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Check. Change. ControlSelf-Monitoring Blood Pressure Control Program in Partnership with Henry Ford Faith Community Nursing

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Page 1: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

Check. Change. Control.®Self-Monitoring Blood Pressure

Control Programin Partnership with

Henry Ford Faith Community Nursing

Page 2: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

Check. Change. Control.®

• Evidence based high blood pressure management program that utilizes a tracker to empower patients to take ownership of their cardiovascular health.

• Incorporates the concepts of remote monitoring, mentoring, tracking as key features to improve HBP management, physical activity and weight reduction.

• Four month education sessions are recommended along with incentives for participation.

• Encourage participants to take weekly readings or 8 readings at least once/month over 4 months.

• Target Audience: Individuals with high blood pressure• Focus groups: Corporate and School-site Employees, patients in

clinics focusing on HBP control, community sites with opportunity to reach individuals on a continuous basis

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Page 3: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

Check. Change. Control.®

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Check. Change. Control.® was founded on successful evidence-based practices from the American Heart Association pilot program, Check It, Change It. The Check It, Change It program proved to be especially effective among the target population of African Americans (Thomas et al. (2012). Check It, Change It: A Community-Based Intervention to Improve Blood Pressure Control).

Page 4: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

Check. Change. Control.® Engages Participants

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Developed to support hypertension management among the adult population, Check. Change. Control.® engages participants, emphasizing 3 important aspects of managing hypertension:

1. Checking for high blood pressure and symptoms;2. Changing lifestyle and seeking treatment; 3. Controlling hypertension by taking preventative

measures.

Check. Change. Control.®

Page 5: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

Results – Aug 2012 to June 30, 2016

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Fiscal Year Average Drop in Systolic BP Average Drop in Diastolic BP

Aug. ’12-June ’13 (Heart360 Campaigns) 11.20 mm HG 4.31 mm HG

July’13-June ’14 (Heart360 Campaigns) 12.69 mm HG 8.12 mm HG

July ’14-June ’15 (Heart360 Campaigns) 11.96 mm HG 9.10 mm HG

July ’14-June ’15 (iHealth sites) 12.82 mm HG 9.47 mm HG

July ’15-June ’16 (Heart360 Campaigns) 11.99 mm HG 8.67 mm HG

AVERAGE DROP IN SYSTOLIC & DIASTOLIC BLOOD PRESSURE

• Enrollment: 50,364 individuals• Blood Pressure Readings: 163,522

Page 6: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

Champion implements their BP program

1. Champion meets with AHA staff to plan program

2. Obtain Sr. Leadership support

3. Create timeline/plan for implementation

4. Identify ambassadors

5. Host training for ambassadors – CCC basics, tracking tool

6. Set enrollment goals6

Page 7: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

Champion implements their BP program

7. Get the word out

8. Enroll CCC participants• Encourage at least 8 readings throughout program

9. Host Kick-off event

10. Implement 4-month program• Month 1 – General BP information

• Month 2 – Behavior changes to reduce risk factors• Month 3 – Importance of medication adherence• Month 4 – On-going management

11.Celebrate success

Page 8: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

Champion/Ambassador Do’s and Don’ts

When discussing blood pressure, here are the “Do”s:

Feel free to provide monitoring and feedback such as:

• Remind the participant to take their own blood pressure readings each week for a minimum of four months.

• Identify and note to the participant which of the standard blood pressure measurement categories that the participant’s weekly readings fall into.

• Identify and note to the participant whether the participant’s blood pressure readings have increased, decreased, or remained stable.

And here are the “Don’t”s:

Volunteers are not to make any medical diagnoses about, or prescribe treatment for, the participant.

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Page 9: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

CCC Tracker

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To begin taking positive steps towards blood pressure control, sign up for the Check. Change. Control.® Tracker at www.heart.org/ccc

Volunteer Registration: www.ccctracker.com/volunteer

Register participants using Campaign Code: HFFN1

Page 10: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

CCC Tracker

Page 11: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

CCC Tracker

Page 12: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

CCC Tracker

Page 13: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

CCC Tracker

Page 14: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

CCC Tracker

Page 15: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

CCC Tracker

Page 16: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

CCC Tracker

Page 17: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

CCC Tracker

Page 18: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

Resources: Communication Support

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Page 19: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

How you can help

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• Visit cccbptracker.com and sign-up for the Check. Change. Control.® Tracker

• Review the resources on our www.heart.org/BPwebsite and share with your patients

• Share information on Check. Change. Control. with your site

• Become a Check. Change. Control. Champion and lead a program at your site

Page 20: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

Living Better with Life’s Simple 7TM

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My Life Check assessment at:https://mlc.heart.org/

Code: HFH001

Page 21: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

The Problem

Page 22: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

What if you had a guide …

• To guarantee you a longer life?

• To prevent heart disease?

• To feel stronger and healthier now and later?

• To provide a better quality of life as you invest in your relationships and life goals?

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Page 23: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

Our Goal: To improve the cardiovascular health of all Americans by

20 percent while reducing deaths from cardiovascular disease and

stroke by 20 percent.

Live Better. Embrace Health with Life’s Simple Seven.

