site visit to at least 11 of the Tribal or urban Indian healthcare centers diabetes programs as required during the period of performance, and broader in scope as outlined in section 5.3. The goal of the IHS/CAO is to improve diabetes outcomes, prevent diabetes, and improve efficiency, coordination of services and increasing resource utilization. This may include promotion of the Improving Patient Care (IPC) IHS initiative and Patient Centered Medical Home models.

5.2. The contractor will provide services to the following programs:

Urban Programs

5.2.1 American Indian Health and Services Corp. (Santa Barbara)

5.2.2 Bakersfield American Indian Health Project (Bakersfield)

5.2.3 Fresno American Indian Health Project (Fresno)

5.2.4 Native American Health Center (Oakland)

5.2.5 San Diego American Indian Health Center (San Diego)

5.2.6 United American Indian Involvement, Inc. (Los Angeles)

5.2.7 Indian Health Center of Santa Clara Valley (San Jose)

5.2.8 Sacramento Native American Health Center (Sacramento)

Tribal Programs:

5.2.9 Central Valley Indian Health Center

5.2.10 Chapa-De Indian Health Program, Inc.

5.2.11 Colusa Indian Community Council

5.2.12 Consolidated Tribal Health Project, Inc.

5.2.13 Feather River Tribal Health, Inc.

5.2.14 Greenville Rancheria

5.2.15 Hopland Band of Pomo Indians

5.2.16 Hoopa Valley Tribe (Kima:w)

5.2.17 Indian Health Council, Inc.

5.2.18 Karuk Tribe of California

5.2.19 Lake County Tribal Health Consortium

5.2.20 M. A. C. T. Health Board

5.2.21 Northern Valley Indian Health

5.2.22 Pit River Health Services, Inc. (CRIHB)

5.2.23 Quartz Valley Indian Reservation, ANAV (CRIHB)

5.2.24 Redding Rancheria

5.2.25 Riverside-San Bernardino County Indian Health Inc.

5.2.26 Rolling Hills Clinic (Corning)

5.2.27 Round Valley Indian Health Center

5.2.28 Santa Ynez Tribal Health

5.2.29 Shingle Springs Tribal Health

5.2.30 Sonoma County Indian Health Project, Inc. (CRIHB)

5.2.31 Southern Indian Health, Inc.

5.2.32 Strong Family Health Center (Modoc Indian Health)

5.2.33 Susanville Indian Rancheria Health Center (Lassen Indian Health Center)

5.2.34 Table Mountain Rancheria

5.2.35 Toiyabe Indian Health Project

5.2.36 Tule River Indian Health Center, Inc.

5.2.37 Tuolumne Me-Wuk Indian Health Center

5.2.38 United Indian Health Services, Inc. (CRIHB)

5.2.39 Warner Mountain (CRIHB)

5.2.40 Wilton Rancheria

5.3 The Contractor will coordinate site visits with the Tribal and Urban Indian Health clinic staff; specifically the Diabetes Coordinator, GPRA Coordinator (if applicable), Executive Director and/or Medical Director. The contractor will coordinate site visits following a successful continuation grant application, when the Tribal and urban Indian programs continues to be a grantee. Site visits will be coordinated with the Tribal and Urban Indian Health clinic staff; specifically, the Diabetes Coordinator, Grant Writer (if applicable), GPRA Coordinator (if applicable), Medical Director and/or Executive Director. The site visits may be coordinated with the Diabetes Education Consultant Contractor and report all activity to the ADC. During the site visit, the Contractor will address current issues with the program’s SDPI grant, planning for the future, evaluating the current goals and objectives.

5.4 The Contractor will be responsible to provide technical assistance through web-based conferences, in-person, and by phone to the above listed sites.

