State Plans Minnesota Heart Disease and Stroke Prevention Plan 2011-2020

State Plans
Minnesota Heart Disease and Stroke Prevention Plan 2011-2020

The Minnesota Heart Disease and Stroke Prevention Plan 2011-2020 provides a road map and call to action for individuals, communities and organizations to collaborate and implement strategies that will enable Minnesota to successfully prevent, treat and manage heart disease and stroke.
Minnesota Heart Disease and Stroke Prevention Plan 2011-2020 (PDF)

Strategic progress - updated February 2015

Stroke Plan Cover imageEach state plan strategy is given an activity level category that considers the following factors:

  • The amount of activity (projects, initiatives, policy work, etc.)
  • The reach of the activities (local, regional, or statewide reach)
  • The impact on decreasing cardiovascular disease risk, morbidity and mortality
  • Scope of the activity
  • Quality of the activity (based on best-practice, promising practice)

Activity Level Categories

red icon No/Limited Activity
yellow icon Moderate Activity
green icon High Activity
View the associated tactics for each strategy (PDF), with a list of state plan tactics. Click on a link below to read about activities going on around a strategy.

Objective 1.1: Decrease cardiovascular disease and stroke risk by decreasing tobacco use.

yellow icon1.1.1 Decrease rates of initiation of tobacco use.

Legislation - Defend Cigarette and Tobacco Products Tax
Website:
Chapter 297F.Cigarettes and Tobacco Taxes

Legislative Advocacy - Defend Cigarette and Tobacco Tax
The Raise it for Health Coalition is a group of Minnesota's leading health and nonprofit organizations that share a common goal of reducing tobacco use. Raise it for Health supported significantly raising the price of tobacco products during the 2013 Minnesota legislative session because it is a proven way to prevent children from starting to use tobacco and helping existing tobacco users quit.

Coalition members include AARP Minnesota, Allina Health, American Cancer Society Cancer Action Network, American Heart Association, American Lung Association in MN, Association for Nonsmokers – MN, Blue Cross and Blue Shield of Minnesota, CentraCare Health System, Children’s Hospitals and Clinics of Minnesota, ClearWay Minnesota, Courage Center, Four Corners Partnership, HealthEast Care System, HealthPartners, LAAMPP Institute, Local Public Health Association, Mayo Clinic, Medica, Metro MN Oncology Nursing Society, Minnesota Academy of Family Physicians, Minnesota Cancer Alliance, Minnesota Chapter of the American Academy of Pediatrics, Minnesota Chapter of the American College of Physicians, Minnesota Comprehensive Health Association, Minnesota Council of Health Plans, Minnesota Hospital Association, Minnesota Medical Association, Minnesota Public Health Association, Park Nicollet Health Services, Partnership for Health, School Nurse Organization of Minnesota, SEIU Healthcare MN, Southwest Community Health Improvement Program, Twin Cities Medical Society.

Contact: Raise It for Health Coalition
Email:
info@raiseitforhealth.org

yellow icon1.1.2 Increase the utilization of smoking cessation services for adolescents and adults.

CDC - Media Campaign Resource Center (MCRC)
The Media Campaign Resource Center (MCRC) provides tobacco-control organizations with tools for finding, learning about, and ordering CDC-licensed tobacco counter-advertisements. Many of the ads promote cessation. The MCRC collection includes television, radio, print, and out-of-home ads as well as earned media and collateral materials in a variety of formats.

Website: Media Campaign Resource Center


QUITPLAN Services
Quitplan Services is a free cessation program available to anyone who wants to quit tobacco. QUITPLAN Services offer a wide array of tools to help people quit using tobacco. People who live in Minnesota can, if eligible, sign up for the QUITPLAN Helpline for a complete phone counseling (quitline) program or they can choose individual services.

Contact: QUITPLAN Services
Phone:
1-888-354-PLAN (7526)
Website:
Quit Plan

Past Projects

Healthy Communities Partnership (HCP)
The HCP program was a partnership between Allina and local communities in greater Minnesota and western Wisconsin to promote health through prevention and wellness programs, administered by the George Family Foundation. A hospital system in each community engaged local wellness resources to identify specific community needs, fill gaps and create a tighter social wellness network. Each community received $475,000 over three years.

Contact: Courtney Jordan Baechler
Phone: (612) 863-6123
E-mail: Courtney.Baechler@allina.com

MDH - Sage Screening Program The Sage Screening program at MDH collected information on smoking status for all women enrolled in Sage and promoted smoking cessation.  Sage offered smokers enrolled in Sage or living in a Sage household access to free tobacco cessation tools and incentives when transferred through a three-way call from the Sage Call Center to Minnesota's QUITPLAN Helpline. The program ended in 2013

yellow icon1.1.3 Advance policies that reduce exposure to environmental tobacco smoke.

American Lung Association (ALA) - Smokefree Housing Program

Many landlords and property managers are instituting a no-smoking clause to improve the health of their tenants, reduce costs associated with rehabbing apartments vacated by a tenant who smoked and reduce the risk of fire damage and death in properties.

ALA works with landlords, tenants, and the community to voluntarily increase the number of smoke-free apartments in Minnesota to better meet the high demands of tenants seeking a healthy, smoke-free environment in which to live.

Contact: Pat McKone
Phone: (651) 227-8014
E-mail: Pat.McKone@lungmn.org or info@lungmn.org
Website: American Lung Association Smokefree Environments


Statewide Health Improvement Partnership (SHIP) - Tobacco Prevention
SHIP grantees are working to reduce secondhand smoke exposure and access to commercial tobacco products in their communities. Through these efforts, they are helping to provide Minnesotans with smoke-free homes and reducing the likelihood that young people will even start using commercial tobacco products.

Contact: Cassandra Stepan
Phone: (651) 201-3665
E-mail: Cassandra.Stepan@state.mn.us
Website: Statewide Health Improvment Partnership (SHIP)
Website: MDH Tobacco Prevention and Control


MDH - Tobacco Prevention and Control Program
Tobacco use is still the single greatest preventable cause of death and disease in Minnesota. We are working to reduce the burden of tobacco by: preventing initiation of tobacco use among youth and young adults, reducing tobacco use among youth and adults, eliminating exposure to secondhand smoke and identifying and eliminating tobacco-related disparities.

Contact: Laura Oliven
Phone: (651) 201-5442
Email: laura.oliven@state.mn.us
Website: MDH Tobacco Prevention and Control


Tobacco Free Youth Recreation
Tobacco-Free Youth Recreation is a program of the Association for Nonsmokers-Minnesota. Their mission is to assist recreational organizations and communities in their efforts to create a tobacco-free environment where they can promote and model tobacco-free lifestyles. This is accomplished by helping these groups partner with youth and adult community members to implement a recreation-based tobacco prevention strategy.

Phone: (651) 646-3005
Website: Tobacco-Free Youth Recreation


The Association for Nonsmokers - Minnesota
The Association for Nonsmokers--Minnesota (ANSR) is a nonprofit organization dedicated to reducing the human and economic costs of tobacco use in Minnesota. Our core commitments are to reduce the number of young smokers and to continuously advocate for the rights and health of nonsmokers. ANSR has continued to play a leading role in shaping tobacco policy by:
  • Restricting sales of tobacco products to youth.
  • Advocating for smoke-free work sites, restaurants, and multi-housing.
  • Creating tobacco-free environments in outdoor recreational settings.
  • Developing best practices for assisting miliary veterans with smoking cessation.
Contact: Jeanne Weigum
Phone: (651) 646-3005
Email: jw@ansrmn.org
Website: The Association for Nonsmokers- Minnesota

Objective 1.2: Decrease all Minnesotans’ risk for CV disease and stroke by reducing obesity rates, and improving nutrition and physical activity.

green icon1.2.1 Increase the rate of healthy eating by Minnesota children, youth and adults.

