NU58DP007592
Cooperative Agreement
Overview
Grant Description
The Tennessee Heart Health Network - Socioeconomic inequality and other adverse social determinants of health have long contributed to poor health outcomes, particularly in non-Hispanic Black (NHB) populations in low-income areas of the South. Tennessee (TN) ranks 3rd in the nation in cardiovascular disease (CVD) event rates, 7th in prevalence of hypertension (HTN), 6th in heart disease mortality, and 5th in stroke mortality. The burden of CVD health inequities is greatest in the TN census tracts targeted by this program.
High rates of premature death and disability in these vulnerable communities are particularly driven by cardiovascular deaths from stroke and heart attack, largely caused by high rates of HTN in these communities, which are in turn caused by high rates of obesity and poor access to primary care.
For TN to effectively reduce its high rates of CVD and CVD disparities, it must focus intensively on the essential social service and primary health care needs of the predominantly NHB populations living in its highest need neighborhoods. Thus, the Tennessee Heart Health Network (TN-HHN) innovative cardiovascular disease program will work to improve heart health in TN with an intensive focus on adults aged 18 and older with a HTN crude prevalence of 53% or higher (population of focus), as shown by data specifically at the census tract level.
Action focused on these highest need census tracts to improve heart health in TN is critical to national efforts to reduce or eliminate disparities in CVD health outcomes and meet Healthy People 2030 goals.
Through the program, Learning Collaborative (LC) members will work together to understand, implement, and disseminate innovative, evidence-based, and patient-centered approaches to improve cardiovascular health and better support the population of focus.
The program will build on an existing statewide multi-stakeholder heart disease and stroke LC, the TN-HHN, by enhancing its membership to include social service and other community-based organizations, and patient representatives from the communities served. The TN-HHN LC will promote and disseminate evidence-based approaches to address social determinants underlying adverse cardiovascular outcomes and disparities.
The program will focus on collaborating with community health centers serving targeted census tracts with high prevalence of HTN to implement ABCS, with priority on controlling HTN. Working intensively with the LC participants serving the targeted communities, the LC will focus on implementing 3 major strategies:
1) Tracking and monitoring clinical measures shown to improve health and wellness and health care quality within approved populations of focus, and identify patients with hypertension and high cholesterol.
2) Implementing team-based care to prevent, detect, control, and manage hypertension and high cholesterol within approved populations of focus.
3) Assembling or creating multidisciplinary teams to identify patients' social services and support needs within approved populations of focus.
Through these targeted interventions, the program will measurably improve short-term performance outcomes related to each strategy. Within two to four years, it will improve intermediate clinical outcomes including blood pressure control, disparities in blood pressure control, and utilization of social support services. Within five years, it will measurably reduce strokes, heart attacks, and cardiovascular events and decrease disparities within approved populations of focus.
Thus, the program will positively impact racial disparities in stroke, heart attacks, and cardiovascular events related to uncontrolled HTN and high cholesterol through innovative patient-centered equity-focused health system interventions designed to prevent, detect, control, and manage HTN and high cholesterol, intensively targeting TN's neighborhoods in greatest need.
High rates of premature death and disability in these vulnerable communities are particularly driven by cardiovascular deaths from stroke and heart attack, largely caused by high rates of HTN in these communities, which are in turn caused by high rates of obesity and poor access to primary care.
For TN to effectively reduce its high rates of CVD and CVD disparities, it must focus intensively on the essential social service and primary health care needs of the predominantly NHB populations living in its highest need neighborhoods. Thus, the Tennessee Heart Health Network (TN-HHN) innovative cardiovascular disease program will work to improve heart health in TN with an intensive focus on adults aged 18 and older with a HTN crude prevalence of 53% or higher (population of focus), as shown by data specifically at the census tract level.
Action focused on these highest need census tracts to improve heart health in TN is critical to national efforts to reduce or eliminate disparities in CVD health outcomes and meet Healthy People 2030 goals.
Through the program, Learning Collaborative (LC) members will work together to understand, implement, and disseminate innovative, evidence-based, and patient-centered approaches to improve cardiovascular health and better support the population of focus.
The program will build on an existing statewide multi-stakeholder heart disease and stroke LC, the TN-HHN, by enhancing its membership to include social service and other community-based organizations, and patient representatives from the communities served. The TN-HHN LC will promote and disseminate evidence-based approaches to address social determinants underlying adverse cardiovascular outcomes and disparities.
The program will focus on collaborating with community health centers serving targeted census tracts with high prevalence of HTN to implement ABCS, with priority on controlling HTN. Working intensively with the LC participants serving the targeted communities, the LC will focus on implementing 3 major strategies:
1) Tracking and monitoring clinical measures shown to improve health and wellness and health care quality within approved populations of focus, and identify patients with hypertension and high cholesterol.
2) Implementing team-based care to prevent, detect, control, and manage hypertension and high cholesterol within approved populations of focus.
3) Assembling or creating multidisciplinary teams to identify patients' social services and support needs within approved populations of focus.
Through these targeted interventions, the program will measurably improve short-term performance outcomes related to each strategy. Within two to four years, it will improve intermediate clinical outcomes including blood pressure control, disparities in blood pressure control, and utilization of social support services. Within five years, it will measurably reduce strokes, heart attacks, and cardiovascular events and decrease disparities within approved populations of focus.
Thus, the program will positively impact racial disparities in stroke, heart attacks, and cardiovascular events related to uncontrolled HTN and high cholesterol through innovative patient-centered equity-focused health system interventions designed to prevent, detect, control, and manage HTN and high cholesterol, intensively targeting TN's neighborhoods in greatest need.
Awardee
Funding Goals
NOT APPLICABLE
Grant Program (CFDA)
Awarding Agency
Funding Agency
Place of Performance
Tennessee
United States
Geographic Scope
State-Wide
Related Opportunity
Analysis Notes
Amendment Since initial award the total obligations have increased 200% from $1,196,000 to $3,588,000.
University Of Tennessee was awarded
TN-HHN Cardiovascular Health Equity Program
Cooperative Agreement NU58DP007592
worth $3,588,000
from National Center for Chronic Disease Prevention and Health Promotion in September 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 93.945 Assistance Programs for Chronic Disease Prevention and Control.
The Cooperative Agreement was awarded through grant opportunity The Innovative Cardiovascular Health Program.
Status
(Ongoing)
Last Modified 9/26/25
Period of Performance
9/30/23
Start Date
9/29/28
End Date
Funding Split
$3.6M
Federal Obligation
$0.0
Non-Federal Obligation
$3.6M
Total Obligated
Activity Timeline
Transaction History
Modifications to NU58DP007592
Additional Detail
Award ID FAIN
NU58DP007592
SAI Number
NU58DP007592-1699287002
Award ID URI
SAI UNAVAILABLE
Awardee Classifications
Public/State Controlled Institution Of Higher Education
Awarding Office
75CDC1 CDC Office of Financial Resources
Funding Office
75CUC0 CDC NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION
Awardee UEI
X1M1PN3KG3E7
Awardee CAGE
1BW75
Performance District
TN-90
Senators
Marsha Blackburn
Bill Hagerty
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) | $1,196,000 | 100% |
Modified: 9/26/25