Embed Size (px)
DESCRIPTION
A Vision for Michigan. What A Strategic Plan for Heart Disease and Stroke Means for You!. Questions Worth Answering. Why does Michigan need a heart disease and stroke (HDS) strategic plan? What does the HDS strategic plan contain? How can organizations use the HDS strategic plan?. - PowerPoint PPT Presentation
Citation preview
What A Strategic Plan for
Heart Disease and Stroke Means for You!
A Vision for A Vision for MichiganMichigan
Questions Worth AnsweringQuestions Worth Answering
• Why does Michigan need a heart disease and stroke (HDS) strategic plan?
• What does the HDS strategic plan contain?
• How can organizations use the HDS strategic plan?
Why Does Michigan Need a Why Does Michigan Need a Heart Disease and Stroke Heart Disease and Stroke
Strategic Plan?Strategic Plan?
Leading Causes of Death in Michigan, 2006Source: MDCH Division of Vital Records and Health Statistics, 2006.
1,673
2,331
2,823
3,557
4,471
4,746
20,166
24,223
0 5,000 10,000 15,000 20,000 25,000 30,000
Influenza/Pnemonia
Alzheimer's disease
Diabetes
Accidents (unintentional injuries)
Chronic Lower RespiratoryDiseases
Stroke
Cancer
Heart Disease
Number of Deaths
Age-adjusted Mortality Rates by Race for Heart Disease for Michigan and the United States, 1990-2006.
Source: MDCH Vital Statistics
0
50
100
150
200
250
300
350
400
450
500
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Year
Ag
e-A
dju
ste
d R
ate
pe
r 1
00
,00
0
Michigan White
Michigan Black
U.S. White
U.S. Black
Age-adjusted mortality rates by race for stroke for Michigan and the United States, 1990-2006.
Source: MDCH Vital Statistics
0
10
20
30
40
50
60
70
80
90
100
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Year
Ag
e-A
dju
ste
d R
ate
pe
r 1
00
,00
0
Michigan White
Michigan Black
U.S. White
U.S. Black
Age-adjusted five-year mortality rates for heart disease by county, 2002-2006.Source: MDCH Vital Statistics
ArenacBayClareGladwinOgemaw
Age-adjusted five-year mortality rates for stroke by county, 2002-2006.Source: MDCH Vital Statistics
Ogemaw
Sanilac
Percentage of Michigan Adults with CVD Risk Factors, 1990-2008
With Comparison to 2008 National BRFSS Data
RISK FACTOR 1990 1996 2002 2008 US 2008
2008 NATIONAL RANKING
Current Smoking 29.2 25.6 24.1 20.2 18.2 15 tied
Blood Pressure:
Ever Told High 23.3 23.8 NS 28.6 2007 27.5 2007 17 2007
Cholesterol:
Ever Told High 27 30.1 NS 39.9 2007 37.5 2007 5 2007
Overweight (BMI>25) 47.4 54.7 62.1 65.3 63.1 16 tied
Obese (BMI>30) 14.1 18.3 25.2 30.1 26.6 8 tied
Fruits & Vegetables: <5 servings/day NS 77.9 77.4 78.3 75.7 2007 14 2007
No Leisure Time Physical Activity NS 23.1 24.3 25.1 24.8 23
Diabetes NS 5.3 8.1 9.0 8.2 17
Age-adjusted prevalence of having up to seven risk factors among adults, 18 and over,
in Michigan, 2007.Source: Michigan Behavioral Risk Factor Survey (BRFS)
None2.9%
Six3.0%
Seven0.3%
Five9.0%
Four18.6%
Three26.4%
Two25.9%
One13.9%
• The Impact of Heart Disease and Stroke in Michigan: 2008 Report on Surveillance is available electronically at:– www.michigan.gov/cvh– www.michigan.gov/cvhepi
• Contact:– Beth Anderson
• An annual CVD Fact Sheet is available electronically at:– www.michigan.gov/cvh
What Does the Heart What Does the Heart Disease and Stroke Disease and Stroke
Strategic Plan Contain?Strategic Plan Contain?
• History of Statewide CVD Prevention Initiatives
• The Importance of Collaboration • Outline of the Priorities,
Objectives and Strategies and an Evaluation Plan
• Heart Disease and Stroke Prevention Resources
ContentsContents
Strategic Planning Strategic Planning Background, Objectives Background, Objectives
and Strategiesand Strategies
How Can Organizations Use How Can Organizations Use the HDS Strategic Plan? the HDS Strategic Plan?