BlueCross BlueShield of Minnesota Center for Prevention
BCBS of Minnesota's Center for Prevention supports statewide healthy eating initiatives including Farm to School and the Minnesota Food Charter. Past initiatives include the Healthy Eating Minnesota Initiative, Market Bucks at farmers markets, and the Fruit and Vegetable Prescription Program.

Website:
Center for Prevention Healthy Eating Focus Area


Eat Well Work Well
Eat Well Work Well is a Minnesota coalition that strives to help employers make eating well at work the easiest choice for their employees.

Website: Eat Well Work Well


Expanded Food and Nutrition Education Program (EFNEP)
EFNEP is designed to assist families in the Twin Cities metro area with limited resources in acquiring the knowledge, skills, attitudes, and changed behavior necessary for nutritionally sound diets.

Contact: Amanda Vanyo
Phone: 612-596-2117
E-mail: advanyo@umn.edu
Website: EFNEP


Farm to School
Farm to School programs help make the healthy choice the easy choice for students and school staff. Kids eat more fresh local foods and learn about where their food comes from, all while supporting local farmers. By connecting farms and schools, children, schools and farmers all benefit.

Website: Farm to School - University of Minnesota Extension
Website: Farm to School - Minnesota Department of Health Statewide Health Improvement Initiatives


Minnesota Food Access Summit
The goal of the Food Access Summit is to bring together people working to advance reliable access to safe, affordable, healthy food, learn from each other’s lived experiences & stories, build connections across sector, cultural perspectives, and geography and cultivate alignment and momentum toward collaborative action.

The next Food Access Summit will be held October 25-27, 2017 in Duluth.

Website: Food Access Summit


Hearts Beat Back: The Heart of New Ulm Project
The Heart of New Ulm Project is a 10 year demonstration project designed to reduce heart attacks in rural Minnesota. The project applies evidence-informed health improvement practices in the community, health care, worksites and environment. The Minneapolis Heart Institute Foundation leads the project in collaboration with Allina Health and the community of New Ulm.

Contact: Rebecca Lindberg
Phone: (612) 863-4087
E-mail: rlindberg@mhif.org
Website: Hearts Beat Back


Food Industry - Voluntary Sodium Reduction

Some Minnesota-based food companies have voluntarily made a commitment to reduce the sodium in their foods such as General Mills, Schwan Food Company and Target.
Great Trays

Great Trays helped schools provide nutritious meals by sharing information, tools and resources that are based on the USDA's proposed rule for the National School Lunch Program nutrition standards that includes:
  • Increases the availability of fruits, vegetables, whole grains, and fat-free and low-fat fluid milk in school meals.
  • Reduces the levels of sodium and saturated fat in meals.

The Great Trays Partnership provided active training for food service staff and encourages participation in a statewide cooperative to purchase healthy food at great prices.

Website: Great Trays


Minnesota Action for Healthy Kids
Minnesota Action for Healthy Kids works collaboratively with schools, families, and the community and empowers parents to create a culture of health and wellbeing where the healthy choice is easy and valued.

The Minnesota State Team's objectives for 2016-17 are:

  • To engage and equip the school community to take action for healthy kids.
  • To promote the health and learning link to school leaders to build policies that support these outcomes.
  • To engage and empower parents to support wellness at home, at school and in the community

Website: Minnesota Action for Healthy Kids
Facebook Page: Minnesota Action for Healthy Kids


Minnesotans for Healthy Kids Coalition

Minnesotans for Healthy Kids Coalition (MHK) was established in 2007 by the American Heart Association to mobilize advocacy efforts around priority state policies to address childhood obesity.  Since then, MHK has grown into a diverse group of statewide partners that include 25 member organizations. The mission of MHK is to promote healthy eating and increase physical activity to improve health and reduce obesity among Minnesota’s children through policy change.

Website: Minnesotans for Healthy Kids Coalition


Minnesota Food Charter
The Minnesota Food Charter is a roadmap designed to guide policymakers and community leaders in providing Minnesotans with equal access to affordable, safe, and healthy food regardless of where they live.

Contact: info@mnfoodcharter.com
Website: Minnesota Food Charter


Healthy, Hunger-Free Kids Act of 2010
Improving child nutrition is the focal point of the Healthy, Hunger-Free Kids Act of 2010. The legislation authorizes funding and sets policy for USDA's core child nutrition programs: the National School Lunch Program, the School Breakfast Program, the Special Supplemental Nutrition Program for Women, Infants and Children (WIC), the Summer Food Service Program, and the Child and Adult Care Food Program. The Healthy, Hunger-Free Kids Act allows USDA, for the first time in over 30 years, opportunity to make real reforms to the school lunch and breakfast programs by improving the critical nutrition and hunger safety net for millions of children.

Website: Healthy, Hunger-Free Kids Act of 2010


Statewide Health Improvement Partnership (SHIP) - Healthy Eating
Too many Minnesotans cannot find fresh fruits and vegetables near their homes, or what they can find is limited and expensive. Therefore, SHIP works with communities to increase access to and consumption of fruits and vegetables through farmers markets, healthy corner store initiatives and other community-based healthy eating strategies.

Contact: Teresa Ambroz
Phone: (651) 201-4724
Email: Teresa.ambroz@state.mn.us
Website: Nutrition: Healthy Eating


Community Wellness Grant (CWG)
In 2014, The Minnesota Department of Health (MDH) received Centers for Disease Control & Prevention (CDC) funding to support local communities to improve health. This grant builds on current work to prevent obesity, diabetes, heart disease, and stroke, at the same time focusing on reducing health disparities. Strategies include promoting access to healthy foods.

Local CWG grantees include:

Contact: Rachel Mahon Bosman
Phone: (651) 201-4016 
E-mail: rachel.mahon.bosman@state.mn.us
Website: Community Wellness Grant (CWG)


Hunger Solutions Minnesota
Hunger Solutions is a comprehensive hunger relief organization that works to end hunger in Minnesota. Programs include:

  • Market Bucks: Matches SNAP-EBT customers’ dollars at participating farmers markets across Minnesota. (More information about Farmers Markets can be found at the Minnesota Farmers' Market Association).
  • The Emergency Food Assistance Program (TEFAP): Distributes food to food shelves and on-site meal programs across Minnesota
  • Minnesota Food Helpline: Provides solutions to a family's food needs with one phone call
  • SNAP RX: Strengthens the connection between health care institutions and hunger relief organizations and
  • SNAP Outreach: Helps connect Minnesotans to SNAP benefits
  • Building food shelf capacity: Advocate for food shelf funding and provide support and grants to food shelves

Website: Hunger Solutions Minnesota


ReThink Your Drink - Minneapolis Health Department
To raise awareness about the link between frequent sugary drink consumption and negative health effects, and promote healthier options, the Minneapolis Health Department has launched a new campaign – ReThink Your Drink, Every Sip Counts!

