The Kansas Department of Health and Environment (KDHE) requests CDC-RFA-DP-23-0020 A Strategic Approach to Advancing Health Equity for Priority Populations with or at Risk for Diabetes Component A funds to expand on current momentum and existing efforts to impact diabetes outcomes in Kansas, including lessons learned from managing CDC-RFA-DP18-1815 Improving the Health of Americans Through Prevention and Management of Diabetes and Heart Disease and Stroke grant program. KDHE is located in the capital city of Kansas at 1000 SW Jackson Street, Suite 230, Topeka, Kansas 66612. As the state health department, KDHE has the ability to implement strategies on a statewide level by leveraging internal capacity and a vast list of partnerships throughout the state. Our established partnerships and existing momentum will allow us to serve all populations and communities that are proposed in this project. Through this funding opportunity, KDHE will build the public health infrastructure by implementing evidence-based diabetes management and type 2 diabetes prevention strategies with an emphasis on reducing health disparities for priority populations. Priority populations of focus will be Kansas adults aged 18 years and older, non-Hispanic African American/Black adults, Hispanic or Latino adults, low-income adults (less than $25,000), and those adults living in rural, urban, and frontier areas. The following criteria will be used to select target areas to implement the selected strategies: 1) community capacity for implementing the proposed strategies; 2) population reach and burden of chronic conditions (i.e., diabetes and at risk for type 2 diabetes); and 3) sociodemographic characteristics associated with these conditions. By implementing strategies under Component A (4, 5, 6, 9, 12, and 13), KDHE will strengthen and expand acceptability and quality of care for priority populations with diabetes, infrastructure for CDC-recognized lifestyle change programs
to prevent and manage diabetes, including expanding availability of the National Diabetes Prevention Program (NDPP) as a covered health benefit. This work will also include supporting pharmacy networks in implementing and sustaining NDPP and the Diabetes Self-Management Education and Support (DSMES) program. Kansas will support participating healthcare systems to improve quality of care for diabetes, by incorporating non-physician team-based approaches and the use of non-physician team members, establishing linkages with community-based lifestyle change programs, and addressing social determinants of health (SDOH) through screening and referral. KDHE will also work to improve the capacity of the diabetes workforce to address SDOH-related barriers. Activities strategically engage select effective state and community partners and leverage resources across public and private sector organizations to ensure diabetes prevention and management strategies are implemented. KDHE aims to achieve an improvement from baseline in select short-term, intermediate-term, and long-term outcomes associated with prevention and management of type 2 diabetes by the end of program period.
