Cardiac toolkit by Rosemary Hicks

The ABCS of a Healthy Heart

Cardiac Toolkit Cardiovascular disease (CVD) accounts for one in three deaths in the United States each year. Strategies that address major CVD risk factors, such as high blood pressure, high cholesterol, and smoking, can greatly reduce the burden of CVD. However, only 46% of American adults with high blood pressure and 33% of adults with high cholesterol have these conditions under control, and only 23% of smokers who are trying to quit receive help.1 VHQC is a partner in the Million Hearts® Initiative, a joint effort of the Centers for Medicare and Medicaid Services, (CMS), the Centers for Disease Control and Prevention (CDC), the American Heart Association (AHA) and other national care stakeholders. The initiative aims to reduce cardiac risk factors that include hypertension, smoking and high cholesterol and increase heart-healthy behaviors such as aspirin for those who need it. The toolkit is arranged with a section for patients and providers based on the ABCS: • Aspirin: appropriate low-dose aspirin therapy use • Blood Pressure: measurement and control in patients with hypertension • Cholesterol: management among adults with ischemic vascular disease • Smoking Cessation: intervention among patients who smoke

Valderrama AL, Loustalot F, George MG, Schooley M, Briss P, Dube S, et al. Million Hearts: strategies to reduce the prevalence of leading cardiovascular disease risk factors — United States, 2011. MMWR. 2011;60(36);1248–51. 1

Aspirin Therapy According to CDC, aspirin can be taken to prevent heart disease and stroke in some individuals who have not previously experienced these events. Resources for improving appropriate aspirin therapy

Name

Source

Link

Type

Aspirin for the Prevention of Cardiovascular Disease: U.S. Preventive Services Task Force Recommendation Statement

Agency for Healthcare Research & Quality (AHRQ)

http://tiny.cc/d2ep9w

pdf - clinical guidelines

Association of Aspirin Use With Major Bleeding in Patients With and Without Diabetes

The Journal of the http://tiny.cc/34ep9w American Medical Association (JAMA)

pdf - journal article

Cardiovascular Disease, Aspirin for Prevention

American Academy http://tiny.cc/s6ep9w of Family Physicians (AAFP)

website with additional links

Aspirin for the Prevention of Cardiovascular Disease

AHRQ

http://tiny.cc/g7ep9w

pdf - clinical summary

Aspirin for Reducing Your Risk of Heart Attack and Stroke: Know the Facts

Food and Drug Administration (FDA)

http://tiny.cc/i8ep9w

pdf - brochure

Heart Disease: Aspirin

American College of Cardiology (ACC)

http://tiny.cc/b9ep9w

pdf - fact sheet

Taking Aspirin to Prevent Strokes

AHRQ

http://tiny.cc/pafp9w

pdf - brochure

Taking Aspirin to Prevent Heart Attacks

AHRQ

http://tiny.cc/ecfp9w

pdf - brochure

Using Aspirin for the Primary Prevention of Cardiovascular Disease

AHRQ

http://tiny.cc/jdfp9w

pdf - fact sheet

Why is this Medicine Important?

VHQC

http://tiny.cc/befp9w

pdf - information sheet

Screening for High Blood Pressure

U.S. Preventive Services Task Force (USPTF)

http://tiny.cc/4efp9w

pdf - fact sheet

For Providers

For Patients

Blood Pressure Management High blood pressure is a serious condition that can damage the heart, blood vessels, kidneys and other parts of the body over time – leading to coronary heart disease, stroke, kidney failure and other health problems. Resources for improving blood pressure management.

