Priority Area: Chronic Disease - Heart Disease and Stroke

xd

Objectives

  • By the year 2013, reduce the age-adjusted coronary heart disease hospitalization rate in New Yorkers to no more than 48 per 10,000. (Baseline: 63.7 per 10,000, SPARCS, 2003-2005)
  • By the year 2013, reduce the congestive heart failure hospitalization rate among New York adults (ages 18+) to no more than 33 per 10,000 (ages 18+). (Baseline: 44.3 per 10,000 adults, SPARCS, 2005-2006)
  • By the year 2013, reduce New York's age-adjusted cerebrovascular disease (stroke) mortality rate to no more than 24 per 100,000. (Baseline: 32.6 per 100,000, Vital Statistics, 2003-2005)

Indicators for Tracking Public Health Priority Areas

Each community's progress towards reaching these Prevention Agenda Objectives will be tracked so members can see how close each community is to meeting the objectives.

Data and Statistics

Heart Disease & Stroke

QARR – Online Report of Managed Care Plan Performance in NYS

Interactive reports on the performance of health plans are available through the NYSDOH website. These reports are designed to help consumers choose health plans that meet their needs and the needs of their families. The reports provide easy-to-read information on health plan performance including provision of primary and preventive health care. Data are provided for commercial and government-sponsored managed care plans.

Prevention Quality Indicators

The Prevention Quality Indicator (PQI) website is the first free, publicly accessible tool in NYS to identify hospitalization rates by ZIP code level for conditions generally considered preventable with access to good primary care. Information is also provided on health disparities by breaking data down according to patients' race and ethnicity. Conditions available in this data include hypertension, diabetes-related complications and asthma.

New York State Department of Health Programs

Healthy Heart Program

The Healthy Heart Program (HHP) aims to reduce premature death and disability from cardiovascular disease (CVD). The program’s activities are guided by the Healthy People 2020 Objectives, and the growing scientific knowledge base supporting CVD prevention and control. The program’s efforts address obesity, sedentary lifestyles, poor nutrition, tobacco use, high blood pressure, diabetes, high cholesterol, and the disparities in CVD-related health outcomes across population groups. The HHP works in four sectors: communities, worksites, schools and health care. Funded agencies and partners implement programs to control and reduce the major risk factors associated with CVD (e.g., smoking, sedentary lifestyle, high fat diets, high sodium diets and overweight), and strive to make local environments supportive of healthy lifestyles. The HHP provides training and technical support to county health agencies and local partners so that they can better address CVD prevention at the local level.

Special Campaigns

Strategies – The Evidence Base for Effective Interventions

Heart Disease and Stroke

Guide to Clinical Preventive Services
Provides evidence-based recommendations for screening, counseling and preventive medications to reduce the risk of cardiovascular disease.
Guide to Community Preventive Services (The Community Guide)
  • Physical Activity
    Systematic reviews addressing the effectiveness of population based interventions in four approaches to improve physical activity:
    1. informational
    2. behavioral
    3. environmental
    4. policy approaches
    Nutrition
    Systematic reviews addressing the effectiveness of selected population-based interventions addressing nutrition focus on one strategic area: school based nutrition programs.
    Worksites
    Systematic reviews addressing various aspects of worksite health promotion to help employers and organizations identify effective approaches in promoting healthy lifestyles, preventing disease, and increasing the number of people who receive appropriate preventive counseling and screening.
Purchaser’s Guide to Clinical Preventive Services
Developed in collaboration with the National Business Group on Health and the Centers for Disease Control and Prevention (CDC), the Purchaser’s Guide translates clinical guidelines and medical evidence, providing large employers with the information they need to select, define, and implement preventive medical benefits such as colorectal cancer screening and tobacco use treatment.
Third Report of the Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (ATP III)
This publication for health professionals summarizes recommendations derived from the evidence-based clinical guidelines for detecting, evaluating and treating high blood cholesterol in adults.
The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7)
The JNC 7 report focuses on new evidence, including a revised treatment algorithm and drug tables, to assist healthcare professionals in learning the science behind recommendations on high blood pressure prevention, detection, evaluation and treatment.
American Heart Association’s Scientific Statements and Practice Guidelines
This site provides a listing of active American Heart Association medical and scientific statements.
Dietary Approach to Stop Hypertension (DASH)
The DASH Eating Plan is proven to reduce blood pressure and may prevent the development of high blood pressure.
U.S. Department of Health and Human Services National Heart Lung Blood Institute (NHLBI)
This site offers a comprehensive list of tools, websites, fact sheets and more to educate the public in heart disease and vascular disease.
The Stanford Chronic Disease Self Management Program
The Chronic Disease Self-Management Program is a highly structured and interactive, evidence-based intervention to help individuals with chronic diseases develop greater ability and confidence in managing their disease. The Program has demonstrated decreased healthcare utilization, decreased disease morbidity and better communication with physicians
American Journal of Health Promotion: Economic Return on Investment of Worksite Wellness
A formal meta-evaluation of 56 economic return studies of worksite health promotion programs. Additional data, statistics and strategies related to a variety of risk factors for chronic diseases can be found on the following priority area pages:

Partners

Heart Disease & Stroke

More Information

Healthy Heart Program
Riverview Center, 150 Broadway - Suite 350
Albany, NY 12204-0676
Phone: (518) 474-6683
Fax: (518) 474-3356
Email: hhp@health.state.ny.us