NU58DP007436
Cooperative Agreement
Overview
Grant Description
Advancing Equity for Healthy Minnesota Hearts - Although Minnesota has had the lowest heart disease death rate in the nation since at least 1999, this low rate hides glaring disparities in deaths, hospitalizations, risk factors, and more.
Many communities experience systemic barriers that lead to higher disease burden and associated health data disparities, notably among Black, Indigenous, and communities of color.
The 2304 grant will enable MDH to build on the past years of success in increasing awareness, education, and support for hypertension and high cholesterol identification and management.
Expanding our approach to be inclusive of screening for social determinants of health (SDOH) and enhancing referrals to services and programs designed to meet diverse and changing social needs is a natural progression for this collective work.
In collaboration with other CDC-funded chronic disease programs at MDH, these activities will be rooted in a whole person view of health, designed to support a culture of health that is inclusive of community assets and responsive to social support needs.
Activities to support these goals will focus on effective implementation of health information technology, increasing and expanding team-based care approaches within clinical settings, screening for SDOH, and enhancing referral networks to ensure that social supports to meet basic needs are in place and being used.
2304 work will be guided by a learning collaborative (LC) that will use a community engaged approach to co-identify barriers to positive health outcomes and opportunities to co-create solutions to be tested and evaluated for impact.
These strategic interventions are planned in partnership with health systems, community organizations, and strategic partners from multiple sectors.
MDH will support the implementation and evaluation of a set of evidence-based and evidence-informed strategies.
Our approach is rooted in Minnesota's Action Plan to Address Diabetes, Cardiovascular Disease, and Stroke 2035, our new state plan designed through a multi-year public engagement process, and the guidance of a leadership team representing community, public health, medicine, and academia.
The long-term outcomes for this proposal are to 1) improve cardiovascular health; and 2) reduce disparities in cardiovascular health.
The short-term outcomes include: 1) increased use of electronic health records (EHR)/health information technology (HIT) to report, monitor, track clinical/social needs data to identify, manage, and treat patients at highest risk of CVD; 2) increased use of standardized processes/tools to identify, assess, track, and address social needs of patients at highest risk of CVD; 3) increased use of EHR/HIT to communicate and coordinate across care team members; 4) increased use of multidisciplinary care teams adhering to evidence-based guidelines to address patients' social needs; 5) increased multidisciplinary partnerships that address barriers to social needs; 6) increased community clinical links to identify and respond to social needs; 7) increased use of community health workers to provide continuum of care extending clinical interventions and addressing social needs; and 8) increased use of SMBP with clinical support in clinic or community.
Many communities experience systemic barriers that lead to higher disease burden and associated health data disparities, notably among Black, Indigenous, and communities of color.
The 2304 grant will enable MDH to build on the past years of success in increasing awareness, education, and support for hypertension and high cholesterol identification and management.
Expanding our approach to be inclusive of screening for social determinants of health (SDOH) and enhancing referrals to services and programs designed to meet diverse and changing social needs is a natural progression for this collective work.
In collaboration with other CDC-funded chronic disease programs at MDH, these activities will be rooted in a whole person view of health, designed to support a culture of health that is inclusive of community assets and responsive to social support needs.
Activities to support these goals will focus on effective implementation of health information technology, increasing and expanding team-based care approaches within clinical settings, screening for SDOH, and enhancing referral networks to ensure that social supports to meet basic needs are in place and being used.
2304 work will be guided by a learning collaborative (LC) that will use a community engaged approach to co-identify barriers to positive health outcomes and opportunities to co-create solutions to be tested and evaluated for impact.
These strategic interventions are planned in partnership with health systems, community organizations, and strategic partners from multiple sectors.
MDH will support the implementation and evaluation of a set of evidence-based and evidence-informed strategies.
Our approach is rooted in Minnesota's Action Plan to Address Diabetes, Cardiovascular Disease, and Stroke 2035, our new state plan designed through a multi-year public engagement process, and the guidance of a leadership team representing community, public health, medicine, and academia.
The long-term outcomes for this proposal are to 1) improve cardiovascular health; and 2) reduce disparities in cardiovascular health.
The short-term outcomes include: 1) increased use of electronic health records (EHR)/health information technology (HIT) to report, monitor, track clinical/social needs data to identify, manage, and treat patients at highest risk of CVD; 2) increased use of standardized processes/tools to identify, assess, track, and address social needs of patients at highest risk of CVD; 3) increased use of EHR/HIT to communicate and coordinate across care team members; 4) increased use of multidisciplinary care teams adhering to evidence-based guidelines to address patients' social needs; 5) increased multidisciplinary partnerships that address barriers to social needs; 6) increased community clinical links to identify and respond to social needs; 7) increased use of community health workers to provide continuum of care extending clinical interventions and addressing social needs; and 8) increased use of SMBP with clinical support in clinic or community.
Awardee
Funding Goals
NOT APPLICABLE
Grant Program (CFDA)
Awarding Agency
Funding Agency
Place of Performance
Minnesota
United States
Geographic Scope
State-Wide
Related Opportunity
Analysis Notes
Amendment Since initial award the total obligations have increased 310% from $980,632 to $4,020,591.
Minnesota Department Of Health was awarded
Equity-Driven Cardiovascular Health Grant for Minnesota
Cooperative Agreement NU58DP007436
worth $4,020,591
from National Center for Chronic Disease Prevention and Health Promotion in June 2023 with work to be completed primarily in Minnesota United States.
The grant
has a duration of 5 years and
was awarded through assistance program 93.945 Assistance Programs for Chronic Disease Prevention and Control.
The Cooperative Agreement was awarded through grant opportunity The National Cardiovascular Health Program.
Status
(Ongoing)
Last Modified 7/6/26
Period of Performance
6/30/23
Start Date
6/29/28
End Date
Funding Split
$4.0M
Federal Obligation
$0.0
Non-Federal Obligation
$4.0M
Total Obligated
Activity Timeline
Subgrant Awards
Disclosed subgrants for NU58DP007436
Transaction History
Modifications to NU58DP007436
Additional Detail
Award ID FAIN
NU58DP007436
SAI Number
NU58DP007436-4105774856
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
DHQVY2WCVHC5
Awardee CAGE
1YBC4
Performance District
MN-90
Senators
Amy Klobuchar
Tina Smith
Tina Smith
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) | $980,632 | 100% |
Modified: 7/6/26