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Next Steps in Cardiovascular Care: Cholesterol & Smoking Cessation

Learn about cholesterol management and smoking cessation in progressive cardiovascular care. Get resources and updates from HHQI.

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Next Steps in Cardiovascular Care: Cholesterol & Smoking Cessation

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  1. Next Steps inProgressive Cardiovascular Care Part 2: Cholesterol Management & Smoking Cessation

  2. HHQI Announcements • National Campaign current participation • Agency of the Month • HHQI University • HHQI Video BPIP’s • Campaign Resources

  3. HHCDR Updates • Most abstracted: Tobacco • Hypertension and Aspirin as Appropriate are next, with Cholesterol being the least abstracted • Congratulations to South Nassau Community Hospital CHHA in Oceanside, NY

  4. HHCDR Updates • Challenge for this month: Follow up from last month: Tell us your goals.  How are you using the HHCDR? • Reach 6 months of data submission and all other Milestone 3 requirements, and HHQI will assist with an Assessment of Data Reliability for your agency

  5. Aspirin as Appropriate Blood Pressure Control Next Steps in Progressive Cardiovascular Care (part 2 of 2) Cholesterol Management Smoking Cessation Cholesterol Management & Smoking Cessation

  6. Diabetes: LDL-C Control Diabetes: Low Density Lipoprotein (LDL-C) Control Percentage of patients aged 18 through 85 years with diabetes whose LDL-C was adequately controlled (<100 mg/dL) during the measurement period

  7. Ischemic Vascular Disease:Complete Lipid Profile and LDL-C Control Ischemic Vascular Disease: Complete Lipid Profile and LDL-C Control Percentage of patients aged 18 years and older with a diagnosis if ischemic vascular disease (IVD) within the most recent 12 months while under the care of the home health agency who had each of the following documented in the patient’s record: a complete lipid profile and LDL-C was adequately controlled (<100 mg/dL)

  8. Tobacco Use: Screening and Cessation Tobacco Use: Screening and Cessation Percentage of patients aged 18 years and older who were screened for tobacco use by the home health agency AND received cessation counseling/ intervention by the home health agency

  9. Quiz Time! • According to the CDC (2013), how many people with high LDLs have that condition under control? • 1 out of 2 • 1 out of 3 • 1 out of 4 • Cholesterol Management Education Picks...

  10. Risk Categories: Cholesterol & Triglyceride Levels

  11. My Questions about My Heart for My Doctor

  12. Take Control of Your Cholesterol

  13. My Healthy Heart Workbook

  14. So How Can You Integrate Cholesterol Management Tools? • Provide the Risk Categories: Cholesterol & Triglyceride Levels to staff as resource or load into EMR as resource • Provide the Take Control of Your Cholesterolfor all staff and have them document the use of the tool

  15. Bulletin Board

  16. Quiz Time! • All of the following are tobacco withdrawal symptoms EXCEPT: • Insomnia • Cough, dry throat, nasal drip • Constipation, stomach pain, gas • Skin irritation near fingers and lips • Tobacco Cessation Education Picks...

  17. FDA-Approved Medications for Smoking Cessation

  18. Do You Know? • Evidence shows that brief behavioral counseling sessions with pharmacotherapy with PCPs is effective for improving smoking cessation rates: • Counseling <10 minutes can increase the rate of smoking cessation with abstinence of one year • Longer counseling sessions provide even higher results • Quit rates plateau after 90 minutes of counseling • Even minimal interventions (<3 minutes) increase quit rates U.S. Preventive Services Task Force (USPSTF, 2009)

  19. Fagerström Test for Nicotine Dependence

  20. Planning for Change: Thinking About Quitting

  21. Withdrawal Symptoms Information Sheet

  22. Is What You Know About Smoking Wrong? • Filters make cigarettes safer. True or False?

  23. HHQI University Course Picks • HHQI University Courses • Tobacco Effects and Smoking Cessation Medications (1.0 hrs Nursing CEs) • Blood Pressure Control and Smoking Cessation (1.5 hrs Nursing CEs) • The State of Cardiovascular Health (1.0 hrs Nursing CEs)

  24. HHQI Video Education Picks • Cardiovascular Smoking Effects & Cessation Video BPIPs • For Patients: • Smoking & Your Heart • How to Quit Smoking (coming Aug 3) • For Clinicians: • Discussing Smoking Cessation with Your Patients (coming Aug 3)

  25. So How Can You Integrate Patient Smoking Tools into Clinical Visits?

  26. Additional Ideas to Integrate Smoking Cessation • Add resources to your EMR or provide to staff electronic and/or paper copies • Play the Smoking Joe video podcast at team or staff meeting or do a role play (using transcript) • Show a HHQI video during team or staff meeting • Assign a HHQI course to staff

  27. Cholesterol Education Resources • Cardiovascular Health Part 2 BPIP • Cholesterol & Smoking Cessation Bulletin Board (not available in Spanish) • Example • Template • My Questions about My Heart for My Doctor • Risk Categories: Cholesterol & Triglyceride Levels • Take Control of Your Cholesterol MANYSPANISH TOOLS AVAILABLE

  28. Smoking Cessation Resources • Cardiovascular Health Part 1 BPIP • Fagerstrom Test for Nicotine Dependence • FDA-Approved Medications for Smoking Cessation (not available in Spanish) • Is What You Know About Smoking Wrong? • Planning for Change: Thinking About Quitting • Withdrawal Symptoms Information Sheet • Fundamental Focus Blood Pressure & Smoking Cessation BPIP • My Healthy Heart Workbook • The Story of Smoking Joe Podcast & transcript(not available in Spanish) MANYSPANISH TOOLS AVAILABLE

  29. Questions?

  30. Thank You! HHQI@wvmi.org www.HomeHealthQuality.org This material was prepared by Quality Insights, the Medicare Quality Innovation Network-Quality Improvement Organization supporting the Home Health Quality Improvement National Campaign, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The views presented do not necessarily reflect CMS policy. Publication number 11SOW-WV-HH-MMD-072315

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