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State Program: Washington
Basic Implementation
The Washington Department of Health began receiving funds from CDC in 2003
to support a state heart disease and stroke prevention program. The
program received increased funding for basic implementation beginning in
2005. They also received additional CDC funding to lead the Northwest
Regional Stroke Network.
Burden of Heart Disease and Stroke
- Heart disease is the leading cause of death in Washington, accounting
for 11,141 deaths or approximately 25% of the state's deaths in 2002.
(National Vital Statistics Report 2004;53(5)).
- Stroke is the third leading cause of death, accounting for
3,753
deaths or approximately 8% 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 Washington reported the following risk
factors for heart disease and stroke:
In 2005,
- 24.1% had high blood pressure
- 36.7% of those screened reported having high blood cholesterol
In 2006,
- 7.1% had diabetes
- 17.1% were current smokers
- 60.7% were overweight or obese (Body
Mass Index greater than or equal to 25.0)
- 17.3% 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, unions, school systems,
priority population organizations, and emergency response agencies.
- Define the heart disease and stroke burden and assess
existing population–based strategies for primary and secondary heart
disease and stroke prevention within the state.
- Develop and update a comprehensive state plan for heart disease
and stroke prevention with emphasis on developing heart–healthy
policies, changing physical and social environments, and eliminating
disparities (e.g., based on geography, gender, race or ethnicity, or
income).
- Identify culturally appropriate approaches to promote
cardiovascular health with racial, ethnic, and other priority
populations.
- Use population-based public health strategies to
increase public awareness of the signs and symptoms of heart
diseases and stroke, the urgency of early treatment for 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 Washington Heart Disease and Stroke Prevention (HDSP) program,
in collaboration with the Diabetes Prevention and Control program,
Qualis Health (the state quality improvement organization), Group Health
of Puget Sound, and health plan partners sponsor the Washington State
Collaborative (WSC). Utilizing the chronic care, improvement, and
learning models, the WSC works with clinical practice teams to shift the
focus from acute care to population-based chronic care in order to
improve process and clinical outcomes, such as blood pressure and
cholesterol control.
- The Washington HDSP program received CDC funding to lead the
Northwest Regional Stroke Network, which also includes Alaska, Idaho,
Montana, and Oregon. The Network is expected to increase the ability of
members to work across state boundaries and leverage efforts within the
region to enhance partnership development, education, training, policy
and systems change strategies to reduce the burden of stroke.
- The HDSP program will partner with the American Heart
Association/American Stroke Association (AHA/ASA) to improve
cardiovascular care by implementing Get With the Guidelines (GWTG), a
continuous quality improvement program, within five hospitals. GWTG is
designed to assist hospitals in the implementation of evidence-based
recommendations to improve treatment and management of coronary heart
disease, stroke, and congestive heart failure.
- The HDSP program partnered with the Nutrition and Physical Activity
Program to award grants to three worksites. The grant recipients were
then provided with resources to assist in building worksite health and
productivity programs that address blood pressure, cholesterol, heart
attack and stroke signs and symptoms, and risk factors related to heart
disease and stroke. The worksites will conduct a health risk appraisal,
stroke awareness survey, and biometric measurements including blood
pressure, lipid and glucose values. Based on the results of the
assessments, worksites are expected to develop and implement a one-year
intervention. At the end of the intervention year, worksites will
conduct follow-up assessments to evaluate any changes that may occur.
- The HDSP program has implemented the Systems of Care Improvement
Project to assess existing training capacity and develop new trainings
or curriculum (as necessary) for pre-hospital care providers on cardiac
and stroke care.
For more information on heart disease and stroke prevention in the
state, visit the Washington State Department of Health Heart Disease and
Stroke Prevention Program website at
http://www.doh.wa.gov/cfh/heart_stroke/default.htm.
To view county–level data, visit our interactive map
site at http://www.cdc.gov/dhdsp/library/maps/statemaps.htm.
Page last reviewed: September 11, 2007
Page last modified: September 11, 2007
Content source: Division for Heart Disease and Stroke
Prevention,
National Center for Chronic Disease Prevention and
Health Promotion
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