This application supports investments in implementing and evaluating evidence-based strategies to prevent and manage diabetes and cardiovascular disease (CVD) in high burden populations in the state contributing to improved health outcomes among residents disproportionately affected due to inadequate access to and poor quality of care, socioeconomic and other characteristics. South Carolina’s (SC) application builds and expands upon the accomplishments and outcomes achieved by its substantial state level investments and actions in health care systems and community-clinical linkages. The Division of Diabetes, Heart Disease and Stroke (DDHDS) is requesting resources to implement Category A and Category B strategies within the same high burden communities and settings via common partners contributing to the prevention and management of CVD and diabetes. Building on previously funded CDC grants (901, 1305 and 1422) the strategies and activities described draw upon the coordination and integration of long-standing efforts, resources and partnerships to reduce, prevent and manage CVD and diabetes. SC’s application highlights the best coordinated, collaborative evidence-based approaches and methods for implementing and evaluating diabetes management, type 2 diabetes prevention tracking and monitoring clinical measures, implementing team-based care and linking community resources and clinical services. The application supports implementation of a comprehensive and coordinated approach to improve the health of South Carolinians by enhancing and elevating previous investments for implementing and evaluating evidence-based strategies. Strategies are focused in the same targeted communities and settings to ensure mutually reinforcing approaches that benefit people with prediabetes, diabetes, high blood pressure and with or at risk of high blood cholesterol. As required, funding resources and level of effort is equally divided among the selected strategies a
nd activities with close attention to guaranteeing the most appropriate staff, and internal and external partners were included. DDHDS uses a well-aligned collaborative and coordinated approach across the agency’s CDC funded programs to implement activities focused on prevention and management. The division’s comprehensive, data driven approach utilizes multi-source interdisciplinary data to focus statewide efforts on underserved populations who have demonstrated or are at an increased risk of morbidity and mortality due to health disparities, socioeconomic factors and inadequate access to care. The division’s approach provides the necessary project management and coordination, evaluation, monitoring, data tracking and surveillance, quality assurance, contract development and monitoring, budget oversight, and coordination of public health services to effectively and efficiently coordinate chronic disease efforts across epidemiology and surveillance, health care system interventions and linkages to clinical services and evidence based interventions within the state. Where possible, SC programs will coordinate cost sharing of positions, workloads, planning, implementation and integration of objectives and activities, and data usage to support and maximize efficiencies of the planned activities. Staff alignment with internal and external partners demonstrates our capacity to implement the framework and successfully carry out planned strategies, objectives and activities.