Tuesday, June 10, 2025
6/10/2025
Community Project Funding/Congressionally Directed Spending - Construction - Address: 408 N. Capitol Avenue, San Jose, CA 95133 Project Director Name: Dolores Alvarado, Chief Executive Officer Contact Phone Numbers: (408) 556-6605 Email Address: Dolores@chpscc.org Website Address: www.chpscc.org Grant program funds requested: 175,000.48 In Santa Clara County, 8.6% of individuals ages 20 and older have diabetes, and 46% of adults are estimated to have pre-diabetes or undiagnosed diabetes. Among disadvantaged groups including racial and ethnic minorities, older adults, people with low educational attainment, and low-income households, rates of diabetes are even higher. Chronic diseases have significant health and economic costs. They not only affect overall wellbeing and quality of life, but also contribute to steep health care costs. It is well known that health care spending in the U.S. is exorbitant, and chronic disease is responsible for about 86% of it. In 2018, the rate of preventable chronic care hospitalizations in Santa Clara County was 498.6 per 100,000. Many hospital visits are avoidable with effective chronic care management and timely primary care. High health care costs are shared by all, not only those suffering from chronic disease, and the economic costs are even greater when considering lost productivity. It is in the community’s best interest to invest in evidence-based prevention and disease management programs such as the Diabetes Self-Management Program (DSMP) “Better Choices, Better Health” (BCBH) to save both lives and money. The purpose of Community Health Partnership‘s (CHP’s) BCBH program is to teach adults with Type 2 diabetes or pre-diabetes skills and techniques to better manage their chronic condition. BCBH offers the following services: a six-week health education workshop series based on the DSMP curriculum from the Self-Management Resource Center (SMRC), depression screenings, self-efficacy assessments, and referrals to behavioral health services, insurance enrollment assistance, and other community resources as needed. Participants learn about various topics including appropriate exercise, healthy eating, how to use glucose monitoring to make daily decisions, appropriate use of medication, and more. These topics are meant to help participants ease the symptoms of diabetes such as fatigue, pain, hyper- and hypoglycemia (high and low blood sugar levels), stress, and emotional problems. Expected outcomes include improved HbA1c and blood pressure control, reduction of BMI, increase in physical activity, and improved behavioral and emotional health. To further empower patients to engage with the health care system and manage their own health, CPF funds will provide iPad tablets to participate in the DSMP via ZOOM and home blood glucose and pressure monitoring machines. Blood pressure monitoring is vital as two thirds of diabetic patients have high blood pressure. Self-monitoring tools not only provide patients more autonomy, but also give providers timely access to critical information they can use to provide early intervention. BCBH workshops are offered in English, Spanish, and Vietnamese and can be delivered in-person, virtually via Zoom, or over the phone. Workshops are facilitated by certificated health educators known as Leaders. Any low-income adult with diabetes or pre-diabetes in the CHP service area can benefit from the program, as it is open and publicized to the public. Most participants are referred to CHP by the organization’s clinic partners and are residents of San Jose. The DSMP is an evidence-based program recognized by the Administration for Community Living and the American Diabetes Association. It was created by the SMRC based on focus groups with patients with diabetes, a review of professional organizational standards for diabetes education, and input from health professionals. The program uses methods from cognitive behavioral therapy and other processes to increase participants’ self-efficacy related to diabetes self-management.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).