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Improving the Health of Americans through the Prevention and Management of Diabetes, Heart Disease and Stroke

Award Number: NU58DP006537
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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Improving the Health of Americans through the Prevention and Management of Diabetes, Heart Disease and Stroke - Diabetes and Heart Disease & Stroke Prevent Programs-Improving the Health of Americans through Prevention and Management of Diabetes and Heart Disease and Stroke CDC-RFA-DP18-1815 Project Abstract Summary Heart disease, stroke and diabetes are the first, third and seventh leading causes of death in Texas. In 2016, these three largely preventable and often comorbid conditions accounted for 31 percent of all deaths in Texas. Nearly three million adults in Texas have diabetes, 663,000 of whom are undiagnosed. If left unaddressed, that number will grow to eight million within the next decade. In addition to its numerous complications – blindness, neuropathy, amputations, etc. – diabetes also increases the risk of developing heart disease. Of the 48,458 persons who experienced heart attacks in Texas between 2008 and 2016, 40 percent had diabetes, 78 percent had hypertension and 61 percent had high cholesterol. Among the general adult population of Texas, more than 1 in 3 have been told they have hypertension and/or high blood cholesterol by a healthcare provider. As part of its strategic plan to address the current and future burden of chronic disease in Texas, the Texas Department of State Health Services (DSHS) will support statewide implementation of cross-cutting approaches to promote health and prevent and control diabetes, heart disease and associated risk factors by leveraging the expertise of two categorical programs: The Diabetes Prevention and Control Program and the Heart Disease and Stroke Program. Activities will address health system interventions to improve the effective delivery and use of clinical and other high-value preventive efforts and community programs linked to clinical services to improve and sustain management of diabetes and heart disease. DSHS has chosen 10 health systems intervention and community-clinical linkage strategies to improve the prevention and self-management of high blood pressure or hypertension, cholesterol, and diabetes among populations at disproportionate risk for these conditions over the project period: 1) improve access to and participation in diabetes self-management education and support (DSME/S) programs in underserved areas; 2) engage pharmacists in provision of medication management or DSME/S for people with diabetes; 3) implement systems within healthcare organizations to identify people with prediabetes and systematically refer them to CDC-recognized lifestyle change programs; 4) collaborate with payers and relevant public/private sector organizations to expand availability of the National Diabetes Prevention Program as a covered benefit; 5) increase enrollment in CDC-recognized lifestyle change programs; 6) promote adoption and use of electronic health records and health information technology interventions to better identify, treat and manage patients with hypertension; 7) support engagement of non-physician team members in hypertension and cholesterol management in clinical settings; 8) promote adoption of medication therapy management between pharmacists and physicians for the purpose of managing hypertension, high blood cholesterol and lifestyle modification support; 9) facilitate use of self-measured blood pressure monitoring with clinical support among adults with hypertension; and 10) implement systems to facilitate systematic referral of adults with hypertension and/or high blood cholesterol to community programs and resources. By the end of the performance period and beyond, DSHS aims to decrease the proportion of people with diabetes with an A1c greater than 9; increase the number of people with prediabetes enrolled in CDC-recognized lifestyle change programs who achieve 5-7 percent weight loss; and increase the control among adults with unknown 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 = -$790,343 )
2024	2022	DEPARTMENT OF STATE HEALTH SERVICES	1100 W 49TH ST	AUSTIN	TX	78756	TRAVIS	USA	The National Cardiovascular Health Program	02	5	2/1/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$790,343
2024	2021	DEPARTMENT OF STATE HEALTH SERVICES	1100 W 49TH ST	AUSTIN	TX	78756	TRAVIS	USA	The National Cardiovascular Health Program	02	5	2/1/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2020	DEPARTMENT OF STATE HEALTH SERVICES	1100 W 49TH ST	AUSTIN	TX	78756	TRAVIS	USA	The National Cardiovascular Health Program	02	5	2/1/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2019	DEPARTMENT OF STATE HEALTH SERVICES	1100 W 49TH ST	AUSTIN	TX	78756	TRAVIS	USA	The National Cardiovascular Health Program	02	5	2/1/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2018	DEPARTMENT OF STATE HEALTH SERVICES	1100 W 49TH ST	AUSTIN	TX	78756	TRAVIS	USA	The National Cardiovascular Health Program	02	5	2/1/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = -$790,343

