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State Program: Kentucky
Capacity Building
The Kentucky Department for Public Health began receiving funds from
CDC in 1998 to support capacity building of a state heart disease and
stroke prevention program.
Burden of Heart Disease and Stroke
- Heart disease is the leading cause of
death in Kentucky, accounting for 11,696 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 2,554 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 Kentucky
reported having the following risk factors for heart disease and stroke:
In 2005,
- 28.2% had high blood pressure
- 38.1% of those screened reported having high blood cholesterol
In 2006,
- 9.9% had diabetes
- 28.5% were current smokers
- 66.4% were overweight or obese (Body
Mass Index greater than or equal to 25.0)
- 31.0% 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.
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State Highlights
- The Kentucky Heart Disease and Stroke Prevention Task Force began in
April 2006.The task force is organized into work groups that focus on
each of the five tracks of work, which are prevention awareness to
action, community and site-based interventions, cardiovascular health
delivery system, advocacy, and funding. The current task force meets
quarterly to discuss progress of the tracks of work developed in the
strategic map and to plan for future activities.
- The Kentucky Heart Disease and Stroke Prevention (KHDSP) Program
possesses a broad range of experience in increasing the control of high
blood pressure and high blood cholesterol primarily among adults and
older adults. The program partnered with Health Care Excel, the Kentucky
Medicare Quality Improvement Organization, to create and distribute
provider toolkits. The toolkits were distributed to over 200 Medicare
providers in Kentucky, educating physicians on The Seventh Report of
the Joint National Committee on Prevention, Detection, Evaluation, and
Treatment of High Blood Pressure (JNC 7) guidelines for blood
pressure control. The toolkits also provided chart stickers for blood
pressure and cholesterol tracking of each patient, as well as patient
information and tools on how to control their risk factors, and how to
recognize the warning signs of a heart attack and stroke. These toolkits
were also provided to the clinics of all 56 health department agencies
located throughout Kentucky.
- Recognizing that there was no statewide quality improvement
initiative for coronary artery disease, the KHDSP Program partnered with
the American Heart Association, the Kentucky Hospital Association and
Health Care Excel, to develop and implement the first statewide launch
of the American Heart Association’s Get With The Guidelines Patient
Management Tool for Coronary Artery Disease. The patient management tool
uses evidence-based guidelines for the secondary prevention of heart
disease and related risk factors.
- The program is working with various partners to address diversity as
part of their effort to promote cardiovascular health among underserved
populations.
For more information on heart disease and
stroke prevention in the state, visit the Kentucky Cardiovascular Health Program Web site at
http://chs.state.ky.us/publichealth/cardiovascular.htm.*
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: August
30, 2007
Page last modified: August 30, 2007
Content source: Division for Heart Disease and Stroke
Prevention,
National Center for Chronic Disease Prevention and
Health Promotion |
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