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News, Events and Research from the Diabetes and Cardiovascular Disease Unit delivered monthly.
OCTOBER 2020

CARDIOVASCULAR NEWS

New electronic patient-reported outcomes toolkit available
A new toolkit funded by the Agency for Healthcare Research and Quality’s (AHRQ) Digital Healthcare Research Program is available to help health care systems integrate electronic patient-reported outcomes (ePROs) into care delivery. The ePROs in Clinical Care toolkit provides evidence-based guidelines and strategies for the use of PROs that are collected electronically, rather than through traditional pen-and-paper methods. The toolkit is organized around three core topic areas where changes may be needed across the health systems: governance, integration, and reporting. The resource is intended to support the growing use of ePROs in clinical care. The toolkit was developed through a grant awarded to the University of Washington. Access print and web versions of the toolkit.

Million Hearts® CRC members author commentary
A group of Million Hearts® Cardiac Rehabilitation Collaborative members authored an invited commentary entitled The Million Hearts Initiative: Catalyzing Utilization of Cardiac Rehabilitation and Accelerating Implementation of New Care Models in the Journal of Cardiopulmonary Rehabilitation and Prevention. The paper outlines the activities and achievements of the CRC and the next steps in accelerating implementation of new care models.

DIABETES NEWS

Project Power
The American Diabetes Association® is excited to bring you the ADA Project Power program, a FREE virtual after-school program for children ages 7-13. Fun and exciting activities for the whole family help youth participants to learn and work together, while empowering them to make healthy lifestyle choices.

Project Power is a FREE virtual program aimed at reducing rates of childhood obesity and diabetes through nutrition education, health promotion, and physical activity. We also offer sessions in non-digital formats to ensure that families who do not have access to technology are equipped with the resources that they need for the activities and are still able to stay engaged throughout the program. ALL participants will receive a FREE Activity Box delivered straight to their door and includes program materials and fun activities!

For more information and to register visit: diabetes.org/projectpower

ANNOUNCEMENTS

Flu campaign outreach request
We’re looking to important partners like you to get the word out about the importance of vaccines, especially as we enter flu season. And we’ve created a toolkit of easy-to-use materials to help you communicate with your audiences.

This online toolkit includes flyers in English and Spanish that can be printed out and co-branded with your organization’s logo; key messages for your e-newsletters or other communications with your communities; and social media posts, in English and Spanish, and graphics. We also created websites that provide consumer-friendly info on the vaccines in English and Spanish.

Flu:
fluvaxcolorado.org/
vacunagripecolorado.org/

MMR:
mmrvaxcolorado.org/
vacunammrcolorado.org/

For more information on this effort, please contact Shunda Cotton at shunda.cotton@state.co.us.


Here for YOU, Colorado!
Managing chronic disease is easier when you have a health care provider to help and health insurance to count on. Colorado Medicaid has created educational materials and resources on its webpage, Here for YOU, Colorado! to spread the word about applying for Health First Colorado (Colorado’s Medicaid program) and Child Health Plan Plus (CHP+). This page contains shareable content for websites, social media, emails, and newsletters.

EDUCATIONAL OPPORTUNITIES


Blood pressure and cardiovascular risk 2020: Cutting edge prevention applied to various populations in the age of COVID-19
WHEN: Friday, October 2, 5:30 a.m. to noon
WHAT: This program will provide an overview of recent advances that target the underlying pathophysiology of cardiovascular disease. The focus of the program will be on optimal pharmacotherapy in specific high-risk patient populations, lifestyle interventions for the management of hypertension, and non-pharmacologic approaches to cardiovascular risk prevention. Learn more and register.


Million Hearts® Cardiac Rehabilitation Collaborative webinars
WHEN: Monday, October 5, 1 - 2 p.m.
TOPIC: New Cardiac Rehabilitation Delivery Models
Register here for this event.

WHEN: Tuesday, October 13, 11 a.m. - 12 p.m.
TOPIC: Addressing Alternative Cardiac Rehabilitation Delivery Evidence Gaps
Register here for this event.

WHEN: Tuesday, October 20, 9 - 10 a.m.
TOPIC: Cardiac Rehabilitation 101: Overview and Disparities
Register here for this event.


National Forum for Heart Disease and Stroke Prevention 2020 annual meeting: Cardiovascular Health: More Urgent than Ever
WHEN: October 15, 9 a.m. - 1:30 p.m.
WHAT: How can we build on the public attention COVID-19 has brought to health inequity to empower more people to have cardiometabolic health? How can we broaden public support for community health and health equity? Join thought- and change-leaders from patients, clinical providers, public health, employers, health plans, academia, quality improvement, the pharmaceutical and biotechnology industries, and local, state, and federal governments to explore new approaches to make health equity and cardiovascular health high priorities. Learn more and register.


