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Off the Cuff Nov 4, 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 170, Nov. 4, 2019
Contact us at healthsystems@chronicdisease.org

For other NACDD CVH projects, go to www.chronicdisease.org/page/CardiovascularHealth





From the NACDD CVH Team





Miriam Patanian recognized by the National Forum 
 
The CVH Team is proud of our Lead Consultant, Miriam Patanian, who received the National Forum Commitment Award for her exceptional contributions of expertise, effort and leadership to the National Forum from its founding to present day.
 
Congratulations, Miriam!  We are so happy to be working with you!


Calls and Webinars Worth Your Time



Investing in the Workforce Development of Community Health Workers
Tuesday, Nov. 12, 2019, 2:30-2:50 p.m. ET
Sponsor: CDC Division for Heart Disease and Stroke Prevention 
 
Join this 20-minute coffee break presentation on community health workers (CHWs) and the roles states are playing in the advancement of workforce development investments.
 
Employment of community health workers (CHWs) has the potential to positively impact a wide range of health, economic, social, and environmental outcomes. This coffee break will describe the general process and progress made to date in implementing CHWs workforce development investments across the 50 states, D.C., and Puerto Rico, including an overview and examples of statewide infrastructure, partnerships, and funding sources. Current and upcoming CDC resources also will be discussed.
 
No need to register, simply join this event and call 855-644-0229, Conference ID: 8247938.

If you missed the August Coffee Break on Steps to Promote Pharmacist-provided Medication Therapy Management Services or other presentations, go to the DHDSP website.

 




Tweet Your Chronic Disease Maps on GIS Day
Wednesday, Nov. 13, 2019
Sponsors: CDC, NACDD and Children’s Environment Health Institute (CEHI)
 
GIS Day is coming up on Nov. 13, 2019. CDC, NACDD, and CEHI invite you to celebrate by sharing your chronic disease GIS maps on Twitter! The goal is to get as many organizations and individuals as possible tweeting on GIS Day using the hashtag #ChronicDiseaseMaps. The tweets can highlight the important work you are doing with GIS for chronic disease surveillance, prevention, and treatment as well as include a JPEG/GIF image of a map.
 
How can you participate?
On Nov. 13, share your maps and explain in a tweet(s) how they contribute to chronic disease prevention. Feel free to include links to any related content. Make sure to include #ChronicDiseaseMaps in your tweet!


News and Resources from CDC, NACDD, and National Partners

From NACDD CVH Team and Million Hearts®
Recording of Oct. 2019 webinar on Optimizing Care: Million Hearts® Fall 2019 Updates 
 
Optimizing Care is one of the three priorities of Million Hearts® 2022, focusing health care strategies to improve the ABCS to 80%, increase the use of cardiac rehabilitation to 70%, and engage patients in heart-healthy behaviors. To that end, Million Hearts® provided several updates, including two projects supporting care optimization: the release of their third quality improvement resource, the Tobacco Cessation Change Package; and the launch of their new recognition program, Million Hearts® Hospitals & Health Systems.

 

From NACDD and Public Health Informatics Institute
EHR-based Surveillance Learning Community

Register for the call series. View past call recordings and learn more about the community by visiting the MENDS homepage and clicking on the Learning Community tab.

The next meeting of the EHR-based Surveillance Learning Community is on Tuesday, Nov. 19, 2019, from 3-4:00 p.m. ET and will cover building the value proposition for EHR-based surveillance with examples from San Diego.

Summary of the Oct. 22, 2019 call:
  • The webinar included an overview of the current status of EHR-based surveillance nationwide and some of the challenges with EHR-based surveillance for chronic disease, including the lack of consensus on case definitions and issues with governance. 
  • The key goals for the Learning Community were shared: a place to discuss lessons learned, share experiences around crafting value relationships, and define best practices for recruiting and maintaining clinical partnerships.
  • Theron Jeppson, Utah Department of Health, provided practical experience from the field on how to operationalize EHR surveillance at a state-wide level via partnerships with Health Information Exchanges and the development of infrastructure that can be implemented widely. Theron’s key points included:
    • Creating standard case definitions is critical to knowing what the data says and to comparing to other measures.
    • Establishing solid relationships is critical to forming effective information-sharing partnerships.
    • Structured data is better than unstructured data.
    • Adopting a common data model is best.
  • A high-level summary of the Multi-state EHR-based Network for Disease Surveillance (MENDS) Project was presented. The MENDS project seeks to test an automated chronic disease surveillance system using data routinely stored in health records to provide clinically detailed, efficient, and timely information from large, diverse populations with minimal added work and cost for clinicians or health departments.


From CDC, Division of Reproductive Health
Articles Contribute to Understanding of How Chronic Conditions among Women of Reproductive Age Impact Maternal and Child Health
 
Hypertension and Diabetes in Non-Pregnant Women of Reproductive Age in the United States
This article analyzed data from the 2011–2016 National Health and Nutrition Examination Survey to estimate overall prevalence of hypertension and diabetes among non-pregnant women, aged 20–44 years old. Of the women studied, 9% had hypertension and 4.5% had diabetes. Among those with hypertension, 17% were unaware of their status and 41% had uncontrolled hypertension. Among women with diabetes, almost 30% had never received a diagnosis, and among those with diagnosed diabetes, more than half did not have the condition controlled.

Diagnosing and achieving optimum control of chronic conditions, including diabetes and hypertension, among women of reproductive age through improving health education, access to care, and screening procedures may improve preconception health, birth outcomes, and women’s health overall.
 
Disparities in the Prevalence of Excess Heart Age Among Women with a Recent Live Birth
Data from the Pregnancy Risk Assessment Monitoring System (PRAMS) were analyzed to identify disparities in excess heart age - the difference between a person’s heart age and chronological age- among postpartum women.  Heart age is used to describe the cardiovascular disease (CVD) risk of a person. Excess heart age was defined in this study as the prevalence of an excess heart age greater than or equal to 5 years.
 
Results found non-Hispanic black women to have a higher prevalence of excess heart age (12%) than non-Hispanic white women (7%) and Hispanic women (5%).  Rates of excess heart age were highest among women who were uninsured, obese or overweight, had lower levels of physical activity, or were smokers before their pregnancy.






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