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

Award Number: NU58DP006557
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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Background: Arizona is one of the fastest growing and diverse states in the nation, with 45% of its population being a racial or ethnic group. In Arizona, a Medicaid expansion state, 11% of people are diagnosed with diabetes, 9% with pre-diabetes and 31% with high blood pressure. Heart disease accounts for 21% of all deaths, with 54,356 cardiovascular related hospitalizations and 15,955 from stroke. Purpose: This proposal will use Arizona Department of Health Services’ (ADHS) partnerships to deploy sustainable strategies resulting in positive diabetes and heart disease outcomes for Arizonans. ADHS will also leverage the statewide health information exchange, Community Health Workers (CHW), and CDC approved Diabetes and Prediabetes Curriculums to reach these goals. Outcomes: 1. Increased state, community, and worksite environments promoting healthful behaviors and practices related to diabetes and cardiovascular health; 2. Increased delivery and use of effective clinical and general preventive services to improve hypertension and diabetes outcomes; 3. Increased community clinical linkages to support prevention, self-management and control of diabetes and hypertension; and 4. Increased use of the state Health Information Exchange diabetes and heart disease data for planning and program evaluation. Strategies: Arizona will focus on sustainable projects that are funded for one to two years before selecting another site. Site selection and contractual requirements are coordinated between Diabetes, Heart Disease, CHW Program Managers and leadership. Selections expand on previously successful initiatives. Diabetes strategies are summarized as: A.1 Improve access to and use of approved diabetes programs in underserved areas; A.3 Increase pharmacists in Medication Therapy Management (MTM) or approved programs; A.4. Assist healthcare organizations in implementing systems to identify people with prediabetes and refer to approved diabetes programs; A.6. Imp lement strategies to increase enrollment in approved diabetes programs; and A.7 Develop statewide infrastructure to promote use of CHWs in diabetes programs. Cardiovascular strategies include: B.1 Promote adoption and use of electronic health information to improve outcomes related undiagnosed and diagnosed hypertension; B.2 Promote the adoption of evidence-based quality measurement at the provider level; B.3 Support engagement of non-physician team members in hypertension and cholesterol management in clinical settings; B.4 Promote the adoption of MTM between pharmacists and physicians for improved blood pressure, cholesterol, and lifestyle modification outcomes; B.5. Develop statewide infrastructure to promote use of CHWs in cardiovascular programs. Collaborations: County Public Health Departments, University of Arizona College of Public Health Prevention and Research Center, AZ Tribes, AzCHOW, AZ Diabetes Collation, AZ Chapter of the American Heart Association and Community partners identified in the work plan. Target Populations: Activities focus on the general population with an emphasis on those with greatest disease burden such as low income individuals, American Indians, Blacks, and Latinos. ADHS will conduct electronic health record work with Federally Qualified Health Systems and other established clinics focused on low income and uninsured. Organizational Capacity: Arizona passed legislation for voluntary CHW Certification and Diabetes reporting. Arizona has a statewide Health Information Exchange with data from more than 400 healthcare organizations and millions of unique patient records. ADHS has a Health Equity Strategic Plan. Evaluation: Based on CDC Six Step Evaluation Framework. The overarching goal is to understand how activities are being implemented and how successful they are in meeting their objectives to achieve policy, system and environmental change. Arizona will work with professional evaluators and dedicate 10% of the budget to evaluat ion.


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 = -$1,385,965 )
2024	2022	ARIZONA DEPARTMENT OF HEALTH SERVICES	150 N 18TH AVE STE 530	PHOENIX	AZ	85007	MARICOPA	USA	The National Cardiovascular Health Program	04	5	11/29/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$1,380,652
2024	2021	ARIZONA DEPARTMENT OF HEALTH SERVICES	150 N 18TH AVE STE 530	PHOENIX	AZ	85007	MARICOPA	USA	The National Cardiovascular Health Program	04	5	11/29/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$5,313
2024	2020	ARIZONA DEPARTMENT OF HEALTH SERVICES	150 N 18TH AVE STE 530	PHOENIX	AZ	85007	MARICOPA	USA	The National Cardiovascular Health Program	04	5	11/29/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2019	ARIZONA DEPARTMENT OF HEALTH SERVICES	150 N 18TH AVE STE 530	PHOENIX	AZ	85007	MARICOPA	USA	The National Cardiovascular Health Program	04	5	11/29/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2018	ARIZONA DEPARTMENT OF HEALTH SERVICES	150 N 18TH AVE STE 530	PHOENIX	AZ	85007	MARICOPA	USA	The National Cardiovascular Health Program	04	5	11/29/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = -$1,385,965

