Urban Diabetes Care and Outcomes Audit

The Urban Indian Health Institute (UIHI) works with our 33 Urban Indian Health Programs (UIHPs) participating in the Diabetes Audit to provide UIHPs and the public with trends in diabetes services and clinical outcomes among AI/AN patients. UIHI’s work with Diabetes Audit data in no way reflects changes experienced by individual patients, but rather reflects the current health status over all UIHPs. UIHI’s work seeks to highlight the challenges and opportunities of urban Indians who currently live with, manage, treat, prevent and overcome diabetes. This work is made possible through the Special Diabetes Programs for Indians (SDPI).

In 1997 Congress responded to the growing burden of type 2 diabetes in the American Indian and Alaska Native (AI/AN) population by funding SDPI. As a result of the SDPI, inexpensive yet highly cost-saving measures have been established for diabetes care and prevention. Some examples are the establishment of diabetes-focused clinical teams, diabetes patient registries, culturally tailored diabetes education tools, nutrition services for children and youth, and weight management programs for adults. The SDPI has not only saved lives, but has also saved millions of Medicaid dollars, through prevention and management of diabetes and associated health problems such as hypertension, cardiovascular disease, retinopathy (vision loss,) neuropathy (nerve damage,) and end stage renal disease (kidney failure.)

2016 Aggregate Urban Diabetes Care and Outcomes Summary Report
2016 Aggregate Urban Diabetes Care and Outcomes Summary Report
Updated: November 3, 2017

The 2016 Aggregate Urban Diabetes Care and Outcomes Summary Report details strengths and disparities in clinical outcomes, identifies gaps in diabetes care models, and contributes to the national understanding of the status of diabetes management among urban Native communities. Check out the 2016 Aggregate Diabetes Audit Update for a summary of key findings and recommendations. (Nov 2017)

Urban Diabetes Care and Outcomes Summary Report, 2012-2016
Urban Diabetes Care and Outcomes Summary Report, 2012-2016
Updated: September 18, 2017

American Indian and Alaska Natives (AI/AN) have faced significant challenges and barriers to combating diabetes. However, support from the Special Diabetes Programs for Indians (SDPI) has aided Indian Country in preventing and improving care for those with type 2 diabetes over the past 20 years. These successes are highlighted in our most recent aggregate report "Urban Diabetes Care and Outcomes Summary Report, 2012-2016." This report summarizes trends in diabetes services and clinical outcomes among AI/AN patients at our 33 Urban Indian Health Programs participating in the Diabetes Audit. (Sept 2017)

Tuberculosis Control Among AI/AN Patients With Diabetes
Tuberculosis Control Among AI/AN Patients With Diabetes
Updated: November 18, 2016

Research shows that the American Indian and Alaska Native (AI/AN) population has among the highest U.S. born rate of TB. Because diabetes has been identified as a risk factor for active TB and reactivation of latent TB, the Indian Health Services' Standards of Care and Clinical Practice recommends that patients with type 2 diabetes are screened at least once after diabetes is diagnosed. Researchers at the Urban Indian Health Institute were interested in determining if this screening recommendation was carried out in the 31 Urban Indian Health Organizations (UIHOs). The resulting data showed that the majority of diabetic patients did not have documented TB screening. (November 2016)

Urban Diabetes Care and Outcomes Summary Report
Urban Diabetes Care and Outcomes Summary Report
Updated: September 29, 2016

The Urban Diabetes Care and Outcomes Summary Report, Audit Years 2011-2015 summarizes trends in clinical outcomes among AI/AN patients with diabetes from 32 Urban Indian Health Organizations. (September 2016)

Leading Causes of Death Among Urban American Indians and Alaska Natives
Leading Causes of Death Among Urban American Indians and Alaska Natives
Updated: July 21, 2016

The American Journal of Public Health recently published an article titled “Causes and Disparities in Death Rates Among Urban American Indian and Alaska Native Populations, 1999-2009.” The Urban Indian Health Institute’s past Scientific Director, Leslie Phillips PhD, coauthored the article along with researchers at the Centers for Disease Control and Prevention (CDC). This UIHI Broadcast highlights key findings from this study. (July 2016)

