Friday, April 4, 2025
4/4/2025
Michigan WISEWOMAN - Michigan chronic disease burden reveals a continued critical need for a program such as Michigan WISEWOMAN. The 2016-2020 heart disease mortality rate for Michigan women aged 35 to 64 was 78.0 per 100,000, compared to a rate of 60.3 per 100,000 nationwide. The mortality rate for women of the same age range residing in Wayne County, Michigan’s most populous county, is nearly double at 144.2 per 100,000, with a large disparity existing between Black residents (223.8 per 100,000) and white non-Hispanic residents (89.2 per 100,000). Working with partners to address the disease burden and disparities, Michigan WISEWOMAN has been providing cardiovascular disease risk factor screening since 2001. The program currently provides services at 22 screening sites in 21 counties. Michigan WISEWOMAN is a well-established program that will maintain and improve its work as described in the application. The purpose of the Michigan WISEWOMAN program is to: 1. Identify and communicate risk factors for cardiovascular disease (CVD), stroke, and diabetes. 2. Encourage healthy lifestyle choices. 3. Address the Social Determinants of Health. Short term outcomes of the application include: 1) increased number of under- and uninsured participants, ages 35-64, who receive CVD risk assessment; 2) increased use of electronic health records (EHR) and health information technology (HIT) to query, monitor, and track clinical and social services and support needs data for improved identification, management, and treatment of participants at risk of CVD, particularly hypertension; 3) increased use of standardized processes or tools to identify, assess, track, and address the social services and support needs of participants; 4) increased use of metrics from program data to guide quality improvement activities to increase program enrollment, retention, and referrals to additional services; 5) increased use of EHR, HIT, or program data to identify health care disparities and address health outcomes; 6) increased use of multidisciplinary care teams adhering to evidence-based guidelines to address patient needs; 7) increased multidisciplinary partnerships with a network of state, regional, and local social services and support; 8) increased data sharing and utilization through a bidirectional feedback mechanism; 9) increased referrals to evidence-based and evidence-informed healthy behavior support services (HBSS); 10) increased participation in and completion of HBSS; and 11) increased referrals to and utilization of social services and support. All of these will lead to long-term outcomes of improved cardiovascular health and reduced disparities in CVD. Activities will be implemented in collaboration with the CDC-funded Breast and Cervical Cancer Control Navigation Program, CDC-funded 1815 and 1817 cooperative agreements addressing heart disease and diabetes, and other chronic disease programs, as well as community contractors and partners. The Michigan Department of Health and Human Services is qualified, capable, and ready to continue its WISEWOMAN program. Through work to improve tracking and monitoring of relevant clinical measures, implementing team-based care, and linking clinical and community resources using bidirectional referrals, Michigan intends to reduce the overall impact of, and disparities related to heart disease and stroke. Michigan is requesting a total of $938,296 to implement the program.
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).