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OTC May 8, 2017
Off the Cuff: Domain 3/Health Systems Updates
Information from state and national partners
Facilitated by the Cardiovascular Health Network of NACDD
Issue 64
May 8, 2017

Webinars & Calls Worth Your Time

The CDC Health Systems Scorecard: A Quality Improvement Tool to Assess Health System-Level Policies for Managing Patients with Chronic Disease
Tuesday, May 9, 2017, 2:30 – 2:50 pm ET
Sponsor: CDC, Applied Research and Evaluation Branch, Division for Heart Disease and Stroke Prevention

CDC developed a voluntary quality improvement assessment tool called the Health Systems Scorecard to help CDC-funded state and local public health programs better understand the implementation of evidence-based strategies to manage chronic diseases among partnering primary care practices. The tool may assist in establishing relationships between public health departments and primary care practices, and in providing standards for assessment of evidence-based care management policies and practices. Presenters will provide a brief orientation to the electronic tool and its primary components. Scorecard modules include health system policies that support use of multi-disciplinary care teams; clinical guidelines; electronic functions for managing patient health and follow-up; clinical decision supports; patient education and self-management; tobacco use cessation; and screening for breast, cervical, and/or colorectal cancer. Presenters are Joanna Elmi, MPH and Jack Chapel.

No need to register, simply join this event via link. Audio information: 1-855-644-0229; Conference ID: 4937505#

1305 Epidemiology and Evaluation Collaborative (EEC) Monthly Call
Wednesday, May 10, 2:00 - 3:00 pm ET
Sponsor: NACDD CVH Team

EEC is a peer-led group of epidemiologists and evaluators who come together each month to work smarter and more effectively with 1305 and 1422 epidemiology, surveillance, evaluation and performance measures. States share what they are doing, resources, and questions and provide feedback to CDC. The group is led by Liz Gebhart (NE), Paul Meddaugh (VT), and Brittany Brown (UT). Come see what we are all about! NEW CALL IN LINE: 1 877 273 4202, room 793-903-441. To be added to the EEC distribution list and membership roster, please email MaryCatherine Jones at Click here to learn more about EEC.

Process of and Uses for Evaluating Partner Collaborations
Thursday, May 11, 2017, 2:00-3:00 pm ET
Sponsor: TTASC | Training and Technical Assistance Support Center for CDC’s NCCDPHP

The Evaluation Peer Learning Communities (EPLCs) are forums for sharing evaluation-related experiences, successes, challenges and lessons learned. This month’s call invites members to discuss processes of and uses for evaluating partner collaborations. Click here to join the call.

To actively participate in the discussion you must connect via phone line using one of the audio options.

  • Preferred method: Have the system call you. When you enter the meeting room, insert your phone number to enable the Adobe system to call you. You will be prompted to press a number on your phone to join the meeting.
  • Alternate method: Dial in to the audio conference manually When you enter the meeting room, select the box with the option to dial in to the audio conference via phone. Dial in using the number and code provided. You MUST also enter a unique code to connect your computer to the audio. Find it by scrolling down to the following statement: “Once joined to the audio, identify yourself.” Your unique code appears immediately following this statement.

Sodium and Sugar Reduction through Partnerships with the Food Industry
Wednesday, May 17, 2017, 3:00-4:30 pm ET
Sponsor: Association of State and Territorial Health Officials (ASTHO)
This webinar will focus on states’ partnerships with the food industry to accelerate sodium and sugar reduction efforts. Topics include Food Service Management Companies’ (FSMCs) efforts to reduce sodium and added sugar, successes and challenges encountered, partnerships with public health organizations and agencies, and ways FSMCs align nutrition standards. The Connecticut Department of Public Health will also present on their current work in collaboration with the Connecticut Bureau for Education and Services for the Blind (BESB). Click here to register.

Policy, Program and System Change Strategies to Diagnose, Treat, and/or Control Hypertension
Wednesday, May 17, 2017, 1:00 – 2:00 ET
Sponsor: National Forum

Join the National Forum for its mid-year member meeting on World Hypertension Day (WHD). The forum will highlight members’ actions to improve blood pressure control. “The theme for WHD is Know Your Numbers with a goal of increasing high blood pressure (BP) awareness in all populations around the world.” Results of the WHD Thunderclap will be announced during the virtual meeting. Click here to register.

