heart to heart may 2012

8/2/2019 Heart to Heart May 2012

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CMS Issues Proposed Rules for Stage 2 Meaningful Use Requirements

The Notice of Proposed Rulemaking (NPRM) for Stage 2 meaningful use was posted to the Office of the Federal Register

recently. The proposed rule outlines the next stage of meaningful use requirements for the Electronic Health Record (EHR)

ncentive Programs, which are administered by CMS. View the NPRM. CMS has developed a fact sheet to give providers an

overview of the rule and how Stage 2 expands upon Stage 1 of meaningful use. The fact sheet can be found on the CMS

Newsroom website.

Eleven Iowa Cities Chosen as Blue Zone Finalists

Wellmark Blue Cross and Blue Shield officials recently announced the 11 Iowa

cities that will compete to be chosen as initial Blue Zones demonstration

communities in May. The 11 finalists are: Ames, Cedar Falls, Cedar Rapids,Clinton, Davenport, Mason City, Muscatine, Ottumwa, Sioux City, Spencer and

Waterloo. They were chosen from 54 communities that submitted applications

for the program, based on "strong commitment from community leaders, local employers and government officials, as well

as prior success in collaborative community initiatives," Wellmark said in a release. The Blue Zones Project, part of the

Healthiest State Initiative launched in August 2011, will provide resources to the selected communities to serve as

demonstration sites for becoming healthier environments that promote exercise, healthful food choices and social

networks. Wellmark plans to announce three to four demonstration cities from the 11 large-city finalists in May, following

site visits to each community.

An e-bulletin created especially for healthcare providers

May, 2012

Scientists Devise a Blood Test to Predict Heart Attack

Doctors can easily tell when someone is having a heart attack, but one thing they cant do is predict

an attack before it happens. Even patients who come in for stress tests and get a clean bill of health

often end up back in the hospital with a heart attack just days later. But researchers say that may

soon change, thanks to a study that used a blood test to detect certain cells that are sloughed off

from weakened blood vessel walls.

Get ready for National Women's Health Week

National Women's Health Week is a weeklong health observance

coordinated by the U.S. Department of Health and Human

Services Office on Women's Health. It brings together communities, businesses, government, health organizations, and

other groups in an effort to promote women's health. The theme for 2012 is It's Your Time. National Women's Health

Week empowers women to make their health a top priority. The 13th annual National Women's Health Week kicks off on

Mother's Day, May 13, 2012 and is celebrated until May 19, 2012. National Women's Checkup Day is Monday, May 14,

2012.

Make the Call. Dont Miss a Beat.

Assist your female patients to learn more about heart attack signs and symptoms and calling

9-1-1; more information at Office of Womens Health website: Make the Call. Dont Miss a Beat.
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Statin Intolerance in the Elderly: Solutions for Complex Cases

Middle-age blood pressure changes affect lifetime heart disease, stroke risk

An increase or decrease in blood pressure during middle age can significantly impact lifetime risk for cardiovascular disease

(CVD), according to research in Circulation: Journal of the American Heart Association.

Court Upholds Graphic Tobacco Labels

The decision by the Sixth U.S. Circuit Court of Appeals, based in Cincinnati, backed most of a decision by a lower court in

Kentucky. That court had ruled that most provisions of a 2009 law giving the Food and Drug Administration the authority to

regulate tobacco were legal and didn't violate tobacco companies' free-speech rights. The decision also upheld the lower-

court ruling favoring the tobacco industry, allowing the use of color in tobacco advertising to continue.

Join two physicians as they discuss the challenges of identifying statin intolerance in elderly patients and how to manage it

effectively. CMEs available.

Aspirin in primary prevention: New meta-analysis finds bleeding outweighs benefits for most

A new meta-analysis said to provide "the largest evidence to date regarding the wider effects of aspirintreatment in primary prevention" has shown that cardiovascular benefits are offset by an elevated risk of

bleeding.