Chronic kidney disease learning series
Due to the increasing emphasis that is being placed on improving Chronic Kidney Disease (CKD) care and proven CKD population health approaches, Telligen is partnering with the National Kidney Foundation (NKF) to provide technical assistance, educational support, and resources that will be offered throughout four activities in this series. Learn more and register here.

Chronic kidney disease workshop
WHEN: October 7, 14, and 21, 5 p.m.
This activity is an online, interactive discussion to assist groups of patients dealing with Stage 4 Chronic Kidney  Disease (CKD) to better understand the strategies that will slow or prevent further progression of CKD as well as choices you face should dialysis become a necessity. Learn more and register here.


The impact of race and ethnicity on cardiovascular health:
Where do we go next?

WHEN: Thursday, October 22, 11:30 a.m. - 2:15 p.m.
WHAT: Join the National Minority Cardiovascular Alliance for its third annual Town Hall. Clinicians and experts in minority health will lead interactive and panel discussions about critical issues:
  • Rethinking the status quo: investments and partnerships in cardiovascular health.
  • Opportunities to improve inclusion of racial and ethnic diversity in clinical research.
  • The Impact of racism on health: Where do we go next?

TOOLS YOU CAN USE

Kidney score platform
Learning about Chronic Kidney Disease (CKD) and what you can do to keep it from getting worse can be confusing and overwhelming. Wouldn’t you like to know the diet and lifestyle changes you can make that can prevent CKD from getting worse and what questions you should ask your doctor? Take the easy-to-use Kidney Score Platform Quiz and see if you are at risk for CKD.

Communication resources for public health officials
The COVID-19 pandemic has powerfully demonstrated the importance of a strong public health system and the dedication of its workforce. Unfortunately, misinformation and conflicting messages about the virus have confused Americans and eroded trust in public health organizations. The Public Health Communications Collaborative (PHCC) was created by the CDC Foundation, the de Beaumont Foundation, and Trust for America’s Health to coordinate and amplify public health messaging on COVID-19 issues to increase Americans’ confidence in health guidance by communicating the best available science and by quickly correcting misinformation.

The Social Determinants of Health in Rural Communities Toolkit compiles evidence-based and promising models and resources to support organizations implementing programs to address social determinants of health in rural communities across the United States.

Social determinants of health and Z Codes
CDPHE's Diabetes and Cardiovascular Disease Prevention and Management Unit has developed a new resource highlighting the use of Z Codes to better understand population-level social determinants of health needs.

New tool for self-measured blood pressure programs
The Diabetes and Cardiovascular Disease Prevention and Management Unit at the Colorado Department of Public Health and Environment has developed a tool for Self-Measured Blood Pressure (SMBP) programs. This tool provides an overview of implementation and reimbursement and is intended for use by health care professionals.

Presently, Medicare is the only insurance provider that has announced reimbursement for SBMP services. Not included in this tool are HCPCS codes for automatic home blood pressure monitors (A4670). Also, use of these codes requires the use of the monitor with documented BP recordings for a minimum of 16 out of 30 days for a billing cycle.

Important to know: Self-measured blood pressure via telehealth is temporarily added as a Medicare-billable telehealth service for CPT code (99473). 

Additional resources include:

Questions? Contact cdphe_chronicdiseaserfa@state.co.us.
 

Free curricular resources for Alzheimer's disease
A Public Health Approach to Alzheimer’s and Other Dementias is a free, flexible Alzheimer's curricular resource that highlights the impact of Alzheimer's and other dementias and increases awareness of the need to address this growing health crisis, including the role of public health. This curricular resource is peer-reviewed, ready-to-use, and designed to be used either as individual modules or as a full set.

The demand for virtual learning opportunities continues to grow. To see the list of classroom activities, read the “Additional Learning Activities” section of the master curriculum document here


Clinic quality improvement portfolio - resources for medication optimization in chronic disease management

Using the pharmacists’ patient care process to manage high blood pressure: a resource guide for pharmacists

The CDC developed this publication, Using the Pharmacists’ Patient Care Process to Manage High Blood Pressure: A Resource Guide for Pharmacists, as a call to action to use the Pharmacists’ Patient Care Process as a way to prevent and manage high blood pressure through team-based care, with the goal of reducing heart disease and stroke in the United States. It compiles information about current resources and emerging practices, as well as tools and examples that pharmacists can use to help them improve health outcomes associated with cardiovascular disease.

Healthy eating
Looking for nutrition information to guide your patients’ food choices in 2020? The Dietary Guidelines for Americans Toolkit for Professionals has all kinds of materials designed to help you share information from the current Dietary Guidelines with your patients, clients, and peers.  

