Illinois Public Health Institute

CNP HEALTHY MEALS INCENTIVE

INNOVATIVE STATE AND LOCAL PUBLIC HEALTH STRATEGIES TO PREVENT AND MANAGE DIABETES AND HEART DISEASE AND STROKE

ILLINOIS STATE PHYSICAL ACTIVITY AND NUTRITION PROGRAM (ISPAN)

COOK COUNTY COLLABORATION TO ADVANCE REACH, EQUITY AND SYSTEMS FOR DIABETES PREVENTION & MANAGEMENT (COOK COUNTY CARES) - PREDIABETES AND DIABETES ARE LEADING PUBLIC HEALTH PROBLEMS IN COOK COUNTY, ILLINOIS, WITH 9.9% OF ADULTS DIAGNOSED WITH DIABETES AND AN ESTIMATED 1.3 MILLION ADULTS WITH PREDIABETES. THROUGHOUT CHICAGO AND COOK COUNTY, THERE ARE DISPARITIES IN DIABETES PREVALENCE BY RACE/ETHNICITY, INCOME AND DISABILITY. WORKING TO PREVENT AND MANAGE DIABETES IN HIGH-RISK PRIORITY POPULATIONS AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH IS VITAL TO IMPROVING HEALTH AND EQUITY. IN RESPONSE TO COMPONENT B OF THE NOTICE OF FUNDING OPPORTUNITY, THE COOK COUNTY COLLABORATION TO ADVANCE REACH, EQUITY AND SYSTEMS FOR DIABETES PREVENTION AND MANAGEMENT (COOK COUNTY CARES) PROJECT AIMS TO DECREASE THE RISK OF TYPE 2 DIABETES AMONG ADULTS WITH PREDIABETES, IMPROVE SELF-CARE PRACTICES AND QUALITY OF CARE FOR PEOPLE WITH TYPE 2 DIABETES, AND WORK TO DECREASE BODY MASS INDEX (BMI) FOR CHILDREN AND CAREGIVERS IN HIGH-RISK POPULATIONS IN COOK COUNTY, ILLINOIS. TO ACHIEVE THIS, THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) WILL INCREASE CAPACITY AND DEVELOP SYSTEMS TO LAUNCH AND SCALE A CONTINUUM OF DIABETES PREVENTION AND MANAGEMENT PROGRAMS. IPHI WILL 1) LEVERAGE PARTNERSHIPS WITH ORGANIZATIONS WORKING IN PRIORITY COMMUNITIES TO CULTURALLY TAILOR THE PROGRAM RECRUITMENT, DELIVERY AND RETENTION EFFORTS; AND 2) DEVELOP COUNTY-WIDE AND/OR REGIONAL SYSTEMS DESIGNED TO SUSTAIN AND SUPPORT LONG-TERM GROWTH OF DIABETES PREVENTION AND MANAGEMENT PROGRAMS. LED BY IPHI, COOK COUNTY CARES WILL BUILD ON SUCCESSES IN LAUNCHING, EXPANDING, AND CREATING PATHWAYS TO NDPP SUSTAINABILITY IN CHICAGO THAT WERE FUNDED BY THE CDC 1817 COOPERATIVE AGREEMENT. IPHI WILL EXPAND EFFORTS GEOGRAPHICALLY TO PRIORITY POPULATIONS IN SUBURBAN COOK COUNTY AND BROADEN THE CONTINUUM OF SERVICES AVAILABLE TO INCLUDE DSMES (NOFO STRATEGY 1) AND FAMILY-CENTERED CHILDHOOD OBESITY INTERVENTION PROGRAMS (NOFO STRATEGY 8) IN ADDITION TO NDPP (NOFO STRATEGY 5) IN CULTURALLY TAILORED AND ACCESSIBLE WAYS FOR PROGRAM PARTICIPANTS. THE PROJECT WILL ALSO INCREASE THE DIABETES WORKFORCE’S CAPACITY TO ADDRESS SDOH (NOFO STRATEGY 13). IPHI PROPOSES TO WORK IN COOK COUNTY, ILLINOIS AS THE “HIGH NEED” COUNTY FOR THIS PROPOSAL, REACHING NEARLY A THIRD OF THE 5.1 MILLION RESIDENTS WHO MEET THE PROPOSED PRIORITY POPULATION CRITERIA OF PEOPLE WHO IDENTIFY AS BLACK, INDIGENOUS, PEOPLE OF COLOR (BIPOC), PEOPLE WITH LOWER INCOMES, AND PEOPLE WHO LIVED IN IDENTIFIED GEOGRAPHIES THAT HAVE DIABETES RATES OVER 10% AND SOCIAL-VULNERABILITY INDICES IN THE TOP 40% OF THE STATE OF ILLINOIS.

