Health risk assessment: a standardized framework

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Health risk assessment: a standardized framework"

Transcription

1 Health risk assessment: a standardized framework February 1, 2011 Thomas R. Frieden, MD, MPH Director, Centers for Disease Control and Prevention

2 Leading causes of death in the U.S. The 5 leading causes of death in 2007: 1. Heart disease 2. Cancer 3. Stroke 4. Chronic lower respiratory diseases 5. Unintentional injuries

3 Providers have an important part to play in winnable battles Tobacco prevention Nutrition, physical activity, obesity, and food safety Healthcareassociated infections Motor vehicle injury prevention Teen pregnancy prevention HIV prevention Question patients about use; offer/refer counseling and cessation; advocate for tobacco control Screen patients for obesity, diabetes, high blood pressure, cholesterol and offer/refer counseling, interventions Implement and track prevention guidelines Alcohol brief intervention; seat belt use counseling Offer/refer counseling and family planning services Implement routine HIV testing (ages 13-64); prevention with positives; partner services

4 Cardiovascular disease Leading cause of death in the U.S. 80 million people in the U.S. (1/3 adults) have some form of CVD Hypertension, heart attack, angina, heart failure, stroke CVD kills ~865,000 people/year (1/3 deaths), about 2,400/day 150,000 CVD-related deaths/year in people under 65 >1 million heart attacks and 700,000 strokes/year CVD accounts for largest proportion of racial disparities in life expectancy

5 On ABCS, U.S. gets an F Aspirin Blood pressure Cholesterol People at increased risk of cardiovascular disease who are taking aspirin People with hypertension who have adequately controlled blood pressure People with high cholesterol who have adequately controlled hyperlipidemia 33% 46% 33% Smoking People trying to quit smoking who get help Despite spending $1 out of every $6 on health care 20%

6 Large disparities in CVD mortality Rates 3x higher in some communities than others Source: CDC, Division for Heart Disease and Stroke Prevention

7 Health care providers can help reduce smoking Tobacco is the leading preventable cause of disease and death in the U.S. >46 million people 1 in 5 adults smoke ~443,000 die from tobacco-related causes/year Health care providers can Evaluate tobacco use at every visit Provide brief, personalized counseling Offer tobacco cessation services Medication (virtually all smokers who want to quit) Free online smokers quitline Use EHRs to improve clinical management Decision support, registry functions, quality measurement

8 Quitline counseling alone or with medication significantly increases 6-month abstinence rates % quit % 6-Month Quit Rate 3-5 minutes of personalized counseling increases quit rates 13% 28% 5 0 Minimal or no counseling or self-help With Quitline With Quitline and medication Source: Clinical Practice Guideline Meta-Analysis Results. Treating tobacco use and dependence: 2008 update. Rockville (MD): HHS 2008 May

9 Health care providers can help reduce alcohol misuse Excessive alcohol use in the U.S. Causes ~79,000 deaths/year Is the 3rd leading lifestyle-related cause of death Is responsible for 2.3 million years of potential life lost/year Accounted for >1.6 million hospitalizations and >4 million emergency room visits (2005) Providers can Screen patients Use behavioral counseling

10 Brief interventions can help people who drink excessively Used across the spectrum of alcohol problems Motivate dependent patients to seek specialized treatment Help non-dependent patients (who drink excessively) to reduce or stop drinking Inexpensive Effective For every 5 interventions, 1 patient decreases drinking One of the most important preventive clinical services

11 Standardized framework can help people manage diseases What people can do to prevent Heart disease and stroke Eat a healthful diet Maintain a healthy weight Exercise Chronic lower respiratory diseases, lung cancer Don t smoke Avoid secondhand smoke Road traffic injuries Use seat belt Don t drink and drive

12 New Medicare benefit includes individualized or personalized health risk assessment Annual Wellness Visit Includes Health Risk Assessment (HRA) to identify Chronic diseases Injury risks Modifiable risk factors Urgent health needs CDC and Centers for Medicare and Medicaid Services are collaborating on development

13 Need for a framework CDC recent systematic review of evidence Insufficient evidence to determine effectiveness of HRA alone HRA with tailored feedback is useful as a gateway intervention Strong evidence of effectiveness of HRA with feedback when used with health education provided >1 hour, multiple times Failed to address 65-year-old population most studies look at working adults

14 Need for a framework (cont.) Strong/sufficient evidence for meaningful effects on Tobacco Alcohol use Seatbelt non-use Dietary fat intake Blood pressure Cholesterol level Summary health risk estimates Worker absenteeism Health care service use

15 Need for a framework (cont.) Because of small or inconsistent effect estimates, insufficient evidence exists to determine effectiveness for Intake of fruits and vegetables Body composition Physical fitness Source: Soler, et al. American Journal of Preventive Medicine 2010;38(2S)S237-S262

16 Importance of standardization Differing assessments, interventions, and outcome measures make comparisons of changes of health status difficult Existing risk calculators offer only risk identification, no evidence-based intervention recommendations and/or support

17 Framingham Heart Study Hypertension risk prediction score using measures obtained in physician s office Can be used to Estimate an individual s absolute risk for hypertension on short term follow-up Identify person with pre-hypertension for additional follow-up Limitations Not generalizable to non-white race or ethnicity or people with diabetes Source: Parikh et al. A risk score for predicting near-term incidence of hypertension: The Framingham Heart Study. Annals of Internal Medicine January 15, 2008;148(2):

18 Standardized HRA Create a health assessment framework across purchaser/plan/payer groups Provide a platform for use of evidence-based health education Enhance health literacy Help people stay healthier longer Improve self-management skills for those with chronic conditions Measure preventive care use

