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Off the Cuff - October 23, 2017
Off the Cuff: Domain 3/Health Systems Updates
Information from state and national partners
Facilitated by the Cardiovascular Health Network of NACDD
Issue 84
October 23, 2017

Webinars and Calls Worth Your Time

Advancing Health Equity across Heart Disease and Diabetes Community of Practice
Tuesday, October 31, 2017, 2 -3:30 p.m. EDT
Sponsor: CDC Division for Heart Disease and Stroke Prevention

This is the second webinar in a 3-part series focused on community health workers (CHW). Join this call to hear your colleagues from Massachusetts, Minnesota, and Wisconsin share their experiences working to train and certify CHWs. Hear about the opportunities, challenges, and partners needed to achieve success. This webinar is for all 1305 and 1422 field champions engaging CHWs. Plan to share your state’s efforts. Click here to register.
This webinar will be recorded. If you have any questions, please email

News and Resources from CDC, NACDD, and National Partners

From CDC: Public Health Crisis Notice of Funding Opportunity
CDC has released the Public Health Crisis notice of funding opportunity (NOFO), a novel approach to support emergency response that will enable CDC to more quickly award funds to state, local, tribal, and territorial public health agencies in the event of a public health emergency. Previous emergency experience has demonstrated the impact that initial funding and immediate response can have in mitigating negative health outcomes.
  • Application Deadline: Monday, December 11, 2017
  • Eligible Applicants: 50 states; five U.S. territories and three freely associated pacific islands; six localities: Chicago, Houston, Los Angeles County, New York City, Philadelphia, and Washington, D.C.; and federally recognized tribal governments that meet the NOFO requirements and serve, through their own public health infrastructures, at least 50,000 people.
  • Estimated Approval/Funding Date: Thursday, February 1, 2018. Awardees will be approved but unfunded until a crisis occurs and funding is available. The Division of State and Local Readiness in CDC’s Office of Public Health Preparedness and Response will manage the initial response component, while longer-term, crisis-specific response activities will be supported by various CDC programs.
  • NOFO and Application Package Location:

From CDC1305/1422 Communications
Wildfire Resources from Million Hearts and from Environmental Protection Agency

These resources may be of value to you and your partners.
  1. Wildfire Smoke: A Guide for Public Health Officials: This document is designed to help local public health officials prepare for smoke events, to take measures to protect the public when smoke is present, and communicate with the public about wildfire smoke and health. It is available here.
  2. Particle Pollution and Your Patient’s Health: This course is designed for family medicine physicians, internists, pediatricians, occupational and rehabilitation physicians, nurse practitioners, nurses, asthma educators, pulmonary specialists, cardiologists, and other medical professionals. It is available here.
  3. Million Hearts: Particle Pollution and Heart Disease: short- and long-term exposure to particulate matter can trigger heart attacks, strokes, and heart rhythm and breathing disorders among those at risk. Learn more here.
Listen here to an audio clip of Dr. Wayne Cascio from the EPA speaking about the role of health professionals can play to help keep people healthy, especially those with cardiovascular disease, when the air quality is poor.

From CDC, National Center for Health Statistics
Data Brief, No. 289. Hypertension Prevalence and Control among Adults: United States, 2015–2016

This data brief presents updated estimates for the prevalence and control of hypertension in the United States for 2015–2016. Trends in hypertension prevalence and control from 1999–2000 through 2015–2016 are also presented. Overall, the U.S. prevalence of hypertension among adults was 29.0% during 2015–2016, with no significant change in prevalence since 1999–2000. Hypertension prevalence increased with age and was 33.2% among those aged 40–59 and 63.1% among those aged 60 and over. Hypertension prevalence was highest among non-Hispanic black men and women. Hispanic women also had a higher prevalence of hypertension than non-Hispanic Asian women. Despite progress in hypertension control that has been noted in the United States over the years, the goal of Healthy People 2020 (61.2% by 2020) has not been met.

