working 25 years to improve the cardiometabolic health in all … · michael moore, md, wake forest...
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Consortium for Southeastern Hypertension Control
Working 25 Years to Improve the
Cardiometabolic Health in All
People
Go Go
Winston-Salem, NC
1993
Dr. Carlos Ferrario
Dr. Michael Moore • Critical Role Angiotensin II in Atherosclerosis & Benefit AT1 blockade • Role of Angiotensin 1-7
Dr. Richard Dean CEO & President
How Can WE Bring a New Approach
to Cardiovascular Care in the Southeast ?
If It’s To Be…
It’s UP To ME
COSEHC Was Founded….. 1993 Initial COSEHC Organizing Committee
Carlos Ferrario, MD, Wake Forest Michael Moore, MD, Wake Forest Vardaman Buckelew, MD, Wake Forest Edward Frohlich, MD, Tulane University John Hall, PhD, University Mississippi Brent Egan, MD, Medical College South Carolina Suzanne Oparil, MD, University Alabama Richard Dean, MD, Wake Forest Dallas Hall, MD, Emory University Domenica Sicca, MD, VA Commonwealth University9
Consortium for Southeastern Hypertension Control
CV Research
Public Education
Physician Education
Regional CV Referral
Center
Develop SE
CV Clinics
1995 Mission: To Reduce the Mortality and Morbidity from High Blood Pressure and Related Cardiovascular Diseases in the Southeastern United States
Anderson Consulting Report
COSEHC: Building a Business Model
to Ensure Success
August 1995
Strategy: EDUCATION
Public and Health Care Professional
1993
1998 CV Centers
CV Pioneer Recognition
COSEHC Cardiovascular Centers of
ExcellenceTM
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1. Access Health Care 2. Bahamas Heart Center 3. Baton Rouge Clinic 4. Cardiology Specialists of
the Carolinas 5. Cary Healthcare
Associates, PA 6. Charleston Area Medical
Center 7. Clearwater
Cardiovascular and Interventional Consultants
8. Contemporary Medicine Specialists
9. Georgia Heart Specialists 10. Hattiesburg Clinic 11. Holston Medical Group 12. Hypertension Institute St. Thomas Hospital 13. Internal Medicine
Specialists 14. Jacksonville Heart Center 15. John A. Martin Primary
Health Care 16. Lifedoc Clinic 17. Medical University of SC/ Ralph H. Johnson VA
Medical Center
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Jamaica
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Barbados
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Phillip W. Rogers, MD 1939-2005
Dr. Curtis Hames Evans County GA Study
Dr. Gerald Benson Bogalusa Heart Study
Dr. Arthur Guyton Autoregulation
COSEHC … A Regional Solution
COSEHC CV Centers of ExcellenceTM
Local CV Outcomes
Local Risk Screening
Local Care
Local Care Resources
Local CV Education
Consortium for Southeastern Hypertension Control
Dr. William McBride and
Dr. Carlos Ferrario
The William McBride, MD, Lecture Series In honor of Dr. William McBride and to recognize his many contributions to improving cardiovascular health in the Southeast, the Consortium for Southeastern Hypertension Control (COSEHC) has established a dedicated endowment to fund the William McBride Memorial Lectureship. The endowment will fund an annual lecture in honor of Dr. William McBride The lecture will be presented each year in conjunction with COSEHC’s annual meeting. Topics selected will represent the ideals and vision of Dr. McBride including but not limited to health
care systems, community cardiovascular health improvement, information technology, and population strategies to reduce morbidity and mortality due to cardiovascular disease.
A Board appointed Lectureship Committee will recommend the topics and speakers to the COSEHC executive committee for final selection.
The speaker will receive an honorarium and travel expenses to present the lecture at the annual COSEHC meeting. The speaker will receive a plaque in recognition of the lectureship.
1993
1998
2000
CV Centers
EDUCS
First Publication Increased CV Risk in SE
NHLBI
Enhanced Dissemination & Utilization Centers
EDUCs Counties with
Top 10% Highest Annual CAD
Mortality Rates in US
DR Chip Danville, VA
Wake Forest University Winston-Salem, NC
Wayne State University Dayton, OH
1993
2003
1998
2000
CME Accreditation
CV Centers
EDUCS
1999 First Publication Increased CV Risk in SE
2001 COSEHC Fellowships
2002 Executive Director
2005 JNC 7 COSEHC SE
CV Guidelines
Deborah Wirth Simmons, RN, MS
1993
2009
2010
Baseline data collected and
analyzedBaseline Data Webinar
Assessment of Performance Gaps
Provider-CentricCME Intervention
and Develop Improvement Plan
90 days after education, 1st
QT Data Collection
1st QT Data Webinar
Gaps, barriers, and system
changes discussed
2nd QT Data collection
2nd QT Webinar (includes COSEHC faculty who
provided initial CME activity). Focus on review of action plan progress and additional interventions to improve
performance.
3rd QT Data collection
followed by Webinar
4th QT Data collection and Final Review
AT Goal
CME
Project
Alex Sheek, BS
1993
2009
2010
AT Goal
CME
Project
2011
Alex Sheek, BS
John Strapp
2012
2013
John Strapp
1993
2009
2010
AT Goal
CME
Project
2011
Alex Sheek, BS
2012
2013
John Strapp
2015
Validated AT GOAL As an Effective
CV Improvement Process
1993
2009
2010
AT Goal
CME
Project
2011
Alex Sheek, BS
2012
2013
John Strapp
2015
2015
Continuous Process
Improvement
Partnering
Healthcare Provider
Education
Engaged Staff
Informatics
Leadership
COSEHC Cardiovascular
Centers of ExcellenceTM
25 Years
Working to
Improve
Cardiometabolic
Health
in All People
Consortium for Southeastern Hypertension Control
Working 25 Years to Improve the
Cardiometabolic Health in All
People
Go Go