Chronic Disease

Reports

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)

Addressing Depression Among American Indians and Alaska Natives: A Literature Review
Addressing Depression Among American Indians and Alaska Natives: A Literature Review
Updated: August 22, 2012

This report synthesizes research, expert opinion and summarizes existing programs to highlight approaches to address depression through outreach, education, screening and treatment. (August 2012)

A Profile of Urban Indian Health Organization Programming to Support Behavioral Health
A Profile of Urban Indian Health Organization Programming to Support Behavioral Health
Updated: August 6, 2012

This report presents the findings of a survey of UIHOs, documents the critical services available at UIHO to address behavioral health. The report also highlights programmatic achievements, shares vignettes of four UIHO’s experiences implementing innovative programming, and provides recommendations to support future efforts to address behavioral health needs in urban AI/AN communities. (August 2012)

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)

Urban Diabetes Care and Outcomes Audit Report: Aggregate Results from Urban Indian Health Organizations 2005-2009
Urban Diabetes Care and Outcomes Audit Report: Aggregate Results from Urban Indian Health Organizations 2005-2009
Updated: October 6, 2010

This reports describes the annual diabetes audit data collected by participating IHS-funded Urban Indian Health Organizations (UIHO). The format is based on the Indian Health Service’s Diabetes Best Practice Guidelines. Included are selected “key measures” from the Best Practice Guidelines, with accompanying aggregated data from participating UIHO between the years 2005-2009. (October 2010)

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)


    Fact Sheets

    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)

    Smoking During Pregnancy
    Smoking During Pregnancy
    Updated: February 26, 2015

    This Communication Broadcast includes Vital Statistics data from the Centers for Disease Control and Prevention’s (CDC) National Center for Health Statistics (NCHS) to look at the rate of prenatal smoking for births to AI/AN and white women residing in Urban Indian Health Organization (UIHO) service areas from 2006-2010. (February 2015)

    Addressing Diabetes Through Education
    Addressing Diabetes Through Education
    Updated: August 15, 2013

    This Communication Broadcast includes data about diabetes from the CDC and UIHI's recent Diabetes Aggregate report. Rates of obesity are significantly higher among urban American Indians/Alaska Natives (AI/ANs) than in the general population living in urban areas in the United States. (August 2013)

    Demonstrating Improvements in Diabetes Care
    Demonstrating Improvements in Diabetes Care
    Updated: May 8, 2013

    This Communication Broadcast uses 2009-2013 Diabetes Care and Outcomes Diabetes Audit data to summarize trends in diabetes services and clinical outcomes among American Indian and Alaska Native patients with diabetes who received care at participating UIHOs. (May 2013)

    Diabetes Aggregate Report Summary
    Diabetes Aggregate Report Summary
    Updated: June 28, 2012

    This Communication Broadcast is about UIHIs recently published Diabetes Aggregate Report. In 2011, 37% of audited patients with diabetes had A1c values less than 7.0%, similar to previous years. This meets the 2011 IHS Government Performance and Results Act (GPRA) goal to have 36% of diabetes patients with A1c values less than 7.0%, but does not meet the Healthy People 2020 objective. (June 2012)

    Depression, Alcohol Abuse, and Suicide Risk
    Depression, Alcohol Abuse, and Suicide Risk
    Updated: May 24, 2012

    This Communication Broadcast explores depression, alcohol abuse, and suicide risk among AI/ANs. Depression and other mood disorders have been identified as risk factors for suicide across the lifespan. American Indian and Alaska Natives (AI/ANs) are at particularly high risk of depression. (May 2012)

    American Heart Month
    American Heart Month
    Updated: February 16, 2012

    In this February Communication Broadcast, we join our partners nationwide in recognizing American Heart Month to call attention to the increasing burden of cardiovascular diseases (CVD) on urban American Indian and Alaska Native (AI/AN) communities. Cardiovascular disease refer to various conditions affecting the heart or blood vessels. Once rare among AI/ANs, cardiovascular diseases are now the leading causes of death for AI/ANs. (February 2012)

    New Release: Updated Aggregate Urban Diabetes Care and Outcomes Audit Report
    New Release: Updated Aggregate Urban Diabetes Care and Outcomes Audit Report
    Updated: November 17, 2011

