The Guideline Advantage™ program combines the expertise of the American Cancer Society, American Diabetes Association and American Heart Association to advance prevention and disease management in the outpatient setting. The program promotes the use of evidence-based treatment guidelines, performance measurement tools and quality improvement strategies with the goal of assisting health care providers offer their patients every advantage for a healthy life. Monthly customer webinars consisting of a brief program overview and a live demonstration of the program technology is available but you must register.
If you have any questions, please contact Laura Jansky at firstname.lastname@example.org
MDH Receives 5-Year Federal Grant to Address Diabetes, Heart Disease, Obesity and Associated Risk Factors
The burden of chronic disease remains high with cardiovascular disease and diabetes together accounting for 25 percent of all deaths in Minnesota and approximately $4.9 billion in combined inpatient hospitalizations and associated health care costs. In the past 20 years, prevalence of diabetes and obesity in adults has nearly doubled in Minnesota. In addition, a large proportion of the population remains unaware of their high blood pressure, prediabetes and diabetes. This lack of awareness occurs in combination with problems of access to clinical care combined with social and economic factors. Although Minnesota has better health status and care delivery systems relative to other states, it has unacceptable disparities in health status and outcomes across our populations. For example, African Americans and American Indians are dying from chronic diseases at rates two to three times that of the general population.
The Centers for Disease Control and Prevention (CDC) State Public Health Actions to Prevent and Control Diabetes, Heart Disease, Obesity and Associated Risk Factors and Promote School Health funding supports statewide implementation of cross-cutting approaches to promote health, and prevent and control chronic diseases and their risk factors. The Minnesota Department of Health (MDH) was recently awarded this five-year funding to build on their solid public health foundation, a history of innovative programmatic efforts implemented under the guidance of and in partnership with the CDC, and their strong infrastructure and vast partnerships to measurably impact obesity, diabetes and heart disease statewide. MDH’s vision is to achieve optimal health for all.
The grant framework includes approaches that promote health, health system interventions and community-clinical linkages, all supported by these cross-cutting activities.
- Partnership engagement
- Workforce development
- Guidance and support
- Strategic communication
- Surveillance / Epidemiology / Evaluation
MDH was awarded $1,728,527 for the first year funding, from 6/30/2013 to 6/29/2014.
In the past two years, The Statewide Health Improvement Program (SHIP) has not lived up to the “statewide” part of its name. That’s about to change.
With the 2013 legislature funding SHIP with $35 million for2014-2015, the program can once again go statewide allowing all of Minnesota to work at building a better state of health.
The return to statewide funding is consistent with the original vision of the program. As part of bipartisan of health reform, SHIP received $47 million in the 2010-11 biennium, allowing work to begin in all counties of Minnesota. Faced with withering budget deficits, the legislature still awarded SHIP $15 Million for 2012-13. That meant SHIP had to shrink to fit, and as a result it now has 18 grantees, covering just over half the state.
SHIP is on the leading edge of public health. SHIP works to create real, measurable, and sustainable change in health outcomes through increased physical activity, better nutrition, and decreased exposure to commercial tobacco products. SHIP works with schools, employers, health care providers, and whole communities to make healthy living the norm. How is that different than past efforts focused on education? SHIP addresses health on a policy, systems, and environmental change level—building health into how cities are planned, food distributed, smoking regulated, and much more. The result is less exposure to tobacco smoke from smoke-free multi-unit housing and campuses, kids participating in Safe Routes to School and Farm to School programs, nutrition and physical activity programming in preschools, more safe sidewalks and bike paths because of Complete Streets policies, more farmers markets because of healthy eating in the community initiatives, and so much more.
During all four years, local public health SHIP grantees, including those funded in past two, did outstanding work in creating the climate for good health in their communities.
American Heart Association Announces Gifts of $6.5 Million to Expand and Enhance Heart Attack Care in Rural Minnesota
The American Heart Association secured $6.5 million in funding this summer to enhance systems of care for heart attack patients in rural Minnesota through its Mission: Lifeline program.
Each year, hundreds of thousands of Americans have the most serious type of heart attack known as an ST-elevated myocardial infarction, or STEMI, in which blood flow is completely blocked to a portion of the heart. Unless the blockage is eliminated quickly, the patient’s life is at serious risk. Currently, around two-thirds of STEMI patients fail to receive the best available treatments to restore blood flow. Mission: Lifeline seeks to save lives by closing the gaps that separate STEMI patients from timely access to appropriate treatments. According to the Minnesota Department of Health, 8,566 people were hospitalized in Minnesota for acute heart attack in 2011, of those 2,284 were STEMIs.
In collaboration with stakeholders representing hospitals, individual ambulance services and regional EMS Medical Directors, the project will enhance many critical elements of an optimal STEMI system of care including: a system-wide data tool for quality measurement and improvement; ongoing medical provider training and STEMI education; coordination of protocols for rural EMS and hospital personnel; regional plans for rapid transport of patients; and a public education campaign on heart attack symptoms and the need to call 9-1-1. Targeted funding will be provided to assist hospitals and ambulance services in acquiring essential ECG equipment and training.
