Real World Health Care Blog

Tag Archives: American Heart Association

With Great Health Comes Great Responsibility

Accountability. As children, we are taught that our actions have consequences and that we must be responsible for our own behaviors if we are to live as free and independent adults.

Linda Barlow

Linda Barlow

This simple life lesson has been shaping the healthcare landscape for some time now as hospitals, individual clinicians and other healthcare providers face increasing requirements to participate in Accountable Care Organizations and provide performance measures indicating accountability for patient outcomes—efforts that have successfully improved the quality of care for many. But what about the patients themselves?

“The greatest untapped resource in healthcare is the patient,” says Don Kemper, MPH, Founder and CEO of Healthwise, a non-profit organization with a mission to help people make better health decisions. “The time has come for people to ask more of themselves in managing their health.”

According to the authors of a report of the American College of Cardiology/American Heart Association Task Force on Performance Measures, patient participation and engagement are integral to the success of any treatment plan–a position echoed by the American Medical Association and the Institute of Medicine.

So how can we, as consumers of healthcare services, be more accountable for our own care? The authors of the ACC/AHA report suggest that “the general framework of shared accountability is predicated on partnerships between patients and clinicians, in which patients play an active role in setting goals, making treatment decisions and assessing outcomes. Ideally, patients would be aware of what to watch for, contact their clinicians when symptoms arise, learn about their condition and what they can do to improve their health, implement agreed-on treatment plans and lifestyle changes, and follow up with their clinicians to assess outcomes and adjust the treatment plan.”

“Developing a trusted relationship is key,” adds Nancy Carteron, M.D., HealthWell board member, rheumatologies, and autoimmune disease specialist at California Pacific Medical Center in San Francisco and Associate Clinical Professor at the University of California at San Francisco. “Patients need to feel heard, but from a physician’s standpoint, the limited time they have with patients can make that hard to accomplish, especially for complex illnesses. It may require the provider to restructure its practice. And if the patient does not feel their best interest is being served, they should try another provider or system.”

Healthwise’s Kemper suggests that patients focus on “patienthood”—the self-management behavior that ensures we either give to ourselves or get from others the care we need to best manage our health risks and medical problems.

“Each of us falls somewhere on the continuum of patienthood,” Kemper says. “The extremes can range from annual tooth brushing to self-surgery, but most of us fall well in the middle. And for most of us, it’s possible to do more for ourselves, especially with the right information, tools and expectations.”

“We should feel accountable for asking questions anytime we don’t understand our options, anytime we think something may not be right with our care, and anytime we have an idea for how we might contribute to the care,” Kemper adds. “And we should be accountable for adhering to any self-care plan we have agreed to follow—or to report why we have veered away from it.”

Are you someone who has started to take more personal accountability for your own care? Tell us what you’ve done to be a healthier, more involved patient. Are you a healthcare provider who has seen an improvement in patient outcomes when the patient is highly involved in his or her own care? Share your stories with us in the comments section.

Three Ways You Can Reduce the Impact of Cardiovascular Disease this American Heart Month

Most of the readers of this blog know that cardiovascular disease (CVD) is the number one killer of men and women in this country. According to the Centers For Disease Control and Prevention, CVD is a leading cause of disability, preventing Americans from working and enjoying family activities. Out-of-hospital cardiac arrests cause the deaths of an estimated 250,000 Americans each year. CVD costs the United States over $300 billion each year.

Joel Zive

Joel Zive

There are many small but significant actions we can take. Here is what you can do to make a difference: empower or continue to empower patients to take care of themselves.

1. Address the cost of heart medication

If the cost of your medicine is an issue, talk to your doctor or contact a patient assistance program that may be able to help with prescription co-pays.

2. Encourage healthy behaviors

Want people to eat better? Give them coupons for healthy food. Exercise? Give them coupons for short-term memberships to health clubs.

The stakes are higher in our country’s current health care landscape. With more people on health insurance than ever before, we need to do everything we can to empower people to seek help before an emergency and talk to their doctor about what they can do to take better care of themselves. This will have a direct effect on deaths from heart disease.

