NU58DP007442

Supports state investments in implementing and evaluating evidence-based and evidence-informed strategies to prevent and manage cardiovascular disease.

The Pennsylvania Department of Health (DOH) will implement and evaluate a comprehensive, evidence-based, and evidence-informed cardiovascular disease (CVD) prevention and management program to improve cardiovascular health and reduce inequities and healthcare disparities in high-risk priority populations across the Commonwealth.

Throughout the project period, the DOH will improve blood pressure control and reduce blood pressure disparities among targeted populations within partner healthcare and community settings. Additionally, they will increase utilization of and mitigate social support barriers among priority populations at highest risk of CVD, with a focus on hypertension and high cholesterol.

These outcomes will be accomplished through increased use of electronic health records (EHRs) or health information technology (HIT) to report, monitor, and track detection of healthcare disparities. This will support communication and coordination among multidisciplinary care team members and identify, manage, and treat patients at the highest risk of CVD, with emphasis on hypertension and cholesterol management.

The DOH will address identified barriers to social services and support needs within populations at highest risk of CVD with the assistance of the CVD Learning Collaborative (LC). They will also promote increased use of multidisciplinary teams and adherence to evidence-based guidelines.

Furthermore, the DOH will increase engagement of community health workers (CHWs) to provide care beyond standard clinical interventions and increase community-clinical links to identify, respond to, and address social services and support needs of populations at highest risk of CVD.

All activities and progress toward identified outcomes will be measured, tracked, and analyzed through data collection led by the University of Pittsburgh Evaluation Institute for Public Health (EI). These data analyses will provide feedback pertaining to successes, identify shortcomings, and provide ongoing quality improvement resulting in high-quality healthcare outcomes.

The goals of these coordinated efforts, through the development of a comprehensive CVD program and LC, will be to achieve a long-term increase in the number of adults aged 18-85 with hypertension and high cholesterol that have achieved control. Additionally, they aim to reduce healthcare disparities in CVD among high-risk populations and communities disproportionately affected by CVD. They also aim to achieve optimal health outcomes for priority populations by assessing social determinants of health (SDOH) and responding to those social needs. Finally, they will use specific evidence-based strategies to advance health equity goals.

Pennsylvania Department Of Health

NOT APPLICABLE

93.421 - Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation’s Health

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

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

Pennsylvania United States

State-Wide

The National Cardiovascular Health Program (CDC-RFA-DP-23-0004)

Amendment Since initial award the total obligations have increased 200% from $1,241,244 to $3,723,732.