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Our Mission: Building healthier lives free of cardiovascular disease & stroke.

Life’s Simple 7TM

Page 24: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

My Life Check

• We’ve simplified healthy living -– 7 things to measure and track.

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Page 25: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

Don’t Smoke

Smoking is the number onemodifiable cause of death.

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Why not?

• Talk with your healthcare provider

• Focus on the rewards

• Plan your response to roadblocks

Take Action!

Page 26: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

Manage Blood Pressure

High blood pressure is the single most significant risk factor for heart disease!

1 out of every 3 American Adults have HBP, and many are unaware.

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Why?

•Know your numbers

•Track your progress

•Learn healthy habits for eating well

& staying active.

• CONSUME LESS THAN 1500mg of

sodium per day!

Take Action!

Page 27: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

Get Active

People who exercise have better health than those who do not.

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•Make your decision to get moving.

•Choose activities you can enjoy.

• Break up 30-45 minutes of exercise into

10 or 15 minute increments!

• 10 minutes of walking in place

during a conference call!

• 15 minutes of walking before you

eat your lunch!

• 15 minutes of walking to shake of

that “2:30” feeling!

Why?

Take Action!

Page 28: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

Control Cholesterol

When there’s too much cholesterol in your blood, you are at major risk for heart disease and stroke.

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Why?

•Follow your healthcare provider’s

advice.

•Make health food choices.

• Consume less saturated fats &

trans fats!

• Eat 4-5 pieces of fresh fruit

per/day

• Eat 4-5 servings (1/2 C. or

more) of fresh veggies

per/day

•Get active.

Take Action!

Page 29: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

Eat Better

A variety of heart-healthy nutrition keeps you living at your best health potential.

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Say yes to:

• Lots of fruits and vegetables

•Whole grain carbohydrates

•Fish with omega-3 fatty acids

•Eat 6 mini meals per day

Say no to:

•Foods and beverages with added sugar

•Products high in sodium

Why?

Take Action!

Page 30: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

Lose Weight

A BMI of less than 25 is optimal for cardiovascular health.

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For effective weight loss, start here:

•Choose to invest your energy on the task,

not feeling guilty

•Know your BMI

•Know how many calories you need

The weight-loss plan:

•Reduce calories in: plan your food choices

and stick with your plan

• Increase calories out: engage in regular

physical activity, 30-45 minutes per day

Why?

Take Action!

Page 31: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

Reduce Blood Sugar

High blood sugar encourages the growth of the plaque in your arteries and increases your risk for diabetes, heart disease, and stroke.

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Why?

Take Action!

• Make good food choices (6 mini

meals!)

• Commit to regular physical activity

• Maintain a healthy weight

Page 32: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

My Life Check Survey

• Take the My Life Check assessment at: https://mlc.heart.org/

• Members of all 6 congregations will need the following code to create their My Life Check profile and complete the survey:

HFH001

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Page 33: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

Why do you need a Life’s Simple 7 success plan?

• Without a plan, you will likely experience:

• Increased risk for heart disease and stroke

• Increased likelihood of illness & disability

• Increased need for surgeries, medications & treatments

• Reduced quality of life

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Page 34: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

• Take the survey at: https://mlc.heart.org

• Individuals create user profile using six digit company code

• Individuals sign in with unique username and password created during profile setup

My Life Check ® CV Health Assessment & Engagement Tool for Employees

Page 35: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

Quick and Easy to Complete – 17 Simple Questions

Take the Assessment

My Life Check ® CV Health Assessment & Engagement Tool for Employees

Page 36: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

My Life Check ® CV Health Assessment & Engagement Tool for Employees

What personal information has to be

provided in the My Life Check

assessment? To complete the My Life Check assessment, users will be asked to provide the following

personal information:

a. Name

b. Email Address

c. Gender

d. Age

e. Ethnicity

f. Zip Code (if U.S. based)

g. Height and Weight

h. Smoking Status

i. Diagnosis of Diabetes and/or Cardiovascular Disease

j. Physical Activity Level

k. Diet: Consumption of Vegetables, Fruits, Fish, Whole Grains, Sugared Drinks, Salt

l. Vitals: Blood Pressure, Blood Cholesterol, Blood Glucose (fasting or hemoglobin A1c).

Page 37: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

My Life Check ® CV Health Assessment & Engagement Tool for Employees

If users do not know all of their vital

measures, can they still use the My

Life Check assessment?

Yes. The tool will provide an initial score. As users

collect their other vital measures, they can add their

new information and get an updated score. For the

most accurate heart score, complete vitals are

needed.

Page 38: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

My Life Check ® CV Health Assessment & Engagement Tool for Employees

What time commitment does My Life Check require of

its users?

The initial assessment is very brief, only four to five

minutes. Regular updates, that allow users to track their

progress, can be made in just a couple of minutes through

the easy-to-use online format. The tool also allows users to

accept and commit to taking additional simple steps to achieve their goals and work to improve their heart health.

Page 39: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

My Life Check ® CV Health Assessment & Engagement Tool for Employees

How is health data entered into My Life Check protected?