19 Standardized framework improves health care and outcomes of care Consistent measure of quality of care and health outcomes between health plans/networks/providers/purchasers Decrease health disparities through development of patient-centeredness Use of linguistically and culturally appropriate tools Enhance efficiency and effectiveness of health care by triaging patients with High-risk behaviors that negatively affect health for goal setting and follow-up training and support Poorly controlled chronic diseases for selfmanagement training

20 Standardized tools benefit clinical care and public health Benefits for clinicians Clinicians can use tools to answer these questions: Is the health care I m providing achieving the desired results? Why or why not? Benefits for public health Provide near real-time surveillance health data through Electronic Health Record Serve as adjunct to existing health surveys (e.g., National Health Interview Survey and Behavioral Risk Factor Surveillance System)

21 Standardized tools benefit Medicare Assess member access to care Standardizes measure of preventive health services Decrease use of high-cost acute care by improving self-care chronic disease management skills Provide members with high-risk health behaviors individual attention through health goal planning tailored to need and support Improve patient/consumer satisfaction

22 Use of HRA in clinical care In clinical care and public health Benchmark individual patients against a reliable baseline Provide reliable information for personalized health, set goals, and measure progress Assess quality of care In public health Inform community-based prevention practice Community-level surveillance provides data to support further health studies Long-term outcome and impact Longitudinal on specific populations

MDHHS Winnable Battles

MDHHS Winnable Battles Michigan Department of Health & Human Services MDHHS Winnable Battles Social Determinants of Health Eden V. Wells, MD, MPH, FACPM Michigan Department of Health and Human Services Putting people first,

More information

Using Evidence for Public Health Decision Making: Assessment of Health Risks with Feedback to Change Employees Health

Using Evidence for Public Health Decision Making: Assessment of Health Risks with Feedback to Change Employees Health Using Evidence for Public Health Decision Making: Assessment of Health Risks with Feedback to Change Employees Health Community Guide Slide Modules This presentation is designed to be used with overview

More information

Promoting CVD Prevention in Your Practice: A New Medicare Reimbursable Service

Promoting CVD Prevention in Your Practice: A New Medicare Reimbursable Service Promoting CVD Prevention in Your Practice: A New Medicare Reimbursable Service Richard Josephson, MD, MS, Professor of Medicine, Case Western Reserve University; Medical Director, CICU, UH Case Medical

More information

Namvar Zohoori, MD, MPH, PhD Chronic Disease Director, Associate Director for Science, Arkansas Department of Health. Associate Professor, Department

Namvar Zohoori, MD, MPH, PhD Chronic Disease Director, Associate Director for Science, Arkansas Department of Health. Associate Professor, Department Namvar Zohoori, MD, MPH, PhD Chronic Disease Director, Associate Director for Science, Arkansas Department of Health. Associate Professor, Department of Epidemiology, U. Of Arkansas for Medical Sciences,

More information

Interim Guidance for Health Risk Assessments and their Modes of Provision for Medicare Beneficiaries

Interim Guidance for Health Risk Assessments and their Modes of Provision for Medicare Beneficiaries Interim Guidance for Health Risk Assessments and their Modes of Provision for Medicare Beneficiaries Paula Staley, MPA, RN; Paul Stange, MPH; Chesley Richards, MD, MPH Office of Prevention through Healthcare

More information

Chronic Diseases. Between 2005 and 2007 there were no significant changes in any of the adult behaviors reported through the BRFSS.

Chronic Diseases. Between 2005 and 2007 there were no significant changes in any of the adult behaviors reported through the BRFSS. Chronic Diseases Chronic diseases and conditions, such as heart disease, cancer, diabetes and obesity, are the leading causes of death and disability in the United States. Chronic diseases account for

More information

Health Passport. Your Journey to Wellness. Health Fair ID#

Health Passport. Your Journey to Wellness. Health Fair ID# Health Passport Your Journey to Wellness Health Fair ID# Body Mass Index What is BMI? Your body mass index, or BMI, shows the amount of fat in your body. BMI is calculated using height, weight, and waist

More information

A report given to the Board of Health, City of Lubbock, March 2011 Brian D. Carr, Ph.D., Board Member *denotes areas of possible intervention

A report given to the Board of Health, City of Lubbock, March 2011 Brian D. Carr, Ph.D., Board Member *denotes areas of possible intervention If you live in Lubbock A Statistical Review A report given to the Board of Health, City of Lubbock, March 2011 Brian D. Carr, Ph.D., Board Member *denotes areas of possible intervention Population Total

More information

Colorado s 10 Winnable Battles

Colorado s 10 Winnable Battles Colorado s 10 Winnable Battles Christopher E. Urbina, MD, MPH, Executive Director and Chief Medical Officer Colorado Department of Public Health and Environment June 7, 2012 Comparing CDC and Colorado

More information

New Jersey Department of Health. Office of Tobacco Control, Nutrition and Fitness. Request for Applications (RFA)#2

New Jersey Department of Health. Office of Tobacco Control, Nutrition and Fitness. Request for Applications (RFA)#2 New Jersey Department of Health Office of Tobacco Control, Nutrition and Fitness Request for Applications (RFA)#2 Smoke-Free Housing / Worksite Wellness Smoke Free Housing/Worksite Wellness Grant The funding

More information

Capital District Physicians Health Plan, Inc. Nonprofit Health Plan Albany, New York

Capital District Physicians Health Plan, Inc. Nonprofit Health Plan Albany, New York Capital District Physicians Health Plan, Inc. Nonprofit Health Plan Albany, New York Capital District Physicians Health Plan, Inc. (CDPHP ) is featured as a high performer in cardiovascular care, identified

