Appendix C

Million Hearts™ Scaling and Spreading Innovation

Strategies to Improve Cardiovascular Health

Thursday, April 19, 2012
Kaiser Permanente Center for Total Health
700 Second Street NE Washington, DC 20002


8:00 am–8:30 am Registration
8:30 am–8:40 am Welcome and Introductions
Janet Wright, Executive Director, Million Hearts™
8:40 am–8:50 am Burning Platform
To inspire creative thinking about sustaining, scaling, and spreading successful interventions for better cardiovascular health. 
Carolyn Clancy, Director, Agency for Healthcare Research and Quality
8:50 am–10:00 am Innovation Fishbowl: Heart360®
In this session, David Magid will provide a 10-minute overview describing the Heart360® innovation and issues related to its implementation in 10 Kaiser clinics in Colorado. In this pharmacist-led, home blood pressure monitoring program participants upload their home blood pressure measurements 3-4 times a week to the American Heart Association’s Heart360® Web site. Clinical pharmacy specialists monitor the patients’ blood pressure readings and adjust medication therapy as needed. This program has led to improved blood pressure control, increased reduction in blood pressure, and improved patient satisfaction with care for patients with uncontrolled hypertension. David Magid will discuss possible ways in which the program might be spread to other organizations.
In response to the presentation, reactor panel members from stakeholder organizations will offer their unique perspectives and also pose questions to David Magid.
10:00 am–10:15 am BREAK
10:15 am–11:25 am Innovation Mini-Fishbowls
After the plenary session, participants will attend one of 3 break-out groups, modeled on the large group session, to provide attendees an opportunity to discuss how other innovative approaches for cardiovascular health might be scaled up and spread broadly to other institutions.
  1. Disease Management to Promote Blood Pressure Control Among African Americans 
    Aetna created this program to determine whether a telephone- based nurse disease management program was more effective than a home monitoring program to increase blood pressure control among African Americans enrolled in a national health plan. The results showed lower systolic blood pressure and a higher frequency of self-monitoring among participants. 
    Presenter: René Vega, Aetna
  2. Language Concordant Health Coaches 
    In this program, language concordant health coaches (i.e., those who speak the patient’s preferred language) team with residents to improve the self-management skills and quality of care of patients who have limited English proficiency and health literacy. Coaches, who work in tandem with a resident, conduct a pre-visit meeting, assist during the medical visit, conduct a post-visit meeting, and follow up with the patient 1 to 2 weeks after the visit to offer additional support. The program has led to improvements in the treatment process and clinical outcomes of patients with diabetes, including improved blood pressure and cholesterol levels. 
    Presenter: Hali Hammer, San Francisco General Hospital Family Health Center.
  3. Medication Therapy Management Innovation 
    The American Pharmacists Association Foundation’s Asheville Project created an employer-based long-term medication therapy management program to reduce the risk for high blood pressure and high cholesterol with the help of community pharmacists. Participants achieved lower blood pressure levels, experienced fewer cardiac events, and missed fewer days of work. 
    Presenter: Barry Bunting, American Health Care
11:25 am–11:40 am Report back from Mini-Fishbowls
11:40 am–12:40 pm LUNCH BREAK
12:40 pm–12:50 pm Welcome Back and Burning Platform 
To continue to inspire creative thinking about sustaining, scaling, and spreading successful interventions for better cardiovascular health. 
Thomas Frieden, Director, Centers for Disease Control and Prevention
12:50 pm–2:00 pm Buzz Sessions: Heart-to-Heart on Readiness for Spread 
Drawing on pre-event and the day’s discussion topics, participants join discussion groups focused on what is needed to support the spread of healthy heart innovations, such as:
  • How can innovators proactively promote the spread of their innovations? What skills and support do they need to be successful?
  • What do potential adopter organizations need to facilitate their uptake of healthy heart innovations?
  • How can government and private institutions work together to promote the spread and adoption of healthy heart innovations?
2:00 pm–2:25 pm Report back from Buzz Sessions
2:25 pm–2:45 pm 3X5 Exercise to identify the best ideas of the day.
2:45 pm–3:00 pm Closing Remarks and Evaluation 
Janet Wright, Executive Director, Million Hearts™
3:00 pm ADJOURN

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