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State Program: South Carolina
Basic Implementation
The South Carolina Department of Health and
Environmental Control 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 2001.
Burden of Heart Disease and Stroke
- Heart disease is the leading cause of death
in South Carolina, accounting for 9,659 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 2,822 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 South
Carolina reported having the following risk factors for heart disease and
stroke:
In 2005,
- 31.4% had high blood pressure
- 37.2% of those screened reported having high blood cholesterol
In 2006,
- 9.6% had diabetes
- 22.3% were current smokers
- 65.4% were overweight or obese (Body Mass Index greater than or equal to 25.0)
- 24.3% 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 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
- The program is working on several initiatives to improve high blood
pressure control in primary care practices. This includes collaboration
with the Medical University of South Carolina and others on a project
using peer-led training on best practices and quality of care monitoring
and feedback. The initiative is focusing on providers with significant
numbers of Medicaid patients and those practicing in rural areas. More
than 300 participating providers from 38 of the state's 46 counties are
involved in these quality improvement efforts, impacting 70,000
hypertensive patients. The program also is working with the Consortium
for Southeastern Hypertension Control (COSEHC) and the state quality
improvement organization, Carolinas Center for Medical Excellence, to
establish primary care Cardiovascular Centers of Excellence.
- The program provides consultation, training and technical assistance
to public health regions to implement systems change and awareness
initiatives with a focus on preventing heart disease and stroke among
populations in South Carolina with the greatest burden. For example, the
program is working with public health region staff to eliminate health
disparities through the American Heart Association’s Power to End Stroke
campaign. A key leader within the Department of Health and Environment
is an ambassador for the program.
- The program is working to improve emergency response to heart
attacks and strokes. Program staff were instrumental in developing a
strategic planning committee to promote state emergency medical service
(EMS) data collection supportive of the National EMS Information System
(NEMSIS). They will continue to promote partner readiness to implement
this tool. The program also supports training in Advanced Stroke Life
Support among EMS and hospital emergency room providers.
- The program collaborates with the American Heart Association to
improve patient outcomes for coronary artery disease, stroke, or heart
failure. Half of the state’s 49 acute care hospitals have participated
in this quality improvement effort called Get With the Guidelines.
- South Carolina is part of the Tri-State Stroke Network funded by CDC
in 2004. The Network is led by the North Carolina Department of Health
and Human Services/Division of Public Health and also includes Georgia.
For more information on heart disease and
stroke prevention in the state, visit the South Carolina Cardiovascular
Health Program Web site at
http://www.scdhec.net/cvh/.*
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 7, 2007
Page last modified: September 7, 2007
Content source: Division for Heart Disease and Stroke
Prevention,
National Center for Chronic Disease Prevention and
Health Promotion
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