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Evidence Based Strategies to Prevent and Control Diabetes and Cardiovascular Disease in Populations of Color, Rural Communities and Medicaid Enrollees in Minnesota

Award Number: NU58DP006522
ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/30/2018
PERIOD OF PERFORMANCE END DATE: 06/29/2023

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Evidence Based Strategies to Prevent and Control Diabetes and Cardiovascular Disease in Populations of Color, Rural Communities and Medicaid Enrollees in Minnesota - The burden of chronic disease in Minnesota remains high with cardiovascular disease and diabetes together accounting for 25 percent of all deaths and approximately $5 billion in combined inpatient hospitalizations and associated health care costs in the State. Over the past 25 years, prevalence of diabetes and obesity in adults has more than doubled. In addition, a large proportion of the population remains unaware of their hypertension, high blood cholesterol, prediabetes and diabetes. This lack of awareness occurs in combination with problems of access to clinical care combined with social and economic factors. Although we have better health status and care delivery systems relative to many other states, Minnesota has unacceptable disparities in health status and outcomes across our populations. The health disparities in Minnesota are concentrated in lower income populations that include Medicaid enrollees, rural communities, and populations of color. The 1815 NOFO application provides an opportunity to build on the extensive work accomplished to date through the 1422 and 1305 CDC grants that are now coming to an end of their 5-year cycle with largely the same MDH team that engineered those successes. Purpose: The MDH will support the implementation and evaluation of a set of evidence-based strategies to prevent and control diabetes and cardiovascular disease in high-burden populations. Outcomes: The long-term outcomes for the proposal are to: 1) decrease the proportion of people with diabetes in Minnesota with an A1c greater than 9; 2) increase the number of people with prediabetes enrolled in a CDC-recognized lifestyle change program who have achieved 5-7% weight loss; and 3) increase control among adults with known high blood pressure and high blood cholesterol. Intermediate outcomes include: 1) increased participation in ADA-recognized / AADE-accepted DSMES programs by people with diabetes; 2) increased enrollment and retention in CDC-recognized organizations delivering the National DPP lifestyle change program; 3) increased medication management/adherence among patients with high blood pressure and high blood pressure and high blood cholesterol; and 5) increased participation in evidence-based lifestyle interventions among patients with high blood pressure and high blood cholesterol. Short-term outcomes include: 1) increased access to coverage for ADA-recognized/AADE-accredited diabetes self-management education and support (DSMES) programs for people with diabetes; 2) increased use of pharmacist patient care processes for people with diabetes; 3) increased access to and coverage for the National DPP lifestyle change program for people with prediabetes; 4) increased community clinical links that facilitate referrals and provide support to enroll and retain participants in the National DPP lifestyle change program; 5) increased monitoring and tracking of clinical data for improved identification, management and treatment of patients with high blood pressure and high blood cholesterol; 6) increased usage and adherence to evidence-based guidelines and policies related to team-based care for patients with high blood pressure and high blood cholesterol; and 7) increased community clinical links that support systematic referrals, self-management, and lifestyle changes for patients with high blood pressure and high blood cholesterol. Improvements in hypertension and high blood cholesterol, primary risk factors for CVD, along with diabetes prevention and treatment will be achieved through behavior modification improvements and health system advances necessary to reduce the need for treatment and close the gap for at-risk populations in Minnesota.


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 = -$681,829 )
2024	2022	MINNESOTA DEPARTMENT OF HEALTH	625 ROBERT ST N	SAINT PAUL	MN	55155	RAMSEY	USA	The National Cardiovascular Health Program	03	5	11/18/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$681,829
2024	2022	MINNESOTA DEPARTMENT OF HEALTH	625 ROBERT ST N	SAINT PAUL	MN	55155	RAMSEY	USA	The National Cardiovascular Health Program	02	5	10/3/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2021	MINNESOTA DEPARTMENT OF HEALTH	625 ROBERT ST N	SAINT PAUL	MN	55155	RAMSEY	USA	The National Cardiovascular Health Program	03	5	11/18/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2020	MINNESOTA DEPARTMENT OF HEALTH	625 ROBERT ST N	SAINT PAUL	MN	55155	RAMSEY	USA	The National Cardiovascular Health Program	03	5	11/18/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2019	MINNESOTA DEPARTMENT OF HEALTH	625 ROBERT ST N	SAINT PAUL	MN	55155	RAMSEY	USA	The National Cardiovascular Health Program	03	5	11/18/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2018	MINNESOTA DEPARTMENT OF HEALTH	625 ROBERT ST N	SAINT PAUL	MN	55155	RAMSEY	USA	The National Cardiovascular Health Program	03	5	11/18/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = -$681,829

Issue Date FY: 2022 ( Subtotal = $1,953,594 )
2022	2022	Department of Health Minnesota	625 Robert St N	Saint Paul	MN	55155	RAMSEY	USA	The National Cardiovascular Health Program	00	5	6/19/2022	NON-COMPETING CONTINUATION	$1,837,810
2022	2022	Department of Health Minnesota	625 Robert St N	Saint Paul	MN	55155	RAMSEY	USA	The National Cardiovascular Health Program	01	5	7/13/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$115,784
														Subtotal = $1,953,594

