Colorado’s coordinated chronic disease work

We take an integrated approach to chronic disease prevention. In partnership with health systems and providers, local public health agencies, nonprofit organizations, quality improvement networks and others, we are committed to reducing the burden of chronic disease in Colorado through strategic efforts.

The Four Domains: a public health approach

To optimize public health’s efficiency and effectiveness, the Centers for Disease Control and Prevention (CDC) catalogs chronic disease prevention efforts in four key domains. The four domains help us identify service gaps, leverage resources and better organize and focus our work.

Domain 1: epidemiology and surveillance

Collect, analyze, and disseminate data to inform, prioritize, and monitor programs and population health.

Domain 2: environmental approaches

Provide opportunities, support, and cues to help people develop healthier behaviors through policy and changes to physical and social environments.

Domain 3: health systems interventions

Improve delivery and use of quality clinical services and tools to enable early detection and effective prevention and management of disease.

Domain 4: community-clinical linkages

Ensure individuals with or at high risk of chronic diseases have access to effective community resources to prevent or manage disease and improve quality of life.

Related programs and partners

Cancer, Cardiovascular and Chronic Pulmonary Disease Grant Program

Health Disparities Grant Program

Tobacco Education, Prevention and Cessation Grant Program


Million Hearts®



CDPHE receives state public actions grant funding from the Centers for Disease Control and Prevention to implement evidence-based prevention and control strategies across four domains of public health. By coordinating our approaches, we can improve the health and quality of life for all Coloradans.