2019 Direct Services Grant Program NOFA 2019 Direct Services NOFA

CARDIOVASCULAR DISEASE (HEART DISEASE AND STROKE) Cardiovascular disease (CVD) includes all types of diseases that affect the heart and blood vessels, including ischemic heart disease (also known as coronary artery disease, coronary heart disease or coronary microvascular disease), peripheral arterial disease, stroke, congestive heart failure, hypertension, atherosclerosis, and other CVD (e.g. aortic aneurysm, aortic dissection and diseases of the arteries, arterioles, and capillaries). According to the American Heart Association, cardiovascular disease attributes to 1 in 3 deaths in the United States (nearly 836,546 deaths). 12 CVD claims more lives than all forms of cancer and chronic lower respiratory disease combined. The direct and indirect costs of total cardiovascular diseases and stroke are estimated to total more than $329.7 billion. This includes costs due to health expenditures and loss of productivity. 12 CVD is the leading cause of death in Georgia, accounting for 29% of all deaths (21,831) in 2013. 13 In 2013, Georgia’s death rate due to CVD was 6% higher than the national rate, of which most of these deaths were premature and preventable. Each year, 136,000 years of potential life lost occurs in Georgia due to CVD. In 2013, the cost of CVD in Georgia totaled $6.3 billion. The age-adjusted mortality rate due to CVD is higher among Black males in Georgia (344.1 per 100,000), followed by White males (274.3 per 100,000), Black females (246.5 per 100,000), and White females (185.8 per 100,000). In 2012, approximately 133,419 hospitalizations occurred among Georgia residents due to CVD. The average length of hospital stay in Georgia was five days and the average charge per CVD- related hospitalization was $45,744. Because most of the CVD deaths in Georgia were due to heart disease (16,430) and stroke (3,665), the Direct Services Grant Program will place a greater emphasis on programs that address heart disease and stroke. Proposed programs that address CVD should utilize effective interventions with demonstrated impact. For example, the Guide to Community Preventive Services (The Community Guide) provides a list of evidence-based strategies to address CVD, including implementing clinical decision-support systems at the point-of-care, incorporating team-based care to improve blood pressure control, and using interventions engaging community health workers. 14 ___________________________ 12 Heart Disease and Stroke Statistics 2018 At-A-Glance. American Heart Association/American Stroke Association. Retrieved on June 11, 2019 from https://healthmetrics.heart.org/wp-content/uploads/2018/02/At-A-Glance-Heart-Disease-and-Stroke-Statistics- 2018.pdf. 13 Burden of Cardiovascular Disease in Georgia. Presentation to Chronic Disease University. Bayakly A., Director, Chronic Disease, Healthy Behaviors, and Injury Epidemiology Section. October 22, 2015. 14 The Community Guide. Retrieved on June 13, 2019 from https://www.thecommunityguide.org/topic/cardiovascular-disease . Healthcare Georgia Foundation ◼ 2019 Direct Services Grant Program NOFA ◼ Issued June 25, 2019 7

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