Michigan Strategic Approach to Advancing Health Equity for Priority Populations with or at Risk for Diabetes - The Michigan Department of Health and Human Services Diabetes Prevention and Control Program (MDHHS-DPCP) is applying for CDC-RFA-DP-23-0020 Component A and is located at 235 South Grand Ave, Ste 800, Lansing, MI 48933. The purpose of this proposal is to implement evidence-based diabetes management, type 2 diabetes prevention and risk reduction strategies statewide in Michigan, with a focus on centering equity and reducing health disparities for priority populations. According to the 2019-2021 Michigan Behavioral Risk Factor Survey (MiBRFS), 9.8% of adults have been told they have diabetes, and 10.0% of adults have been told they have prediabetes (MDHHS, 2022a). Populations disproportionately impacted by diabetes prevalence and mortality include non-Hispanic Black, non-Hispanic American Indian, persons living in rural areas, and persons with a disability. Statistically significant disparities in prevalence of and mortality due to diabetes exist for these demographic groups when compared to the non-Hispanic White population (CDC, 2022b; Inter-tribal Council of Michigan, 2020; MDHHS, 2022a; University of Missouri Extension, n.d.). Aligning with MDHHS’ 2022-2024 Social Determinants of Health Strategic Plan, the MDHHS-DPCP prioritizes equity and engages communities to build trust, overcome barriers, and expand program efforts. The CDC-2320 will allow MDHHS-DPCP to use this approach to successfully serve all Michiganders, with a focus on priority populations, through the implementation and evaluation of 8 of 13 strategies in Component A (1, 2, 3, 5, 6, 10, 12, 13). Efforts are integrated across the strategies to improve access to and participation in Diabetes Self-Management and Support Services and the CDC-recognized Diabetes Prevention Program, and to address social determinants of health (SDOH) at the system and policy levels. Through strategic partnerships, MDHHS-DPCP has built strong infrastructure to address both statewide health and the needs of priority populations. Contributing partnerships include MI Community Health Workers Alliance, MI Primary Care Association, MI Medicaid, and MI Health Information Network. Authentic relationships with shared decision-making power exist with organizations who are rooted in the communities of priority populations, including Black Women’s Health Imperative, National Kidney Foundation of Michigan, Little Traverse Bay Bands of Odawa Indians, and MI Disability Health Program. The DPCP will continue its integrative approach to build health equity and reduce disparities through the implementation of mutually reinforcing strategies, strategic partnerships, technical assistance, community engagement, evaluation, and fiscal management. Performance monitoring and rigorous evaluation outcomes at the end of this funding cycle will demonstrate an increase in the number of organizations implementing DSMES/DPP; tailoring of effective programs for priority populations; number of patients screened and referred to community resources; SDOH screenings; participation in evidence-based community behavioral change programs; and multi-directional communication between clinical and community resources.