Name

Source

Link

Type

JNC 7 Complete Report: The Science Behind the New Guidelines

National Heart, Lung and Blood Institute (NHLBI)

http://tiny.cc/6ffp9w

pdf

JNC 7 Express: “Must Know” Clinical Practice Updates

NHLBI

http://tiny.cc/7gfp9w

pdf

JNC 7 Reference Card

NHLBI

http://tiny.cc/6hfp9w

pdf - reference card

How do you measure up? Presentation

Million Hearts®

http://tiny.cc/yifp9w

presentation

Self Measured Blood Pressure Guide

Million Hearts®

http://tiny.cc/ojfp9w

pdf - guide

Improving the Screening, Health Education Prevention, & Management of Resource Exchange Hypertension – An (HERE) Implementation Tool for Clinic Practice Teams

http://tiny.cc/mkfp9w

pdf implementation tool

Step Up

http://step-up.vhqc.org

website with links to additional resources

American Heart Association (AHA)

http://tiny.cc/1lfp9w

website

High Blood Pressure Medications and You: Infographic

FDA

http://tiny.cc/umfp9w

pdf - infographic

When it Comes to Blood Pressure, Make Control Your Goal

Centers for Disease Control & Prevention (CDC)

http://tiny.cc/lnfp9w

website

The ABCDs of Blood Pressure Measurement

American Heart Association/ American Stroke Association

http://tiny.cc/yofp9w

pdf - flyer

What is High Blood Pressure?

AHA

http://tiny.cc/qpfp9w

pdf

For Providers

Check. Change. Control. Blood Pressure Program

VHQC

For Patients

Name

Source

Link

Type

What about African Americans and High Blood Pressure?

AHA

http://tiny.cc/hqfp9w

pdf

What is High Blood Pressure Medicine?

AHA

http://tiny.cc/8qfp9w

pdf

Why Should I Limit Sodium?

AHA

http://tiny.cc/4rfp9w

pdf

Your Guide to Lowering Blood NHLBI Pressure

http://tiny.cc/mvfp9w

pdf - guide

Your Guide to Lowering Your Blood Pressure with DASH

NHLBI

http://tiny.cc/9vfp9w

pdf - guide

Nutrition and Activity Quiz

American Cancer Society (ACS)

http://tiny.cc/ywfp9w

online quiz

Know the Facts About High Blood Pressure

CDC

http://tiny.cc/xxfp9w

pdf

The Healthy Heart Handbook for Women

NHLBI

http://tiny.cc/ryfp9w

pdf - handbook

What do Blood Pressure Numbers Mean?

AHA

http://tiny.cc/gzfp9w

video

Blood Pressure Wallet Card

AHA

http://tiny.cc/6zfp9w

wallet card

High Blood Pressure Risk Calculator

AHA

http://tiny.cc/30fp9w

online tool

Blood Pressure Quizzes

AHA

http://tiny.cc/t1fp9w

online quiz

Passport to Heart Health

Mountain Pacific Quality Health

http://tiny.cc/i2fp9w

pdf - guide

Why Take Medicine Fact Sheet

VHQC

http://tiny.cc/i3fp9w

pdf - fact sheet

Vital Signs: Where’s the Sodium?

CDC

http://tiny.cc/b4fp9w

pdf

Blood Pressure Fact Sheet (also Sodium & Meds)

Million Hearts®

http://tiny.cc/c5fp9w

pdf - fact sheet

Medication Tracker

Million Hearts®

http://tiny.cc/q6fp9w

wallet card

Blood Pressure Tracker

Million Hearts®

http://tiny.cc/l7fp9w

wallet card

Vital Signs: Getting Blood Pressure Under Control

CDC

http://tiny.cc/c8fp9w

pdf

High Blood Pressure Medicines to Help You

FDA

http://tiny.cc/pagp9w

pdf - guide

For Patients

Cholesterol Management Having high blood cholesterol puts a person at risk for heart disease. About one out of every six adults in the U.S. has high cholesterol. Resources for improving cholesterol management.

