The Utah Department of Health began receiving funds from CDC in 2000 to support a capacity-level state heart disease and stroke prevention program. The program received increased funding for basic implementation beginning in 2003.
Burden of Heart Disease and Stroke
- Nearly 1 out of 4 deaths in Utah are due to heart disease. (National Vital Statistics Report, 2009.)
- 2,932 Utahans from heart disease in 2006 (21.3% of total deaths in Utah). (National Vital Statistics Report, 2009.)
- 674 Utahans from stroke in 2006 (4.9% of total deaths in Utah). (National Vital Statistics Report, 2009.)
See the Utah Department of Health report, The Impact of Heart Disease and Stroke in Utah 2007, [PDF–789K] for more burden statistics.
- According to 2007 Behavioral Risk Factor Surveillance System (BRFSS) survey results, adults in Utah reported having the following risk factors for heart disease and stroke:
- 19.7% had high blood pressure
- 32.6% of those screened reported having high blood cholesterol
- 5.8% had diabetes
- 11.7% were current smokers
- 58.0% were overweight or obese (Body Mass Index greater than or equal to 25.0)
- 43.8% reported no exercise the prior 30 days
- 77.2% ate fruit and vegetables less than 5 times a day
|Risk Factor||Utah||Nationwide (States and D.C.)|
|Eat fruits and vegetables less than 5 times/day||77.2||75.6|
|Overweight or obese||58.0||62.9|
|No moderate or vigorous physical activity||43.8||50.5|
|High total blood cholesterol||32.6||37.6|
|High blood pressure||19.7||27.8|
- Facilitate collaboration among public and private sector partners, such as managed care organizations, health insurers, federally funded health centers, businesses, priority population organizations, and emergency response agencies.
- Define the burden of heart disease and stroke and assess existing policy and environmental supports for secondary prevention of heart disease and stroke within the state.
- Develop and update a comprehensive state plan for heart disease and stroke prevention with emphasis on awareness, EMS transport, blood pressure quality improvement (QI) in clinics and with general providers, cardiac and stroke QI in hospitals, and elimination of health disparities (based on geography, gender, race, ethnicity, or socioeconomic status).
- Identify culturally appropriate approaches to promote heart disease and stroke prevention among racial, ethnic, geographic, or other disparate priority populations.
- Use population-based public health strategies to increase public awareness of the urgency of heart disease and stroke, the signs and symptoms of heart attack and stroke, and the need to call 9-1-1.
- Support health care organizations’ system changes to assure quality of care and implementation of secondary prevention strategies for heart disease and stroke.
- Monitor, implement, and evaluate prevention strategies and programs in health care settings, work sites, and communities.
- Provide training and technical assistance for health care professionals and partners to support secondary prevention of heart disease and stroke.
- Monitor quality of care for secondary prevention.
- The Health Plan Blood Pressure Self-Management and Provider Education Program is a collaborative partnership involving seven health care plans, the State Quality Improvement Organization and the Utah Heart Disease and Stroke Prevention Program (HDSPP). The program is designed to enhance clinical blood pressure control and improve self management through implementation of current standards of care and environmental support policies. Blood pressure control is tracked in part through health plan data systems and Healthcare Effectiveness Data and Information Set (HEDIS) measures. Partners have identified priority evidence-based intervention strategies for providers and patients that support improved blood pressure control.
- Since 2007, the HDSPP has partnered with the Utah Primary Care Association to provide funding to community health centers to improve quality of care for priority populations with high blood pressure and high cholesterol. The health centers collect data from patient registries and use the data to identify areas for improvement. Improvement activities have included
- development of patient reminders and recall systems
- patient self-management programs
- pharmacy programs
- trainings on how to accurately measure blood pressure
- A statewide tele-health network supports staff training for clinicians. The HDSPP, in partnership with the Diabetes Prevention and Control Program, provides quarterly training sessions on various heart disease and stroke prevention topics.
- The HDSPP partners with the Utah Bureau of Emergency Medical Systems (EMS), Utah Hospital Association, and the Utah Stroke Task Force to develop statewide EMS transport protocols for stroke. The HDSPP supports EMS provider trainings in stroke recognition, using and scoring with the Cincinnati Stroke Scale, and the role of pre-hospital providers in improving stroke care outcomes. One component of the EMS transport policy is verification of stroke receiving facilities, a process which began in January 2010. As of September 2010, nearly 50% of hospitals are either state-verified or a primary stroke center.
- In February 2011, the HDSPP initiated a new statewide awareness campaign to improve the public’s knowledge of blood pressure, including blood pressure’s relationship to heart disease and stroke and the importance of knowing one’s blood pressure level. Focus groups and key informant interviews were conducted to guide campaign development.
- In 2010, the HDSPP partnered with Health Insight, the state Medicare Quality Improvement Organization, to enhance health care providers’ usage of electronic medical records to identify and manage patients with high blood pressure. The first part of the project focuses on recruiting medical providers to participate in the American Heart Association’s “Get with the Guidelines (GWTG) – Outpatient Quality Improvement” program. The second part of the project focuses on revising current work processes and development of policy and procedures to assure recruited providers are successful in the implementation and ongoing use of the guidelines.
- In 2004, the HDSPP began a partnership with the American Heart Association (AHA) and the American Stroke Association (ASA) to increase awareness among Utah hospitals of the Joint Commission (JC) standards for a Primary Stroke Center (PSC) and the use of the GWTG’s quality improvement process for stroke. Since 2004, five hospitals have received accreditation by JC as a PSC, 19 hospitals implemented GWTG’s heart failure program, and 18 hospitals implemented GWTG’s stroke program.
- A variety of programs are advancing work site wellness in Utah. The HDSP program supports work site wellness, via the Alliance of Cardiovascular Health in Utah, through a work site blog. Since February, 2010, the blog received 124 unique visitors for a total of 248 visits. The Utah Council for Work Site Health Promotion creates and promotes criteria for a healthy workplace. The Council organizes a yearly conference to recognize companies who meet award level criteria. At the 2010 conference, 63 companies received awards. One hundred and forty people registered to attend the conference and approximately 180 people attended the awards luncheon. Additionally, tools and resources for work site wellness are being created, identified, and made available to the public.
To view county-level data, visit our interactive map site.