U.S. Department of Health and Human Services: Public Health Nursing
The Public Health Nursing (PHN) Program serves as the primary source for national advocacy, policy development, budget development, and allocation for the PHN programs for the Indian Health Service (IHS). The IHS PHN Program is a community health nursing program that focuses on the goals of promoting health and quality of life, and preventing disease and disability. The PHN program provides quality, culturally sensitive health promotion and disease prevention nursing services through primary, secondary, and tertiary prevention services to individuals, families, and community groups. The PHN Program supports population-focused services to promote healthier communities through community based nursing services, community development, and health promotion and/or disease prevention activities. The PHN Program promotes the establishment of program plans based on community assessments and evaluations to prevent disease, promote health, and implement community based programs. The PHN Program is available to support transitions of care from the clinical setting into the community with an emphasis on the clinical, preventive, and public health needs of American Indian/Alaska Native (AI/AN) communities and developing, managing, and administering such program.
The current PHN solicitation seeks to improve specific behavioral health outcomes of an identified high risk group of patients through a case management model that utilizes the PHN as a case manager. The emphasis is on reducing the prevalence and incidence of behavioral health diseases and conditions and to support the efforts of AI/AN communities toward achieving excellence in holistic behavioral health treatment, rehabilitation, and prevention services for individuals and their families. The PHN model of community based case management utilizes roles and functions of PHN services of assessment, planning, coordinating services, communication, and monitoring. The goals and outcomes of the PHN case management model are early detection, diagnosis, treatment, and evaluation that will improve health outcomes in a cost effective manner.
This project will focus on a PHN community based case management model. The project will be conducted in a phased approach, using the nursing process—assessment, planning, implementation, and evaluation. Phases are as follows:
- First Phase—Assessment: Complete a generic community assessment (most PHN programs have this readily available as a part of their annual program plans)
- Second Phase—Planning: Based on the community assessment, the high risk behavioral health population is identified and the planning of the case management project begins
- Third Phase—Implementation: The case management program includes admission criteria of the high risk behavioral health population, caseload size, and appropriate health care standards
- Fourth Phase—Patient Satisfaction: In order to evaluate program services, initiate a patient satisfaction program, such as one that provides patients with an opportunity to provide feedback on their experiences to assess the satisfaction of the services
Amount: A total of $1,500,000 is available to award approximately 10 grants, ranging from $124,000-$150,000. The project period is for five years.
Eligibility: Applicants must be one of the following:
- A federally-recognized Indian tribe that is operating an Indian health program operated pursuant to a contract, grant, cooperative agreement, or compact with IHS pursuant to the Indian Self-Determination and Education Assistance Act.
- A tribal organization that is operating an Indian health program operated pursuant to as contract, grant, cooperative agreement, or compact with the IHS pursuant to the Indian Self-Determination and Education Assistance Act
- An urban Indian organization that is operating a Title V Urban Indian health program that currently has a grant or contract with the IHS under Title V of the Indian Health Care Improvement Act. Applicants must provide proof of non-profit status with the application.
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