Name

Source

Link

Type

NHLBI

http://tiny.cc/rbgp9w

pdf - clinical practice guidelines

ATP III Guidelines At-A-Glance NHLBI Quick Desk Reference

http://tiny.cc/fcgp9w

pdf - reference card

National Cholesterol Education Program

NHLBI

http://tiny.cc/wegp9w

website interactive tool

Cholesterol Fact Sheet

CDC

http://tiny.cc/mfgp9w

pdf-fact sheet

FDA

http://tiny.cc/dggp9w

pdf guide

Cholesterol - Questions to Ask American Heart Your Doctor Association/ American Stroke Association

http://tiny.cc/1ggp9w

pdf - tool question sheet

Cholesterol Tracker

AHA

http://tiny.cc/xhgp9w

pdf - tool tracker

High Blood Cholesterol: What You Need to Know

NHLBI

http://tiny.cc/oigp9w

pdf

Cholesterol

CDC

http://tiny.cc/djgp9w

website

How Can I Monitor My Cholesterol, Blood Pressure and Weight?

AHA

http://tiny.cc/24eq9w

pdf

Know the Facts about High Cholesterol

CDC

http://tiny.cc/e6eq9w

pdf - fact sheet

Treating High Cholesterol

AHRQ

http://tiny.cc/c8eq9w

pdf - guide

Treating High Cholesterol Spanish

AHRQ

http://tiny.cc/u9eq9w

pdf - guide in spanish

For Providers Third Report of the Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults

For Patients Cholesterol - Medicines to Help You

Smoking Cessation Tobacco use is the leading cause of preventable illness and death in the United States. Resources for promoting smoking cessation.

Name

Source

Link

Type

Fax to Quit How to Manual for HCPs

Quit Now VA

http://tiny.cc/0zgp9w

pdf - manual

Integrating Tobacco Cessation into EHR

AAFP

http://tiny.cc/r0gp9w

pdf

Interventions to Facilitate Smoking Cessation

AAFP

http://tiny.cc/g1gp9w

website

FDA-Approved Medications for Smoking Cessation

AAFP

http://tiny.cc/g1gp9w

pdf - article

Treating Tobacco Use and Dependence: 2008 Update

AHRQ

http://tiny.cc/ftfq9w

pdf - clinical practice guideline

Smoking & Tobacco Use

CDC

http://tiny.cc/rufq9w

posters

Talk with your Doctor Campaign

CDC

http://tiny.cc/iwfq9w

website & posters

Quick Reference Guide for Clinicians

AHRQ

http://tiny.cc/iwfq9w

pdf - reference guide

Interventions to Facilitate Smoking Cessation

AAFP

http://tiny.cc/98gp9w

article

The 5 Râ&#x20AC;&#x2122;s for Smoking Cessation: Helping the Smoker Who is Not Ready to Quit

Health Team Works

http://www.healthteamworks.biz/tobacco/webinars/8-5-08.asp

website with videos, PowerPoints, and CMEs

For Providers

Name

Source

Link

Type

Shield Yourself from Tobacco - Don’t Smoke

ACS/ADA/AHA

http://tiny.cc/kchp9w

website

Do You Need Help to Quit?Stop Smoking Quiz

ACS

http://tiny.cc/85fq9w

online quiz

The EX Plan

American Legacy Foundation

http://tiny.cc/wdhp9w

interactive website

Freedom from Smoking online American Lung Association

http://www.ffsonline.org/

interactive website

Guide to Quitting Smoking

ACS

http://tiny.cc/9ehp9w

pdf guide

Nicotine Anonymous

http://tiny.cc/4fhp9w

website

Where to Get Help When you Decide to Quit Smoking

National Cancer Institute (NCI)

http://tiny.cc/mghp9w

website

No Smoking Confidence Assessment & Tips

AHA

http://tiny.cc/tlhp9w

assessment

Quit Now Virginia

Virginia’s Quitline

http://tiny.cc/pmhp9w

website

Be a Quitter

Virginia Department http://tiny.cc/xnhp9w of Health (VDH)

pdf

NCI Quit Pal

Smokefree.gov

http://tiny.cc/yohp9w

mobile app

Quit Guide

Smokefree.gov

http://tiny.cc/kqhp9w

mobile app

Quit Start

Smokefree.gov

http://tiny.cc/rrhp9w

mobile app

SmokefreeTXT

Smokefree.gov

http://tiny.cc/tvhp9w

mobile app and text

Craving Journal

Smokefree.gov

http://tiny.cc/huhp9w

pdf - journal

Medication Guide

Smokefree.gov

http://tiny.cc/swhp9w

website medication guide

Help for Smokers & Other Tobacco Users

AHRQ

http://tiny.cc/58gq9w

pdf presentation

For Patients

General Information Name

Source

Link

Type

Vital Signs: Avoidable Deaths from Heart Disease, Stroke, and Hypertensive Disease — United States, 2001–2010