ILLINOIS STATE PHYSICAL ACTIVITY AND NUTRITION (ISPAN) PROGRAM - THE ILLINOIS STATE PHYSICAL ACTIVITY AND NUTRITION (ISPAN) PROGRAM WILL LEVERAGE THE SYSTEMS SUPPORTS, INFRASTRUCTURE AND CAPACITY ESTABLISHED THROUGH THE FIRST ROUND OF ISPAN FUNDING, AND A DEEP NETWORK OF PARTNERS ENGAGED THROUGH THE ILLINOIS ALLIANCE TO PROMOTE OPPORTUNITIES FOR HEALTH (IAPOH), A STATEWIDE MULTISECTOR CHRONIC DISEASE PREVENTION COALITION, TO DRIVE STATE-LEVEL POLICY/SYSTEMS CHANGE AND SUPPORT REGIONAL IMPLEMENTATION OF ACTIVITIES TO IMPROVE DIETARY AND PHYSICAL ACTIVITY BEHAVIORS AND REDUCE DISPARITIES IN CHRONIC HEALTH CONDITIONS, ESPECIALLY AMONG PRIORITY POPULATIONS. LED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI), IN COLLABORATION WITH THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH (IDPH) AND OTHER STATE AGENCIES, AND THE EXPANSIVE IAPOH PARTNER NETWORK, THE ISPAN INITIATIVE WILL WORK TO ALIGN INITIATIVES AND ENSURE THE EQUITABLE IMPLEMENTATION OF SPAN STRATEGIES STATEWIDE WHILE ALSO PROVIDING FUNDING AND TECHNICAL ASSISTANCE TO AT LEAST TWO PRIORITY GEOGRAPHIC REGIONS TO ADVANCE COMMUNITY-TAILORED, CULTURALLY-RESPONSIVE IMPLEMENTATION OF NUTRITION AND PHYSICAL ACTIVITY INTERVENTIONS IN COMMUNITIES. IAPOH WILL LEVERAGE THE SPAN INITIATIVE TO EMPLOY A COLLECTIVE IMPACT MODEL GROUNDED IN HEALTH EQUITY APPROACHES TO CENTER COMMUNITY VOICE AND ENHANCE DECISION-MAKING POWER BY COMMUNITY-BASED ORGANIZATIONS (CBOS) AND COALITIONS IN DRIVING SPAN IMPLEMENTATION. PRIORITY REGIONS WILL USE HEALTH EQUITY ASSESSMENT FINDINGS TO IMPLEMENT STRATEGY APPROACHES TAILORED TO THE UNIQUE NEEDS, ASSETS, AND CIRCUMSTANCES OF THE COMMUNITIES THEY SERVE. THIS ENHANCED STATEWIDE INFRASTRUCTURE AND TAILORED REGIONAL APPROACHES WILL RESULT IN INCREASED ACCESS TO NOURISHING FOODS THROUGH THE IMPLEMENTATION OF FOOD SERVICE GUIDELINES, FRUIT/VEGGIE VOUCHER AND RX PROGRAMS, INCREASED CHEST/BREASTFEEDING CONTINUITY OF CARE, IMPROVED POLICIES, PLANS AND COMMUNITY DESIGN CHANGES THAT INCREASE PHYSICAL ACTIVITY (PA), AND IMPROVED PRACTICES BY CHILDCARE PROVIDERS THAT SUPPORT NUTRITION, PA AND FARM TO ECE. THESE ACTIVITIES WILL LEAD TO THE LONG-TERM PROJECT OUTCOMES OF IMPROVED HEALTH BEHAVIORS AND OUTCOMES, AND REDUCED HEALTH DISPARITIES IN CHRONIC CONDITIONS. IPHI, A NON-PROFIT 501(C)3, ADDRESSES CRITICAL PUBLIC HEALTH ISSUES AND ADVANCES INNOVATION THROUGH DOZENS OF COLLABORATIONS AND PARTNERSHIPS. WITH A $10 MILLION PLUS BUDGET, IPHI HAS THE ORGANIZATIONAL, ADMINISTRATIVE, AND PROGRAMMATIC CAPABILITIES TO COMPLETE THE NOFO ACTIVITIES, INCLUDING LEADING LARGE, COMPLEX SYSTEMS CHANGE AND CAPACITY-BUILDING PROJECTS, ENGAGING PARTNERS IN COLLABORATION, CONTRACTING, AND MONITORING DELIVERABLES AND COMPLIANCE. IPHI CURRENTLY MANAGES TWO (CDC) FEDERAL COOPERATIVE AGREEMENTS.