Mississippi Alliance for Cardiovascular Health Request for Application (RFA): Enhancing Community and Clinical Partnerships for Improved Blood Pressure Control (Health Systems)

Description

Through this RFA, the Heart Disease and Stroke Prevention Program will award up to 10 healthcare systems a contract for participating in the Mississippi Alliance for Cardiovascular Health (MACH) Learning Collaborative (LC). The MACH LC is designed to improve hypertension and cholesterol management in underserved communities by addressing social determinants of health, with goals centered on enhancing healthcare quality and accessibility. It builds on prior initiatives, such as the Chronic Disease Quality Improvement Initiative (CDQII), which has previously shown success in improving chronic disease management. This collaborative effort emphasizes the role of healthcare systems in working with community organizations to improve CVD outcomes and reduce disparities across Mississippi. Applications are evaluated based on organizational capacity, which includes the ability to secure a dedicated Community Health Worker, project management, data reporting capabilities, collaboration efforts, and resource availability. Successful applicants will form multidisciplinary teams, engage in regular learning sessions and operational site visits, and report monthly/quarterly on clinical and social data. The LC will utilize three main strategies:1. Identifying, Managing, and Treating: Focus on identifying patients at high-risk for