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Rhode Island Diabetes and Heart Disease & Stroke Prevention and Management Programs

Award Number: NU58DP006531
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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Rhode Island Diabetes and Heart Disease & Stroke Prevention and Management Programs - Rhode Island Department of Health’s Diabetes, Heart Disease, and Stroke (RIDHDS) program will utilize funding opportunity CDC-RFA-DP18-1815 to build upon the accomplishments and outcomes achieved in CDC-RFA-DP13-1305 (1305) and CDC-RFA-DP14-1422 (1422). RIDHDS will implement and evaluate evidence-based strategies contributing to the prevention and management of cardiovascular disease and diabetes in high-burden populations. RIDHDS has identified as its priority population adults who are below 400% of the Federal Poverty Level (FPL), putting them at heightened risk for chronic disease development or poor control of chronic disease. RIDHDS is organized into 3 main areas of work: 1) Health Systems Intervention (HSI); 2) Community Health Network (CHN); and 3) evidence-based lifestyle programs (EBLP) such as the National Diabetes Prevention Program (NDPP) and Diabetes Self-Management Education and Support (DSMES). RIDHDS will address RI’s chronic disease burden in the priority populations by leveraging the CHN, CHWs, DSMES and NDPP to continue to scale and grow the infrastructure of EBLPs, including expanding the integration of EBLPs into Health Care Organizations (HCO) and the use of CHWs as leaders of EBLP. RIDHDS will leverage existing relationships with HCOs and health care transformation stakeholders to continue improvements in EHR utilization, population health management, and team-based care optimization. RIDHDS will expand upon this work by adding additional HCOs as partners and exploring the expanded use of non-physician team members such as certified community health workers, registered dietitians and pharmacists. Where appropriate, RIDHDS will focus strategies in the same targeted communities/settings, in order to ensure that strategies are mutually reinforcing when reaching the identified priority population. For Category A, this approach will lead to the following outcomes by the end of the project period: 1) Increased access to/coverage for ADA-recognized/AADE-accredited DSMES programs for people with diabetes; 2) Increased participation in ADA recognized/AADE accredited DSMES programs by people with diabetes; 3) Decreased proportion of people with diabetes with an A1C > 9; 4) Increased access to and coverage for the NDPP lifestyle change program for people with prediabetes; 5)Increased community-clinical linkages that facilitate referrals and provide support to enroll and retain participants in NDPP; 6) Increased enrollment and retention in CDC-recognized organizations delivering the National DPP lifestyle change program; and 7) Increased number of people with prediabetes enrolled in a CDC-recognized lifestyle change program who have achieved 5- 7% weight loss. For Category B, this approach will lead to the following outcomes by the end of the project period: 1) Increased reporting, monitoring, and tracking of clinical data for improved identification, management, and treatment of patients with high blood pressure and high blood cholesterol; 2) Increased medication adherence among patients with high blood pressure and high blood cholesterol; 3) Increased control among adults with known high blood pressure and high blood cholesterol; 4) Increased use of and adherence to evidence-based guidelines and policies related to team-based care for patients with high blood pressure and high blood cholesterol; 5) Increased engagement in self-management among patients with high blood pressure and high blood cholesterol; 6)Increased community clinical links that support systematic referrals, self-management, and lifestyle change for patients with high blood pressure and high blood cholesterol; and 7) Increased participation in evidence-based lifestyle interventions among patients with high blood pressure and high blood cholesterol.


