Center for Chronic Disease Prevention and Control, Maryland Department of Health
201 W. Preston St, Baltimore, Maryland, 21201
The Maryland Department of Health’s (MDH) Center for Chronic Disease Prevention and Control (CCDPC) is applying for the CDC funding opportunity, “A Strategic Approach to Advancing Health Equity for Priority Populations with or at Risk for Diabetes,” Component A offered by the Centers for Disease Control and Prevention (CDC). CCDPC will name this the Advancing Diabetes Health Equity Program. The Advancing Diabetes Health Equity Program provides resources to strengthen the Department's efforts to reduce the burden of diabetes in Maryland. This 5-year competitive funding opportunity builds on the accomplishments and outcomes achieved through CCDPC’s previous Diabetes grant that addressed healthcare system changes and community-clinical linkages. The purpose of the Advancing Diabetes Health Equity Program is to decrease the risk of Type 2 diabetes among adults with prediabetes and improve self-care practices, quality of care, early detection of complications among people with diabetes, and to support the implementation of evidence-based, family-centered childhood obesity interventions. CCDPC has a demonstrated history working with multiple partners, including local health departments and community-based programs, to assure reach throughout the state. CCDPC has the proven ability to serve high risk target populations throughout Maryland, with successes in reaching people with disabilities, rural residents, and Maryland’s non-Hispanic black residents.
Diabetes is the seventh leading cause of death in Maryland. Diabetes prevalence is 11.1% among adults; however, disparities persist among demographic categories such as race (10.8% for Non-Hispanic-whites compared to 12.6% for Non-Hispanic-blacks) and income level (over 13% for incomes under $50,000 compared to less than 8.8% for over $100,000). Jurisdictions with a diabetes prevalence higher than the state include Baltimore City (12.7%) and rural counties such as Somerset and Dorchester Counties on the Eastern Shore (14.8%). CCDPC plans to partner with organizations in the high risk communities to address the needs of these priority populations.
With this grant funding, MDH will support the expansion of diabetes prevention and management programs to meet the needs of all Marylanders, including priority populations, through targeted partnerships, collaborations, and program adaptations. MDH will submit an application for Component A, which requires the applicant to implement at least six strategies; MDH will address strategies 1, 4, 5, 7, 8 and 13.
Access to Diabetes Self Management Education and Support (DSMES) programs will be increased by expanding an Umbrella Hub Arrangement (UHA). DSMES participants will be linked to other needed social supports through a UHA for the Diabetes Self-management Program (DSMP) that serves most jurisdictions in Maryland. In the first year, this funding will allow us to launch a National Diabetes Prevention Program (National DPP) UHA that will serve the nine Eastern Shore counties. The UHA will establish bi-directional communication, including referrals, with the largest federally qualified health center (FQHC) serving the Eastern Shore, and provide lessons for additional UHAs across the state in late Year 1 throughout the end of the grant period.
Additional strategy activities include training opportunities for the diabetes workforce to support participants more effectively in lifestyle change programs. In Year 1, MDH will collaborate with community partners in identified priority jurisdictions to select a youth obesity early intervention model which best fits the needs of children and families. Collaborating partners for all strategies will allow direct access to populations that have a (see attachment for full abstract)