Thursday, April 3, 2025
4/3/2025
Maryland BOLD Program - Maryland Department of Health (MDH) Prevention and Health Promotion Administration Center for Chronic Disease Prevention and Control 201 W. Preston Street, Room 306J Baltimore, MD 21201 The Building Our Largest Dementia (BOLD) Public Health Programs to Address Alzheimer’s Disease and Related Dementias (ADRDs) is a 5-year Cooperative Agreement available to State Health Departments, political subdivisions of states, Indian (American Indian/Alaska Native) tribes and tribal organizations to develop systematic public health approaches to address ADRDs using the Centers for Disease Control and Prevention's (CDC) Healthy Brain Initiative (HBI) State and Local Public Health Partnerships to Address Dementia: the 2018-2023 Road Map (as well as future updates). The Center for Chronic Disease Prevention and Control (CCDPC) is applying for funding under Component 2 of this grant on behalf of the Maryland Department of Health. Alzheimer's disease is the most prevalent type of dementia, and the 8th leading cause of death for people aged 65 years or older in Maryland with an age-adjusted death rate of 15.8 per 100,000 population (Maryland Vital Statistics Report 2020). The cost associated with care of Alzheimer’s disease was $305 billion in 2020 in the US (Alzheimer’s Association, 2020). Due to available data which shows underreporting of both self-reported and clinically diagnosed ADRDs, Maryland will prioritize increased population-level surveillance and systems-level interventions to increase awareness about cognitive decline for both the public and health care professionals. CCDPC will apply for Component 2 of this grant opportunity and launch a new program called the Maryland Brain Health Program (the Program). With an established, robust, and active statewide coalition (required), as well as a 2022-2026 ADRD State Plan with the requisite guide to address all eight grant-required strategies, the CCDPC is in implementation-ready mode for this grant project. State partners, including the Alzheimer’s Association and the Maryland Department of Aging, are enthusiastic for the opportunities from this grant to work with partners to implement actions in the current State Plan. Under Component 2 of this grant opportunity, applicants are required to address eight strategies. In addition to collaborating with the state ADRD Council to build an Implementation Plan, we will develop and implement a communication plan to reach the general public, at-risk subgroups, and health care providers on the importance of cognitive testing and the link to comorbid conditions. Over the five-year project period, the program will plan for sustainability, seek to make system-level changes to improve community-clinical linkages to increase cognitive decline testing and manage co-morbidities, with the aim of early detection and reduced costly hospitalizations. The program will also improve brain health surveillance and data availability, identifying appropriate data sources and assessing the Maryland landscape. Expected Outcomes: The Program will implement eight mandatory strategies to reach the following measurable outcomes: Accelerated action to reduce risk factors for ADRD. Increased emphasis on integrating the caregiver into processes and systems from which they have been traditionally excluded. Increased proportion of older adults with dementia, or their caregivers, who are aware of the diagnosis. Increased proportion of older adults with subjective cognitive decline who have discussed their symptoms with a provider. Reduced proportion of preventable hospitalizations in older adults with dementia. Sustained ADRD program activities.
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).