Website: ReThink Your Drink


Food Marketing Workgroup
The Food Marketing Workgroup is a network of more than 225 organizations and academic experts who are concerned about the proliferation of marketing of unhealthful foods and beverages that targets children and adolescents. This national network, convened by the Center for Science in the Public Interest (CSPI) and Berkeley Media Studies Group (BMSG), is dedicated to eliminating harmful food marketing — particularly marketing aimed at those who are most vulnerable to obesity and other nutrition-related diseases — by actively identifying, investigating, and advocating changes to marketing practices that undermine health.

Thanks to the efforts of members of the Food Marketing Workgroup, six major national chains have removed sugary beverages from their kids' menus. (These commitments are in addition to Panera and Subway, which never had sugary drinks on the kids' menu.)

Website: Food Marketing Workgroup


Regional Sustainable Development Partnerships - University of Minnesota Extension
The Regional Sustainable Development Partnerships (RSDP) connect Greater Minnesota communities to the University of Minnesota in order to take advantage of new opportunities and solve problems. The Partnerships leverage University knowledge and seed funding with local talent and resources in four areas: agriculture and food systems, tourism and resilient communities, natural resources, and clean energy. The sustainable agriculture and food system focus area strives for healthy food, healthy landscapes and healthy people; it encompasses food and cropping systems for local and regional markets

.Website: Regional Sustainable Development Partnerhips - Sustainable Agriculture and Food Systems
MDH - WIC Program

The Women, Infants & Children (WIC) Program is a special supplemental nutrition program for income-eligible pregnant and breastfeeding women, infants and children up to age five.

Website: Women, Infants & Children (WIC) Program


Medical Nutrition Therapy
Medical Nutrition Therapy (MNT) is a covered expense for MN Health Care Programs. MNT is described as a preventive health service designed to assess and minimize the problems hindering normal nutrition, and to improve the patient's nutritional status. MNT services may be provided in a physician's office, clinic, or outpatient hospital setting. Medical necessity must be documented in the recipient’s medical record.

Website: Physician and Professional Services, scroll down to Medical Nutrition Therapy


Minnesota Agriculture in the Classroom Program

The Minnesota Agriculture in the Classroom program is a unique public/private partnership whose mission is to promote understanding and awareness of the importance of agriculture.

Contact: Sue Knott, MAITC Education Specialist
Phone: (651) 201-6486
Email: sue.knott@state.mn.us
Website: Minnesota Ag in the Classroom


Nutritious Food Coalition
The Nutritious Food Coalition is a public-private partnership to raise awareness and increase participation in the federal Supplemental Nutrition Assistance Program (SNAP), and provide guidance on means of better serving Minnesotans in need of healthy food. The coalition is comprised of more than 50 experts from a range of organizations.

Website: Nutritious Food Coalition


SNAP Education (SNAP-Ed)
The University of Minnesota Extension’s Supplemental Nutrition Assistance Program Education (SNAP-Ed) program makes the healthy choice the easy choice for Minnesotans with limited financial resources. Extension brings proven effective solutions for healthful living that individuals, families and organizations can use right away. They empower individuals and families to make healthy food and physical activity choices.

Website: SNAP Education


Past Projects

The Presidents Network
The President's Network (TPN) worked on necessary policy and systems level changes in worksites to create and advance employee and employer health with a major focus on cardiovascular health and associated risk factors. TPN worked with MDH and BlueCross BlueShield of Minnesota. The program ended in 2014.

Healthy Communities Partnership (HCP)
The HCP program was a partnership between Allina and local communities in greater Minnesota and western Wisconsin to promote health through prevention and wellness programs, administered by the George Family Foundation. A hospital system in each community engaged local wellness resources to identify specific community needs, fill gaps and create a tighter social wellness network. Each community received $475,000 over three years.

MDH - SagePlus Program
SagePlus provided low-income, underinsured or uninsured 40-64 year old women with knowledge, skills, and opportunities to improve their diet, physical activity, and other life habits to prevent, delay or control cardiovascular and other chronic diseases.  After an initial screening, which included blood pressure, blood glucose, lipids, and weight, women received risk reduction information tailored to their results and were offered the opportunity to participate in a year-long effort to improve their heart health.  Women chose to work on diet, physical activity, tobacco cessation, or other health behaviors that impact their heart health.  Women who agreed to commit to lifestyle change were assisted in designing specific, achievable, measurable steps to reach their goals.  SagePlus provided counseling, support, encouragement, as well as coordinated two optional activities designed to help women become more active and to increase their fruit and vegetable consumption. The program ended in 2013

red icon1.2.2 Increase frequency of exposure to effective health messages in multiple media channels.

BlueCross BlueShield of Minnesota - Pulling Together MN Campaign
Pulling Together MN is a multi-media campaign about creating healthier communities.

Website: Pulling Together MN

green icon1.2.3 Increase physical activity for all in Minnesota. 

2010 Healthy Kids/Physical Education Bill
School districts are required to implement health wellness provisions by the 2012-2013 school year, which reinstates physical education as a required academic standard. The Healthy Kids Act also encourages development of active recess guidelines and a healthy kids awards program to recognize schools that create opportunities for students to make healthy food choices and be physically active.

Website: Minnesota Session Laws Chapter 396--S.F. No. 2908


2010 Minnesota Complete Streets Law

Chapter 351, Sec. 52 as passed by the Minnesota Legislature includes a requirement for Mn/DOT to consult with stakeholders and then implement a Complete Streets Policy in Minnesota for the state highway system. The law also encourages local agencies to adopt their own policies. The Commissioner of Transportation assigned the Mn/DOT Director of Context Sensitive Solutions to lead this effort.

Website: Complete Streets Legislation
Website:
Complete Streets MnDOT
Website: National Complete Streets Coalition


BlueCross BlueShield of Minnesota Center for Prevention - Active Living for All
The Center for Prevention funds Minnesota communities to implement active living projects, including 12 Active Places Demonstration Projects that were funded in 2016.

Website:
Active Living for All


Legislative Advocacy - Physical Activity

Contact: Rachel Callanan, American Heart Association
Phone: (952) 278-7915
Email: rachel.callanan@heart.org


Minnesotans for Healthy Kids Coalition
Minnesotans for Healthy Kids Coalition (MHK) was established in 2007 by the American Heart Association to mobilize advocacy efforts around priority state policies to address childhood obesity.  Since then, MHK has grown into a diverse group of statewide partners that include 25 member organizations. The mission of MHK is to promote healthy eating and increase physical activity to improve health and reduce obesity among Minnesota’s children through policy change.

Website: Minnesotans for Healthy Kids Coalition


Statewide Health Improvement Partnership (SHIP) - Physical Activity
Statewide Health Improvement Partnership (SHIP) grantees are working with community partners in planning processes that advance support for active living. As a result of this work, communities are making it easier for residents to integrate walking and biking into daily routines, whether it’s for transportation or recreation.

Contact: Ellen Pillsbury
Phone: (651) 201-5493
Email: Ellen.Pillsbury@state.mn.us

Website: SHIP - Physical Activity


Community Wellness Grant (CWG)
In 2014, The Minnesota Department of Health (MDH) received Centers for Disease Control & Prevention (CDC) funding to support local communities to improve health. This grant builds on current work to prevent obesity, diabetes, heart disease, and stroke, at the same time focusing on reducing health disparities. Strategies include promoting access to physical activity.

