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Improving the Health of Arkansas Citizens Through Prevention and Management of Diabetes and Heart Disease and Stroke

Award Number: NU58DP006556
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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Arkansas’s chronic disease profiles show significant morbidity, hospitalizations, and premature deaths due to diabetes, stroke, cardiovascular disease (CVD), and obesity, a strong risk factor for prediabetes. According to Behavioral Risk Factor Surveillance System (BRFSS) data, the state currently ranks 4th among US states for persons with diagnosed diabetes and obesity, and 5th and 7th respectively among states for diagnosed high cholesterol and hypertension. Arkansas’s health burden and risk factor rankings have improved in part over the past five years from previous ranks among the top three states with the worst health burdens through Centers for Disease Control and Prevention’s (CDC) DP13-1305-funded activities. Under the 1305, Arkansas expanded Diabetes Self-Management Education and Support (DSMES) in the state by 22 new programs, established 13 Diabetes Prevention Programs (DPP), and witnessed a 30.5% reduction in age-adjusted hospitalization rates for diabetes. Arkansas also saw 8-10% increases in blood pressure control among different population groups over this 5-year period as a result of healthcare system interventions, and a 17.0% reduction in hospitalizations for heart disease and hypertension during this period. With DP18-1815 funding, the ADH Chronic Disease Prevention and Control Branch in collaboration with key partners will build on the accomplishments and outcomes of the 1305 grant using a multi-pronged approach to improve diabetes and cardiovascular disease outcomes among Arkansans. Diabetes management and type 2 diabetes prevention strategies include: increased participation in ADA-recognized/AADE-accredited DSMES programs in underserved areas (A.1); DSMES coverage policy among employers (A.2); identification of people with prediabetes and referral to DPPs (A.4); collaboration with payers to expand DPP as a covered benefit for ADH employees (A.5); and DPP enrollment strategies (A.6). Cardiovascular disease prevention and management strategies include: increased adoption and use of electronic health records (EHR) and health information technology (HIT) to improve provider and patient health outcomes for undiagnosed and diagnosed hypertension (B.1); adoption of evidence-based quality measurement at the provider level (B.2); engagement of non-physician team members in hypertension and cholesterol management in clinical settings (B.3); and self-measured blood pressure monitoring (SMBP) with clinical support for hypertensive adults (B.6). A.3 and B.4 are mutually reinforcing strategies in the same settings for the engagement of pharmacists to provide medication therapy management (MTM) for people with diabetes, and adoption of MTM between pharmacists and physicians to manage hypertension, high blood cholesterol, and increase lifestyle modification. A.7 and B.5 are mutually reinforcing strategies for the development of a statewide infrastructure to promote long-term sustainability/reimbursement for Community Health Workers (CHWs) to work with patients for access to DSMES/DPP, and for the management of hypertension and high blood cholesterol. The 1815 funding award is estimated to reach approximately 1,000,000 Arkansans with prediabetes, diabetes, hypertension, high cholesterol, and risk factors during the course of this grant cycle. Significant impacts will be assessed for diabetes and cardiovascular outcomes of interest particularly for reduced AIC >9.0% for people with diabetes, achieving 5-7% weight loss for people with prediabetes, and increased blood pressure and high blood cholesterol control. We will target disparate populations such as Blacks, Hispanics and Marshallese, disabled persons, and other groups of Arkansans to promote equitable outcomes. It is hoped to measure significant changes in health outcomes and impacts for people with diabetes, prediabetes, hypertension and high cholesterol in targeted settings and statewide through proposed strategies.


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 = -$1,903,097 )
2024	2022	ARKANSAS DEPARTMENT OF HEALTH	4815 W MARKHAM ST	LITTLE ROCK	AR	72205	PULASKI	USA	The National Cardiovascular Health Program	02	5	11/18/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$1,123,092
2024	2021	ARKANSAS DEPARTMENT OF HEALTH	4815 W MARKHAM ST	LITTLE ROCK	AR	72205	PULASKI	USA	The National Cardiovascular Health Program	02	5	11/18/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$780,005
2024	2020	ARKANSAS DEPARTMENT OF HEALTH	4815 W MARKHAM ST	LITTLE ROCK	AR	72205	PULASKI	USA	The National Cardiovascular Health Program	02	5	11/18/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2019	ARKANSAS DEPARTMENT OF HEALTH	4815 W MARKHAM ST	LITTLE ROCK	AR	72205	PULASKI	USA	The National Cardiovascular Health Program	02	5	11/18/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2018	ARKANSAS DEPARTMENT OF HEALTH	4815 W MARKHAM ST	LITTLE ROCK	AR	72205	PULASKI	USA	The National Cardiovascular Health Program	02	5	11/18/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = -$1,903,097

