2019 Direct Services Grant Program NOFA 2019 Direct Services NOFA

Cardiovascular disease (heart disease and stroke) Example Activities • Educate individuals on controllable CVD behavioral risk factors (i.e. unhealthy diet, physical inactivity, tobacco exposure or use) • Implement strategies that address nutrition, physical activity, smoking for those with prehypertension and/or hypertension (who meet the recommended guidelines for BMI) • Implement strategies that improve access and adherence to CVD medications (i.e. anti-hypertensive and/or lipid- lowering prescription medications) • Educate individuals on controllable (i.e. high blood pressure, high cholesterol, overweight/obesity) CVD biological risk factors • Implement strategies to improve blood pressure and/or lower cholesterol • Provide team-based care for patients with CVD • Provide self-management education and/or strategies on regularly checking blood pressure and/or cholesterol • Educate individuals on CVD risk factors (i.e. smoking, lack of physical activity, being overweight or obese, high BP and/or cholesterol, poor diet and eating habits, and diabetes) • Conduct health promotion campaigns targeting specific populations focused on CVD • Provide cultural competency assessments, data collection, trainings, workshops, and/or webinars for healthcare providers/workforce • Use of interpreter services or bilingual providers for clients with Limited English Proficiency • Educate patients on the symptoms of and how to respond to a heart attack and/or stroke • Integrate care management strategies • Expand access to home visits by licensed professionals or qualified lay health workers • Implement strategies to address the social determinants of health • Develop local policies and regulations that reduce associated CVD risk factors 21 Example Short-Term Outcomes • Increase in knowledge of healthy behaviors and comorbidities • Increase/change in behavior modification • Reduce behavioral risk factors among vulnerable populations • Decrease the number of prehypertension and/or hypertension patients who meet recommended guidelines for BMI • Increase in adherence to prescribed medications and/or devices • Increase/change knowledge of disease management among those at risk for CVD • Increase the number of individuals whose blood pressure and/or cholesterol is under control and within normal ranges • Increase the number of healthcare providers that utilize evidence-based programs and guidelines to diagnose, manage, and treat CVD • Increase/change knowledge of disease management among those at risk for CVD • Increase/change knowledge of CVD risk factors among target population • Increase/change in provider/workforce knowledge of how to provide culturally competent care • Increase access to care for clients with Limited English Proficiency • Increase/change in knowledge/skills/ability of individuals able to respond to a heart attack and/or stroke • Decrease in hospital and/or ER visits for patients with CVD • Increase care management between healthcare providers and other community sectors • Increase access to care for vulnerable populations • Increase the number of leveraged partnerships with state, local and federal public health agencies to shape policy and programs that impact CVD

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