Chronic Disease Prevention and Control

Chronic Disease Prevention and Control


Tobacco is associated with six of the top 10 leading causes of death including cancer, heart disease, chronic lower respiratory disease, cerebrovascular disease, diabetes, and influenza/pneumonia.

Some of these diseases and conditions are more common in certain groups in Washington State including African Americans, American Indians/Alaska Natives, Native Hawaiian/Pacific Islanders, lesbian, gay or bisexual adults, and adults from lower income households. These groups also have disproportionately high rates of tobacco use.

Oral Health

The rate of dental caries among third-graders in the state does not meet the Health People 2020 goal for children ages six to nine. This has broad implications for not only oral health, but general health, over the life span. This resource calls out the importance of a Life Course approach to oral health in our efforts improve population health.

Oral health is inseparable from overall, systemic health. Oral diseases impact systemic health and quality of life. 



Over a quarter of the adult population in Washington State is considered obese. Adult obesity rates vary among Washington's counties, ranging from 13% to 46%. Adults who are obese or overweight are more likely to develop a number of serious diseases and to die at younger ages than people who are not obese or overweight. 

Read about obesity in the Population Health Guide, including Governor Jay Inslee's launch of the Healthiest Next Generation Initiative.



Common, serious, and costly in Washington State, diabetes is a complex condition related to harmful blood glucose levels. It is the leading cause of deaths in our state and a contributing factor to serious health outcomes such as amputations or blindness. Learn more from the Population Health Guide about current work and emerging issues.

The Population Health Guide provides information, tools and resources to promote population health initiatives in Washington State.

Adverse Childhood Experiences (ACEs)


    Adverse childhood experiences (ACEs) refers to traumatic events experienced in childhood that impact health over the lifespan. These include physical, emotional and sexual abuse, neglect, and/or family dysfunction. Learn more from the Population Health Guide about Specific ACEs linked to negative health outcomes in adulthood, including: experiencing homelessness, community violence, discrimination, and deportation or migration.


    ALL “GREAT 8” advice sheets (8 pages)

    The Great 8 Cardiovascular and Diabetes Healthy Heart Behaviors are recommended healthy behaviors for patients.

    1. Be active
    2. Eat well
    3. Practice wellness
    4. Check your blood pressure
    5. Understand your blood sugar numbers
    6. Know your cholesterol levels
    7. Steer clear of smoking/vaping
    8. Follow your doctor's recommendations

    Collaborative Care for Chronic Pain

    Collaborative Care for Chronic Pain

    Report and Recommendations from the Bree Collaborative

    Treatment of pain varies widely between systems and clinicians with high financial and human cost. Moving to a collaborative or team-based approach to managing complex pain has been shown to result in better patient outcomes. However, most approaches to pain management including chronic opioid therapy involved siloed health care providers. This workgroup met from January 2018 to January 2019 and defined minimum standards for:

    Six Building Blocks

    A Team-Based Approach to Improving Opioid Management in Primary Care

    This website introduces the Six Building Blocks, provides tools and resources for improving care, and offers implementation guidance. The Six Building Blocks can help anyone who is interested in improving the care of patients using long-term opioid therapy.

    QPP Crosswalk 2019 _updated 120318

    QPP Quality Measures Crosswalk for 2019

    The QPP Quality Measures Crosswalk was developed to assist providers with their practice transformation efforts. This tool is a crosswalk of measures and improvement activities shared across the Washington State Medicaid Transformation Project Demonstration, the Health Care Authority (HCA) Apple Health Contract Metrics, and the Medicare Quality Payment Program (QPP).

    Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents

    This initiative is possible through the collaboration of the CMS Innovation Center and the CMS Medicare-Medicaid Coordination Office.
    This effort aimed to improve the quality of care for people residing in long-term care (LTC) facilities by reducing avoidable hospitalizations.
    CMS supported organizations that each partnered with a group of LTC facilities to implement evidence-based clinical and educational interventions that both improved care and lowered costs.