Get To Goal
High Blood Pressure
Program
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Our Mission,
Our Goal
Our mission is to build healthier lives, free
of cardiovascular diseases and stroke.
By 2020, our goal is to improve the
cardiovascular health of all Americans by 20%
while reducing deaths from cardiovascular diseases
and stroke by 20%.
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Defining Ideal Cardiovascular
Health
Life’s Simple 7TM
Manage
Blood Pressure
Eat Better
Control
Cholesterol
Get Active
Lose Weight
Stop Smoking
Reduce
Blood Sugar
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Hypertension in America
• More than 76 million Americans have
Hypertension
• Patients lack understanding of blood pressure
numbers
• Many are unaware of increased risk for heart
attack, stroke
• Chronic condition that requires persistent
management
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Communities At Risk
Greater Risks, Greater Deaths
A person’s race or ethnicity should not put them at higher risk for
developing CVD
Blacks lose 1/3 of their potential life-years compared to Whites due
to CVD
High Blood Pressure in African Americans is the
highest in the world
Defining Health Equity: When ALL people have the opportunity to
attain their full health potential and no one is disadvantaged from
achieving this potential because of their social position or other
socially determined circumstance
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Ethnic
Disparity
Despite the existence of low cost, effective preventative
treatment, black men and women are much more likely to
die from heart disease and stroke than whites.
African
Americans
17.7
Whites
6.5
Hispanics
6.2
Asians
6.1
Native
Americans
5.8
Age-adjusted death rate (per 100K) both genders
National Vital Statistics Report. 2009;57:1-136.
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Unique Markers of Hypertension in
African Americans
• Tend to demonstrate premature onset of hypertension
• Show an increased incidence of organ damage
– Left Ventricle Hypertrophy
– Heart failure
– Impaired renal function and more end-stage renal disease
• Present with average blood pressures that are much higher than whites
• HTN prevalence among US African Americans is among the highest of any demographic
in the world
Flack JM et al for the International Society on hypertension in Blacks. Hypertension. 2010;56:780-800.
Ferdinand KC, Ferdinand DP. Expert Rev Cardiovasc Ther. 2008;10:1357-1366.
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Strategy
AHA/ASA Objectives for
Impacting the Problem
Increase awareness of the connection between
hypertension and risk of heart attack/stroke
Increase the number of individuals identified
with hypertension
Increase the number of individuals controlling
their blood pressure
Drive changes in the healthcare system that elevate the need
for innovative approaches to hypertension management
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Get To Goal:
Building on success
Driving toward solutions
• AHA National is providing grants to local market staff to create community-based blood
pressure programs in top markets nationwide
• Based on best practices learned from:
– The AHA’s Check It, Change It Pilot
– Principles for volunteer engagement through the successes of Power To End Stroke
– Other successful community-based programs utilizing volunteer health mentors
• Early results of our pilot community (Durham County) program have shown a significant
improvement in hypertension management and control within a highly diverse community.
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Equipping Volunteers
Our Get To Goal program will equip volunteers to
encourage bp tracking. Behavioral science tells us that
tracking paired with emotional & social engagement
improves ownership of outcomes.
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Get To Goal
Volunteer Training Program
How is
HBP
treated?
What is
high blood
pressure?
Heart 360
and your
resources for
getting to
goal.
Who needs
the help of a
program like
this?
What makes
a good
coach?
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Heart360
Participant Portal
• Data inputs
• Reports
• Text Reminders
• Trackers
• AHA Content
Volunteer Portal
•Monitoring
• Enhanced
Communication
• Notification
• Reporting
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Research
Get to Goal: Washington, DC (GWR)
“Living Life Golden in the District: Get to Goal DC”
Local Market Goal:
• 1. Enroll 350 individuals in Heart 360 BP self management program starting
January 2013
• 2. Must capture enrollees’ BP data in Heart 360
• 3. Engage enrollees to upload a minimum of 2 BP readings per month
• 4. Follow enrollees for up to 4 months
• 5. Create a plan to sustain the program
Research
Get to Goal: Washington, DC (GWR)
Specific Aims:
1.
To enroll at least 350 AA by June 2013 in Heart 360.
2.
To create the opportunity for at least 350 people enrolled in the program
to log a minimum of twice monthly BP readings for 4 consecutive
months.
3.
To gather pilot data for an evidence-based, behavior theory based,
community based intervention to monitor vascular risk factors and
promote wellness.
Research
Get to Goal: Washington, DC (GWR)
Specific Aim #1. To enroll at least 350 AA by June 2013 in Heart 360.
a.) Partner with local physicians at MWHC, DC Fire/EMS, Kaiser, and local
community clinics through DCPC to enroll patients in program using
available technology e.g. I-pads, PC’s, network computers.
b.) Engage community/social groups to enroll members e.g. local Alpha
Kappa Alpha, Alpha Phi Alpha in Heart 360
c.) Engage local churches to enroll members in program
Research
Get to Goal: Washington, DC (GWR)
• Specific aim #2: To create the opportunity for at least 350 people enrolled in
the program to log a minimum of twice monthly BP readings for 4
consecutive months.
• a.) Host 3 health fairs at MWHC to screen/enroll 50-100 patients and
employees.
• b.) Follow each with twice monthly BP readings in Neuroscience outpatient
clinic.
• c.) Enroll 100 – 200 patients in Kaiser/Unity clinics, community groups AKA,
AøA, CBUCC, others
Research
Get to Goal: Washington, DC (GWR)
• Specific aim #2: To create the opportunity for at least 350 people
enrolled in the program to log a minimum of twice monthly BP readings
for 4 consecutive months.
• d.) Enroll 100 – 200 patients from Kaiser/Unity clinics, community groups
AKA, APhiA, CBUCC, other churches.
• e.) Designate “Heart 360 champions” for the program to ensure that BP’s
are checked at least twice month.
• f.) Designate local sites e.g. health clinic, fire stations where people can
go to have BP’s checked.
• g.) Healthy competition
Research
Get to Goal: Washington, DC (GWR)
Specific aim #3. To gather pilot data for an evidence-based, behavior
theory based, community based intervention to monitor vascular risk
factors and promote wellness.
a.) Develop health and wellness support groups at local churches (e.g.
CBUCC) using Heart 360 as the center piece
b.) Develop a 4 - 6 month curriculum with group discussions, speakers
(e.g. nutrition, exercise, etc), and BP monitoring to optimize healthy
lifestyles.
Questions and Next Steps
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