Kentucky Heart Disease and Stroke Prevention Program Update S ...

Kentucky State Update

Kari Moore, RN, BSN

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Kentucky Heart Disease and Stroke Prevention Program

Update

S t b 26 2015September 26, 2015

2Cabinet for Health and Family Services


Kari Moore, RN, BSN

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Interventions Utilization of Evidence‐Based Integrated CVH Delivery SystemsSystems

SEQIP

Utilization of Evidence‐Based Prevention Strategies

CARE Collaborative (LHDs)

Secure Policy and Environmental Changes

S k C C ifi i (SB1)

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Stroke Center Certification (SB1)

SEQIP Report (HB 467)

EMS (SB10)

Cabinet for Health and Family Services

CARE CollaborativeFY 16 Funded Health Departments (14) Know Your Numbers Know Your Numbers Red, Yellow and Green

Focus on ABCs of Cardiovascular Health: A1c (A), Blood Pressure (B) with a focus on sodium, Cholesterol (C) and

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Cholesterol (C) and Smoking (S)

Ashland Boyd County A.P.P.L.E. – IPhone App


Kari Moore, RN, BSN

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Million Hearts™ Initiatives in KentuckyCARE Collaborative

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Kari Moore, RN, BSN

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A.P.P.L.E. APP

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A.P.P.L.E. APP

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Kari Moore, RN, BSN

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Reach and Impact

Reach Reach

Year 1 (2008)—15,000 women encounters

2008‐2013 — 105,327 encounters

2014 – 21,195 encounters

2015 through August ‐ 27,778 encounters

Impact

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Impact

55% of returning participants had taken action to reduce their blood pressure

Pilot ProgramBarren River District Health Department

Environmental scan of health care delivery services for hypertension or diabetes.

Collection of data related to Meaningful Use of Electronic Medical Records and National Quality

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Forum standards for performance management.

Look for opportunities for clinical‐community linkages within the district.


Kari Moore, RN, BSN

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Pilot Program

Louisville Metro Public Health and Wellness and the University of Louisville Signature Project

Reduce health disparities and inequities in West Louisville by:

Working with FQHCs

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Working with FQHCs

Blood Pressure Self‐Monitoring

Connect community‐clinical linkages

Pilot ProgramKentucky Regional Extension Centers

Increase electronic health records (EHR) adoption and the use of health information technology to improve performance.

Partner with physician practices committed to

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focus on monitoring and improving Clinical Quality Measures (CQMs) related to hypertension and heart disease (NQF 18, NQF 59)


Kari Moore, RN, BSN

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• Established in 2008

• Statewide quality improvement initiative developed by the HDSP HDSP Task Force

Stroke Encounter Quality Improvement Project (SEQIP)

• Statewide quality improvement initiative developed by the HDSP, HDSP Task Force,

and AHA/ASA

• First Kentucky Stroke Registry

• Goal: Implement evidence based integrated cardiovascular delivery systems and to

support and advance the quality of care available to stroke patients in Kentucky.

• Designed to encourage collaboration hospitals and stakeholders in KY• Designed to encourage collaboration hospitals and stakeholders in KY.

• Initially 16 hospitals in 2008, currently 23

• All certified stroke centers are represented

• Legislative report submitted annually since 2012 – KRS 211.575

• Governor and Legislative Research Commission

Senate Bill 10

Summary

Amend KRS 216B.0425 to define the terms "acute stroke ready hospital certification" and "comprehensive stroke center certification"; require the Cabinet for Health and Family Services to maintain a list of acute stroke ready hospitals, comprehensive stroke centers, and primary stroke centers, post the list on its Web site, and provide the list to the Kentucky Board of Emergency Medical Services; require the board to provide the list to local emergency medical services providers;amend KRS 311A.180 to require emergency medical services directors to

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q g yestablish pre-hospital care protocols for the assessment, treatment, and transport of stroke patients; and amend other statutes to correct references to the Joint Commission.

https://legiscan.com/ky/bill/sb10/2015


Kari Moore, RN, BSN

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Kari Moore, RN, BSN

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SEQIP 2 Year Initiative

• Dissemination and education on the KBEMS inter-facility stroke transfer protocol

• Data collection and additional quality metrics related to EMS transport protocols

HB 467 ‐ KRS 211.575HB 467 KRS 211.575

2016 ISC Abstract Submission

Kentucky SEQIP Statewide Collaboration Improves TPA Administration Rates and Decreases Door to Needle Times

Author Block: Kari Moore, Louisville, KY; Lisa Bellamy, Lexington, KY; Bonita Bobo, Frankfort, KY; Cathy Hollander, Louisville, KY; Lynn Hundley, Louisville, KY; Peter Rock, Frankfort, KY; Starr Block, Louisville, KY

Kentucky SEQIP Statewide Approach to Improving Bedside Dysphagia Screening

Author Block: Kari Moore, Louisville, KY; Bonita Bobo, Frankfort, KY; Melisa Herbert, Edgewood, KY; Polly Hunt, Ashland, KY; Peter Rock, Frankfort, KY; Bill Singletary, Bowling Green, KY; Debbie Tate, Owensboro, KY; Stephanie Turner, Pikeville, KY; Starr Block, Louisville, KY


Kari Moore, RN, BSN

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Door to Needle Times by State

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Kentucky Heart Disease and Stroke Prevention Program Update S ...

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