Wednesday, October 4, 2023
10/4/2023
Chronic disease affects the quality of life for an estimated 4.4 million Michigan adults. More than one in three Michiganders are estimated to have hypertension, 38.2 percent have been told they have high cholesterol, and 11.2 percent have been told they have diabetes, about 60,000 MI deaths resulted from chronic disease, including 25,322 heart disease deaths and 2,681 diabetes deaths. The burden of chronic disease also has economic consequences, with medical expenditures projected to increase more than 50 percent between 2010 and 2020. Cost projections for 2020 include $8.2 billion for diabetes, $23.3 billion for cardiovascular disease & hypertension . The MI Department of Health and Human Services (MDHHS) Diabetes & Other Chronic Diseases (DOCD) & Cardiovascular Health, Nutrition & Physical Activity (CVHNPA) Sections, have successfully collaborated with stakeholders, providers, M-CEITA – MI’s Regional Extension Center, MPRO - MI’s Quality Improvement Network-Quality Improvement Organization (QIN-QIO), policy makers, & payers to promote & improve screening, testing, referring & quality programming for people at risk for & living with diabetes, hypertension & heart disease. Strategies & activities have targeted high burden populations & those of low socioeconomic status, with increased focus on addressing the social determinants of health (SDOH). New funding will allow additional work to be done with partners & contractors to address the role SDOH play in chronic disease prevention & management, healthy lifestyle behaviors, & behavior change in order to reduce health disparities. The DOCD and CVHNPA Sections will use this new funding to expand our existing strong, collaborative foundation & provide state-level support for large networks of providers & partners, such as the Diabetes Prevention and Million Hearts Networks. Significant infrastructure at the state and community level has been built for both prevention and management interventions. Foundational work has been achieved in community health assessments and surveillance, health systems interventions, community clinical linkages, implementing policy change, and utilization of health information technology to identify risk factors & diagnoses associated with pre-diabetes, diabetes & heart disease. Additional funding will strengthen this work & increase opportunities for continued growth. MDHHS will continue to build on the foundation & successes accomplished through the State Public Health Actions to Prevent & Control Diabetes, Heart Disease Obesity and Associated Risk Factors and Promote School Health (1305) & State & Local Public Health Actions to Prevent Obesity, Diabetes, & Heart Disease and Stroke (1422) grants. Both the DOCD & CVHNPA Sections have chosen to work on all strategies proposed in the 1815 grant. Proposed activities include increasing access & promotion to evidence-based programs for people at risk of diabetes &/or living with diabetes or hypertension (e.g., Diabetes Prevention Program, Diabetes Self-Management Education & Support services), increased engagement with pharmacists and community health workers as members of clinical care teams, & increased promotion and improved use of health information technology (HIT) by providers to improve patient outcomes & decrease healthcare disparities. The Diabetes and Kidney and HDSP Units will continue their effective & integrative approach through the implementation of mutually reinforcing strategies, common partnerships, technical assistance, communication initiatives, epidemiology & surveillance, evaluation, and fiscal management. Expected outcomes at the end of the funding opportunity cycle include a lower proportion of people with diabetes with an A1C higher than 9%, an increased number of individuals enrolled in lifestyle change programs achieving positive outcomes, & increased control of high blood pressure & cholesterol among MI residents diagnosed with these conditions.
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).
