Healthy Hearts 

PHARMACIST provided medication Therapy Management  

Medication is an important tool in the management of hypertension, as well as other chronic diseases such as diabetes. Pharmacists can play an important role in counseling a patient to ensure that they adhere to their prescribed medication. This has been shown to lead to improved health outcomes, as well as reduced costs. 

Medication Therapy includes a review which consists of face-to-face interaction between the pharmacist and the patient, with an opportunity to discuss the patient’s needs, conduct medication reconciliation, and create a plan to resolve any medication-related problems. Patients are also assisted in creating a Medication-Related Action Plan (MAP) that contains a list of actions for patients to use in tracking progress for self-management. 

For pharmacists interested in establishing these relationships with a primary care provider, there are several resources available including a Marketing Toolkit from the American Pharmacists Association and a module from the American Medical Association on Embedding Pharmacists Into the Practice.

Did You Know?

  • People visit pharmacies on average 35 times per year

  • 29% of adults take 5 or more medications

  • 125,000 deaths nationally per year are due to medication nonadherence 

Help US MOVE LOUISIANA'S HEALTH FORWARD

Oldies but Goodies

Well-Ahead Louisiana Celebrates American Heart Month

There are countless resources that help to promote healthy hearts during February.  Some Well-Ahead favorites are the My Heart Score tool from the American Heart Association which encourages individuals to enter health information and provides guidance and recommendations tailored to their heart health score.  We also love Life’s Simple 7, which details seven easy ways to reduce your risk of heart disease and stroke. The website also includes educational resources that can be shared with patients.

In addition, the Million Hearts initiative aims to prevent a million cardiovascular events in five years through optimizing care, keeping people healthy, and improving outcomes for priority populations. This Heart Month, Million Hearts reminds us that heart disease can happen at any age. National trends show that heart disease death rates are declining more slowly than they have in the past, especially among adults ages 35 to 64. Check out the Million Hearts website to find educational resources for both patients and health professionals.

The National Heart, Lung, and Blood Institute (NHLBI) invites you to take a pledge to #MoveWithHeart this month! Take the pledge now through March 2, 2018, in just 3 simple steps:

  • Record a short video of yourself saying “I pledge to move more for my heart health.”

  • Share your video on Twitter or Instagram using the hashtag #MoveWithHeart.

  • Challenge your friends and family to #MoveWithHeart!

In addition to the pledge, the National Heart, Lung, and Blood Institute has a variety of educational resources that can be used throughout American Heart Month to help people learn more about heart disease and how to be more active. Check it out the website here: https://www.nhlbi.nih.gov/.

DID YOU KNOW?

  • Heart disease is the number one killer in Louisiana.  More than 29 Louisiana residents die of heart disease every day.

  • High blood pressure and high cholesterol are major risk factors for heart disease. Ask your health care team to check your blood pressure and blood cholesterol levels regularly to help you take steps to control your levels.

MOVING LOUISIANA'S HEALTH FORWARD

You can stay up-to-date on current resources for cardiovascular health and other chronic diseases by joining our Provider Education Network!  

Check webinar topics at http://wellaheadla.com/healthcareprovidertrainings.

Are you interested in improving provider education? Well-Ahead Louisiana is currently leading a Health Systems Alignment project where provider education is a hot topic.  Email wellaheadla.gov to join the conversation!

 

Well-Ahead Louisiana Promotes Quality Improvement Efforts Within Health Clinics

Improving the standard of care in health systems is vital to improving chronic disease rates. Recently, Well-Ahead Louisiana partnered with the Louisiana Health Care Quality Forum to improve hypertension and diabetes outcomes by implementing Quality Improvement (QI) best practices. To do this, the Quality Forum provided QI practice coaching and technical assistance to several Rural Health Clinics and Federally Qualified Health Centers throughout the state.

Participating clinics selected different steps in the care continuum to target for improvement. This ranged from scheduling follow-ups, increasing the use of diabetes management education, and improving coding within the Electronic Health Record. All efforts supported the overall goal of controlling blood pressure and glucose levels. To get started, participants performed a chart audit or added data to an existing patient registry to enable them to assess problem areas. For example, one clinic identified that it was not consistently receiving test results performed by an outside provider. Upon tracking this, the clinic saw significant improvement in obtaining such results.

Well-Ahead Louisiana would like to congratulate the following sites who participated in this effort: Total Family Medical; Abbeville General; RKM Primary Care Clinic; and Winnsboro Health Clinic. Special thanks to the Quality Forum for its dedication to improving patient care in Louisiana!

