Wednesday, January 15, 2025
1/15/2025
Project Abstract Summary The goal of this proposed project, led by the Chronic Disease Prevention and Health Promotion (CDPHP) Section of the Nevada Division of Public and Behavioral Health (DPBH), is to implement and evaluate innovative strategies to promote cardiovascular health and prevent cardiovascular disease (CVD) in Nevada. The proposed strategies will focus on Nevada census tract geographies with populations of adults with a hypertension (HTN) crude prevalence rate of 53% or greater. All the work supported under this award will address implementing health information technology (HIT), team-based care, and enhanced community-clinical linkages to address health disparities for priority populations as primary and fully integrated parts of each strategy. During the grant period, the CDPHP will implement all the strategies described in the notice of funding opportunity (NOFO) to improve healthcare quality and outcomes for people with CVD. The activities will utilize practical, innovative approaches to cardiovascular health promotion and CVD risk reduction, including geographic information system (GIS) mapping data and landscape analysis to identify priority populations and policy and systems-level support for the range of approaches. To implement and evaluate the above strategies, the CDPHP will leverage sustainable, statewide multi-sector relationships with partners in Nevada, including the Roseman University of Health Sciences, the Nevada Community Health Worker Association (NVCHWA), the Health Community Coalition of Northern Nevada (HCC), and two health information technology solutions providers, all of whom have experience working with priority populations in the State. Heart disease is the leading cause of death in Nevada and nationally, and a significant contributor to comorbidities. Over one-third of Nevadans have at least one form of CVD, including many with undiagnosed or poorly managed hypertension, and are at highly elevated risk of a stroke, atherosclerosis, kidney disease, dementia, and heart attack. CVD also affects certain groups in Nevada more than others. The mortality from CVD in urban counties (188 deaths per 100,000) is higher than in rural counties (156.9 deaths per 100,000). Other groups are likely to be disparately affected by CVD include people who identify as African American with a prevalence of hypertension at 40.4 percent and significant cardiovascular disease at 12.5 percent versus 9.2 percent in the general population. People who identify as Asian, Native Hawaiian, or Pacific Islander (5.9% rate of strokes versus the all-race mean of 3.4 percent), and adults older than 65 years (heart disease rates of 14.6 percent).3 Building on the accomplishments, outcomes, and lessons learned from the DP-13-1305, DP-18-1815, and DP-18-1817 cooperative agreements, the CDPHP proposes to implement and evaluate innovative strategies supporting the advancement of cardiovascular health promotion and CVD prevention programs. Finally, CDPHP will integrate health information technology (HIT) into each strategy to identify and monitor support measures to improve health, wellness, and healthcare quality in populations at the highest risk for CVD, and to increase the capacity of individuals, communities, and the healthcare workforce to promote and manage the cardiovascular health needs of Nevadans.
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).