Ohio Diabetes Prevention and Management Program - The Ohio Department of Health (ODH) Bureau of Health Improvement and Wellness which is located at 246 North High Street, Columbus, OH 43215, is applying for Component A from the Centers for Disease Control and Prevention (CDC) for CDC-RFA-DP23-0020: A Strategic Approach to Advancing Health Equity for Priority Populations with or at Risk for Diabetes. Ohio has a rich history of working in diabetes and is currently funded by the CDC’s Improving the Health of Americans Through Prevention and Management of Diabetes and Heart Disease and Stroke (1815) to carry out public health functions and implement evidence-based strategies to prevent type 2 diabetes and improve care and management for people with diabetes and heart disease and stroke. In addition, to address primary prevention, ODH funds 22 counties through its Creating Healthy Communities Program and statewide efforts through the State Physical Activity and Nutrition Program to implement policy, systems, and environmental changes that increase access to healthy foods and opportunities for active living in Ohio’s most vulnerable communities. Ohio is the seventh-most populous state in the nation, with approximately 11.8 million residents in 2020. Ohio is also one of the least healthy states, ranking 43rd in population health, 37th in healthcare spending, and 47th in health value according to the Health Policy Institute of Ohio’s 2021 Health Value Dashboard. The burden of diabetes disproportionately impacts certain populations in Ohio. The estimated prevalence of diabetes and prediabetes are significantly higher among populations with the lowest income and lowest education. In addition, chronic disease mortality rates by race/ethnicity indicate that Black people have higher death rates of diabetes, heart disease, stroke, and kidney disease, compared with other racial groups. The ODH Diabetes Prevention and Management Program (DPMP) will support implementation of evidence-based strategies and interventions to decrease risk for type 2 diabetes among adults with prediabetes, and improve self-care practices, quality of care, and early detection of complications among people with diabetes in Ohio and among selected priority populations to achieve improved health outcomes and reduce health disparities. Successful implementation of selected Component A strategies (Strategies 1, 3, 5, 6, 9, and 13), both statewide and among priority populations, will lead to an increase in the number/proportion of the following short-, intermediate-, and long-term outcomes: • Short-term outcomes: Increase in the number of (1) organizations implementing evidence-based community behavioral change programs (e.g., Diabetes Self-Management Education Support (DSMES)), (2) programs adapted/tailored for priority populations, (3) patients screened and referred to community resources, and (4) social determinants of health (SDOH) screenings in clinical settings. • Intermediate outcomes: (1) Increased participation in evidence-based community behavioral change programs, and (2) increased multi-directional communication between clinical and community resources. • Long-term outcomes: (1) Decrease in the proportion of people with diabetes with an A1c > 9, and (2) Increase in the number of program completers served by CDC-recognized National Diabetes Prevention Program (DPP) delivery organizations who reduce their risk for type 2 diabetes. Key activities for Year 1 include the following: • Strategy 1 – Conducting a landscape analysis of diabetes support programs in Ohio to improve access to these programs among priority populations. • Strategy 3 – Developing a quality improvement project to increase diabetic retinopathy screening and improve early detection of chronic kidney disease among patients with diabetes. • Strategy 5 – Providing technical assistance to National DPP organizations in becoming Medicare DPP suppliers and CDC-recognized organizations to enroll as Medicaid providers. • Strategy 6 – Engaging
