# Cherokee Nation Health Analytics Core (CNHAC) Capacity Building Project

> **NIH NIH S06** · CHEROKEE NATION · 2020 · $481,192

## Abstract

Among American Indians/Alaska Natives (AI/AN), Oklahoma had the 5th highest age-adjusted incidence rate
of any cancer in the US (584.3 per 100,000 in Oklahoma v. 304.8 per 100,000 in the US) from 1999-2012 and
AI/ANs in the US rank poorly in cancer survival. In addition, Oklahoma ranks poorly in many health-related
factors compared to other states in the US, including overall health, cancer mortality, lack of health insurance,
obesity, physical inactivity, and smoking, among others, which may be related to cancer incidence and
survival. In 1997, the Cherokee Nation established the first and only tribally-operated population-based
Surveillance Epidemiology and End Results (SEER) cancer registry in the country, including cancer cases
residing in the 14-county Cherokee Nation Tribal Jurisdictional Service Area (CNTJSA) in Northeastern
Oklahoma. Many AI/ANs who reside in the CNTJSA receive treatment for their cancer at facilities outside of
the Cherokee Nation health system. Thus, the CNCR needs to be linked with clinical treatment and outcomes
data from health facilities both inside and outside of Cherokee Nation health system to obtain extensive follow-
up and information on behavioral and other risk factors. The proposed Cherokee Nation Health Analytics Core
(CNHAC) aims to build capacity by addressing the following specific aims: 1) Establish infrastructure at
Cherokee Nation and the University of Oklahoma Health Sciences Center College of Public Health to develop
the CNHAC through conversion of physical space, hiring data coordinators, providing computing resources,
and development of a data access working group; 2) Develop policies and protocols for accessing and linking
electronic health data from various health facilities including CNCR, Cherokee Nation EMR, OCCR, and
MyHealth; 3) Link CNCR records with Cherokee Nation EMR and external health data from MyHealth to be
used in future research studies; 4) Use the following research question focused on breast cancer to test the
policies and protocols developed for secondary use of clinical data for research and to evaluate the validity and
completeness of the data linkage: What factors influence adherence to standard of care for breast cancer
treatment for women in Cherokee Nation?.

## Key facts

- **NIH application ID:** 10003342
- **Project number:** 5S06GM123546-04
- **Recipient organization:** CHEROKEE NATION
- **Principal Investigator:** Amanda E Janitz
- **Activity code:** S06 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $481,192
- **Award type:** 5
- **Project period:** 2017-09-15 → 2022-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10003342

## Citation

> US National Institutes of Health, RePORTER application 10003342, Cherokee Nation Health Analytics Core (CNHAC) Capacity Building Project (5S06GM123546-04). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10003342. Licensed CC0.

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