Sunday, December 8, 2024
12/8/2024
Overview. About one million adults in Minnesota have an arthritis diagnosis with almost half reporting a disability, which is a major contributor to lost income and lower quality of life. Arthritis-related pain may limit physical activity. In fact, 28% of MN adults with arthritis engaged in no physical activity in the last 30 days. Arthritis pain may contribute to lower physical activity which leads to higher chronic disease burden6 because of failure to lose weight4 or weight gain which can exacerbate joint pain. Arthritis Appropriate Evidence Based Interventions (AAEBIs) that can help people with arthritis learn to engage in physical activity safely. Many providers do not know this, or they lack tools to connect patients to AAEBIs. Data from 2021 shows only a little over half of Minnesota physicians recommend exercise for arthritis management. And only 16.5% of people with arthritis have attended a self-management course for arthritis. Finally, many arthritis-related disparities are rooted in and/or exacerbated by SDOH including lower income and reduced access to health care. There is a need to expand efforts to improve diagnosis, counseling, and referrals to AAEBIs, especially for people with lower incomes, disabilities, veterans, and people of color. Applicant. The Minnesota Department of Health (MDH), the state health authority, is applying for Component B of 23-0001 State Public Health Approaches to Addressing Arthritis with the intention of serving the 87 counties and 11 Tribes throughout the state of Minnesota. The Minnesota Arthritis Program (MAP) will implement all strategies and activities. Purpose. MAP will enhance and expand AAEBI delivery and referral pathways statewide to increase access and enrollment to reach priority populations including low income, people living with a disability, and veterans. Increased partnership, technical assistance, communication, clinic and electronic systems, and education will increase AAEBI enrollment and physical activity assessment, counseling and referrals for people with arthritis. Outcomes. Grant outcomes include: 1) Increased AAEBI enrollment resulting from sustainable strategies, within 5 years (OM1), 2) Increased number/percent of adults with arthritis who received counseling about physical activity for arthritis management from a health care provider, within 5 years (OM2), and 3) Reduced disparities in arthritis management and outcomes among adults with arthritis, within 5 years (OM3). Strategies. MAP with our partners will use multiple strategies to achieve these outcomes including expanding dissemination of 4 AABEIs via locators and portals, adding digital tools like text messaging, addressing sustainability of programs through insurance reimbursement supports and more, expanding marketing and communication, and working with key partners to reach priority populations. MAP will expand provider use of physical activity assessments, counseling and referral through activities including outreach to reach physical therapists and pharmacists and other providers, implement strategies to expand large health care systems use of electronic systems to support provider referral pathways, establishment of EiM statewide network, an AAEBI Community of Practice (CoP). MAP will use BRFSS data and other sources of information to inform planning, monitoring and evaluation using continuous quality improvement processes.
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).