Issue Date FY: 2021 ( Subtotal = $1,953,594 )
2021	2021	Department Of Health Minnesota	625 N Robert St	Saint Paul	MN	55101	RAMSEY	USA	The National Cardiovascular Health Program	01	4	9/16/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2021	DEPARTMENT OF HEALTH MINNESOTA	625 N ROBERT ST	SAINT PAUL	MN	55101	RAMSEY	USA	The National Cardiovascular Health Program	00	4	5/13/2021	NON-COMPETING CONTINUATION	$1,953,594
2021	2020	DEPARTMENT OF HEALTH MINNESOTA	625 N ROBERT ST	SAINT PAUL	MN	55101	RAMSEY	USA	The National Cardiovascular Health Program	03	3	3/5/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	DEPARTMENT OF HEALTH MINNESOTA	625 N ROBERT ST	SAINT PAUL	MN	55101	RAMSEY	USA	The National Cardiovascular Health Program	04	3	3/5/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,953,594

Issue Date FY: 2020 ( Subtotal = $1,953,594 )
2020	2020	DEPARTMENT OF HEALTH MINNESOTA	625 N Robert St	Saint Paul	MN	55101	RAMSEY	USA	The National Cardiovascular Health Program	00	3	5/7/2020	NON-COMPETING CONTINUATION	$1,753,016
2020	2020	DEPARTMENT OF HEALTH MINNESOTA	625 N Robert St	Saint Paul	MN	55101	RAMSEY	USA	The National Cardiovascular Health Program	01	3	6/25/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$200,578
2020	2020	DEPARTMENT OF HEALTH MINNESOTA	625 N ROBERT ST	SAINT PAUL	MN	55101	RAMSEY	USA	The National Cardiovascular Health Program	02	3	8/25/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2019	DEPARTMENT OF HEALTH MINNESOTA	625 N Robert St	Saint Paul	MN	55101	RAMSEY	USA	The National Cardiovascular Health Program	04	2	1/22/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2019	DEPARTMENT OF HEALTH MINNESOTA	625 N ROBERT ST	SAINT PAUL	MN	55101	RAMSEY	USA	The National Cardiovascular Health Program	03	2	11/22/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2019	DEPARTMENT OF HEALTH MINNESOTA	625 N Robert St	Saint Paul	MN	55101	RAMSEY	USA	The National Cardiovascular Health Program	05	2	3/4/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,953,594

Issue Date FY: 2019 ( Subtotal = $1,953,594 )
2019	2019	DEPARTMENT OF HEALTH MINNESOTA	625 N Robert St	Saint Paul	MN	55101	RAMSEY	USA	The National Cardiovascular Health Program	01	2	8/9/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2019	DEPARTMENT OF HEALTH MINNESOTA	625 N ROBERT ST	SAINT PAUL	MN	55101	RAMSEY	USA	The National Cardiovascular Health Program	00	2	6/11/2019	NON-COMPETING CONTINUATION	$1,953,594
2019	2019	DEPARTMENT OF HEALTH MINNESOTA	625 N Robert St	Saint Paul	MN	55101	RAMSEY	USA	The National Cardiovascular Health Program	02	2	8/27/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2018	DEPARTMENT OF HEALTH MINNESOTA	625 N ROBERT ST	SAINT PAUL	MN	55101	RAMSEY	USA	The National Cardiovascular Health Program	00	2	6/11/2019	NON-COMPETING CONTINUATION	$0
2019	2018	DEPARTMENT OF HEALTH MINNESOTA	625 N ROBERT ST	SAINT PAUL	MN	55101	RAMSEY	USA	The National Cardiovascular Health Program	01	1	12/3/2018	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2018	DEPARTMENT OF HEALTH MINNESOTA	625 N ROBERT ST	SAINT PAUL	MN	55101	RAMSEY	USA	The National Cardiovascular Health Program	02	1	5/10/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2018	DEPARTMENT OF HEALTH MINNESOTA	625 N Robert St	Saint Paul	MN	55101	RAMSEY	USA	The National Cardiovascular Health Program	03	1	8/8/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,953,594

Issue Date FY: 2018 ( Subtotal = $1,598,396 )
2018	2018	DEPARTMENT OF HEALTH MINNESOTA	625 N Robert St	SAINT PAUL	MN	55101	RAMSEY	USA	The National Cardiovascular Health Program	00	1	8/28/2018	NEW	$1,598,396
														Subtotal = $1,598,396

Grand Total All Awards = $8,730,943

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Evidence Based Strategies to Prevent and Control Diabetes and Cardiovascular Disease in Populations of Color, Rural Communities and Medicaid Enrollees in Minnesota

Award Number: NU58DP006522

ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

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

PERIOD OF PERFORMANCE START DATE: 09/30/2018

PERIOD OF PERFORMANCE END DATE: 06/29/2023

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