1. What A Strategic Plan for Heart Disease and Stroke Means for You! A Vision for Michigan

2. 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?

3. Why Does Michigan Need a Heart Disease and Stroke Strategic Plan?

4. Leading Causes of Death in Michigan, 2006 Source: MDCH Division of Vital Records and Health Statistics, 2006.

5. Age-adjusted Mortality Rates by Race for Heart Disease for Michigan and the United States, 1990-2006. Source: MDCH Vital Statistics

6. Age-adjusted mortality rates by race for stroke for Michigan and the United States, 1990-2006. Source: MDCH Vital Statistics

7. Age-adjusted five-year mortality rates for heart disease by county, 2002-2006. Source: MDCH Vital Statistics Arenac Bay Clare Gladwin Ogemaw

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

9. Percentage of Michigan Adults with CVD Risk Factors, 1990-2008 With Comparison to 2008 National BRFSS Data RISK FACTOR1990199620022008US 2008 2008 NATIONAL RANKING Current Smoking29.225.624.120.218.215 tied Blood Pressure: Ever Told High23.323.8NS28.6 2007 27.5 2007 17 2007 Cholesterol: Ever Told High2730.1NS39.9 2007 37.5 2007 5 2007 Overweight (BMI>25) 47.454.762.165.363.116 tied Obese (BMI>30)14.118.325.230.126.68 tied Fruits & Vegetables: <5 servings/day NS77.977.478.375.7 2007 14 2007 No Leisure Time Physical Activity NS23.124.325.124.823 DiabetesNS5.38.19.08.217

10. 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)

11. 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

12. An annual CVD Fact Sheet is available electronically at: –www.michigan.gov/cvh

13. What Does the Heart Disease and Stroke Strategic Plan Contain?

14. 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 Contents

15. Strategic Planning Background, Objectives and Strategies

16. How Can Organizations Use the HDS Strategic Plan?

17. 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

18. 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

19. 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

20. Call to Action! What Your Organization Can Do!

21. 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

22. 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

23. 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

24. 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

25. 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

26. 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

27. 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

28. 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

29. 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!

30. Questions Questions Heart Disease and Stroke Prevention Unit Velma Theisen, MSN, RN, Unit Manager theisenv@michigan.gov 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 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