1. HEART DISEASE # 1 Killer 1 death every 34 seconds
80% of deaths in low-to- middle income families
Globally...
Cardiovascular diseases (CVDs), commonly referred to as heart disease or stroke, are the number 1 cause of death around the world
1 in 3 deaths globally are a result of CVD, yet the majority of premature heart disease and stroke is preventable
In 2010 CVD cost US$ 863 billion –this is estimated to rise by 22% to US$ 1,044 billion by 2030
80% of CVD deaths occur in low-to middle-income countries.
In Mexico...
Non-communicable diseases (NCDs), including CVDs, are estimated to account for 77% of total adult deaths in Mexico
CVDs account for almost a quarter (24%) of these deaths
Some of the CVD related risks factors in adults in Mexico are outlined below:
17% of the population smoke tobacco
7.2 litres of pure alcohol consumed per person
22.8% have hypertension which can increase risk of heart attack, heart failure, kidney Disease or stroke
More than 1 in 3 (32.1%) adults in Mexico are obese
KEY FACTS
CVDs are the number 1 cause of death globally: more people die annually from CVDs than from any other cause.
An estimated 17.5 million people died from CVDs in 2012, representing 31% of all global deaths. Of these deaths, an estimated 7.4 million were due to coronary heart disease and 6.7 million were due to stroke .
Over three quarters of CVD deaths take place in low- and middle-income countries.
Cardiovascular disease (CVD) is the number one killer of women, with over 2 million premature deaths every year. This represents one-third of all deaths, and CVD kills more women than cancer, tuberculosis, HIV/AIDS and malaria combined.
Despite progresses in the past years, women are still discriminated against when it comes to the management and treatment of CVD. They are more likely than men to be under-diagnosed and under-treated, mostly because the presentation, progression and outcomes of the disease are different and less understood in women than in men. 
1.5 million heart attacks occur in the United States each year with 500,000 deaths.
More than 233,000 women die annually from cardiovascular disease.
From 1983 to 1993, heart attack deaths fell about 30% overall but have not fallen nearly as much for women.
Costs related to heart attack exceed 60 billion dollars per year; 444 billion in lost of productivity
# 1 Killer
Source: AHA, 2017; Million Hearts Initiative 2011

2. Project Title: “Cardiac Readmissions: Nurse-Caregiver-Patient-Community Exploratory Project”

3. Background/Significance
High Cardiac Readmissions
Known contributors
Unknown contributors ?
Cardiac rehab is a program that helps to prevent readmissions
Known contributors
Nurse communication skills
Patient barriers
Environmental factors and timing

4. Purpose Short-term Goal Long-term Goal
Identify factors contributing to preventable readmissions of patients with heart disease (Phase 1)
Long-term Goal
Reduce hospital readmissions for patients with heart disease (Phase 2)

5. Methods Nurses Caregivers or family members
Sample:
Nurses
Caregivers or family members
Patients: > 65 years or older
Community: hospital administrators
Site:
Cardiac rehabilitation program; Local community hospital, Hays County
Nurses who deliver care to patients with heart disease
Caregivers or family members of patients with heart disease
Patients, > 65 years with heart disease discharged from the hospital after a cardiac event
Community representatives are hospital administrators

6. Implement Intervention
Interviews
Themes
Pilot Intervention
Focus Group Testing
Implement Intervention
Evaluation
NCPC

7. Budget and 1-Year Timeline
Months 1-2
Preparation/ IRB approval
Budget: Supplies
Months 3-6
Recruitment
Data collection/entry
Budget: Equipment, Personnel
Months 7-10
Data analysis/ interpretation
Budget: Personnel
Months 10-12
Dissemination
Budget: Travel
$500
$3000
$5000
$1500
Total: $10,000

8. TEAM HEART Thank You! EDUCATION THERAPY HEALTH RESEARCH ASSESSMENT
Viola Benavente – Nursing
Stephanie Dailey – Communication Studies
DeDe Gardner – Respiratory Therapy
Grace Kim – Social Work
Ranjini Mohan – Communication Disorders
Jessica Raley – Research
Erik Timmerman – Communication Studies