Strategies

Updated February 2015

Each 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

If you would like to view associated tactics for each strategy, click here for the 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.

1.1.1 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
Website:
Raise it for Health

1.1.2 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


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

Health Communities Partnership (HCP)
The HCP Program is a partnership between Allina and local communities in greater Minnesota and western Wisconsin to promote health through prevention and wellness programs in primary care settings, administered by the George Family Foundation. HP3 will work with 12 communities in Minnesota. Each community will receive $475,000 over three years.

Contact: Courtney Baechler, MD
E-mail: Courtney.Baechler@allina.com

MDH - Sage Screening Program The Sage Screening program at MDH collects information on smoking status for all women enrolled in Sage and promotes smoking cessation.  Sage offers 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.

Program ended in 2013


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

1.1.3 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: Smokefree Housing


MDH - Statewide Health Improvement Initiatives*
The Statewide Health Improvement Program (SHIP) works to prevent disease before it starts by helping create healthier communities that support individuals seeking to make healthy choices in their daily lives. Community health boards and tribal governments were invited to apply for competitive SHIP grants in spring 2009, fall 2011 and summer 2013. SHIP works in the areas of community, school, workplace and health care toward sustainable, systemic changes that create widespread, lasting results.

Tobacco strategies include smoke-free housing, outdoors, college campuses and worksties. The worksites and health care strategies supports cessation efforts and works toward comprehensive cessation benefits.

Email: Health.OSHII@state.mn.us
Website:
Statewide Health Improvement Initiatives


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: 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.

1.2.1 Increase the rate of healthy eating by Minnesota children, youth and adults.

BlueCross BlueShield of Minnesota - Healthy Eating Minnesota
BCBS of Minnesota's Prevention Minnesota has a Healthy Eating Minnesota initiative that uses a comprehensive approach to increase healthy eating.

Website:
Center for Prevention Healthy Eating


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: Fay McLain
Phone: 612-596-2117
E-mail: mclai001@umn.edu
Website: EFNEP

Farm to School
Farm to School Programs will 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.


Food Access Summit 2014
The fourth even in a series this event brought together leaders from agriculture, community development, education, health, hunger relief, human services and philanthropy sectors to improve access to healthy food for Minnesotans with limited financial resources.

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

Let's Move Salad Bars to Schools
MDH and MDE are working on this national campaign to connect donors and schools to get a free salad bar in every school that wants one.

Contact: Lisa Gemlo, Farm to School Coordinator
Phone: (651) 201-3537
Email: lisa.gemlo@state.mn.us
Website: Let's Move Salad Bars to Schools


Healthy Communities Partnership (HCP)
The HCP program is 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 has 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 receives $475,000 over three years.

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


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
The Minnesota Action for Healthy Kids Team is proud to partner with key education and health organizations—Minnesota School Nutrition Association, Minnesota School Boards Association, School Nurses Organization of Minnesota, Minnesota Department of Education, Minnesota PTA , MDH, United Way of Greater Twin Cities and Catalyst, a state youth advocacy organization.

Website: Action for Healthy Kids-Minnesota

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

President Obama signed the federal Healthy, Hunger-Free Act of 2010 on December 13, 2010 and it is the nation's effort to provide all children with healthy food in schools. The Act improves nutrition and focuses on reducing childhood obesity by:

  • Giving the USDA the authority to set nutritional standards for all foods regularly sold in schools during the school day.
  • Providing additional funding to schools that meet updated nutritional standards for federally-subsidized lunches.
  • Helping communities establish local farm to school networks, create school gardens, and ensures that more local foods are used in the school setting.
  • Building on USDA work to improve nutritional quality of commodity foods.
  • Expands access to drinking water in schools.

Website: Healthy, Hunger-Free Kids Act of 2010


MDH - Nutrition
It is the role of the Minnesota Department of Health to support efforts that:

  • Promote healthy eating
  • Stop or slow down food related disease through screening and detection
  • Improve the quality of life for those already diagnosed with a chronic disease

Contact: Donna McDuffie
Phone: (651) 201-5493
Email: donna.mcduffie@state.mn.us
Website: Nutrition: Healthy Eating


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 includes blood pressure, blood glucose, lipids, and weight, women receive risk reduction information tailored to their results and are offered the opportunity to participate in a year-long effort to improve their heart health.  Women may choose to work on diet, physical activity, tobacco cessation, or other health behaviors that impact their heart health.  Women who agree to commit to lifestyle change are assisted in designing specific, achievable, measurable steps to reach their goals.  SagePlus provides counseling, support, encouragement, as well as coordinating two optional activities designed to help women become more active and to increase their fruit and vegetable consumption.

