All Nations Health Center 2023

All Nations Roadmap to Success

All Nations serves as the Urban Indian Health Center for Missoula and Ravalli counties. This grant will support the development of their three-year strategic plan, and planning efforts for a new facility that will include a clinic and housing, on property recently acquired by the organization. Funds will cover costs of the consultants leading the strategic planning process, a site visit to Southcentral Foundation to view the Nuka care system, a site visit to Spokane to visit family-centered permanent supportive housing, and pre-development costs and planning for the new facility. Project goals include identifying gaps in community services, opportunities for enhancing care and revenue, and adoption of a strategy for the organization to implement as it steps into the next three years and develops its new facility. All Nations has partnered with the Missoula-based developer Homeword to coordinate facility development efforts, and with Project Mosaic to lead the strategic planning process.

Grant Amount

$163,000

Term

24 month

2023

Crow Tribe Health & Human Services 2023

Crow Nation Strategy for a Sacred Way of Life

This project will support the Crow Tribe in developing a strategic plan (the Crow Nation Strategy for A Sacred Way of Life) to address health disparities through an Indigenous health care model that incorporates Crow healing philosophy and cultural practices. The strategic plan will create a business model and an implementation plan that outlines the operational, financial, and program development steps needed to advance the tribe's vision for its health system. Grant funds will support the strategic planning process and a site visit to Southcentral Foundation. Project partners include the Crow Tribal Health Improvement Program, One Health, the Indian Health Service Crow Service Unit, and other local partners working to serve the Crow community.

Grant Amount

$116,000

Term

12 month

2023

Indian Family Health Clinic 2023

Strengthening Urban Indian Health Care

The Indian Family Health Clinic (IFHC) is an urban Indian health center based in Great Falls that provides culturally-informed medical, behavioral health, and wellness programs to nearly 7,000 American Indian people in Cascade County. This project will help IFHC develop a five-year strategic plan to support the organization’s effectiveness, sustainability, and partnership with the Little Shell Tribe. Grant funds will support consultation services, staff training, and a site visit to Alaska Southcentral Foundation to learn about the integrated behavioral health model and how to implement these best practices within the system.

Grant Amount

$109,400

Term

12 month

2023

Little Shell Tribe of Chippewa Indians of Montana 2023

Strategic Planning Site Visit

Members of the Little Shell Tribe’s leadership team and tribal council will travel to Southcentral Foundation (SCF) in Anchorage, Alaska, for a week-long site visit. This visit will support their ongoing strategic planning work with SCF. SCF's Nuka System of Care is a nationally-recognized, award-winning health care system that provides comprehensive, integrated services to support physical, mental, emotional, and spiritual wellness. Grant funds will support travel and site visit costs.

Grant Amount

$42,000

Term

12 month

2023

Montana Consortium for Urban Indian Health 2023

MCUIH Workforce Pipeline Program

This one year planning grant to the Native American Development Corporation will support the Montana Consortium of Urban Indian Health (MCUIH) to assess and begin to design a workforce pipeline to meet the staffing needs of the urban Indian health centers of Montana. The overall goal of MCUIH's Urban Indian Organization (UIO) Workforce Pipeline Program is to build a comprehensive approach to recruiting, training, and retaining talent, with a focus on developing skills and competencies that align with the UIOs business objectives. The program will assess the current and future workforce needs of each UIO, effective ways to recruit and attract talent, provide training and development opportunities, and focus on retaining and engaging talent. The ultimate goal is to build a robust health care workforce for each UIO that meets their individual and group needs and helps ensure that each UIO remains competitive and successful in the years ahead. Funds will be used to support MCUIH staff time and small portion for contractor to support workforce assessment for each urban program.

Grant Amount

$50,000

Term

12 month

2023

Blackfeet Tribal Health 2022

RAVE Emergency Notification System Coordinator

The Blackfeet Tribal Emergency Response recently purchased an Emergency Notification system for the Blackfeet Reservation. The goal is to implement a critical communication and collaboration system to improve incident response. The RAVE alert system provides the ability to send mass notifications and targeted messages to connect and inform the community, local organizations, schools, and other institutions with critical information at critical times. To accomplish this project, the Blackfeet Tribe will hire a RAVE Coordinator to train, data coordinate, and educate other administrators with the funds. The Blackfeet Tribe, Blackfeet Homeland Security, Blackfeet 911, Blackfeet Tribal Health, Blackfeet IT Department, Blackfeet Community College, and Blackfeet Emergency Preparedness are collaborating on this project.

Grant Amount

$60,000

Term

12 month

2022

Blackfeet Tribe 2022

Blackfeet Responsible Parenting Project

Blackfeet Manpower’s Child Support Program will partner with the Aspen Institute Center for Native American Youth to create a standardized curriculum to educate teens and young adults on parenthood, and to support informed family planning, with an emphasis on prioritizing education, stable employment, and healthy relationships. This project will support the creation of a culturally appropriate standardized curriculum to share with young people on the Blackfeet Reservation and the facilitation of youth groups that will teach cultural traditions and crafts. The project will provide educational opportunities for youth ages 13-25 with an emphasis on building self-esteem, communication skills, problem-solving skills, and setting personal and community goals. Funds will be used to support the development of the curriculum, youth group gatherings, and incentives for attendance. Partners include schools located on the Blackfeet Reservation, Blackfeet tribal and family courts, Blackfeet Crystal Creek Treatment Center, and Blackfeet Community Hospital.

