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Improving the reach, quality, effectiveness, and sustainability of asthma control services and to reduce asthma mobility, mortality, and disparities by implementing evidence-based strategies.

Award Number: NUE1EH001391
ORGANIZATION: NATIONAL CENTER FOR ENVIRONMENTAL HEALTH
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES

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Project Abstract Summary New Hampshire (NH) has consistently reported some of the highest rates of asthma in the nation, with BRFSS data estimating that 12.7% of adults and 7.2% of children in the “Granite State” have the condition. Within this high-burden state, specific populations experience especially high rates of asthma; adult women, multiracial individuals, people with less than a high school education, and people with less than $15,000 annual income all have higher asthma prevalence. Hospital Discharge Data lends insight into geographic areas with higher rates of Emergency Department (ED) visits for asthma in both children and adults, specifically the cities of Manchester and Nashua, as well as the Belknap, Northern Grafton, and Coos counties. Building on existing infrastructure and partnerships, the New Hampshire Asthma Control Program (NHACP) aims to reduce the burden of asthma in these high burden areas by improving access to complete and interdisciplinary asthma services for the families that need them most. Through strengthening coordinated care, supporting asthma home visiting programs (AHVPs), promoting guidelines-based medical management, and introducing environmental policies that reduce indoor and outdoor asthma triggers, the NHACP hopes to dramatically improve asthma care and reduce the number of asthma ED visits in the state. Throughout the proposed five-year grant period, the NHACP will work toward this goal through the maintenance of current infrastructure, embodied in state leadership and a statewide asthma collaborative, and through the implementation of EXHALE strategies in NH’s high burden communities. To increase access to asthma self-management education (AS-ME), the NHACP will conduct educational sessions with providers, caregivers, and school personnel, as well as promote culturally appropriate asthma education tools and trainings for partners. The NHACP will also partner with the state Tobacco Prevention and Cessation Program (TPCP) to connect families to tobacco cessation services and educate providers on asthma and tobacco. The program will increase access to and availability of AHVPs in the state by continuing to support and expand successful programming in Manchester, work to strengthen a growing program in Nashua, and build two new programs in the identified high burden areas through partnerships with social service agencies. Referral protocols for these programs, along with targeted provider outreach, will serve to increase linkages and the coordination of care of children and families navigating asthma. Additionally, Quality Improvement (QI) projects with clinical partners and educational events for providers and pharmacists will allow the NHACP to make progress toward wider adoption of guidelines-based medical management. Finally, with working groups on school and occupational health, as well as projects building the evidence base for smoke-free multi-unit housing, the NHACP will promote environmental policies that reduce indoor and outdoor triggers for individuals with asthma. All these initiatives will be complemented by work to achieve Medicaid reimbursement for AHVP and AS-ME, supporting NHACP partners toward sustainable financing. With such coordinated efforts of key stakeholders implementing evidence-based interventions throughout the high burden areas, communit ies will experience reduced hospitalizations and stronger health outcomes.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = $0 )
2024	2023	NEW HAMPSHIRE DEPARTMENT OF HEALTH & HUMAN SERVICES	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	Environmental Public Health and Emergency Response	01	5	2/20/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	NEW HAMPSHIRE DEPARTMENT OF HEALTH & HUMAN SERVICES	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	Environmental Public Health and Emergency Response	01	5	2/20/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2021	NEW HAMPSHIRE DEPARTMENT OF HEALTH & HUMAN SERVICES	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	Environmental Public Health and Emergency Response	01	5	2/20/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2020	NEW HAMPSHIRE DEPARTMENT OF HEALTH & HUMAN SERVICES	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	Environmental Public Health and Emergency Response	01	5	2/20/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2019	NEW HAMPSHIRE DEPARTMENT OF HEALTH & HUMAN SERVICES	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	Environmental Public Health and Emergency Response	01	5	2/20/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2023 ( Subtotal = $500,000 )
2023	2023	NEW HAMPSHIRE DEPARTMENT OF HEALTH & HUMAN SERVICES	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	Environmental Public Health and Emergency Response	00	5	5/22/2023	NON-COMPETING CONTINUATION	$500,000
2023	2022	NEW HAMPSHIRE DEPARTMENT OF HEALTH & HUMAN SERVICES	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	Environmental Public Health and Emergency Response	00	5	5/22/2023	NON-COMPETING CONTINUATION	$0
2023	2021	NEW HAMPSHIRE DEPARTMENT OF HEALTH & HUMAN SERVICES	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	Environmental Public Health and Emergency Response	00	5	5/22/2023	NON-COMPETING CONTINUATION	$0
2023	2020	NEW HAMPSHIRE DEPARTMENT OF HEALTH & HUMAN SERVICES	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	Environmental Public Health and Emergency Response	00	5	5/22/2023	NON-COMPETING CONTINUATION	$0
2023	2019	NEW HAMPSHIRE DEPARTMENT OF HEALTH & HUMAN SERVICES	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	Environmental Public Health and Emergency Response	00	5	5/22/2023	NON-COMPETING CONTINUATION	$0
														Subtotal = $500,000

