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State Program: New York State
Basic Implementation
The New York State Department of Public
Health began receiving funds from CDC in 1998 to support a state heart
disease and stroke prevention program entitled the Healthy Heart Program.
Burden of Heart Disease and Stroke
- Heart disease is the leading cause of death
in New York, accounting for 56,672 deaths or approximately 36% of the
state's deaths in 2002. (National Vital Statistics Report 2004;53(5)).
- Stroke is the third leading cause of death,
accounting for 7,625 deaths or approximately 5% of the state's deaths in
2002. (National Vital Statistics Report 2004;53(5)).
- According to Behavioral Risk Factor
Surveillance System (BRFSS) survey results, adults in New York
reported having the following risk factors for heart disease and stroke:
In 2005,
- 25.5% had high blood pressure
- 35.5% of those screened reported having high blood cholesterol
In 2006,
- 7.6% had diabetes
- 18.2% were current smokers
- 58.3% were overweight or obese (Body Mass Index greater than or equal to 25.0)
- 26.0% reported no exercise in the prior 30 days
Key Responsibilities
- Facilitate collaboration among public and private sector
partners, such as managed care organizations, health
insurers, federally funded health centers, businesses,
priority population organizations, and emergency response
agencies.
- Define the burden of heart disease and stroke and assess
existing population-based strategies for primary and
secondary prevention of heart disease and stroke within the
state.
- Develop and update a comprehensive state plan for heart
disease and stroke prevention with emphasis on heart-healthy
policies development, physical and social environments
change, and disparities elimination (e.g., based on
geography, gender, race or ethnicity, or socioeconomic
status).
- Identify culturally appropriate approaches to promote
heart disease and stroke prevention among racial, ethnic,
and other priority populations.
- Use population-based public health strategies to
increase public awareness of the heart disease and stroke
urgency, the signs and symptoms of heart disease and stroke,
and the need to call 9–1–1.
- Support health care organizations system changes to
assure quality of care and implementation of primary and
secondary prevention for heart disease and stroke.
- Monitor, implement, and evaluate prevention strategies
and programs in health care sites, work sites, and
communities.
- Provide training and technical assistance to public
health, health care professionals, and partners to support
primary and secondary prevention of heart disease and
stroke.
- Monitor quality of care for primary and secondary
prevention.
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State Highlights
- The program’s Cardiac Services Program (CSP) is a comprehensive
initiative established to ensure the provision of high quality
appropriate hospital-based cardiac services in New York state. Much of
their work is guided by the Cardiac Advisory Committee (CAC), a
Commissioner’s advisory body consisting of nationally renowned cardiac
surgeons, cardiologists, and related specialists from New York and
outside the state. The CSP develops guidelines for the provision of
hospital-based cardiac care. Using sophisticated statistical analyses,
the program also produces reports on risk-adjusted mortality rates from
coronary interventions (e.g. cardiac surgery, angioplasty, etc.) for
hospitals and physicians. These reports can be used to assess the
quality of care of a particular hospital or provider.
- The New York State’s Office of Health Systems Management (OHSM)
within the Department of Health has undertaken a major initiative to
improve the quality of care for stroke patients by designating hospitals
as stroke centers. To become a Designated Stroke Center (DSC), a
hospital has to demonstrate that it meets the guidelines of care as
specified by the Brain Attack Coalition and the American Stroke
Association. To date 104 of the 241 hospitals in NY have met the
criteria and become DSCs.
- New York’s 104 Designated Stroke Centers (DSC) are required to
conduct public education on the signs and symptoms of stroke and the
need for urgent action. To assist the DSCs in these efforts, the Heart
Healthy Program (HHP) is currently developing and evaluating a pilot
stroke awareness campaign in the Capital Region (Albany area). The HHP
is collaborating with the Capital Region Stroke Task Force (whose
members include area hospitals that are Designated Stroke Centers, AHA/ASA,
local EMS, pharmacies and universities) in implementing a multi-pronged
campaign to increase the recognition that the signs and symptoms of
stroke are serious and there is a need to reduce the delay between
symptom onset and arrival at an Emergency Department.
- Working with the Community Health Care Association of New York State
(CHCANYS), the Healthy Heart Program is working to implement
evidence-based changes in health care delivery practices to improve
blood pressure and cholesterol control and Cardiovascular Disease (CVD)
treatment. The objective is to increase the number of community health
centers that agree to participate in CVD collaborative learning sessions
and enter at least 100 patients with CVD into a patient registry by June
2008. A comprehensive evaluation plan will track the progress of the
systems change and trends in patient care data.
- The Healthy Heart Program (HHP) is the lead program in the
department of health promoting worksite health promotion. The major
strategy is to build the capacity of partners to assist employers to
implement comprehensive worksite wellness programs. They define
comprehensive as 1) the provision of employer-based health insurance
that meets the recommendations of the “Purchasers Guide to Clinical
Preventive Services”; 2) provision of health risk assessments with
appropriate referral and follow up; 3) education of employees on
behavior changes to prevent and treat risk factors and recognition of
the signs and symptoms of heart attack and stroke; and 4) environmental
and policy supports that make it easier for employees to adopt and
maintain healthier behaviors. In addition to the work of partners, the
HHP will work with health plans, business groups, and follow legislation
on universal health care.
For more information on heart disease and
stroke prevention in the state, visit the New York State Department of
Health Heart Disease Web site at
http://www.health.state.ny.us/nysdoh/heart/heart_disease.htm.*
The Burden of Cardiovascular Disease in New York* (PDF–3.4MB)
A report on the mortality, prevalence, risk factors, costs, and selected
populations burdened by cardiovascular disease in New York State. This document is
available in Portable Document Format (PDF).
Learn more about
PDFs.
To view county–by–county data, visit our
interactive map site at
http://www.cdc.gov/dhdsp/library/maps/statemaps.htm.
*Links to non–Federal organizations are provided solely as a service to our users. Links do not constitute an endorsement of any organization by CDC or the Federal Government, and none should be inferred. The CDC is not responsible for the content of the individual organization Web pages found at this link.
Page last reviewed: October 1, 2007
Page last modified: October 1, 2007
Content source: Division for Heart Disease and Stroke
Prevention,
National Center for Chronic Disease Prevention and
Health Promotion
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