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A Vision for Michigan

A Vision for Michigan. What A Strategic Plan for Heart Disease and Stroke Means for You!. Questions Worth Answering. Why does Michigan need a heart disease and stroke (HDS) strategic plan? What does the HDS strategic plan contain? How can organizations use the HDS strategic plan?.

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A Vision for Michigan

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  1. A Vision for Michigan What A Strategic Plan for Heart Disease and Stroke Means for You!

  2. Questions Worth Answering • Why does Michigan need a heart disease and stroke (HDS) strategic plan? • What does the HDS strategic plan contain? • How can organizations use the HDS strategic plan?

  3. Why Does Michigan Need a Heart Disease and Stroke Strategic Plan?

  4. Leading Causes of Death in Michigan, 2006Source: MDCH Division of Vital Records and Health Statistics, 2006.

  5. Age-adjusted Mortality Rates by Race for Heart Disease for Michigan and the United States, 1990-2006.Source: MDCH Vital Statistics

  6. Age-adjusted mortality rates by race for stroke for Michigan and the United States, 1990-2006.Source: MDCH Vital Statistics

  7. Age-adjusted five-year mortality rates for heart disease by county, 2002-2006.Source: MDCH Vital Statistics Arenac Bay Clare Gladwin Ogemaw

  8. Age-adjusted five-year mortality rates for stroke by county, 2002-2006.Source: MDCH Vital Statistics Ogemaw Sanilac

  9. Percentage of Michigan Adults with CVD Risk Factors, 1990-2008With Comparison to 2008 National BRFSS Data

  10. Age-adjusted prevalence of having up to seven risk factors among adults, 18 and over, in Michigan, 2007.Source: Michigan Behavioral Risk Factor Survey (BRFS)

  11. The Impact of Heart Disease and Stroke in Michigan: 2008 Report on Surveillance is available electronically at: www.michigan.gov/cvh www.michigan.gov/cvhepi Contact: Beth Anderson AndersonB@michigan.gov

  12. An annual CVD Fact Sheet is available electronically at: • www.michigan.gov/cvh

  13. What Does the Heart Disease and Stroke Strategic Plan Contain?

  14. Contents • History of Statewide CVD Prevention Initiatives • The Importance of Collaboration • Outline of the Priorities, Objectives and Strategies and an Evaluation Plan • Heart Disease and Stroke Prevention Resources

  15. Strategic Planning Background, Objectives and Strategies

  16. How Can Organizations Use the HDS Strategic Plan?

  17. Strategies Identified for Year One Implementation • Public Awareness • Utilize existing heart disease & stroke resources • Target high-risk groups • Develop response plan for cardiovascular emergencies • Utilize existing high blood pressure and cholesterol management resources

  18. Strategies Identified for Year One Implementation • Professional Education • Reinforce standards & treatment guidelines • Disseminate evidence-based protocols & guidelines • Incorporate culturally sensitive materials • Utilize patient tracking & progress tools

  19. Strategies Identified for Year One Implementation • Systems Change • Promote programs reducing disparities • Ensure consistent messaging • Collaborate to improve healthcare in Michigan • Educate policy & decision makers on CVD costs, burden, and prevention

  20. Call to Action! What Your Organization Can Do!

  21. Hospital • Provide in-service to reinforce evidence-based guidelines • Support projects to improve the quality and delivery of heart disease and stroke services • Offer community education on prevention • Make space available for self-management workshops • Provide healthy foods • Provide community screenings, education and referrals for high blood pressure and high cholesterol

  22. Healthcare Provider • Participate in projects utilizing the Chronic Care Model and/or the Patient Centered Medical Home • Implement health information technology in your practice • Refer uncontrolled hypertensive patients to a hypertension expert • Diagnose and treat patients according to established guidelines • Provide awareness and prevention material to patients • Encourage patient self-management • Utilize tools to improve the quality of care for heart disease or stroke • Encourage the use of underutilized resources that support heart disease and stroke prevention

  23. Health Plan • Offer policy options and/or plan redesign to incentivize consumers • Provide disease management services to enrolled members • Make provider performance outcomes available and encourage incentives • Promote system change initiatives leading to improved care • Offer prevention and other educational material

  24. Local Public Health Department • Utilize lay health educators/community health workers • Provide information about and/or access to care for the uninsured or underinsured • Advocate for policy and environmental changes to improve cardiovascular health • Provide community screenings, education and referrals

  25. Worksite • Educate employees about their benefit package • Offer onsite wellness programs, educational materials, and information about community resources • Establish a smoke-free workplace policy and subsidize smoking cessation classes • Offer healthy food options • Provide training in the use of AEDs and CPR • Develop an emergency plan for cardiovascular events

  26. Community Group • Advocate for policy and environmental changes to improve cardiovascular health • Become informed about EMS services • Advocate and support funding for initiatives to improve CVD care and EMS response • Participate in statewide campaigns regarding management of high blood pressure and cholesterol • Disseminate information about local community CVD resources and services

  27. Faith Based Organization • Provide education and resources on cardiovascular disease and risk factors • Offer training in the use of AEDs and CPR • Give educational materials to members on the signs/symptoms of heart attack and stroke and the importance of calling 9-1-1

  28. Michiganian • Become an informed, empowered consumer of healthcare services • Obtain healthcare from professionals who provide comprehensive, holistic care • Follow instructions from providers regarding screening, treatment and referrals • Know the signs and symptoms of heart attack and stroke and when to call 9-1-1

  29. What You Can Do • Review strategic plan • Use strategies to guide program focus • Collaborate with partners and integrate existing resources and programs • Implement Call to Action! ideas • Endorse the strategic plan • Stay involved!

  30. Beth Anderson, MPH Heart Disease & Stroke Epidemiology andersonb@michigan.gov Christi Demitz, MSW MiCA, Worksite Initiatives demitzc@michigan.gov Patricia Heiler, MPH Hypertension, Hyperlipidemia & Sodium Reduction Initiatives heilerp@michigan.gov Henry Miller, MPH Evaluation, GIS millerhenry@michigan.gov QuestionsHeart Disease and Stroke Prevention UnitVelma Theisen, MSN, RN, Unit Managertheisenv@michigan.gov • Jill Scott-Gregus Project Assistant scottj1@michigan.gov • Stacey Stoeckle-Roberts, RN, MS, CPHQ Stroke Registry, Quality Improvement Initiatives robertss5@michigan.gov • Eileen Worden, RN EMS, Stroke & STEMI Initiatives wordene@michigan.gov

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