Kansas Diabetes and Heart Disease & Stroke Prevent Programs Project Abstract
The Kansas Department of Health and Environment (KDHE) requests CDC-RFA-DP18-1815 Diabetes and Heart Disease & Stroke Prevent Programs - Improving the Health of Americans Through Prevention and Management of Diabetes and Heart Disease and Stroke funds to expand on current momentum and existing efforts to impact diabetes and cardiovascular disease outcomes in Kansas, including lessons learned from managing “State Public Health Action to Prevent and Control Diabetes, Heart Disease, Obesity and Associated Risk Factors and Promote School Health” (KS 1305) and “Actions to Prevent and Control Diabetes, Heart Disease, Obesity and Associated Risk” (KS 1422) grant programs. KDHE has identified 16 target counties for implementing the grant strategies. Both Category A and B strategies will be implemented in the same counties so that work on these strategies can be mutually reinforcing. The following criteria were used to identify the target communities proposed in this application: 1) community capacity for implementing the proposed strategies; 2) population reach and burden of chronic conditions (diabetes, at risk for type 2 diabetes, HTN and high blood cholesterol); and 3) socio-demographic characteristics associated with these conditions. Criteria were considered sequentially, initially focusing on the community capacity and infrastructure for successful implementation of proposed activities. Burden, potential population reach and socio-demographic characteristics, were considered to select high need communities to reach priority populations disproportionately impacted by chronic disease. The 16 selected counties comprised 54% of the total population of Kansas, providing a substantial potential reach.
By implementing strategies under Category A, addressing diabetes prevention and management (A.1, A.2, A.4, A.5 and A.6) and Category B, addressing cardiovascular disease prevention and management (B.1, B.3, B.4, B.6 and B.7) KDHE will strengthen and expand infrastructure for CDC-recognized lifestyle change programs to prevent and manage diabetes, hypertension (HTN) and high blood cholesterol. This focus includes: National Diabetes Prevention Program (DPP), American Diabetes Association (ADA)-recognized/American Association of Diabetes Educators (AADE)-accredited Diabetes Self-Management Education and Support (DSMES), self-measured blood pressure (SMBP) programs. Kansas will support participating healthcare systems to improve quality of care for diabetes, HTN and high blood cholesterol patients by incorporating non-physician team-based approaches, improving medication management, and establishing linkages with community-based lifestyle change programs. Kansas will also focus on collaborating with pharmacists to promote MTM between pharmacists and physicians for managing HTN, high cholesterol, and lifestyle modification. Activities strategically engage select effective community partners and leverage resources across public and private sector organizations to ensure diabetes and CVD prevention and management strategies are implemented. KS 1815 Program aims to achieve a 3% improvement from baseline in select short, intermediate and long-term outcomes associated with diabetes management, prevention of type 2 diabetes and CVD prevention and management by the end of program period.