Center for Excellence in the Elimination of Disparities (CEED)


The Centers for American Indian and Alaska Native Health (CAIANH) served as a Center for Excellence in the Elimination of Disparities (CEED) from 2007-2012 and was one of 18 CDC Centers funded as part of the REACH (Racial and Ethnic Approaches to Community Health) U.S. initiative. CAIANH’s CEED focused on the elimination of health disparities in cardiovascular disease (CVD) and diabetes within the American Indian and Alaska Native (AI/AN) population by working with urban Indian clinics and organizations that serve this population. Multi-level interventions were used to engage these health disparities and focused on developing best practices for positive change at the individual, interpersonal, organizational, community, and public policy levels. 

The CEED project involved the implementation of a comprehensive CVD/diabetes risk reduction program. Our local efforts targeted the urban Indian populations of Albuquerque, New Mexico and Denver, Colorado. As the only national CEED for AI/ANs, we offered education and training on diabetes- and CVD-related topics relevant for organizations serving urban AI/ANs, as well as training on policy and systems changes to address health disparities and social injustice. 

CAIANH was also funded in 2012 as one of 6 REACH National Networks. This project supported Urban Indian Health Organizations across multiple states to implement policy, environmental, and systems approaches to address risk factors for diabetes, CVD, and obesity. The REACH project managed sub-recipient awards, providing specialized expertise and support to sub-recipients, and monitoring performance toward accomplishment of the REACH 2012 goals.


Specific aims

This project involved the creation and implementation of a comprehensive CVD and diabetes risk reduction program for urban Indian adults through collaboration with urban Indian organizations, through: 

  1. A public awareness campaign aimed at CVD risk and risk reduction
  2. In-service trainings for urban Indian clinic providers focused on diagnosing CVD risk and encouraging patients to reduce their CVD risk through motivational interviewing and patient education using the Honoring the Gift of Heart Health curriculum
  3. Training and dissemination of risk reduction interventions with urban Indian clinics nationwide
  4. Legacy Projects to support urban Indian clinics as they implemented CVD risk reduction activities in their local communities


Legacy Awards

Each year, we offered 2-3 Legacy Awards or small grants to non-profit organizations serving urban Indians throughout the U.S. to fund implementation of Honoring the Gift of Heart Health—a AI/AN culturally tailored, community-based curriculum to empower AI/ANs to adopt healthier lifestyles—and social policy and environmental change to reduce diabetes and CVD risk in their local urban Indian communities.



Brega AG, Noe T, Loudhawk-Hedgepeth C, et al. Cardiovascular knowledge among urban American Indians and Alaska Natives: First steps in addressing cardiovascular health. Prog Community Health Partnership. 2011;5(3):273‐279. doi: 10.1353/cpr.2011.0042

Centers for American Indian & Alaska Native Health

Colorado School of Public Health

CU Anschutz

Nighthorse Campbell Native Health Building

13055 East 17th Avenue

Mail Stop F800

Aurora, CO 80045

CMS Login