![Page 1: ABCs of Million Hearts in Missouri by Dr. Janet Wright](https://reader034.vdocument.in/reader034/viewer/2022051412/5491aaecb479590d2b8b5818/html5/thumbnails/1.jpg)
![Page 3: ABCs of Million Hearts in Missouri by Dr. Janet Wright](https://reader034.vdocument.in/reader034/viewer/2022051412/5491aaecb479590d2b8b5818/html5/thumbnails/3.jpg)
![Page 4: ABCs of Million Hearts in Missouri by Dr. Janet Wright](https://reader034.vdocument.in/reader034/viewer/2022051412/5491aaecb479590d2b8b5818/html5/thumbnails/4.jpg)
![Page 5: ABCs of Million Hearts in Missouri by Dr. Janet Wright](https://reader034.vdocument.in/reader034/viewer/2022051412/5491aaecb479590d2b8b5818/html5/thumbnails/5.jpg)
Focus on ABCS
Health information technology
TRANS
FAT
![Page 6: ABCs of Million Hearts in Missouri by Dr. Janet Wright](https://reader034.vdocument.in/reader034/viewer/2022051412/5491aaecb479590d2b8b5818/html5/thumbnails/6.jpg)
Total = $1.58
Total = $3.39
Total = $6.86
Total = $4.64
Total = $5.26
![Page 7: ABCs of Million Hearts in Missouri by Dr. Janet Wright](https://reader034.vdocument.in/reader034/viewer/2022051412/5491aaecb479590d2b8b5818/html5/thumbnails/7.jpg)
Perc
en
t o
f ad
ult
s
![Page 8: ABCs of Million Hearts in Missouri by Dr. Janet Wright](https://reader034.vdocument.in/reader034/viewer/2022051412/5491aaecb479590d2b8b5818/html5/thumbnails/8.jpg)
Enacted or passed trans fat regulation in food service establishments (FSEs)
Trans fat regulation in FSEs introduced, defeated, or stalled
.
OR
IL
NM
MI
CA
TX
WA
HI
MS
SC
8
TN
KY
NY
VT
NH
ME
NJ
OH DE MD
CT RI
MA
![Page 9: ABCs of Million Hearts in Missouri by Dr. Janet Wright](https://reader034.vdocument.in/reader034/viewer/2022051412/5491aaecb479590d2b8b5818/html5/thumbnails/9.jpg)
![Page 10: ABCs of Million Hearts in Missouri by Dr. Janet Wright](https://reader034.vdocument.in/reader034/viewer/2022051412/5491aaecb479590d2b8b5818/html5/thumbnails/10.jpg)
![Page 11: ABCs of Million Hearts in Missouri by Dr. Janet Wright](https://reader034.vdocument.in/reader034/viewer/2022051412/5491aaecb479590d2b8b5818/html5/thumbnails/11.jpg)
![Page 12: ABCs of Million Hearts in Missouri by Dr. Janet Wright](https://reader034.vdocument.in/reader034/viewer/2022051412/5491aaecb479590d2b8b5818/html5/thumbnails/12.jpg)
![Page 13: ABCs of Million Hearts in Missouri by Dr. Janet Wright](https://reader034.vdocument.in/reader034/viewer/2022051412/5491aaecb479590d2b8b5818/html5/thumbnails/13.jpg)
![Page 14: ABCs of Million Hearts in Missouri by Dr. Janet Wright](https://reader034.vdocument.in/reader034/viewer/2022051412/5491aaecb479590d2b8b5818/html5/thumbnails/14.jpg)
MH CQMs PQRS MU PQRS CV Prevention
Measures Group ACOs
HRSA
UDS NQF
Aspirin Use PQRS #204 S1 opt NQF #0068
BP Screening
BP Control PQRS #236 S1 opt, Yes NQF #0018
Chol Control – Pop
Chol Cont – DM PQRS #2 S1 opt NQF #0064
Chol Cont – IVD PQRS #241 S1 opt NQF #0075
Smoking Cessation PQRS #226 S1 core Yes
(2011) NQF #0028
![Page 15: ABCs of Million Hearts in Missouri by Dr. Janet Wright](https://reader034.vdocument.in/reader034/viewer/2022051412/5491aaecb479590d2b8b5818/html5/thumbnails/15.jpg)