Issue Date FY: 2022 ( Subtotal = $2,566,706 )
2022	2022	State Health Services, Texas Department of	1100 W 49th St	Austin	TX	78756	TRAVIS	USA	The National Cardiovascular Health Program	00	5	6/19/2022	NON-COMPETING CONTINUATION	$2,566,706
2022	2022	STATE HEALTH SERVICES, TEXAS DEPARTMENT OF	1100 West 49th Street	Austin	TX	78756	TRAVIS	USA	The National Cardiovascular Health Program	01	5	9/23/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $2,566,706

Issue Date FY: 2021 ( Subtotal = $2,985,696 )
2021	2021	State Health Services, Texas Department Of	1100 W 49th St	Austin	TX	78756	TRAVIS	USA	The National Cardiovascular Health Program	02	4	9/17/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2021	State Health Services, Texas Department of	1100 W 49th St	Austin	TX	78756	TRAVIS	USA	The National Cardiovascular Health Program	00	4	5/13/2021	NON-COMPETING CONTINUATION	$2,985,696
2021	2021	STATE HEALTH SERVICES, TEXAS DEPARTMENT OF	1100 W 49TH ST	AUSTIN	TX	78756	TRAVIS	USA	The National Cardiovascular Health Program	01	4	8/23/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $2,985,696

Issue Date FY: 2020 ( Subtotal = $2,813,934 )
2020	2020	State Health Services, Texas Department of	1100 W 49th St	Austin	TX	78756	TRAVIS	USA	The National Cardiovascular Health Program	00	3	5/13/2020	NON-COMPETING CONTINUATION	$2,813,934
2020	2020	State Health Services, Texas Department Of	1100 W 49th St	Austin	TX	78756	TRAVIS	USA	The National Cardiovascular Health Program	01	3	8/27/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2019	State Health Services, Texas Department Of	1100 W 49th St	Austin	TX	78756	TRAVIS	USA	The National Cardiovascular Health Program	02	2	2/26/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $2,813,934

Issue Date FY: 2019 ( Subtotal = $2,985,696 )
2019	2019	State Health Services, Texas Department Of	1100 W 49th St	Austin	TX	78756	TRAVIS	USA	The National Cardiovascular Health Program	01	2	8/13/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2019	State Health Services, Texas Department Of	1100 W 49th St	Austin	TX	78756	TRAVIS	USA	The National Cardiovascular Health Program	00	2	6/11/2019	NON-COMPETING CONTINUATION	$2,985,696
2019	2018	State Health Services, Texas Department Of	1100 W 49th St	Austin	TX	78756	TRAVIS	USA	The National Cardiovascular Health Program	03	1	2/12/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2018	State Health Services, Texas Department Of	1100 W 49th St	Austin	TX	78756	TRAVIS	USA	The National Cardiovascular Health Program	02	1	1/13/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2018	State Health Services, Texas Department Of	1100 W 49th St	Austin	TX	78756	TRAVIS	USA	The National Cardiovascular Health Program	01	1	12/10/2018	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $2,985,696

Issue Date FY: 2018 ( Subtotal = $2,442,842 )
2018	2018	State Health Services, Texas Department Of	1100 W 49th St	Austin	TX	78756	TRAVIS	USA	The National Cardiovascular Health Program	00	1	8/21/2018	NEW	$2,442,842
														Subtotal = $2,442,842

Grand Total All Awards = $13,004,531

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Improving the Health of Americans through the Prevention and Management of Diabetes, Heart Disease and Stroke

Award Number: NU58DP006537

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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