Local CWG grantees include:

Contact: Rachel Mahon Bosman
Phone: (651) 201-4016 
E-mail: rachel.mahon.bosman@state.mn.us
Website: Community Wellness Grant (CWG)


The Greater Minnesota Regional Parks and Trails Commission

The Greater Minnesota Regional Parks and Trails Commission was established in 2013 to carry out system planning and provide recommendations to the legislature for grants funded by the Legacy parks and trails fund to counties and cities outside the seven-county metropolitan area for parks and trails of regional significance.

Website: Greater Minnesota Regional Parks and Trails Commission


Minnesota Department of Natural Resources (DNR)
The Minnesota DNR manages various Park and Trail Grant Programs.

Website: Park and Trail Grant Programs


Bicycling and Walking - Minnesota Department of Transportation (MNDOT)
MinnesotaGO is MNDOT's 50 year statewide vision for transportation. Additional MNDOT plans include the Statewide Bicycle System Plan and Minnesota Walks (the Statewide Pedestrian System Plan). MNDOT manages other bicycling and walking resources, including a statewide program to monitor bicycle and pedestrian traffic volumes and patterns at several locations throughout Minnesota


Safe Routes to School Grants - Minnesota Department of Transportation (MNDOT)
Minnesota Safe Routes to School projects and programs aim to make it safer and easier for students to walk and bicycle to school.

Website: Safe Routes to School


Comprehensive Planning (Minnesota Department of Health)
The Minnesota Healthy Planning Training was developed utilizing the findings and recommendations from the MDH reports on health in comprehensive plans. The Training is broken down into eight health goals to create a sustainable, healthy community. The training outlines 20 planning strategies for achieving those desired health goals. The recommended planning practices and strategies provide guidance for communities and planners, and can and should be adapted to fit each unique community. A Healthy Planning How-To Guide was also created.

Website: Comprehensive Planning-MDH


Hearts Beat Back: The Heart of New Ulm Project
The Heart of New Ulm Project is a 10 year demonstration project designed to reduce heart attacks in rural Minnesota. The project applies evidence-informed health improvement practices in the community, health care, worksites and environment. The Minneapolis Heart Institute Foundation leads the project in collaboration with Allina Health and the community of New Ulm.

Contact: Rebecca Lindberg
Phone: (612) 863-4087
E-mail: rlindberg@mhif.org
Website: Hearts Beat Back


The Minnesota Board on Aging (MBA)
The Minnesota Board on Aging and the seven Area Agencies on Aging in Minnesota focus on healthy aging including controlling chronic conditions, living a healthy life, and preventing falls. The Healthy Aging Minnesota webpage directs older adults and their caregivers to physical activity and falls prevention programs, including the Athritis Foundation Exercise Program for Better Living, EnhanceFitness, Tai Ji Quan: Moving for Better Balance, and A Matter of Balance.

Contact: Mary Hertel, RN, Healthy Aging Program Consultant
Phone: (651) 431-3104
E-mail: mary.hertel@state.mn.us
Website: Minnesota Board on Aging - Healthy Aging


Past Projects

MDH - SagePlus Program
SagePlus provided low-income, underinsured or uninsured 40-64 year old women with knowledge, skills, and opportunities to improve their diet, physical activity, and other life habits to prevent, delay or control cardiovascular and other chronic diseases.  After an initial screening, which included blood pressure, blood glucose, lipids, and weight, women received risk reduction information tailored to their results and were offered the opportunity to participate in a year-long effort to improve their heart health.  Women chose to work on diet, physical activity, tobacco cessation, or other health behaviors that impact their heart health.  Women who agreed to commit to lifestyle change were assisted in designing specific, achievable, measurable steps to reach their goals.  SagePlus provided counseling, support, encouragement, as well as coordinated two optional activities designed to help women become more active and to increase their fruit and vegetable consumption. The program ended in 2013.

Healthy Communities Partnership (HCP)
The HCP program was a partnership between Allina and local communities in greater Minnesota and western Wisconsin to promote health through prevention and wellness programs, administered by the George Family Foundation. In its second year, HCP engaged more than 10,000 residents in 13 communities in screenings, health coaching, health challenges, worksite wellness programs and more. A hospital system in each community engaged local wellness resources to identify specific community needs, fill gaps and create a tighter social wellness network. Each community received $475,000 over three years.


Objective 1.3: Advance methods promoting healthy eating and physical activity that are suited to communities at highest risk.

red icon1.3.1 Offer culturally sensitive programs that focus on reducing prevalence of obesity by improving dietary behaviors, increasing physical activity levels, and reducing sedentary behaviors.

RezCycle Mobile Community Bike Shop
RezCycle is a Minnesota registered 501(c)3 non-profit Mobile Community Bike Shop founded by Alex Sigmundik that started operation on the White Earth Reservation in partnership with the Boys and Girls Club of White Earth in the Summer of 2015.  RezCycle seeks to help develop life skills, job skills, leadership skills and empowerment in Native Youth by providing an Earn-A-Bike Program, Bike Mechanic Apprentice Program, and Bike Safety Rodeos and organized group rides that encourage safe and healthy bicycle riding.

Facebook Page: RezCycle


Statewide Health Improvement Partnership (SHIP) - Tribal SHIP
MDH provides $1 million annually in SHIP funds to tribal governments for their obesity prevention work. Currently 10 of 11 tribes receive this funding. Tribal SHIP focuses on reducing obesity rates. See the Tribal SHIP Fact Sheet.

Contact: Christine Smith
Phone: (651) 201-4632
Website:
Statewide Health Improvement Partnership (SHIP)


Eliminating Health Disparities Initiative (EHDI)
The Eliminating Health Disparity Initiative is a grants-based program administered by the Minnesota Department of Health Center for Health Equity. EHDI was established during the 2001 Legislative session. The goal of EHDI is to improve the health status of Populations of Color and American Indians (POC/AI). Five of the 2016-2017 EHDI grantees are focusing on heart disease and stroke.

Website: Eliminating Health Disparities Initiative (EHDI)


Division of Indian Work - Heart of Many Nations
The Heart of Many Nations curriculum was developed by American Indian community members, health care providers and the Minnesota Department of Health Cardiovascular Health Unit to address heart attack disparities. The Division of Indian Work has implemented the program in the Twin Cities and Red Lake Minnesota.

Website:
Heart of Many Nations

SNAP-Ed Minnesota Chippewa Tribe
The mission of the SNAP-Ed of the Minnesota Chippewa tribe is to provide a circle of quality services to elders, families and children within the tribal community by promoting wellness and healthy active lifestyles through education, advocacy and training emphasizing culture and Healthy People 2010 guidelines.

Contact: Joanne Mulbah
Phone: 218-335-8585


We Can Prevent Diabetes Minnesota
We Can Prevent Diabetes Minnesota is a study that tests the effect of incentives on weight loss and attendance in the Diabetes Prevention Program. This study is for individuals enrolled in Medical Assistance, PMAP or MinnesotaCare who are at risk for developing type 2 diabetes. This program tailors the curriculum to be more culturally appropriate for the audience. The We Can program also created six culturally appropriate success story campaigns featuring participants from diverse communities to raise awareness about pre-diabetes. The campaign includes bus shelter ads, posters and videos seen throughout the community.

