Health Systems Approach to Prevent and Control Heart Disease

New York State Department of Health's Bureau of Community Chronic Disease Prevention works with health systems across the state on projects to promote guideline-concordant care, with a focus on hypertension, in primary care settings. Evidence-based strategies from the Million Hearts® initiative and Centers for Disease Control and Prevention (CDC) are implemented in healthcare practices with an aim of improving blood pressure control and ensuring appropriate diagnosis of hypertension in the adult population. A learning collaborative model is used to bring primary care practices and other organizations together to learn from each other and share best practices. These efforts are undertaken primarily as part of two cross-cutting chronic disease prevention grants New York State received from the CDC.

  • State Public Health Actions – 1305 provides funding for NYS' Health Systems Learning Collaborative (HSLC). In this collaborative, seven Federally Qualified Health Centers are working with their Local Health Departments to test quality improvement strategies within the clinic and to strengthen connections to community-based organizations. This project focuses on hypertension, diabetes, and prediabetes and is facilitated by HealthEfficient.
  • Increasing implementation of quality improvement process to improve blood pressure control in federally qualified health centers (PDF)
  • Increasing use of self-measured blood pressure tied to clinical support in federally qualified health centers (PDF)
  • State and Local Public Health Actions – 1422 provides funding for the Local IMPACT Quality Improvement Collaborative (QIC). In this collaborative, local partnerships engaged primary care practices to participate in a learning collaborative focused on hypertension and prediabetes. Participating practice sites test, adapt, and implement evidence-based strategies and look to spread successful interventions to other sites within their network. Local IMPACT (Initiative for Multi-Sector Public Health Action) partnerships also promote the evidence based strategies throughout their respective regions and implement additional strategies related to environmental approaches, lifestyle change, and community-clinical linkages.
  • NYS is also working with the Association of State and Territorial Health Officials (ASTHO) on a Self-Measured Blood Pressure Monitoring Pilot Project. This project represents a multi-sector collaboration between a health center-controlled network and four Federally Qualified Health Centers, local health departments, the YMCA and other community-based organizations that offer hypertension self-management support. The goal of the project is to develop clinical-community linkages and test models of care to engage and empower people with high blood pressure using self-measured blood pressure monitoring.