What is the Cardiovascular Health Awareness Program?
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1 What is the Cardiovascular Health Awareness Program? 1 What is CHAP? CHAP is a community-based program that brings together local family physicians, pharmacists, volunteers, public health representatives & other organizations to promote and participate in the prevention and control of cardiovascular disease Volunteer peer health educators help older adults measure their blood pressure; provide educational material about heart disease & stroke risk factors & referral to local resources Participant data is sent to family physicians and pharmacists for appropriate care and follow-up with consent 2 Your Heart Matters Series 1
2 Why CHAP? Cardiovascular disease is the leading cause of death in Canada High blood pressure affects 1 in 5 Canadian adults Number of individuals with high blood pressure increases with age High blood pressure is a common factor to a wide range of diseases 3 Barriers to Treatment & Control of High Blood Pressure High blood pressure is one of the most significant health problems for a number of reasons including: High blood pressure often has no warning signs or symptoms Blood pressure is challenging to accurately measure due to its natural variability White coat & masked high blood pressure 4 Your Heart Matters Series 2
3 Key Challenges to Primary Care Providers Management of high blood pressure is challenging: Infrequent visits by some patients Inherent variability of blood pressure measurements Difficulties of capturing accurate blood pressure data in a busy office Reluctance to initiate or maintain aggressive therapeutic options Problems with patient adherence to medication and lifestyle modifications 5 Benefits of Better Management of High Blood Pressure Management of high blood pressure is challenging: Infrequent visits by some patients Inherent variability of blood pressure measurements Difficulties of capturing accurate blood pressure data in a busy office Reluctance to initiate or maintain aggressive therapeutic options Problems with patient adherence to medication and lifestyle modifications 6 Your Heart Matters Series 3
4 Benefits of Better Management of High Blood Pressure Decrease of 10/5 mm Hg (one medication or a change in lifestyle) reduces: Stroke by 38% Heart attack by 15% Heart failure by 50% Death by 10% 7 What Happens at CHAP Sessions Blood Pressure measurement in a familiar setting with assistance from a volunteer using an automated blood pressure measuring device Cardiovascular Disease & Stroke Risk Profile completed Health information, including blood pressure readings are sent to family physicians and pharmacists with participant consent 8 Your Heart Matters Series 4
5 CHAP Sessions On-call nurse available to assess participants with very high or very low BP Health promotion programs & resources are made available Volunteer Peer Health Educators assist participants with completion of Risk Profile Heart & Stroke Foundation of Ontario Risk Assessment and Blood Pressure Action Plan MedsCheck Pharmacist Intervention 9 Risk Assessment & Blood Pressure Action Plan Developed by Heart & Stroke Foundation of Canada Web-based interactive tool available at: Assesses individual risk factors and readiness to change based on answers to a range of questions Generates a personalized action plan to improve cardiovascular and cerebrovascular health Realistic tips and resources for healthy living targeted to individual risk factors 10 Your Heart Matters Series 5
6 Volunteer Peer Health Educator Recruit older adults as Volunteer Peer Health Educators Trained by a community health nurse Assist participants in measuring Blood Pressure & completing CVD & Stroke Risk Profile Assist interested participants in completing the Risk Assessment and Blood Pressure Action Plan at CHAP sessions 11 Volunteer Peer Health Educators Review blood pressure risk assessment &/or Blood Pressure Action Plan Provide education resources & links to local programs addressing issues such as: healthy eating, stress management & physical activity Schedule pharmacist consultations for eligible participants in Medscheck Program 12 Your Heart Matters Series 6
7 MedsCheck Pharmacist Intervention MedsCheck: In Ontario, taking 3 prescription medications are eligible for Medication Review Service Annual, one-on-one, 30 minute patient consultation with a pharmacist, including the preparation of an up-to-date medication profile 13 Pharmacist Support CHAP support provided to pharmacists: Pharmacist documentation forms and guides Regular communication between local community pharmacist and the local CHAP coordinator 14 Your Heart Matters Series 7
8 MedsCheck Pharmacist Intervention CHAP Session results available to participants Pharmacist consultation - targeted review of blood pressure medication or MedsCheck Creation of personalized action plan to support changes in modifiable risk factors; Heart and Stroke Foundation of Ontario Blood Pressure Action Plan Volunteer peer health educators training CHAP participants about self-management of chronic condition high blood pressure 15 Family Physician Involvement Options available for inviting patients to participate in CHAP Option #1: Invitation letters prepared by program staff & signed by physician Schedule of CHAP sessions included with letters This is the recommended option Option #2 Community Wide Advertising of CHAP sessions Advertised in newspapers, and posted in physicians offices & public buildings 16 Your Heart Matters Series 8
9 Protecting Privacy in CHAP Research Ethics Board approval Participant consent obtained at 1 st CHAP session Data encrypted for electronic transfer/access Individuals are NOT identified in CHAP reports: analyses use anonymized data Staff & Volunteers sign confidentiality agreement Local CHAP Coordinators complete on-line ethics tutorial 17 Discussion, Questions and Comments 18 Your Heart Matters Series 9
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