MH CQMs PQRS MU PQRS CV Prevention
Measures Group ACOs HRSA UDS NQF
Aspirin Use PQRS #204 S1 opt,
S2 core (prop) Yes Yes Yes (2012) NQF #0068
BP Screening PQRS #317 Yes Yes
BP Control PQRS #236 S1 opt,
S2 core (prop) Yes Yes Yes NQF #0018
Chol Control – Pop PQRS #316 S2 core (prop) TBD*
Chol Cont – DM PQRS #2 S1 opt,
S2 opt (prop) Yes Yes NQF #0064
Chol Cont – IVD PQRS #241 S1 opt,
S2 opt (prop) Yes Yes NQF #0075
Smoking Cessation PQRS #226 S1 core,
S2 core (prop) Yes Yes Yes (2011) NQF #0028
![Page 16: ABCs of Million Hearts in Missouri by Dr. Janet Wright](https://reader034.vdocument.in/reader034/viewer/2022051412/5491aaecb479590d2b8b5818/html5/thumbnails/16.jpg)
![Page 17: ABCs of Million Hearts in Missouri by Dr. Janet Wright](https://reader034.vdocument.in/reader034/viewer/2022051412/5491aaecb479590d2b8b5818/html5/thumbnails/17.jpg)
![Page 18: ABCs of Million Hearts in Missouri by Dr. Janet Wright](https://reader034.vdocument.in/reader034/viewer/2022051412/5491aaecb479590d2b8b5818/html5/thumbnails/18.jpg)
![Page 19: ABCs of Million Hearts in Missouri by Dr. Janet Wright](https://reader034.vdocument.in/reader034/viewer/2022051412/5491aaecb479590d2b8b5818/html5/thumbnails/19.jpg)
’
’
![Page 20: ABCs of Million Hearts in Missouri by Dr. Janet Wright](https://reader034.vdocument.in/reader034/viewer/2022051412/5491aaecb479590d2b8b5818/html5/thumbnails/20.jpg)
![Page 21: ABCs of Million Hearts in Missouri by Dr. Janet Wright](https://reader034.vdocument.in/reader034/viewer/2022051412/5491aaecb479590d2b8b5818/html5/thumbnails/21.jpg)
State Medical,
Pharmacy,
Nursing, etc
Associations
Schools of
Medicine
Pharmacy,Nursing,
Public Health, etc
Patient & Science
Advocacy Groups
(WomenHeart,
AHA)
Employers &
Insurers Corporate
Partners
SMDs SHOs
![Page 22: ABCs of Million Hearts in Missouri by Dr. Janet Wright](https://reader034.vdocument.in/reader034/viewer/2022051412/5491aaecb479590d2b8b5818/html5/thumbnails/22.jpg)
Intervention Baseline Target Clinical
target
Aspirin for those at high risk 47% 65% 70%
Blood pressure control 46% 65% 70%
Cholesterol management 33% 65% 70%
Smoking cessation 23% 65% 70%
Sodium reduction ~ 3.5 g/day 20% reduction
Trans fat reduction ~ 1% of calories 50% reduction
Getting to Goal
Unpublished estimates from Prevention Impacts Simulation Model (PRISM)
![Page 23: ABCs of Million Hearts in Missouri by Dr. Janet Wright](https://reader034.vdocument.in/reader034/viewer/2022051412/5491aaecb479590d2b8b5818/html5/thumbnails/23.jpg)
Whelton, PK, et al. JAMA 2002;288:1882
Stamler R, et al, Hypertension 1991:17:I-16
![Page 24: ABCs of Million Hearts in Missouri by Dr. Janet Wright](https://reader034.vdocument.in/reader034/viewer/2022051412/5491aaecb479590d2b8b5818/html5/thumbnails/24.jpg)
’
’
“ ”
![Page 25: ABCs of Million Hearts in Missouri by Dr. Janet Wright](https://reader034.vdocument.in/reader034/viewer/2022051412/5491aaecb479590d2b8b5818/html5/thumbnails/25.jpg)
Green BB, et al. JAMA 2008;299:2857-67
Adding web-based pharmacist care
to home blood pressure monitoring
increases control by >50%