Aspirin should not be used for stroke prevention in AF patients

More evidence that aspirin is neither safe nor effective for the prevention of stroke in AF patients has come from a new

Danish registry study.

Rapid rise in blood pressure before midlife may cause irreversible heart damage

The current "watch-and-wait approach to high blood pressure readings in younger people may set patients on a course for

rreversible heart damage, according to research presented March 26 at the American College of Cardiology's 61st Annual

Scientific Session.

Should statins be used in primary prevention? JAMA gets in on the debate

Differing opinions on the use of statins in primary prevention make the pages of theJournal of the American Medical

Association (JAMA) , the latest in a line of professional and mainstream media outlets getting in on the contentious topic.

Menthol cigarettes may increase stroke risk, study says

Researchers found that menthol cigarette smokers were more than twice as likely to have a stroke than non-menthol

smokers. The risk was more than three times higher for women and non-blacks.

Calls to quitline hit record high after CDC national tobacco ad campaign launch

Two weeks after the Centers for Disease Control and Prevention launched the Tips from Former Smokers campaign, calls to

the 1-800-QUIT-NOW quitline more than doubled.
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National Senior Health and Fitness Day (May 30)

A new clot-busting drug therapy has achieved significant treatment benefits for acute stroke victims in

a groundbreaking three-year study by the HMRI Stroke Research Group. Findings show two-thirds of

patients treated with the drug Tenecteplase demonstrated major neurological improvement within 24

hours and 72 per cent experienced excellent or good recovery three months after their stroke.

Study shows dramatic benefit of new stroke therapy

How fast you walk and your grip in middle age may predict dementia, stroke riskSimple tests such as walking speed and hand grip strength may help doctors determine how likely it is a

middle-aged person will develop dementia or stroke. That's according to new research that was just released and was

presented at the American Academy of Neurology's 64th Annual Meeting in New Orleans April 21 to April 28, 2012.

National Stroke Month

National Mediterranean Diet Month

National High Blood Pressure Education Month

Learn how to raise stroke awareness during National Stroke Awareness Month in May

and throughout the year. Public knowledge of stroke is low. It is time for stroke

champions to band together and elevate stroke in the mindset of everyone in the U.S.

Simple prevention and treatment education can help reduce stroke incidence. Influence

loved ones to adopt healthier lifestyles and decision-makers to advocate for stroke by

sharing personal stories. Explore the Resource Center and make stroke your cause today.

May is National High Blood Pressure Education Month and this year's theme

highlights the threat of uncontrolled hypertension. The National Heart, Lung, and

Blood Institute (NHLBI) urges Americans: "If Your Blood Pressure Is Not LowerThan 140/90, Ask Your Doctor Why.

The NHLBI is part of the National Institutes of Health. NHLBI sponsors the hypertension month effort with the National High

Blood Pressure Education Program (NHBPEP), which it coordinates. High blood pressure affects about 50 million--or one in

four--American adults. Of those with hypertension, about 68 percent are aware of their condition--but only 27 percent

have it under control. The reasons for this include not taking drugs as prescribed and/or not taking a medication that

sufficiently lowers blood pressure.

On the same day across the U.S., 100,000+ older adults will participate in health

promotion events at more than 1,000 local organizations. Senior Health &

Fitness Day, the nation's largest older adult health and fitness event, is enteringts 19th year. The Theme for 2012 is: "Get Moving...Start Improving!"
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The Heart Disease and Stroke Prevention Team:

Terry Y. MeekProgram Manager

[email protected]

Suning CaoEpidemiologist

[email protected]

Translating Evidence into Practice: A How-To Manual for Implementing Clinical

Decision Support

The Primary Care Development Corporation has issued a new publication: Translating Evidence

into Practice: A How-To Manual for Implementing Clinical Decision Support. The manual provides

step-by-step guidance for medical directors and senior leaders at primary care organizations to

implement quality improvement initiatives, with a special focus on using electronic health

records to advance chronic disease management. The manual was developed following a twoyear project with Open Door Family Medical Centers (Open Door), a Federally Qualified Health

