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ACTION STEPS

Whitney Bell-Haggard | VP, Health Strategies | SWA – ColoradoLori Hall | VP Community Health & Stroke | Midwest Affiliate

Santrice Martin | Sr. Director Multicultural Initiatives | Chicago Market

The American Heart Association in Your Community

2020 Impact Goal

• Improve the cardiovascular health of all Americans* by 20%

• While reducing deaths from cardiovascular diseases and stroke by 20%.

*All people living in the United States.

2020StrategicImpact

Goal

Updated 02/17

The Current State of our Communities

Complexity

of Chronic Disease

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Flip the Narrative

What are our key areas of focus to explore?

BACKGROUND

New Blood Pressure Guidelines

Announced November 13

AHA, ACC and 9 other groups

First update in 14 years

Lower BP is better for health

Focus on prevention and treatment sooner

BP Guidelines

New definition of hypertension:

130/80

Risk for CVD begins above 120

Risk doubles at 130 compared to below 120

No more “prehypertension”

Focus on lifestyle intervention above 130

Medications above 140/90

No difference for older adults

New Blood Pressure Guidelines

Join the TEDMED talkTODAY!!!

Wednesday, November 153-4 pm MST4-5 pm CST

www.facebook.com/TEDMEDcommunity

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ACTION STEPS

Target BP

Initiative Overview

An opportunity seized

. Committed to a common mission, the AHA and AMA developed and piloted Target: BP™ in 2015 to improve blood pressure control. Devoted to building a healthier nation, this national initiative aims to reduce the number of Americans who have heart attacks and strokes by urging medical practices, health service organizations and patients to prioritize blood pressure control.

Given the current urgency, Target: BP raises awareness and provides additional tools and resources for physicians and their care teams to help the patients they treat. Target: BP can also help optimize the limited time physicians have with patients to help get patients healthier sooner.

In addition, our recognition program offers additional practice-building and recognition incentives.

Step 1: Customize a Plan

After registration, a Target: BP™ staff member will work with you to create a customized implementation plan for your practice. At the center of every plan is the Target: BP Improvement Program. The BP Improvement Program leverages the M.A.P. framework, which focuses on three key aspects of successful care for patients with hypertension.2

Target: BP supports you by offering access to:• Tools, resources and improvement plans, including a

customizable algorithm with proven efficacy• Best practices and success stories from other Target: BP

participants• Easy-to-use tools and resources to help your patients better

understand the importance of controlling blood pressure

Initiative ProcessWorking toward a healthier America

Step 3: Promote Recognition

Target: BP recognizes and rewards participating practices for improving the outcomes of their patients with hypertension. All practices who join Target: BP and submit patient data will be recognized, and those that achieve a 70-percent or greater blood pressure control rate within their adult patient population will receive additional incentives to acknowledge their above-and-beyond efforts.

Step 2: Measure Improvement and Report Results

Staff will offer support to you by helping to identify quality improvements, providing guidance on data reporting and giving feedback on measurement results.

2. Boonyasai RT, Rakotz MK, Lubomski LH, et al. Measure accurately, Act rapidly, and Partner with patients: an intuitive and practical three-part framework to guide efforts to improve hypertension control. J Clin Hypertens (Greenwich). 2017;19(7):684-694.

Copyright 2015 American Medical Association and The Johns Hopkins University. All Rights Reserved. This tool was adapted with permission of the American Medical Association and the Johns Hopkins University. All Rights Reserved. This tool can be found athttps://www.ama-assn.org/ama-johns-hopkins-blood-pressure-resources.

Copyright 2017 American Medical Association and The Care Coordination Institute, LLC.

Target: BP Improvement Program

The Target: BP Improvement Program leverages the latest clinical evidence to make it easier for you to more effectively manage your patients with high blood pressure. The BP Improvement Program has three main parts, which can be remembered using the acronym M.A.P.: Measure accurately; Act rapidly; and Partner with patients, families and communities.

The BP Improvement Program uses a team-based care approach where data drives improvement. Your practice will utilize hypertension quality-improvement metrics to monitor the impact of your efforts. Furthermore, you are encouraged to reach out to uncontrolled patients who need to return to the office for follow-up. Typically, within a six-month period, a practice that implements the BP Improvement Program can expect to see lower blood pressure and improved control rates in patients with hypertension.

M is for MEASURE blood pressure accurately every time Proper measurement is critical to controlling blood pressure. Build a protocol to ensure accuracy of blood pressure readings.

A is for ACT rapidly to address high blood pressure readingsThis step requires rapid action during a patient visit and prioritizes follow-up appointments and a clear treatment plan to help patients achieve blood pressure control.

P is for PARTNER with patients, families and communities to promote self-managementReal change comes when patients take ownership of their health. Engage with patients, their families and communities helps to promote sustainable lifestyle change, thus supporting the improvement of overall health.

Target: BP™ Improvement ProgramPartnerActMeasure

Click a circle below to view detailed information

Recognition Program

The right rewards at the right time

The Target: BP™ Recognition Program was designed to allow practice sites and health systems to get the recognition they deserve for making a commitment to prioritize blood pressure management within the patient populations they serve. This program rewards Target: BP registrants who have set goals and are working to implement clinical protocols to help at-risk patients meet and sustain blood pressure control rates of 70 percent or greater.

