0
Goal: Prevent 1 million heart attacks       and strokes in 5 years
                
Focus onABCSHealthinformationtechnology              TRANS               FAT
Total = $6.86                                                Total = $5.26                                Total = $4.64   ...
Percent of adults
WA                                                                                                                        ...

                
PQRS CV Prevention          HRSA        MH CQMs        PQRS       MU                            ACOs              NQF     ...
PQRS CV Prevention        MH CQMs        PQRS           MU                               ACOs   HRSA UDS       NQF        ...
                
                                        

                         ’                                                          ’                    ...
SMDs                                                                 SHOsState Medical,      Schools of      Patient & Sci...
Getting to Goal                                                                                           Clinical        ...
Whelton, PK, et al. JAMA 2002;288:1882Stamler R, et al, Hypertension 1991:17:I-16
           ’               ’                       “           ”
    Adding web-based pharmacist care    to home blood pressure monitoring         increases control by >50%     Gree...
                
ABCs of Million Hearts in Missouri by Dr. Janet Wright
ABCs of Million Hearts in Missouri by Dr. Janet Wright
ABCs of Million Hearts in Missouri by Dr. Janet Wright
ABCs of Million Hearts in Missouri by Dr. Janet Wright
ABCs of Million Hearts in Missouri by Dr. Janet Wright
ABCs of Million Hearts in Missouri by Dr. Janet Wright
ABCs of Million Hearts in Missouri by Dr. Janet Wright
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ABCs of Million Hearts in Missouri by Dr. Janet Wright

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This webinar covers details of the Million Hearts campaign, intended to prevent a million heart attacks and strokes in five years.

Published in: Health & Medicine, Education
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Transcript of "ABCs of Million Hearts in Missouri by Dr. Janet Wright"

  1. 1. Goal: Prevent 1 million heart attacks and strokes in 5 years
  2. 2.     
  3. 3. Focus onABCSHealthinformationtechnology TRANS FAT
  4. 4. Total = $6.86 Total = $5.26 Total = $4.64 Total = $3.39Total = $1.58
  5. 5. Percent of adults
  6. 6. WA ME VT OR NH MA NY CT RI MI . NJ IL MD OH DE CA KY TN NM SC MS TX HI Enacted or passed trans fat regulation in food service establishments (FSEs) Trans fat regulation in FSEs introduced, defeated, or stalled8
  7. 7. 
  8. 8.     
  9. 9. PQRS CV Prevention HRSA MH CQMs PQRS MU ACOs NQF Measures Group UDSAspirin Use PQRS #204 S1 opt NQF #0068BP ScreeningBP Control PQRS #236 S1 opt, Yes NQF #0018Chol Control – PopChol Cont – DM PQRS #2 S1 opt NQF #0064Chol Cont – IVD PQRS #241 S1 opt NQF #0075 YesSmoking Cessation PQRS #226 S1 core NQF #0028 (2011)
  10. 10. PQRS CV Prevention MH CQMs PQRS MU ACOs HRSA UDS NQF Measures Group S1 opt,Aspirin Use PQRS #204 Yes Yes Yes (2012) NQF #0068 S2 core (prop)BP Screening PQRS #317 Yes Yes S1 opt,BP Control PQRS #236 Yes Yes Yes NQF #0018 S2 core (prop)Chol Control – Pop PQRS #316 S2 core (prop) TBD* S1 opt,Chol Cont – DM PQRS #2 Yes Yes NQF #0064 S2 opt (prop) S1 opt,Chol Cont – IVD PQRS #241 Yes Yes NQF #0075 S2 opt (prop) S1 core,Smoking Cessation PQRS #226 Yes Yes Yes (2011) NQF #0028 S2 core (prop)
  11. 11.     
  12. 12.       
  13. 13. 
  14. 14.    ’      ’       
  15. 15. SMDs SHOsState Medical, Schools of Patient & Science Pharmacy, Medicine Advocacy Groups Employers & Corporate Nursing, etc Pharmacy,Nursing, (WomenHeart, Insurers Partners Associations Public Health, etc AHA)
  16. 16. Getting to Goal Clinical Intervention Baseline Target targetAspirin for those at high risk 47% 65% 70%Blood pressure control 46% 65% 70%Cholesterol management 33% 65% 70%Smoking cessation 23% 65% 70%Sodium reduction ~ 3.5 g/day 20% reductionTrans fat reduction ~ 1% of calories 50% reduction Unpublished estimates from Prevention Impacts Simulation Model (PRISM)
  17. 17. Whelton, PK, et al. JAMA 2002;288:1882Stamler R, et al, Hypertension 1991:17:I-16
  18. 18.  ’ ’     “ ”
  19. 19.  Adding web-based pharmacist care to home blood pressure monitoring increases control by >50% Green BB, et al. JAMA 2008;299:2857-67
  20. 20.     
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