Center (FQHC) with four practice sites in Westchester County, NY serving over 40,000

underserved patients. To download the manual, click here. Using the Open Door experience as a

case study, which focused on caring for patients with hypertension , the manual provides a

2010 Dietary Guidelines for Americans: How to Advise Patients

Check out this written and video commentary by Howard K. Koh, MD, MPH,

Assistant Secretary for Health at the US Department of Health and Human

Services [HHS]. He offers practical advice on how providers can advise their

patients on choosing healthier eating habits.

New Health Information Technology Resource Targets Rural Health Providers

A new online toolkit will serve as a pilot program for providing Health Information Technology (HIT) resources to rural

health care providers. The toolkit, developed by the Rural Assistance Center (RAC) and the National Rural Health Resource

Center (The Center) is designed to help rural providers find resources for HIT, electronic health records (EHR), meaningful

use and related topics. Funding for the toolkit is provided by the federal Office of Rural Health Policy (ORHP).

Using the toolkit, rural health providers and organizations will be able to:

Address challenges in finding capital funding

Provide support to community colleges to enhance training programs

Stay informed about legislation affecting EHRs

Leverage multiple federal resources for project development

systematic approach for design, planning, implementation and evaluation of a quality improvement initiative. Specific goals

of the manual include defining the project, setting quality improvement goals, assessing and understanding current data

and technology capabilities, implementing change, and using data to evaluate and sustain improvements.

Current Scientific Evidence Does Not Establish Cause and Effect Relationship Between Gum Disease and Heart

Disease or Stroke

A new report published on 4-18-2012 in Circulation, the journal of the American Heart Association (AHA), states that

current scientific evidence does not establish a direct cause and effect relationship between gum disease and heart disease

or stroke. Additionally, the evidence does not establish that gum disease increases the rate of heart disease or stroke.

According to a new study, American fast-food customers may be getting a larger dose of sodium than their counterparts in

other countries -- even if they order the exact same items off the menu.

