Thursday, November 21, 2024 11/21/2024

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

Award Number: NU58DP006658
ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SOCIAL SERVICES

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Built and led by collaboration of 5 public health and medical care organizations, the Alliance seeks to improve the lives of people living in the St. Louis Metropolitan area, specifically those affected by diabetes and cardiovascular disease. By focusing on designing, testing, and evaluating innovative approaches towards reducing health disparities and the burden of chronic disease, the Alliance will optimize health and race equity across the region. Because the social determinants of health and trauma-informed care are essential factors in the path towards achieving equity, the Alliance is committed to infusing all program activities with a race equity, health equity, and trauma-informed lens. The 5 core members of the Alliance Leadership Team are MO DHSS, St. Louis Integrated Health Network, Saint Louis County Dept of Health, St. Louis City Dept of Health and Missouri Primary Care Association. There is significant need for a public health approach to chronic disease prevention and management in Missouri. Mortality rates from chronic diseases are higher in Missouri than the national average; in 2016, the state ranked 10th in the nation for heart disease deaths, 14th for stroke, and 5th for kidney failure. Diabetes ranks as the 7th leading cause of death in Missouri (CDC NCHS), and the rates are increasing. Chronic diseases drive inequities in health status and access to care, as diabetes and cardiovascular disease are more prevalent in racial minority or low-income populations. African-Americans have higher rates of diabetes (13.8% vs 11.3%), hypertension (38.3% vs 34.3%), and obesity (39.5% vs 30.8%) as compared to whites. In the Missouri’s largest urban area, St. Louis, these substantial disparities are compounded by poverty. The Alliance’s key members have a history of providing strong, collaborative leadership with the capacity to affect change in the St. Louis region. Additionally, there is a foundation for health equity and trauma-informed approaches, built through a history of community engagement and planning, such as Forward Through Ferguson, St. Louis Regional Partnership for a Healthy Community, and St. Louis ReCAST. Evaluation is a key strength of the Alliance, with access to local expertise and robust, established data sources that will permit rigorous evaluation and CDC-required performance reporting. The Alliance is committed to an inclusive project management approach and will use evaluation results for continuous improvement. With its experienced Leadership Team and network of collaborators, the Alliance is ready prepared to implement the proposed activities and track progress toward short, intermediate and long-term goals. The Alliance proposes to implement 16 strategies in the Target Population area (St. Louis City and St. Louis County), with emphasis on the federally-designated Promise Zone. Selected coordinated innovations will (1) improve and increase referrals for evidenced-based self-management/lifestyle programs; (2) increase use of community health workers; (3) utilize the application of telehealth and mobile tools; and (4) increase identification of at-risk patients by community health centers. Strategies to achieve these goals include promoting team-based care, enhancing the role of pharmacists, coordinating referrals to nationally-recognized prevention and management programs, expanding data-driven quality improvement at community health centers, and advocating for health plan coverage. All of this work is made possible by leveraging a well-established network of local, state, and national collaborators.


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 = -$1,046,738 )
2024	2022	MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The Innovative Cardiovascular Health Program	02	5	9/26/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$1,046,738
2024	2021	MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The Innovative Cardiovascular Health Program	02	5	9/26/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2020	MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The Innovative Cardiovascular Health Program	02	5	9/26/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2019	MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The Innovative Cardiovascular Health Program	02	5	9/26/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = -$1,046,738

Issue Date FY: 2023 ( Subtotal = $0 )
2023	2022	MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The Innovative Cardiovascular Health Program	01	5	9/28/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2022 ( Subtotal = $1,470,234 )
2022	2022	HEALTH AND SENIOR SERVICES, MISSOURI DEPARTMENT OF	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The Innovative Cardiovascular Health Program	00	5	6/23/2022	NON-COMPETING CONTINUATION	$1,470,234
2022	2021	HEALTH AND SENIOR SERVICES, MISSOURI DEPARTMENT OF	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The Innovative Cardiovascular Health Program	02	4	6/27/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,470,234

Issue Date FY: 2021 ( Subtotal = $1,600,000 )
2021	2021	HEALTH AND SENIOR SERVICES, MISSOURI DEPARTMENT OF	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The Innovative Cardiovascular Health Program	00	4	6/25/2021	NON-COMPETING CONTINUATION	$1,600,000
2021	2021	HEALTH AND SENIOR SERVICES, MISSOURI DEPARTMENT OF	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The Innovative Cardiovascular Health Program	01	4	9/24/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	HEALTH AND SENIOR SERVICES, MISSOURI DEPARTMENT OF	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The Innovative Cardiovascular Health Program	01	3	12/14/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,600,000

Issue Date FY: 2020 ( Subtotal = $1,600,000 )
2020	2020	HEALTH AND SENIOR SERVICES, MISSOURI DEPARTMENT OF	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The Innovative Cardiovascular Health Program	00	3	6/21/2020	NON-COMPETING CONTINUATION	$1,600,000
2020	2019	HEALTH AND SENIOR SERVICES, MISSOURI DEPARTMENT OF	920 Wildwood Dr	Jefferson City	MO	65109	COLE	USA	The Innovative Cardiovascular Health Program	01	2	11/1/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2019	HEALTH AND SENIOR SERVICES, MISSOURI DEPARTMENT OF	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The Innovative Cardiovascular Health Program	03	2	12/13/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2019	HEALTH AND SENIOR SERVICES, MISSOURI DEPARTMENT OF	920 Wildwood Dr	Jefferson City	MO	65109	COLE	USA	The Innovative Cardiovascular Health Program	02	2	11/25/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,600,000

Issue Date FY: 2019 ( Subtotal = $3,200,000 )
2019	2019	HEALTH AND SENIOR SERVICES, MISSOURI DEPARTMENT OF	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The Innovative Cardiovascular Health Program	00	2	6/26/2019	NON-COMPETING CONTINUATION	$1,600,000
2019	2019	HEALTH AND SENIOR SERVICES, MISSOURI DEPARTMENT OF	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The Innovative Cardiovascular Health Program	01	1	2/22/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2019	HEALTH AND SENIOR SERVICES, MISSOURI DEPARTMENT OF	920 WILDWOOD DR	JEFFERSON CITY	MO	65109	COLE	USA	The Innovative Cardiovascular Health Program	00	1	12/3/2018	NEW	$1,600,000
														Subtotal = $3,200,000

Grand Total All Awards = $6,823,496

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

Award Number: NU58DP006658

ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SOCIAL SERVICES

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