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State Program: Tennessee
Capacity Building
The Tennessee Department of Health began receiving funds from CDC in
2001 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 Tennessee, accounting for 16,226 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 3,980 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 Tennessee
reported having the following risk factors for heart disease and stroke:
In 2005,
- 30.2% had high blood pressure
- 32.9% of those screened reported having high blood cholesterol
In 2006,
- 10.7% had diabetes
- 22.6% were current smokers
- 65.3% were overweight or obese (Body
Mass Index greater than or equal to 25.0)
- 28.8% 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
- Tennessee is part of the Delta States Stroke Consortium funded by
CDC. The Consortium is led by the Arkansas Department of Public Health
and also includes Louisiana, Mississippi, and Alabama.
- The heart disease and stroke prevention program (HDSP) has developed
extensive partnerships through the formation of a HDSP Advisory Council
and Stroke Systems of Care Taskforce with over 60 members representing
public and private health care professionals, businesses, academia and
minority community representatives, as well as faith, finance and
research representatives.
- The HDSP program successfully implemented American Heart
Association’s Get With the Guidelines: Stroke, Heart Failure and
Coronary Artery Disease Modules in more than 40 hospitals.
- In collaboration with the Tennessee Hospital Association and the
American Heart and Stroke Association, the program implemented a project
to increase the number of Joint Commission on Accreditation of
Healthcare Organizations (JCAHO) certified primary stroke care centers
in Tennessee from one to at least one in each of the three grand
division. Tennessee now has six JCAHO certified primary stroke care
centers.
- The HDSP program is working with Vanderbilt University Hospital and
the Stroke Task Force to design a stroke telemedicine project. Stroke
telemedicine services will help avoid the long travel time for acute
stroke patients to get to primary stroke centers.
- The HDSP program partnered with American Heart Association and
Tennessee Hospital Association to promote the awareness of signs and
symptoms of heart disease and stroke in Tennessee. Two statewide media
campaigns in 2006 and one in 2007 were conducted to encourage
Tennesseans to know the signs and symptoms of heart attack and stroke,
the risk factors (cholesterol, blood pressure, and diabetes, smoking and
lack of physical activity/obesity), and take appropriate action to
reduce their risk of heart disease and stroke.
- The HDSP program in partnership with the American Heart Association,
the Regional Minority Health Councils, and other partners is
implementing the “Search Your Heart” program across the state.
- The HDSP program developed the Burden of Heart Disease and Stroke
in Tennessee Summary Report 2006. The report contains various data
sets and findings that will help the partners to understand the burden
of heart disease and stroke in Tennessee.
- The HDSP program completed a detailed county level inventory of
heart disease and stroke services and policies. This information will
help the program identify gaps and opportunities to partner and
integrate with other internal programs and outside partners.
- The HDSP program completed a comprehensive heart disease and stroke
prevention plan to implement activities in a variety of settings
(healthcare, community, schools and worksite settings). The state plan
outlines goals and objectives along with responsibilities for specific
agencies and internal partners as a part of a coordinated approach.
- The HDSP program is promoting evidence-based stroke guidelines to
improve standards of care by providing stroke standards of care training
to Tennessee health care professionals. Stroke standard of care
trainings for pre-hospital and hospital care providers have been
provided to over 130 health care professionals.
For more information on heart disease and
stroke prevention in the state, visit the Tennessee Cardiovascular Health Program Web site at
http://health.state.tn.us/FactSheets/cardio.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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