1. CSG Health Policy Forum on Cardiovascular Health & Wellness SC’s Cardiovascular Health Program A Socio-Ecologic Approach Dory Masters, M.Ed., CHES Director, Cardiovascular Health Division Bureau of Community Health and Chronic Disease Prevention, SC DHEC

2. Presentation Overview Adapting the Socio-Ecologic Model Secondary Systems Change Staffing and Resources

3. Health Is the Product of Multiple Levels of Influence

4. Society Nation, State CDC Funded at Basic Implementation Level Facilitate collaboration Define CVD burden Develop/update comprehensive state plan Identify culturally appropriate approaches Increase awareness of signs and symptoms Implement and evaluate policy, environmental, and educational interventions in various settings Provide training and technical assistance to public health and health care professionals and partners

5. Collaboration Partnering is key to our state efforts QIOAHA SCHA MUSC SCPHAEMS CBOFBO Public Health Regions

6. Individual / Interpersonal knowledge, attitudes, skills, support Social Marketing Campaign to increase public awareness – press releases, PSAs, and paid advertising in targeted publications and media outlets – Make healthy choices to reduce risks / Prevent CVD – Know Your Numbers / See Your Doctor – Signs and Symptoms of heart attack and stroke – Stroke Fast Reaction 9-1-1 media campaign – Culturally competent educational materials – Enhanced website www.scdhec.gov/cvh Downloadable materials Data, data, data Links

7. Organizational policies, practices, and physical environments Community - “Heart Truth for Women” educational programs - CPR trainings - Community “HeartScore” Screenings – with risk counseling and referral - Go Red for Women Campaigns - Women’s Rally at the State Capitol to kick off National Heart Month / Governor’s Proclamation

8. Organizational / Community policies, practices, environments Worksites – Policies re: tobacco free, healthy food options, flex for fitness – AED and CPR training – HD&S awareness and screening access – Health benefits – CDC Worksite Toolkit implementation (2006) Schools –CPR and AED training, community service Faith Community – AME Search Your Heart Statewide Initiative – Trainings in targeted communities

9. Secondary Prevention & Systems Change Strengthening the Chain of Survival for Heart Disease and Stroke IndividualEMSHospitalRehab Primary Care Provider

10. Secondary Prevention & Systems Change Strengthening Health Care Systems Training & TA Primary Care Settings Pre-Hospital EMS Hospital – Acute & Sub-Acute

11. Secondary Prevention & Systems Change Primary Care Provider Education/Initiatives - ASH, Inc. Hypertension Expert Trainings –COSEHC Centers of Excellence Initiative –BP Measurement in the 21 st Century –Sr. Center Hypertension Lifestyle U - CHA –Chronic Disease Collaborative –NCQA Recognition Program CAD –CVH/Diabetes Evidence Based Symposium –SCPHA Clinical Network Retreat

12. Secondary Prevention & Systems Change EMS Provider Education & Initiatives - Advanced Stroke Life Support TTT - ASLS Pre – Hospital/Hospital Courses State EMS Pre-hospital Data Committee CDC EMS study (SC one of only 9 states)

13. Provider Education – Hospital Get With The Guidelines – CAD & Stroke Stroke Systems Assessments – state & regional Hospital Based Heart & Stroke Trainings Secondary Prevention & Systems Change

14. Quality Improvement Initiatives –SC Chronic Disease Collaborative (CCME, ORH, SCPHA) –NCQA Recognition Program (SCBCBS, AHA, SCPHCA, Tobacco Division) –Get With The Guidelines (AHA, SCHA) Secondary Prevention & Systems Change

15. Staffing & Budget CVH staff: –Program Director –Epidemiologist.5 –Evaluator –Public Info Coordinator –Secondary Prevention Coordinator –Worksite Coordinator –Community Education Coordinator –Administrative Assistant

16. Check us out…www.scdhec.gov/cvh