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February 2020

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Prevention First 1305 Project

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Published on January 30, 2017. Last modified on December 17, 2019

Prevention First Monterey County - Working together to promote health and prevent chronic disease

The Prevention First Project, which began January 1, 2015 and will conclude June 30, 2018, is funded by California Department of Public Health (CDPH) through the Centers for Disease Control and Prevention’s (CDC) State Public Health Actions to Prevent and Control Diabetes, Heart Disease, Obesity and Associated Risk factors and Promote School Health grant.

The Project focuses on two of CDC’s four domains of chronic disease prevention:

Domain 3: implement health systems interventions to improve the effective delivery and use of clinical and other preventive services related to heart disease; and

Domain 4: community-clinical service linkages so communities support and clinics refer patients to programs that improve management of chronic conditions in the area of diabetes.


The long term outcomes of this project include improved prevention and control of hypertension and diabetes, with specific strategies focusing on the promotion of better management, communication, tracking and sharing of health data, especially for reporting performance measures, and involving patients in self-management of diabetes and hypertension. The Prevention First project will engage a broad range of partners in a collaborative process to develop and conduct surveys (environmental scans) and utilize the survey findings to collaboratively develop and implement information sharing activities including presentations, articles in local health related publications and trainings or local learning area networks.

The Monterey County Health Department (MCHD) has partnered with California State University Monterey Bay to implement this project. The Quality Improvement Processes in Monterey County Health Care System (QIPMC) Survey was conducted in spring 2016 and has resulted in several reports which are being used by the county’s Safety Net to guide the development of training opportunities in the projects four focus areas:

  1. Electronic Health Record (EHR) implementation and use of EHRs for reporting on performance measures;
  2. developing or expanding the use of team-based care approaches;
  3. developing opportunities to expand the use of the National Diabetes Prevention Program; and
  4. promoting the engagement of Community health workers in the provision of high blood pressure and diabetes self-management programs.


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