1. One In A Million Hearts Challenge
Webinar Presentation
Wednesday, October 26
2. On today’s call:
Wil Yu JL Neptune Janet Wright Leah Marcotte
Special Assistant Senior Vice Executive Meaningful Use
of Innovations President Director Team
and Research
ONC Health 2.0 Million Hearts ONC
3. Agenda for Today’s Meeting
ONC and the Investing in Innovation (i2)
Program
An
Introduction to the One In A Million
Hearts Challenge
Q&A About the Challenge
5. i2 – Investing in Innovations
Wil Yu
Wil.Yu@HHS.gov
Adam Wong
Office of the National Coordinator
5
6. i2 Goals
• Better Health, Better Care, Better Value through Quality Improvement
– Further the mission of the Department of Health and Human Services
– Highlight programs, activities, and issues of concern
• Spur Innovation and Highlight Excellence
– Motivate, inspire, and lead
• Community building – Development of ecosystem
• Stimulate private sector investment
6
7. What is Million Hearts?
• Goal: Prevent 1 million heart attacks and
strokes over the next 5 years
• Engage public and private sector partners in a
coordinated approach to:
– Reduce the number of people who need treatment
– Improve the quality of treatment for those who need it
– Maximize current investments in cardiovascular health
8. Heart disease and strokes are leading
killers in the U.S.
• Cause 1 of every 3 deaths
• More than 2 million heart attacks and strokes
occur every year; 800,000 die
– Leading cause of preventable death among
people <65
• Treatment accounts for about $1 of every $6
spent on health care
• Accounts for the largest single portion of
racial disparities in life expectancy
9. Status of the ABCS
Aspirin People at increased risk of cardiovascular 47%
disease who are taking aspirin
Blood People with hypertension who have 46%
adequately controlled blood pressure
pressure
Cholesterol People with high cholesterol who have 33%
adequately controlled hyperlipidemia
Smoking People trying to quit smoking who get help 23%
Source: MMWR: Million Hearts: Strategies to Reduce the Prevalence of
Leading Cardiovascular Disease Risk Factors --- United States, 2011,
Early Release, Vol. 60
10. Key components of Million Hearts
• Clinical Prevention – improving care of the ABCS
through:
– Focus – simplify and align quality measures; emphasize
importance of improved care of the ABCS
– Health IT – use electronic health records to improve care and
enable quality improvement through clinical decision support,
patient reminders, registries, and technical assistance
– Care innovations – team-based care, interventions to promote
medication adherence
• Community prevention – reducing the need for
treatment through:
– Prevention of tobacco use
– Improved nutrition – decrease sodium and artificial trans fat
consumption
11. Clinical prevention
Focus on ABCS
• Improving management of ABCS can prevent more
deaths than other clinical preventive services
• Increasing utilization of these simple interventions
could save more than 100,000 lives a year
– Patients reduce risk of heart attack or stroke by taking aspirin
as appropriate
– Treating high blood pressure and high cholesterol
substantially and quickly reduces mortality among high-risk
patients
– Even brief smoking cessation advice from clinicians doubles
likelihood of successful quit attempt – use of cessation
medications increases quit rates further
12. The Challenge:
“Develop an application that activates
and empowers patients to get healthy
and improve their heart health”
•These apps should use evidenced based resources to help improve
cardiovascular health with a particular focus on the ABCS.
•Apps should incorporate patient-entered data and provided targeted
recommendations.
•Examples include: education and resources to improve on ABCs, directing
users to heart healthy activities and places to eat, and linking to online
communities.
13. Improved cardiovascular care could save 100,000
lives/year in the U.S.
Blood Pressure control
Cholesterol
control
Smoking cessation
Aspirin
prophylaxis
Source: Farley TA, et al. Am J Prev Med 2010;38:600-9.
14. Resources
•Million Hearts
•American Heart Association (AHA)
•AHA Risk Assessment “My Life Check”
•CDC
•SmokeFreeGov
•National Heart, Blood, and Lung Institute
•U.S. Preventive Services Task Force
15. Judging Criteria
1. Patient engagement
2. Quality and accessibility of information and
resources
3. Targeted and actionable information
4. Innovativeness and Usability
5. Platform Neutrality
Bonus points will be awarded for creating both English and Spanish
versions
You are all well aware of the toll that HD and S take on our nation.
In addition to the work that we know we need to and can do related to prevention of the risk factors for HD and S- we also know that when it comes to delivering key clinical preventive services, we don’t do well. As Dr. Frieden likes to state, when it comes to the ABCS of HD, we get an “F”
The initiative is a simple – but elegant initiative. On the clinical preventive side – Focus everyone on ABCS Use Health IT Foster Care innovations – there are many places that are not failing at the ABCS – looks like they deliver care in a slightly different model. Community side Many things we can do to make our communities more supportive of heart health – tobacco, PA, nutrtion, - community supports for improvement in the ABCS
Providing education and resources to help reduce fat and salt intake, increase exercise, lose weight, stop smoking, or increase medication adherence (e.g., to improve control of high blood pressure) Using GPS technology to recommend nearby walks or places to eat healthier Recommending to the high risk patient to see a primary care doctor if not on aspirin or cholesterol-lowering medication Linking to online communities dedicated to improving heart health