More information

Motor Vehicle Prioritizing Interventions and Cost Calculator for States (MV PICCS): A Tool to Help States Reduce Motor Vehicle Injuries and Deaths

Motor Vehicle Prioritizing Interventions and Cost Calculator for States (MV PICCS): A Tool to Help States Reduce Motor Vehicle Injuries and Deaths Motor Vehicle Prioritizing Interventions and Cost Calculator for States (MV PICCS): A Tool to Help States Reduce Motor Vehicle Injuries and Deaths Erin Sauber-Schatz, PhD, MPH Transportation Safety Team

More information

Health Promotion and Chronic Disease Prevention. 5-Year. Strategic Plan (2012-2017) CENTER FOR PREVENTION AND HEALTH PROMOTION

Health Promotion and Chronic Disease Prevention. 5-Year. Strategic Plan (2012-2017) CENTER FOR PREVENTION AND HEALTH PROMOTION Health Promotion and Chronic Disease Prevention 5-Year Strategic Plan (2012-2017) CENTER FOR PREVENTION AND HEALTH PROMOTION Health Promotion and Chronic Disease Prevention Health Promotion and Chronic

More information

2016 Wellness Benefits and Incentive Rewards

2016 Wellness Benefits and Incentive Rewards Simple Steps to Living Well Together 2016 Wellness Benefits and Incentive Rewards Caring for Your Health Worldwide ACHIEVING AND MAINTAINING GOOD HEALTH IMPORTANT STEPS FOR YOUR WELL-BEING The FOREIGN

More information

How healthy are we? ISBN

How healthy are we? ISBN Framework for a Healthy Alberta HEALTH AND WELLNESS How healthy are we? verall, Albertans enjoy long and healthy lives. We want to live as long as possible in good health and prevent deaths and injuries

More information

Guide to Health Promotion and Disease Prevention

Guide to Health Promotion and Disease Prevention Family Health Teams Advancing Primary Health Care Guide to Health Promotion and Disease Prevention January 16, 2006 Table of Contents 3 Introduction 3 Purpose 3 Background 4 Developing Health Promotion

More information

WHO STEPwise approach to chronic disease risk factor surveillance (STEPS)

WHO STEPwise approach to chronic disease risk factor surveillance (STEPS) WHO STEPwise approach to chronic disease risk factor surveillance (STEPS) Promotion of Fruits and Vegetables for Health African Regional Workshop for Anglophone Countries Mount Meru Hotel, Arusha, Tanzania

More information

Health Risk Appraisal Profile

Health Risk Appraisal Profile Language (Character Set): Health Risk Appraisal Profile Congratulations for completing your Health Risk Appraisal Questionnaire! Last update: June 4, 2012; 8:27:54 CDT This Health Risk Appraisal is not

More information

4/3/2012. Surveillance. Direct Care. Prevention. Quality Management

4/3/2012. Surveillance. Direct Care. Prevention. Quality Management //1 The Epidemiology of Infectious and Chronic Diseases in Minority Communities December 7, 11 Mary G. McIntyre, M.D., M.P.H. Assistant State Health Officer for Disease Control and Prevention Alabama Department

More information

Resource Guide. Montana. Chronic Disease Improvement. Sharing resources to build healthier lives.

Resource Guide. Montana. Chronic Disease Improvement. Sharing resources to build healthier lives. Montana Chronic Disease Improvement Resource Guide As part of a statewide effort to prevent and improve management of chronic disease, the Montana Department of Public Health & Human Services (MT DPHHS)

More information

Wright County Community Health Priority Interventions Plan

Wright County Community Health Priority Interventions Plan Wright County Community Health Priority Interventions Plan 2014-2018 Table of Contents Executive Summary... 2 Health Disparities... 2 Effective Health Strategies to Eliminate Disparities... 3 Community

More information

Take Care New York 2016: An Agenda for Healthier New York City

Take Care New York 2016: An Agenda for Healthier New York City Take Care New York 2016: An Agenda for Healthier New York City Presentation to the Health Committee of Community Board 6 Camellia Mortezazadeh, MPH, Executive Director, Take Care New York and Ewel Napier,

More information

Health Profile for St. Louis City

Health Profile for St. Louis City Health Profile for St. Louis City The health indicators of St. Louis City show that the city has many health problems. To highlight a few, the city s rates of sexually transmitted diseases (i.e., HIV/AIDS,

More information

Basic Health Statistics. Porcupine Health Unit

Basic Health Statistics. Porcupine Health Unit Basic Health Statistics Porcupine Health Unit 2012 . Basic Health Statistics Porcupine Health Unit 2012 . Table of Contents Demographics...7 a. Population Size...7 Figure 1: Percentage change in the Population

More information

Prevention and Public Health Fund: Community Transformation Grants to Reduce Chronic Disease

Prevention and Public Health Fund: Community Transformation Grants to Reduce Chronic Disease Prevention and Public Health Fund: Community Transformation Grants to Reduce Chronic Disease The Affordable Care Act created Community Transformation Grants aimed at helping communities implement projects

More information

Improving Clinical Processes: The Million Hearts Hypertension Control Change Package for Clinicians

Improving Clinical Processes: The Million Hearts Hypertension Control Change Package for Clinicians Improving Clinical Processes: The Million Hearts Hypertension Control Change Package for Clinicians Hilary K. Wall, MPH Million Hearts Science Lead Division for Heart Disease and Stroke Prevention U.S.

