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

CARDIOVASCULAR NEWS

The Surgeon General’s Call to Action to Control Hypertension
Hypertension, or high blood pressure, is a major risk factor for heart disease and stroke—two of the leading causes of death in the United States. Nearly half of US adults have hypertension, and only about 1 in 4 has it under control (<130/80 mm Hg). More concerning is that our progress in hypertension control has stalled and racial and geographic disparities persist. Greater hypertension control is possible, but we must increase our efforts, explore new interventions, and expand our partnerships with different sectors to make a difference.

The CDC has released The Surgeon General’s Call to Action to Control Hypertension, which summarizes recent data, identifies goals and strategies to accelerate national efforts, and outlines how different sectors, beyond public health and governmental agencies, can work together to promote control across all populations. This report is timely and critical, particularly as the COVID-19 pandemic is highlighting the impact of chronic conditions, such as hypertension, on African American, Hispanic, and other minority populations that experience health inequities. The report outlines three goals to support improvement, each with strategies to accelerate progress:

  • Goal 1. Make hypertension control a national priority.
  • Goal 2. Ensure that the places where people live, learn, work, and play support hypertension control.
  • Goal 3. Optimize patient care for hypertension control.

We have the tools and resources to substantially improve hypertension control.  You can help spread the word that hypertension control is possible. Download, share, and use the Call to Action report and the Partner Toolkit to promote hypertension control.

Cutting Straight to the Heart: A pandemic lays bare the inequity of heart disease in America
COVID-19 has laid bare the costs to society and communities of inadequate attention to cardiometabolic health and health inequity. Because people with poor cardiometabolic health are most vulnerable to COVID-19, this neglect has led to many avoidable deaths, much severe illness, and huge economic costs, as well as even greater disparities than before. These newly compounded burdens fall heavily on disadvantaged groups in our society who already suffer disproportionately. Why? Please check out this report from the National Forum of Heart Disease and Stroke Prevention.

CMS approves telehealth cardiac rehab during COVID-19 pandemic
Responding to a key recommendation made by the American College of Cardiology and other stakeholders, the Centers for Medicare and Medicaid Services (CMS) used emergency rulemaking authority to add cardiac rehab and intensive cardiac rehab services to the list of approved telehealth services outside the annual rulemaking process. Learn more here.

DIABETES NEWS

Coach resources: Enroll and retain people in the type 2 Diabetes Prevention Lifestyle Change Program
This webinar recording walks through the CDC’s National Diabetes Prevention Program’s newest tools for supporting recruitment and retention efforts for coaches and coordinators in the Lifestyle Change Program.

ANNOUNCEMENTS

DASH announces Learning and Action in Policy and Partnerships (LAPP) funding program
With support from the Robert Wood Johnson Foundation (RWJF), Data Across Sectors for Health (DASH) in partnership with the Center for Health Care Strategies (CHCS), is launching the Learning and Action in Policy and Partnerships (LAPP) program. LAPP will provide five awardees with $100,000 each to: (a) engage partners to advance existing data-sharing or data-integration efforts; (b) systematically share data across sectors (e.g., social services, public health, and health care); and (c) build relationships among community and state partners to inform decision-making and strengthen systems that support community goals for improved health, well-being and equity. Applications are due December 16, 2020 at 1:30 p.m. MST. Learn more and apply here.

Opportunities and responsibilities for pharmacists to improve their effectiveness in addressing medication adherence through culturally sensitive collaborations with community health workers
This article is a synopsis of a commentary published in the Journal of the American Pharmacists Association in March 2020. In response to well-documented racial and ethnic disparities in medication adherence, the authors suggest integrating community health workers (CHWs) in pharmacy practices to help close gaps in knowledge and awareness of medication use. They conclude by saying that adding CHWs to pharmacy practices could help improve medication adherence rates among minority populations and reduce health disparities by leading to better health outcomes.

EDUCATIONAL OPPORTUNITIES

Reducing Hypertension in High-Risk Populations: Empowering Patients to Improve Blood Pressure
WHEN: November 10, 1-2 p.m.
WHAT: The United States Surgeon General recently released a Call to Action to Control Hypertension. This Call to Action focuses ensuring proper management of hypertension and optimizing care for patients with hypertension. Coinciding with this initiative, the American College of Preventive Medicine will present the next webinar in the Reducing Hypertension in High-Risk Populations series. This session titled, "Empowering Patients to Improve Blood Pressure," will focus on the benefits of self-measured blood pressure programs, identify resources to support patients in self-measuring their blood pressure and discuss an example of a clinic-based blood pressure improvement program that was adapted during the COVID-19 pandemic to help patients begin to monitor and record their blood pressure at home. Learn more and register here.

TOOLS YOU CAN USE

Telehealth strategies for serving rural patients
With the challenges of provider shortages and lack of accessible facilities, telehealth presents an opportunity for health centers serving rural areas to expand health services, integrate primary care with subspecialty services, and improve care management. Telehealth provision in rural communities is particularly important and in-demand during the COVID-19 pandemic as many health centers quickly transitioned to providing remote services. While telehealth has the potential to improve health care access, many rural areas lack the reliable broadband connection and devices necessary for high-quality telehealth provision. This resource outlines a number of considerations and strategies to address barriers.

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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