CDC: Morbidity and Mortality Weekly Report

http://tiny.cc/bzhp9w

pdf - journal article

Interventions to Improve Cardiovascular Risk Factors in People With Serious Mental Illness

AHRQ

http://tiny.cc/h0hp9w

pdf - report

Electronic Preventive Services Selector

AHRQ

http://tiny.cc/60hp9w

Physician Tip Sheet

American Medical Association (AMA)

http://tiny.cc/q2hp9w

app - clinical preventive services for patients pdf - tip sheet

For Providers

Heart Attack Risk Assessment NHLBI Tool

http://tiny.cc/x3hp9w

website - risk assessment tool

Screening for Coronary Heart Disease

AHRQ

http://tiny.cc/r4hp9w

pdf - fact sheet

Learning Library for Providers

AHA

http://tiny.cc/26hp9w

website - online tool

National Guideline Clearing House

AHRQ

http://tiny.cc/07hp9w

website - online tool

My Plate

ChooseMyPlate.gov

http://tiny.cc/b9hp9w

pdf - poster

Dietary Guidelines 2010

ChooseMyPlate.gov

http://tiny.cc/taip9w

pdf - brochure

Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse

Medicare

http://tiny.cc/3fip9w

pdf

CDC

http://tiny.cc/6gip9w

pdf - guidelines

http://tiny.cc/ejip9w

pdf - reference information

Healthy Diet

Increasing Physical Activity Physical Activity Guidelines for Older Adults

ABCs to Annual Wellness Visit Medicare

Name

Source

Link

Type

AHA

http://tiny.cc/9kip9w

online quiz

My Life Check Assessment

AHA

http://tiny.cc/1rip9w

online tool

Recipe Index

ChooseMyPlate.gov

http://tiny.cc/htip9w

recipes

Be Active Adults

ChooseMyPlate.gov

http://tiny.cc/ouip9w

pdf - tip sheet

10 Tips Nutrition Series

ChooseMyPlate.gov

http://tiny.cc/j3hq9w

pdf - tip sheet

Super Tracker tips for food groups

ChooseMyPlate.gov

http://tiny.cc/e5hq9w

pdf - tip sheet

Food Diary

CDC

http://tiny.cc/q6hq9w

pdf - food diary

Meal Planning

Dairy Council of California

http://tiny.cc/57hq9w

recipes

Before You Eat Church Food, Watch This Video!

Association of Black http://tiny.cc/h9hq9w Cardiologists (ABC)

videos

Simple Cooking with Heart

AHA

http://tiny.cc/eaiq9w

cooking demonstrations

My Physical Activity Diary

CDC

http://tiny.cc/uciq9w

pdf - physical activity diary

Physical Activity Guide

CDC

http://tiny.cc/teiq9w

pdf - sample routines

Physical Activity Videos including exercises

CDC

http://tiny.cc/hhiq9w

videos

Physical Activity Social Media Tools

CDC

http://tiny.cc/ijiq9w

social media

For Patients Heart Attack Risk Assessment

Healthy Diet

Increasing Physical Activity

This material was prepared by VHQC, the Medicare Quality Improvement Organization for Virginia, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy.VHQC/IHPC/1/15/2014/1818

VHQC www.vhqc.org | twitter.com/virginiaqio | facebook.com/vhqc1 804.289.5320 | 9830 Mayland Drive, Suite J | Richmond, VA 23233