Transcript Presentation slides

Next Steps in
Progressive Cardiovascular Care
Part 2: Cholesterol Management & Smoking Cessation
HHQI Announcements
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National Campaign current participation
Agency of the Month
HHQI University
HHQI Video BPIP’s
Campaign Resources
HHCDR Updates
 Most abstracted: Tobacco
– Hypertension and Aspirin as Appropriate are next,
with Cholesterol being the least abstracted
 Congratulations to South Nassau Community
Hospital CHHA in Oceanside, NY
HHCDR Updates
 Challenge for this month: Follow up from last
month: Tell us your goals. How are you using
the HHCDR?
 Reach 6 months of data submission and all
other Milestone 3 requirements, and HHQI
will assist with an Assessment of Data
Reliability for your agency
Next Steps in Progressive
Cardiovascular Care (part 2 of 2)
Aspirin as
Appropriate
Blood
Pressure
Control
Cholesterol
Management
Smoking
Cessation
Cholesterol Management & Smoking Cessation
Diabetes: LDL-C Control
Diabetes: Low Density Lipoprotein (LDL-C) Control
Percentage of patients aged 18 through 85 years with diabetes whose
LDL-C was adequately controlled (<100 mg/dL) during the measurement period
Ischemic Vascular Disease:
Complete Lipid Profile and LDL-C Control
Ischemic Vascular Disease: Complete Lipid Profile and LDL-C Control
Percentage of patients aged 18 years and older with a diagnosis if ischemic vascular disease (IVD) within the most
recent 12 months while under the care of the home health agency who had each of the following documented in the
patient’s record: a complete lipid profile and LDL-C was adequately controlled (<100 mg/dL)
Tobacco Use: Screening and Cessation
Tobacco Use:
Screening and
Cessation
Percentage of
patients aged 18
years and older
who were screened
for tobacco use by
the home health
agency AND
received cessation
counseling/
intervention by the
home health
agency
Quiz Time!
 According to the CDC (2013),
how many people with high
LDLs have that condition
under control?
1 out of 2
1 out of 3
1 out of 4
 Cholesterol Management Education Picks...
Risk Categories:
Cholesterol & Triglyceride Levels
My Questions about
My Heart for My Doctor
Take Control of Your Cholesterol
My Healthy Heart Workbook
So How Can You Integrate
Cholesterol Management Tools?
 Provide the Risk Categories: Cholesterol &
Triglyceride Levels to staff as resource or load
into EMR as resource
 Provide the Take Control of Your Cholesterol
for all staff and have them document the use
of the tool
Bulletin Board
Quiz Time!
 All of the following are tobacco
withdrawal symptoms EXCEPT:
Insomnia
Cough, dry throat, nasal drip
Constipation, stomach pain, gas
Skin irritation near fingers and lips
 Tobacco Cessation Education Picks...
FDA-Approved Medications
for Smoking Cessation
Do You Know?
 Evidence shows that brief behavioral counseling
sessions with pharmacotherapy with PCPs is effective
for improving smoking cessation rates:
– Counseling <10 minutes can increase the rate of smoking
cessation with abstinence of one year
– Longer counseling sessions provide even higher results
– Quit rates plateau after 90 minutes of counseling
– Even minimal interventions (<3 minutes) increase quit
rates
U.S. Preventive Services Task Force (USPSTF, 2009)
Fagerström Test for
Nicotine Dependence
Planning for Change:
Thinking About Quitting
Withdrawal Symptoms
Information Sheet
Is What You Know
About Smoking Wrong?
 Filters make cigarettes safer.
True or False?
HHQI University Course Picks
 HHQI University Courses
– Tobacco Effects and Smoking Cessation
Medications (1.0 hrs Nursing CEs)
– Blood Pressure Control and Smoking
Cessation (1.5 hrs Nursing CEs)
– The State of Cardiovascular Health
(1.0 hrs Nursing CEs)
HHQI Video Education Picks
 Cardiovascular Smoking Effects & Cessation Video
BPIPs
– For Patients:
• Smoking & Your Heart
• How to Quit Smoking
(coming Aug 3)
– For Clinicians:
• Discussing Smoking Cessation with Your Patients
(coming Aug 3)
So How Can You Integrate Patient
Smoking Tools into Clinical Visits?
Additional Ideas to Integrate
Smoking Cessation
 Add resources to your EMR or provide to staff
electronic and/or paper copies
 Play the Smoking Joe video podcast at team or
staff meeting or do a role play (using transcript)
 Show a HHQI video during team or staff meeting
 Assign a HHQI course to staff
Cholesterol Education Resources
 Cardiovascular Health Part 2 BPIP
– Cholesterol & Smoking Cessation Bulletin
Board (not available in Spanish)
• Example
• Template
– My Questions about My Heart for My Doctor
– Risk Categories: Cholesterol & Triglyceride Levels
– Take Control of Your Cholesterol
Smoking Cessation Resources
 Cardiovascular Health Part 1 BPIP
– Fagerstrom Test for Nicotine Dependence
– FDA-Approved Medications
for Smoking Cessation (not available in Spanish)
– Is What You Know About Smoking Wrong?
– Planning for Change: Thinking About Quitting
– Withdrawal Symptoms Information Sheet
 Fundamental Focus Blood Pressure & Smoking
Cessation BPIP
– My Healthy Heart Workbook
– The Story of Smoking Joe Podcast & transcript
(not available in Spanish)
Questions?
Thank You!
[email protected]
www.HomeHealthQuality.org
This material was prepared by Quality Insights, the Medicare Quality Innovation Network-Quality Improvement Organization supporting the Home Health
Quality Improvement National Campaign, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of
Health and Human Services. The views presented do not necessarily reflect CMS policy. Publication number 11SOW-WV-HH-MMD-072315