Result 1: Improved health status for New Mexicans

P003: Heart disease and stroke (Cardiovascular disease) death rate per 100,000 population

195.8 per 100,0002016

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Story Behind the Curve
  • Cardiovascular disease (CVD) can take many forms including stroke, high blood pressure, or coronary artery disease.
  •  For this health status indicator, we based  our target on the American Heart Association 2020 goal of a 20% reduction, which includes all categories of CVD, the revised FY17 target is 164.1 per 100,000 population.
  • The most recent CVD death rate available is from 2016. The 2016 CVD death rate was 195.8 per 100,000 population.
  • The New Mexico Department of Health (NMDOH) Epidemiology and Response Division (ERD), Environmental Health Epidemiology Bureau (EHEB) continued to partner with the Emergency Medical Systems (EMS) Bureau and the NMDOH Public Health Division (PHD) Chronic Disease Bureau (CDB). Two hospitals in the southeast region were identified for outreach to encourage expansion of chest pain evaluation and treatment capabilities. EHEB, EMS, and CDB will continue to collaborate and advantage of existing activities that can eventually result in reduced CVD mortality.

Partners
  • NM Environment Department Air Quality Bureau
  • City of Albuquerque/Bernalillo Air Quality Division
  • Acute care hospitals and primary health care systems in New Mexico
  • EMS agencies
  • American Heart Association
  • American College of Cardiology
  • U.S. Environmental Protection Agency
What Works
  • Team-based care to improve blood pressure control.
  • Reducing out-of-pocket costs for CVD prevention services for patients with high blood pressure.
  • Behavior change among older CVD high risk populations during poor air quality days.
Strategy

  • Use hospitalization data to improve the quality of clinical care.
  • Support use of PM2.5 (fine particles in the ambient air) exposure reduction strategies during poor air quality days.
FY17 Annual Progress Summary

EHEB convened the Cardiovascular Disease Mortality Health Status Workgroup to coordinate efforts to address CVD at the NMDOH level. EHEB started this workgroup in late 2015 and included ERD's EMS Bureau and CDB. EMS and CDB have interventions in place to address CVD. The workgroup developed a logic model to map out a strategy for how NMDOH can collectively impact CVD mortality using a collection of evidence-based practices. Some of these practices are currently in place, while others are planned for future implementation.

  • EHEB developed CVD a community risk profile to target interventions in areas of the state most at risk.  From this effort has demonstrated the southeast area as the highest risk of CVD mortality. 
  • The CVD Workgroup identified the Southeast as the area with the highest risk of CVD morbidity.
  • The CVD Workgroup identified Roswell as a city where hospitals could be contacted for increasing cardiac care capacity.
  • EHEB received three air quality monitors to place in three communities for PM2.5 monitoring. Two of the communities selected to receive these monitors were Roswell and Carlsbad. The third community will be either Artesia or Portales.
  • PHD identified opportunities for how electronic health records evaluations can be used to assess CVD risk.

Scorecard Result Container Indicator Measure Action Actual Value Target Value Tag S R I P PM A m/d/yy m/d/yyyy