Depression and Diabetes Management
Depression and Diabetes Management
Updated: July 23, 2015

In this Communication Broadcast the UIHI analyzed data about urban AI/ANs who received diabetes care at 33 Urban Indian Health Organizations (UIHOs). The data came from the IHS 2011 Diabetes Care and Outcomes Audit. (July 2015)

Urban Diabetes Care and Outcomes Summary Report: Aggregate Results from Urban Indian Health Organizations, 2010-2014
Urban Diabetes Care and Outcomes Summary Report: Aggregate Results from Urban Indian Health Organizations, 2010-2014
Updated: March 1, 2015

This report summarizes trends in diabetes services and clinical outcomes among American Indian/Alaska Native patients with diabetes at Urban Indian Health Organizations participating in the Diabetes Audit during this time period. (March 2015)

Wellness Warriors at the Seattle Indian Health Board
Wellness Warriors at the Seattle Indian Health Board
Updated: February 17, 2015

This spotlight describes the Seattle Indian Health Board’s Wellness Warriors program, which is a workshop designed for people managing a chronic condition like diabetes or heart disease. (February 2015)

Urban Diabetes Care and Outcomes Summary Report: Aggregate Results from Urban Indian Health Organizations, 2009-2013
Urban Diabetes Care and Outcomes Summary Report: Aggregate Results from Urban Indian Health Organizations, 2009-2013
Updated: April 7, 2014

This report describes the annual Indian Health Service (IHS) Diabetes Care and Outcomes Audit data collected by participating IHS-funded Urban Indian Health Organizations (UIHOs). This report tracks the performance of UIHO diabetes programs using Diabetes Audit data from 2009-2013. (April 2014)

Urban Diabetes Care and Outcomes Summary Report
Urban Diabetes Care and Outcomes Summary Report
Updated: May 7, 2013

This report describes the annual Indian Health Service (IHS) Diabetes Care and Outcomes Audit data collected by participating IHS-funded Urban Indian Health Organizations (UIHOs). This report tracks the performance of UIHO diabetes programs using Diabetes Audit data from 2008-2012. (May 2013)

Urban Diabetes Care and Outcomes Audit: Aggregate Results from Urban Indian Health Organizations, 2007-2011
Urban Diabetes Care and Outcomes Audit: Aggregate Results from Urban Indian Health Organizations, 2007-2011
Updated: May 6, 2012

This report provides a description of the annual Indian Health Service (IHS) Diabetes Care and Outcomes Audit data collected by participating IHS funded Urban Indian Health Organizations (UIHOs). Using Diabetes Audit data from 2007-2011, this report tracks the performance of UIHO diabetes programs in the context of the seven clinical Best Practices using select key measures. (May 2012)

Aggregate Urban Diabetes Care and Outcomes Audit Report (2006-2010)
Aggregate Urban Diabetes Care and Outcomes Audit Report (2006-2010)
Updated: October 6, 2011

This report describes the annual diabetes audit data collected by participating Indian Health Service (IHS)-funded urban Indian health organizations (UIHO). The format is based on the IHS Diabetes Best Practice Guidelines. Included are selected “key measures” from the Best Practice Guidelines, with accompanying aggregated data from participating UIHO between the years 2006-2010. (October 2011)

Urban Indian Health Organization Aggregate Diabetes Care and Outcomes Audit Report 2004-2008
Urban Indian Health Organization Aggregate Diabetes Care and Outcomes Audit Report 2004-2008
Updated: July 6, 2009

This report summarizes select measures collected by participating urban Indian health organizations through the annual IHS Diabetes Care and Outcomes Audit. Information obtained by these facilities and submitted to the IHS Division of Diabetes Treatment and Prevention is used for diabetes surveillance and for helping to create a clinical picture of the AI/AN population who receive care. The report includes background information on the SDPI, the methods used to collect and analyze the data, aggregate results, and the limitations of the data itself. It provides a unique opportunity to identify and better understand the health status of urban AI/AN with diabetes and the provision of diabetes-related services to this population. (July 2009)


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