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MAJOR DUTIES: This position is located in the Office of Health Programs, Bemidji Area Office Indian Health Service (BAO IHS) Bemidji, Minnesota. This is a professional Nurse position responsible for the Diabetes and Program that will serve as the primary specialist and consultant for the prevention and treatment of diabetes in the Bemidji Area Indian Health Service. The Bemidji Area serves an American Indian population of over 100,000 persons representing 34 tribes and 4 Urban Programs and other specialty services. Specialty services include 3 Indian Health Care Improvement Act (IHCIA P.L. 94-437), Diabetes Centers of Excellence (Model) Programs and 33 IHS Special Diabetes Programs for Indians (SDPI) grants.
· Will support the establishment of a team approach to diabetes care in each of the Bemidji Area IHS Service Units, Tribal Clinics, and Urban Programs (ITUs). Teams would ideally consist of a primary care provider, laboratory technician, nutritionist, community health nurse and a health educator.
· A diabetes coordinator will be named as a team leader in each ITU facility. The team leaders assist their local facility grant coordinator in preparing diabetes grant reports and collecting diabetes data required for the grants including the IHS Diabetes Care and Outcomes Audit (Diabetes Audit) and prevalence of diabetes and pre-diabetes.
· The Consultant will establish reporting procedures for the Audit and prevalence data for the ITU facilities. The ADC will train the teams based upon acceptable national standards and best practices.
· Provides primary consultation to ITU diabetes teams and health care providers on policies, organization, and implementation of diabetes services.
· Plans, develops, coordinates and evaluates training for the team as well as medical staff in treatment, prevention and early detection of diabetes in American Indian people, diabetes complications, and diabetes self-management education; Also includes educational programs for community workers (paraprofessionals) and ADA or AADE DM Patient Education Certification program
· Assesses plans, develops, implements and evaluates quality diabetes care for the Area through yearly in-depth ITU diabetes program assessments including team structure and function, education and nutritional counseling services and diabetes clinic function.
· Measures process, outcomes and trends in diabetes care and outcomes through quality improvement assessments conducted yearly. Analyzes results and recommends changes in guidelines and program policies.
· Coordinates collection and channeling of diabetes surveillance data for analysis and distributes resulting reports and as well as using report to develop performance improvement strategic plans with Area and IHS Division of Diabetes Treatment and Prevention (DDTP) staff.
· Supports and acts as consultant for primary diabetes prevention and detection programs at the community level. Develops comprehensive diabetes prevention plan for Bemidji Area including yearly objectives and long range goals. This plan must integrate clinical and Health Promotion Disease Prevention programs in the service units and Area Office.
· Actively involved in national level IHS DDTP development of IHS Diabetes Standards of Care, Annual Diabetes Care and Outcomes Audit package components, presentations to groups, participates in ongoing development of IHS Best Practices in Diabetes Care, member of ADC advisory group national DDTP director in on policies, grants and programs.
· Establishes and maintains contact with other federal agencies outside the federal government such as local, state and tribal organizations. Contacts are to explain, coordinate, interpret, negotiate and seek support for policies, procedures, programs, plans or individual actions often of a complex nature.
· Coordinates and promotes appropriate studies, surveys, grants and research in diabetes care services in accordance with IHS Institutional Review Board standards.
· Provides consultation and technical assistance on various aspects of nutrition and diabetes care, methods and specific approaches to working with patients and families throughout the Bemidji Area Indian Health Service area.
· Submits quarterly reports and site visit reports to the Chief Medical Officer and the IHS Diabetes Program. Travel will be necessary. The employee will work in all Bemidji Area Service Units and outside of the Area. Travel will be in government or private vehicles, commercial flights or air charter.
· Supervises HPDP Consultant, Program Assistant, and a HPDP Evaluation Specialist, rates performance, assigns work, approves leave, provides for training, resolves minor complaints, selects for the position.
· Responsible for developing and submitting department fiscal plans annually, plus ongoing monitoring and compliance with plans and Bemidji Area Finance policies.
· Provides direct consultation and assistance to grantees concerning programmatic or technical matters, as requested.
· Serves as focal point for responding to technical and programmatic correspondence from the Special Diabetes Program (SDPI) grantee. While conducting site assessments as warranted by program or project needs or as requested by the SDPI grantee to substantiate progress and in compliance with laws, regulations and policies.
· Serves as lead on Area Diabetes Data Improvement Project (DDIP) SDPI Grant. Prepares annual grant renewal applications, semi-annual reports, final reports, financial status reports. Serves as project officer for DDIP grant subcontracts.
· Provides input to grants management staff on correspondence from grantees on business management issues. While providing information as to whether or not special programmatic conditions placed on the award have been met and should be released or if further action is to be taken.
· Evaluates all projects for programmatic performance, progress, and any changes (e.g., in objectives or methodology), utilizing information gathered from on-site reviews, review of financial, progress and other reports, correspondence, and other sources. Identifies potential or existing programmatic or business management problems and shares with appropriate staff information and/or findings concerning those problems (and participates with other staff, as appropriate, in the resolution of those problems and) recommends actions for the resolution of the problem(s).
· Assists in assuring that grant project expenditures are in accordance with law, regulations, and grants policy subject to grant objectives.
· Performs other position related duties as assigned.