accessible version: //...2013/05/21  · ins 2 mcare ins 1 prov 1 prov 5 prov 6 ins 5 ins 4 ins 3...

®

Accessible version: https://youtu.be/jsk4CxV3iYk

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 –

–

–

–2

–

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