CDC Division for Heart Disease and Stroke Prevention and Million Hearts Collaboration
CDC Celebrates American Pharmacists Month - Help Spread the Word

In October, CDC celebrates American Pharmacists Month with the message “Know Your Pharmacist, Know Your Medicine.” Please encourage clinicians and people taking medicines to learn ways pharmacists can support them by sharing the webinar series, pharmacy guides, videos and social media messages with your respective networks. Click here for the CDC resources and here for related NACDD resources. Also see below for the Domain 3 Resource Guide which has resources related to pharmacists.

Reminders from CDC Division for Heart Disease and Stroke Prevention Program and NACDD CVH Team

NACDD congratulates David Hoffman on receiving the prestigious National Forum Public Policy Award during the 15th Annual National Forum for Heart Disease and Stroke Prevention meeting held October 18th. This award recognizes an individual who has been effective in advancing policy change that reduces the heart disease and stroke burden on a national, state or local level. In attendance was Dr. Stan Shanedling from the Minnesota Department of Health and a member of the CVH Leadership Team; NACDD staff John Robitscher and John Patton; and Julia Schneider, a consultant on the CVH Team.

Health Systems - FYI

Health Intelligence from Leavitt Partners (HIP)
Leavitt Partners prepares a monthly report for NACDD Representative Members highlighting timely news related to what's happening in D.C. as well as the Health Intelligence Partners critical focus areas:
  1. The future of value-based payment
  2. The future of Medicaid
  3. Private insurance: market challenges
  4. Care delivery transformation
Synopsis: Much ado about transition at Health and Human Services HHS), budget vehicles for Affordable Care Act (ACA) repeal.

HIP Perspective: The next chapter of ACA repeal and replace will be administrative and fiscal. Budget and tax bills may adopt some of the goals of ACA repeal initiatives. However, the action at HHS is likely to ramp up in the next few months, as the administration looks to push some of the more controversial ACA changes before a new secretary is named.

This week, we are highlighting some important information that Leavitt Partners and the AccountableCare Learning Collaborative have released about accountable care and payment reform. These developments come at a time where many stakeholders are wondering where we are on the value journey, and what CMS can and will do in the future.
  • Op-Ed: "The Next Round of Payment Reform." Governor Leavitt and Mark McClellan note that CMS’ recent announcement regarding a new direction for CMMI rightly emphasizes the inclusion of drugs, and other innovative medical products in payment reform efforts. The authors encourage CMS to provide more support for state-led payment reform efforts that include public and private payers, and notes that CMS could potentially accelerate progress by supporting clinicians and private payers in sharing insights about how health care providers can succeed in new approaches to delivering care. (Stat News op-ed)
  • The 2017 ACO Survey: "What Do Current Trends Tell Us About The Future Of Accountable Care?" This article presents an overview of the results from the inaugural 2017 Annual ACO Survey and provides important insights into the current and future state of the ACO industry. Overall, the survey data suggest that ACOs are slowly becoming willing to accept increased financial risk, but are largely still learning how to actually manage populations. (Health Affairs, LP press release)
  • ACLC publication: Accountable Care Atlas. The Accountable Care Atlas is the ACLC's latest resource to help the provider community identify, and prioritize the care delivery competencies necessary for success under risk-based payment. To guide provider leaders in their value-based decision making, the Accountable Care Atlas builds on the previous work of the ACLC by mapping over 160 competencies in context for implementation, providing recommendations for prioritizing these efforts. The Atlas can also be used to help organizations supporting value-oriented providers to know where they can make the greatest difference. (Atlas)

Synopsis: With the start of open enrollment less than a month away, there is growing concern on how much the administration and HHS is doing to help or hurt the exchanges.

HIP Perspective: With Tom Price out as HHS secretary, and Congress unlikely to forge a deal, the power over insurance exchanges is consolidating in the administration. Many, but not all, carriers were hedging their bets on CSRs, and submitted rates that assumed CSRs would stop coming or submitted backup rates just in case. There is a growing concern that HHS is not fulfilling its duty as an effective administrator of the market, which in the end may not only harm consumers, but creates distrust with the very insurance companies that many Republicans have sought to attract through its efforts to promote private market solutions.

Visit the Domain 3 Health Systems Resource Guide

For resources for the role of Pharmacists go to this link.

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