Transcript Document

CSG Health Policy Forum
on Cardiovascular Health & Wellness
SC’s Cardiovascular Health Program
A Socio-Ecologic Approach
Dory Masters, M.Ed., CHES
Director, Cardiovascular Health Division
Bureau of Community Health and Chronic Disease
Prevention, SC DHEC
Presentation Overview
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Adapting the Socio-Ecologic Model
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Secondary Systems Change
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Staffing and Resources
Health Is the Product of Multiple
Levels of Influence
Society
Nation, State
CDC Funded at Basic Implementation Level
• Facilitate collaboration
• Define CVD burden
• Develop/update comprehensive state plan
• Identify culturally appropriate approaches
• Increase awareness of signs and symptoms
• Implement and evaluate policy, environmental, and
educational interventions in various settings
• Provide training and technical assistance to public
health and health care professionals and partners
Collaboration
Partnering is key to our state efforts
Public Health Regions
AHA
QIO
MUSC
SCHA
SCPHA
EMS
CBO
FBO
Individual / Interpersonal
knowledge, attitudes, skills, support
Social Marketing Campaign to increase public awareness –
press releases, PSAs, and paid advertising in targeted
publications and media outlets
– Make healthy choices to reduce risks / Prevent CVD
– Know Your Numbers / See Your Doctor
– Signs and Symptoms of heart attack and stroke
– Stroke Fast Reaction 9-1-1 media campaign
– Culturally competent educational materials
– Enhanced website www.scdhec.gov/cvh
• Downloadable materials
• Data, data, data
• Links
Organizational
policies, practices, and physical environments
• Community
- “Heart Truth for Women” educational programs
- CPR trainings
- Community “HeartScore” Screenings – with risk
counseling and referral
- Go Red for Women Campaigns
- Women’s Rally at the State Capitol to kick off
National Heart Month / Governor’s Proclamation
Organizational / Community
policies, practices, environments
• Worksites
– Policies re: tobacco free, healthy food options, flex
for fitness
– AED and CPR training
– HD&S awareness and screening access
– Health benefits
– CDC Worksite Toolkit implementation (2006)
• Schools
– CPR and AED training, community service
• Faith Community
– AME Search Your Heart Statewide Initiative
– Trainings in targeted communities
Secondary Prevention & Systems Change
Strengthening the Chain of Survival
for Heart Disease and Stroke
Primary Care Provider
Individual
EMS
Hospital
Rehab
Secondary Prevention & Systems Change
Strengthening Health Care Systems
Training & TA
Primary Care Settings
Pre-Hospital EMS
Hospital – Acute & Sub-Acute
Secondary Prevention & Systems Change
Primary Care Provider Education/Initiatives
- ASH, Inc. Hypertension Expert Trainings
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COSEHC Centers of Excellence Initiative
BP Measurement in the 21st Century
Sr. Center Hypertension Lifestyle U - CHA
Chronic Disease Collaborative
NCQA Recognition Program CAD
CVH/Diabetes Evidence Based Symposium
SCPHA Clinical Network Retreat
Secondary Prevention & Systems Change
EMS Provider Education & Initiatives
- Advanced Stroke Life Support TTT
- ASLS Pre – Hospital/Hospital Courses
State EMS Pre-hospital Data Committee
CDC EMS study (SC one of only 9 states)
Secondary Prevention & Systems Change
Provider Education – Hospital
• Get With The Guidelines – CAD & Stroke
• Stroke Systems Assessments – state &
regional
• Hospital Based Heart & Stroke Trainings
Secondary Prevention & Systems Change
Quality Improvement Initiatives
– SC Chronic Disease Collaborative (CCME,
ORH, SCPHA)
– NCQA Recognition Program (SCBCBS,
AHA, SCPHCA, Tobacco Division)
– Get With The Guidelines (AHA, SCHA)
Staffing & Budget
• CVH staff:
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Program Director
Epidemiologist .5
Evaluator
Public Info Coordinator
Secondary Prevention
Coordinator
– Worksite Coordinator
– Community Education
Coordinator
– Administrative
Assistant
SCDHEC FFY07 Comprehensive CVH Grant
June 30, 2006 through June 29, 2007
Total Projected Budget = $1,100,000
Contractual
Cost, $557,346
50.7%
In-Direct Cost,
$49,665 4.5%
Personnel
Cost, $492,989
44.8%
Check us out…www.scdhec.gov/cvh