Issue Date FY: 2023 ( Subtotal = $0 )
2023	2022	Arizona Department of Health Services	150 N 18th Ave Ste 530	Phoenix	AZ	85007	MARICOPA	USA	The National Cardiovascular Health Program	03	5	2/22/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2022 ( Subtotal = $1,380,652 )
2022	2022	Arizona Department of Health Services	150 N 18th Ave Ste 530	Phoenix	AZ	85007	MARICOPA	USA	The National Cardiovascular Health Program	02	5	8/19/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2022	Arizona Department of Health Services	150 N 18th Ave Ste 530	Phoenix	AZ	85007	MARICOPA	USA	The National Cardiovascular Health Program	00	5	6/19/2022	NON-COMPETING CONTINUATION	$1,380,652
2022	2022	Arizona Department of Health Services	150 N 18th Ave Ste 530	Phoenix	AZ	85007	MARICOPA	USA	The National Cardiovascular Health Program	01	5	7/28/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	Arizona Department Of Health Services	150 N 18th Ave Ste 530	Phoenix	AZ	85007	MARICOPA	USA	The National Cardiovascular Health Program	02	4	11/19/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	Arizona Department of Health Services	150 N 18th Ave Ste 530	Phoenix	AZ	85007	MARICOPA	USA	The National Cardiovascular Health Program	03	4	6/7/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,380,652

Issue Date FY: 2021 ( Subtotal = $2,311,244 )
2021	2021	Health Services Department	150 N 18th Ave	Phoenix	AZ	85007	MARICOPA	USA	The National Cardiovascular Health Program	01	4	9/17/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2021	Health Services Department	150 N 18th Ave	Phoenix	AZ	85007	MARICOPA	USA	The National Cardiovascular Health Program	00	4	5/13/2021	NON-COMPETING CONTINUATION	$2,311,244
2021	2020	Health Services Department	150 N 18th Ave	Phoenix	AZ	85007	MARICOPA	USA	The National Cardiovascular Health Program	03	3	4/4/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $2,311,244

Issue Date FY: 2020 ( Subtotal = $1,792,154 )
2020	2020	Health Services Department	150 N 18th Ave	Phoenix	AZ	85007	MARICOPA	USA	The National Cardiovascular Health Program	02	3	9/15/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2020	Health Services Department	150 N 18th Ave	Phoenix	AZ	85007	MARICOPA	USA	The National Cardiovascular Health Program	00	3	5/6/2020	NON-COMPETING CONTINUATION	$1,792,154
2020	2020	Health Services Department	150 N 18th Ave	Phoenix	AZ	85007	MARICOPA	USA	The National Cardiovascular Health Program	01	3	9/2/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2019	Health Services Department	150 N 18th Ave	Phoenix	AZ	85007	MARICOPA	USA	The National Cardiovascular Health Program	02	2	10/28/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,792,154

Issue Date FY: 2019 ( Subtotal = $2,311,245 )
2019	2019	Health Services Department	150 N 18th Ave	Phoenix	AZ	85007	MARICOPA	USA	The National Cardiovascular Health Program	00	2	6/11/2019	NON-COMPETING CONTINUATION	$2,311,245
2019	2019	Health Services Department	150 N 18th Ave	Phoenix	AZ	85007	MARICOPA	USA	The National Cardiovascular Health Program	01	2	8/27/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2018	Health Services Department	150 N 18th Ave	Phoenix	AZ	85007	MARICOPA	USA	The National Cardiovascular Health Program	02	1	12/4/2018	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2018	Health Services Department	150 N 18th Ave	Phoenix	AZ	85007	MARICOPA	USA	The National Cardiovascular Health Program	00	2	6/11/2019	NON-COMPETING CONTINUATION	$0
2019	2018	Health Services Department	150 N 18th Ave	Phoenix	AZ	85007	MARICOPA	USA	The National Cardiovascular Health Program	01	1	10/19/2018	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $2,311,245

Issue Date FY: 2018 ( Subtotal = $1,891,018 )
2018	2018	Health Services Department	150 N 18th Ave	Phoenix	AZ	85007	MARICOPA	USA	The National Cardiovascular Health Program	00	1	8/29/2018	NEW	$1,891,018
														Subtotal = $1,891,018

Grand Total All Awards = $8,300,348

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

Award Number: NU58DP006557

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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