Why is fast food saltier in the U.S.?
http://www.pcdc.org/resources/quality-improvement/translating-evidence-into-practice.html?utm_source=Copy+of+CDS+Manual+-+Press+Release&utm_campaign=cdsmanual&utm_medium=emailhttp://www.pcdc.org/resources/quality-improvement/translating-evidence-into-practice.html?utm_source=Copy+of+CDS+Manual+-+Press+Release&utm_campaign=cdsmanual&utm_medium=emailhttp://r20.rs6.net/tn.jsp?et=1109352415696&s=9730&e=00122HAvT5rV1Hi0JeLCYSogP6vC5s2gTEqLlem-32B1qNAC6PQKirhTeDIykWMNzH-jIVe-f9cHpo7Qfpyd1kS79CDxVABPrQGhytNnufS0k63Z10-yMrIzhRPjaiLYW5C8-FCSsxaXd83D56-VD2EerJPRPDouRVDt0xmpwD-hTKnF7wQM-g04h4_81jzSgDSNEowP2JVqutyADDocu-1O2yVzsWAmVfsIHm2uYrXNXkdHTzUvl2ZGXQl4TKa8HNA3R20owdswjD4f3qhxah78NUFKLlQPagUs3B_OC-jBolzbE7gYvEaPm7G-OMzu3A0YcHVfUIoxzATelc6FGSXcPu-4ouvGGGphttp://r20.rs6.net/tn.jsp?et=1109352415696&s=9730&e=00122HAvT5rV1Hi0JeLCYSogP6vC5s2gTEqLlem-32B1qNAC6PQKirhTeDIykWMNzH-jIVe-f9cHpo7Qfpyd1kS79CDxVABPrQGhytNnufS0k63Z10-yMrIzhRPjaiLYW5C8-FCSsxaXd83D56-VD2EerJPRPDouRVDt0xmpwD-hTKnF7wQM-g04h4_81jzSgDSNEowP2JVqutyADDocu-1O2yVzsWAmVfsIHm2uYrXNXkdHTzUvl2ZGXQl4TKa8HNA3R20owdswjD4f3qhxah78NUFKLlQPagUs3B_OC-jBolzbE7gYvEaPm7G-OMzu3A0YcHVfUIoxzATelc6FGSXcPu-4ouvGGGphttp://r20.rs6.net/tn.jsp?et=1109352415696&s=9730&e=00122HAvT5rV1ENIw_FT-gV27JEPHXXSRk8LaNsQRlIjqh0_sHKotHR-qxufCK9Vi7dQ_N7W3V_HlNiYHIuQxD9UCvR9V8M1TJpETbNzB4keWBh8bdct-FAUyP-FUbom4uGPhzALv2Q7aBXpnYxviYurSmBzxobCX3XP6ZOG7ZdDb1Yen-nIDI_sgO8JO3QyqpbrDwIueFeIKulFFGuEIrusKMIYO1S2-93ROQJdNmWFidAQCriv_nYr2vL3sMxvPKZ2wE5Q-lVa0Q=http://r20.rs6.net/tn.jsp?et=1109352415696&s=9730&e=00122HAvT5rV1Hi0JeLCYSogP6vC5s2gTEqLlem-32B1qNAC6PQKirhTeDIykWMNzH-jIVe-f9cHpo7Qfpyd1kS79CDxVABPrQGhytNnufS0k63Z10-yMrIzhRPjaiLYW5C8-FCSsxaXd83D56-VD2EerJPRPDouRVDt0xmpwD-hTKnF7wQM-g04h4_81jzSgDSNEowP2JVqutyADDocu-1O2yVzsWAmVfsIHm2uYrXNXkdHTzUvl2ZGXQl4TKa8HNA3R20owdswjD4f3qhxah78NUFKLlQPagUs3B_OC-jBolzbE7gYvEaPm7G-OMzu3A0YcHVfUIoxzATelc6FGSXcPu-4ouvGGGphttp://www.medscape.com/viewarticle/738682http://www.raconline.org/hit/http://www.raconline.org/hit/http://newsroom.heart.org/pr/aha/_prv-no-proof-that-gum-disease-causes-232043.aspxhttp://newsroom.heart.org/pr/aha/_prv-no-proof-that-gum-disease-causes-232043.aspxhttp://click.adapubs.adamail.org/?ju=fe22157470650d787c1778&ls=fde713787c62007c70167970&m=fef61079726005&l=fe93167472670c7c76&s=fe5b1d717362047d7213&jb=ffcf14&t=http://www.cnn.com/2012/04/17/health/salt-fast-food/index.html?eref=rss_health&utm_source=feedburner&utm_medium=feed&utm_campaign=Feed:+rss/cnn_health+(RSS:+Health)&utm_content=Google+Readerhttp://www.cnn.com/2012/04/17/health/