The Kansas Department of Health and Environment (KDHE) requests CDC-RFA-DP18-1817 Diabetes and Heart Disease & Stroke Prevent Programs – Innovative State and Local Public Health Strategies to Prevent and Manage Diabetes and Heart Disease and Stroke funds to expand on current momentum and existing efforts to impact diabetes and cardiovascular disease outcomes in Kansas, including lessons learned from managing “State Public Health Action to Prevent and Control Diabetes, Heart Disease, Obesity and Associated Risk Factors and Promote School Health” (KS 1305) and “Actions to Prevent and Control Diabetes, Heart Disease, Obesity and Associated Risk” (KS 1422) grant programs. KDHE has identified 7 grantee communities for implementing the grant strategies, which are the sub-awardee communities that participated in KS 1422. Both Category A and B strategies will be implemented in the same communities so that work on these strategies can be mutually reinforcing. The following criteria were used to identify the target communities proposed in this application: 1) community capacity for implementing the proposed strategies; 2) population reach and burden of chronic conditions (diabetes, at risk for type 2 diabetes, HTN and high blood cholesterol); and 3) socio-demographic characteristics associated with these conditions. Criteria used to identify grantees include: 1) community capacity for implementing proposed strategies; 2) population reach and burden of diabetes, prediabetes, HTN and high cholesterol; and 3) socio-demographic characteristics associated with these conditions. These criteria were applied to select high need communities to reach priority populations disproportionately impacted by chronic disease. The communities comprised 47% of the total population of Kansas (1.37 million), providing a substantial potential reach. Four grantee communities (Finney, Johnson, Sedgwick and Wyandotte) have selected “African American and Hispanic populations” a
s the priority population and three have selected “rural population” as their priority pops for this funding opportunity.
By implementing strategies under Category A, addressing diabetes prevention and management (A.1, A.2, A.3 A.4, A.5 and A.6) and Category B, addressing cardiovascular disease prevention and management (B.1, B.3, B.4, B.5, B.6 and B.7), KDHE will apply innovative approaches to strengthen and expand infrastructure for CDC-recognized lifestyle change programs to prevent and manage diabetes, hypertension (HTN) and high blood cholesterol. This focus includes: National Diabetes Prevention Program (DPP), American Diabetes Association (ADA)-recognized/American Association of Diabetes Educators (AADE)-accredited Diabetes Self-Management Education and Support (DSMES), self-measured blood pressure (SMBP) programs. Kansas will support grantees to implement these innovative approaches to increase engagement and retention of priority populations in the programs of focus, assist participating healthcare systems to improve quality of care for diabetes, HTN and high blood cholesterol patients by incorporating non-physician team-based approaches, improving medication management, and establishing linkages with community-based lifestyle change programs. Kansas will focus on collaborating with pharmacists to promote MTM between pharmacists and physicians for managing HTN, high cholesterol, and lifestyle modification. Activities strategically engage select effective community partners and leverage resources across public and private sector organizations to ensure diabetes and CVD prevention and management strategies are implemented and tailored, culturally-appropriate communication are applied. In addition, to overall evaluation and tracking of performance measures, KDHE and grantees will also apply rigorous recipient-led evaluation for selected innovative strategies (Category A Strategies A.3 and A.5 and Category B B.3 and B.7) to assess impact of these strategies.