Iowa's Approach to Advancing Health Equity for Priority Populations with or at risk for Diabetes - Applicant organization’s permanent, physical address: Iowa Department of Public Health, 321 E. 12th Street, Des Moines, IA 50319-0075 Applicant for Component A The Iowa Department of Public Health proposes to implement an Iowa approach to Component A of “A Strategic Approach to Advancing Health Equity for Priority Populations with or at Risk for Diabetes” (CDC-RFA-DP-23-0020). The proposed project will implement seven of the possible 13 strategies, including two of the strategies that were considered required options. The Department has the capacity and experience needed to serve all populations and communities within Iowa with the intent of decreasing the burden of diabetes and reducing health disparities in priority populations throughout the state. Delivery of its selected approach and strategies will focus on priority populations through implementation of Strategies 1, 3, 5, 6, 10, 12, and 13. The Iowa project is built upon use of $850,000 as allocated in the published funding table. The project will be administered through the efforts of 3.75 full-time equivalents and the work of several contracted entities. Staff are subject matter experts in pre-diabetes, diabetes, program direction, data use and analysis, and contract management. Evaluation efforts will be led through a contract with the University of Iowa Center for Public Health Evaluation and Research. Program implementation will be supported with ongoing evaluation and continuous quality improvement activities. The team brings continuity of diabetes expertise, structured and well-developed partnerships, and capacity for achieving the stated outcomes in the project Work Plan. The implementation of the selected strategies will 1) strengthen self-care practices by improving access, appropriateness, and feasibility of diabetes self-management education and support (DSMES) services for priority populations; 3) prevent diabetes complications for priority populations through early detection; 5) Increase enrollment and retention of priority populations in the National Diabetes Prevention Program (NDPP) lifestyle intervention and the Medicare Diabetes Prevention Program (MDPP) by improving access, appropriateness, and feasibility of the programs; 6) Expand availability of the National DPP lifestyle intervention as a covered health benefit for Medicaid beneficiaries and/or employees and covered dependents at high risk for type 2 diabetes; 10) Support the development of multi-directional e-referral systems that support electronic exchange of information between health care and CBOs, including a) CDC recognized organizations offering the National DPP lifestyle intervention and/or b) ADA-recognized/ADCES-accredited DSMES services and/or diabetes support programs or services in the community; and c) community programs/services that address SDOH or meet social needs; 12) Improve the sustainability of Community Health Workers (CHWs) by building or strengthening a supportive infrastructure to expand their involvement in evidence-based diabetes prevention and management programs and services; and 13) improve the capacity of the diabetes workforce to address factors related to the SDOH that impact health outcomes for priority populations with and at risk for diabetes.