The initiative will be implemented over three years. Lead funder is The Leona M. and Harry B. Helmsley Charitable Trust, which is providing a grant of $4.6 million. Other major funders include Medtronic Philanthropy, Otto Bremer Foundation, and the Shakopee Mdewakanton Sioux Community along with many other funders.
“This initiative represents a significant investment in Minnesota’s healthcare system, especially in our rural areas,” said Dr. Ed Ehlinger, commissioner of the Minnesota Department of Health. “We are pleased to be partnering with The Helmsley Charitable Trust, and private and nonprofit organizations across the state to provide these important, lifesaving services to our citizens.”
by Justin Bell, JD, American Heart Association
As the first step to launching a statewide acute stroke system of care, a bill was introduced this session authorizing the Minnesota Department of Health to designate hospitals as: Comprehensive Stroke Centers, Primary Stroke Centers & Acute Stroke Ready Hospitals. The proposed legislation has broad bipartisan support and an impressive list of authors, including the chairs of the HHS Policy Committees (Representative Tina Liebling and Senator Kathy Sheran) as chief authors. The bill had four very positive committee hearings, passing unanimously out of both the HHS Policy & Finance committees in the House and Senate. The bill language is expected to be included in the House and Senate HHS Omnibus bills.
In a statewide stroke system, paramedics and EMTs will use protocols to screen stroke patients and direct them to hospitals prepared to treat them; they pre-notify the hospital so the hospital can be ready to receive the patient; and all hospitals are ready to diagnose and treat stroke patients as soon as they arrive in the emergency department. The primary focus for the system, therefore, is getting all stroke patients to a stroke-ready hospital as quickly as possible for initial diagnosis and treatment.
This bill is important because the first step in this whole process is to formally set care standards for hospitals to reach, and officially recognize hospitals for providing high quality stroke care. Once this is in place, we can implement other parts of this system. EMS protocols, that are locally developed, can include guidance for taking suspected stroke patients to hospitals recognized by the state. Hospitals and EMS can engage in performance improvement work, to ensure they are providing high quality care. And, we will be better able to identify hospitals that need assistance in building capacity to provide better care.
By Karen H. Miller, MSW, MPA, and Alan T. Hirsch, MD, University of Minnesota, Minnesota Heart Health Program – Partners in Prevention
“Partners in Prevention” is a new and unique population-based initiative that promotes the primary prevention of cardiovascular disease to improve the health of the citizens of the State of Minnesota through the use of low-dose aspirin. The Minnesota Heart Health Program’s mission is to help all Minnesotans achieve a high level of cardiovascular disease prevention.
“Partners in Prevention” provides comprehensive support for the Million Hearts™ goal of preventing 1 million heart attacks and strokes in the United States over five years by achieving measurable cardiovascular event reduction within Minnesota. Noting the comprehensive role of each of the ABCS (Aspirin use, Blood pressure control, Cholesterol management, and Smoking cessation), “Partners in Prevention” currently promotes the “A” of the ABCS via use of low-dose aspirin to prevent heart attack and stroke in targeted age groups (men age 45-79 and women age 55-79).
- The program is designed to help Minnesotans understand their cardiovascular risk and take action, and therefore improve use of primary prevention risk reduction interventions. The program encompasses all health professionals and health systems in a sustainable, cost-effective manner.
- The program is designed to promote two interventions: one aimed at increasing public awareness of effective heart attack and stroke prevention, and a second that facilitates delivery of these interventions by health professionals and health systems. The program, which began in early 2012, will encompass metropolitan, suburban, and rural populations across Minnesota over 3-5 years.
- The program uses mass media, a program website, social media, and health professional educational tools to disseminate cardiovascular disease prevention messages within a frame that supports the recommendations of the Centers for Disease Control, the U.S. Preventive Services Task Force, the American Heart Association, and the Minnesota Department of Health.
Heart attack and stroke events will be measured using Minnesota Hospital Association discharge data. Aspirin usage in the target population will be measured through population-based -pre and -post surveys.
For more information, contact Karen Miller at (612) 624-5461 or email@example.com.
A new report is available for download, evaluating the progress of the Minnesota Heart Disease and Stroke Prevention Plan 2011-2020. The report shows current activity and indicator levels to evaluate progress. We look at activity levels by strategies and consider the reach, scope, quantity, and quality of the activities as well as the impact on decreasing cardiovascular risk, morbidity and mortality. We look at indicators that focus on our overall objectives to reduce the burden of cardiovascular disease and stroke as well as specific indicators linked to Prevention, Acute Treatment, and Disease Management.