Contact: Gretchen Taylor
Phone: 651-201-5390
E-mail: gretchen.taylor@state.mn.us

Objective 1.4: Support aspirin use as primary prevention strategy for cardiovascular disease and stroke for individuals with increased risk. 

yellow icon1.4.1 Increase the use of aspirin according to evidence-based recommendations for individuals without a history of coronary heart disease or stroke who are at increased risk of ischemic events.

Minnesota Heart Health Program – “Ask About Aspirin” Initiative
The Minnesota Heart Health Program is a statewide cardiovascular disease prevention program with a 30 year history of community programs to improve the health of Minnesotans. The Program’s current initiative, “Ask About Aspirin”, promotes the use of low-dose aspirin to prevent a first heart attack or stroke in men and women ages 50 to 69. There are two interventions: a media campaign aimed at increasing public awareness of effective primary heart attack and stroke prevention and a health system intervention that encourages health professionals to recommend low-dose aspirin to appropriate patients.

Contact: Karen Miller, MSW, MPA
Phone:
(612) 624-5961
E-mail:
khmiller@umn.edu
Website:
askaboutaspirin.org


Centers for Medicaid and Medicare Services
The 10th Scope of Work includes cardiovascular prevention campaign for aspirin.

Website: Centers for Medicare & Medicaid Services


HealthPartners - Preventive Care Guidelines

HealthPartners' Preventive Care Guidelines include aspirin counseling for men 45-79 and women 55-79.

Website: Preventive Care Guidelines


HeartBeat Connections
Since 2010, the HeartBeat Connections phone coaching program has focused on primary prevention of heart disease in New Ulm, Minnesota, through the broader Hearts Beat Back: The Heart of New Ulm Project. It helps those at highest risk (identified based on EHR data or referred by their PCP) improve their risk factors. Participants focus on making lifestyle changes such as eating healthier, increasing physical activity, quitting smoking or losing weight in addition to starting preventive medical therapies as appropriate (e.g. aspirin, statin, blood pressure medication). After six months of participation, 70% of participants reported taking daily aspirin; increase from 47%.

Contact: Rebecca Lindberg
Phone: (612) 863-4087
E-mail: rlindberg@mhif.org
Website: Hearts Beat Back

Objective 2.1: Provide consistent, evidence-based, and timely acute care for Minnesotans experiencing: Acute cardiac events (STEMI, SCA) and Stroke

yellow icon2.1.1 Develop and implement a statewide system of care for ST-elevation myocardial infarction (STEMI).

2016 STEMI Receiving Center Law
This statute gives MDH the authority to designate hospitals as STEMI Receiving Centers via Minnesota statute 144.491.  Hospitals who have been designated or certified for their 24/7 heart attack care including primary PCI can apply to be designated a STEMI Receiving Center starting in Summer 2017.

Website: MDH STEMI Systems of Care


2014 STEMI Registry Law
This statute encourages health care systems to embrace quality improvement processes in the provision of care for ST-elevation Myocardial Infarction (STEMI), including entering data into a standardized clinical care registry. MDH publishes a quarterly report on these data to inform the public, providers, and the legislature on the status of STEMI systems of care in Minnesota.

Website: MDH STEMI Systems of Care – Rural STEMI Systems of Care Report


American Heart Association - Mission: Lifeline
Mission: Lifeline is the American Heart Association's national community based multidisciplinary initiative to advance the systems of care for patients with STEMI. The overarching goal of the initiative is to reduce mortality and morbidity for STEMI patients to and improve their overall quality of care.  The Minnesota Mission: Lifeline website includes resources and materials developed in Minnesota since 2013.

Contact: Justin Bell
Email:
 justin.bell@heart.org
Website: 
Mission: Lifeline
Website: Minnesota Mission: Lifeline


Cardiac Care Registries

National Cardiovascular Data Registry (NCDR)/American College of Cardiology


NCDR - ACTION Registry

The ACTION Registry tracks STEMI and NSTEMI patient care processes.

NCDR - CathPCI Registry
CathPCI Registry is a cardiac catheterization registry.

Website: NCDR Registries

American Heart Association Get With the Guidelines – CAD Registry
The GWTG-CAD Registry tracks STEMI and NSTEMI patient care processes.

Website: AHA GWTG-CAD Registry


green icon2.1.2 Develop and implement a statewide sudden cardiac arrest system. 

Minnesota Resuscitation Consortium
The MN Resuscitation Consortium is a collaborative effort at the University of Minnesota to improve cardiac arrest survival rates in Minnesota. This is accomplished through partnerships with community groups, EMS and hospital systems, and education programs. These key organizations collect data, impact policy decisions and collaborate on research to ensure that innovative and comprehensive care is delivered to citizens.

Contact: Kim Harkins

Email: mrc@umn.edu
Website: Minnesota Resuscitation Consortium

Minnesota Resuscitation Consortium - CARES

The MN Resuscitation Consortium is collecting state-wide data using CARES (Cardiac Arrest Registry to Enhance Survival). Enrollment in CARES is optional and currently covers over 70% of the state by population. CARES data connects pre-hospital patient reports to hospitals outcomes. Agencies and hospitals enrolled in CARES can review and compare their data to statewide and national data to be used for quality improvement as well as internally.

Contact: Lucinda Hodgson
Email: mrc@umn.edu
Website: Minnesota Cardiac Arrest Registry to Enhance Survival
(CARES)

green icon2.1.3 Develop and implement a statewide acute stroke system.

Minnesota Stroke System
The Minnesota Department of Health launched the Minnesota Stroke System in March 2014. The Minnesota Stroke System includes acute care hospitals who are designated as "stroke-ready" facilities. EMS agencies participate in the system by adopting acute stroke triage and transport protocols which direct treatment and transport decisions to designated hospitals.

Contact: Albert Tsai
E-mail:
albert.tsai@state.mn.us
Website:
Minnesota Stroke System


Minnesota Stroke Registry
The Minnesota Stroke Registry is a real-time data collection repository on acute stroke patients and their treatment in Minnesota hospitals. Through the registry, quality of care metrics are measured and utilized to improve systems of care and treatment processes for acute stroke patients.

Contact: Albert Tsai
E-mail:
albert.tsai@state.mn.us
Website:
Minnesota Stroke Registry Program

red icon2.1.4 Collect long-term patient outcomes data to use in analysis for ongoing quality improvement efforts.

 

Objective 2.2: Create an informed Minnesota population that recognizes acute signs and symptoms and understands the need for timely, evidence-based emergency response: Stroke and Acute cardiac events

yellow icon2.2.1 Disseminate consistent, evidence-based education materials to teach all Minnesotans the signs, symptoms and emergency response to vascular disease events including myocardial infarction and stroke. 

American Heart Association
Promotes signs and symptoms and calling 9-1-1 in all of their health messaging such as American Heart Month (February), American Stroke Month (May), CPR National Week (June) and in all campaigns and initiatives.

Contact: Elizabeth Warmka
Email: elizabeth.warmka@heart.org
Website: American Heart Association


CPR Training in Schools Bill
In 2012, Governor Mark Dayton signed the CPR Training in Schools bill (HF 2329/SF 1908) into law.  With this bill, Minnesota students between grades 7 and 12 will receive hands-only CPR training at least once before they graduate. The training can occur in as little as 30 minutes and local volunteer fire fighters and EMTs can assist with the training.

