What A Strategic Plan for Heart Disease and Stroke Means for You!

1
A Vision for Michigan

• What A Strategic Plan for Heart Disease and
  Stroke Means for You!

2
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?

3
Why Does Michigan Need a Heart Disease and Stroke
Strategic Plan?
4
Leading Causes of Death in Michigan, 2006Source
MDCH Division of Vital Records and Health
Statistics, 2006.
5
Age-adjusted Mortality Rates by Race for Heart
Disease for Michigan and the United States,
1990-2006.Source MDCH Vital Statistics
6
Age-adjusted mortality rates by race for stroke
for Michigan and the United States,
1990-2006.Source MDCH Vital Statistics
7
Age-adjusted five-year mortality rates for heart
disease by county, 2002-2006.Source MDCH Vital
Statistics
Arenac Bay Clare Gladwin Ogemaw
8
Age-adjusted five-year mortality rates for stroke
by county, 2002-2006.Source MDCH Vital
Statistics
Ogemaw
Sanilac
9
Percentage of Michigan Adults with CVD Risk
Factors, 1990-2008With 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 (BMIgt25) 47.4 54.7 62.1 65.3 63.1 16 tied
Obese (BMIgt30) 14.1 18.3 25.2 30.1 26.6 8 tied
Fruits Vegetables lt5 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
10
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)
11

• 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
• AndersonB_at_michigan.gov

12

• An annual CVD Fact Sheet is available
  electronically at
• www.michigan.gov/cvh

13
What Does the Heart Disease and Stroke Strategic
Plan Contain?
14
Contents

• 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

15
Strategic Planning Background, Objectives and
Strategies
16
How Can Organizations Use the HDS Strategic Plan?
17
Strategies Identified for Year 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

18
Strategies Identified for Year One Implementation

• Professional Education
• Reinforce standards treatment guidelines
• Disseminate evidence-based protocols guidelines
• Incorporate culturally sensitive materials
• Utilize patient tracking progress tools

19
Strategies Identified for Year 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

20
Call to Action!

• What Your Organization Can Do!

21
Hospital

• Provide in-service to reinforce evidence-based
  guidelines
• Support projects to improve the quality and
  delivery of heart disease and stroke services
• Offer community education on prevention
• Make space available for self-management
  workshops
• Provide healthy foods
• Provide community screenings, education and
  referrals for high blood pressure and high
  cholesterol

22
Healthcare 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

23
Health Plan

• Offer policy options and/or plan redesign to
  incentivize consumers
• Provide disease management services to enrolled
  members
• Make provider performance outcomes available and
  encourage incentives
• Promote system change initiatives leading to
  improved care
• Offer prevention and other educational material

24
Local Public Health Department

• 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

25
Worksite

• 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

26
Community 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

27
Faith 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

28
Michiganian

• 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

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What 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!

30
QuestionsHeart Disease and Stroke Prevention
UnitVelma Theisen, MSN, RN, Unit
Managertheisenv_at_michigan.govwww.michigan.gov/cvh

• Beth Anderson, MPH
• Heart Disease Stroke Epidemiology
• andersonb_at_michigan.gov
• Christi Demitz, MSW
• MiCA, Worksite Initiatives
• demitzc_at_michigan.gov
• Patricia Heiler, MPH
• Hypertension, Hyperlipidemia Sodium Reduction
  Initiatives
• heilerp_at_michigan.gov
• Henry Miller, MPH
• Evaluation, GIS
• millerhenry_at_michigan.gov

• Jill Scott Gregus
• Project Assistant
• scottj1_at_michigan.gov
• Stacey Stoeckle-Roberts, RN, MS, CPHQ
• Stroke Registry, Quality Improvement Initiatives
• robertss5_at_michigan.gov
• Eileen Worden, RN
• EMS, Stroke STEMI Initiatives
• wordene_at_michigan.gov