Education Health and Research International, Inc

Chronic Disease Self-Management Education Program Grantee

Prevention and Public Health Fund 2022, effective May 1, 2022 1 of 2

Goals 

The overall purposes of this 3-year grant are to:

• Goal 1: Develop or expand capacity to 

significantly increase the number of 

older adults and adults with disabilities, 

particularly those in underserved 

areas/populations, who participate in 

evidence-based chronic disease selfmanagement education and selfmanagement support programs to 

empower them to better manage their 

chronic conditions.

• Goal 2: Enhance the sustainability of 

evidence-based chronic disease selfmanagement education and selfmanagement support programs 

through the implementation of robust 

sustainability strategies.

Strategies and Activities

EHRI and its partners will: 

• Embed CDSMEs into Title III nutrition 

programs, including home-delivered

meals and congregate meals.

• Engage and motivate older adult 

diabetics and those with other chronic 

conditions to participate.

• Recruit volunteers age 55+ with chronic 

conditions to train as peer leaders. 

• Enable virtual participation, including 

removing barriers due to disabilities and 

impairments.

• Train CDSME peer leaders in 

partnership with Delaware Division of 

Public Health (DPH). 

• Train EHRI’s Nurse Advocate and Reliant 

Care Solutions (RCS) staff in the 

HomeMeds program.

• Partner with key local stakeholders who 

will consider integrating CDSMEs as part 

of their treatment and exit plans.

Proposed Interventions

• Chronic Disease Self-Management

• Diabetes Self-Management

• HomeMeds

• Volunteers recruited and trained

• Technology use via DATI and others
2 of 2

Prevention and Public Health Fund 2022, effective May 1, 2022

Partnerships

To achieve the goals of the grant, EHRI will 

collaborate with the following key partners:

• DATI – Delaware Assistive Technology 

Initiative

• DPH – Delaware Division of Public 

Health

• DSAAPD – Delaware Division of Services 

for Aging and Adults with Physical 

Disabilities

• HomeMeds – Medication for in-home

services

• MMC – Modern Maturity

• La Red – FQHC

• Reliant Care Solutions

Anticipated Results

EHRI and its partners propose to achieve the 

following results: 

• Improved health of participating 

seniors, as measured by CDSMEsuggested assessment tools (e.g., blood 

sugar levels for diabetics; blood 

pressure for hypertensives).

• Enhanced sense of wellbeing in 

participants, as measured by surveys of 

participants compared to Meals on 

Wheels 2020 data cited above.

• Reduction of health costs among 

participants, as measured by reduced 

pm/pm costs.

• Greater government and payer 

integration, as measured by level of $ 

financial support for CDSMEs and SMPs.

• Greater CBO buy-in and support, as 

measured by the number of CBOs 

integrating CDSMEs and SMPS into their 

treatment and existing plans.

• Stronger platform for virtual delivery of 

CDSMEs.

Contact:

Lon Kieffer

EHRI

lkieffer@milfordwellnessvillage.com

For more information: 

Administration for Community Living 

U.S. Department of Health and Human Services

Washington, DC 20201

http://www.acl.gov