NU58DP007349

SHAPE-DP: Strategic Health Approach to Promote Equity in Diabetes Prevention - Trinity Health is the fifth largest health system in the United States and one of the largest not-for-profit, Catholic health care systems in the nation. It serves people and communities in 26 states with 88 hospitals, 135 continuing care locations, programs of all-inclusive care for the elderly (PACE), senior living facilities, and 136 urgent care locations. Trinity Health employs 123,000 colleagues and nearly 27,000 physicians and clinicians caring for diverse populations and communities. With an annual operating revenue of $21.5 billion, the organization returns $1.4 billion annually to communities in the form of charity care and other community benefit initiatives.

To deliver on the organization's mission of "...being a transforming, health presence in our communities...", it includes national strategies to reduce health inequities and deliver value-based care to vulnerable populations. This includes screening and referring for social determinants of health (SDOH)-related needs and implementing the National Diabetes Prevention Program (NDPP) to manage chronic disease by preventing or delaying the onset of type 2 diabetes.

Using a multi-sectoral approach to reduce type 2 diabetes prevalence and advance health equity in communities served, Trinity Health is applying for Component C of CDC-RFA-DP-23-0020. This targets Trinity Health's regional geographies in 16 states (California, Connecticut, Delaware, Idaho, Georgia, Florida, Iowa, Indiana, Illinois, Maryland, Massachusetts, Michigan, New York, Ohio, Oregon, Pennsylvania). The focus is on the 4141 most populous cities and their surrounding communities, which includes over 16.5 million people over the age of 18.

Beginning in Year One, Trinity Health will launch SHAPE-DP - Strategic Health Approach to Promote Health Equity and Diabetes Prevention. This national network of collaborators (Hub), including Trinity Health, Aetna/CVS Health, Capital District Physician's Health Plan, Community Pharmacy Enhanced Services Network, YMCA of the USA, Catholic Charities USA, HabitNu, and the American Medical Association, will advance health equity and reduce health disparities. They will do this by implementing a bold strategy that promotes optimal health for people experiencing poverty and other vulnerabilities, including unmet SDOH-related needs. This will be achieved by building a network of National Diabetes Prevention Program (NDPP) providers across the 16-state service area.

Together, the Hub will implement workplan activities designed to support the four strategies focusing on three priority populations, including adults 65+, African American/Black, and Hispanic/Latino. Over the course of the five-year performance period, the Hub aims to expand membership to enroll a total of 20,000 participants (14,000 from a priority population) and apply strategies to ensure a 60% completion rate. They also aim to engage six commercial payers to cover the costs of NDPP program delivery through existing and new payment models, standardize processes for Hub partners to screen 100% of all participants for SDOH-related needs, and refer 100% of those who request assistance to a low/no-cost community resource. Additionally, they will continually work to remove barriers to participation in the NDPP.

Through this bold approach and strategic interventions to advance health equity, Trinity Health expects to see reduced rates of type 2 diabetes incidence among the priority populations in the service area.

Trinity Health Corporation

NOT APPLICABLE

93.283 - Centers for Disease Control and Prevention Investigations and Technical Assistance

CDC Office of Financial Resources (OFR) [HHS - CDC]

National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) [HHS - CDC]

Michigan United States

State-Wide

A Strategic Approach to Advancing Health Equity for Priority Populations with or at Risk for Diabetes (CDC-RFA-DP-23-0020)

Amendment Since initial award the total obligations have increased 200% from $2,500,000 to $7,500,000.