5.4.1 This includes Diabetes Case Management

5.4.2 Diabetes program management

5.4.3 Healthcare systems improvement and Quality Improvement

5.4.4 Program evaluation using the Diabetes Audit and GPRA reports as Quality Assurance benchmarks

5.4.5 Provide an assessment tool to evaluate effectiveness of TA

5.5 The IHS Resource and Patient Management System (RPMS) is utilized solely by IHS as its patient data base system. The Contractor must be able to provide TA to the Tribal or urban Indian healthcare center’s diabetes program coordinator and/or designee in the following tasks using the RPMS User Guide:

5.5.1 Reports using the Clinical Reporting System (CRS)

5.5.2 Navigate the Diabetes Management System (DMS) Package

5.5.3 Create all reports in the DMS package

5.5.4 Generate IHS “Annual Diabetes Care & Outcomes Audit” via the Web Audit

5.5.5 Ability to correct errors in data entry

5.5.6 Provide an assessment tool to evaluate effectiveness of TA

5.5.7 The Contractor is NOT expected to have expert knowledge on other software Electronic Medical Record Systems

5.6 The Contractor will develop an assessment tool to evaluate the understanding of the individuals he/she is providing in-depth training to during a site visit on these topics:

5.6.1 Diabetes case management, quality improvement, and program management

5.6.2 RPMS – DMS data entry and report generation

5.6.3 Diabetes audit

5.7 Provide diabetes support to California tribal health care programs to improve patient care and outcomes. This task will include the following measures:

5.7.1 On-site visits to at least 11 out of 39 tribal/urban programs and subsequent written reports within 45 days of the visit. Site visits to include: evaluation of the existing diabetes program, clinic capacity, diabetes education, IHS Diabetes Care and Outcomes Audit and GPRA results with a focus on the above Targeted Diabetes Audit Measures, and over-all quality improvement process measures when applicable.

5.7.2 At least Quarterly California Area Native American Diabetes Organization (CAN-DO) conference calls to provide support and education on current diabetes topics and standards; facilitate sharing between tribal programs.

5.7.3 Provide oversight of the Web Audit submission of the Annual Diabetes Care and

Outcomes Audit by all Tribal/Urban healthcare centers for the 2020 audit year (calendar year January thru December).

5.7.4 Create a year-by-year cumulative Diabetes Audit report for all of the California Area using aggregated data based on the final audit data submitted into Web Audit.

5.7.5 The Contractor will assist in planning, coordinating, and attending the Annual Diabetes Day and Best Practices Medical Conference in Sacramento May 2020

5.7.6 The Contractor will attend the annual IHS National Diabetes Conference August

5.7.7 The Contractor will attend at least 2 TLDC/ADC joint meetings that are held quarterly at the request of the ADC.

5.8 Assist the Diabetes Program Coordinators in promoting positive health outcomes for their population of patients with diabetes. Sourcing IHS Diabetes Standards of Care, Diabetes Case Management and performing evaluation by using the cumulative California Area Diabetes Audit data. Coordination with the CAO, ADC and Diabetes SDPI Grant Contractor is necessary to provide training on the Annual Diabetes Care and Outcomes Audit performed via Web Audit. Every SDPI grantee is required to include their Annual Diabetes Audit to show improvements or declines in their SDPI Best Practice required key measure. Assist the CAO with the following 6 targeted activities, set as goals for the entire region:

5.8.1 Update individual program Diabetes Audit multi-year tables

5.8.2 Continue CAN-DO conference calls at least quarterly and assist in the development of web-based trainings.

5.8.3 Diabetes contractors to continue on-site technical assistance

5.8.4 Annual Diabetes Day for California programs in May

5.8.5 Continue to provide information to programs on the new individualized goals for glycemic control and blood pressure

5.8.6 Continue focus on diabetes care management and assisting California programs in identifying at-risk clients (HbA1c>=9, Uncontrolled BP > 150/90, Statin prescribed) and implementing patient-centered care plans

5.9 The Contractor shall provide the following processes:

5.9.1 Participate in multi-disciplinary team meetings and trainings supporting the California Area Office filling the role of “Time Keeper” or “Recorder”, as needed, at the following meetings or trainings:

5.9.1.1 Participate in the CAO targeted activity goals

5.9.1.2 Attend meetings and trainings, via web-conference

5.9.1.3 Collaborate via phone or email with ADC and Diabetes Education

Professional Consultant, at least four hours per month

5.9.1.4 Attend one, one-day meeting at the IHS CAO. All travel costs shall be included in the contract total price, location to be Sacramento California

5.9.1.5 Attend California Medical Best Practices & Diabetes Day, three-four day training conference. All travel costs shall be included in the contract total price, location based on prior years to be Sacramento California.

