142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

313970
Million Hearts and Hypertension control, Using a Multi-State Learning Collaborative Model to address systems approach to change

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 12:30 PM - 12:50 PM

Elizabeth Walker Romero, MS , Association of State and Territorial Health Officials, Arlington, VA
Letitia Presley-Cantrell, PhD , Division for Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention, Atlanta, GA
Million Hearts™ (MH) is a national initiative to prevent 1 million heart attacks and strokes in the U.S by 2017. The Centers for Disease Control and Prevention (CDC) and Centers for Medicare & Medicaid Services (CMS), co-leaders of Million Hearts™ within HHS, are working in collaboration with other federal agencies and private-sector organizations to make a long-term impact on cardiovascular disease. In July 2013, CDC funded the Association of Territorial Health Officials (ASTHO) to deploy a community improvement process to implement best practices and evidence based policies to identify, control, and improve blood pressure. ASTHO lead an effort in 9 states and the District of Columbia to improve performance of the ABCS (Aspirin when appropriate • Blood pressure control • Cholesterol management •Smoking cessation). Performance improvement of the ABCs focused on a multi-sector team approach using health information technology (HIT). Participating states identified populations of individuals with uncontrolled hypertension and established quality improvement processes to achieve the following objectives and interventions: 1. Increase reporting and monitoring of National Quality Forum (NQF 18). 2. Improve identification of undiagnosed persons with high blood pressure. 3. Improve diagnosis, treatment, and follow-up of persons with high blood pressure (i.e. avoiding missed opportunities while patient is in the office). This ASTHO MH project serves as an opportunity to demonstrate how quickly system changes can affect hypertension control rates. States utilize partnerships across state sectors including hospital systems, quality improvement organizations, payors. These state level partners collaborated with partners at the local level including in FQHC's, clinics, local public health agencies, and other key partners. This multi-level approach allowed for rapid pilots and tests at the local level to inform a core set of state-level actions with high impact improvements in hypertension control to support Million Hearts®.

Learning Areas:

Planning of health education strategies, interventions, and programs
Provision of health care to the public

Learning Objectives:
Define

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Sr Director of Health Improvement at ASTHO and have worked on federally funded programs to support chronic disease and injury prevention at the state and national level.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.