Over the 1815 grant period, EPICC will address diabetes, heart disease and stroke, and related risk factors across categories and with internal and external statewide partners and the Centers for Disease Control and Prevention to improve outcomes. EPICC will work to decrease proportion of people with diabetes with an A1C > 9, increase number of people with prediabetes enrolled in a CDC-recognized lifestyle change program who have achieved 5-7% weight loss and increase control among adults with known high blood pressure and high blood cholesterol.
EPICC will use evidence based interventions to develop activities within the specific CDC identified strategies below. Evaluation will be considered from the inception of the activities, used to direct efforts and make mid-course changes. Results will be shared with stakeholders and used for future planning.
Program Strategies: A.1. Improve access to and participation in ADA-recognized/ AADE-accredited DSMES programs in underserved areas. A.3. Increase engagement of pharmacists in the provision of medication management or DSMES for people with diabetes. A.4. Assist health care organizations in implementing systems to identify people with prediabetes and refer them to CDC-recognized lifestyle change programs for type 2 diabetes prevention. A.5. Collaborate with payers and relevant public and private sector organizations within the state to expand availability of the National DPP as a covered benefit for one or more of the following groups: Medicaid beneficiaries; state/public employees; employees of private sector organizations. A.6. Implement strategies to increase enrollment in CDC-recognized lifestyle change programs. A.7. Develop a statewide infrastructure to promote long-term sustainability/reimbursement for Community Health Workers (CHWs) as a means to establish or expand their use in a) CDC-recognized lifestyle change programs for type 2 diabetes prevention and/or b) ADA-recognized/AADE-accredited DSMES programs for diabetes management.
B.1. Promote the adoption and use of electronic health records (EHR) and health information technology (HIT) to improve provider outcomes and patient health outcomes related to identification of individuals with undiagnosed hypertension and management of adults with hypertension. B.2. Promote the adoption of evidence-based quality measurement at the provider level (e.g., use dashboard measures to monitor healthcare disparities and implement activities to eliminate healthcare disparities). B.3. Support engagement of non-physician team members (e.g., nurses, nurse practitioners, pharmacists, nutritionists, physical therapists, social workers) in hypertension and cholesterol management in clinical settings. B.5. Develop a statewide infrastructure to promote sustainability for CHWs to promote management of hypertension and high blood cholesterol. B.6. Facilitate use of self-measured blood pressure monitoring (SMBP) with clinical support among adults with hypertension.
This coordinated thoughtful effort will improve the health of the citizens of Utah.