My Life Check uses the highest level of security to protect

individual users’ information from data breaches. Data is

stored on a secure database managed by a highly-rated,

HIPPA compliant external vendor, and companies do not

receive any employees’ personal health information. The

system does generate reports and leaderboards that show

overall trends, but it does not include information on specific employees.

Page 40: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

Get The Results

My Life Check ® CV Health Assessment & Engagement Tool for Employees

Page 41: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

My Life Check ® CV Health Assessment & Engagement Tool for Employees

What is a Heart Health Score, and what can it tell

individuals about their health?

My Life Check uses the answers to the health assessment to generate a

Heart Health Score on a scale of 0-10. The score is grounded in the

science of AHA’s Life Simple 7 and based on users’ answers to the My Life

Check health assessment that relate to smoking status, healthy diet,

physical activity, healthy weight, blood pressure, cholesterol and blood

glucose. A score of 10 indicates ideal heart health, and a lower score

indicates there are lifestyle changes which should be made to move

individuals toward ideal cardiovascular health.

Research shows that individuals with five or more Life Simple 7 metrics in

the ideal range (a score greater than 7.14) have approximately 88 percent

lower cardiovascular mortality compared with participants who have one or no metrics in the ideal range (a score of less than 1.43).

Page 42: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

EmPowered To Serve Faith

Page 43: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

What is EmPowered To Serve Faith?

Our VisionEngaging faith based organizations to transform multicultural communities and create a culture of health

Together, We Are…Transforming cultural norms for a healthier environmentEngaging communities, building powerful relationships, and meeting people where they are

EmPowered To Serve FaithA national strategic initiative partnering with faith based organizations to impact

health and improve health outcomes in multicultural communities

Page 44: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

A Vision of a Culture of Health

Page 45: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

Goal 1: Increase Healthy Living Behaviors(Follow AHA’s Life’s Simple 7 Guidance) Objective - Impact health in multicultural communities by: • Improving high blood pressure management • Increasing healthy diet score

Increase fruit and vegetable consumptionReduce sodium and sugar sweetened beverages

• Increasing physical activity

Goal 2: Enhance the Chain of Survival Objective - Improve emergency survival rates (CVD and stroke) by: • Increasing use of emergency response services (9-1-1) in response to

CVD/Stroke warning signs • Increasing CPR training in multicultural communities

3 Goals and Objectives of ETS Faith

Goal 3: Expand Access and Empower Communities Objective - Improve the environment of communities by: • Increasing access to:

Fruits and vegetables Safe environments for physical activity, and Quality healthcare

• Increasing engagement and partnerships to enhance skill training opportunities for youth and adults

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Page 46: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

ETS Health Lessons

ETS HEALTH LESSONS

HEA

LHTY

LIV

ING

Own It- Keep Your BP in Check

Don’t Go Breakin’ Your Heart

Produce-ing Health

Make Life Sweet—Not Your Drinks

Let’s Get Physical

CH

AIN

OF

SUR

VIV

AL Keep the Beat

Secrets of the Heart

Don’t Miss a Stroke

CO

MM

UN

ITY

V

OIC

E

Got Fruit? How ‘Bout Vegetables?

Taking “Fit” to the Streets

Just What the Doctor Ordered

Clearing the Air

Easy way to engage and motivate community members:

• 12, 60-minute interactive health lessons.

• Single session or health education series.

• Complete in 12 consecutive weeks or spread across 12 months.

• Learn important heart health and healthy living lessons with our NEW curriculum!

• Topics include Life’s Simple 7 (the American Heart Association’s recommendations for healthy living), life-saving CPR, and more!

Page 47: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

S n a p s h o t o f E T S

L e s s o n s

ETS Health Lessons

E a c h l e s s o n i n c l u d e s :

1 . L e s s o n P l a n

2 . S l i d e s w i t h T a l k i n g P o i n t s

3 . R e s o u r c e L i s t

4 . F e e d b a c k F o r m

Page 48: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

✓ Organized by key takeaway.

✓ Type of resource (icon).

✓ Time to budget to employ the resource during the lesson.

✓ Targeted materials.

✓ Links to resources.

C u s t o m i z a b l e , u s e r - f r i e n d l y l e s s o n s w i t h a l t e r n a t i v e A m e r i c a n H e a r t A s s o c i a t i o n r e s o u r c e s

ETS Health Lessons

Page 49: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

Key Points

3 Goals:

Healthy Living

Chain of Survival

Community Voice (Advocacy)

EmPowered To Serve Tools & Resources:

My Life Check Personal Health Assessment

12 Module Curriculum

www.empoweredtoserve.org

Improve the health of 4.6 million multicultural

Americans by 10% using evidence based curriculum

and programs

American Heart Association’s 2020 Impact Goal: To improve the cardiovascular health

of all Americans by 20 percent while reducing deaths from cardiovascular diseases and

stroke by 20 percent.

Page 50: Check. Change. Control.® Self-Monitoring Blood Pressure Control · Check. Change. Control.® •Evidence based high blood pressure management program that utilizes a tracker to empower

Tools for a winning plan

MyLifeCheck.orgwww.ccctracker.com

EmPoweredtoserve.org

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