Prioritizing Super Spenders: Coverage and Care for High-Need Patients
Friday, May 19, 2017, 2:30 - 4:00 pm ET
Sponsor: The National Institute for Health Care Management (NIHCM) Foundation

In the U.S., half of all health spending goes to care for just 5 percent of patients. Any effort to improve the efficiency of our health care dollars must prioritize those patients who spend the most. But high-spending patients aren’t a single population; they can be facing advanced illness, chronic conditions or intense but temporary health problems. To be effective, strategies targeting high-cost, high-need patients must be as diverse as the patients themselves. This webinar will explore:
  • The latest taxonomy of high spenders and models for high-value care that could be effective for each group
  • Tactics for identifying high-cost patients and channeling them to value-based care initiatives
  • Use of alternative care settings, such as home-based care, that can improve outcomes and lower costs
  • The potential impact of policies related to preexisting conditions and high-risk pools on high-need patients, and the future of value-based payment in Medicare
Click here to register.
We highlight events we think are especially worth your time but there is a lot going on! Keep up using the Chronic Disease Events Calendar. The webinars in darker type are more directly related to Domain 3/Health Systems.

News and Resources from CDC, NACDD and National Partners

From CDC's Division for Heart Disease and Stroke Prevention
1. National Stroke Awareness Month and National High Blood Pressure Education Month

Each May, the Division for Heart Disease and Stroke Prevention (DHDSP) hosts activities to raise awareness of stroke and high blood pressure for National Stroke Awareness Month and National High Blood Pressure Education Month. DHDSP encourages you to share the stories of stroke survival and the resources below with others, including community-based organizations, public health professionals, health care practitioners, and insurers to help raise awareness about stroke prevention.
  • Participate in a Twitter chat: Tuesday, May 9, 1 p.m.: Million Hearts® will participate in a Twitter chat hosted by the National Institute of Neurological Disorders and Stroke (NINDS) to raise awareness about stroke in young adults. Ask your questions on social media, using the #StrokeTalk hashtag.
  • Support the 2017 Million Hearts® Hypertension Control Challenge that recognizes health care systems, practices, and professionals for achieving blood pressure control.
Use the following resources to help spread the word:

2. Vital Signs on African Americans
This month’s edition of CDC's Vital Signs presents the latest findings on leading causes of death and health risks for African Americans compared to whites in the United States. African Americans are the third largest racial/ethnic population in the United States. Disparities in the leading causes of death for African Americans compared to whites are pronounced by early and middle adulthood, especially chronic diseases such as coronary heart disease, diabetes, and high blood pressure. Key points in the Vital Signs report include:
  • The death rate for African Americans has declined about 25% over 17 years, primarily for those aged 65 years and older.
  • African Americans ages 18 to 64 are at higher risk of early death from many diseases than whites.
  • African Americans ages 35-64 are 50 percent more likely to have high blood pressure than whites.
  • African Americans ages 18 to 49 years are 2 times as likely to die from heart disease than whites.

Visit Vital Signs to find the MMWR article, fact sheet, social media tools and CDC’s Public Health Media Library (search the term “Vital Signs”). You are also invited to join the Vital Signs Town Hall Teleconference on the topic of African American Health on May 9, 2017, at 2:00 pm ET.

Healthcare Delivery, Payment Reform, and Health IT - FYI

Value-Based Payment Models for Community Health Centers: Time to (Cautiously) Take the Plunge? Jay Bhatia, BA; Rachel Tobey, MPA; Michael Hochman, MD, MPH

JAMA. Published online May 04, 2017. doi:10.1001/jama.2017.5174

Promoting a robust system of CHCs is just as important now as ever before. CHCs are an evidence-based strategy for improving health outcomes and slowing cost increases. To best foster patient-centered primary care services for safety net populations in the years ahead, policy makers and CHC leaders alike should embrace the opportunity to reform the reimbursement system. Although it will be important to proceed cautiously, it is time to allow willing CHCs to experiment with advanced value-based payment models.

Direct Link to Domain 3 Health Systems Resource Guide

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