MISSOURI WISEWOMAN PROGRAM - The Missouri Department of Health and Senior Services (DHSS) proposes the project within to continue the successful implementation of the Missouri WISEWOMAN Program (MWWP). MWWP will provide a comprehensive and coordinated approach to improve cardiovascular health for low-income, under or uninsured women ages 35-64 by offering screenings, referrals for treatment, and support for lifestyle change among participants. This will be accomplished by engaging women in becoming informed, motivated patients through programs such as self-monitoring blood pressure (SMBP), the Diabetes Prevention Program (DPP), and developing healthy habits such as increasing physical activity, following a nutritious diet, and smoking cessation. The program will include interventions using team-based care, community health workers (CHWs), electronic health records (EHR), health information technology (HIT), technological platforms, interventions supporting continuity of care across health care settings, and interventions supporting community and clinical linkages.
Project outcomes will be achieved by leveraging the strengths, capacity, and collaborations the MWWP has developed over the past 15+ years. Strategies and activities have been designed to achieve short and intermediate outcomes, such as increasing the number of standardized processes which tie to EHR and HIT to track clinical and social support needs. These outcomes contribute to the strength of strategic partnerships that focus on reducing cardiovascular disease (CVD) risk factors among high-risk women. The emphasis on health equity and reducing the impact of social determinants of health (SDoH) are guiding principles for all program activities.
MWWP will use the geographic information system (GIS) reach map and data from the evaluation team to identify underserved women living in communities with significant barriers to health. The program will contract with local public health agencies (LPHA)/federally qualified health centers (FQHC) in the identified areas to serve women aged 35-64 who are at or below 250% of the federal poverty level (FPL). Provider outreach will be enhanced under this funding opportunity via the new age criteria, which now aligns the target population with the Show Me Healthy Women (SMHW) program.
The MWWP has successfully implemented WISEWOMAN funding since their first award in 2005 and continues to expand and improve programming. The program currently has an established network of 32 providers with staff trained to deliver integrated CVD screenings and risk reduction counseling, referrals for follow-up medical services, and referrals to HBSS as appropriate. Additionally, the program maintains a strong and proven network of both internal state and community-based partners whose collaboration is key to the success of the program.
MWWP is committed to an inclusive, participatory approach to evaluation planning. The evaluation team will follow the CDC Program Evaluation Framework and will engage key stakeholders and work with the CDC during the first six months of the grant to refine and finalize a five-year evaluation plan and determine performance targets.