Strategies Identified for Strategies Identified for Year One ImplementationYear One Implementation
• Public Awareness– Utilize existing heart disease & stroke
resources– Target high-risk groups– Develop response plan for cardiovascular
emergencies– Utilize existing high blood pressure and
cholesterol management resources
Strategies Identified for Strategies Identified for Year One ImplementationYear One Implementation
• Professional Education– Reinforce standards & treatment guidelines– Disseminate evidence-based protocols &
guidelines– Incorporate culturally sensitive materials– Utilize patient tracking & progress tools
Strategies Identified for Strategies Identified for Year One ImplementationYear One Implementation
• Systems Change– Promote programs reducing disparities– Ensure consistent messaging– Collaborate to improve healthcare in Michigan– Educate policy & decision makers on CVD
costs, burden, and prevention
Call to Action!Call to Action!
What Your Organization Can What Your Organization Can Do!Do!
HospitalHospitalProvide in-service to reinforce evidence-based
guidelinesSupport projects to improve the quality and
delivery of heart disease and stroke servicesOffer community education on prevention Make space available for self-management
workshopsProvide healthy foodsProvide community screenings, education and
referrals for high blood pressure and high cholesterol
Healthcare ProviderHealthcare Provider Participate in projects utilizing the Chronic Care Model and/or
the Patient Centered Medical Home Implement health information technology in your practice Refer uncontrolled hypertensive patients to a hypertension
expert Diagnose and treat patients according to established guidelines Provide awareness and prevention material to patients Encourage patient self-management Utilize tools to improve the quality of care for heart disease or
stroke Encourage the use of underutilized resources that support heart
disease and stroke prevention
Health PlanHealth PlanOffer policy options and/or plan redesign to
incentivize consumersProvide disease management services to enrolled
membersMake provider performance outcomes available and
encourage incentivesPromote system change initiatives leading to
improved careOffer prevention and other educational material
Local Public Health Local Public Health DepartmentDepartment Utilize lay health educators/community
health workers Provide information about and/or access to
care for the uninsured or underinsured Advocate for policy and environmental
changes to improve cardiovascular health Provide community screenings, education
and referrals
WorksiteWorksite Educate employees about their benefit package Offer onsite wellness programs, educational
materials, and information about community resources
Establish a smoke-free workplace policy and subsidize smoking cessation classes
Offer healthy food options Provide training in the use of AEDs and CPR Develop an emergency plan for cardiovascular
events
Community GroupCommunity Group Advocate for policy and environmental
changes to improve cardiovascular health Become informed about EMS services Advocate and support funding for initiatives
to improve CVD care and EMS response Participate in statewide campaigns
regarding management of high blood pressure and cholesterol
Disseminate information about local community CVD resources and services
Faith Based OrganizationFaith Based Organization
Provide education and resources on cardiovascular disease and risk factors
Offer training in the use of AEDs and CPR Give educational materials to members on
the signs/symptoms of heart attack and stroke and the importance of calling 9-1-1
MichiganianMichiganian Become an informed, empowered
consumer of healthcare services Obtain healthcare from professionals
who provide comprehensive, holistic care Follow instructions from providers
regarding screening, treatment and referrals
Know the signs and symptoms of heart attack and stroke and when to call 9-1-1
What You Can DoWhat You Can Do
Review strategic plan Use strategies to guide program focus Collaborate with partners and integrate
existing resources and programs Implement Call to Action! ideas Endorse the strategic plan Stay involved!
QuestionsQuestionsHeart Disease and Stroke Prevention UnitVelma Theisen, MSN, RN, Unit Manager
• Beth Anderson, MPH
Heart Disease & Stroke Epidemiology
[email protected]• Christi Demitz, MSW
MiCA, Worksite Initiatives
[email protected]• Patricia Heiler, MPH
Hypertension, Hyperlipidemia & Sodium Reduction Initiatives
[email protected]• Henry Miller, MPH
Evaluation, GIS
• Jill Scott-Gregus
Project Assistant
• Stacey Stoeckle-Roberts, RN, MS, CPHQ
Stroke Registry, Quality Improvement Initiatives
• Eileen Worden, RN
EMS, Stroke & STEMI Initiatives
