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Healthy Heart Project

Review of program services Taos-Picuris Service Unit. Healthy Heart Project. 2011 Review of Services Presented to the Taos-Picuris Health Board September 2011. TPSU Healthy Heart Project. TPSU Healthy Heart Project.

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Healthy Heart Project

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  1. Review of program services Taos-Picuris Service Unit Healthy Heart Project 2011 Review of Services Presented to the Taos-Picuris Health Board September 2011

  2. TPSU Healthy Heart Project

  3. TPSU Healthy Heart Project The goal is to improve the overall wellness of those enrolled & the Taos Pueblo Community through:

  4. Why TPSU Case Management

  5. TPSU Case Management Self-care, Nutrition, Exercise and Medication are the components to improve control of most disease processes. Case Managers help enrolled members navigate challenges to make better choices, improving outcomes

  6. TPSU Case ManagementProcess

  7. TPSU Healthy Heart Project Current reports show that this project has met over 65% of its reporting goals since 2006. This is well above some programs that report in the 16-20% response categories. Why is this important?

  8. Special Diabetes Project for Indians (SDPI Grant)

  9. SDPI Grant Participation • TPSU Project updates the National Program using web-based data programs • It is required for the Grant • Grant funds are additional funds to serve the community. • Promote wellness, delay onset of complications. • Improve Cardiovascular Health

  10. Diabetes Audit ResultsJanuary – June 2011 Compared with Last Year & Area Age Various indicators are used by Indian Health Service to evaluate the Diabetes specific care. 239 Diabetics on Registry The Following will be shared today: Blood sugar control Blood pressure control Cholesterol management Continuity of services: dental/eye/nutrition Duration of Diabetes

  11. Diabetes Audit with Comparison Healthy Heart Project Data for TSPU (n=100) Blood Sugar Control Weight Management

  12. Diabetes Audit with Comparison Healthy Heart Project Data for TPSU Blood Pressure Management Cholesterol Management

  13. Healthy Heart Report Data • The total number of complete baseline records = 100 (between 2006 – 2009) • Total number of retained members = 74 @ end of 2009 data collection • Total number of retained members at year 3 of program = 38 • Baseline A1C @ goal = 24% • Annual data A1C @ goal = 27% • Baseline Average Waist circumference = 48 inches • Annual Average Waist circumference = 42 inches (corrected) • Baseline Average weight = 200 lbs • Annual Average Weight = 197 lbs

  14. Readiness for Exercise Change A Rapid Assessment of Physical Activity (RAPA) was performed for all new entry patients, baseline were collected on 86 participants prior to 2009. At annual assessment, if participants wanted to complete the RAPA survey, they were encouraged to do so – 47 did.

  15. TPSU Healthy Heart Project • The Project Staff will be focusing to compare these Diabetes Registry findings against next years’ comparison data on those enrolled in the program. • The hope is to improve the outcomes, improve access to prevention activities and improve overall wellness of the community. • Questions?

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