Million Hearts® resources available
The current state of diabetes in Colorado
The 2019 report from CDPHE contains up-to-date information on diabetes burden management needs, comorbidities, costs and more.

Colorado Diabetes Educator Facebook group
This group is intended for accredited or recognized Diabetes Self-Management Education and Support (DSMES) programs, or diabetes educators interested in accrediting their program. This is a place for DSMES providers to network, ask questions of their peers, and exchange DSMES-related information. You can request to join here or by searching for “Colorado Diabetes Educator Network” on Facebook.

Healthy Hearts Calculator
The Healthy Hearts Calculator is an interactive tool that provides estimates of projected health and economic benefits from implementing cardiovascular prevention programs and policies. This tool can be a starting point for state health departments, health insurers, and health care delivery systems to better understand how various interventions can impact the health of their population. Additional features and interventions may be added at a later date.

CDC adult obesity prevalence maps
CDC has released the 2018 Adult Obesity Prevalence Maps for all 50 states, the District of Columbia, Guam and Puerto Rico. Adults with obesity are at an increased risk for many serious health conditions such as heart disease, stroke, type 2 diabetes, some cancers, poorer mental health and more. Obesity costs the United States health care system over $147 billion a year. In addition, research has shown that obesity affects work productivity and military readiness.

Rural telehealth toolkit
The Rural Telehealth Toolkit is designed to help rural communities identify and implement telehealth programs. Developed by the National Opinion Research Center (NORC) on behalf of the Federal Office of Rural Health Policy (FORHP), the toolkit compiles promising approaches and resources to support rural communities seeking to develop and expand telehealth programs. This toolkit presents practical strategies that can help rural communities identify successful telehealth models, address common implementation challenges and prepare for long-term sustainability.

Map of ADA-recognized and AADE-accredited DSMES program sites

CDPHE Chronic Disease resources
The Colorado Department of Public Health and Environment (CDPHE) is pleased to share the 2018-2020 CDPHE Chronic Disease Plan. This builds on Colorado's existing state plans and outlines CDPHE's specific role in addressing the chronic disease burden in Colorado through the identification of data, strategic priorities, emerging work to address these priorities and measurable outcomes to map our progress.

VISION (Visual Information Systems for Identifying Opportunities and Needs)
The VISION tool provides data for chronic disease and behavioral health measures in Colorado. The purpose of this tool is to provide data and visualizations for assessments and data-driven public health planning and program work. Data are updated as the data source allows to provide the most recent information for Colorado health measures.

NIMHD Language Access Portal
The National Institute on Minority Health and Health Disparities (NIMHD) has launched a new resource for our stakeholders who work with health disparity populations with limited English proficiency: the Language Access Portal (LAP).

Health information to help people with diabetes better manage their health
The health information here is informed by National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) research, reviewed by doctors, and provided to help you understand the diseases and conditions you or your loved ones may face.

NIDDK health information
La información de la salud en español


American Diabetes Association provider videos
The American Diabetes Association, in partnership with the Colorado Department of Public Health and Environment, Kaiser Permanente, Telligen, and the Colorado Prevention Alliance developed a series of short webinars for health care professionals. There are three sections: diabetes prevention, diabetes self-management education, and diabetes and depression. The videos are available online at no cost and run between 5 and 15 minutes in length.

Clinical pharmacy resource toolkit
As part of the patient’s health care team, pharmacists can improve disease outcomes by improving medication adherence and providing patient planning, education and counseling. The Community Preventive Services Task Force found strong evidence that team-based care can improve blood pressure control when a pharmacist is included on the team. A new toolkit from The University of Colorado provides sample agreements and resources helpful in integrating clinical pharmacists into the care team.

Pharmacists' patient care process resource guide
These slides were presented by Jeff Durthaler, MS, BS (Pharm), R.Ph., the Population Health Consultant Pharmacist, Division for Heart Disease and Stroke Prevention, Center for Disease Control and Prevention. Review the presentation here.

Updates in Pharmacist Cardiovascular Care online study modules
The University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences, with support from the Colorado Department of Public Health and Environment, created a series of online educational modules that highlight the role of pharmacists in the prevention and treatment of cardiovascular disease. To view the modules:
  1. Navigate to ipharmCE.UCDenver.edu or http://ipharmce.ucdenver.edu/student/exam). You will need to create a profile if you do not have one. To create a profile, enter your email under "New Account Sign-up," and follow the instructions on the screen.
  2. Once logged in, click "View All Programs" under Home Study Activities on the left side of your screen.
  3. Under the group Updates in Pharmacist Cardiovascular Care, click on the individual presentation titles.
This work is supported by:
                     
Prevention Services Division Mission:
To improve the health, well-being and equity of all Coloradans through health promotion, prevention and access to health care.
Copyright © 2015 Colorado Department of Public Health and Environment, All rights reserved.

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