Washington State Department of Health (DOH) proposes to implement and evaluate evidence-based and best practice strategies in response to FOA DP18-1815, Improving the Health of Americans Through Prevention and Management of Diabetes and Heart Disease and Stroke. We request $1,702,200 million for the first year of this five-year project to improve the health of Washington residents by preventing and managing diabetes and cardiovascular disease in communities with the highest burden. This work builds upon the accomplishments and outcomes produced through our implementation of the Centers for Disease Control and Prevention’s DP13-1305, “State Public Health Actions to Prevent and Control Diabetes, Heart Disease, Obesity and Associated Risk Factors and Promote School Health” and DP14-1422, “State and Local Public Health Actions to Prevent Obesity, Diabetes, and Heart Disease and Stroke.”
Washingtonians have significant health disparities related to diabetes, heart disease, and stroke. Among the 40-65 year old age group, our target populations for this grant are: African American or Black, American Indian or Alaska Native, Asian, Hispanic or Latino, Native Hawaiian or Other Pacific Islander adults; those living in rural or urban geography; and those with low socioeconomic status. Recent State Health Assessment data shows the continued costs of health disparities within our target populations. Studies from the Joint Center for Political and Economic Studies showed the combined costs of health inequalities and their resulting premature death in U.S. were $1.24 trillion between 2003 and 2006. The target populations identified for this grant experience significantly higher prevalence of diabetes, heart disease, and stroke than other groups in Washington State.
Diabetes and cardiovascular disease in Washington continue to be serious, common, and costly conditions. DOH has been working cooperatively with CDC to address diabetes management since 1979. Over time, Washington also has added CDC funding to address heart disease and stroke prevention. Together, these funding streams have enabled DOH’s Heart Disease, Stroke, and Diabetes Prevention Team to work purposefully and intentionally with health systems, Community Health Workers (CHWs), and community based organizations to implement chronic disease prevention and health promotion programs with measureable reach and impact, with a particular emphasis on high-burden communities. We have experience successfully enhancing community-clinical linkages, raising the profile of Community Health Workers as reliable health system partners, responding to health system needs for training in accurate measurement of blood pressure, and increasing National Diabetes Prevention Program sustainability.
While the state has made substantial progress, much work remains to be done. Our proposal builds on the lessons learned implementing coordinated models intended to maximize federal investments in the work of state and local departments of health. Through this funding opportunity, DOH will increase the availability of and access to evidence-based programs known to prevent diabetes, improve diabetes management, and increase control among adults with known high blood pressure and high blood cholesterol. The strategies selected are anticipated to lead to improvements in immediate and long-term health outcomes for our target populations.