The Chronic Disease Prevention Service (CDPS) at the Oklahoma State Department of Health (OSDH) is located at 123 Robert S. Kerr, Oklahoma City, OK, 73102. CPDS is submitting an application for CDC-RFA-DP-23-0004 “The National Cardiovascular Health Program”. CDPS staff feel confident in their ability to collaborate with systems-level partners to effect change in cardiovascular-related health disparities in the state of Oklahoma.
According to multiple reports, CVD is the leading cause of death and disability in the state. Data from the Oklahoma Health Care Authority (2020), Oklahoma’s Medicaid provider, indicate the highest prevalence of both hypertension and high cholesterol in members aged 46- 64 y/o. Additional information from this data analysis reports a reimbursement cost to the agency for hypertension as over $1.5 billion and high cholesterol cost as over $880,000; both of these are significant increases compared with the percentage of members with either diagnosis. Challenges such as these require collaborations with systems- level partners to develop a strategic plan aimed at reducing the risk of cardiovascular disease among individuals at highest risk for adverse outcomes and improving self-management skills of those who have been diagnosed. Strategies have been identified to advance health equity for populations at higher risk for CVD by addressing barriers to quality healthcare and development of community-based interventions to promote healthy lifestyle choices, educate individuals about risk factors for CVD and address social determinants of health which contribute to health disparities.
A work plan and budget have been developed which builds on activities implemented through CDC DP18-1815. Several of the same partners will be engaged in order to continue their DP18-1815 work as well as expand those projects into areas of the state with limited resources. Each of the partners was selected based on their ability to provide state-wide reach specific to the strategies in DP23-2304.
CDPS will continue to collaborate with internal partners to ensure activities are respectful of the needs of prioritized populations and the healthcare providers serving these populations. Collaborative efforts with external system-level partners and internal subject matter experts will tailor CDPS’ approach to effectively implement activities to improve outcomes for prioritized populations. OSDH) has identified several strategies to address the state’s public health problems and priorities. These strategies focus on the relationships between chronic diseases, risk factors, populations at risk, and preventive services. Key partners have been identified to help leverage these strategies, including local health departments, health care providers, community-based organizations, and other stakeholders. The interventions proposed in this grant build upon the achievements made under DP18- 1815, which focused on increasing awareness, access, and demand for services designed to reduce health disparities associated with heart-related chronic diseases in the populations of focus.
These interventions are designed to minimize duplication of effort and maximize the impact of the previous grant in both the clinical and community settings. OSDH is developing a multi-disciplinary care coordination approach to address health disparities. This approach will ensure those at risk for heart disease receive the necessary care and support to prevent or delay the onset of the disease. The selected strategies will serve as the foundation for further strengthening community-clinical linkages and collaboration on quality improvement initiatives.