More information

Person-Centered Nurse Care Management in Home Based Care: Impact on Well-Being and Cost Containment

Person-Centered Nurse Care Management in Home Based Care: Impact on Well-Being and Cost Containment Person-Centered Nurse Care Management in Home Based Care: Impact on Well-Being and Cost Containment Donna Zazworsky, RN, MS, CCM, FAAN Vice President: Community Health and Continuum Care Carondelet Health

More information

Cardiovascular disease profile

Cardiovascular disease profile Cardiovascular disease profile Cardiovascular risk factors March 2015 Background This chapter of the Cardiovascular disease profiles focuses on risk factors for cardiovascular disease and is produced by

More information

King County City Health Profile Vashon Island

King County City Health Profile Vashon Island King County City Health Profile Vashon Island West Seattle North Highline Burien SeaTac/Tukwila Vashon Island Des Moines/Normandy Park Kent-West East Federal Way Fed Way-Dash Point/Woodmont December, 212

More information

HSAG: The QIN-QIO for Arizona, California, Florida, Ohio, and the U.S. Virgin Islands

HSAG: The QIN-QIO for Arizona, California, Florida, Ohio, and the U.S. Virgin Islands HSAG: The QIN-QIO for Arizona, California, Florida, Ohio, and the U.S. Virgin Islands Jim Barnhart, BSH LNHA Quality Improvement Specialist Carol Saavedra, BA Health Informatics Specialist November 18,

More information

Risk of alcohol. Peter Anderson MD, MPH, PhD, FRCP Professor, Alcohol and Health, Maastricht University Netherlands. Zurich, 4 May 2011

Risk of alcohol. Peter Anderson MD, MPH, PhD, FRCP Professor, Alcohol and Health, Maastricht University Netherlands. Zurich, 4 May 2011 Risk of alcohol Peter Anderson MD, MPH, PhD, FRCP Professor, Alcohol and Health, Maastricht University Netherlands Zurich, 4 May 2011 Lifetime risk of an alcoholrelated death (1/100) 16.0 14.0 12.0 10.0

More information

SAINT LUKE S COMMUNITY BENEFIT IMPLEMENTATION PLAN

SAINT LUKE S COMMUNITY BENEFIT IMPLEMENTATION PLAN SAINT LUKE S COMMUNITY BENEFIT IMPLEMENTATION PLAN 2016 Saint Luke s Hospital of Kansas City Contact us Saint Luke s Hospital of Kansas City 4401 Wornall Rd. Kansas City, MO 64111 816-932-2000 saintlukeskc.org

More information

1. To create a comprehensive Benchmark plan that will assure maximum tobacco cessation coverage to all populations in Rhode Island:

1. To create a comprehensive Benchmark plan that will assure maximum tobacco cessation coverage to all populations in Rhode Island: POSTION STATEMENT Submitted to the Rhode Island Health Benefits Exchange Submitted By the Public Policy Workgroup of the Statewide Tobacco Cessation Committee on Tobacco Cessation Treatment Benchmarks

More information

HEALTH FACTORS Clinical Care Insurance Coverage Routine Dental Care Routine Medical Care Prenatal Care Breast Cancer Screening Diabetes Management

HEALTH FACTORS Clinical Care Insurance Coverage Routine Dental Care Routine Medical Care Prenatal Care Breast Cancer Screening Diabetes Management HEALTH FACTORS Clinical Care Insurance Coverage Routine Dental Care Routine Medical Care Prenatal Care Breast Cancer Screening Diabetes Management Colorectal Cancer Screening Cholesterol Screening 1 Insurance

More information

University of Colorado REACH 2012 REACH OVERVIEW. Tim Noe Principal Investigator

University of Colorado REACH 2012 REACH OVERVIEW. Tim Noe Principal Investigator University of Colorado REACH 2012 REACH OVERVIEW Tim Noe Principal Investigator Overview of REACH The Racial and Ethnic Approaches to Community Health (REACH) began in 1999. REACH is an important component

More information

Heart Health and Stroke

Heart Health and Stroke Heart Health and Stroke The first and third leading causes of death in the United States are heart disease and cerebrovascular accident (stroke). Most of cardiovascular disease morbidity is the result

More information

Rising Health Care Costs, Prevention & Primary Care, and Personal Responsibility

Rising Health Care Costs, Prevention & Primary Care, and Personal Responsibility Rising Health Care Costs, Prevention & Primary Care, and Personal Responsibility Marcia Nielsen, Ph.D., MPH Executive Director July Advisory Council Meetings Objectives To explore evidence regarding rising

More information

Who typically has Metabolic Syndrome? According to the American Heart Association, three groups of people often have metabolic syndrome:

Who typically has Metabolic Syndrome? According to the American Heart Association, three groups of people often have metabolic syndrome: Metabolic Syndrome By Seth Bilazarian, MD, FACC, FSCAI, RPVI Clinical and Intervential Cardiologist What is the Metabolic Syndrome? The Metabolic Syndrome is a collection of five problems that greatly

More information

Highlights of the Prince Edward Island Report on

Highlights of the Prince Edward Island Report on Highlights of the Prince Edward Island Report on Common Health Indicators September 22 Health Status Health Outcomes Service Quality Health and Social Services Health Indicators This document provides

More information

Health coaching for patients with diabetes: Changing behavior and health

Health coaching for patients with diabetes: Changing behavior and health Fairview Health Services Fairview Medical Group Influencing patient behaviors and habits is difficult to accomplish in a short clinic visit. Since primary care providers struggle with insufficient time

More information

3.b.i Evidence-Based Strategies for Disease Management in High Risk/Affected Populations (Adults Only)

3.b.i Evidence-Based Strategies for Disease Management in High Risk/Affected Populations (Adults Only) 3.b.i Evidence-Based Strategies for Disease Management in High Risk/Affected Populations (Adults Only) Objective: To support implementation of evidence-based best practices for disease management in medical

