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2 Presenter Disclosures The presenters have no personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months

3 APHN Project Staff Karen O Brien, DNP, MN, RN, Project Coordinator Jennifer Cooper, MSN, RN, APHN-BC, Project Writer Glenda Kelly, MSN, RN, Communications Coordinator Janet DeVeny-Edwards, Administrative Assistant

4 Objectives 1. Discuss public health nurses impact on cardiovascular disease in communities nationwide 2. Describe results of the PHN role and contribution to the 10 ASTHO team partnerships 3. Delineate specifics for a national ASTHO Issue Brief on potential PHN roles including identification of current and future reimbursement models

5 Million Hearts Campaign Million Hearts is a national initiative to prevent one million heart attacks and strokes by The Centers for Disease Control and Prevention and Centers for Medicare and Medicaid Services are the co-leaders of Million Hearts.

6 ASTHO Support The Association of State and Territorial Health Officials (ASTHO) requested assistance from APHN to support the Million Hearts Initiative by providing ten state virtual learning collaborative teams with public health nursing expert advice and resources. Ten ASTHO supported teams: Alabama, District of Columbia, Illinois, Maryland, Minnesota, New Hampshire, New York, Ohio, Oklahoma, and Vermont

7 APHN Role in the Project 1. Collect and categorize case studies of public health nurses (PHNs) impacting cardiovascular disease, especially related to hypertension prevention and control in communities throughout the nation 2. Coordinate with other national interested organizations such as the American Heart Association, NACCHO, and the National Association of Chronic Disease Directors 3. Consult on the role and contribution of the PHN to the ten state teams through PHN Peer Group monthly calls, in person ASTHO supported partner meetings, and ongoing communications

8 PHN Peer Group Calls New York PHN developed a hypertension educational tool in collaboration with an FQHC Minnesota PHN developed a home monitoring protocol for a referral system Ohio PHN developed a Care Coordination Model Dr. Denise Koo, CDC Senior Advisor for Health Systems, presented The Practical Playbook

9 PHN Stories Partnerships New & Stronger Partnerships Models of Care New Public Health Role & Relationships PHN Roles Care Coordination Education to clients and care providers Screening/Referral

10 PHN Impact Public Health Nurses are: Excited/Enthusiastic Developing New Tools Creating New Roles Thinking About the Future

11 Why Should PHNs Be Involved in Million Hearts? Million Hearts provides an opportunity to work with a national program Enumeration and Characterization of the Public Health Nurse Workforce (2012) national initiatives provide new opportunities for emerging roles in PHN focused on community health promotion and prevention practices. (Kulbock, Thatcher, Park & Meszaros, 2012). Recommendation from the 2012 Future of Public Health Nursing Forum

12 Why Should PHNs Be Involved in Million Hearts? It s time to reach those at. risk for hypertension or with hypertension at the POPULATION level The Million Hearts Initiative provides the framework and evidence-base, but there is more work to do. We have learned that chronic conditions cannot be most effectively treated only at the individual level. PHN has the tools to do this work at the population level. For more information: The Million Hearts Initiative : CDC playbook:

13 Themes from the Literature Review Prevention: not center-stage yet, but on the stage. Public Health: what it has been and what it has become The Evidence Base Community & Public Health Nursing roles in the prevention and control of hypertension

14 ASTHO Issue Brief Topic areas An opportunity Plan to submit to ASTHO by June 30, 2014 Publication will be posted on the APHN website and QUAD Council websites, as approved. I skate to where the puck is going to be, not where it has been -Wayne Gretzky

15 Input and Guidance What ideas can you share that would be helpful for our Issue Brief? Topic areas: 1. The Current Evidence on Hypertension Prevention & Control 2. Current and Potential Roles of Public Health Nurses in the Prevention & Control of Hypertension 3. Lessons Learned from Current PHN Models 4. Potential Models for Reimbursement

16 Million Hearts Webinar June 26, :00-3:00 EDT

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