Thursday, November 21, 2024 11/21/2024

Innovative State and Local Public Health Strategies to Prevent and Manage Diabetes and Heart Disease and Stroke

Award Number: NU58DP006622
ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SOCIAL SERVICES

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Innovative State and Local Public Health Strategies to Prevent and Manage Diabetes, Heart Disease and Stroke (CDC-RFA-DP18-1817) 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 one in three 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 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 the following strategies to improve the prevention and self-management of diabetes, hypertension or cholesterol over the project period: implement systems to facilitate bi-directional referrals between health systems and Centers of Disease Control and Prevention (CDC)-recognized diabetes prevention programs (CDC DPPs) or evidence-based cardiovascular risk reduction programs; increase enrollment in and establish new CDC DPPs in underserved areas and support advanced training for lifestyle coaches; increase awareness of prediabetes and the National Diabetes Prevention Program through tailored communications; reduce barriers to participation and retention in CDC DPPs or diabetes self-management education and support programs; increase adoption and use of clinical system and care practices to improve health outcomes for people with diabetes; increase use of clinical decision supports to promote early detection of chronic kidney disease in people with diabetes; increase identification of patients with undiagnosed hypertension using health information technology interventions; explore and test innovative ways to promote the adoption of quality measurement at the provider level and to engage non-physician team members in hypertension and cholesterol management; promote the adoption of medication therapy management for managing hypertension and high cholesterol; facilitate engagement of patients navigators or community health workers in hypertension or high cholesterol management in clinical and community settings; and explore and test innovative ways to expand use of telehealth mobile health technology for the management of hypertension and high cholesterol. By the end of the performance period and beyond, DSHS aims to increase the number of people with prediabetes enrolled in CDC DPPs who have achieved 5-7 percent weight loss; decrease the proportion of people with diabetes with an A1c greater than nine percent; increase blood pressure control among adults with known hypertension; and increase cholesterol management among patients at high risk of cardiovascular events.


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 = -$279,562 )
2024	2022	DEPARTMENT OF STATE HEALTH SERVICES	1100 W 49TH ST	AUSTIN	TX	78756	TRAVIS	USA	The Innovative Cardiovascular Health Program	01	5	9/25/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$279,562
2024	2021	DEPARTMENT OF STATE HEALTH SERVICES	1100 W 49TH ST	AUSTIN	TX	78756	TRAVIS	USA	The Innovative Cardiovascular Health Program	01	5	9/25/2024	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 Innovative Cardiovascular Health Program	01	5	9/25/2024	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 Innovative Cardiovascular Health Program	01	5	9/25/2024	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 Innovative Cardiovascular Health Program	01	5	9/25/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = -$279,562

Issue Date FY: 2022 ( Subtotal = $770,566 )
2022	2022	State Health Services, Texas Department of	1100 W 49th St	Austin	TX	78756	TRAVIS	USA	The Innovative Cardiovascular Health Program	00	5	6/23/2022	NON-COMPETING CONTINUATION	$770,566
														Subtotal = $770,566

Issue Date FY: 2021 ( Subtotal = $950,000 )
2021	2021	STATE HEALTH SERVICES, TEXAS DEPARTMENT OF	1100 W 49TH ST	AUSTIN	TX	78756	TRAVIS	USA	The Innovative Cardiovascular Health Program	00	4	6/25/2021	NON-COMPETING CONTINUATION	$950,000
2021	2021	State Health Services, Texas Department Of	1100 W 49th St	Austin	TX	78756	TRAVIS	USA	The Innovative Cardiovascular Health Program	01	4	9/24/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	State Health Services, Texas Department Of	1100 W 49th St	Austin	TX	78756	TRAVIS	USA	The Innovative Cardiovascular Health Program	02	3	12/3/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	State Health Services, Texas Department Of	1100 W 49th St	Austin	TX	78756	TRAVIS	USA	The Innovative Cardiovascular Health Program	03	3	3/11/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $950,000

Issue Date FY: 2020 ( Subtotal = $950,000 )
2020	2020	State Health Services, Texas Department of	1100 W 49th St	Austin	TX	78756	TRAVIS	USA	The Innovative Cardiovascular Health Program	00	3	6/21/2020	NON-COMPETING CONTINUATION	$950,000
2020	2020	State Health Services, Texas Department Of	1100 W 49th St	Austin	TX	78756	TRAVIS	USA	The Innovative Cardiovascular Health Program	01	3	7/9/2020	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 Innovative Cardiovascular Health Program	01	2	3/17/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $950,000

Issue Date FY: 2019 ( Subtotal = $950,000 )
2019	2019	State Health Services, Texas Department Of	1100 W 49th St	Austin	TX	78756	TRAVIS	USA	The Innovative Cardiovascular Health Program	00	2	6/26/2019	NON-COMPETING CONTINUATION	$950,000
2019	2018	State Health Services, Texas Department Of	1100 W 49th St	Austin	TX	78756	TRAVIS	USA	The Innovative Cardiovascular Health Program	02	1	2/21/2019	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 Innovative Cardiovascular Health Program	01	1	12/12/2018	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $950,000

Issue Date FY: 2018 ( Subtotal = $950,000 )
2018	2018	State Health Services, Texas Department Of	1100 W 49th St	Austin	TX	78756	TRAVIS	USA	The Innovative Cardiovascular Health Program	00	1	9/18/2018	NEW	$950,000
														Subtotal = $950,000

Grand Total All Awards = $4,291,004

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Innovative State and Local Public Health Strategies to Prevent and Manage Diabetes and Heart Disease and Stroke

Award Number: NU58DP006622

ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SOCIAL SERVICES

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