F Bruce Coles - Improving Heart Health in Harlem


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F Bruce Coles - Improving Heart Health in Harlem

  1. 1. Heart-2-Heart:Improving Heart Health in Harlem Winning the Million Hearts Campaign
  2. 2. And so the rootBecomes the trunkAnd then a treeAnd seeds of treesAnd springtime sapAnd summer shadeAnd autumn leavesAnd shape of poemsAnd dreams Poet Langston HughesAnd more than tree.
  3. 3. The issue:There is anepidemic ofbroken heartsamong peopleyounger than 65
  4. 4. High Blood PressureHigh Blood Cholesterol Heart Disease Why? Risk Factors Tobacco Use Inadequate NutritionDiabetes Overweight and Obesity Physical Inactivity
  5. 5. Anyone who has ever struggled with poverty knows how extremely expensive it is to be poor. Social Determinants of Health AuthorJames Baldwin Environmental Cultural Economic Political
  6. 6. Now is the accepted time, not tomorrow, not some more convenient season. It is today that our best work can be done and not some future day or future year. It is today that we fit ourselves for the greater usefulness of tomorrow. Today is the seed time, now are the hours of work, and tomorrow comes theSociologist, historian, harvest… civil rights activist, author and editor W.E.B Du Bois
  7. 7. What is Million Hearts Goal: Prevent 1 million heart attacks and strokes nationwide over the next 5 years• Strategies: Engage public and private sector partners in a coordinated approach to: – Reduce the number of people who need treatment – Improve the quality of treatment for those who need it – Maximize current investments in cardiovascular health
  8. 8. Smallest Impact Eat healthy, be physically active Rx for high blood pressure, high cholesterol Brief intervention for alcohol, cessation treatment 0g trans fat, salt, smoke-free laws, tobacco taxLargestImpact Poverty, education, housing, inequality
  9. 9. The Message: Prioritize the ABCS!• If you do one thing for your patients, make it the ABCS• These evidence-based measures are proven to prevent heart attacks and strokes• This is how we can save the most lives and…• …get the most health value out of our current health care investments
  10. 10. Risk factor reductions = ~50%30%25% 24% 20%20% Clinical interventions = ~50%15% 12% 12% 11% 10%10% 9% 5% 5% 5% 0%-5%-10% -8% -10%-15% 2007;356(23):2388-97
  11. 11. Focus onABCSHealthinformationtechnology TRANS FAT
  12. 12. Expanded Chronic Care Model Build Health Self Create Policy Management Supportive Skills Environments Health Care Information Strengthen Community System Systems Community Action Clinical Delivery Decision System Support Design Productive Prepared Prepared Activated Informed Proactive Activated Interactions and ProactiveCommunity Relationships Practice Community Patient Team Partners Population Health Outcomes Functional and Clinical Outcomes Barr V, et al. Hospital Quarterly 2003; 7(1): 73-82
  13. 13. Health Health Information Insurance Technology Programs Transformation Health Care System Change Infrastructure Reform Reimbursement Quality Improvement Primary Care Workforce Development Health SystemsManagement Public Health
  14. 14. Purpose • 5-yr strategic plan for long-term, sustainable economic growth • coordinate economic development • leverage public and private resources • identify and eliminate obstacles to growth • evaluation –performance measure New York State Regional Economic Councils HEALTH IN ALLAgencies• Agriculture and Markets POLICIES• Environmental Conservation• Health• Labor• State• Taxation and Finance• Transportation• Dormitory Authority• Environmental Facilities Corporation• Power Authority• Energy Research and Development Authority• Homes and Community Renewal• Parks, Recreation, and Historic Preservation• State Education
  15. 15. The present was an egg laid by the past that had the future inside its shell.Author Zora Neale Hurston
  16. 16. “The main thing is the YOUbeneath the clothes and skin – theability to do, the will toconquer, the determination tounderstand and know thisgreat, wonderful, curious world.” W.E.B Du Bois
  17. 17. Creativity Innovation Leadership
  18. 18. Harlem Hospital Nursing School Dr. Godfrey Nurse (Lurline Vassals DeShields)Dr. Louis T. Wright Alice Cardona Dr. Richard Carmona
  19. 19. I have discovered in life thatthere are ways of gettingalmost anywhere you want togo, if you really want to go. Langston Hughes
  20. 20. You write the score… Frankie Manning Duke Ellington
  21. 21. VISION clearly shared defined value GOALS lead to sustain- action able winnableassociations project teams strategic joint networks coalitions partners ventures Independent Interdependent Dependent
  22. 22. Fires cant be made with deadembers, nor can enthusiasmbe stirred by spiritless men.Enthusiasm in our daily worklightens effort and turns evenlabor into pleasant tasks. Langston Hughes
  23. 23. In recognizing the humanityof our fellow beings,we pay ourselves thehighest tribute U.S. Supreme Court Justice Thurgood Marshall
  24. 24. Thank You