Primary Care Partnerships to Prevent Heart Disease in Women
Heart Truth-Ohio: Case Western Reserve University
Dr. George Kikano (primary care) and Dr. Ileana L. Piña (cardiology) worked to improve risk factor screening and provide early intervention and treatment for women at risk for heart disease in primary care outpatient settings in Ohio. With funding from the HHS Office of Wemen's Health, together, they assembled a team to create Heart Truth-Ohio, designed to close the gap between physician knowledge and practice in the State of Ohio. Using The Heart Truth program materials for health professionals, Heart Truth-Ohio provided physicians and related health care professionals educational opportunities to increase their awareness of risk factors for heart disease and improve patient care for women aged 40-75. The program also provided various tools and techniques needed to counsel women on risk factors and advice on making heart healthy lifestyle choices. The goal of this initiative was to increase physicians’ knowledge, counseling skills and treatment of women and implement the American Heart Association’s (AHA) Guidelines for the Prevention of Cardiovascular Disease (CVD) in Women.
Armed with Heart Truth materials, the Heart Truth-Ohio team offered a variety of educational activities in many venues throughout 2009 in various locations in Northeastern Ohio to meet the needs of the busy primary care provider. Grand rounds, video teleconferences, dinner meetings, and live conferences were offered to these providers along with continuing education credits. Online modules were also available at http://nheft.org/ to address a number of topics from an overview of heart disease to behavior aspects of CVD prevention. Through the intense dissemination process, the Heart Truth-Ohio team hoped to create a network of primary care providers in Ohio joined together in the fight against heart disease in women.
The Heart Truth Delaware: A Program of the Delaware Primary Care Partnership
This 3 year program, which was supported by the HHS Office of Women’s Health, is a statewide collaboration among Delaware’s primary care providers in Family Medicine, Internal Medicine, and Obstetrics and Gynecology, and Federal, State and local organizations to prevent heart disease in women. The program organized professional education programs integrating Heart Truth materials, AHA guidelines, and effective behavior change training and office intervention.
Opinion leaders across the State were trained to assess, prevent, and integrate cardiovascular disease screening and referral into their primary care practice. Medical teams were trained in motivational interviewing techniques to support their patients through the process of healthy lifestyle behavior change. A primary care office intervention guided organizational change to improve prevention, screening, and referral systems for heart disease. In addition, The Heart Truth materials were incorporated into the Delaware nursing and residency curricula for their future primary care providers.
The Research Center for Stroke & Heart Disease (Research Center) of the Jacobs Neurological Institute, State University of New York at Buffalo
The Research Center for Stroke & Heart Disease (Research Center) of the Jacobs Neurological Institute, State University of New York at Buffalo, conducted Primary Care Partnerships to Prevent Heart Disease in Women. The goal of the program, funded by the HHS Office on Women's Health, was to increase awareness among primary care providers in the high-risk Upstate and Western New York (WNY) regions about heart disease in women. Physicians were educated on how to assess, diagnose, and treat heart disease in women according to evidence-based guidelines. The Research Center targeted rural WNY during year one. A key partner of the program was with the partnership of the WNY Rural Area Health Education Center, an organization that recruits new providers and provides established professionals with ongoing training to assure rural residents access to quality care. During the next program year, the targeted areas include the Erie — Niagara Region as well as Central New York.
The Research Center hosted several geographically-dispersed educational interventions (community-and hospital-based) which featured expert speakers — both cardiologists and primary care leaders from within the communities. Discussions included heart disease risk assessment, lifestyle and treatment recommendations, and pharmacologic interventions utilizing The Heart Truth Professional Education Materials. Also included was practice in using motivational interviewing techniques. As an alternative to attending a live educational intervention, primary care providers had the option of participating in Web-based training. The educational interventions and web-based training were eligible for CME credit.
The Research Center also worked with colleges and universities in the Upstate and WNY regions to distribute The Heart Truth materials for inclusion in medical and nursing grand rounds, seminars, and curriculum to reduce the existing knowledge gaps about women and heart disease among new primary care providers.
Survey data was collected from primary care providers throughout the course of the program to determine outcomes. To learn more visit http://www.strokeheart.org.
Last Updated: July 2014