Get To Goal High Blood Pressure Program 1

Our Mission, Our Goal 2 Our mission is to build healthier lives, free of cardiovascular diseases and stroke. By 2020, our goal is to improve the cardiovascular health of all Americans by 20% while reducing deaths from cardiovascular diseases and stroke by 20%.

Defining Ideal Cardiovascular Health 3 Life’s Simple 7 TM Eat BetterLose WeightStop Smoking Reduce Blood Sugar Manage Blood Pressure Get Active Control Cholesterol

Hypertension in America More than 76 million Americans have Hypertension Patients lack understanding of blood pressure numbers Many are unaware of increased risk for heart attack, stroke Chronic condition that requires persistent management 4

Communities At Risk Blacks lose 1/3 of their potential life-years compared to Whites due to CVD High Blood Pressure in African Americans is the highest in the world Defining Health Equity: When ALL people have the opportunity to attain their full health potential and no one is disadvantaged from achieving this potential because of their social position or other socially determined circumstance Greater Risks, Greater Deaths A person’s race or ethnicity should not put them at higher risk for developing CVD 5

6 Age-adjusted death rate (per 100K) both genders Whites 6.5 Hispanics 6.2 Asians 6.1 African Americans 17.7 Native Americans 5.8 Despite the existence of low cost, effective preventative treatment, black men and women are much more likely to die from heart disease and stroke than whites. National Vital Statistics Report. 2009;57: Ethnic Disparity

Unique Markers of Hypertension in African Americans Tend to demonstrate premature onset of hypertension Show an increased incidence of organ damage –Left Ventricle Hypertrophy –Heart failure –Impaired renal function and more end-stage renal disease Present with average blood pressures that are much higher than whites HTN prevalence among US African Americans is among the highest of any demographic in the world Flack JM et al for the International Society on hypertension in Blacks. Hypertension. 2010;56: Ferdinand KC, Ferdinand DP. Expert Rev Cardiovasc Ther. 2008;10:

8 Drive changes in the healthcare system that elevate the need for innovative approaches to hypertension management Increase awareness of the connection between hypertension and risk of heart attack/stroke Increase the number of individuals identified with hypertension AHA/ASA Objectives for Impacting the Problem Strategy Increase the number of individuals controlling their blood pressure

Get To Goal: Building on success Driving toward solutions AHA National is providing grants to local market staff to create community-based blood pressure programs in top markets nationwide Based on best practices learned from: –The AHA’s Check It, Change It Pilot –Principles for volunteer engagement through the successes of Power To End Stroke –Other successful community-based programs utilizing volunteer health mentors Early results of our pilot community (Durham County) program have shown a significant improvement in hypertension management and control within a highly diverse community. 9

Equipping Volunteers Our Get To Goal program will equip volunteers to encourage bp tracking. Behavioral science tells us that tracking paired with emotional & social engagement improves ownership of outcomes. 10

Get To Goal Volunteer Training Program 11 How is HBP treated? Who needs the help of a program like this? What makes a good coach? Heart 360 and your resources for getting to goal. What is high blood pressure?

Heart Volunteer PortalParticipant Portal Data inputs Reports Text Reminders Trackers AHA Content Monitoring Enhanced Communication Notification Reporting

Research Get to Goal: Washington, DC (GWR) “Living Life Golden in the District: Get to Goal DC” Local Market Goal: 1. Enroll 350 individuals in Heart 360 BP self management program starting January Must capture enrollees’ BP data in Heart Engage enrollees to upload a minimum of 2 BP readings per month 4. Follow enrollees for up to 4 months 5. Create a plan to sustain the program

Research Get to Goal: Washington, DC (GWR) Specific Aims:  To enroll at least 350 AA by June 2013 in Heart 360.  To create the opportunity for at least 350 people enrolled in the program to log a minimum of twice monthly BP readings for 4 consecutive months.  To gather pilot data for an evidence-based, behavior theory based, community based intervention to monitor vascular risk factors and promote wellness.

Research Get to Goal: Washington, DC (GWR) Specific Aim #1. To enroll at least 350 AA by June 2013 in Heart 360. a.) Partner with local physicians at MWHC, DC Fire/EMS, Kaiser, and local community clinics through DCPC to enroll patients in program using available technology e.g. I-pads, PC’s, network computers. b.) Engage community/social groups to enroll members e.g. local Alpha Kappa Alpha, Alpha Phi Alpha in Heart 360 c.) Engage local churches to enroll members in program

Research Get to Goal: Washington, DC (GWR) Specific aim #2: To create the opportunity for at least 350 people enrolled in the program to log a minimum of twice monthly BP readings for 4 consecutive months. a.) Host 3 health fairs at MWHC to screen/enroll patients and employees. b.) Follow each with twice monthly BP readings in Neuroscience outpatient clinic. c.) Enroll 100 – 200 patients in Kaiser/Unity clinics, community groups AKA, AøA, CBUCC, others

Research Get to Goal: Washington, DC (GWR) Specific aim #2: To create the opportunity for at least 350 people enrolled in the program to log a minimum of twice monthly BP readings for 4 consecutive months. d.) Enroll 100 – 200 patients from Kaiser/Unity clinics, community groups AKA, APhiA, CBUCC, other churches. e.) Designate “Heart 360 champions” for the program to ensure that BP’s are checked at least twice month. f.) Designate local sites e.g. health clinic, fire stations where people can go to have BP’s checked. g.) Healthy competition

Research Get to Goal: Washington, DC (GWR) Specific aim #3. To gather pilot data for an evidence-based, behavior theory based, community based intervention to monitor vascular risk factors and promote wellness. a.) Develop health and wellness support groups at local churches (e.g. CBUCC) using Heart 360 as the center piece b.) Develop a month curriculum with group discussions, speakers (e.g. nutrition, exercise, etc), and BP monitoring to optimize healthy lifestyles.

Questions and Next Steps 19