Cohort and Community Surveillance Components 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 Exam 1 n=15,792 Exam 2 n=14,348 Exam 3 n=12,887 Exam 4 n=11,656 Exam 5 n=6,538 Exam 6 n= 4,214 Exam 7 n~ 3,700 CY2 CY 5 CY 8 CY 11 CY 14 CY 17 CY20 CY 23 CY 26 CY 29 CY 3 CY 6 CY 9 CY 12 CY 15 CY 18 CY 21 CY 24 CY 27 CY 30 CY 4 CY 7 CY 10 CY 13 CY 16 CY 19 CY 22 CY 25 CY 28 CY 31 Cohort Exams Annual Follow-Up (Contact Years) Surveillance Outcomes Incident MI Incident Stroke Sudden Death C O H O R T Incident Decompensated HF Incident Chronic Stable HF Outpatient HF Incident Hospital Heart Failure (Not Validated) 1987 2005 2014 2015 2017 2019 CHD Incidence CHD Mortality CHD Case Fatality Hospital Heart Failure (Not Validated) Decompensated HF Incidence Chronic Stable HF Incidence HF Medical Care Outpatient HF (Medicare Data) EHR Events EHR Pilot C O M M U N I T Y HF Case Fatality