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
Share this PSA and Register your AED today!