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Off the Cuff February 11, 2019
Off the Cuff: CVH Clinical and Community Connections for State & Local Public Health Departments
Information from state and national partners
Facilitated by the Cardiovascular Health Network of NACDD
Issue 133, February 11, 2019
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Calls and Webinars Worth Your Time

Enhancing Stroke Systems of Care Through Evidence-Informed State Policy Interventions

Tuesday, Feb.12, 2019, 2:30 - 2:50 p.m. ET
Sponsor: CDC Applied Research and Translation Team in the Division for Heart Disease and Stroke Prevention
Join the 20-minute coffee break delving into the findings from two policy evidence assessment reports that examined evidence for policy interventions to improve pre-hospital, hospital, and post-hospital stroke care. No need to register, simply join this event via Adobe Connect and call, 1-855-644-0229, Conference ID: 8247938#


Epidemiology and Evaluation Collaborative Monthly Call
Wednesday, Feb. 13, 2019, 2 - 3:00 p.m. ET
Sponsor: NACDD CVH Team

The Epidemiology and Evaluation Collaborative (ECC) is a peer-led group of epidemiologists and evaluators who meet monthly to support each other in navigating 1815 and 1817 epidemiology, surveillance, evaluation, and performance measures. Participants have the opportunity to share resources, discuss what they are working on, ask questions, and provide feedback to CDC. Log on to Adobe Connect and call 1-877-273 4202, room 793-903-441 at the time indicated above. If you're not receiving emails and agendas from MaryCatherine Jones about EEC meetings, join our listserv by emailing

News and Resources from CDC, NACDD and National Partners

Community eConnect: How to Achieve Successful Bi-Directional Electronic Referrals

Six states are currently utilizing their Year 1 funding to implement Community e-Connect, and NACDD would like to offer the opportunity to additional states for Year 2.  Information is available here
Community e-Connect is a bi-directional linkage between clinical electronic health records (EHRs) and community-based organizations (CBOs). Clinical providers electronically refer patients with diabetes, pre-diabetes, or hypertension to CBOs with programs that can help control these conditions. In turn, CBOs document a patient’s enrollment, their attendance and progress, and electronically send this information back to the clinical provider, where it goes directly into the patient’s EHR.
Using this system, sites in Massachusetts were able to show a sustained decrease in systolic blood pressure of 3.4 mm Hg for patients who received services in community settings compared to a matched sample of patients whose blood pressure was “out of control”.  By the standards of the American Heart Association, these interventions were “highly cost effective.”
Community e-Connect directly supports the following strategies and activities outlined in CDC-RFA-DP18-1815PPHF18:
  • A.6. Implement strategies to increase enrollment in CDC-recognized lifestyle change programs Diabetes Management and/or Type 2 Diabetes Prevention
  •  B.7 Implement systems to facilitate systematic referral of adults with hypertension and/or high blood cholesterol to community programs/resources   
Community e-Connect may also impact these strategies and activities in CDC-RFA-DP18-1815PPHF18:
  • A.3. Increase engagement of pharmacists in the provision of medication management or DSMES for people with diabetes
  • A.4. Assist health care organizations in implementing systems to identify people with prediabetes and refer them to CDC-recognized lifestyle change programs for type 2 diabetes prevention
  • B.5. Develop a statewide infrastructure to promote sustainability for CHWs to promote management of hypertension and high blood cholesterol
If states are interested in finding out more about year 2 participation, please contact Susan Svencer,   

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