5.9.1.6 Attend two, TLDC/ADC two-day meetings, at request of the ADC.

All travel costs shall be included in the contract total price, locations expected to be Washington DC and Billings Montana based on prior year

5.9.1.7 Attend IHS Diabetes In Indian Country, three-four day training conference. All travel costs shall be included in the contract total price, location expected to be Albuquerque New Mexico or Oklahoma City Oklahoma based on prior years

5.9.2 Promote and teach concepts of Diabetes Case Management to all tribal/urban health programs with basic evaluation of the Diabetes Program Coordinator’s capacity to be reported to the CAO-ADC in the monthly reports.

5.9.3 Participate via teleconference on training sessions provided from the CAO to the

Health Programs and email reminders to the California programs of the DDTP Required Training webinars.

5.9.4 The contractor shall provide a minimum of two hours collaborative work per month with the Grants Consultant and ADC

5.10 The contractor shall meet the following qualifications:

5.10.1 The contractor shall hold a current health occupations license or registration (such as Registered Nurse, Physician Assistant, Registered Dietitian), and maintain the distinction of being a Certified Diabetes Educator (CDE) to be qualified to fill the consultant position is required, along with experience in diabetes care and education, knowledge of federally funded tribal and urban Indian healthcare clinics and considerable proficiency in providing diabetes care management and evaluation of the diabetes programs.

5.10.2 The contractor shall satisfactorily demonstrate expert level knowledge of working with Diabetes programs.

5.10.3 The contractor shall satisfactorily demonstrate knowledge of working with AI/AN programs.

5.10.4 The contractor shall satisfactorily demonstrate knowledge of the IHS Quality Improvement initiative: Improving Patient Care (IPC).

5.10.5 The contractor shall satisfactorily demonstrate advanced working knowledge of RPMS the IHS Resource and Patient Management System software.

5.10.5 The contractor is not required to have knowledge of other software programs used by health care programs if they are not using RPMS.

5.10.6 The contractor shall have advanced working knowledge of:

5.10.6.1 The IHS Diabetes Standards of Care

5.10.6.2. The IHS Diabetes Best Practices

5.10.6.3. The diabetes education curriculum “Balancing Your Life and Diabetes”

5.11 Preference shall be given to contractors demonstrating a working knowledge of RPMS to be able to utilize the Diabetes Management System, iCare, and/or CRS that are sub-programs of the IHS software.

5.11.1 The contractor is not required to have knowledge of other software programs used by health care programs if they are not using RPMS

5.12 The contractor shall have working knowledge of:

5.12.1 GrantSolutions System and Grants.Gov

5.12.2 The IHS Diabetes Standards of Care

5.12.3 The IHS Diabetes Best Practices

5.12.4 Microsoft Power Point, Word, and Excel

SECTION 6 APPLICABLE PUBLICATIONS

6.1 AADE Guidelines for the Practice of Diabetes Self-Management Education and Training

(DSME/T) at:

http://www.diabeteseducator.org/DiabetesEducation/position/Practice_Guidelines.html

6.2 AADE7 System Self-Care

http://www.diabeteseducator.org/ProfessionalResources/AADE7/A7S.html

6.3 IHS Diabetes Best Practices:

http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=toolsBestPractices

6.4 IHS Balancing Your Life and Diabetes, available on the IHS.gov website at:

http://www.ihs.gov/MedicalPrograms/Diabetes/RESOURCES/Catalog/index.cfm?modul e=productList&productNameApprox=Balancing%20Your%20Life%20and%20Diabetes

6.5 Standards of Care and Clinical Practice Recommendations: Type 2 Diabetes/ Diagnosis of Type 2 Diabetes and Prediabetes:

http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=SOCDiagnosisDM http://www.diabeteseducator.org/DiabetesEducation/position/Practice_Guidelines.html http://www.diabeteseducator.org/ProfessionalResources/AADE7/A7S.html http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=toolsBestPractices http://www.ihs.gov/MedicalPrograms/Diabetes/RESOURCES/Catalog/index.cfm?module=productList&productNameApprox=Balancing%20Your%20Life%20and%20Diabetes http://www.ihs.gov/MedicalPrograms/Diabetes/RESOURCES/Catalog/index.cfm?module=productList&productNameApprox=Balancing%20Your%20Life%20and%20Diabetes http://www.ihs.gov/MedicalPrograms/Diabetes/RESOURCES/Catalog/index.cfm?module=productList&productNameApprox=Balancing%20Your%20Life%20and%20Diabetes http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=SOCDiagnosisDM

SECTION 7 ATTACHMENT/TECHNICAL EXHIBIT LISTING

7.1 Performance Requirements Summary

7.2 Reports, Data and Other Deliverables

7.3 Directory of Health Programs

Technical Exhibit #1 Performance Requirements Summary DIABETES EDUCATION CONSULTANT

Performance-based Task Indicator Standard Quality Assurance

The Contractor shall conduct a minimum of 11/39 site visits and provide virtual technical assistance to all programs on diabetes case management and program management.

