As a member of the CDC Million Hearts Collaborative, NACCHO invites local health departments (LHDs) to be a part of Million Hearts - a national initiative with the ambitious goal of preventing one million heart attacks and strokes by 2017. NACCHO will provide LHDs with the information and resources to educate the public on the importance of preventing heart attack and stroke in the United States.
In the Spotlight
New Resource: Million Hearts® 2012: Building Strong Partnerships for Progress
In 2012, the initiative's first year, Million Hearts® built strong partnerships to ensure steady progress toward preventing 1 million heart attacks and strokes by 2017. Check out Million Hearts® 2012: Building Strong Partnerships for Progress - a new report that includes a few examples of how partners worked to improve heart health, such as focusing on the ABCS, using health information technology, and working in teams. Click here to access the report.
Please check back for information on upcoming webinars.
December is Tobacco Prevention and Control Month
As the “S” in the ABCS, one of the Million Hearts® priorities is to empower Americans to make healthier choices by preventing tobacco use. As local health departments, you can play a role alongside Million Hearts® in reducing the number of smokers by:
- Empowering your community by supporting activities that help people access high-quality health care, manage their conditions effectively, get active, eat healthy, and stay smoke-free.
- Increasing awareness of heart disease and stroke and their risk factors to empower people to take control of their heart health.
- Promoting smoke-free air policies, effective tobacco package labeling, restricted tobacco advertising, and higher tobacco prices to help smokers quit and keep nonsmokers tobacco-free.
For resources on how local health departments can prevent tobacco use in their communities, click here
for tobacco-specific tools in NACCHO's Chronic Disease Prevention Toolkit
. Also, take a look at NACCHO's Tobacco Prevention and Control page
for news and additional resources.
UPDATE: NEW TASK FORCE FINDINGS ON CARDIOVASCULAR HEALTH PREVENTION
What is being announced?
The Community Preventive Services Task Force (Task Force) has released its findings on clinical decision-support systems for prevention of cardiovascular disease. This announcement comes before publication of the scientific articles so that you may use the information to help make decisions about prevention of cardiovascular disease.
What is the Task Force recommendation or other finding?
The Community Preventive Services Task Force recommends clinical decision-support systems (CDSS) for prevention of cardiovascular disease (CVD) based on sufficient evidence of effectiveness in improving screening for CVD risk factors and practices for CVD-related preventive care services, clinical tests, and treatments. Read the full Task Force Finding and Rationale Statement, including implementation issues, potential benefits and harms, and evidence gaps.
What are clinical decision-support systems (CDSS)?
CDSS are computer-based information systems designed to assist healthcare providers implement clinical guidelines at the point of care. CDSS use patient data to provide tailored patient assessments and evidence-based treatment recommendations for healthcare providers to consider. Patient information is entered manually or automatically through an electronic health record (EHR) system. CDSS for cardiovascular disease prevention (CVD) include one or more of the following:
- Reminders for overdue CVD preventive services including screening for risk factors such as high blood pressure, diabetes, and high cholesterol
- Assessments of patients' risk for developing CVD based on their medical history, symptoms, and clinical test results
- Recommendations for evidence-based treatments to prevent CVD, including intensification of treatment
- Recommendations for health behavior changes to discuss with patients such as quitting smoking, increasing physical activity, and reducing excessive salt intake
- Alerts when indicators for CVD risk factors are not at goal
Why is this recommendation important?
Cardiovascular disease causes one out of every three (approximately 800,000) deaths each year in the U.S.; it is the leading cause of death for both men and women. About half of U.S. adults (49%) have at least one of the three key cardiovascular disease risk factors: high blood pressure, high cholesterol, and smoking. Annual direct and indirect costs resulting from CVD and stroke in the U.S. are estimated at $312.6 billion.
Who should know about the Task Force recommendation?
The recommendation is potentially useful to healthcare organizations and providers as well as others seeking to improve the delivery of evidence-based care to prevent cardiovascular disease.
Local Health Departments: Be a Part of the Million Hearts Initiative
Are you a local health department that's doing work in one or all of the following areas:
- Hypertension control
- Salt reduction
- Smoking cessation
- Other activities designed to increase awareness of heart attack and stroke
If so, then sign up here with NACCHO to be a part of the Million Hearts Initiative.
Preventing one million heart attacks and strokes by 2017 will require the work and commitment to change from local health departments, primary health care providers and the business community. Click here to find out more about Million Hearts and more ways you can get involved.
Team-Based Approaches Needed to Fight High Blood Pressure
In a recent science advisory released by the American Heart Association, the American College of Cardiology and the Centers for Disease Control and Prevention, the following findings were highlighted:
- Despite proven treatments, blood pressure control is still a challenge in the United States.
- Local, regional, and national programs that use coordinated care and multiple resources, including an evidence-based hypertension treatment algorithm, are needed to reduce and control blood pressure.
To read more about the advisory, click here.
Final Recommendation Statement: Screening for Primary Hypertension in Children and Adolescents
The U.S. Preventive Services Task Force posted today on its Web site the final Recommendation Statement on screening for primary hypertension in children and adolescents, which was previously published in Pediatrics and Annals of Internal Medicine. To view the recommendation and the evidence on which it is based, click here. For information on this recommendation and what it could mean for children and adolescents from birth to 18 years old, click here to access a factsheet developed by the U.S. Preventive Services Task Force.