California Area OfficeDiabetes
This site is a forum for American Indian healthcare professionals working with diabetes in the California area. Information is available regarding the most current annual diabetes audit instructions, Indian Health Service standards of care, California Area Native American Diabetes Organization (CAN-DO) updates, educational resources, and experts working in the field.
In 1997, Congress appropriated a special diabetes fund which initiated the Grants for Special Diabetes Programs for Indians (SDPI). The California Area Indian Health Service (CAIHS) has 28 tribal, eight urban and one area data improvement grant. Since the inception of the SDPI program data quality has become the priority focus for California Tribal and Urban programs, helping to improve diabetes care and prevention.
The CAIHS works in collaboration with 35 tribal/urban (T/U) healthcare programs to improve patient care and data outcome reporting. A priority is to maintain accurate Diabetes Registries in RPMS and other data systems and to ensure that reported data reflects the actual care given to people with diabetes. This year the number of Active people with diabetes reported in the annual audit was 4,963. Active diabetes cases have increased steadily since 2001 when the number was 1,642. Specific diabetes related outcomes show our continued improvements:
- 2008, HbA1c < 7% at 44% compared to 37% in 2004
- 2008, Blood pressure <130/80 at 35% compared to 32% in 2004
- 2008, Aspirin/Anti-platelet use at 68% compared to 52% in 2004
- 2008, Cholesterol measured at 81% compared to 74% in 2004
- 2008, Diabetes education providd 80% compared to 58% in 2004
In 2004, nine California T/U Indian healthcare programs competed for and received national level funding through one of two arms of the competitive diabetes grants: Primary Prevention of Diabetes or Cardiovascular Risk Reduction for people with diabetes. This year these programs will recruit individuals to participate in community intervention programs/demonstration projects for preventing diabetes altogether or decreasing the risk of cardiovascular disease for people with diabetes.
Competitive Diabetes Grant Recipients
Indian Health Center of Santa Clara Valley (San Jose)
Indian Health Council, Inc. (Valley Center)
K'ima:w Medical Center (Hoopa)
Redding Rancheria Indian Health Service
Riverside/San Bernardino County Indian Health (Banning)
Sonoma County Indian Health (Santa Rosa)
Toiyabe Indian Health Project, Inc. (Bishop)
United Indian Health Service, Inc. (Arcata)
United American Indian Involvement, Inc. (Los Angeles)
Frequently Asked Questions
Answers to commonly asked questions relating to diabetes.
Resources
Links to support healthcare professionals.