Section 5.1 – 5.7 of PWS

Delivery of site visit report and monthly report

Site visit report will be delivered within 45 days following the visit and/or end of month’s work

Assessment Tool will demonstrate an increase in knowledge

100% Inspection of the monthly reports

100% Inspection of site visit reports

Assessment Tool

Random monitoring of site visit reviews by the Project Officer

Provide technical assistance virtually, in person, and by phone to sites on RPMS/DMS or other systems

Section 5.4, 5.5, 5.6.3, 5.7,

5.11 of PWS

Delivery of site visit report and monthly report

Site visit report will be delivered within 45 days following the visit and/or end of month’s work

100% Inspection of the Contractor's monthly reports

Provide technical assistance to submit the Annual Diabetes Care and Outcomes Audit via Web Audit

Section 5.5, 5-8 of PWS

Submission of Annual Diabetes Web Audit for

37/37 T/U SDPI

programs

Annual Diabetes Audit accurately compiled and successfully submitted by the deadline established (TBD) Annually based on the National due date

Annual Diabetes Audit

Create an Assessment Tool

Section 5.6

Assessment of effectiveness of training

Assessment tool will be submitted with site visit reports within 45 days of the site visit to the ADC

100% Inspection of the Assessment Tool results for each site visit

DM EDUCATION CONSULT 2018-2019

Technical Exhibit #2 Reports, Data, and Other Deliverables

Letter Report, which includes a brief 1-2 page summary of a site visit or other task, based on an individual task item.

Site Visit Report, which will include the following:

A. Health program name, location, date B. Staff names and titles participating in site visit C. Purpose of Visit D. Organizational Overview E. Diabetes Program description and staffing list F. Diabetes Education

This section must state:

1. How group and/or individual education occurs on site

2. The Name of the Diabetes Education Curriculum utilized

3. All Activities included in the programs approach to education

4. Diabetes prevention education efforts in their community

G. Diabetes Case Management This section must state:

1. How the management of the patients identified with diabetes and/or pre-diabetes is handled in the program

2. Description of the use of the programs diabetes audit data

3. Description of the Case Manager’s team meetings

4. Outreach efforts and coordination with medical staff and other departments within the organization.

H. Description of Clinical/Data Committees within organization I. Clinical Care Data Review

This section must state:

1. Status of the Government Performance and Results Act (GPRA) for previous year

(July 1 – June 30)

2. Summary of discussion of the results with appropriate staff

3. Diabetes Outcomes Audit results (Audit year January 1 – December 31)

4. Summary of discussion of the results with appropriate staff

J. RPMS Usage, or Non-RPMS Usage This section must state:

1. Status of all Diabetes Patients:

-Total number on Diabetes Registry -Active (AI/AN & primary care at clinic) -Transient (primary medical care elsewhere) -Inactive (not seen in past 2 years) -Lost to Follow-up (status unknown) -Non IHS (non AI/AN) -Un-reviewed (require review & status designation)

-Deceased

2. Pre-Diabetes Registry (if applicable)

3. Reports ran at time of visit

K. Status of the Health Programs SDPI grant/ Best Practice goals and objectives.

This section must state:

1. The Best Practice(s) selected for SDPI grant application

2. Following the format of the semi-annual report, status of objectives and activities for each Best Practice

3. Data used for programs self-evaluation of progress of goals, objectives and activities

4. During CAO Diabetes Contractor site visits to California tribal clinics and health programs, identify Diabetes Team members, frequency of meetings, and data improvement goals. Note these details in site visit reports sent to the ADC and clinic staff.