More information

COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN University of Cincinnati Medical Center

COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN University of Cincinnati Medical Center Infant Mortality (provide date) s 1. Establish obstetric surveillance data group including UCMC, Christ, Good Samaritan, Bethesda North, and The Mercy Hospitals 2. Refine the FIMR and the Collaboration

More information

Burden of Obesity, Diabetes and Heart Disease in New Hampshire, 2013 Update

Burden of Obesity, Diabetes and Heart Disease in New Hampshire, 2013 Update Burden of Obesity, Diabetes and Heart Disease in New Hampshire, 2013 Update Background Overweight and obesity have greatly increased among all age groups and regardless of income and education. Contributing

More information

"Starting today, every doctor, nurse, health plan, purchaser, and medical school in America should make treating tobacco dependence a top priority.

Starting today, every doctor, nurse, health plan, purchaser, and medical school in America should make treating tobacco dependence a top priority. Encouraging Tobacco Cessation Through the Five A s: Ask, Advise, Assess, Assist, Arrange Mary Clare Champion, Ph.D. Tennessee Primary Care Clinical Conference April 14-15, 2011 Franklin, TN "Starting today,

More information

HEALTH RISK ASSESSMENT (HRS) QUESTIONNAIRE

HEALTH RISK ASSESSMENT (HRS) QUESTIONNAIRE HEALTH RISK ASSESSMENT (HRS) QUESTIONNAIRE The Health Risk Assessment (HRA) questionnaire provides participants with an evaluation of their current health and quality of life. The assessment promotes health

More information

What You Should Know About High Blood Pressure

What You Should Know About High Blood Pressure What You Should Know About High Blood Pressure What Is Blood Pressure? Blood pressure is the force of blood against the walls of your arteries (blood vessels). There are two measures of blood pressure:

More information

Facts about Diabetes in Massachusetts

Facts about Diabetes in Massachusetts Facts about Diabetes in Massachusetts Diabetes is a disease in which the body does not produce or properly use insulin (a hormone used to convert sugar, starches, and other food into the energy needed

More information

District of Columbia Department of Health: Chronic Disease State Action Plan 0

District of Columbia Department of Health: Chronic Disease State Action Plan 0 District of Columbia Department of Health: Chronic Disease State Action Plan 0 District of Columbia Department of Health: Chronic Disease State Action Plan 1 The District of Columbia Chronic Disease State

More information

Health Disparities in H.R. 3590 (Merged Senate Bill)

Health Disparities in H.R. 3590 (Merged Senate Bill) Health Disparities in H.R. 3590 (Merged Senate Bill) Definitions: Health disparity population is defined in the bill as defined in Section 485E (Sec. 931) Current Law: a population is a health disparity

More information

Division for Heart Disease and Stroke Prevention. Division Budget and Program Briefing for the Institute of Medicine April 9, 2009

Division for Heart Disease and Stroke Prevention. Division Budget and Program Briefing for the Institute of Medicine April 9, 2009 Division for Heart Disease and Stroke Prevention Division Budget and Program Briefing for the Institute of Medicine April 9, 2009 1 Human and Fiscal Resource History Fiscal Year Budget FTEs 2003 $55 million

More information

Oral Health Bexar County Community Health Assessment Health behaviors Oral Health 74

Oral Health Bexar County Community Health Assessment Health behaviors Oral Health 74 Oral Health A National Call to Action to Promote Oral Health marks the latest in an ongoing effort to address the country s oral health needs in the 21 st century. In 00, Dr. David Satcher released Oral

More information

A Strategic Plan for Improving Preconception Health and Health Care: Recommendations from the CDC Select Panel on Preconception Care

A Strategic Plan for Improving Preconception Health and Health Care: Recommendations from the CDC Select Panel on Preconception Care 1 A Strategic Plan for Improving Preconception Health and Health Care: Recommendations from the CDC Select Panel on Preconception Care Presentation by Kay A. Johnson, MPH, EdM Research Assistant Professor,

More information

Outline: Practice Transformation for Smoking Cessation Counseling V3

Outline: Practice Transformation for Smoking Cessation Counseling V3 Outline: Practice Transformation for Smoking Cessation Counseling V3 Call to Action Tobacco use is still the leading preventable cause of death in the United States. The prevalence among adult Medicaid

More information

Beyond Meaningful Use -- Multi- disciplinary Team Integration of Customized Smoking Cessation Patient Education Into EMR Clinical Decision Support

Beyond Meaningful Use -- Multi- disciplinary Team Integration of Customized Smoking Cessation Patient Education Into EMR Clinical Decision Support Beyond Meaningful Use -- Multi- disciplinary Team Integration of Customized Smoking Cessation Patient Education Into EMR Clinical Decision Support Wendy Angelo, MD Capital Region Healthcare Learning Objectives

More information

Executive Summary. Healthy Lifestyles

Executive Summary. Healthy Lifestyles Executive Summary The is a major initiative of The Health Collaborative. The mission of the organization is to improve the health status of the community through collaborative means. Partners include the

More information

TotalCare Wellness Programs Reduce Health Care Costs and Improve Productivity

TotalCare Wellness Programs Reduce Health Care Costs and Improve Productivity TotalCare Wellness Programs Reduce Health Care Costs and Improve Productivity Up to 70% of an employer s health care spending is attributed to unhealthy lifestyle behaviors Poor Health Behaviors Drive

More information

Table of Contents. Letter from the Mayor...1. Letter from the Commissioner...2. Introduction...3. Chapter 1: Promote Quality Health Care for All...

