Implementing the Tribal Health Improvement Program (T-HIP)

The goal of this initiative is to improve health and well-being and to reduce disparities in health and life expectancy among American Indian people in Montana. In 2018, the focus of this initiative is on assisting tribes in implementing the new Medicaid Tribal Health Improvement Program (T-HIP).

Montana health statistics paint a troubling picture of American Indian health status. The median age at death is nearly 20 years shorter for American Indian people than for white people in Montana. Leading causes of death—including injury, cancer, heart disease, diabetes, and cirrhosis—are all also substantially higher. Measurably improving health disparities will require coordination of tribal, state, federal, and MHCF resources, and stable, disciplined investment over many years. Montana’s newly created T-HIP creates an unprecedented opportunity to build a strong, evidence-based prevention system on Montana’s reservations. Establishing successful programs will require planning, public health expertise, and program implementation and management.

Only tribes and tribal government agencies may apply for funding under this initiative. Grantees should meet the following criteria:

  • Document commitment from tribal leadership to implement the T-HIP program.
  • Identify key staff and the tribal department where the T-HIP program will be established.
  • Have in place an IHS 638 contract for health promotion/disease prevention services, or use grant funds in part to develop the contract.
  • Tribes may use these funds to pay for the services of a contractor if needed. Any contractor chosen should have expertise in American Indian public health systems and a track record of successful efforts to engage and support tribal health systems.

If you are interested in applying for a T-HIP implementation grant, please contact MHCF Senior Program Officer Tressie White. 

Strengthening American Indian Health Services

Focus Area: American Indian Health

Our Work in Reducing Disparities

Reducing Disparities Grantees

Blackfeet Tribe

Blackfeet Partnership for Food Sovereignty Strategic Plan

Project Tem: 12 months; 2018-2019
Grant Amount: $50,000

For this project, Blackfeet planners, in partnership with community-level organizations and the MSU Native Land Project, will engage in a facilitated strategic planning process to design a comprehensive food sovereignty strategic plan and begin implementation. The overarching goal of the project is to end food insecurity and the many of the problems implicit in disconnecting from traditional food sources. Objectives include coordination of food production and delivery systems on the Blackfeet Indian Reservation, the creation of a Blackfeet food code, and development of measurements tools to track potential health changes due to interventions in the food and health system. Funding will be used for a project manager and consultant to assist with the strategic planning process. Key partnerships include the Blackfeet Tribe, community partners, and the MSU Native Land Project.

Bighorn Valley Health Center

Establishing A Structured Framework to Improve Sustained Health and Well-Being

Project Term: 12 months; 2018-2019
Grant Amount: $25,000

Embedding Lean Six Sigma as an evidence-based quality performance improvement methodology will allow Bighorn Valley Health Center (BVHC) to make progress toward enhancing a systems approach toward value-based health care services. BVHC is expanding to increase access and services, merging with existing clinic sites to share expertise and resources, and extending outreach to develop community partnerships. In order to optimize clinical workflow, patient experience, and outcomes, the health center will engage various resources and expertise to train our teams to apply and practice Lean Six Sigma tools, to ensure projects and workflows are well defined, measured, analyzed, improved, and controlled. Grant funding will support the initial cost to integrate the Lean Six Sigma framework across the organization.

Bighorn Valley Health Center

Feasibility Study for Itchik Diiawakaam Family Healing Center

Project Term: 12 months; 2018-2019
Grant Amount: $49,350

This project will support a feasibility study for establishing the Itchik Diiawakaam Family Healing Center within the Apsaalooke Nation. This center aims to provide a program and facility that allows individuals and families to heal together in their community while immersed in Crow cultural values and support. The center’s focus on relational justice, foster care alternatives, integrative approaches to mental and physical health, meaningful work, trauma resolution, and indigenous models of education will serve as a blueprint for the exploration process. The center will be piloted in Lodge Grass on the Crow Indian Reservation, and residents will be engaged in all facets of program creation and implementation. This grant will fund staff time to complete the feasibility study. Project partners include Lodge Grass City Government leadership and tribal community members.

Two Eagle River School

Two Eagle River School Wellness Project

Project Term: 12 months; 2017-2018
Grant Amount: $50,000

This grant will fund a partnership between Two Eagle River School and Tribal Health of the Confederated Salish and Kootenai Tribes (CSKT) to bring a licensed mental health counselor into the school to provide behavioral health services to the students. Two Eagle River School is a tribal alternative middle and high school serving 110 students on the Flathead Reservation. After multiple suicides in the community over the past year, the school has identified an immediate need to address the mental health and historical trauma needs of the students. The project is supported by the CSKT Tribal Council and will form a new partnership with CSKT Tribal Health. Freedom Lodge is a non-profit that will provide training to the therapist to address historical trauma within the school and assist with the evaluation of the project.  

 

Blackfeet Tribal Health

Blackfeet Emergency Medical Services Program

Project Term: 24 months; 2017-2019
Grant Amount: $75,136

This project will train and certify six paramedics from Blackfeet Tribal Health’s current emergency medicine technician staff. A consultant will provide classroom and skills training, and paramedic students will have the opportunity to do ride-alongs and work in the emergency departments of partner organizations including. Trained paramedic staff will allow the tribe to address workforce challenges and provide much needed services for the community.

 

2018 Call for Proposals

Find out about this year’s available grants.