    This Communication Broadcast announces the most recent Aggregate Urban Diabetes Care and Outcomes Audit Report from the UIHI. Using data from the 2006-2010 Indian Health Service (IHS) Diabetes Audit, this report uses Key Measures from IHS Best Practice Guidelines as a framework to examine the data reported from 30 urban Indian health organizations. (November 2011)

    Project Brief: Health Equity for Urban AI/AN
    Project Brief: Health Equity for Urban AI/AN
    Updated: April 6, 2011

    Read more about the Health Equity Project’s background, preliminary findings and next steps in UIHI’s April 2011 Project Brief. (April 2011)

    April is National Minority Health Month: Top 5 Causes of Death among Young Urban American Indian and Alaska Native Men, with Comparison Groups
    April is National Minority Health Month: Top 5 Causes of Death among Young Urban American Indian and Alaska Native Men, with Comparison Groups
    Updated: April 6, 2010

    This Communication Broadcast contains information relevant to National Minority Health Month, including: Young urban American Indian and Alaska Native (AI/AN) men die of causes that are largely preventable. The top 5 causes of death among urban AI/AN men between the ages of 18-49 years are: unintentional injuries, chronic liver disease and cirrhosis, suicide, heart disease, and homicide. (April 2010)

    Diabetes Diagnoses Among Urban American Indians and Alaska Natives
    Diabetes Diagnoses Among Urban American Indians and Alaska Natives
    Updated: July 8, 2009

    This Communication Broadcast shows the percent of AI/ANs who have been diagnosed with diabetes between 2001 - 2008. (July 2009)

    Cervical Health
    Cervical Health
    Updated: January 6, 2009

    This communication broadcast discusses cervical cancer screening rates for AI/AN women. (Jan 2009)


      Other

      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)

      Cardiovascular Disease Program Visioning and Strategic Planning Partnership
      Cardiovascular Disease Program Visioning and Strategic Planning Partnership
      Updated: May 23, 2012

      As part of its Promoting Health Equity project, the Urban Indian Health Institute (UIHI) guided two Urban Indian Health Organizations (UIHOs) through a visioning and planning partnership to strengthen their efforts to address cardiovascular disease (CVD). This Spotlight outlines the process and outcomes of this partnership between Denver Indian Health & Family Services (DIHFS) & Nebraska Urban Indian Health Coalition (NUIHC). (May 2012)

      Healthy and Affordable Food Resources
      Healthy and Affordable Food Resources
      Updated: March 23, 2012

      This project brief describes an assessment of health food resources in King County, Washington based on public records, store surveys and geographic information system (GIS) analysis. (March 2012)

      Cardiovascular Disease Best Practices
      Cardiovascular Disease Best Practices
      Updated: January 6, 2012

      This user-friendly overview provides principles and best practices for clinical and community-based cardiovascular disease (CVD) prevention and management. These principles were developed based on findings from a survey of Urban Indian Health Organizations and an extensive literature review of CVD practices in American Indian and Alaska Native (AI/AN) communities. The information in this resource guide provides a foundation for improving the delivery of health care for urban AI/AN patients with CVD. (January 2012)

      Does it Run in the Family? A Guide to Family Health History - Book 1
      Does it Run in the Family? A Guide to Family Health History - Book 1
      Updated: June 7, 2009

      To encourage urban AI/AN families to collect and use family health history, the UIHI, in collaboration with Genetic Alliance, launched the Family Health History Project. Working with our community advisory board, project staff at the UIHI adapted a national family history tool for the urban AI/AN population. The tool is comprised of two guide books. This guide, Book 1, assists in the collection of family health history. (June 2009)

      Does it Run in the Family? A Guide for Understanding Genetics and Health - Book 2
      Does it Run in the Family? A Guide for Understanding Genetics and Health - Book 2
      Updated: June 6, 2009

      To encourage urban AI/AN families to collect and use family health history, the UIHI, in collaboration with Genetic Alliance, launched the Family Health History Project. Working with our community advisory board, project staff at the UIHI adapted a national family history tool for the urban AI/AN population. The tool is comprised of two guide books. This guide, Book 2, assists outlines the relationship between genetics and disease risk. (June 2009)