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Cardiovascular Disease CVD in Texas

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Cardiovascular Disease (CVD) in Texas. Philip Huang, MD, MPH ... 1,422,000 Texas adults reported that they have had heart disease or stroke in 2005 ... – PowerPoint PPT presentation

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Title: Cardiovascular Disease CVD in Texas


1
Cardiovascular Disease (CVD) in Texas
  • Philip Huang, MD, MPH
  • Texas Department of State Health Services

2
Overview
  • Burden of CVD
  • Mortality
  • Morbidity
  • Economic Cost
  • Risk Factors
  • Quality/Performance
  • HEDIS
  • EMS
  • Strategies to Address

3
Burden of CVD
  • Leading cause of death in Texas and in the United
    States
  • 34 of all deaths in Texas
  • 1,422,000 Texas adults reported that they have
    had heart disease or stroke in 2005

4
MORTALITY DATA
5
Mortality Data
  • Death certificate data were compiled and
    tabulated by the Statistical Services Division of
    the Texas Vital Statistical Unit (VSU)
  • All death rates are age-adjusted using the 2000
    US standard population

6
Data Source Texas Vital Statistical Unit (VSU),
Texas Department of State Health Services, 2004
7
Data Source Texas Vital Statistical Unit (VSU),
Texas Department of State Health Services, 2004
8
Data Source Texas Vital Statistical Unit (VSU),
Texas Department of State Health Services, 2004
9
Data Source Texas Vital Statistical Unit (VSU),
Texas Department of State Health Services, 2004
10
Trends of Heart Disease
Data Source Texas Vital Statistical Unit (VSU),
Texas Department of State Health Services,
1969-2004
11
Trends of Stroke
Data Source Texas Vital Statistical Unit (VSU),
Texas Department of State Health Services,
1969-2004
12
Data Source Texas Vital Statistical Unit (VSU),
Texas Department of State Health Services,
1990-2004
13
Data Source Texas Vital Statistical Unit (VSU),
Texas Department of State Health Services,
1999-2004
14
Mortality Data-Ischemic Heart Disease
Ischemic Heart Disease 6 Year Average Age-Adjuste
d Mortality Rates, 1999-2004
Data Source Texas Vital Statistical Unit (VSU),
Texas Department of State Health Services,
1999-2004
15
Data Source Texas Vital Statistical Unit (VSU),
Texas Department of State Health Services,
1999-2004
16
Mortality Data-Stroke
Stroke 6-Year Average Age-Adjusted Mortality Rat
es,1999-2004
Data Source Texas Vital Statistical Unit (VSU),
Texas Department of State Health Services,
1999-2004
17
Hospital Discharge Data
  • 2000 - 2004

18
Hospital Discharge Data
Data Source Texas Health Care Information
Collection (THCIC), Department of State Health
Services, 2005
19
Data Source Texas Health Care Information
Collection (THCIC), Department of State Health
Services, 2000-2003
20
Estimated Hospital Charges
21
Data Source Texas Health Care Information
Collection (THCIC), Department of State Health
Services, 2000-2003
22
Data Source Texas Health Care Information
Collection (THCIC), Department of State Health
Services, 2000-2003
23
Medicaid Claims Data for Cardiovascular Disease
Texas, 2005
The data is based on paid Medicaid claims for
Fee-For-Service (FFS) and Patient Care Case
Management (PCCM) clients. It does not include
information on individuals served by Medicaid
HMOs or those served by STARPLUS.
This information is derived from paid or partial
ly paid Medicaid claims and does not include data
on denied or pending claims.
24
Primary CVD Diagnoses, Inpatient Cost, Texas, 2005
Source Fee for Service (FFS) and Patient Care
Case Management (PCCM) clients
25
Primary CVD Diagnoses, Outpatient Cost, Texas,
2005
Source Fee for Service (FFS) and Patient Care
Case Management (PCCM) clients
26
Primary CVD Diagnoses, Emergency Department Cost
Texas, 2005
Source Fee for Service (FFS) and Patient Care
Case Management (PCCM) clients
27
Total Medicaid Paid Claims Due to CVD, Texas,
2005
Source Fee for Service (FFS) and Patient Care
Case Management (PCCM) clients
28
Risk Factor Surveillance
29
BRFSS
  • Ongoing telephone survey sponsored by DSHS in
    partnership with CDC
  • Conducted on a monthly basis of 500 randomly
    selected Texans 18 years or older are asked
    questions about their health habits