Program ended in 2013


MDH - Statewide Health Improvement Initiatives*
The Statewide Health Improvement Program (SHIP) works to prevent disease before it starts by helping create healthier communities that support individuals seeking to make healthy choices in their daily lives. Community health boards and tribal governments were invited to apply for competitive SHIP grants in spring 2009, fall 2011 and summer 2013. SHIP works in the areas of community, school, workplace and health care toward sustainable, systemic changes that create widespread, lasting results.

MDH received a federal Community Transformation Grant (CTG) that also supports the healthy eating strategies in northern Minnesota.

Email: Health.OSHII@state.mn.us
Website:
Statewide Health Improvement Initiatives


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:
Al Withers, MAITC Program Coordinator
Phone: (952) 288-3905
Email: alan.withers@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

The President's Network*
The mission of The President's Network (TPN) is relentless commitment to creative and sustainable worksite health programs that stem the rising cost of health care, increase productivity, and enhance the quality of life of American workers and their families. TPN is working 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 is working with MDH and BlueCross BlueShield of Minnesota.

* Program ended in 09/2014

1.2.2 Increase frequency of exposure to effective health messages in multiple media channels.

BlueCross BlueShield of Minnesota - do Campaign*
do is a multi-media campaign designed to encourage sedentary adults to increase their physical activity throughout their day.

*Program ended in 2014

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

Website: Pulling Together

1.2.3 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: MN Complete Streets Law
Website:
Complete Streets
Website: Complete Streets Guidance and Procedures


BlueCross BlueShield of Minnesota - Active Living for All
BCBS awarded eight communities 5-year Active Living Grants in 2008. They are currently funding 9 projects through 2016

Website:
Active Living for All


Healthy Communities Partnership (HCP)
The HCP program is 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 has 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 receives $475,000 over three years.

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


Legislative Advocacy - Physical Activity

Contact: Rachel Callanan, American Heart Association
Phone: (952) 278-7915
Email: rachel.callanan@heart.org
Website: You're the Cure Minnesota


MDH - SagePlus Program*
SagePlus provides 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 includes blood pressure, blood glucose, lipids, and weight, women receive risk reduction information tailored to their results and are offered the opportunity to participate in a year-long effort to improve their heart health.  Women may choose to work on diet, physical activity, tobacco cessation, or other health behaviors that impact their heart health.  Women who agree to commit to lifestyle change are assisted in designing specific, achievable, measurable steps to reach their goals.  SagePlus provides counseling, support, encouragement, as well as coordinating two optional activities designed to help women become more active and to increase their fruit and vegetable consumption.

Program ended in 2013.

MDH - Statewide Health Improvement Initiatives*
The Statewide Health Improvement Program (SHIP) works to prevent disease before it starts by helping create healthier communities that support individuals seeking to make healthy choices in their daily lives. Community health boards and tribal governments were invited to apply for competitive SHIP grants in spring 2009 and fall 2011. SHIP works in the areas of community, school, workplace and health care toward sustainable, systemic changes that create widespread, lasting results.

MDH received a federal Community Transformation Grant (CTG) that also supports the physical activity strategies in northern Minnesota.

Email: Health.OSHII@state.mn.us
Website:
Statewide Health Improvement Initiatives


Minnesota Department of Natural Resources - Parks and Trails Legacy Grant Program

The Parks and Trails Legacy Grants program provides grants to local units of government to support parks and trails of regional or statewide significance. Funding for this grant program is from the Parks and Trails Fund created by the Minnesota Legislature from the Clean Water, Land and Legacy Amendment passed by the voters in 2008. This program is established in Minnesota Statutes 85.535. This grant opportunity further increases opportunities for regular physical activity. The DNR has allocated over $3.4 million in 2014.

Website: Parks and Trails Legacy Grant Program


Minnesota Department of Transportation (MnDOT) - Bicycle Planning

MnDOT recognizes bicycling as an important component of Minnesota’s transportation system. The purpose of the bicycle planning work is to provide foundational information to assist MnDOT in better integrating bikeway facility planning and implementation into its day-to-day business. MnDOT granted funds to GroupLens at the University of Minnesota to research and develop a multi-modal tool for Cyclopath. MnDOT is also developing a statewide policy and data plan for bicycling in Minnesota and will include a new state bicycle map.

Website: Bicycling


MnDOT - Minnesota Go
MnDOT launched the Minnesota GO visioning process to better align the transportation system with what Minnesotans expect for their quality of life, economy and natural environment.

It is now informing the Statewide Multimodal Transportation Plan (SMTP). This multimodal plan establishes guidance and priorities for state transportation decisions and into the Statewide Transportation Improvement Plan (STIP) which identifies priority projects and how money will be spent. The SMTP and the different modal plans are updated every 4-6 years; the STIP is updated annually to keep pace with changing priorities, opportunities, and challenges.