Grant Amount

$25,000

Term

24 months

2022

Crow Tribe Health & Human Services 2022

Crow Tribal Finance Specialist – Medical Billing and Coding

Crow Tribe Health & Human Services is a tribal health department that supports the physical, behavioral, and cultural health of the Crow Tribe. This project will enable the health department to establish an effective tribal health finance department capable of billing and coding, records management, and procedure analysis. Revenue from health department services will provide a foundation for the Crow Nation to build effective, sustainable health care and public health programs. The grant will also support the development of the Crow Tribe’s Medicaid Tribal Health Improvement Program (THIP), a critical opportunity to create effective, tribally-led disease prevention programs. Grant funding will support a new finance specialist position salary and necessary training. Primary partners include the Crow Nation leadership and members of the finance team.

Grant Amount

$300,000

Term

36 month

2022

Fort Peck Tribes - Spotted Bull Recovery Resource Center 2021

Spotted Bull Recovery Resource Center Behavioral Health Capacity Building Project

Spotted Bull Resource Recovery Center (SBRRC) is the primary addiction treatment service provider in Fort Peck, offering chemical dependency services and inpatient treatment to the Fort Peck Indian Reservation and surrounding community. With this grant, SBRRC will add mental health services to the care it offers people with substance use disorders. To accomplish this, SBRRC will provide training to its staff to help them develop the necessary clinical competencies, contract with a mental health provider for therapeutic services, implement culturally relevant healing practices, and develop a third-party billing system. Funding will support the contract with a mental health consultant and behavioral health telehealth providers. It will also support the project's evaluation and travel for site visits. The project will be completed through established partnerships with the Indian Health Service, Volunteers of America, and Our Home, Inc.

Grant Amount

$100,000

Term

24 month

2021

Heart Butte Schools 2021

Feather Woman Healing Lodge Business Plan

Heart Butte Public Schools, located on the Blackfeet Reservation, hired RJS & Associates to develop a business plan for creating the Feather Woman Healing Lodge, a new facility that would serve students who are homeless or experiencing a mental health crisis. The school district has already purchased two modular homes that will be able to shelter up to 12 students—six girls and six boys—at a time. Through this project, RJS completed a business plan that outlines staffing needs, operation and maintenance costs, insurance costs, risk management, potential funding sources, and other operational infrastructure needed for the facility, as well as the next steps required to advance the project. The project was delayed due to difficulties in securing a partnership with Blackfeet Tribal Health programs (which have been impacted by COVID and leadership changes), but Heart Butte Public Schools is actively developing that partnership.

Grant Amount

$25,000

Term

12 month

2021

Helena Indian Alliance 2021

New Clinic Addition/Design

Helena Indian Alliance (HIA), an urban Indian health center based in Helena and serving the surrounding counties, used this grant to support the redesign of its clinic so it could expand and improve its integrated physical, behavioral, and dental health care services. HIA contracted with SMA Architecture to complete the design phase of the project, which included the creation of a schematic design; structural, civil, mechanical, plumbing, electrical, and architectural scopes; project specifications; and construction and bid documents. This project builds on two prior grants that involved developing a master plan and a structural assessment of the current building. With the plans and design in place, HIA was able to secure funds for the construction costs, estimated at roughly $1.1 million; receive approval from the Billings Area Indian Health Services to move forward; and select a contractor.

Grant Amount

$85,750

Term

24 month

2021

Little Shell Tribe of Chippewa Indians of Montana 2021

Strategic Planning for Little Shell Tribal Departments

The Little Shell Tribe of Chippewa Indians of Montana is the newly federally recognized Tribe of the Ojibwe people. Its service area includes Cascade, Blaine, Hill, and Glacier counties. This strategic planning project will help the Tribe begin developing a high-quality, effective health system by supporting the Tribe to create a mission and vision to meet the needs of its people and by providing expert technical assistance on health system design, infrastructure development, and operations. The Little Shell Tribe will model its new health system on Alaska Southcentral Foundation's award-winning NUKA System of Care. Funding will support a contract with the Southcentral Foundation to provide technical assistance and training throughout the planning process and the early stages of implementation. The project will be completed through close collaboration among the Little Shell Tribal Council, Tribal staff, and community members.

Grant Amount

$196,542

Term

24 month

2021

Awe Kualawaache Care Center 2020

Infection Control Training

This grant will provide infection control training for the Awe Kualawaache Care Center staff. The Care Center provides long-term care to the Crow Tribe and the surrounding community; its mission is to preserve culture between the elderly and youth. Funding will be used to purchase software to track infections and help the staff member who is leading this work enroll in an infection control certificate program.