Table of Contents. Letter from the Mayor...1. Letter from the Commissioner...2. Introduction...3. Chapter 1: Promote Quality Health Care for All... Table of Contents Letter from the Mayor...1 Letter from the Commissioner...2 Introduction...3 Chapter 1: Promote Quality Health Care for All...8 Chapter 2: Be Tobacco Free...10 Chapter 3: Promote Physical

More information

WorkSmart WorkSmart myhealth WorkSmart A1C LDL TrigLyCeriDes CoTinine ToTAL hdl ToTAL ChoLesTeroL ChoLesTeroL-hDL ratio

WorkSmart WorkSmart myhealth WorkSmart A1C LDL TrigLyCeriDes CoTinine ToTAL hdl ToTAL ChoLesTeroL ChoLesTeroL-hDL ratio is designed for the workplace looking for a single, comprehensive set of tests that establish baseline laboratory values for wellness and disease management programs. The Test Package describes the normal

More information

Virginia State Board of Health Chronic Disease Prevention and Control Position Paper

Virginia State Board of Health Chronic Disease Prevention and Control Position Paper Virginia State Board of Health Chronic Disease Prevention and Control Position Paper Chronic diseases - such as heart disease, stroke, cancer, and diabetes - are the leading causes of death and disability

More information

Collaborative Onsite Medical Care in the Workplace

Collaborative Onsite Medical Care in the Workplace Collaborative Onsite Medical Care in the Workplace Sue Dierksen, MPH,RN, COHN-S/CM, CSP Director of Business Health- Aspirus Clinics Holly Bauer, RN BSN Health Services Supervisor, Sentry Insurance Objectives

More information

Achieving Quality and Value in Chronic Care Management

Achieving Quality and Value in Chronic Care Management The Burden of Chronic Disease One of the greatest burdens on the US healthcare system is the rapidly growing rate of chronic disease. These statistics illustrate the scope of the problem: Nearly half of

More information

CHAPTER 17: HEALTH PROMOTION AND DISEASE MANAGEMENT

CHAPTER 17: HEALTH PROMOTION AND DISEASE MANAGEMENT CHAPTER 17: HEALTH PROMOTION AND DISEASE MANAGEMENT HEALTH SERVICES AND PROGRAMS The Plan s Health Promotion and Disease Management Department seeks to improve the health and overall well-being of our

More information

Pneumococcal & Influenza Vaccine Administration for Hospitalized Patients

Pneumococcal & Influenza Vaccine Administration for Hospitalized Patients Pneumococcal & Influenza Vaccine Administration for Hospitalized Patients Gonzalo Bearman MD, MPH Assistant Professor of Internal Medicine Divisions of Quality Health Care & Infectious Diseases Associate

More information

Preventive Care Guideline for Asymptomatic Low Risk Adults Age 18 through 64

Preventive Care Guideline for Asymptomatic Low Risk Adults Age 18 through 64 Preventive Care Guideline for Asymptomatic Low Risk Adults Age 18 through 64 1. BMI - Documented in patients medical record on an annual basis. Screen for obesity and offer intensive counseling and behavioral

More information

Johns Hopkins HealthCare LLC: Care Management and Care Coordination for Chronic Diseases

Johns Hopkins HealthCare LLC: Care Management and Care Coordination for Chronic Diseases Johns Hopkins HealthCare LLC: Care Management and Care Coordination for Chronic Diseases Epidemiology Over 145 million people ( nearly half the population) - suffer from asthma, depression and other chronic

More information

Routine Preventive Services. Covered by Medicare 2012

Routine Preventive Services. Covered by Medicare 2012 Routine Preventive Services Covered by Medicare 2012 Brook Golshan, CPC, ACS-EM 2/20/2012 1 Preventive Services Covered by Medicare 2012 Covered by Medicare Part B: Original/Direct Medicare Most of the

More information

Using Health Information Technology to Improve Quality of Care: Clinical Decision Support

Using Health Information Technology to Improve Quality of Care: Clinical Decision Support Using Health Information Technology to Improve Quality of Care: Clinical Decision Support Vince Fonseca, MD, MPH Director of Medical Informatics Intellica Corporation Objectives Describe the 5 health priorities

More information

Stroke: A Public Health Issue

Stroke: A Public Health Issue Stroke: A Public Health Issue American Heart Association / American Stroke Association Cryptogenic Stroke Conference Washington, DC October 9, 2015 Georges C. Benjamin, MD, MACP, FACEP(E), FNAPA Executive

More information

An Integrated, Holistic Approach to Care Management Blue Care Connection

An Integrated, Holistic Approach to Care Management Blue Care Connection An Integrated, Holistic Approach to Care Management Blue Care Connection With health care costs continuing to rise, both employers and health plans need innovative solutions to help employees manage their

More information

NYS Prevention Agenda s Preventing Chronic Diseases Action Plan

NYS Prevention Agenda s Preventing Chronic Diseases Action Plan NYS Prevention Agenda s Action Plan Barbara Wallace, MD, MSPH Director, Division of Chronic Disease Prevention New York State Department of Health September 17, 2013 Overview Why focus on chronic diseases?