3. Ask your employer about Automatic External Defibrillators

There are instances in which individuals are dealt devastating genetic hands of cards. Recently, the Philadelphia Inquirer highlighted the plight of a Philadelphia family that had a genetic link to hypertrophic cardiomyopathy, a disease of the heart muscle.

For those who do experience heart issues, or even have a major event such as cardiac arrest, Automatic External Defibrillator (AED) devices can significantly increase the likelihood of survival. AEDs have been available for over 20 years, but in recent years, device makers have reduced the size and cost and increased usability of defibrillators, making public access defibrillation viable. “We believe ease of use is one of the most important qualities in an AED because the potential user may not be well-trained in resuscitating a victim of sudden cardiac arrest,” said Bob Peterhans, General Manager for Emergency Care and Resuscitation at Philips Healthcare. “This is consistent with the American Heart Association’s criteria for choosing an AED.”

While risk factors for CVD are often genetic, the majority of CVD is triggered by factors that are controllable: smoking, diet, and exercise. And this is where individual efforts need to be focused.

For more information on preventing CVD, check out the American Heart Association’s guidelines for taking care of your heart, which are broken down by age. The Centers for Disease Control and Prevention also offer an American Heart Month guide to controlling risk factors for cardiovascular disease. You may also want to check out The Heart Truth, a campaign from the National Institutes of Health to make women more aware of the danger of heart disease.

Read more Real World Health Care heart health-related posts:

Are you taking steps to prevent cardiovascular disease? If you, a family member, or a friend has CVD, what is working for treatment? Share your experiences and insights in the comments section.

World Heart Day Underscores Why Exercise and Diet Count

This year’s World Heart Day on Sunday, September 29 will focus on raising awareness around changes that individuals – especially women and children – can incorporate into their daily habits to reduce the risk of developing cardiovascular disease (CVD).

Paul DeMiglio

Paul DeMiglio

Created in 2000 by the World Heart Federation (WHF) to highlight heart disease and stroke as the world’s leading causes of death claiming 17.3 million lives each year, advocates will educate the public about prevention strategies through talks and screenings, walks and runs, concerts and sporting events.

It is expected that by 2030, 23 million people will die of CVD, more than the entire population of Australia. Together with its members, WHF reports that 80 percent of premature deaths from CVD could be reduced if individuals take the following actions:

  • Reduce or discontinue use of tobacco
  • Eat healthfully
  • Engage in physical activity

CVD can affect people of all ages and population groups, including women and children, as illustrated in WHF’s infographic that also shares practical tips on how to eat more healthfully and exercise more frequently. To teach children about healthy heart living, WHF also created a leaflet along with a character, “Superheart,” that encourages:

  • Playing outdoor games
  • Cycling
  • Eating a diet rich in fruits and vegetables

The American Heart Association (AHA) recommends increasing daily servings of mostly plant-based foods to help improve cardio health, acknowledging that “many studies have shown that vegetarians seem to have a lower risk of obesity, coronary heart disease (which causes heart attack), high blood pressure, diabetes mellitus and some forms of cancer.”

To support better coronary health outcomes, AHA created five goals for healthy eating that encourage individuals to:

  • Eat more fruits and vegetables.
  • Consume more whole grain foods.
  • Use liquid vegetable oils such olive, canola, corn or safflower as your main kitchen fat.
  • Eat more chicken, fish and beans than other meats.
  • Read food labels to help you choose the healthiest option.

AHA also published an info sheet about the warning signs of a heart attack, which often starts slowly and usually goes unnoticed. This is especially true among women, whose symptoms can often mimic those of the flu. Additionally, it is common among women to put others first, especially their children, and so they usually do not recognize symptoms until it is too late. To address this public health challenge, AHA initiated the Go Red for Women campaign to empower women to know their risk, live more healthfully and share their stories.

The primary warning signs of a heart attack remain the same regardless of gender, however:

  • Chest discomfort
  • Discomfort in other areas of the upper body
  • Shortness of breath
  • Breaking out in a cold sweat, nausea or light headedness

Now tell us your story. Do you know anyone who experienced a heart attack or other heart condition? Are you aware of your own risk level? What could you, your friends or loved ones do differently to live more healthfully?