Led by the Nevada Chronic Disease Prevention and Health Promotion (Nevada CDPHP) Section within the Nevada Division of Public and Behavioral Health (DPBH) Bureau of Child, Family and Community Wellness, the goal of this five-year cooperative agreement opportunity is to implement and evaluate evidence-based strategies to prevent and manage cardiovascular disease and diabetes in Nevada. Based on data analysis, target populations will include Nevada residents who are living with or at-risk for cardiovascular disease and diabetes, with special emphasis on underserved populations, including Hispanics, African Americans, rural and frontier residents, low income, and uninsured populations. In Category A, Nevada CDPHP aims to improve care and management of people with diabetes using two (2) strategies: A.1. “Improve access to and participation in ADA-recognized/AADE-accredited DSMES programs in underserved areas” and A.3. “Increase engagement of pharmacists in the provision of medication management or DSMES for people with diabetes.” To help prevent type 2 diabetes, Nevada CDPHP will work with statewide partners to implement three (3) strategies: A.4. “Assist health care organizations in implementing systems to identify people with prediabetes and refer them to CDC-recognized lifestyle change programs for type 2 diabetes prevention;” A.5. “Collaborate with payers and relevant public and private sector organizations within the state to expand availability of the National DPP as a covered benefit for one or more of the following groups: Medicaid beneficiaries; state/public employees; employees of private sector organizations;” and A.6. “Implement strategies to increase enrollment in CDC-recognized lifestyle change programs.” Category B focuses on prevention and management of cardiovascular disease, in which Nevada CDPHP will implement all five (5) strategies: B.2. “Promote the adoption of evidence-based quality measurement at the provider level;” B.3. “Su
pport engagement of non-physician team members in hypertension and cholesterol management in clinical settings;” B.4. “Promote the adaptation of Medication Therapy Management between pharmacists and physicians for the purpose of managing high blood pressure, high cholesterol, and lifestyle modification;” B.6. “Facilitate use of self-measure blood pressure monitoring with clinical support among adults with hypertension;” and B.7. “Implement systems to facilitate systematic referrals of adults with hypertension and/or high blood cholesterol to community programs/resources.” To implement and evaluate both the Category A and B strategies, Nevada CDPHP will forge sustainable, statewide multi-sector partnerships with critical stakeholders. Aligned with the strategies and activities detailed in the full proposal, Nevada’s long-term project outcomes include: 1) a decreased proportion of Nevadans with diabetes who have an A1c > 9; 2) an increased number of Nevadans with prediabetes enrolled in a CDC-recognized lifestyle change program who have achieved 5-7% weight loss; and 3) an increased proportion of adult Nevadans with known high blood pressure who have achieved blood pressure control.