Idaho Hypertension and Diabetes Improvement Project Funding Announcement Q&A Call

1. Idaho Hypertension and Diabetes Improvement Project Funding Announcement Q&A Call

2. Hypertension and Diabetes Improvement Project One Health Insights • One Health Insights • Practice facilitation • Quality improvement coaching • EHR/HIT optimization • Data informed workflows and protocols to implement EBIS

3. Hypertension and Diabetes Improvement Project Overview Goal of Funding: Improve chronic disease outcomes within Idaho patient populations aged 18-85 with prediabetes, type 2 diabetes, high blood cholesterol, elevated hypertension, and Stages 1-2 hypertension. Objectives - By June 29, 2020, the Subrecipient shall: Implement evidence-based strategies to reduce chronic disease in Idaho, especially in populations most burdened by type 2 diabetes and hypertension. Apply clinic systems quality improvement principles to implement evidence-based interventions for chronic disease prevention, management, and control in health systems and clinics.

4. Hypertension and Diabetes Improvement Project 1. Data Collection Subrecipients will report the following data elements to OHI:

5. Hypertension and Diabetes Improvement Project 2. Baseline Assessment In collaboration with OHI, subrecipients will complete a baseline assessment on the previously listed metrics: • Chart review • Electronic health record validation

6. Hypertension and Diabetes Improvement Project 3. Workplan Development Potential workplan activities: • Adherence to national guidelines • National Diabetes Prevention Program (National DPP) recognition and implementation • Diabetes Self-Management Education and Support/Training (DSMES/T) accreditation and implementation • Team-based care • Medication adherence tools • Utilization of health informatics • Self-Management support • Self-home blood pressure monitoring programs • Health literacy • Workflow redesign or development of policies and procedures to improve population-based health • Community and clinical-linked services • Other evidence-based interventions

7. Hypertension and Diabetes Improvement Project 4. Implement QI interventions 1. Execute workplan - Implement of evidence-based QI interventions for chronic disease prevention and management. Examples include: • Clinical assessments • Developing and implementing policies and workflows • Reducing systems level barriers to implementation • Providing training to staff 2.Monthly Plan-Do-Study-Act (PDSA) cycles

8. Hypertension and Diabetes Improvement Project Subgrant Expectations and Deliverables • Work with OHI to utilize data-informed workflows and protocols to implement EBIs • Establish a Business Associate Agreement (BAA with OHI) • Meet with OHI staff monthly (in-person or virtual) • Build relationships with PHDs, if not already established, and begin collaborating on chronic disease community-based screenings and referral programs. • Cite IDHW as a funding source in public presentations, posters, or media, using the statement, " This publication (journal article, etc.) was supported by the Cooperative Agreement Number, DP18-1815PPHF18, funded by the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention or the Department of Health and Human Services." • Prior to placement of any media buys or implementation of any community education plan through media mechanisms, develop and implement a media plan. The Subrecipient shall submit the plan to the DHDSP Health Program Manager for approval. • The DHDSP Program will schedule at least one in-person site visit will be scheduled with each Subrecipient. (This is in addition to the monthly meetings with OHI).

9. Hypertension and Diabetes Improvement Project Reporting Requirements • Finalized workplan due October 15, 2019 (Annually) • Submit monthly data and PDSA cycles as outlined in workplan to OHI • Submit quarterly reports to DHDSP on progress • Submit monthly invoices accompanied by a Fiscal Detail Report and Personnel detail report.

10. Hypertension and Diabetes Improvement Project Funding Restrictions • Funds may not be used for clinical, laboratory, or behavioral research. • Recipients may not use funds for clinical care, laboratory services, providing patient care, or for building projects. • Recipients may not use funds for the purchase of furniture or equipment. • Recipients may not use funds to supplant state, local or organizational funding. • Funds may not be used for lobbying, e.g. to influence legislation or intervene in any political campaign per Section 4002 of Public Law 111-148. • Recipients may only use funds for reasonable project purposes such as supplemental materials, costs associated with educational events or meetings, staff time, etc. • Recipients must perform a substantial role in carrying out the project objectives, not merely serve as a conduit to another party. • Recipients may not use funds to purchase or upgrade electronic health record (EHR) systems; minor changes to existing systems may be considered only in support of larger programmatic effort. • Reimbursement of pre-award costs is not allowed. • Subrecipients may not use funds for travel associated with trainings/conferences. The DHDSP Program will only pay for registration costs for trainings specifically tied to subgrant strategies. • Funding cannot be used to purchase food or beverages.

11. Hypertension and Diabetes Improvement Project

12. Hypertension and Diabetes Improvement Project FOA Application Review • Organizational Capacity (20 points) • Organizational Reach and Practices (30 points) • Roles and Responsibilities (20 points) • Proposed Budget (30 points) • Priority Counties (5 extra points) • Letter of Support (not scored) • Email completed applications to nicole.stickney@dhw.Idaho.gov by 5:00 pm (MT), May 31, 2019. • Documentation of all questions and responses for this solicitation will available on our Heart Disease and Stroke Prevention Webpage.

13. IDAHO DIABETES, HEART DISEASE PREVENTION & CONTROL Diabetes and Heart Disease Project Thank you! Questions? • Nicole Stickney, MHS (Subgrant Monitor) • Health Program Specialist • nicole.stickney@dhw.idaho.gov • Angie Bailey, MHSA • Health Program Manager • angie.bailey@dhw.idaho.gov • Mimi Fetzer, RD • Health Program Specialist • mimi.fetzer@dhw.idaho.gov