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OTC September 19, 2016
Off the Cuff: Domain 3/Health Systems Updates
Information from state and national partners
Facilitated by the Cardiovascular Health Network of NACDD
Issue 34
September 19, 2016

From the Cardiovascular Health Network Leadership Team, Kay Lowder, South Carolina


Welcome to this issue of Off the Cuff! As outgoing chair of the CVH Network Leadership Team, I’m especially pleased to announce that we are looking for some new members to join us for the 2016-2017 year starting in October! The CVH Network Leadership Team represents YOU to NACDD, CDC, and other partners. We do this by setting priorities and recommending the best methods for these partners to provide support to health departments regarding 1305-related health systems and hypertension control strategies. For me, being a member of the Leadership Team has been a terrific experience that has provided connections to 1305 and 1422 grantees, worthwhile information from other programs and organizations impacting Domain 3 strategies, insight into best practices for strategy implementation, and NACDD/CDC support in bringing innovative learning opportunities to all Domain 3 staff. I highly recommend ya'll joining us!

Please consider nominating yourself or someone you know for our Chair-Elect and At-Large positions.
This is a great opportunity to recognize and provide a national leadership opportunity to outstanding Domain 3 staff. An overview of the nomination process and available positions may be found here. Please complete the
nomination form by Friday, September 23.

Please feel free to contact me at lowderk@dhec.sc.gov with questions about the Leadership Team. You may also contact our NACDD consultant, MaryCatherine Jones, at mcjones@chronicdisease.org with questions about the positions or the nominations process.


From Your Colleagues

From Teresa Roark, Utah

Janice Gray from Alaska asked about hypertension trainings for pharmacists. I asked one of the pharmacists we work with on our hypertension project and they suggested these:


Webinars & Calls Worth Your Time


Vital Signs Town Hall: Blood Pressure Control: Helping People Take Their Medicine
Tuesday, September 20, 2016, 2:00 – 3:00 pm ET

Sponsored by CDC

Learn how healthcare teams have successfully tackled medication adherence by joining the Vital Signs Town Hall. No preregistration needed. Conference Line (U.S. only): 800-857-0604; Passcode: 795-4413

1305 and 1422 Epidemiology and Surveillance Call on All Payer Claims Databases
Wednesday, September 21, from 3:00 - 4:00 pm ET
Sponsored by the CVH Team of NACDD and the Division for Heart Disease and Stroke Prevention at CDC

This is part of a call series to provide an ongoing forum for state and CDC 1305 and 1422 epidemiology and surveillance staff to come together, ask questions, discuss common issues, and share tips, tools, and resources. Our September call will focus on All Payer Claims Databases (APCD). States are invited to share their efforts in accessing and working with APCDs, including successes and challenges. Click here to register.


Navigating the Medicaid Landscape Part II—Finding Opportunities for Public Health by Understanding Medicaid’s Priorities and Challenges
Thursday, September 22, 2016, 3:00 -4:00 pm ET
Sponsored by NACDD

Medicaid has become America’s main public health care coverage program, and the number of individuals on Medicaid is expected to increase to over 100 million lives by 2026. Due to this increasing enrollment and constrained state revenue, many states are looking for opportunities to design health care coverage programs that promote the health of their citizens and provide quality and accessible health care. This creates tremendous opportunity for increased collaboration between Medicaid and chronic disease directors. Opportunities are only expected to grow as the Medicaid program continues to evolve from a needs-based assistance based program to a program that provides health care coverage and promotion to an increasing segment of our population. Click here to register.

By participating in this webinar, chronic disease directors, directors of health promotion, and practitioner network members will:

  1. Better understand how to leverage Medicaid leaders’ strained capacity and competing priorities as opportunities for NACDD members and other public health staff.
  2. Learn where Medicaid and public health collaboration has been successful and what led to this success.
  3. Receive suggestions on how to improve communication with Medicaid directors and staff and better promote the values public health brings to the table.

This webinar is a continuation of Part I of this webinar series, which occurred last fall. Click here for Part I.