Did You Know?

  • Quality improvement in health systems is essential to improving chronic disease rates in Louisiana. In 2014, Louisiana had the fifth highest mortality rate for heart disease, seventh highest for diabetes, and fourth highest for stroke in the nation.

MOVING LOUISIANA'S HEALTH FORWARD

Are you interested in improving the standard of care in your health clinic? In 2018, Well-Ahead will partner with four additional Rural Health Clinics to provide Quality Improvement coaching. Clinics will receive a $4,000 incentive payment upon completion of quality improvement activities. For more information, or to apply, email Marie Darr at marie.darr@la.gov. Deadline to apply is November 30th, 2017!

Innovative Team-Based Care: Integrating a Pharmacist Within a Primary Care Team

It is no secret that healthcare is evolving towards value-based services and team-based care.  One strategy to accomplish team-based care is to integrate a pharmacist within a primary care team.  According to the Journal of American Pharmacists Association, this is proven to improve medication adherence and therapeutic outcomes, which ultimately reduces healthcare costs.

 

In the Spring of 2016, our Healthy Hearts team partnered with the Louisiana Society of Health System Pharmacists (LSHP) to disseminate a survey that gauged interest in team-based care.  As a result, a partnership with Ochsner Clinic Foundation developed.  Together,  we designed and implemented a pilot that integrated a  pharmacist within a primary care clinic.  This pharmacist provides adherence counseling, medication reconciliation services, and evidence-based medication recommendations to patients and primary care staff. This pilot has created a model for pharmacist drivendisease state management clinics. We hope to use it to encourage similar practice transformations in health systems across Louisiana.

 

In May, our Healthy Hearts team and the Ochsner Clinic Foundation presented the pharmacist pilot at LSHP’s Annual Meeting. The presentation was successful, inspiring several Louisiana health systems to integrate team-based care. 


DID YOU KNOW?

    • According to the Centers for Disease Control and Prevention (CDC), about 1 in 3 adults have high blood pressure.
    • Only about half have their high blood pressure under control. 
    • More than 39% of Louisiana residents report having high blood pressure. (CDC, 2017)

MOVING LOUISIANA’S HEALTH FORWARD

Team-based care helps to improve treatment for Louisiana residents diagnosed with hypertension and diabetes. Are you interested in incorporating team-based care in your clinic? Are you passionate about chronic disease management and prevention innovation? Together, we can move Louisiana’s health forward.  Email wellahead@la.gov to learn more.

May is National High Blood Pressure Education and Stroke Awareness Month

High blood pressure is the most important controllable risk factor for stroke, as well as an important risk factor for heart disease. May 17th is World Hypertension Day.  This observance promotes public awareness of hypertension and encourages individuals worldwide to work toward prevention and control of this silent killer. The goal is to increase blood pressure awareness, which you can do by promoting educational resources and recommending your patients check their blood pressure.

If you are a healthcare provider, check out our educational resources on blood pressure screening, risks, and self-management tools.  In May, encourage your patients to take at least one step towards a healthier heart by getting screened, making a change in their diet, or even going for a long walk. 

Employers, including schools, can improve the health of employees by providing increased awareness on stroke risks through enrollment in the National Stroke Association’s FAST program. This program provides training materials to help educate employees on the warning signs of stroke. Check out an overview of the program and the free resources available here.

Tobacco use is another important risk factor that contributes to high blood pressure and stroke. Through the Louisiana Tobacco Quitline, 1-800-QUIT-NOW, Louisiana offers free cessation resources. If you are not already enrolled as a Fax-to-Quit provider, consider doing so today to help connect your patients to the resources they need to quit tobacco.

Did You Know?

  • Stroke is the fifth leading cause of death in the United States and a major cause of adult disability. Many factors can impact a person’s risk for stroke, including high blood pressure, age, family health history, and more. The good news? Many strokes are preventable and treatable.

  • Louisiana ranks fourth in the nation for stroke death rates, according to the American Heart Association. 

  • About three in four people who have a first stroke, have blood pressure greater than 140/90 mm Hg.

Help US MOVE LOUISIANA'S HEALTH FORWARD

  • Talk with your patients about their unique risk factors for #stroke. Learn more here, or follow @CDCgov on Twitter. 
  • Encourage your patients to learn the signs of a #stroke. Get started with the tools featured here, or follow @MillionHeartsUS on Twitter. 
  • Discuss #bloodpressure goals with your patients to reduce the risk of #stroke.  Click here to learn more.