1. SDPI Competitive Grant Program Planning Meeting 1 IHS Diabetes Competitive Grant Program: Overview and Update Kelly Acton, MD, MPH, FACP Director, IHS Division of Diabetes Treatment & Prevention Albuquerque, New Mexico www.ihs.gov/medicalprograms/diabetes

2. The Special Diabetes Program for Indians Competitive Grant Program Congratulations!

3. The Special Diabetes Program for Indians Competitive Grant Program  Purpose of Meeting 1:  Administrative overview of Competitive Grant Program  Start to Planning Year  Opportunities for you to participate in ensuring the success of this initiative

4. The Special Diabetes Program for Indians Competitive Grant Program This presentation:  Brief review of history of initiative  Update on planning so far  Plan for the meeting

5. The Special Diabetes Program for Indians Competitive Grant Program Background: new SDPI funding for 2004-2008  Congress directed that IHS use the new SDPI funds to implement a competitive grant program in AI/AN communities  Congress directed that this funding be used for: Primary prevention of type 2 diabetes “Most compelling complication” (Cardiovascular disease risk reduction) in people with diabetes Evaluation be conducted on program

6. The Special Diabetes Program for Indians Competitive Grant Program  Tribal Consultation on Competitive Grant Program  Area Recommendations Reviewed by the IHS Director  Tribal Leaders Diabetes Committee Recommendations Eligible entities be SDPI grantees Selection consider diversity in Area, region, program size, type of program (IHS, tribal) Strong coordination / evaluation  IHS Director decision

7. The Special Diabetes Program for Indians Competitive Grant Program Competitive Grant Program $ 27.4 million  Grants to 60-70$ 23.3 million entities  Administration, $ 4.1 million coordination, evaluation

8. The Special Diabetes Program for Indians Competitive Grant Program  “Competitive” - Programs competed for available funding  Demonstration projects – implement activities in one of two areas: Primary prevention of type 2 diabetes Implement Diabetes Prevention Program curriculum in individuals at risk for diabetes Community prevention activities Cardiovascular disease risk reduction Implement a clinical, case management, team approach to treating risk factors for CVD to specific target levels in people with diabetes Community awareness activities

9. The Special Diabetes Program for Indians Competitive Grant Program Evaluation  Comprehensive, multi-component evaluation will be conducted throughout the demonstration project activities  Future funding may be affected by evaluation of this activity – very important  Evaluation will be developed through a collaborative process with grantees  Grantees required to collect and report on specific data  National Diabetes Program and Coordinating Center will analyze and report data

10. The Special Diabetes Program for Indians Competitive Grant Program Timeline for Application, Review, Selection  RFA – Request for ApplicationsMay 2004  Letter of Intent June 1, 2004  Application due July 1, 2004  Selection – Review groups August 2004  Notice of Grant Award September 2004

11. The Special Diabetes Program for Indians Competitive Grant Program Review Results  Total Applications128  Total Number Approved for Funding  DP Group36  CVD Group30  Competitive Selection Process

12. The Special Diabetes Program for Indians Competitive Grant Program Process upon Approval for Funding  Notification of receipt of fundable score  Acceptance of Scope of Work, Budget Revision  Notice of Grant Award  Instructions for first Planning Meeting logistics  Funding available in PMS

13. The Special Diabetes Program for Indians Competitive Grant Program Timeline of Demonstration Projects  FY 2005Planning Year  FY 2006-2008 Demonstration Project Activities  FY 2009Dissemination / Training

14. The Special Diabetes Program for Indians Competitive Grant Program Overall Structure of Program  IHS Division of Diabetes Treatment & Prevention General oversight, coordination, leadership  IHS Grants Management Branch General oversight of grant administration, financial audits, monitoring and report  Coordinating Center - UCHSC  Day-to-day coordination and evaluation  Resource Core  Technical Assistance to grantees

15. The Special Diabetes Program for Indians Competitive Grant Program  Diabetes Prevention (DP) Group  Screen for and recruit people with pre-diabetes  Teach DPP 16-session Curriculum in group sessions  Individual coaching on physical activity, weight loss  Community activities  Cardiovascular Disease Risk Reduction (CVD)  Recruit people with diabetes  Intensive case management  Treat CVD risk factors to target goals  Provide education on CVD risk reduction  Community Activities

16. The Special Diabetes Program for Indians Competitive Grant Program Data and Evaluation Requirements  Grantee requirements  Grantees required to collect and report on specific data  Sources: Participant data, RPMS data, IHS Diabetes Audit  Data coordinator and RPMS Site Manager locally – responsive to requests for data  Timely submission of reports, data required  Local review of reports, presentations and publications prior to dissemination – must agree to review within 30 days of receipt; failure to respond treated as concurrence

17. The Special Diabetes Program for Indians Competitive Grant Program Different way of doing business!  Not the same process for non-competitive SDPI  Need to be more structured, rigorous  Importance of initiative  Significant role of evaluation, technical assistance  Absolute need for active participation by all  Need for success

18. The Special Diabetes Program for Indians Competitive Grant Program  We know “what”  Congress  Science  RFA  We don’t know “how”  Collaborative process  Planning year

19. The Special Diabetes Program for Indians Competitive Grant Program Thank you for your cooperation  We are partners in this initiative  Thanks for your understanding  We will need your active participation in activities, deadlines, data gathering, evaluation  Continuation of funding may be contingent on your participation

20. The Special Diabetes Program for Indians Competitive Grant Program The stakes are high!  Must be successful  Must be able to demonstrate success in evaluation  Likely will impact future of SDPI funding  Everyone is depending on us!

21. The Special Diabetes Program for Indians Competitive Grant Program Year 1 – Planning Year  Collaborative process  Grantees required to attend meetings  Travel costs for these required meetings should be included in proposed budgets

22. The Special Diabetes Program for Indians Competitive Grant Program Schedule of Meetings – DP Group  November 16-17,2004  January 13-14, 2005  March 15-16,2005  May 26-27, 2005  July 19-20, 2005  September 15-16, 2005 Schedule of Meetings – CVD Group  November 18-19,2004  January 11-12, 2005  March 17-18,2005  May 24-25, 2005  July 21-22, 2005  September 13-14, 2005

23. The Special Diabetes Program for Indians Competitive Grant Program Schedule of Meetings – Planning Year  Attendance is required  Specific staff will be invited to each meeting  Targeted activities and Technical Assistance  Videotapes of meetings available  Importance of limiting size of meetings  Ensure collaborative process  Ensure opportunities for individual attention, input

24. The Special Diabetes Program for Indians Competitive Grant Program Rest of the meeting  Review Grants Management issues  Introduction of role of Coordinating Center  Overview of each demonstration project  Overview of background, core elements  Homework for next meeting  Collaborative Process - Your initial input  On core elements of demonstration projects  On the evaluation plan  On the Community-Based activities

25. The Special Diabetes Program for Indians Competitive Grant Program  Questions?

26. IHS Division of Diabetes Treatment & Prevention 5300 Homestead Rd NE Albuquerque, New Mexico 505-248-4182 diabetes@mail.ihs.gov www.ihs.gov/medicalprograms/diabetes