Website: Minnesota Go
State Transportation Improvement Program


MnDOT - Safe Routes to School Program
(SRTS)
The Safe Routes to School program provides communities with the opportunity to improve the built environment and promote bicycling and walking to school with infrastructure and non-infrastructure projects. In 2012, the MnDOT awarded $768,000 in federal funding for SRTS. The grants will support SRTS plans at 70 schools in 35 communities and implementation grants at 22 schools in 9 communities. Also, SRTS is now established in law as a state program. Governor Mark Dayton signed the Omnibus Transportation bill into law on May 10, 2012.

Website: Safe Routes to School

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

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

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 Heart Disease and Stroke Prevention Unit to address heart attack disparities. The Division Indian Work has implemented the program in the Twin Cities and Red Lake Minnesota.

Contact: Division of Indian Work
Phone: (612) 722-8722
Website:
Heart of Many Nations


MDH - American Indian Tribal Health SHIP Program*
In 2009-2011, there were two projects: (1) Leech Lake collaborative project involving 7 tribes and (2)Upper and Lower Sioux project.

Email: Health.OSHII@state.mn.us
Website:
Statewide Health Improvement Program


Office of Minority and Multicultural Health - Eliminating Health Disparities Initiative There are 5 EHDI grantees focused on heart disease and stroke and 8 focused on diabetes.

Phone:
(651) 201-5813
E-mail:
health.ommh@state.mn.us
Website:
Eliminating Health Disparities Initiative Grantees

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
Website: SNAP-Ed Minnesota Chippewa Tribe

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 sussess story campaigns featuring participants from diverse communities to raise awarness about pre-diabetes. The campaign includes bus shelter ads, posters and videos seen throughout the community.

Contact: Sara Vine
Phone: (651) 201-5425
E-mail: sara.vine@state.mn.us
Website: We Can Prevent Diabetes Minnesota

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

1.4.1 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.

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


Minnesota Heart Health Program
The Minnesota Heart Health Program is a statewide cardiovascular disease prevention program which promotes the use of low-dose aspirin to prevent heart attack and stroke in targeted age groups (men age 45-79 and women 55-79). There are two interventions: one aimed at increasing public awareness of effective heart attack and stroke prevention and the other will facilitate delivery of these interventions by health professionals and health systems.

Contact: Karen Miller
Phone:
(612) 624-5961
E-mail:
khmiller@umn.edu
Website:
Ask About Aspirin

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

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

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.

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


National Cardiovascular Data Registry (NCDR)/American Heart Association - Action Registry: Get with the Guidelines
Action Registry - Get with the Guidelines is a coronary artery disease registry.

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

Website: ACTION Registry-GWTG
CATHPCI Registry

 

2.1.2 Develop and implement a statewide sudden cardiac arrest system. 

Minnesota Resuscitation Consortium
The Minnesota Resuscitation Consortium is a collaborative effort supported by the Medtronic Foundation HeartRescue Project to increase sudden cardiac arrest survival rates by connecting bystander, prehospital and hospital initiatives.

Contact: Kim Harkins
Email:
mrc@umn.edu
Website:
Minnesota Resuscitation Consortium

2.1.3 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 Program

The Minnesota Stroke Registry Program is part of a national effort to reduce the incidence of death and disability caused by stroke. This national effort is led by the Centers for Disease Control and Prevention through the Paul Coverdell National Acute Stroke Program.

The Minnesota Stroke Registry Program assesses the use of best practice guidelines for acute stroke treatment by conducting real-time data collection on stroke treatment with Minnesota hospitals. Using these data, hospitals are able to measure and improve the quality of patient care.

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

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

Minnesota Resuscitation Consortium

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)

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

2.2.1 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. The bill will be implemented for the 2014-15 school year.

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 Heart Disease and Stroke Prevention Unit to address heart attack disparities. The Division Indian Work has implemented the program in the Twin Cities and Red Lake Minnesota.

Contact: Division of Indian Work
Phone: (612) 722-8722
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 Minnesota Resuscitation Consortium is a collaborative effort supported by the Medtronic Foundation HeartRescue Project to increase sudden cardiac arrest survival rates by connecting bystander, prehospital and hospital initiatives.

Contact: Kim Harkins
Email:
mrc@umn.eduWebsite: Minnesota Resuscitation Consortium


Minnesota Stroke Partnership
The Minnesota Stroke Partnership (MSP)is a coalition of stroke experts who collaborate to recommend and implement key strategies to reduce the burden of stroke in Minnesota. Their mission is to raise awareness of stroke, promote stroke prevention, and improve systems of stroke care throughout Minnesota. In 2011, MSP created and supported stroke awareness public service announcements in multiple languages on KFAI radio.

Website: Minnesota Stroke Partnership

Public Education and Messaging Work Group

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

Hospitals and Professional Education Work Group

Contact: Al Tsai
Phone: (651) 201-5413
Email: albert.tsai@state.mn.us

2.2.2 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.