- Minnesota Heart Disease and Stroke Prevention Plan: Implementation Report 2013 (PDF: 1.22MB/20 pages)
Raise Awareness of Stroke Signs and Symptoms and Prevention with These New Materials
In partnership with the Minnesota Stroke Association and Minnesota Department of Health, the Minnesota Stroke Partnership has developed two tip cards and a poster. One tip card features the Act FAST graphic and additional information about stroke signs & symptoms. The second tip card provides tips on how to prevent a stroke. Both of these messages are combined in the poster.
You can either choose the Standard versions with the Minnesota Department of Health, Minnesota Stroke Association, and Minnesota Stroke Partnership logos, or choose to the Open Logo versions which can be co-branded with a hospital or organization name as long as the Minnesota Stroke Association and Minnesota Stroke Partnership logos are unaltered.Standard Versions
Released April 2013.
- Act FAST Tip Card (PDF: 528 KB/1 page)
- Prevent Stroke Tip Card (PDF: 342 KB/1 page)
- Act FAST & Prevent Stroke Poster (PDF:368 KB/1 page)
Print at 11x17 minimum
Released April 2013.
- Act FAST Tip Card (PDF: 517 KB/1 page)
- Prevent Stroke Tip Card (PDF: 342 KB/1 page)
- Act FAST & Prevent Stroke Poster (PDF: 364 KB/1 page)
Print at 11x17 minimum
The Minnesota Department of Health has created a series of four videos describing the signs and symptoms of a heart attack or stroke, and the importance of knowing your blood pressure and cholesterol level in clever, easy-to-understand terms. View them now on our home page. The short clips deliver messages about calling 911 when you have chest pain, rather than assuming it will go away; recognizing that the signs of stroke appear on one side of the body; and checking your cholesterol and blood pressure every birthday (and following up with your doctor if the numbers are high).
These clips were designed to reach a large audience and can be shown in clinics or community setting. Html code is provided at the YouTube hosting page if you would like to place them on your website.
- A Heart Attack’s 11 Excuses
- It’s One-sided: 12 Signs of Strokes
- Blood Pressure Explained Visually
- Put Your Cholesterol on Your Calendar
- Renee Gust, MA, RN,
Hennepin County Public Health and Human Services
The Hennepin County Hypertension Pilot Project was a one year project funded by the MDH Heart Disease and Stroke Prevention Unit. The purpose of the project was to design and implement a new clinic delivery system to better manage patients diagnosed with hypertension and hyperlipidemia. Three medicine clinics were involved in the pilot project.
Kathryn Lewis, RN, knows what it takes to train a community to respond to Sudden Cardiac Arrest. She organized a successful program in Lakeville that trained 7,000 people in two years, earning designation as a Heart Safe Community.
- Sally Thompson,
United Hospital Marketing Department
The partnership of 10 Minnesota organizations that joined forces in 2012 to combat Sudden Cardiac Arrest (SCA) is bearing fruit, with new cities and groups set to become Heart Safe Communities in 2013.
From Willmar to Apple Valley, thousands of Minnesotans are learning how to respond when someone has SCA. Members of the general public are a vital first link in the “Chain of Survival.” Through Heart Safe Communities, people learn to respond quickly by calling 911, starting CPR, and using an AED, which promote survival before first responders, paramedics, and hospital staffs take over.
- Jacquelyn Huebsch PhD, RN,
HealthPartners Institute for Education and Research
As the number one cause of death for both men and women1, cardiovascular disease (CVD) has significant effects on health, the economy, society and public health policy. In the best of worlds, CVD would be prevented. However, given the prevalence of the disease and the number of people at risk for it, which feasible, effective, evidence-based therapies can lessen the magnitude of its appalling consequences? One proven treatment approach is a Cardiac Rehabilitation/Secondary Prevention Program (CR/SPP).
Stratis Health, the Medicare Quality Improvement Organization for Minnesota, is a proud partner of the Million Hearts campaign, a nationwide initiative to prevent 1 million heart attacks and strokes in the next five years. Stratis Health is supporting the initiative at the community level by convening a network of physician office teams and stakeholders to actively address cardiovascular health. The Cardiac Health Network will engage in a 3-year collaborative initiative to standardize, sustain, and spread improvements in coordinating delivery of cardiovascular health services. The goals of the Network are to:
- Bring together Minnesota physician offices and local and national stakeholders as a sustainable network aimed at improving health in populations at risk for ischemic vascular disease and other vascular diseases
- Connect stakeholders and providers to implement evidence-based interventions aimed at reducing risk factors and addressing disparities that contribute to heart disease and stroke
- Support physician offices in implementing and measuring interventions to improve delivery of evidence-based care to at-risk patients
Become a partner in the Million the Hearts Initiative today
You can also join the Cardiac Health Network and play a leading role in improving cardiovascular health for all Minnesotans. Healthcare providers, community stakeholders, and citizens are encouraged to participate.
For more information or to participate contact:
Jerri Hiniker, BSN, RN, CPEHR, Program Manager, 952-853-8540, firstname.lastname@example.org
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