About the Diabetes, Heart Disease and Stroke State Programs

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Learn about other CDC programs that work together to support chronic disease prevention programs across the nation:

CDC’s Division for Heart Disease and Stroke Prevention (DHDSP) funds state and local health departments and tribes to support programs and activities to prevent and control heart disease and stroke.

CDC’s funding and activities are part of several multi-program cooperative agreements, in which CDC provides additional guidance and support beyond simply overseeing and monitoring activities. These cooperative agreements address heart disease and stroke as well as the prevention and management of diabetes.

Improving the Health of Americans through Prevention and Management of Diabetes and Heart Disease and Stroke CDC-RFA-DP18-1815

CDC supports all 50 states and the District of Columbia in their efforts to address the serious national health problems of diabetes, heart disease, and stroke.  CDC supports state efforts to –

  • Prevent or delay development of type 2 diabetes in people at high risk and improve the health of people living with diabetes.
  • Prevent and manage cardiovascular disease.

In September 2018 State Health Departments were awarded funds under a new 5-year cooperative agreement. With CDC support, State Health Departments will work to:

  • Increase reporting, monitoring, and tracking of clinical data for improved identification, management, and treatment of patients with high blood pressure and high blood cholesterol.
  • Increase use of and adherence to evidence-based guidelines and policies related to team-based care for patients with high blood pressure and high blood cholesterol.
  • Increase community-clinical links that support systematic referrals, self-management, and lifestyle change for patients with high blood pressure and high blood cholesterol.
  • Increase medication adherence among patients with high blood pressure and high blood cholesterol.
  • Increase engagement in self-management among patients with high blood pressure and high blood cholesterol.
  • Increase participation in evidence-based lifestyle interventions among patients with high blood pressure and high blood cholesterol.

Learn more about the other programs for the prevention and management of diabetes.

Innovative State and Local Public Health Strategies to Prevent and Manage Diabetes, Heart Disease, and Stroke CDC-RFA-18-1817

In September, 2018, CDC awarded funds to State and Local Health Departments to design, test, and evaluate innovative approaches to address the significant national health problems of diabetes and heart disease and stroke.

Awardees funded by this new 5-year cooperative agreement include (29 total) –

  • 22 State Health Departments
  • 5 Large City/County Health Departments
  • 2 Consortia of City/County Health Departments

With CDC support, these health departments will develop new approaches to increase the reach and effectiveness of evidence-based public health strategies in populations and communities with a high burden of diabetes, or heart disease and stroke.  Recipients will conduct rigorous evaluations so that CDC and others can learn from this work.

These new approaches aim to:

  • Prevent or delay development of type 2 diabetes in people at risk and improve the health of people living with diabetes.
  • Prevent and manage cardiovascular disease.

Recipients will develop and evaluate innovative approaches in areas such as –

  • Track and monitor clinical measures shown to improve healthcare quality and identify patients with high blood pressure and high blood cholesterol.
  • Implement team-based care for patients with high blood pressure and high blood cholesterol, including testing innovative ways to engage non-physician team members.
  • Link community resources and clinical services that support bi-directional referrals, self-management, and lifestyle change for patients with high blood pressure, high blood cholesterol, and/or who have had a cardiac event through –
    • Engagement of patient navigators/community health workers.
    • Bi-directional referral between community programs/resources and healthcare systems.
    • Expanded use of telehealth including mobile health technology.
    • Innovative ways to enhance referral, participation, and adherence in cardiac rehabilitation programs in traditional and community settings, including home-based settings.

29 total awardees are funded.  Of this total –

  • 17 received both diabetes and heart disease and stroke awards
  • 8 additional recipients received heart disease and stroke awards
  • 4 additional recipients received diabetes awards

Learn more about the innovative approaches for the prevention and management of diabetes.

Good Health and Wellness in Indian Country (1421)

CDC’s Division for Heart Disease and Stroke Prevention funds Good Health and Wellness in Indian Country, a cooperative agreement for American Indians and Alaska Natives. These grantees develop and work on strategies to improve the health of tribal communities. This cooperative agreement supports the following:

  • Twelve tribes work on effective community-chosen and culturally adapted strategies.
  • Eleven tribal organizations provide leadership, technical assistance, training, and resources to tribes and villages in their Indian Health Service Administrative Areas.
  • Twelve Tribal Epidemiology Centers perform a variety of functions in consultation with, and at the request of, tribes, tribal organizations, and urban Indian organizations.

Learn more about Good Health and Wellness in Indian Country (1421).