2019 Direct Services Grant Program NOFA 2019 Direct Services NOFA

Diabetes Example Activities • Educate individuals on controllable diabetes behavioral risk factors (i.e. unhealthy diet, physical inactivity, tobacco exposure or use) • Implement strategies that improve access and adherence to diabetes medications and devices. • Implement strategies to lower high blood glucose (HbA1C) levels • Provide team-based care for patients with diabetes • Implement strategies to improve blood pressure among people with diabetes • Provide self-management education and/or strategies on diabetes education programs for people with pre- diabetes and/or diabetes • Conduct health promotion campaigns targeting specific populations focused on diabetes • 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 • 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 diabetes risk factors 22 Example Short-Term Outcomes • Reduce behavioral risk factors among vulnerable populations • Increase in knowledge of healthy behaviors and comorbidities • Increase diabetes-related healthy behaviors (i.e. increased physical activity, healthy diet, annual eye exams, etc.) • Increase the number of individuals whose HbA1C levels are under control and within normal ranges • Increase the number of healthcare providers that utilize evidence-based programs and guidelines to diagnose, manage, and treat diabetes • Increase the number of diabetics whose blood pressure is under control and within normal ranges • Increase/change in knowledge and awareness of diabetes management • Increase/change in provider/workforce knowledge of how to provide culturally competent care • Increase access to care for clients with Limited English Proficiency • Increase in number of patients newly diagnosed with diabetes referred to the appropriate diabetes management program • Decrease in hospital and/or ER visits for diabetic related complications • 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 diabetes

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