Apply Evidence to Improve Blood Pressure Control: Target: BP™ and the M.A.P. (Measure. Act. Partner) Framework
Monday, September 26, 2016, 2:00 – 3:00 pm ET
Sponsored by American Heart Association and American Medical Association

Target: BP™ is a national collaboration between the American Heart Association and the American Medical Association to reduce the number of Americans who have heart attacks and strokes by urging physician practices, health systems and patients to prioritize blood pressure control. Target: BP is a call to action motivating medical practices, practitioners and health services organizations to prioritize blood pressure control. It includes a recognition program for healthcare providers who attain high levels of blood pressure control in their patient populations. This webinar will introduce the Target: BP Program, explain how it supports the achievement of optimal blood pressure control and help primary care providers and their care teams identify opportunities for improvement while implementing the M.A.P. Framework. Presenters: Dr. Gregg Fonarow and Dr. Michael Rakotz. Advanced Registration is required. 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 NACDD and CDC
Request for Applications for State Health Department GIS Training

NACDD, in partnership with CDC and the Children’s Environmental Health Initiative at Rice University, is pleased to announce the release of the Request for Applications for the 2016-2017 Geographic Information Systems (GIS) State Training for Surveillance of Heart Disease, Stroke and Other Chronic Diseases. All states are eligible to apply. State applications are due November 1, 2016 with notification of award by November 23, 2016. Click here for the complete RFA and application. Question and Answer sessions regarding the RFA will be held: Monday, September 19, 3-4pm ET and Tuesday, September 20, 3-4pm ET.



From CDC
CDC Vital Signs Release—Hypertension Medication Adherence Among Medicare Part D Beneficiaries

Key points in the Vital Signs report include:
  • Medications don’t work if people don’t take them. About 5 million people—one in four adults ages 65 or older with Medicare Part D with a prescription for blood pressure medication —are not taking it as directed.
  • Medication adherence varies by race and ethnicity. The percent of Medicare Part D enrollees not taking their blood pressure medicine is higher among certain race/ethnic groups. This puts them at higher risk of heart attack, stroke, kidney disease, and death.
  • Medication adherence varies by geographic location. The southern United States has the highest rates of nonadherence. The report includes county and state-level maps showing the areas with lowest rates of adherence, as well as resources to calculate adherence rates.
The materials and tools in this edition of Vital Signs can help guide health care systems, including healthcare professionals, practices, community health workers, pharmacies, hospitals, and insurers, to work with patients with high blood pressure to make taking medicine easier.

Visit the Vital Signs Web page to find the Vital Signs fact sheet, MMWR Early Release, and other materials. You can also take advantage of CDC’s social media tools, such as the Vital Signs buttons and e-mail updates and use CDC's content syndication service to have Vital Signs sent directly to your own website for display. Find more information about medication adherence, as well as resources and tools, on the Million Hearts® medication adherence Web page.



1305 and 1422 Grantees
This is a reminder to register for the 1305/1422 Grantee Meeting, scheduled for Wednesday, November 30, to Friday, December 2, 2016, at the Crowne Plaza Ravinia hotel in Atlanta, Georgia. The registration deadline is October 31. This event is for the primary recipients of the 1305 and 1422 cooperative agreements. It is not open to 1422 sub-awardees. There is a waitlist for grantees who wish to send extra staff. If there is extra space after the registration deadline of October 31, CDC will consider allowing grantees to send extra staff. If you want to add 1 or 2 names to this “extra attendee waitlist,” you should discuss this with your CDC Project Officer.



From Agency for Healthcare Research and Quality (AHRQ)
AHRQ Chartbook Tracks Progress of Prevention and Treatment Practices
AHRQ’s new Chartbook on Effective Treatment provides updated information about national efforts to improve prevention and treatment of eight health conditions that are leading causes of mortality and morbidity: cardiovascular disease, cancer, chronic kidney disease, diabetes, HIV and AIDS, mental health and substance abuse, musculoskeletal diseases and respiratory diseases. Among the highlights:
  • Performance measures for cardiovascular disease indicated that from 2000 to 2012, the percentage of adults with hypertension who had their blood pressure under control improved from about 30 percent to more than 50 percent.
  • Between 2001 and 2013, the percentage of diabetes-related hospital admissions decreased more for blacks (from about 88 percent to 45 percent) than for whites (from about 18 percent to 10 percent)
  • Among problem areas shown through performance measures: increasing suicide deaths for both sexes and all racial groups; a lower percentage of adults with diagnosed diabetes who had their feet checked for sores or irritation; and a lower percentage of adults with asthma who take preventive medicine daily or almost daily.






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