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NU58DP007430

Cooperative Agreement

Overview

Grant Description
Tennessee Cardiovascular Health Program - Tennessee Department of Health (TDH), 710 James Robertson Parkway, Nashville, TN 37243, is applying for CDC-RFA-DP-23-0004, the National Cardiovascular Health Program. TDH has the capability to serve all populations and communities statewide and identified priority counties.

Six in 10 Americans live with at least one chronic disease, such as heart disease, stroke, cancer, or diabetes. These and other chronic diseases are the leading causes of death and disability in the United States (US), and the leading drivers of healthcare costs.

According to America's Health Rankings (2022), Tennessee (TN) ranks 44th for overall health. The annual report showed TN ranked in the bottom 10 states for multiple factors and indicated considerable challenges affecting the health and well-being of Tennesseans, including diabetes (46th), cardiovascular disease (CVD; 46th), hypertension (HTN; 41st), multiple chronic conditions (46th), food insecurity (35th), physical inactivity (43rd), youth overweight and obesity (41st), and adult obesity (31st).

Atherosclerotic cardiovascular disease (CVD) refers to four conditions: coronary artery disease (CAD) which is also referred to as coronary heart disease (CHD), cerebrovascular disease, peripheral artery disease (PAD), and aortic atherosclerosis (including thoracic and abdominal aneurysms). According to TN statewide leading cause of death data (2020; all races), heart disease remains the leading cause of death followed by cerebrovascular disease (6th) and HTN and renal disease (13th) for Tennesseans.

As shown on the CDC Interactive Atlas of Heart Disease and Stroke (2018-2020), 22 of TN's 95 counties have the highest total cardiovascular burden and related risk factors. Emphasis on CVD awareness and education will focus on the following counties: Lake, Obion, Dyer, Henry, Lauderdale, Crockett, Gibson, Carroll, Humphrey, Decatur, Perry, McNairy, Hardin, Lawrence, Giles, Marshall, Bedford, Lincoln, Grundy, Campbell, Claiborne, and Cocke. These counties are vulnerable to CVD due to risk factors such as increased rates of HTN and hyperlipidemia, ranking high on the Social Vulnerability Index (SVI), and being distressed due to their low population density and lack of access to resources.

This funding opportunity will build on the accomplishments and outcomes achieved in the healthcare system and community-clinical link domains of the DP18-1815 and allow TDH to work deliberately on systems change and advancement of health equity. The provisions awarded will support the prioritization of populations and communities with the highest prevalence and those disproportionately affected by CVD, specifically HTN, high cholesterol, and stroke through partnerships with heart disease and stroke learning collaboratives (LC) and other innovative initiatives.

The following strategies will be supported:

- Strategy 1: Track and monitor clinical and social services and support needs measures shown to improve health and wellness, healthcare quality, and identify patients at the highest risk of CVD with a focus on HTN and high cholesterol.
- Strategy 2: Implement team-based care to prevent and reduce CVD risk with a focus on HTN and high cholesterol prevention, detection, control, and management through mitigation of social support barriers to improve outcomes.
- Strategy 3: Link community resources and clinical services that support bidirectional referrals, self-management, and lifestyle change to address social determinants that put priority populations at increased risk of cardiovascular disease.

Within five years, TN will demonstrate:

- Improved blood pressure control among populations within partner healthcare and community settings.
- Reduced disparities in hypertension control among populations within partner healthcare and community settings.
- Increased utilization of social services and support among populations at the highest risk of CVD, with a focus on hypertension and high cholesterol.
Funding Goals
NOT APPLICABLE
Place of Performance
Tennessee United States
Geographic Scope
State-Wide
Analysis Notes
Amendment Since initial award the total obligations have increased 200% from $1,172,233 to $3,516,699.
Tennessee Department Of Health was awarded TN Cardiovascular Health Program: Advancing CVD Prevention in Priority Counties Cooperative Agreement NU58DP007430 worth $3,516,699 from National Center for Chronic Disease Prevention and Health Promotion in June 2023 with work to be completed primarily in Tennessee United States. The grant has a duration of 5 years and was awarded through assistance program 93.421 Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation’s Health. The Cooperative Agreement was awarded through grant opportunity The National Cardiovascular Health Program.

Status
(Ongoing)

Last Modified 7/3/25

Period of Performance
6/30/23
Start Date
6/29/28
End Date
43.0% Complete

Funding Split
$3.5M
Federal Obligation
$0.0
Non-Federal Obligation
$3.5M
Total Obligated
100.0% Federal Funding
0.0% Non-Federal Funding

Activity Timeline

Interactive chart of timeline of amendments to NU58DP007430

Subgrant Awards

Disclosed subgrants for NU58DP007430

Transaction History

Modifications to NU58DP007430

Additional Detail

Award ID FAIN
NU58DP007430
SAI Number
NU58DP007430-973859226
Award ID URI
SAI UNAVAILABLE
Awardee Classifications
State Government
Awarding Office
75CDC1 CDC Office of Financial Resources
Funding Office
75CUC0 CDC NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION
Awardee UEI
EA5JN3P55GR1
Awardee CAGE
3BSW6
Performance District
TN-90
Senators
Marsha Blackburn
Bill Hagerty

Budget Funding

Federal Account Budget Subfunction Object Class Total Percentage
Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Health and Human Services (075-0948) Health care services Grants, subsidies, and contributions (41.0) $1,172,233 100%
Modified: 7/3/25