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Off the Cuff November 13, 2018
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 122, November 13, 2018
Contact us at

From Miriam Patanian, NACDD CVH Lead Consultant

Like you, the CVH Team at NACDD has been busy getting our heads around all our new work and adjusting our responsibilities to accomplish new goals in this funding cycle.  We know that you in state health departments are going through the same adjustments.  We are very excited about our projects this year and want to assist you in any way we can.
Keeping that in mind, I’d like to introduce you to our CVH Team and what we are working on this coming year:
  • Julia Schneider works on the fireside chats (if you have ideas, please let her know), issue briefs, state success stories, and projects related to the Million Hearts Initiative.
  • MaryCatherine Jones continues to support the CVH Network Leadership Team and the Epidemiology and Evaluation Collaborative (EEC), as well as building GIS capacity in state and local health departments and developing a GIS toolkit.
  • Susan Svencer leads the new Community e-Connect program, supports the team in the development of fireside chats and issue briefs, as well as participates in projects related to the Million Hearts Initiative.
  • Kathy Foell develops each issue of the Off the Cuff newsletter and provides support to the other CVH-related projects. She also works on a new surveillance project called the Multi-state, EHR-based National Disease Surveillance (MENDS).
  • Hannah Herold recently joined our team and works with MaryCatherine on the GIS projects and Kathy on MENDS.
  • And me, Miriam Patanian, I’m the CVH Team Lead, and I work to ensure that our projects, resources, and technical support coordinate where appropriate—both internally and with our partners.
Please don’t hesitate to reach out to any one of us and let us know how we can help you in your work or connect you with other states doing similar work.

From Tara Trujillo, Chair of the CVH Leadership Team

Dear CVH Network Partners - here are two ways you can make a difference in state CVH work today!
First, as we look to plan the 2018-2019 fireside chats, please take a minute (literally) and tell us what topics you would like to be addressed in a future fireside chat or other types of learning opportunities. Your input is what guides us!
Secondly, join the Leadership Team, or nominate a co-worker! Nominations are due Friday, Nov. 16.  Click here for information about available positions and how to submit a nomination. 

The CVH Network Leadership Team represents YOU to NACDD, CDC, and other partners. We set priorities and recommend to NACDD and CDC ways in which they can support health departments in advancing health systems and hypertension and cholesterol management strategies. 
Please contact MaryCatherine or me, Tara Trujillo, with any questions about the fireside chats or Leadership Team opportunities.

Webinars and Calls Worth Your Time 

Epidemiology and Evaluation Collaborative Monthly Call
Wednesday, Nov. 14, 2018, 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. 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

From CDC and Million Hearts®
Announcing the 2018 Million Hearts® Hypertension Control Champions
This year, 18 Champions from across the United States are being recognized. Together, these dedicated professionals cared for over 53,000 adults and achieved blood pressure control for more than 80% of their patients. These remarkable efforts are critical to preventing and managing heart disease and stroke, two leading causes of death for Americans.

The 2018 Million Hearts® Hypertension Control Champions are:
  • Juniper Health, Inc.; Beattyville, KY
  • Millcreek Medical Arts; Erie, PA
  • Babson & Associates Primary Care; Cheyenne, WY
  • Keystone Rural Health Consortia, Inc.; Emporium, PA
  • Mark Tsinker, MD, Bay Parkway Medical PC; Brooklyn, NY
  • Hinman Family Medicine; Longmont, CO
  • Eighth Avenue Medical Office, Terence Chun Hung Hsuih, MD; Brooklyn, NY
  • Jia Hong, MD; Flushing, NY
  • High Plains Community Health Center Holly Clinic; Holly, CO
  • Patel Medical Center; Brooklyn, NY
  • Southern Colorado Medicine; Colorado Springs, CO
  • Shelly Shi, MD; New York, NY
  • Pacific Family Medicine; Astoria, OR
  • Mountain People's Health Councils; Oneida, TN
  • Nhan Hoa Comprehensive Health Care Clinic; Garden Grove, CA
  • David Yamamoto, MD, Peak to Peak Family Medicine; Arvada, CO
  • Physician Associates of Virginia, P.C., Salem Family Clinic; Salem, VA
  • Fairview Family Medicine; Fairview, PA
In the sixth year of the Challenge, we continue to see health care teams adopt evidence-based strategies to detect and connect with patients who have uncontrolled high blood pressure. Examples include: proactive outreach to those with higher than normal blood pressure using electronic health record-based registries; team-delivered treatment protocols; and self-measured blood pressure monitoring.