Recognition Levels

All efforts recognized

The Target: BP™ Recognition Program is as dynamic as the physicians and care teams being recognized. With that in mind, a comprehensive list of items, ranging from self-promotion to national-level acknowledgments, was created to showcase your practice’s commitment. In 2017, there are two levels of recognition: Participant and Gold, which are based on the level of blood pressure control achieved within your practice’s patient population.

Gold-Level Achievement

Practices reaching 70-percent blood pressure control or greater in their patient population will receive premier recognition

Participant-Level Achievement

Practices that join the Target: BP initiative and submit patient data qualify for recognition

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ACTION STEPS

Check.Change.Control.

Check. Change. Control.®

• Evidence based high blood pressure management program that utilizes a tracker to empower patients to take ownership of their cardiovascular health.

• Incorporates the concepts of remote monitoring, mentoring, tracking as key features to improve HBP management, physical activity and weight reduction.

• Four month education sessions are recommended along with incentives for participation.

• Encourage participants to take weekly readings or 8 readings at least once/month over 4 months.

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Check. Change. Control.® Engages Participants

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Developed to support hypertension management among the adult population, Check. Change. Control.® engages participants, emphasizing 3 important aspects of managing hypertension:

1. Checking for high blood pressure and symptoms;2. Changing lifestyle and seeking treatment; 3. Controlling hypertension by taking preventative

measures.

Check. Change. Control.® Lifecycle

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Results – Aug 2012 to June 30, 2016

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Fiscal Year Average Drop in Systolic BP Average Drop in Diastolic BP

Aug. ’12-June ’13 (Heart360 Campaigns) 11.20 mm HG 4.31 mm HG

July’13-June ’14 (Heart360 Campaigns) 12.69 mm HG 8.12 mm HG

July ’14-June ’15 (Heart360 Campaigns) 11.96 mm HG 9.10 mm HG

July ’14-June ’15 (iHealth sites) 12.82 mm HG 9.47 mm HG

July ’15-June ’16 (Heart360 Campaigns) 11.99 mm HG 8.67 mm HG

AVERAGE DROP IN SYSTOLIC & DIASTOLIC BLOOD PRESSURE

• Enrollment: 50,364 individuals• Blood Pressure Readings: 163,522

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ACTION STEPS

Cholesterol Management

One in every 3 American adults has some form of cardiovascular disease. Given the scope of the problem and its impact on public health and healthcare costs, identifying adults at elevated risk for ASCVD and treating them early is an essential step in preventing and minimizing the adverse effects of this disease.

The 2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk outlines recommendations for estimating atherosclerotic disease risk. Included in this guideline is the ASCVD Risk Calculator. This is an easy and useful tool to help identify patients at risk for heart attack and stroke who might benefit from preventive treatment. Note that the ASCVD Risk Calculator is for use to identify patients who would benefit from primary prevention strategies, not secondary.

ASCVD Risk

http://static.heart.org/riskcalc/app/index.html#!/baseline-risk

ASCVD Risk tools for talking with Patients

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Patient Resources and Provider education opportunities

• Infographics• Downloadable toolkit• Risk Estimator

• Downloadable toolkit• Presentation and full notes

from summit• ASCVD Risk Calculator• CME opportunity

around Improving Guideline-Based Cholesterol Management in Your Patients

• AHA Guidelines On-the-Go Mobile App

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ACTION STEPS

Resuscitation opportunities

Priorities of Hospitals Today

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ACTION STEPS

Additional Resources

Workplace Health SolutionsContinuous Quality Improvement for Workplace Health

Workplace Health SOLUTIONS

The need for Workplace Health Solutions

Maximize Potential90% of employers do not have sufficient data to calculate or measure ROI

Heart Diseases are the costliest chronic conditions in the U.S.

Only 6.9% of all worksites

in the U.S. offer a comprehensive health promotion program.

Program design based on best practicesFor greatest impact, workplace health programs must be

engaging, comprehensive,evidence-based and heart-

focused.

The Result: Continuous Quality Improvement for Workplace Health

Assess Culture of Health Status

GuidanceUsing AHA Resources

Implement, Improve and Re-

assess

Recognize and Award Achievement

Data Insights Based on Health Analytics

AHA Workplace Health AchievementI N D E X

POINT OF ENTRY

Assess: Workplace Health Achievement Index

Process & Structure Measures

▪ Leadership

▪ Policies & Environment

▪ Communications

▪ Programs

▪ Engagement

▪ Partnerships

▪ Reporting Outcomes

Performance Measures

Based off Life’s Simple 7

• Percentage of employees with Life’s Simple 7 completed

• Aggregate heart health score

• Relative improvement in aggregate average heart score (for companies in year 2).

Assess: Life’s Simple 7 in the Workplace Life’s Simple 7

Smoking Status

Physical Activity

Healthy DietFruit & Vegetables, Fish, Whole Grains, Sugar-Sweetened Beverages, Sodium

Healthy Weight

Blood Glucose

Total Cholesterol

Blood Pressure

overall health, productivity, quality of life, longevity

healthcare costs

• Life’s Simple 7 health behaviors and metrics represent 7 out of the top 10 most costly risk factors for employers.

• People who maintain optimal levels for 3-4 measures cut risk of heart-related death by more than 50%.

• Moving toward ideal heart health is associated with lower risk for cancer, diabetes and depression and improved cognitive function in younger and older adults.

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Questions & Answers