Healthy Living through Environment, Policy and Improved Clinical Care (EPICC) program was formed in July, 2013 through the merging of three existing Bureau of Health Promotion programs and the addition of one new program. The previous Heart Disease and Stroke Prevention Program (HDSPP); Diabetes Prevention and Control Program (DPCP)l; Physical Activity, Nutrition and Obesity (PANO); and newly added School Health programs were merged through a new funding opportunity from the Centers for Disease Control and Prevention (CDC).
EPICC is organized into four health domains, as defined by the CDC. The four domains are: (1) Epidemiology and Surveillance; (2) Environmental Approaches that Promote Health; (3) Health Systems and (4) Community-Clinical Linkages. The health domains somewhat align with the old disease specific programs, however the focus is much more integrated and collaborative.
- Domain 1 is overarching and included in Domains 2-4.
- Domain 2 activities include physical activity, nutrition and school health environment and policy work.
- Domain 3 activities include working with health systems to improve blood pressure and A1C levels by improving quality of care thru pharmacy interventions, medication adherence projects, and BP home monitoring.
- Domain 4 activities include chronic disease self -management programs and managing chronic diseases among students at school.