Key Points
- CDC’s Division of Diabetes Translation funds state and local health departments to support programs and activities to prevent or delay type 2 diabetes.
- Funding also supports improving health outcomes for people diagnosed with diabetes.
Innovative State and Local Public Health Strategies to Prevent and Manage Diabetes, Heart Disease, and Stroke
This 5-year cooperative agreement began in October 2018. It funded 21 state health departments, large city and county health departments, and a consortium of city and county health departments.
These health departments worked on developing innovative approaches to increase the reach and effectiveness of evidence-based public health strategies. They sought to do so for populations and communities with a high burden of diabetes, heart disease, and stroke.
Strategies
Bi-directional e-referral
Strategy A.1: Implement systems to support bi-directional e-referral between health care systems and CDC-recognized organizations delivering the National Diabetes Prevention Program (National DPP) lifestyle change program.
Increasing enrollment in the National DPP lifestyle change program
Strategy A.2: Increase enrollment in the lifestyle change program or start and sustain delivery of the program in underserved areas.
Marketing to and enrolling adults at risk in the National DPP lifestyle change program
Strategy A.3: Implement tailored communication to reach high-burden populations and increase awareness of prediabetes and the National DPP.
Advanced training for Lifestyle Coaches
Strategy A.4: Support advanced training for Lifestyle Coaches to strengthen skills needed to engage and keep participants in the lifestyle change program.
Eliminating barriers to participation and retention in the National DPP lifestyle change program or diabetes self-management education and support (DSMES)
Strategy A.5: Test innovative approaches to get rid of barriers to participation and retention in the lifestyle change program or DSMES.
Telehealth
Strategy A.6: Establish or expand the use of telehealth for DSMES, the National DPP lifestyle change program, or diabetic retinopathy screening.
Diabetes clinical quality of care improvement
Strategy A.7: Increase use of clinical systems and care practices to improve health outcomes for people with diabetes.
Electronic health record (EHR)
Strategy A.8: Increase the use of clinical decision support within the EHR to promote early detection of chronic kidney disease.
Projected outcomes (evaluation in process)
Type 2 diabetes prevention
- Improved access to participation and retention in the National DPP lifestyle change program for people with prediabetes.
Diabetes management
- Increased adoption and use of clinical systems and care practices to improve health outcomes for people with diabetes.