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State Program: Massachusetts
Basic Implementation
The Massachusetts Department of Health began receiving funds from CDC in
2000 to support a state heart disease and stroke prevention program. The
program received increased funding for basic implementation beginning in
2005.
Burden of Heart Disease and Stroke
- Heart disease is the leading cause of
death in Massachusetts, accounting for 14,736 deaths or approximately 26%
of the state's deaths in 2002. (National Vital Statistics Report
2004;53(5)).
- Stroke is the third leading cause of
death, accounting for 3,559 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
Massachusetts reported having the following risk factors for heart disease
and stroke:
In 2005,
- 24.8% had high blood pressure
- 35.7% of those screened reported having high blood cholesterol
In 2006,
- 6.4% had diabetes
- 17.8% were current smokers
- 55.5% were overweight or obese (Body
Mass Index greater than or equal to 25.0)
- 21.1% 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.
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State Highlights
- The Massachusetts Heart Disease and Stroke Prevention and Control
Program (HDSPC) is implementing a comprehensive, evidence-based
education and media campaign. A comprehensive literature search and
informal inventory of other non-published sources (other states,
national and international organizations) was conducted to guide the
development of an evidence-based approach to educate the lay public to
recognize a stroke and to respond by calling 9-1-1. As a result, a
3-minute animation and song using the FAST acronym (Face, Arms, Speech,
Time) from the University of Cincinnati was developed, concept tested,
and produced for English speakers. A “Stroke Heroes Act FAST” kit was
developed as a train-the-trainer module. The kit includes a brochure and
poster using the characters from the animation, didactic PowerPoint
presentations, an educator’s guide and strategies for effectively
reaching lay audiences, a press release, and evaluation forms.
- The HeartSafe Community program encourages MA cities and towns to
improve early access to emergency care, use cardiopulmonary
resuscitation and automated external defibrillators, and increase early
access to advanced care for acute cardiac conditions. HDSPC supported
the Massachusetts Department of Public Health (MDPH) Office of Emergency
Medical Services (OEMS) to purchase highway signs for cities and towns
to publicize their designation as a HeartSafe Community. In addition,
HDSPC participates in meetings developing and promoting HeartSafe status
for cities and towns.
- HDSPC coordinated the state-level Massachusetts Coalition for
Cardiovascular Health (renamed Partnership for a Heart Healthy and
Stroke Free Massachusetts (PHHSFM) or Partnership). More than 100
organizations came together as the PHHSFM compiled the statewide plan
entitled The Health of Massachusetts: A Coordinated Response to Heart
Disease and Stroke. Organizations that participated in developing the
statewide plan included representatives from within MDPH, other state
agencies, non-profit organizations, academic institutions,
community-based organizations representing the priority populations of
Springfield, Fall River, New Bedford, Lowell and Lawrence, as well as
organizations representing communities, worksites, and healthcare sites.
For more information on Massachusetts Department of Health programs,
visit
http://www.mass.gov/dph/fch/dchp.htm.
For more information about the Paul Coverdell National Acute Stroke
Registry, see http://www.cdc.gov/dhdsp/stroke_registry.htm.
To view county–level data, visit our
interactive map site at http://www.cdc.gov/dhdsp/library/maps/statemaps.htm.
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
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