Tuesday, September 17, 2024
9/17/2024
<![CDATA[PROBLEM: Heart Disease and Stroke are among the leading causes of death in Connecticut (CT). An estimated 31.6% of CT adults have been told by a health professional that they have high blood pressure. Approximately 34.9% of adults have been told by a health professional that it was high. Early identification and intervention including clinically supported self-management, will help people with these chronic conditions improve their health & reduce their risk for serious, life-threatening complications. PROJECT OUTCOMES: With CDC-RFA-DP-23-0004 funding, the CT Department of Public Health (DPH), located in Hartford, CT, proposes to build on current CDC-RFA-DP18-1815 grant activities. The focus will be communities with high burden of cardiovascular disease (CVD), its risk factors, and related complications to improve access to screening, health care services, and community support that assist overall wellness. As a result of proposed activities, CTDPH expects to achieve an increase in the use of Electronic Health Records/Health Information Technology (HER/HIT) & standardized processes and tools to address social services and support needs of patients at highest risk of CVD; increase communication among care team members & support multidisciplinary care teams adherence to guidelines to address patients’ hypertension and high cholesterol; and increase community-clinical partnerships and links, including engaging community health workers (CHWs) and the use of self-measured blood pressure (SMBP) with clinical support, to reduce barriers and respond to social services and support needs. Intermediate Term Outcomes include: improved and reduced disparities in BP control among populations within partner health care & community settings & increased use of social services and support among populations at highest risk of CVD with a focus on hypertension and high cholesterol. PROJECT STRATEGIES / ACTIVITIES: Working with a contr actor, CTDPH will create a statewide cardiovascular (CV) health learning collaborative (LC) that invites participation from both health care organizations (HCOs) and community-based organizations (CBOs) that engage with populations most at risk for CVD, with a focus on hypertension and high cholesterol. The LC will address HCOs system needs required to support best practice in care and disease prevention, including EHR improvements to track clinical and social services and support needs and to support team-based care and advance community- clinical linkages, including use of CHWs by improving their sustainability by building or strengthening a supportive infrastructure to expand their involvement in evidence-based CVD prevention & management programs & services. The LC will facilitate communication & the exchange of ideas among health agencies, leverage technical & financial resources to support improvements in CV health outcomes, & increase awareness of social services & supports that aim to reduce social determinants of health (SDOH)-related barrier to care, using these Strategies:1)Track & Monitor Clinical &Social Services & Support Needs Measures Shown to Improve Health & Wellness, Health Care Quality, & Identify Patients at Highest Risk of CVD with a Focus on Hypertension & High Cholesterol; 2)Implement Team-Based Care to Prevent & Reduce CVD Risk with a Focus on Hypertension & High Cholesterol Prevention, Detection, Control, & Management through Mitigation of Social Support Barriers to Improve Outcomes; & 3) Link Community Resources & Clinical Services that Support Bi-Directional Referrals, Self-Management, & Lifestyle Change to Address Social Determinants that Put Priority Population at Increased Risk of CVD, with a Focus on Hypertension & High Cholesterol. COORDINATION: Grant evaluation will be coordinated with UConn Health. Activities will be designed to have a statewide impact, inc luding early identification, screening, referrals, & tracking of patient outcomes, with efforts to address SDOH.]]>
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
