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TRANSCRIPT
Blood pressure levels
Leading risk factor for cardiovascular disease
and a significant cause of morbidity and mortality
Kochanek KD, et al. Natl Vital Stat Rep. 2011;60(3):1–51
Roger VL, et al. Circulation. Jan 3;2012;125(1):e2–220
®
TRANS
FAT
Baseline 2017 Target
21% 19%
~ 3.5
g/day
20%
reduction
~ 1% of
calories
50%
reduction
Smoking cessation
Blood pressure control
Cholesterol control
Aspirin
Farley T, et al. Am J Prev Med. 2010;38(6):600 609
007–13 –
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–2
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0018
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NQF, National Quality Forum
:
Vidt DG, et al. Cleve Clin J Med. 2010;77(10):683–8
Alerting the Clinical Staff to Measure
the Patient’s Blood Pressure Using the AOBP
© 2013 Epic Systems Corporation. Confidential
Informing the Physician that a Patient is Flagged
by the NorthShore Hypertension Criteria
© 2013 Epic Systems Corporation. Confidential
EHRs and electronic screening can identify silent
but clinically important conditions efficiently
Hypertension, electrolyte abnormalities, diabetes, chronic kidney
disease, hepatitis, hyperlipidemia, and hematologic
abnormalities
®
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Clinical Interventions
Long-lasting Protective Interventions
Changing the Context to make individual’s default
decisions healthier
Socio-economic Factors
Smallest impact
Largest impact
Counseling
and Education
Health care services
Public health
Common ground
Partnership effort with multiple sectors
Turned >600 corner stores into healthy corner stores with fresh
fruits and vegetables
Increased the number of farmers markets with supplements for
food stamps (“Philly Food Bucks”) that allow the purchaser to get
even more healthy food at no additional cost
Expanded the mileage of the city’s walking and biking paths
Helps consumers who smoke to access resources that will help
them to quit
http://www.phila.gov/health/Commissioner/CPPW.html
City
Dire
ct A
ge-A
djus
ted
Mor
talit
y R
ate
(Per
100
,00
Popu
latio
n)
Initial Results
Success with Gaps
Prov 3
Prov 4
Ins 2
Mcare
Ins 1
Prov 1
Prov 5
Prov 6
Ins 5
Ins 4
Ins 3
Ins 6 Prov 8Perc
enta
ge w
ith H
yper
tens
ion
Analysis of incidence of hypertension is ongoing using hospital
discharge data (Pennsylvania Health Care Cost Containment
Council database)
Solicit updated data from partners
Mine additional datasets
United States Renal Data System
Medicaid database: Emphasis on vulnerable populations
Leading risk factor for cardiovascular disease
and a significant cause of morbidity and mortality
Each year cardiovascular disease
causes 1 of every 3 deaths
Focus
Optimal
cardiovascular
health
Share the data
Set a common goal
Monitor progress
Celebrate success