Issue Date FY: 2022 ( Subtotal = $1,123,092 )
2022	2022	ARKANSAS DEPARTMENT OF HEALTH	4815 W MARKHAM ST	LITTLE ROCK	AR	72205	PULASKI	USA	The National Cardiovascular Health Program	00	5	6/19/2022	NON-COMPETING CONTINUATION	$1,123,092
2022	2022	ARKANSAS DEPARTMENT OF HEALTH	4815 W MARKHAM ST	LITTLE ROCK	AR	72205	PULASKI	USA	The National Cardiovascular Health Program	01	5	8/10/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,123,092

Issue Date FY: 2021 ( Subtotal = $2,215,128 )
2021	2021	ARKANSAS DEPARTMENT OF HEALTH	4815 W Markham St	Little Rock	AR	72205	PULASKI	USA	The National Cardiovascular Health Program	00	4	5/13/2021	NON-COMPETING CONTINUATION	$2,215,128
2021	2021	ARKANSAS DEPARTMENT OF HEALTH	4815 W Markham St	Little Rock	AR	72205	PULASKI	USA	The National Cardiovascular Health Program	02	4	9/17/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2021	ARKANSAS DEPARTMENT OF HEALTH	4815 W Markham St	Little Rock	AR	72205	PULASKI	USA	The National Cardiovascular Health Program	01	4	8/25/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	ARKANSAS DEPARTMENT OF HEALTH	4815 W Markham St	Little Rock	AR	72205	PULASKI	USA	The National Cardiovascular Health Program	03	3	11/6/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $2,215,128

Issue Date FY: 2020 ( Subtotal = $1,637,358 )
2020	2020	ARKANSAS DEPARTMENT OF HEALTH	4815 W Markham St	Little Rock	AR	72205	PULASKI	USA	The National Cardiovascular Health Program	01	3	8/31/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2020	ARKANSAS DEPARTMENT OF HEALTH	4815 W MARKHAM ST	LITTLE ROCK	AR	72205	PULASKI	USA	The National Cardiovascular Health Program	00	3	5/12/2020	NON-COMPETING CONTINUATION	$1,637,358
2020	2020	ARKANSAS DEPARTMENT OF HEALTH	4815 W Markham St	Little Rock	AR	72205	PULASKI	USA	The National Cardiovascular Health Program	02	3	9/10/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,637,358

Issue Date FY: 2019 ( Subtotal = $2,215,129 )
2019	2019	ARKANSAS DEPARTMENT OF HEALTH	4815 W MARKHAM ST	LITTLE ROCK	AR	72205	PULASKI	USA	The National Cardiovascular Health Program	00	2	6/10/2019	NON-COMPETING CONTINUATION	$2,215,129
2019	2019	ARKANSAS DEPARTMENT OF HEALTH	4815 W MARKHAM ST	LITTLE ROCK	AR	72205	PULASKI	USA	The National Cardiovascular Health Program	01	2	8/27/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2018	ARKANSAS DEPARTMENT OF HEALTH	4815 W MARKHAM ST	LITTLE ROCK	AR	72205	PULASKI	USA	The National Cardiovascular Health Program	01	1	12/3/2018	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2018	ARKANSAS DEPARTMENT OF HEALTH	4815 W MARKHAM ST	LITTLE ROCK	AR	72205	PULASKI	USA	The National Cardiovascular Health Program	00	2	6/10/2019	NON-COMPETING CONTINUATION	$0
														Subtotal = $2,215,129

Issue Date FY: 2018 ( Subtotal = $1,812,378 )
2018	2018	ARKANSAS DEPARTMENT OF HEALTH	4815 W MARKHAM ST	LITTLE ROCK	AR	72205	PULASKI	USA	The National Cardiovascular Health Program	00	1	8/29/2018	NEW	$1,812,378
														Subtotal = $1,812,378

Grand Total All Awards = $7,099,988

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Improving the Health of Arkansas Citizens Through Prevention and Management of Diabetes and Heart Disease and Stroke

Award Number: NU58DP006556

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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