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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

A Vision for Michigan

What A Strategic Plan for Heart Disease and Stroke Means for You!

questions worth answering
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?
slide4
Leading Causes of Death in Michigan, 2006Source: MDCH Division of Vital Records and Health Statistics, 2006.
slide5
Age-adjusted Mortality Rates by Race for Heart Disease for Michigan and the United States, 1990-2006.Source: MDCH Vital Statistics
slide6
Age-adjusted mortality rates by race for stroke for Michigan and the United States, 1990-2006.Source: MDCH Vital Statistics
slide7
Age-adjusted five-year mortality rates for heart disease by county, 2002-2006.Source: MDCH Vital Statistics

Arenac

Bay

Clare

Gladwin

Ogemaw

slide8

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

Ogemaw

Sanilac

slide9
Percentage of Michigan Adults with CVD Risk Factors, 1990-2008With Comparison to 2008 National BRFSS Data
slide10

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)

slide11
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

slide14

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
strategies identified for year one implementation
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
strategies identified for year one implementation18
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
strategies identified for year one implementation19
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
call to action
Call to Action!

What Your Organization Can Do!

hospital
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
healthcare provider
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
health plan
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
local public health department
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
worksite
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
community group
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
faith based organization
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
michiganian
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
what you can do
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!
slide30
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.govwww.michigan.gov/cvh
  • 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