L. Summary of the visit M. Recommendations to the program

This section must state:

1. SDPI Best Practice focus

2. Use of data to measure goals and objectives of Diabetes program

3. Case management recommendations

4. Diabetes Self-Management Education (DSME) protocols and recording of education being provided to the patients

5. Diabetes team development and teamwork resources

CALIFORNIA HEALTH PROGRAMS Last Updated: 6/23/2019 YELLOW for URBAN Offices

American Indian & Alaska Native Healthcare Jolene Lono, Director 1505 Dillingham Blvd., Ste. 205 Honolulu, HI 96817-4822 Voice: (808) 848-8000 Fax: (808) 848-8001

American Indian Health & Services Scott Black, Director 4141 State Street, Ste. B-11 Santa Barbara, CA 93110-2829 Voice: (805) 681-7356 Fax: (805) 681-7358

Bakersfield American Indian Health Project Wanda Lord, Director 1617 30th Street Bakersfield, CA 93301-1907 Voice: (661) 327-4030 Fax: (661) 327-0145

Cabazon Band of Mission Indians Nancy Markwardt, Office Manager 84-245 Indio Springs Parkway Indio, CA 92203-3499 Voice: (760) 342-2593 Fax: (760) 347-7880

California Rural Indian Health Board, Inc.

Mark Lebeau, Director (CRIHB) 1020 Sundown Way Roseville, CA 95661-4473 Voice: (916) 929-9761 Fax: (916) 929-7246

Central Valley Indian Health Chuck Fowler, Director 2740 Herndon Avenue Clovis, CA 93611-6813 Voice: (559) 299-2578 Fax: (559) 299-0245

Chapa-De Indian Health Program, Inc Lisa Davies, Director 11670 Atwood Road Auburn, CA 95603-9522 Voice: (530) 887-2800 Fax: (530) 887-2849

Cold Springs Rancheria Carol Bill, Chairperson 32861 Sycamore Road, Ste. 300, POB 209 Tollhouse, CA 93667-9513 Voice: (559) 855-2451 Fax: (559) 855-4443

Colusa Indian Community Council Catrina Ross, Director 3710 Hwy 45, Ste. A Colusa, CA 95932-4026 Voice: (530) 458-5501 Fax: (530) 458-8660

Consolidated Tribal Health Project Inc.

Richard Matens, Exec. Director P.O. Box 387 Calpella, CA 95418-0387 Voice: (707) 485-5115 Fax (707) 467-5650

Coyote Valley Tribal Council Melinda Hunter, Director 7601 North State Street, P.O. Box 39 Redwood Valley, CA 95470 -9663 Voice: (707) 485-8723 Fax: (707) 485-1247

Desert Sage Youth Regional Treatment Center Mark Espinosa, Director 39990 Faure Road (Physical) Hemet, CA. 92544-9408, P.O.Box 2748 Hemet, CA 92546-9408 Voice: 951-708-4019 Fax: 951-767-9520

Elem Indian Coloney Hiram Campbell, Tribal Admin.

P.O. Box 757 Lower Lake, CA 95457-0757 Voice: (707) 994-3400 Fax: (707) 994-3408

Feather River Tribal Health Inc.

Maria Hunzeker, Director 2145 5th Avenue Oroville, CA 95965-5870 Voice: (530) 534-5394 Fax: (530) 534-3820

Fresno American Indian Health Project Selina De La Pena, Director 1551 E. Shaw Avenue, Suite 139 Fresno, CA 93710-8012 Voice: (559) 320-0490 Fax: (559) 320-0494

Friendship House Assoc. of Amer. Inds.

Helen Waukazoo, Director 56 Julian Avenue San Francisco, CA 94103-3547 Voice: (415) 865-0964 Fax: (415) 865- 5428

Greenville Rancheria Lucretia Fletcher, CEO Director 410 Main Street, P.O. Box 279 Greenville, CA 95947-0279 Voice: (530) 528-8600 Fax: (530) 284-7299

Guidiville Indian Rancheria Kimberly Dufour, Director P.O. Box 339 Talmage, CA 95481-0339 Voice: (707) 462-3682 Fax: (707) 462-9183

Hoopa Valley Tribe (Kima:w) Emmett Chase, Director 535 Airport Road, P.O. Box 1288 Hoopa, CA 95546-1288 Voice: (530) 625-4261 Fax: (530) 625-4842

Hopland Band of Pomo Indians Sonny Elliott, Tribal Chairperson 3000 Shanel Road Hopland, CA 95449-9809 Voice: (707) 472-2100 Fax: (707) 744-1506

Indian Health Center of Santa Clara Valley Sonya Tetnowski, Director 1333 Meridian Avenue San Jose, CA 95125-5212 Voice: (408) 445-3400 Fax: (408) 448-1727

Indian Health Council, Inc.