More information

The International Agenda for Stroke

The International Agenda for Stroke 1st Global Conference on Healthy Lifestyles and Noncommunicable Diseases Control Moscow, 28-29 April, 2011 The International Agenda for Stroke Marc Fisher MD, University of Massachusetts Editor-in-Chief,

More information

Social inequalities in all cause and cause specific mortality in a country of the African region

Social inequalities in all cause and cause specific mortality in a country of the African region Social inequalities in all cause and cause specific mortality in a country of the African region Silvia STRINGHINI 1, Valentin Rousson 1, Bharathi Viswanathan 2, Jude Gedeon 2, Fred Paccaud 1, Pascal Bovet

More information

High blood pressure and your kidneys

High blood pressure and your kidneys High blood pressure and your kidneys T H E K I D N E Y F O U N D A T I O N O F C A N A D A 1 High blood pressure and your kidneys n What is blood pressure? Blood pressure measures the force of blood pumped

More information

Fact Sheet: The Affordable Care Act s New Rules on Preventive Care July 14, 2010

Fact Sheet: The Affordable Care Act s New Rules on Preventive Care July 14, 2010 Fact Sheet: The Affordable Care Act s New Rules on Preventive Care July 14, 2010 Chronic diseases, such as heart disease, cancer, and diabetes, are responsible for 7 of 10 deaths among Americans each year

More information

Healthy People in Healthy Communities

Healthy People in Healthy Communities Healthy People 2020 Alaska Hawaii American Samoa U.S. Virgin Islands Federated States of Micronesia Republic of Marshall Islands Commonwealth of Northern Mariana Islands Puerto Rico Palau Guam www.healthypeople.gov

More information

Healthy People in Healthy Communities

Healthy People in Healthy Communities Healthy People 2020 Alaska Hawaii American Samoa U.S. Virgin Islands Federated States of Micronesia Republic of Marshall Islands Commonwealth of Northern Mariana Islands Puerto Rico Palau Guam www.healthypeople.gov

More information

Include Dietitian Services in Extended Health Care Plan

Include Dietitian Services in Extended Health Care Plan Include Dietitian Services in Extended Health Care Plan It s cost-effective JUNE 2015 The Problem Your employees extended health care plan does not appear to include dietitian services as an option despite

More information

The information presented here is for training purposes and reflects the views of the presenter. It does not necessarily represent the official

The information presented here is for training purposes and reflects the views of the presenter. It does not necessarily represent the official Welcome to today s Coffee Break, presented by the Evaluation and Program Effectiveness Team in the Division for Heart Disease and Stroke Prevention at the Centers for Disease Control and Prevention. We

More information

PREVENTION WORKS: CDC Strategies for a Heart-Healthy and Stroke-Free America

PREVENTION WORKS: CDC Strategies for a Heart-Healthy and Stroke-Free America PREVENTION WORKS: CDC Strategies for a Heart-Healthy and Stroke-Free America DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR DISEASE CONTROL AND PREVENTION INTRODUCTION Prevention Works: CDC Strategies

More information

TOBACCO USE AMONG AFRICAN AMERICANS

TOBACCO USE AMONG AFRICAN AMERICANS TOBACCO USE AMONG AFRICAN AMERICANS Each year, approximately 45,000 African Americans die from smoking-related disease. 1 Smoking-related illnesses are the number one cause of death in the African-American

More information

1. Worksite Health Interest Survey. 2. Tell Us About Yourself! Worksite Health Interest and Culture Audit. 1. Sex: 2. Age Group: 3.

1. Worksite Health Interest Survey. 2. Tell Us About Yourself! Worksite Health Interest and Culture Audit. 1. Sex: 2. Age Group: 3. 1. Worksite Health Interest Survey We are examining the possibility of developing an employee health promotion program, and would like to learn about your interests in health promotion and health related

More information

Chapter 7: Strengthen the Role & Impact of Ill Health Prevention Diabetes

Chapter 7: Strengthen the Role & Impact of Ill Health Prevention Diabetes Chapter 7: Strengthen the Role & Impact of Ill Health Prevention Diabetes Lead author: Dr Sapna Chauhan Introduction Diabetes is a major public health issue. There are currently around 3.8 million people

More information

EFSA OPINION ON NURIENT PROFILES AIJN ISSUES AND COUNTER ARGUMENTS. We need a description of the table how it is set up and what it is meant for

EFSA OPINION ON NURIENT PROFILES AIJN ISSUES AND COUNTER ARGUMENTS. We need a description of the table how it is set up and what it is meant for EFSA OPINION ON NURIENT PROFILES AIJN ISSUES AND COUNTER ARGUMENTS We need a description of the table how it is set up and what it is meant for 100% fruit juice Nectars Juice drinks Vegetable juices Dental

More information

Public/preventive health promotion including: - health promotion to prevent development and progression of cardiovascular disease;

Public/preventive health promotion including: - health promotion to prevent development and progression of cardiovascular disease; Executive Summary Cardiovascular health is a National Health Priority Area. Cardiovascular disease is the largest cause of premature death and death overall in Australia, and its health and economic burden

More information

Butler Memorial Hospital Community Health Needs Assessment 2013

Butler Memorial Hospital Community Health Needs Assessment 2013 Butler Memorial Hospital Community Health Needs Assessment 2013 Butler County best represents the community that Butler Memorial Hospital serves. Butler Memorial Hospital (BMH) has conducted community

More information

By submitting this essay, I attest that it is my own work, completed in accordance with University regulations. Sudhakar Nuti

By submitting this essay, I attest that it is my own work, completed in accordance with University regulations. Sudhakar Nuti 1 HLTH 230: Global Health: Challenges and Responses Professor Richard Skolnik Teaching Fellow: Nidhi Parekh By submitting this essay, I attest that it is my own work, completed in accordance with University

More information

Cardiovascular disease Key contact/author: Dr Veena de Souza, Consultant in Public Health, Buckinghamshire County Council

Cardiovascular disease Key contact/author: Dr Veena de Souza, Consultant in Public Health, Buckinghamshire County Council Cardiovascular disease Key contact/author: Dr Veena de Souza, Consultant in Public Health, Buckinghamshire County Council Introduction Cardiovascular disease (CVD) includes heart disease and stroke. It