Contact: Justin Bell
Email: justin.bell@heart.org
Website: Minnesota Session Laws Chapter 206--H.F. No. 2506


Division of Indian Work - Heart of Many Nations
The Heart of Many Nations curriculum was developed by American Indian community members, health care providers and the Minnesota Department of Health Cardiovascular Health Unit to address heart attack disparities. The Division of Indian Work has implemented the program in the Twin Cities and Red Lake Minnesota.


Website: Heart of Many Nations


Hannah's Law
Hannah's Law requires CPR training for childcare providers.

Website: Minnesota Session Laws Chapter 23--H.F. No. 235


Minnesota Resuscitation Consortium
The MN Resuscitation Consortium is a collaborative effort at the University of Minnesota to improve cardiac arrest survival rates in Minnesota. This is accomplished through partnerships with community groups, EMS and hospital systems, and education programs. These key organizations collect data, impact policy decisions and collaborate on research to ensure that innovative and comprehensive care is delivered to citizens.

Contact: Kim Harkins

Email: mrc@umn.edu
Website: Minnesota Resuscitation Consortium


The Minnesota Stroke Council
The Minnesota Stroke Council is comprised of individuals who are interested in reducing the burden of stroke in Minnesota. The Executive Committee oversees collaborative projects and acts as an advisory group to the Minnesota Department of Health on stroke issues.

Contact: Al Tsai
Phone: (651) 201-5413
E-mail: albert.tsai@state.mn.us
Website: Minnesota Stroke Council


Every Second Counts Campaign
The Minnesota Department of Health’s “Every Second Counts” campaign raises awareness of stroke signs and symptoms and the importance of calling 9-1-1 in the event of a stroke. A toolkit of graphics and other informational material is available to organizations desiring to co-brand the F-A-S-T (Facial droop, Arm drift, Speech difficulty, Time) message in their own public awareness campaigns.

Contact: Al Tsai
Phone: (651) 201-5413
E-mail: albert.tsai@state.mn.us
Website: Every Second Counts

yellow icon2.2.2 Identify for health care professionals, evidence-based education materials and programs related to signs and symptoms of acute cardiac and stroke events. 

Minnesota Resuscitation Academy
The Minnesota Resuscitation Academy is a 2-day training that provides information on defining existing cardiac arrest data and how to utilize it for improving outcomes; how to develop a plan to increase survival in your community; and how to measure your effectiveness. Sessions include: community education programs, dispatch assisted CPR, BLS/ALS tools and training, high performance CPR, therapeutic hypothermia, innovative hospital initiatives, data collection and more. The target audience includes: EMS and Fire Officers, Medical Directors, Training Officers, Dispatch Centers, and QI Coordinators.

There is no cost to attend. Register on our website or call.

Phone: (612) 626-1382
Website: Minnesota Resuscitation Academy


The Minnesota Stroke Council
The Minnesota Stroke Council is comprised of individuals who are interested in reducing the burden of stroke in Minnesota. The Executive Committee oversees collaborative projects and acts as an advisory group to the Minnesota Department of Health on stroke issues.

Contact: Al Tsai
Phone: (651) 201-5413
E-mail: albert.tsai@state.mn.us
Website: Minnesota Stroke Council


Minnesota Stroke and Cardiac Emergencies Conference

Contact: Al Tsai
Phone: (651) 201-5413
E-mail: albert.tsai@state.mn.us
Website: Minnesota Stroke Conference

Objective 3.1: Provide disease risk management interventions to prevent secondary cardiovascular and stroke events and progression of disease.

green icon3.1.1 Implement patient activation and self-management interventions for artery disease, stroke, peripheral artery disease and venous thromboembolism that are consistent with patients' preferences and values.

American Heart Association
The American Heart Association offers a free, online risk assessment to the public called My Life Check.

Website: My Life Check


Health Risk Assessment Vendors

The following organizations offer Health Risk Assessments and consultations to businesses: Medica, HealthPartners JourneyWell, AdvantageHealth, PreferredOne, Mayo Clinic Health Solutions, BlueCross BlueShield of Minnesota and StayWell.

Institute for Clinical Systems Improvement - Primary Prevention of Chronic Disease Guidelines
Guidelines, order sets and protocols related to maintaining good health, immunizations, or preventing illness or disease development.

Website: Institute for Clinical Systems Improvement


Chronic Disease Self-Management Program (CDSMP)
CDSMP is an effective self-management education program for people with chronic health problems. The program specifically addresses arthritis, diabetes, lung and heart disease, but teaches skills useful for managing a variety of chronic diseases. Participants who took CDSMP demonstrated significant improvements in exercise, ability to do social and household activities, less depression, fear and frustration or worry about their health, reduction in symptoms like pain, and increased confidence in their ability to manage their condition.

Contact: Mary Hertel, RN, Healthy Aging Program Consultant
Phone: (651) 431-3104
E-mail: mary.hertel@state.mn.us
Website: Minnesota Board on Aging - Healthy Aging
Website: Chronic Disease Self-Management Program - Stanford Medicine


St. Elizabeth's Medical Center Wellness Works Program
St. Elizabeth’s Wellness Center offers a coordinated package of services designed to intervene early and reduce risk factors for heart disease, stroke and diabetes.

Contact: Paula Thompson
Phone: (651) 565-5568
Email: paula.thompson@ministryhealth.org


University of Minnesota School of Pharmacy
The College of Pharmacy is partnering with the Minnesota Department of Health and local public health agencies to implement multiple initiatives targeting the provision of medication and self-management for patients with hypertension and diabetes by community pharmacists. This includes the development of a Motivational Interviewing course for community pharmacists, engaging community pharmacists in implementing comprehensive medication management services in their practice, and assisting with the design and implementation of novel pharmacist-patient engagement strategies in pharmacies, clinics, and community settings.

Contact: Jim Peacock
Phone: (651) 201-5405
Email: james.peacock@state.mn.us


Past Projects

The Presidents Network
The President's Network (TPN) worked on necessary policy and systems level changes in worksites to create and advance employee and employer health with a major focus on cardiovascular health and associated risk factors. TPN worked with MDH and BlueCross BlueShield of Minnesota. The program ended in 2014.

green icon3.1.2 Utilize evidence-based models and advanced care planning to support care coordination in preventing disease complications.

Community Health Worker Alliance
The mission of the Alliance is to provide a one stop shop where CHWs and CHW stakeholders work together to advance the profession of the CHW throughout Minnesota.  The Alliance’s core principals are to incorporate the role of the CHW in the health and social service sectors to decrease health disparities by reducing the social economic risk factors for the underserved population in Minnesota.

Contact: Joan Cleary
Email: joancleary@gmail.com
Website: Minnesota Community Health Worker Alliance


Health Care Homes Program
A "health care home," also called a "medical home," is an approach to primary care in which primary care providers, families and patients work in partnership to improve health outcomes and quality of life for individuals with chronic health conditions and disabilities.

The development of health care homes in Minnesota is part of the health reform legislation passed in 2008. The legislation includes payment to primary care providers for partnering with patients and families to provide coordination of care.