Steve Gold, Director PO Box 406 Pauma Valley, CA 92061-0406 Voice: (760) 749-1410 Fax: (760) 749-2151

Karuk Tribe of California Rondi Johnson, CEO 64236 2nd Avenue, P.O. Box 1016 Happy Camp, CA 96039-1016 Voice: (530) 493-1600 Fax: (530) 493-5322

KOI Nation of Northern California Darin Beltrans, Chairperson 705 College Avenue Santa Rosa, CA 95404-4106 Voice: (707) 331-9788 Fax: (707) 575-5506

Lake County Tribal Health Consortium Ernesto Padilla, Exec. Director 925 Bevins Court, P.O. Box 1950 Lakeport, CA 95453-1950 Voice: (707) 263-8382 Fax: (707) 263-0329

Mathiesen Memorial Health Clinic (CRIHB) John Vass, Executive Director 18144 Seco Street, POB 535 Jamestown, CA 95327-9710 Voice: (209) 984-4820 Fax: (209) 984-4825

M.A.C.T. Health Board, Inc.

John Alexander, Director 52 South Main St., PO Box 939 Angels Camp, CA 95222 -0939 Voice: (209) 754-6255 Fax: (209) 736-1813

Strong Family Health Center (Modoc) Candace Carlson, Exec. Director 1203 Oak Street Alturas, CA 96101-3225 Voice: (530) 233-4591 Fax: (530) 233-3055

Native American Health Center Martin Waukazoo, Director 1151 Harbor Bay Parkway, Suite 203 Alameda, CA 94502 -6533 Voice: (510) 747-3030 Fax: (510) 748-0116

Native Directions Inc.

Ramona Valadez, Director 13505 Union Road Manteca, CA 95336-9258 Voice: (209) 858-2421 Fax: (209) 858-4692

CALIFORNIA HEALTH PROGRAMS Last Updated: 6/23/2019 YELLOW for URBAN Offices

Northern Valley Indian Health Inder Wadhwa, Director 257 N. Butte Street Willows, CA 95988-2803 Voice: (530) 934-4641 Fax: (530) 934-3285

Pinoleville Pomo Nation Lenora Steele, Tribal Admin.

500 Pinoleville Dr., Ste. B Ukiah, CA 95482-7121 Voice: (707) 463-1454 Fax: (707) 463-6601

Pit River Health Services, Inc. (CRIHB) Glenna Moore, Director 36977 Park Avenue Burney, CA 96013-4067 Voice: (530) 335-0333 Fax: (530) 335-5241

Quartz Valley Indian Reservation (CRIHB) Kyle Nelson, Director 9024 Sniktaw Lane Fort Jones, CA 96032-9408 Voice: (530) 468-4470 Fax: (530) 468-4478

Redding Rancheria Tribal Health Center Glen Hayward, Director 1441 Liberty St.

Redding, CA 96001-0848 Voice: (530) 224-2700 Fax: (530) 224-2742

Riverside/San Bernardino County IHC Jess Montoya, Director 11555 1/2 Potrero Road Banning, CA 92220 -6946 Voice: (951) 849-4761 Fax: (951) 849-5612

Rolling Hills Clinic Damon Safranek, Director 740 Solono Street Corning, CA 96021-3352 Voice: (530) 690-2827 Fax: (530) 838-9026

Round Valley Indian Health Center, Inc.

James Russ, Exec. Director Corner of Hwy 162 & Bigger Ln., POB 247 Covelo, CA 95428-0247 Voice: (707) 983-6404 Fax: (707) 983-6184

Sacramento Native American Health Center Britta Guerrero, Director 2020 J Street Sacramento, CA 95811-3120 Voice: (916) 341-0575 Fax: (916) 341-0574

San Diego American Indian Health Cntr.