More information

Nomination for ehi Awards SETMA. Nominee: Southeast Texas Medical Associates, LLP Beaumont, TX 77702 USA E-mail: jholly@setma.com

Nomination for ehi Awards SETMA. Nominee: Southeast Texas Medical Associates, LLP Beaumont, TX 77702 USA E-mail: jholly@setma.com Nomination for ehi Awards SETMA Nominee: Southeast Texas Medical Associates, LLP Beaumont, TX 77702 USA E-mail: jholly@setma.com 5. Please describe the nominee s actions that have directly led to improvements

More information

Healthy New Jersey 2020/ Measuring Health Status Prepared for Stone Soup: A Recipe for a Healthy Community Meeting

Healthy New Jersey 2020/ Measuring Health Status Prepared for Stone Soup: A Recipe for a Healthy Community Meeting Healthy New Jersey 2020/ Measuring Health Status Prepared for Stone Soup: A Recipe for a Healthy Community Meeting Tuesday, June 14, 2011 Colette Lamothe-Galette NJ Department of Health & Senior Services,

More information

What are the PH interventions the NHS should adopt?

What are the PH interventions the NHS should adopt? What are the PH interventions the NHS should adopt? South West Clinical Senate 15 th January, 2015 Debbie Stark, PHE Healthcare Public Health Consultant Kevin Elliston: PHE Consultant in Health Improvement

More information

Section 3. Measures against Lifestyle-Related Diseases through Health Japan 21 and Promotion of Shokuiku (food and nutrition education)

Section 3. Measures against Lifestyle-Related Diseases through Health Japan 21 and Promotion of Shokuiku (food and nutrition education) Section 3. Measures against Lifestyle-Related Diseases through Health Japan 21 and Promotion of Shokuiku (food and nutrition education) 1. Promotion of Measures against Lifestyle-Related Diseases through

More information

Improving Diabetes Care for All New Yorkers

Improving Diabetes Care for All New Yorkers Improving Diabetes Care for All New Yorkers Lynn D. Silver, MD, MPH Assistant Commissioner Bureau of Chronic Disease Prevention and Control Diana K. Berger, MD, MSc Medical Director Diabetes Prevention

More information

The Burden of Cardiovascular Disease in North Carolina September 2012 Update

The Burden of Cardiovascular Disease in North Carolina September 2012 Update The Burden of Cardiovascular Disease in North Carolina September 2012 Update Samuel N. Tchwenko, MD, MPH Heart Disease & Stroke Prevention Branch Chronic Disease & Injury Section Division of Public Health

More information

ISSUEBrief. Reducing the Burden of Smoking on Employee Health and Productivity. Center for Prevention

ISSUEBrief. Reducing the Burden of Smoking on Employee Health and Productivity. Center for Prevention Center for Prevention and Health ISSUEBrief Services Volume I, Number 5 Reducing the Burden of Smoking on Employee Health and Productivity This issue brief summarizes information presented during the fifth

More information

Texas Health Insurance Coverage for Prevention and Screening of Cancer, Cardiovascular Disease, and Diabetes

Texas Health Insurance Coverage for Prevention and Screening of Cancer, Cardiovascular Disease, and Diabetes Texas Health Insurance Coverage for Prevention and Screening of Cancer, Cardiovascular Disease, and Diabetes Phyllis Gingiss, Dr.P.H. Victoria Mosier, M.A. Sandra Coombs Khurram Shahzad, B.S. June 2007

More information

NCQA Health Plan Accreditation. Creating Value by Improving Health Care Quality

NCQA Health Plan Accreditation. Creating Value by Improving Health Care Quality NCQA Health Plan Accreditation Creating Value by Improving Health Care Quality NCQA Health Plan Accreditation Creating Value by Improving Health Care Quality Purchasers, consumers and health plans pay

More information

Preventive Care Guideline for Asymptomatic Elderly Patients Age 65 and Over

Preventive Care Guideline for Asymptomatic Elderly Patients Age 65 and Over Preventive Care Guideline for Asymptomatic Elderly Patients Age 65 and Over 1. BMI - Documented in patients medical record on an annual basis up to age 74. Screen for obesity and offer counseling to encourage

More information

Pediatric Metabolic Syndrome

Pediatric Metabolic Syndrome University of Michigan Hospitals and Health Centers Pediatric Metabolic Syndrome A growing epidemic Shannon Russell Dietetic Intern June 2012 Overview Causes Risk Factors Signs and Symptoms Identification/Diagnosis

More information

2016 PQRS OPTIONS FOR INDIVIDUAL MEASURES: CLAIMS, REGISTRY

2016 PQRS OPTIONS FOR INDIVIDUAL MEASURES: CLAIMS, REGISTRY Measure #317: Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented National Quality Strategy Domain: Community / Population Health 2016 PQRS OPTIONS F INDIVIDUAL MEASURES:

More information

PROJECT CHECK: A SERVICE LEARNING PROJECT TO PROMOTE CHOLESTEROL HEALTH EDUCATION IN FIFTH GRADERS

PROJECT CHECK: A SERVICE LEARNING PROJECT TO PROMOTE CHOLESTEROL HEALTH EDUCATION IN FIFTH GRADERS PROJECT CHECK: A SERVICE LEARNING PROJECT TO PROMOTE CHOLESTEROL HEALTH EDUCATION IN FIFTH GRADERS Suzanne White MSN, RN, PHCNS-BC SESSION DESCRIPTION We will discuss Project CHECK (Cholesterol Health

More information