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2012 Prevention and Public Health Funds: Empowering Older Adults and Adults with Disabilities through Chronic Disease Self-Management Education Programs

Purpose and Background

The Empowering Older Adults and Adults with Disabilities through Chronic Disease Self-Management Education Programs (CDSME) funding opportunity is financed through the 2012 Affordable Care Act Prevention and Public Health Fund (PPHF).

CDSME programs provide older adults and adults with disabilities with education and tools to help them better manage chronic conditions such as diabetes, heart disease, arthritis, HIV/AIDS and depression.

The PPHF CDSME cooperative agreements are designed to achieve two major goals:

  • Goal 1: Significantly increase the number of older and/or disabled adults who complete evidence-based CDSME programs to maintain or improve their health status.
  • Goal 2: Strengthen and expand integrated, sustainable service systems within States to provide evidence-based CDSME programs.

These grants are also supportive of the Health and Human Services Strategic Framework on Multiple Chronic Conditions in bringing to scale and enhancing sustainability of evidence-based self-managment programs.

  • To help embed the programs into existing long-term care and health systems, State Units on Aging and State Public Health departments are working together to develop sustainable service systems. Six states selected their State Public Health Department as the lead and 16 states have a State Unit on Aging lead.
  • Grantees are working with other State agencies and with local agencies on aging, health departments, Centers for Independent Living, minority organizations and other local partners to expand their services systems.
  • To help build their sustainable infrastructures, grantees are utilizing diverse strategies including:
    • embedding programs within Affordable Care Act initiatives such as care transitions and medical homes,
    • partnering with Medicaid and other health insurance providers,
    • pursuing accreditation and Medicare reimbursement for Diabetes Self-Management Training
    • collaborating with Federally Qualified Health Centers, Veterans Administration Medical Centers and other healthcare organizations, and
    • teaming up with non-traditional partners such as the State Department of Corrections and State and Local mental health agencies.

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Funding History

  • On September 20, 2012, 22 states were awarded over $8.58 million in cooperative agreements.
  • The three-year project period ends August 31, 2015. However, years 2 and 3 of this project depend on the continued availability of funding.
  • To see a list of the grantees and their funding amounts, go to the PPHF Chronic Disease Self-Management Education Program State Funding Table.

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Current Activities and State Profiles

As of March 2013, the CDSME grantees had hosted a total of 800 workshops and provided workshops to almost 9,000 participants in the first six months of their cooperative agreements. Building upon the delivery service systems funded by prior AoA-funded grants since 2006, to date over 164,000 individuals have benefited from chronic disease self-management education programs. Over 60% of the participants reported having more than one chronic condition. The most common conditions among the participants are hypertension (44%), arthritis (41%) and diabetes (31%). The average age of a CDSME participant is 66 years.

In addition to the English version of Stanford University’s Chronic Disease Self-Management Program (CDSMP) , the 22 current grantees are also providing the Tomando Control de su Salud (Spanish version of CDSMP), the Diabetes Self-Management Program (DSMT) , Tomando Control de su Diabetes (Spanish Diabetes Self-Management Program), the Arthritis Self-Management Program , Positive Self-Management Program for HIV, the Chronic Pain Self-Management Program and two online programs: Better Choices, Better Health, and Better Choices, Better Health for Diabetes.

To learn more about the 22 funded states, click on the links below. These profiles summarize each state’s goals, partnerships, key components and anticipated results as provided in their applications.

These profiles also provide contact information for individuals interested in participating in a class or in learning more about the education programs.

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Resources and Useful Links

For more information please access these links:

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2012 Prevention and Public Health Fund
Chronic Disease Self-Management Education Program Awardees

StateAward Amount
NEW JERSEY$569,456
New Mexico$200,000
NEW YORK$575,000
Rhode Island$200,000

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