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 = $0 )
2024	2022	The Rhode Island Department of Health	3 CAPITOL HILL	PROVIDENCE	RI	02908	PROVIDENCE	USA	The National Cardiovascular Health Program	02	5	11/29/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2021	The Rhode Island Department of Health	3 CAPITOL HILL	PROVIDENCE	RI	02908	PROVIDENCE	USA	The National Cardiovascular Health Program	02	5	11/29/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2020	The Rhode Island Department of Health	3 CAPITOL HILL	PROVIDENCE	RI	02908	PROVIDENCE	USA	The National Cardiovascular Health Program	02	5	11/29/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2019	The Rhode Island Department of Health	3 CAPITOL HILL	PROVIDENCE	RI	02908	PROVIDENCE	USA	The National Cardiovascular Health Program	02	5	11/29/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2018	The Rhode Island Department of Health	3 CAPITOL HILL	PROVIDENCE	RI	02908	PROVIDENCE	USA	The National Cardiovascular Health Program	02	5	11/29/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2022 ( Subtotal = $1,963,596 )
2022	2022	Health, Rhode Island Department Of	3 Capitol Hill	Providence	RI	02908	PROVIDENCE	USA	The National Cardiovascular Health Program	00	5	6/19/2022	NON-COMPETING CONTINUATION	$1,963,596
2022	2022	Health, Rhode Island Department Of	3 Capitol Hill	Providence	RI	02908	PROVIDENCE	USA	The National Cardiovascular Health Program	01	5	8/11/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,963,596

Issue Date FY: 2021 ( Subtotal = $1,963,596 )
2021	2021	Health, Rhode Island Department Of	3 Capitol Hill	Providence	RI	02908	PROVIDENCE	USA	The National Cardiovascular Health Program	01	4	9/16/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2021	Health, Rhode Island Department Of	3 Capitol Hill	Providence	RI	02908	PROVIDENCE	USA	The National Cardiovascular Health Program	00	4	5/13/2021	NON-COMPETING CONTINUATION	$1,963,596
														Subtotal = $1,963,596

Issue Date FY: 2020 ( Subtotal = $1,963,596 )
2020	2020	Health, Rhode Island Department Of	3 Capitol Hill	Providence	RI	02908	PROVIDENCE	USA	The National Cardiovascular Health Program	00	3	5/13/2020	NON-COMPETING CONTINUATION	$1,963,596
2020	2020	Health, Rhode Island Department Of	3 Capitol Hill	Providence	RI	02908	PROVIDENCE	USA	The National Cardiovascular Health Program	01	3	8/27/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2019	Health, Rhode Island Department Of	3 Capitol Hill	Providence	RI	02908	PROVIDENCE	USA	The National Cardiovascular Health Program	02	2	12/3/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,963,596

Issue Date FY: 2019 ( Subtotal = $1,963,597 )
2019	2019	Health, Rhode Island Department Of	3 Capitol Hill	Providence	RI	02908	PROVIDENCE	USA	The National Cardiovascular Health Program	01	2	8/23/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2019	Health, Rhode Island Department Of	3 Capitol Hill	Providence	RI	02908	PROVIDENCE	USA	The National Cardiovascular Health Program	00	2	6/11/2019	NON-COMPETING CONTINUATION	$1,963,597
2019	2018	Health, Rhode Island Department Of	3 Capitol Hill	Providence	RI	02908	PROVIDENCE	USA	The National Cardiovascular Health Program	02	1	1/13/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2018	Health, Rhode Island Department Of	3 Capitol Hill	Providence	RI	02908	PROVIDENCE	USA	The National Cardiovascular Health Program	01	1	12/13/2018	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2018	Health, Rhode Island Department Of	3 Capitol Hill	Providence	RI	02908	PROVIDENCE	USA	The National Cardiovascular Health Program	03	1	2/19/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,963,597

Issue Date FY: 2018 ( Subtotal = $1,606,580 )
2018	2018	Health, Rhode Island Department Of	3 Capitol Hill	Providence	RI	02908	PROVIDENCE	USA	The National Cardiovascular Health Program	00	1	8/21/2018	NEW	$1,606,580
														Subtotal = $1,606,580

Grand Total All Awards = $9,460,965

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Rhode Island Diabetes and Heart Disease & Stroke Prevention and Management Programs

Award Number: NU58DP006531

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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