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State Program: Utah
Basic Implementation
The Utah Department of Health began receiving funds from CDC in 1998 to
support a state heart disease and stroke prevention program. The program received increased funding for
basic implementation beginning in 2003.
Burden of Heart Disease and Stroke
- Heart disease is the leading cause of death in Utah, accounting for
2,977 deaths or approximately 23% of the state's deaths in 2002. (National
Vital Statistics Report 2004;53(5)).
- Stroke is the third leading cause of death, accounting for
903 deaths
or approximately 7% 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 Utah reported having the following risk factors
for heart disease and stroke:
In 2005,
- 18.4% had high blood pressure
- 33.3% of those screened reported having high blood cholesterol
In 2006,
- 5.7% had diabetes
- 9.8% were current smokers
- 54.9% were overweight or obese (Body
Mass Index greater than or equal to 25.0)
- 19.4% reported no exercise 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 settings, work sites, and
communities.
- Provide training and technical assistance for 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
- Two health care plans (Molina Healthcare of Utah and SelectHealth)
are collaborating with the Utah Heart Disease and Stroke Prevention (HDSP)
program to enhance blood pressure management through implementation of
policies to promote the use of standards of care (e.g. incentives,
education, follow-up appointment schedules, free blood pressure
monitoring) and environmental supports (e.g. patient education
resources, chart trackers and marking systems, and self-management
strategies). The program is called Health Plan Blood Pressure
Self-Management & Provider Education Program. Progress in enhancing the
control of high blood pressure is tracked in part through health plan
data systems and Healthcare Effectiveness Data and Information Set (HEDIS) measures. The partners have identified priorities
and developed intervention strategies for both providers and patients
that will enhance the management and control of hypertension.
- In 2007 the Utah HDSP program began an extensive evaluation of the
Health Plan Blood Pressure Self-Management & Provider Program to
determine the program reach and effectiveness including sustained
systems changes and improved patient outcomes.
- In 2003, a hypertension self-management kit was developed, in both
Spanish and English, by the Utah HDSP program in response to a need
identified through focus groups with providers and patients with high
blood pressure. Tools include a video (to explain what high blood
pressure is, and why it is so important to control it), self-management
tracking tools, an information guide, and a Division of Adolescent and
School Health (DASH) eating plan brochure. The kits are distributed to
health care providers and systems that serve priority populations, such
as Community Health Centers, Medicaid managed care plans, and other
primary care networks for low income populations.
- The Utah HDSP program, in partnership with the State of Utah Bureau
of Emergency Medical Systems (EMS), conducted four regional trainings
over a two-year period (2005–2007) for coordinators of each EMS agency
in Utah. The rationale for spreading them over a two-year period and
doing them bi-annually was to capture all new certifying personnel as
well as recertifying personnel, who recertify every two years. The
objectives of the trainings were to train pre-hospital personnel to
better recognize stroke, to use the Cincinnati Stroke Scale and scoring
system, and to understand the importance and role of pre-hospital
providers within the continuum of care for stroke patients. 178 training
coordinators from throughout the state were trained.
- Prior to 2004, Utah had no Joint Commission on Accreditation of
Healthcare Organizations (JCAHO) primary stroke centers and no hospitals
participating in the American Stroke Association's (ASA) Get With the
Guidelines (GWTG) Stroke quality improvement program. In
2004 the HDSP program partnered with ASA to bring the program to Utah
and implement it in eligible Utah hospitals. A total of nine hospitals
signed contracts to implement the tool in their facility, three of which
moved forward and achieved JCAHO Primary Stroke Center Accreditation.
- The HDSP program is partnering with American Hospital Association
(AHA), Wyeth, GlaskoSmithKline, Merck, and King Pharmaceuticals to
present Pursuing Excellence in Cardiac Care In Utah, Moving From Good to
Great, on March 15, 2007 in Salt Lake City. This interactive workshop
will assist health professionals in institutions to implement the AHA
and American College of Cardiology treatment guidelines in patients discharged with
coronary artery disease (CAD) and heart
failure. The HDSP program will support participating hospitals through
payment for the GWTG-CAD tool as well as holding annual learning
sessions. For more information on heart disease and stroke prevention in the state,
visit the Utah Heart Disease and Stroke Prevention Program Web site at
http://www.hearthighway.org.*
To view county-level 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: September 6, 2007
Page last modified: September 6, 2007
Content source: Division for Heart Disease and Stroke
Prevention,
National Center for Chronic Disease Prevention and
Health Promotion
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