COMPONENT 1
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Environmental strategies to promote health and support and reinforce healthful behaviors
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Implement food and beverage guidelines including sodium standards (ie, food service guidelines for cafeterias and vending machines) in public institutions, worksites, and other key locations, such as hospitals |
Strengthen access to and sales of healthy foods (eg, fruit and vegetables, more low/no sodium options) in retail venues (eg, grocery stores, supermarkets, chain restaurants, markets) and community venues (eg, food banks) through increased availability and improved pricing, placement, and promotion |
Strengthen community promotion of physical activity though signage, worksite policies, social support, and joint-use agreements |
Develop and/or implement transportation and community plans that promote walking |
Strategies to build support for lifestyle change, particularly for those at high risk, to support diabetes, heart disease, and stroke prevention efforts
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Plan and execute strategic data-driven actions through a network of partners and local organizations to build support for lifestyle change. Implement evidence-based engagement strategies (eg, tailored communications, incentives) to build support for lifestyle change |
Increase coverage for evidence-based supports for lifestyle change by working with network partners |
COMPONENT 2
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Health system interventions to improve the quality of health care delivery to populations with the highest hypertension and prediabetes disparities
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Increase the adoption of electronic health records and the use of health information technology to improve performance (eg, implement advanced Meaningful Use data strategies to identify patient populations who experience cardiovascular disease–related disparities) |
Increase the institutionalization and monitoring of aggregated/standardized quality measures at the provider level (eg, use dashboard measures to monitor health care disparities, implement activities to eliminate health care disparities) |
Increase engagement of nonphysician team members (ie, nurses, pharmacists, dietitians, physical therapists and patient navigators/community health workers) in hypertension management in community health care systems |
Increase use of self-measured blood pressure monitoring tied with clinical support |
Implement systems to facilitate identification of patients with undiagnosed hypertension and people with prediabetes |
Community–clinical linkage strategies to support heart disease, stroke, and type 2 diabetes prevention efforts
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Increase engagement of community health workers to promote linkages between health systems and community resources for adults with high blood pressure and adults with prediabetes or at high risk for type 2 diabetes |
Increase engagement of community pharmacists in the provision of medication self-management for adults with high blood pressure |
Implement systems to facilitate bi-directional referral between community resources and health systems, including lifestyle change programs (eg, electronic health records, 800 numbers, 211 referral systems) |