salt-fast-food/index.html?eref=rss_health&utm_source=feedburner&utm_medium=feed&utm_campaign=Feed:+rss/cnn_health+(RSS:+Health)&utm_content=Google+Readerhttp://www.cnn.com/2012/04/17/health/salt-fast-food/index.html?eref=rss_health&utm_source=feedburner&utm_medium=feed&utm_campaign=Feed:+rss/cnn_health+(RSS:+Health)&utm_content=Google+Readerhttp://click.adapubs.adamail.org/?ju=fe22157470650d787c1778&ls=fde713787c62007c70167970&m=fef61079726005&l=fe93167472670c7c76&s=fe5b1d717362047d7213&jb=ffcf14&t=http://newsroom.heart.org/pr/aha/_prv-no-proof-that-gum-disease-causes-232043.aspxhttp://newsroom.heart.org/pr/aha/_prv-no-proof-that-gum-disease-causes-232043.aspxhttp://www.raconline.org/hit/http://www.raconline.org/hit/http://www.raconline.org/hit/http://www.medscape.com/viewarticle/738682http://www.medscape.com/viewarticle/738682http://r20.rs6.net/tn.jsp?et=1109352415696&s=9730&e=00122HAvT5rV1Hi0JeLCYSogP6vC5s2gTEqLlem-32B1qNAC6PQKirhTeDIykWMNzH-jIVe-f9cHpo7Qfpyd1kS79CDxVABPrQGhytNnufS0k63Z10-yMrIzhRPjaiLYW5C8-FCSsxaXd83D56-VD2EerJPRPDouRVDt0xmpwD-hTKnF7wQM-g04h4_81jzSgDSNEowP2JVqutyADDocu-1O2yVzsWAmVfsIHm2uYrXNXkdHTzUvl2ZGXQl4TKa8HNA3R20owdswjD4f3qhxah78NUFKLlQPagUs3B_OC-jBolzbE7gYvEaPm7G-OMzu3A0YcHVfUIoxzATelc6FGSXcPu-4ouvGGGphttp://r20.rs6.net/tn.jsp?et=1109352415696&s=9730&e=00122HAvT5rV1ENIw_FT-gV27JEPHXXSRk8LaNsQRlIjqh0_sHKotHR-qxufCK9Vi7dQ_N7W3V_HlNiYHIuQxD9UCvR9V8M1TJpETbNzB4keWBh8bdct-FAUyP-FUbom4uGPhzALv2Q7aBXpnYxviYurSmBzxobCX3XP6ZOG7ZdDb1Yen-nIDI_sgO8JO3QyqpbrDwIueFeIKulFFGuEIrusKMIYO1S2-93ROQJdNmWFidAQCriv_nYr2vL3sMxvPKZ2wE5Q-lVa0Q=http://r20.rs6.net/tn.jsp?et=1109352415696&s=9730&e=00122HAvT5rV1Hi0JeLCYSogP6vC5s2gTEqLlem-32B1qNAC6PQKirhTeDIykWMNzH-jIVe-f9cHpo7Qfpyd1kS79CDxVABPrQGhytNnufS0k63Z10-yMrIzhRPjaiLYW5C8-FCSsxaXd83D56-VD2EerJPRPDouRVDt0xmpwD-hTKnF7wQM-g04h4_81jzSgDSNEowP2JVqutyADDocu-1O2yVzsWAmVfsIHm2uYrXNXkdHTzUvl2ZGXQl4TKa8HNA3R20owdswjD4f3qhxah78NUFKLlQPagUs3B_OC-jBolzbE7gYvEaPm7G-OMzu3A0YcHVfUIoxzATelc6FGSXcPu-4ouvGGGphttp://r20.rs6.net/tn.jsp?et=1109352415696&s=9730&e=00122HAvT5rV1Hi0JeLCYSogP6vC5s2gTEqLlem-32B1qNAC6PQKirhTeDIykWMNzH-jIVe-f9cHpo7Qfpyd1kS79CDxVABPrQGhytNnufS0k63Z10-yMrIzhRPjaiLYW5C8-FCSsxaXd83D56-VD2EerJPRPDouRVDt0xmpwD-hTKnF7wQM-g04h4_81jzSgDSNEowP2JVqutyADDocu-1O2yVzsWAmVfsIHm2uYrXNXkdHTzUvl2ZGXQl4TKa8HNA3R20owdswjD4f3qhxah78NUFKLlQPagUs3B_OC-jBolzbE7gYvEaPm7G-OMzu3A0YcHVfUIoxzATelc6FGSXcPu-4ouvGGGphttp://r20.rs6.net/tn.jsp?et=1109352415696&s=9730&e=00122HAvT5rV1Hi0JeL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heart to heart may 2012

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