 |
|
|
|
|
State Program: Florida
Basic Implementation
The Florida Department
of Health began receiving funds from CDC in 2002 to support a state heart
disease and stroke prevention program.
Burden of Heart Disease and Stroke
- Heart disease is the leading cause of
death in Florida, accounting for 49,235 deaths or approximately 29% of
the state's deaths in 2002. (National Vital Statistics Report
2004;53(5)).
- Stroke is the third leading cause of
death, accounting for 10,269 deaths or approximately 6% 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 Florida
reported the following risk factors for heart disease and stroke:
In 2005,
- 27.7% had high blood pressure
- 39.7% of those screened reported having high blood cholesterol
In 2006,
- 8.5% had diabetes
- 21.0% were current smokers
- 59.6% were overweight or obese (Body
Mass Index greater than or equal to 25.0)
- 25.1% 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.
|
State Highlights
- The Florida Heart Disease and Stroke Prevention (FLHDSP) program
partnered with Florida’s primary care association, Florida Association
of Community Health Centers, Inc. (FACHC), and the American Heart
Association (AHA), to increase the number of community health centers
that are using the Health Resources and Services Administration (HRSA),
Health Disparity Collaborative (HDC) for cardiovascular disease (CVD).
The HDC is an innovative health initiative using the recognized chronic
care model to redesigns approaches to patient care by identifying high
risk patients, proactively managing their health care, and promoting
lifestyle changes and preventive services to improve health outcomes.
The CVD Health Disparity Collaborative model of care seeks to: 1)
generate and document improved cardiovascular disease health outcomes
for underserved populations such as control of high blood pressure and
cholesterol; 2) transform clinical practice through use of electronic
medical records and data reporting; 3) develop infrastructure, expertise
and multi-disciplinary leadership to improve cardiovascular health
status; and 4) build strategic community partnerships. The CVD
collaborative is designed to enhance efforts to aggressively prevent
heart disease and stroke, reduce CVD disparities among priority
populations with higher rates of disease, and increase access to quality
of care in the community health center (CHC) care settings.
Of the 38 CHCs in Florida, 24 are implementing at least one health
disparity collaborative, but only 3 of these centers have implemented
the cardiovascular disease collaborative. Together with their partners,
the FLHDSP program plans to increase the number of federally funded CHCs
participating in the CVD collaborative by offering training and grants.
- The FLHDSP program partners, along with the State Department of Health’s
Diabetes Prevention and Control Program and the Medical Quality
Assurance Program, are working to develop and provide online health care
professional education programs through St. Petersburg College. Courses
on Pre-hypertension: Diagnosis and Recommendation; Cholesterol Control
Using ATP III Guidelines; and Hypertension 2006, Where Are We Now
continue to be offered with CME/CEUs available.
- The Bureau of Emergency Medical Services and the Florida Association
of Rural Emergency Medical Services (FAREMS) are working with the FLHDSP
program
to provide training for 350 emergency medical technicians and training
to implement the Emergency Medical Services Tracking and Reporting
System (EMSTARS) statewide. These activities are designed to improve
emergency response for heart disease and stroke patients.
For more information on heart disease and
stroke prevention in Florida, visit
http://www.doh.state.fl.us/Family/heart/index.html.*
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:
December 5, 2007
Page last modified: December 5, 2007
Content source: Division for Heart Disease and Stroke
Prevention,
National Center for Chronic Disease Prevention and
Health Promotion |
|