Phone: (651) 201-5421
Email: health.healthcarehomes@state.mn.us
Website: Health Care Homes


Chronic Condition Management Program
The Chronic Condition Management Program is offered through a collaboration that includes the Minnesota Department of Health, HealthPartners Institute (HPI), Stratis Health, and the Institute for Clinical Systems Improvement (ICSI). The program's mission is to partner with 20 participating clinics through June 2018 and support them in organizing and developing models of care to increase their care teams' abilities to meet patient care needs, leverage their electronic health record (EHR) for optimized clinic workflows and reporting, and connect them with a network of resources to improve the health of patients. The scope of work includes policies, protocols, systems, environments, and education related to chronic condition management and the building and using of reports through the EHR.

Contact: Patty Takawira
Phone: (651) 201-4051
Email: patricia.takawira@state.mn.us


Hearts Beat Back: The Heart of New Ulm Project
The Heart of New Ulm Project is a 10 year demonstration project designed to reduce heart attacks in rural Minnesota. The project applies evidence-informed health improvement practices in the community, health care, worksites and environment. The Minneapolis Heart Institute Foundation leads the project in collaboration with Allina Health and the community of New Ulm.

Contact: Rebecca Lindberg
Phone: (612) 863-4087
E-mail: rlindberg@mhif.org
Website: Hearts Beat Back


Minnesota Health Plans - Disease Management and Care Management Programs
Minnesota’s health plans offer a variety of services through their disease and care management programs.


Stratis Health - Cardiac Care Learning Collaborative
Collaborative participants will look at ways to improve cardiac health for their patients and communities and will target four specific cardiac measures: 1) Appropriate low-dose aspirin therapy use in patients with ischemic vascular disease, 2) Blood pressure control in patients with hypertension, 3) LDL-C control among adults with ischemic vascular disease and 4) Tobacco cessation screening and counseling.

Contact: Jerri Hiniker
Phone: (952) 853-8540
Email: jhiniker@stratishealth.org


Performance Improvement Project
Stratis Health provides facilitation and consultation to the health plans in developing, implementing, and evaluating each of the improvement initiatives. Stratis Health serves as a neutral party to combine and analyze aggregate data from health plans and members to evaluate PIP implementation processes and project impact.

Website: Health Plan Performance Improvement Projects


University of Minnesota School of Pharmacy
The College of Pharmacy is implementing multiple initiatives targeting the provision of medication- and self-management for patients with hypertension and diabetes by community pharmacists. This work includes pilot programs in Marshall, the Twin Cities suburbs, and through a statewide learning collaborative since 2012.

Contact: Jim Peacock
Phone: (651) 201-5405
Email: james.peacock@state.mn.us


Past Projects

CHW and Heart Disease Quality Improvement Initiative
The Minnesota Heart Disease and Stroke Prevention Unit and two Federally Qualified Health Centers, designed and implemented a Community Health Worker pilot program. The three-year program utilized CHWs to help patients manage their heart disease risk factors.  One clinic primarily served urban Native Americans in Minneapolis and the other clinic targeted medically uninsured, underinsured and underserved residents of St. Paul. The CHWs worked with patients to assess and eliminate socio-economic or health systems’ barriers that inhibits successful chronic disease management. Project completed in 2011.

Website: Community Health Workers and Heart Disease Quality Improvement

NorthPoint Health & Wellness Center and SagePlus CHW Project
The SagePlus Program provided heart-health services. SagePlus patients received free tests for blood pressure, cholesterol, glucose and body mass index, free life-style coaching on topics such as diet, exercise and smoking cessation, as well as a monthly newsletter and fun activities that offered rewards for physical activity and healthy eating. The program ended in 2013.

Objective 3.2: Prevent avoidable hospital readmissions within 30 days post-hospitalization for cardiovascular disease and stroke patients.

green icon3.2.1 Redesign patients' care transitions by prioritizing timely, consistent and complete communication between care sites (hospital, clinic, long-term care, home health, hospice) and the associated health care professionals.

2015 Interoperable Electronic Health Record Mandate
By January 1, 2015, all hospitals and health care providers must have in place an interoperable electronic health records system within their hospital system or clinical practice setting. The commissioner of health, in consultation with the e-Health Advisory Committee, shall develop a statewide plan to meet this goal, including uniform standards to be used for the interoperable system for sharing and synchronizing patient data across systems. The standards must be compatible with federal efforts.

Website: Minnesota Laws and Mandates


Minnesota Stroke Program Transitions of Care Initiative
The Minnesota Department of Health works with health systems, hospitals, clinics and other partners to support the smooth transition of a patient’s care between providers to:

  • Improve patient and caregiver education
  • Help stroke survivors and their families navigate the health system
  • Find resources to meet their needs

Contact: Erica Fishman
Phone: (651) 201-4093 
Email: erica.fishman@state.mn.us
Website: Transitions of Care for Stroke Patients


Reducing Avoidable Readmissions Effectively (RARE)
The RARE Campaign is engaging hospitals and care providers across the continuum of care to prevent 4,000 avoidable hospital readmissions across Minnesota between July 1, 2011 and December 31, 2012. Doing so will alleviate the burden these readmissions place on patients and their families and will allow them the comfort and well being of staying in their own beds.

Contact: Institute for Clinical Systems Improvement, Minnesota Hospital Association or StratisHealth
Website: Reducing Avoidable Readmissions Effectively

green icon3.2.2 Improve medication management and reconciliation for patients upon discharge, through patient education.

340B Drug Pricing Program
Section 340B limits the cost of covered outpatient drugs to certain federal grantees, federally-qualified health center look-alikes and qualified hospitals. Participation in the Program results in significant savings estimated to be 20% to 50% on the cost of pharmaceuticals for safety-net providers.  The purpose of the 340B Program is to enable these entities to stretch scarce federal resources, reaching more eligible patients and providing more comprehensive services.

Website: 340B Drug Pricing Program


Centers for Medicare and Medicaid Services (CMS)
CMS' 10th Scope of Work covers hospital readmissions. CMS provides incentives to reduce hospital admissions.

Website: Centers for Medicare and Medicaid Services


Engineered Care

Engineered Care creates post-hospital care software for healthcare organizations to improve patient outcomes and satisfaction, improve quality, reduce adverse readmissions and reduce healthcare costs.

Website: Engineered Care


Kanabec County Public Health and South Country Health Alliance

Kanabec County Public Health is working with the South Country Health Alliance, county-based purchasing health plan, on implementing an evidence-based Care Transitions Protocol for enrolled Medicaid patients diagnosed with chronic cardiovascular disease and chronic obstructive pulmonary disease transitioning from acute care to the community setting. the protocol includes assessing for medication compliance and health indicators.

Contact: Wendy Thompson
Phone: (320) 679-6322
Email: wendy.thompson@co.kanebec.mn.us


Partnership for Prescription Assistance

The Partnership for Prescription Assistance helps qualifying patients without prescription drug coverage get the medicines they need through the program that is right for them. Many will get their medications free or nearly free.

Website: Partnership for Prescription Assistance


Past Projects

SagePlus Program Discounted/Free Medications Resource List
The SagePlus Program has compiled a list of discounted and free medications resource list for patients and physicians. This program ended in 2013.

Indicator dashboard – updated March 2015

Each indicator helps to evaluate progress on implementing the State Plan. These indicators focus on the Global objectives to reduce the burden of cardiovascular disease and stroke; in addition to specific indicators linked to Prevention, Acute Treatment, and Disease Management objectives.

The baseline and current values for each indicator are shown, and change is assessed as better, worse, or stable by statistical significance at the 95% confidence level for vital statistics, survey, and clinical indicators.

