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Diabetes and Heart Disease & Stroke Prevent Programs-Improving the Health of Americans through Prevention and Management of Diabetes and Heart Disease and Stroke

Award Number: NU58DP006520
ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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Diabetes and Heart Disease & Stroke Prevent Programs-Improving the Health of Americans through Prevention and Management of Diabetes and Heart Disease and Stroke - The Missouri Actions to Prevent Chronic Disease (MAP) is a program of the Missouri Department of Health and Senior Services (DHSS) that seeks to improve the lives of Missourians affected by chronic disease, specifically diabetes and cardiovascular disease. By focusing on self-management behaviors and clinical care quality, MAP pursues goals to reduce health disparities and the burden of chronic disease statewide. There is significant need for a public health approach to chronic disease prevention and management in Missouri. Mortality rates from chronic diseases are higher in Missouri than the national average; in 2016, the state ranked 10th in the nation for heart disease deaths, 14th for stroke, and 5th for kidney failure. Although known to be underestimated in vital statistics data, diabetes still ranks as the 7th leading cause of death in Missouri (CDC NCHS), and the rates are increasing. Missouri moved from 36th (2015) to 30th (2016) in diabetes mortality rate in the United States, according to the National Center for Health Statistics. Moreover, chronic diseases disproportionately affect populations that are disadvantaged due to racial and socioeconomic factors, as well as access to care. For example, as compared to whites, African-Americans have higher rates of diabetes (13.8% vs 11.3%), stroke (5.5% vs 4.2%), hypertension (38.3% vs 34.3%), and obesity (39.5% vs 30.8%). Building upon the capacity and expertise established through prior CDC grants, the DHSS proposes to expand and focus its programs to reduce health disparities, especially for people living in Missouri’s three largest metropolitan areas. The MAP team’s analysis concluded this approach is most likely to yield measureable improvements at the state level. The target populations will benefit from coordinated interventions for diabetes and cardiovascular disease by increasing the use of community health workers (CHW), promoting team-based care, enhancing the role of pharmacists, coordinating referrals to nationally-recognized prevention and management programs, expanding data-driven quality improvement at community health centers, and advocating for health plan coverage. All of this work is made possible by leveraging a well-established network of local, state, and national collaborators. The DHSS proposes to implement 11 strategies across both cardiovascular disease and diabetes domains, including both diabetes prevention and management. Proposed activities will: (1) increase referral, coverage, and patient access to chronic disease self-management and prevention programs utilizing CHWs and pharmacists in community settings; (2) strengthen and expand the knowledge, abilities, and number of CHWs and care teams in community and clinical settings; and (3) improve the quality of patient care through the promotion and adoption of evidence-based quality measures at the provider level. Through these activities, MAP will achieve the long-term outcomes of the project which include decreasing the proportion of people with uncontrolled diabetes; increasing the number of people with pre-diabetes enrolled in CDC-recognized lifestyle change programs with significant weight loss; and increasing control among adults with known high blood pressure and high blood cholesterol. The DHSS has been recognized for its strength in evaluation and access to key data sources, such as electronic health records and Medicaid claims. With well-designed evaluation plans, MAP has high capacity to measure of process, outcome and impact indicators, as specified by the CDC. With the cooperation of long-standing program partners, a proven track record of successful collaboration with the CDC, and an established leadership team, the MAP is prepared to implement the proposed activities and track progress toward short, intermediate and long-term goals.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = -$694,656 )
2024	2022	MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The National Cardiovascular Health Program	02	1	9/20/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$3,924
2024	2022	MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The National Cardiovascular Health Program	01	5	3/4/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$690,732
2024	2021	MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The National Cardiovascular Health Program	01	5	3/4/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2020	MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The National Cardiovascular Health Program	01	5	3/4/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2019	MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The National Cardiovascular Health Program	01	5	3/4/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2018	MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The National Cardiovascular Health Program	01	5	3/4/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = -$694,656

Issue Date FY: 2022 ( Subtotal = $1,896,034 )
2022	2022	HEALTH AND SENIOR SERVICES, MISSOURI DEPARTMENT OF	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The National Cardiovascular Health Program	00	5	6/19/2022	NON-COMPETING CONTINUATION	$1,896,034
2022	2021	HEALTH AND SENIOR SERVICES, MISSOURI DEPARTMENT OF	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The National Cardiovascular Health Program	03	4	5/25/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,896,034

Issue Date FY: 2021 ( Subtotal = $2,168,396 )
2021	2021	HEALTH AND SENIOR SERVICES, MISSOURI DEPARTMENT OF	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The National Cardiovascular Health Program	02	4	9/16/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2021	HEALTH AND SENIOR SERVICES, MISSOURI DEPARTMENT OF	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The National Cardiovascular Health Program	00	4	5/13/2021	NON-COMPETING CONTINUATION	$2,168,396
2021	2021	HEALTH AND SENIOR SERVICES, MISSOURI DEPARTMENT OF	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The National Cardiovascular Health Program	01	4	7/7/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $2,168,396

Issue Date FY: 2020 ( Subtotal = $2,018,590 )
2020	2020	HEALTH AND SENIOR SERVICES, MISSOURI DEPARTMENT OF	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The National Cardiovascular Health Program	01	3	8/13/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2020	HEALTH AND SENIOR SERVICES, MISSOURI DEPARTMENT OF	920 Wildwood Dr	Jefferson City	MO	65109	COLE	USA	The National Cardiovascular Health Program	00	3	5/13/2020	NON-COMPETING CONTINUATION	$2,018,590
2020	2019	HEALTH AND SENIOR SERVICES, MISSOURI DEPARTMENT OF	920 Wildwood Dr	Jefferson City	MO	65109	COLE	USA	The National Cardiovascular Health Program	02	2	12/18/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $2,018,590

Issue Date FY: 2019 ( Subtotal = $2,168,396 )
2019	2019	HEALTH AND SENIOR SERVICES, MISSOURI DEPARTMENT OF	920 Wildwood Dr	Jefferson City	MO	65109	COLE	USA	The National Cardiovascular Health Program	00	2	6/10/2019	NON-COMPETING CONTINUATION	$2,168,396
2019	2019	HEALTH AND SENIOR SERVICES, MISSOURI DEPARTMENT OF	920 Wildwood Dr	Jefferson City	MO	65109	COLE	USA	The National Cardiovascular Health Program	01	2	8/13/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2018	HEALTH AND SENIOR SERVICES, MISSOURI DEPARTMENT OF	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The National Cardiovascular Health Program	01	1	11/21/2018	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $2,168,396

Issue Date FY: 2018 ( Subtotal = $1,774,142 )
2018	2018	HEALTH AND SENIOR SERVICES, MISSOURI DEPARTMENT OF	920 Wildwood Dr	JEFFERSON CITY	MO	65109	COLE	USA	The National Cardiovascular Health Program	00	1	8/21/2018	NEW	$1,774,142
														Subtotal = $1,774,142

Grand Total All Awards = $9,330,902

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Diabetes and Heart Disease & Stroke Prevent Programs-Improving the Health of Americans through Prevention and Management of Diabetes and Heart Disease and Stroke

Award Number: NU58DP006520

ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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