Advancing health equity for priority populations with or at risk for diabetes in pennsylvania - the pennsylvania department of health (DOH) is applying for component a of a strategic approach to…

Advancing health equity for priority populations with or at risk for diabetes in pennsylvania - the pennsylvania department of health (DOH) is applying for component a of a strategic approach to advancing health equity for priority populations with or at risk for diabetes (CDC-RFA-DP-23-0020) cooperative agreement. The proposed geographical area of focus for implementation of strategies is pennsylvania; the DOH is located in pennsylvania at physical address 625 forster street, harrisburg, PA 17120. As the state's department of health, the DOH has a demonstrated ability to serve all populations and communities within the state. The DOH will collaborate with multiple partners to implement and evaluate activities under six diabetes management and type 2 diabetes prevention and risk mitigation strategies, based on interventions grounded in scientific and practice-based evidence. Activities will decrease risk for type 2 diabetes among adults at high risk; improve selfcare practices, quality of care, and early detection of complications among priority populations with diabetes; and support implementation of family-centered childhood obesity interventions to reduce risk for type 2 diabetes. Work will focus on reducing health disparities for priority populations. To achieve maximum reach and impact, the DOH has used a three-tiered approach to identify priority populations that aligns with state selected strategies. Tier 1 identifies pennsylvanians with high burden of diabetes, prediabetes, and modifiable risk factors throughout the state, tier 2 identifies high need counties and localities, and tier 3 identifies populations experiencing specific health disparities historically linked to discrimination or exclusion. Throughout the project period, the DOH will work to increase the number of organizations implementing evidence-based community behavioral change programs; increase adaptation/tailoring of effective programs for priority populations; increase the number patients screened and referred to community resources; increase social determinants of health (sdoh) screening in clinical settings; increase participation in evidence-based community behavioral change programs; and, increase multi-directional communication between clinical and community resources. These outcomes will be accomplished by strengthening self-care practices by improving access, appropriateness, and feasibility of diabetes self-management education and support (dsmes) services; improving acceptability and quality of care for priority populations with diabetes; increasing enrollment and retention of priority populations in the national diabetes prevention program (DPP) lifestyle intervention and the medicare DPP by improving access, appropriateness, and feasibility of the programs; implementing, spreading, and sustaining the healthy weight and your child family-centered childhood obesity intervention; increasing and sustaining dsmes and national DPP delivery sites within pharmacy networks and chain pharmacies; and, improving the capacity of the diabetes workforce to address factors related to the sdoh that impact health outcomes for priority populations with and at risk for diabetes. All activities and progress towards outcomes will be measured, tracked, and analyzed through data collection. Data analysis will provide feedback on successes and challenges discovered in program initiatives and will inform decisions on program improvement. The goal of these coordinated efforts will be to achieve long-term reductions in the proportion of people with diabetes with an A1C>9%; an increase in the number of program completers served by CDC-recognized national DPP delivery organizations who reduce their risk for type 2 diabetes; and a reduction in percent of the 95TH percentile body mass index (BMI) and percent of median BMI in children, improvement in pediatric quality of life, and decrease in BMI among caregivers.