Grant Amount

$3,000

Term

12 month

2020

Blackfeet Tribal Health 2020

Blackfeet Tribal Health 638 of the Community Health Education Program

The Blackfeet Tribal Health Department will work to assume management of its Community Health Education Program from the Indian Health Service (IHS) under Public Law 93-638 (this is often called the “638 process.”) This grant will help the health department complete a feasibility study and plan for assuming the Community Health Education Program; funds will help the Tribe hire a contractor to help with the 638 process. Adding the Community Health Education Program into the health department will help it achieve accreditation through the Public Health Accreditation Board and coordinate a more robust portfolio of community health-related activities.

Grant Amount

$19,877

Term

12 month

2020

Fort Belknap Tribes 2020

Billings Area Community Health Aide Program

The Fort Belknap Indian Community (FBIC) used this grant to support its efforts to implement the Community Health Aide Program (CHAP) in Montana. CHAP began in Alaska to allow community health aides to provide community, behavioral, and dental care alongside licensed providers, with the goal of expanding these services to rural tribal communities. The Montana Legislature passed a law in 2019 allowing for the establishment of CHAP in Montana, but the planning for and implementation of CHAP is still in progress. FBIC partnered with all Montana Native nations, state government, Billings Area Indian Health Services, tribal colleges and universities throughout the state, and others. The project made progress in the establishment of the Billings Area Certification Board (BACB) and the Academic Review Committee (ARC), an essential step in the process. Significant progress was made in developing CHAP standards and curriculum in medical, dental, and behavioral health, as well as the procedures for certifying CHAP providers. The project also succeeded in raising awareness of CHAP and its benefits among BACB and ARC members, tribal elected officials, Indian Health Service staff, and Montana state officials.

Grant Amount

$75,000

Term

12 month

2020

Native American Development Corporation 2020

Medication Assisted Treatment Clinic Feasibility Planning

The Billings Urban Indian Health and Wellness Center (BUIHWC), operated by the Native American Development Corporation (NADC), used this planning grant to expand its substance use disorder treatment services to include medication for opioid use disorder (MOUD). The goal was to provide more comprehensive, collaborative, and coordinated care to address the opioid use crisis in the American Indian community of Billings. BUIHWC conducted research to quantify the need for MOUD; formalized community and regional partnerships with health care providers, law enforcement, workforce development, housing, and other community support services; increased primary care provider training and the ability to prescribe medications associated with MOUD; established a framework for a comprehensive feasibility plan that includes implementation steps, a timeline, an operating budget, sources of revenue, operational and fiscal impacts, and a sustainability plan; and identified and applied for additional funding sources. The project secured an additional $500,000 through the Indian Health Service and is working to leverage third-party reimbursement for services provided through the clinic.

Grant Amount

$20,000

Term

12 month

2020

All Nations Health Center 2019

Strengthening the Circle: Increased Capacity for Increased Health

All Nations Health Center's Strengthening the Circle project was designed to increase the center's capacity to provide high-quality, integrated health care services to American Indians living in and around Missoula. The project implemented a holistic care model that improves coordination and collaboration within and between care teams. This included allocating staff time to design and execute the model, providing training to clinical and non-clinical support staff, and delivering high-quality technical assistance to support the successful implementation of the model. All staff were trained to use the electronic health record system, case conferencing, and co-location to provide patients with holistic rather than siloed care. Population health data and analysis are used to inform planning efforts. By providing integrated patient care that is reimbursable under Medicaid and Medicare, the health center is on track to increase annual revenue by at least 75%. All Nations' partnership with Greenway Health, a health information technology services company, will provide ongoing resources and support to maintain the progress that has been made and identify future opportunities for improvement.

Grant Amount

$75,000

Term

12 month

2019

Fort Belknap Tribes 2019

Fort Belknap Indian Community Dialysis Center Feasibility Study and Business Plan

The Fort Belknap Indian Community used this grant to complete a feasibility study and a business plan for the creation of a dialysis center located on the Fort Belknap Indian Reservation. The ultimate goal is to help tribal citizens get the essential dialysis services they need without having to travel long distances. The project completed a feasibility study that included research, documentation, and analysis of the costs and logistics of creating the center. It included research on the number of dialysis patients who reside on the reservation, licensing for Medicare C reimbursement through third-party billing, costs of equipment such as a backup generator, whether Fort Belknap’s current water supply can support the unit, and potential treatment options. The project also involved visiting other dialysis centers in order to compare and contrast the delivery of services, location, target population, management and structural needs, and infrastructure required. The business plan will be presented to leadership for consideration and will help begin the identification of funding opportunities.

Grant Amount

$29,425

Term

12 month

2019

Northern Cheyenne Tribal Board of Health 2019

Northern Cheyenne Tribal Healing to Wellness Court Development

The Northern Cheyenne Tribal Board of Health will develop a strategic plan to create a drug court component to the Northern Cheyenne Recovery Center. Many tribal communities have used the Tribal Healing to Wellness Court successfully. Developing this model will help solidify partnerships with the between the tribal health and judicial systems and enable the Tribe to develop an intensive case management approach for clients, implement team “wrap around” meetings, and provide family therapy and peer support. Funding will be used for staff training, and development of a strategic and state compliance plan.

Grant Amount

$50,000

Term

12 month

2019