HDSP works with federal and state partners to help health systems address social support needs and economic factors by connecting people at risk for cardiovascular disease to services and support that promote better health outcomes. The HDSP used Geographic Information System (GIS) mapping technology to identify census areas in Texas with populations at high risk for cardiovascular conditions. The Texas Cardiovascular Disease Learning Collaborative provides support to HDSP program contractors.

HDSP program strategies focus on populations where over half of all adults have high blood pressure, have a high risk for cardiovascular disease, and face external social factors that may impact their health. Our work includes:

• Helping clinics use electronic health records and standardized e-referral tools to find people at high risk for heart disease, improve care, and support wellness activities. 
• Building care teams and partnerships with different types of healthcare and social service providers to find out what support patients need and help them manage their blood pressure and cholesterol. 
• Connecting networks of community, social need, and clinical care resources to help people manage blood pressure and cholesterol in accessible clinic settings and in the comfort of their own home.