Dona James, Acting Director 2602 First Avenue, Suite 105 San Diego, CA 92103-6599 Voice: (619) 234-2158 Fax: (619) 234-0505

Santa Ynez Band of Chumash Indians Ron Sisson, Director 90 Via Juana Lane Santa Ynez, CA 93460-9679 Voice: (805) 688-7070 Fax: (805) 686-2060

Scotts Valley Band of Pomo Indians Sorhna Li, Interim CFO 1005 Parallel Dr.

Lakeport, CA 95453 -5643 Voice: (707) 263-4220 Fax: (707) 533-2873

Sherwood Valley Band of Pomo Indians Carmen Ochoa, Interim Tribal Admin.

190 Sherwood Hill Drive Willits, CA 95490-4666 Voice: (707) 459-9690 Fax: (707) 459- 6936

Shingle Springs Tribal Health Programs Katie Nessinger, TBA 5168 Honpie Road Placerville, CA. 95667-8635 Voice: (530) 387-4975 Fax: (530) 387- 8006

Sierra Tribal Consortium Yolanda Herrera, Director 610 West McKinley Ave.

Fresno, CA 93728-1425 Voice: (559) 445-2691 Fax: (559) 445-3125

Sonoma County Indian Health (CRIHB) Betty Arterberry, CEO 144 Stony Point Road Santa Rosa, CA 95401-4122 Voice: (707) 521-4545 Fax: (707) 526-1016

Southern Indian Health Council, Inc.

Carolina Manzano, CEO 4058 Willows Road Alpine, CA 91901-1668 Voice: (619) 445-1188 Fax: (619) 659-3144

Susanville Indian Rancheria Health Center Lassen Indian Health Center Deana Bovee, Tribal Chairperson 795 Joaquin Street Susanville, CA 96130 -3628 Voice: (530) 257-2542 Fax: (530) 257-1101

Sycuan Band of Mission Indians Trula Breuninger, Director 5442 Sycuan Road El Cajon, CA 92019-1816 Voice: (619) 445-0707 Fax: (619) 445-9764

Table Mountain Rancheria Dr. Marilyn Benck, Director 23736 Sky Harbor Road, P.O.B. 410 Friant, CA 93626-9733 Voice: (559) 822-3785 Fax: (559) 822-2928

Tejon Indian Tribe Octavio Escobedo, Chairperson 1731 Hasti-Acres Dr. #108 Bakersfield, CA 93309-4888 Voice: (661) 834-8566 Fax: (661) 834-8564

Toiyabe Indian Health Project (CRIHB) Kori Novak, CEO 250 N. See Vee Lane Bishop, CA 93514-8058 Voice: (760) 873-8464 Fax: (760) 873-3935

Tule River Indian Health Center, Inc. (CRIHB) Zahid Sheikh, Director 380 N. Res. Rd., P.O. Box 768 Porterville, CA 93258-0768 Voice: (559) 784-2316 Fax: (559) 781-6514

Tule River Tribal Council (CRIHB) Neil Peyron, Tribal Chairperson 340 N. Res Rd., P.O. Box 589 Porterville, CA 93258-0589 Voice: (559) 781-4271 Fax: (559) 781-4610

Tuolumne Me-Wuk Indian Health Center Frank Isele, CEO 18880 Cherry Valley Blvd Tuolumne, CA 95379-9506 Voice: (209) 928-5400 Fax: (209) 928-5412

United American Indian Involvement, Inc Jerimy Billy, Exec. Director 1125 West 6th Street, Suite 103 Los Angeles, CA 90017-1879 Voice: (213) 202-3970 Fax: (213) 975-9257

United Indian Health Services, Inc. (CRIHB) John Reeves, CEO 1600 Weeot Way Arcata, CA 95521-4734 Voice: (707) 825-5000 Fax: (707) 825-6747

Warner Mountain Indian Health Project Jana Townsend, Director (CRIHB) 132 Mee Thee-Uh Rd, P.O. Box 247 Fort Bidwell, CA 96112 -0247 Voice: (530) 279-6194 Fax: (530) 279-6288

Wilton Rancheria Elena Tarango, Director 9728 Kent Street Elk Grove, CA 95624-2453 Voice: (916) 683-6000 Fax: (916) 683-6015

Auga Caliente Band Of Cahuilla Indians (S) Jeff Grubbee, Chairperson 5401 Dinah Shore Dr.

Palm Springs, CA 92264-5970 Voice: 760-699-6800 Fax: 760-699-6919