One In A Million Hearts Challenge

Webinar Presentation

Wednesday, October 26

On today’s call:

Wil Yu

Special Assistant

of Innovations

and Research

ONC

JL Neptune

Senior Vice

President

Health 2.0

Janet Wright

Executive

Director

Million Hearts

Leah Marcotte

Meaningful Use

Team

ONC

Agenda for Today’s Meeting

ONC and the Investing in Innovation (i2)

Program

An Introduction to the One In A Million

Hearts Challenge

Q&A About the Challenge

ONC and i2

5

i2 – Investing in Innovations

Wil Yu Wil.Yu@HHS.gov

Adam Wong

Office of the National Coordinator

6

i2 Goals

• Better Health, Better Care, Better Value through Quality Improvement

– Further the mission of the Department of Health and Human Services

– Highlight programs, activities, and issues of concern

• Spur Innovation and Highlight Excellence

– Motivate, inspire, and lead

• Community building – Development of ecosystem

• Stimulate private sector investment

What is Million Hearts?

• Goal: Prevent 1 million heart attacks and strokes over the next 5 years

• Engage public and private sector partners in a coordinated approach to: – Reduce the number of people who need treatment

– Improve the quality of treatment for those who need it

– Maximize current investments in cardiovascular health

Heart disease and strokes are leading killers in the U.S.

• Cause 1 of every 3 deaths

• More than 2 million heart attacks and strokes

occur every year; 800,000 die

–Leading cause of preventable death among

people <65

• Treatment accounts for about $1 of every $6

spent on health care

• Accounts for the largest single portion of

racial disparities in life expectancy

Status of the ABCS

Aspirin People at increased risk of cardiovascular

disease who are taking aspirin

47%

Blood

pressure

People with hypertension who have

adequately controlled blood pressure

46%

Cholesterol

People with high cholesterol who have

adequately controlled hyperlipidemia

33%

Smoking People trying to quit smoking who get help

23%

Source: MMWR: Million Hearts: Strategies to Reduce the Prevalence of

Leading Cardiovascular Disease Risk Factors --- United States, 2011,

Early Release, Vol. 60

Key components of Million Hearts

• Clinical Prevention – improving care of the ABCS through:

– Focus – simplify and align quality measures; emphasize importance of improved care of the ABCS

– Health IT – use electronic health records to improve care and enable quality improvement through clinical decision support, patient reminders, registries, and technical assistance

– Care innovations – team-based care, interventions to promote medication adherence

• Community prevention – reducing the need for treatment through:

– Prevention of tobacco use

– Improved nutrition – decrease sodium and artificial trans fat consumption

Clinical prevention Focus on ABCS

• Improving management of ABCS can prevent more deaths than other clinical preventive services

• Increasing utilization of these simple interventions could save more than 100,000 lives a year

– Patients reduce risk of heart attack or stroke by taking aspirin as appropriate

– Treating high blood pressure and high cholesterol substantially and quickly reduces mortality among high-risk patients

– Even brief smoking cessation advice from clinicians doubles likelihood of successful quit attempt – use of cessation medications increases quit rates further

The Challenge:

“Develop an application that activates

and empowers patients to get healthy

and improve their heart health”

•These apps should use evidenced based resources to help improve cardiovascular health with a particular focus on the ABCS.

•Apps should incorporate patient-entered data and provided targeted recommendations.

•Examples include: education and resources to improve on ABCs, directing users to heart healthy activities and places to eat, and linking to online communities.

Improved cardiovascular care could save 100,000 lives/year in the U.S.

Source: Farley TA, et al. Am J Prev Med 2010;38:600-9.

Smoking cessation

Blood Pressure control

Cholesterol

control

Aspirin

prophylaxis

Resources

•Million Hearts

•American Heart Association (AHA)

•AHA Risk Assessment “My Life Check”

•CDC

•SmokeFreeGov

•National Heart, Blood, and Lung Institute

•U.S. Preventive Services Task Force

Judging Criteria

1. Patient engagement

2. Quality and accessibility of information and

resources

3. Targeted and actionable information

4. Innovativeness and Usability

5. Platform Neutrality

Bonus points will be awarded for creating both English and Spanish

versions

Timeline

Submission Period Ends 12-31-11

Winner Notified 01-20-12

For More Information

http://www.health2challenge.org

Contact Jean-Luc Neptune:

jl@health2challenge.org