Decrease Cardiovascular Deaths

Summary
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MaineHealth remains focused on managing risk factors to prevent cardiovascular disease and maximizing the quality of care of patients who have cardiovascular disease.

Age-adjusted cardiovascular death rates have declined in Maine and the U.S. since 2000.  Reductions in cardiovascular mortality can be attributed, in part, to advances in clinical treatments and improved quality of evidence-based care provided.  Increases in Mainer's healthy eating and active living habits, as well as the reduced prevalence of tobacco use in Maine, have also contributed to this decline in mortality.  Continued focus on reducing high blood pressure and high cholesterol is critical to continuing the reduction in cardiovascular mortality.  During the period 2012-2014, 33% of Mainers had been told they have high blood pressure and 40% have high blood cholesterol.   

Indicators

Clinical Strategies

  • Train providers on accurate blood pressure measurement.
  • Reach agreement on treatment guidelines for hypertension and cholesterol levels.
  • Implement guidelines for cardiovascular disease across healthcare settings and within health systems.
  • Monitor, educate and engage patients in care.
  • Train First Responders on treatment guidelines.
  • Expand access to:
    • Cardiac rehabilitation
    • Telehealth
    • Affordable medications
    • Ventricular devices

Community Strategies

  • Implement evidence-based programs such as:
    • National Diabetes Prevention Program
    • Million Hearts Program
    • DASH diet
    • CPR training
    • Expand access to Automated External Defibrillators (AEDs)

Policy Strategies

  • Advocate for policy and environmental changes that support cardiovascular health.
  • Logic Model: Decrease Cardiovascular Deaths
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    Logic Model – A roadmap or diagram showing chain results connecting activities to the expected initial outputs, and intermediate and final outcomes.  It provides a basis for developing the performance measurement and evaluation strategies 

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  • 2016 America's Health Rankings Report
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  • America's Health Rankings
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    America's Health Rankings compares the health of all 50 states to each other.  This ranking tool is used as a benchmark for MaineHealth's Health Index.

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  • CDC National Diabetes Prevention Program Website
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  • Community Commons
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    Community Commons can help with your Community Health Needs Assessment

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  • Community Health Needs Assessment (CHNA)
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  • County Health Rankings - Visit Website
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    Look up your county's rankings, learn about our methods, and download the data you need. This ranking tool is used as a benchmark for MaineHealth's Health Index.

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  • Diabetes Surveillance Report, Maine 2012

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  • Health Index Report - 2014
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  • Health Index Report - 2015
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