The 2018 Champions range in size from large to small practices, including solo practitioners. Many of this year’s Champions have worked with Million Hearts partners and programs dedicated to quality improvement, including EvidenceNOW, the Transforming Clinical Practice Initiative (TCPI), Comprehensive Primary Care Plus (CPC+), and health departments. Together, they have shown that small, targeted actions can lead to big, sustained changes in blood pressure control.
Saving lives through better blood pressure control has been a longstanding priority for the Million Hearts® initiative. By recognizing the Champions’ performance and sharing their lessons learned, CDC aims to help other health care professionals achieve the same success in communities nationwide.
We encourage you to congratulate these Champions. Visit the Million Hearts® website to find a map of all of our Champions, read previous Champions' success stories, and find evidence-based tools and resources to share with your colleagues and partners to improve blood pressure control.


From NACDD and CDC
Request for Applications for GIS Training for State Health Departments to be released Wednesday, Nov. 14, 2018

NACDD, in partnership with CDC and the Children’s Environmental Health Initiative at Rice University, will release the Request for Applications(RFA) for the 2019 Geographic Information Systems (GIS) State Training for the Surveillance of Heart Disease, Stroke, and Other Chronic Diseases. This GIS Training is for staff working with state health department chronic disease prevention and health promotion programs. A Chronic Disease Director component, new for 2019, will assist state health department leaders to build and sustain GIS capacity and support staff development of GIS-related Chronic Disease Competencies. 
Application Dates
  • RFA Question and Answer Sessions: Tuesday, Nov. 27 at 3:00 p.m. ET, and Thursday, Nov. 29 at 2:00 p.m. ET
  • Due date: Dec. 14
  • Notice of Award: Dec. 28
Please check the NACDD GIS webpage for the RFA, listing of eligible state health departments, and dates for required meetings and trainings. A Frequently Asked Questions document will be posted and updated regularly.
Additional GIS training and technical assistance opportunities that will be offered in 2019 are listed belowRegistration for these will be announced through Off the Cuff, the GIS Network and on the NACDD GIS webpage.
  • Virtual Trainings: These webinar-based trainings are focused on developing practical mapping, analysis, and GIS skills. Following two trainings that were offered this fall, three additional courses will be offered in 2019. 
  • GIS Translation and Dissemination Workshops: These in-person workshops will provide assistance to state health departments to advance the use of their maps for high blood pressure and high cholesterol management programs and policies.
For additional information, please contact MaryCatherine Jones

From NACDD and CDC
Request for Applications: Coverage and Reimbursement Analysis for Self-Measured Blood Pressure Monitoring (SMBP)

NACDD, in coordination with CDC’s Division for Heart Disease and Stroke Prevention, is seeking the services of a contractor with expertise in health insurance policy and public health law to conduct a coverage and reimbursement analysis of SMBP with clinical support services. The Request for Applications will be posted no later than Nov. 14, and a special edition of Off the Cuff will be sent when the link is available.
For more information about the project, as well as to answer any applicant questions, a call will be held on Nov.16, at 2:00 p.m. ET. The call will be recorded and posted to the website. Click here to register for the call.


From the American Heart Association
Release of the 2018 AHA Guideline on the Management of Blood Cholesterol

The 2018 guideline was presented at the AHA Scientific Sessions this weekend. For more information, see the press release shared by AHA, as well as the new guideline

Statement Highlights:

  • High cholesterol, at any age, can increase a person’s lifetime risk for heart disease and stroke. A healthy lifestyle is the first step in prevention and treatment to lower that risk.
  • The 2018 guidelines recommend more detailed risk assessments to help health care providers better determine a person’s individualized risk and treatment options.
  • In some cases, a coronary artery calcium score can help determine a person’s need for cholesterol-lowering treatment, if their risk status is uncertain or if the treatment decision isn't clear.
  • While statins are still the first choice of medication for lowering cholesterol, new drug options are available for people who have already had a heart attack or stroke and are at highest risk of having another. For those people, medication should be prescribed in a stepped approach, first with a maximum intensity statin treatment, adding ezetimibe if desired LDL cholesterol levels aren’t met and then adding a PCSK9 inhibitor if further cholesterol reduction is needed.

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