F Bruce C

1. Heart-2-Heart:
Improving Heart Health in
Harlem
Winning the Million
Hearts
Campaign

2. And so the root
Becomes the trunk
And then a tree
And seeds of trees
And springtime sap
And summer shade
And autumn leaves
And shape of poems
And dreams Poet Langston Hughes
And more than tree.

3. The issue:
There is an
epidemic of
broken hearts
among people
younger than 65

5. High Blood Pressure
High Blood Cholesterol
Heart Disease
Why?
Risk Factors
Tobacco Use
Inadequate
Nutrition
Diabetes
Overweight and Obesity
Physical
Inactivity

6. Anyone who has ever struggled with poverty
knows how extremely expensive it is to be poor.
Social Determinants of Health
Author
James Baldwin
Environmental Cultural
Economic Political

8. Now is the accepted
time, not tomorrow, not
some more convenient
season. It is today that our
best work can be done and
not some future day or
future year. It is today that
we fit ourselves for the
greater usefulness of
tomorrow. Today is the
seed time, now are the
hours of work, and
tomorrow comes the
Sociologist, historian, harvest…
civil rights activist,
author and editor
W.E.B Du Bois

10. What is Million Hearts
Goal: Prevent 1 million heart attacks
and strokes nationwide over the next 5 years
• Strategies: 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

11. Smallest
Impact
Eat healthy, be
physically active
Rx for high blood
pressure, high
cholesterol
Brief intervention for
alcohol, cessation
treatment
0g trans fat, salt,
smoke-free laws,
tobacco tax
Largest
Impact
Poverty, education, housing, inequality

13. The Message: Prioritize the ABCS!
• If you do one thing for your patients, make it the ABCS
• These evidence-based measures are proven to prevent
heart attacks and strokes
• This is how we can save
the most lives and…
• …get the most health value
out of our current
health care investments

14. Risk factor reductions = ~50%
30%
25% 24%
20%
20% Clinical interventions = ~50%
15%
12% 12%
11%
10%
10% 9%
5% 5%
5%
0%
-5%
-10% -8%
-10%
-15%
2007;356(23):2388-97

15. Focus on
ABCS
Health
information
technology
TRANS
FAT

16. Expanded Chronic Care Model
Build
Health Self
Create
Policy Management
Supportive
Skills
Environments
Health Care Information
Strengthen Community System
Systems
Community
Action
Clinical
Delivery
Decision
System
Support
Design
Productive Prepared Prepared
Activated Informed Proactive
Activated
Interactions and Proactive
Community Relationships Practice Community
Patient
Team Partners
Population Health Outcomes
Functional and Clinical Outcomes
Barr V, et al. Hospital Quarterly 2003; 7(1): 73-82

17. Health Health Information
Insurance Technology
Programs Transformation
Health Care System Change
Infrastructure
Reform
Reimbursement
Quality Improvement Primary Care
Workforce Development
Health
Systems
Management
Public Health

18. Purpose
• 5-yr strategic plan for long-term, sustainable economic growth
• coordinate economic development
• leverage public and private resources
• identify and eliminate obstacles to growth
• evaluation –performance measure
New York State
Regional Economic Councils
HEALTH
IN
ALL
Agencies
• Agriculture and Markets POLICIES
• Environmental Conservation
• Health
• Labor
• State
• Taxation and Finance
• Transportation
• Dormitory Authority
• Environmental Facilities Corporation
• Power Authority
• Energy Research and Development Authority
• Homes and Community Renewal
• Parks, Recreation, and Historic Preservation
• State Education

19. The present was an
egg laid by the past
that had the future
inside its shell.
Author Zora Neale Hurston

20. “The main thing is the YOU
beneath the clothes and skin – the
ability to do, the will to
conquer, the determination to
understand and know this
great, wonderful, curious world.”
W.E.B Du Bois

21. Creativity Innovation
Leadership

22. Harlem Hospital
Nursing School Dr. Godfrey Nurse
(Lurline Vassals DeShields)
Dr. Louis T. Wright
Alice Cardona
Dr. Richard Carmona

23. I have discovered in life that
there are ways of getting
almost anywhere you want to
go, if you really want to go.
Langston Hughes

24. You write the score…
Frankie Manning
Duke Ellington

25. VISION
clearly shared
defined value
GOALS
lead
to sustain-
action able
winnable
associations project teams strategic joint
networks coalitions partners ventures
Independent Interdependent Dependent

26. Fires can't be made with dead
embers, nor can enthusiasm
be stirred by spiritless men.
Enthusiasm in our daily work
lightens effort and turns even
labor into pleasant tasks.
Langston Hughes

27. In recognizing the humanity
of our fellow beings,
we pay ourselves the
highest tribute
U.S. Supreme Court Justice
Thurgood Marshall

28. Thank
You