Global Indicators

Indicator
Baseline
Current
Change
Coronary Heart Disease Deaths
7,233
(2009)
7,671 (2013)
Worse
Coronary Heart Disease Death Rate (per 100,000)
121.8
(2009)
118.9 (2013)
Stable
Cerebrovascular Disease (Stroke) Deaths
2,087
(2009)
2,051 (2013)
Stable
Cerebrovascular Disease (Stroke) Death Rate (per 100,000)
34.1
(2009)
31.7
(2013)
Stable
Coronary Heart Disease Hospitalizations
18,827
(2009)

14,692
(2013)

Better
Cerebrovascular Disease (Stroke) Hospitalizations
11,634
(2009)
11,391 (2013)
Stable
Lower Limb Ischemic Amputations
1,035
(2009)
N.A.
Inpatient Hospitalization Charges for Coronary Heart Disease (Millions)
$815.8
(2009)
$785.4
(2011)
Better
Inpatient Hospitalization Charges for Cerebrovascular Disease (Stroke) (Millions)
$367.1
(2009)
$414.1
(2011)
Worse
Inpatient Hospitalization Charges for Lower Limb Ischemic Amputations (Millions)
$52.1
(2009)
N.A.
* Adults who report being diagnosed with coronary heart disease or angina
3.2%
(2011)
3.1%
(2013)
Stable
* Adults who report having had a heart attack (myocardial infarction)
3.4%
(2011)
3.0%
(2013)
Stable
* Adults who report having had a stroke
2.1%
(2011)
2.1%
(2013)
Stable
People without health insurance coverage
8.1%
(2008-09)
8.3%
(2012)
Stable

* = Due to methodological changes in BRFSS Survey after 2010, ongoing questions from this survey were reassigned 2011 as the baseline year for comparison. These data are not directly comparable to data collected before that year.

Prevention Indicators

Objective 1.1

Indicator
Baseline
Current
Change
* Adults who smoke cigarettes
19.1% (2011)
18.0% (2013)
Stable

Adolescents who smoke cigarettes
- 6th grade
- 9th grade
- 12th grade


1.6%
8.8%
19.2% (2010)
 


N.A.
Nonsmokers exposed to environmental tobacco smoke in the past 7 days
- Never smokers
- Former smokers



36.8%
39.6%
(2010)


N.A.
Adults who have banned smoking inside their home
87.2% (2010)
89.3% (2014)
Better
Adults currently using non-cigarette tobacco products
7.5%
(2010)
7.6%
(2014)
Stable
Smokers receiving counseling or advice from health care providers in last 12 months
- Asked
- Advised
- Referred


94.4%
71.8%
43.9% (2010)


97.5%
78.9%
52.6% (2014)



Better
Past-year smokers who successfully quit

12.8% (2010)
15.6% (2014)
Stable

* = Due to methodological changes in BRFSS Survey after 2010, ongoing questions from this survey were reassigned 2011 as the baseline year for comparison. These data are not directly comparable to data collected before that year.

Objective 1.2

Indicator
Baseline
Current
Change
* Adults who are
overweight
or obese

36.8% 25.7% (2011)

35.6% 25.5% (2013)

Stable
Adolescents who are
overweight
- 9th grade
- 12th grade
or obese
- 9th grade
- 12th grade


13.3%
11.9%

8.8%
9.4%
(2010)





N.A.
Children aged 2-5 who are
overweight
or obese

16.8% 13.1% (2009)

15.8% 13.1% (2013)

Better
Adults who consume at least 5 daily servings of fruits and/or vegetables
21.9% (2009)
N.A.
Adolescents who consume at least 5 daily servings of fruits and/or vegetables
- 6th grade
- 9th grade
- 12th grade


20.7%
18.1%
17.6% (2010)



N.A.
* Adults who participated in 150 minutes or more of aerobic physical activity per week
54.0% (2011)
52.7% (2013)
Stable
* Adults who participated in muscle strengthening exercises more than twice per week
29.6% (2011)
31.2% (2013)
Stable
* Adults who participated in enough aerobic and muscle strengthening exercises to meet guidelines
20.9% (2011)
20.4% (2013)
Stable


* = Due to methodological changes in BRFSS Survey after 2010, ongoing questions from this survey were reassigned 2011 as the baseline year for comparison. These data are not directly comparable to data collected before that year.

Objective 1.4

Indicator
Baseline
Current
Change
Adults who are taking aspirin every day or every other day
25.6% (2007)
25.0% (2013)
Stable

* = Due to methodological changes in BRFSS Survey after 2010, ongoing questions from this survey were reassigned 2011 as the baseline year for comparison. These data are not directly comparable to data collected before that year.

Acute Treatment Indicators

Objective 2.1

Indicator
Baseline
Current
Change
Hospital patients with heart attack given aspirin within 24 hrs
95%
(2009)
N.A.
Hospital patients with heart attack prescribed aspirin at discharge
93%
(2009)
N.A.
Hospital patients with heart attack given advice or counseling about quitting smoking while in the hospital
90%
(2009)
N.A.
Hospital patients with heart attack given heart attack prescribed beta blocker at discharge
90%
(2009)
N.A.
Hospital patients with heart failure given advice or counseling about quitting smoking while in the hospital
83%
(2009)
N.A.
Eligible hospital patients with ischemic stroke receiving thrombolytic therapy within 3 hrs of symptom onset
78.5%
(2010)
87.2%
(2013)
Better

Objective 2.2

Indicator
Baseline
Current
Change
Adults who are aware of the signs and symptoms of heart attack
43.7%
(2009)
N.A.
Adults who are aware of the signs and symptoms of stroke
55.4%
(2009)
N.A.
Adults who indicate they would activate 9-1-1 as their First Reponse if they think someone is having a heart attack or stroke
88.0%
(2009)
N.A.

Disease Management Indicators

Objective 3.1

Indicator
Baseline
Current
Change
* Adults who report that they have been diagnosed with high blood pressure

26.3%
(2011)

26.9% (2013)
Stable
* Adults with high blood pressure who report taking medications to reduce their blood pressure
77.5%
(2011)

77.0% (2013)

Stable
* Adults who have had their cholesterol checked in the last five years
76.7%
(2011)
77.0% (2013)
Stable
* Adults who report that they have been diagnosed with high blood cholesterol
35.6%
(2011)
33.3% (2013)
Stable
Adults (18-75 years old) who have vascular disease and reached all four clinical treatment goals
49.4%
(2011)
50.0% (2013)
Stable
Adults (18-75 years old) who have high blood pressure, whose blood pressure was adequately controlled
72.4%
(2008)
75.6% (2013)
Better

* = Due to methodological changes in BRFSS Survey after 2010, ongoing questions from this survey were reassigned 2011 as the baseline year for comparison. These data are not directly comparable to data collected before that year.


Get involved

Healthcare professionals, policy-makers, community groups and anyone who cares about heart disease and stroke in Minnesota can help design, implement and sustain initiatives of this plan. The success of the plan depends on champions from a wide range of organizations working together to implement various aspects of the plan. Suggested organizational champions are identified throughout the plan.

How can you be involved?

  • Be a champion for one or more strategies.
  • Participate in a working group.
  • Offer funding for specific initiatives or projects.
  • Contact the Cardiovascular Health Unit at (651) 201-5412 for more information.
If you would like to report current activity or get involved in the state plan, please contact Patty Takawira at 651-201-4051.