30
BRFSS
  • Behavioral Risk Factors
  • Medical Risk Factors
  • Preventive Health Practices

31
(No Transcript)
32
Adult Cigarette Smoking Prevalence 2006
Data Source Texas Behavioral Risk Factor
Surveillance System, Texas Department of State
Health Services, 2006
33
Adult Cigarette Smoking Health Service Region
2006
Data Source Texas Behavioral Risk Factor
Surveillance System, Texas Department of State
Health Services, 2006
34
Cigarette Smoking Among Youth 2001 2005
Data Source Texas Youth Risk Behavior Surveys
(YRBS), Texas Department of State Health
Services, 2001, 2005 (Excluding Houston ISD) High
School Survey
35
Overweight/Obesity
36
Overweight or Obesity Texas and US Adults,
1995-2006
Data Source Texas Behavioral Risk Factor
Surveillance System, Texas Department of State
Health Services, 1995-2006
37
Overweight or Obesity Texas, BRFSS,- 2006
Data Source Texas Behavioral Risk Factor
Surveillance System, Texas Department of State
Health Services, 2006
38
Overweight or Obesity Health Service Region-2006
Data Source Texas Behavioral Risk Factor
Surveillance System, Texas Department of State
Health Services, 2006
39
Overweight among Youth Prevalence 2001 2005
Data Source Texas Youth Risk Behavior Surveys
(YRBS), Texas Department of State Health
Services, 2001, 2005 (Excluding Houston ISD) High
School Survey
40
Lack of Physical Activity
41
Lack of Physical Activity Texas US Adults,
1995-2006
During the past 30 days, did you participate in
any physical activities or exercise?
of adults who did not participate in any
physical activities during the past 30 days
Data Source Texas Behavioral Risk Factor
Surveillance System, Texas Department of State
Health Services, 1995-2006
42
Lack of Physical Activity Adults, Prevalence
2006
During the past 30 days, did you participate in
any physical activities or exercise?
of adults who did not participate in any
physical activities during the past 30 days
Data Source Texas Behavioral Risk Factor
Surveillance System, Texas Department of State
Health Services, 2006
43
Lack of Physical Activity Adults, Prevalence
2006
During the past 30 days, did you participate in
any physical activities or exercise?
of adults who did not participate in any
physical activities during the past 30 days
Data Source Texas Behavioral Risk Factor
Surveillance System, Texas Department of State
Health Services, 2006
44
Poor Nutrition
45
Poor Nutrition Adults, Prevalence 2005
Data Source Texas Behavioral Risk Factor
Surveillance System, Texas Department of State
Health Services, 2005
of adults who reported eating fewer than 5
servings of fruits
and vegetables per day
46
Poor Nutrition Health Service Region 2005
Data Source Texas Behavioral Risk Factor
Surveillance System, Texas Department of State
Health Services, 2005
of adults who reported eating fewer than 5
servings of fruits
and vegetables per day
47
Nutrition Public High School Students
2001,2005
Data Source Texas Behavioral Risk Factor
Surveillance System, Texas Department of State
Health Services, 2005
of students who reported eating 5 or more
servings of fruits
and vegetables per day
48
Medical Risk Factors
  • Diabetes
  • High Cholesterol
  • High Blood Pressure

49
Diabetes Texas and U.S Adult - 1995-2006
Data Source Texas Behavioral Risk Factor
Surveillance System, Texas Department of State
Health Services, 1995-2006
50
Diabetes Prevalence - 2006
Data Source Texas Behavioral Risk Factor
Surveillance System, Texas Department of State
Health Services, 2006
51
Diabetes Prevalence Health Service Region 2006
Data Source Texas Behavioral Risk Factor
Surveillance System, Texas Department of State
Health Services, 2006
52
High Cholesterol Texas and U.S Adult-1995-2005
Data Source Texas Behavioral Risk Factor
Surveillance System, Texas Department of State
Health Services, 1995-2005
53
High Cholesterol Prevalence - 2005
Data Source Texas Behavioral Risk Factor
Surveillance System, Texas Department of State
Health Services, 2005
54
High Cholesterol Health Service Region 2005
Data Source Texas Behavioral Risk Factor
Surveillance System, Texas Department of State
Health Services, 2005
55
High Blood Pressure Texas and U.S Adult -1995-2005
Data Source Texas Behavioral Risk Factor
Surveillance System, Texas Department of State
Health Services, 1995-2005
56
High Blood Pressure Prevalence - 2005
Data Source Texas Behavioral Risk Factor
Surveillance System, Texas Department of State
Health Services, 2005
57
High Blood Pressure Health Service Region---
2005
Data Source Texas Behavioral Risk Factor
Surveillance System, Texas Department of State
Health Services, 2005
58
HEDIS Health Plan Employer Data and
Information Set
59
HEDIS
  • Standardized performance measures designed for
    comparing the quality of care of managed care
    organizations

60
Result from HEDIS. Texas, 2001-2006
Data Source http//www.opic.state.tx.us/page.php
?p_sub_page_id582001-2006
61
STRATEGIES
  • Surveillance, Data and Outcome Management
  • Health Education and Outreach
  • Clinical Prevention and Treatment Services
  • Community Policy and Environmental Changes
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