Issue Date FY: 2022 ( Subtotal = $500,000 )
2022	2022	HEALTH AND HUMAN SERVICES, NEW HAMPSHIRE DEPT OF	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	Environmental Public Health and Emergency Response	00	4	5/30/2022	NON-COMPETING CONTINUATION	$500,000
2022	2021	HEALTH AND HUMAN SERVICES, NEW HAMPSHIRE DEPT OF	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	Environmental Public Health and Emergency Response	00	4	5/30/2022	NON-COMPETING CONTINUATION	$0
2022	2020	HEALTH AND HUMAN SERVICES, NEW HAMPSHIRE DEPT OF	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	Environmental Public Health and Emergency Response	00	4	5/30/2022	NON-COMPETING CONTINUATION	$0
2022	2019	HEALTH AND HUMAN SERVICES, NEW HAMPSHIRE DEPT OF	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	Environmental Public Health and Emergency Response	00	4	5/30/2022	NON-COMPETING CONTINUATION	$0
														Subtotal = $500,000

Issue Date FY: 2021 ( Subtotal = $500,000 )
2021	2021	HEALTH AND HUMAN SERVICES, NEW HAMPSHIRE DEPT OF	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	Environmental Public Health and Emergency Response	00	3	6/9/2021	NON-COMPETING CONTINUATION	$500,000
2021	2020	HEALTH AND HUMAN SERVICES, NEW HAMPSHIRE DEPT OF	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	Environmental Public Health and Emergency Response	00	3	6/9/2021	NON-COMPETING CONTINUATION	$0
2021	2019	HEALTH AND HUMAN SERVICES, NEW HAMPSHIRE DEPT OF	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	Environmental Public Health and Emergency Response	00	3	6/9/2021	NON-COMPETING CONTINUATION	$0
														Subtotal = $500,000

Issue Date FY: 2020 ( Subtotal = $500,000 )
2020	2020	HEALTH AND HUMAN SERVICES, NEW HAMPSHIRE DEPT OF	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	Environmental Public Health and Emergency Response	00	2	6/4/2020	NON-COMPETING CONTINUATION	$500,000
2020	2019	HEALTH AND HUMAN SERVICES, NEW HAMPSHIRE DEPT OF	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	Environmental Public Health and Emergency Response	00	2	6/4/2020	NON-COMPETING CONTINUATION	$0
2020	2019	HEALTH AND HUMAN SERVICES, NEW HAMPSHIRE DEPT OF	129 PLEASANT ST	CONCORD	NH	03301	MERRIMACK	USA	Environmental Public Health and Emergency Response	01	1	10/24/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $500,000

Issue Date FY: 2019 ( Subtotal = $500,000 )
2019	2019	HEALTH AND HUMAN SERVICES, NEW HAMPSHIRE DEPT OF	129 Pleasant St	Concord	NH	03301	MERRIMACK	USA	Environmental Public Health and Emergency Response	00	1	8/8/2019	NEW	$500,000
														Subtotal = $500,000

Grand Total All Awards = $2,500,000

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Improving the reach, quality, effectiveness, and sustainability of asthma control services and to reduce asthma mobility, mortality, and disparities by implementing evidence-based strategies.

Award Number: NUE1EH001391

ORGANIZATION: NATIONAL CENTER FOR ENVIRONMENTAL HEALTH

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

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