|
Refer to the Prevention and Management Chapters for objectives and strategies to reduce risk factors for coronary heart disease, and subsequent heart attacks.
Refer to Hypertension and Diabetes sections for more information on the Chronic Disease Collaboratives.
Refer to Hypertension section for explanation regarding plans to expand BASIC Benefits into disease management.
- Increase knowledge of warning signs and symptoms, and correct response when a cardiac event occurs.
- Improve the quality of preventive, primary and acute care to ensure that patients are treated according to the latest clinical guidelines.
A. Increase knowledge of warning signs and symptoms, and correct response when a cardiac event occurs.
Sample Strategies:
Public Awareness
- Conduct Awareness campaigns for heart attack warning signs and need to call 911 (Lead Agency HDSP's SWYH campaign)
- Explore opportunities to build on and co-brand national awareness campaigns such as "Act in Time" (Lead Agency NHLBI)
Policy
- Support public access to defibrillation through AED placement, policies and training (Lead Agency HDSP Program).
Research and Surveillance
- Analyze the results from four month survey testing of a set of state-added BRFSS questions on response to heart attack and stroke.
Program Services
- Support Continuing Education for emergency response personnel (Lead Agencies: NC Rapid Response to Stroke and MI, OEMS)
- Support CPR and AED Training in communities
- Operation Heartbeat, Chain of Survival Training –(Lead Agency AHA)
Responsible Parties
AHA, HDSP Branch, Lead Counties, OEMS, NC Rapid Response to Stroke
Other National Resources:
Act in Time to Heart Attack Signs Campaign targeting health professionals and the public (Lead Agencies: NHLBI and AHA)
Objective 3: By 2010, increase the proportion of adults with a heart attack history (and with no contraindications to aspirin) who are taking aspirin daily or every other day (Source: BRFSS; Baseline 35.9% 2003).
[ Top ]
B. Improve the quality of preventive, primary and acute care to ensure that patients are treated according to the latest clinical guidelines.
Sample Strategies:
Program Services
- Sponsor hospitals in rural areas to participate in GWTG-CAD.
- Train medical professionals regarding the recommended treatment guidelines and pathways for care
- Assure access to quality health care and prescription drug assistance programs.
Research and Surveillance
- Support Cardiac Rehabilitation Survey - evaluating available services, professional training, patient populations, and practice patterns (Lead agency: UNC Dept. of Epidemiology)
- Monitor quality indicators related to acute MI among Medicare recipients (Lead Agency MRNC).
Responsible Parties and Partnering Organizations
HDSP Program, MRNC, NC Medical Society, NC Hospital Association, NC Academy of Family Practice, UNC Department of Epidemiology, OEMS.
Last Updated 01/05/09
|