The Academy occurs annually in June. There is no cost to attend. Register on our website or call.

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


Minnesota Stroke Partnership
The Minnesota Stroke Partnership (MSP)is a coalition of stroke experts who collaborate to recommend and implement key strategies to reduce the burden of stroke in Minnesota. Their mission is to raise awareness of stroke, promote stroke prevention, and improve systems of stroke care throughout Minnesota.

Hospitals and Professional Education Work Group
Contact:
Al Tsai
Phone: (651) 201-5413
Website: Minnesota Stroke Partnership


Minnesota Stroke Conference
Contact:
Sueling Schardin
Phone:
(651) 201-4051
Website:
Minnesota Stroke Partnership

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

3.1.1 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


The Presidents Network*
The mission of The President's Network (TPN) is relentless commitment to creative and sustainable worksite health programs that stem the rising cost of health care, increase productivity, and enhance the quality of life of American workers and their families. TPN is working 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 is working with MDH and BlueCross BlueShield of Minnesota.

* Program ended 09/2014


MDH - Aging & Arthritis 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: Pam York
Phone: (651) 201-3616
Email:
pam.york@state.mn.us
Website:
Minnesota Arthritis Program


MDH - Statewide Health Improvement Initiatives*
The Statewide Health Improvement Program (SHIP) works to prevent disease before it starts by helping create healthier communities that support individuals seeking to make healthy choices in their daily lives. Community health boards and tribal governments were invited to apply for competitive SHIP grants in spring 2009 and fall 2011. SHIP works in the areas of community, school, workplace and health care toward sustainable, systemic changes that create widespread, lasting results.

MDH received a federal Community Transformation Grant (CTG) that also supports disease management strategies.

Email: Health.OSHII@state.mn.us
Website:
Statewide Health Improvement Initiatives


St. Elizabeth's Medical Center Wellness Works Program
St. Elizabeth’s Wellness Center offers 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 A pharmacy coordinated program to enhance medication use in chronic cardiovascular disease in a rural Minnesota community is being developed for implementation in 2012.

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

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

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.

Contact: Sueling Schardin
Phone: (651) 201-4051
Email: sueling.schardin@state.mn.us
Website: Community Health Workers and Heart Disease Quality Improvement


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


HealthPartners Research Foundation
MDH provided funds to the HealthPartners Research Foundation to improve coronary artery disease care through a systems change project.

Contact: Mary Jo Mehelich
Phone: (651) 201-5419
Email: mary.mehelich@state.mn.us


Heart of New Ulm Project

The Heart of New Ulm project's goal is to reduce the number of heart attacks that occur in the New Ulm area over the next 10 years by helping residents improve their health risks, such as physical activity, nutrition, obesity, or tobacco use, among others. The project will involve community education, medical interventions and environmental changes. The project is being led by Allina Hospitals & Clinics and the Minneapolis Heart Institute Foundation.

Contact: Rebecca Lindberg
Phone: (612) 863-4087
E-mail: rlindberg@mhif.org
Website: Heart Beat Back: the Heart of New Ulm Project


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.


NorthPoint Health & Wellness Center and SagePlus CHW Project*
The SagePlus Program provides heart-health services. SagePlus patients receive 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 offer rewards for physical activity and healthy eating. SagePlus services are available at a limited number of Sage clinics throughout the state. Heart health services are not available separately from breast and cervical screening services.

Program ended in 2013
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
A pharmacy coordinated program to enhance medication use in chronic cardiovascular disease in a rural Minnesota community is being developed for implementation in 2012.

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

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

3.2.1 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 Partnership - Hospital and Professional Education Work Group
The Minnesota Stroke Partnership (MSP)is a coalition of stroke experts who collaborate to recommend and implement key strategies to reduce the burden of stroke in Minnesota. Their mission is to raise awareness of stroke, promote stroke prevention, and improve systems of stroke care throughout Minnesota.
Contact:Al Tsai
E-mail:albert.tsai@state.mn.usWebsite:Minnesota Stroke Partnership
Minnesota Stroke Registry
The Minnesota Stroke Registry program is part of a national effort to reduce the incidence of death and disability caused by stroke. This national effort is led by the Centers for Disease Control and Prevention through the Paul Coverdell National Acute Stroke Registry.

The Minnesota Stroke Registry assesses the use of best practice guidelines for acute stroke treatment by conducting real-time data collection on stroke treatment with Minnesota hospitals. Using these data, hospitals are able to measure and improve the quality of patient care.

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


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

3.2.2 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 mediation 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


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. Click here to view list.

Program ended in 2013

If you would like to report current activity around this strategy, please contact Sueling Schardin at (651) 201-4051 or sueling.schardin@state.mn.us

Updated Wednesday, February 25, 2015 at 01:18PM