245035 Implementation and evaluation of the Maine HeartSafe Communities Initiative

Monday, October 31, 2011: 4:30 PM

Ruth Dufresne, MS , Center for Community and Public Health, University of New England, Portland, ME
Danielle Louder, BS , Division of Health Improvement, Medical Care Development/Maine CDC CVH Program, Augusta, ME
Sara L. Huston, PhD , Department of Applied Medical Sciences, University of Southern Maine, Portland, ME
In 2005, the Maine CDC/DHHS Cardiovascular Health Program began implementation of HeartSafe Communities (HSC), a recognition program for local Emergency Medical Service (EMS) providers making progress addressing cardiovascular (CV) events. HSC enhance capacity and systems to improve acute CV event outcomes by achieving criteria based on the CV “Chain of Survival.” HSC objectives are: Improve emergency response capacity for acute CV events; Promote awareness of EMS as a resource; Increase acute CV events symptom recognition and awareness of the importance of calling 911; Increase use of cardiopulmonary resuscitation (CPR), automated external defibrillators (AED), and 911; and Improve CVD outcomes in Maine. Evaluation of the intervention includes: the Maine HSC database (application and bi-annual re-application data); Key informant interviews (environmental changes and facilitators/barriers); and BRFSS heart attack and stroke module data. Key Findings: The number of HSC increased over time (8, 2006; 29, 2008; 54, 2010). HSC cover over 261 towns, cities and a college campus, and over 800,700 residents (62% of the population). HSC significantly increased community CPR/AED trainings, increased community CV health education, achieved modest increases in clinically based criteria, and 100% of HSC achieved EMS training requirements. A significantly higher percentage of Maine adults could identify all heart attack symptoms and would call 911 for a heart attack (15.1%, 2009 vs. 10.2%, 2001); and could identify all stroke symptoms and would call 911 for a stroke (20.8%, 2009 vs. 15.4%, 2001. This presentation will discuss HeartSafe Communities, evaluation findings and implications for future emergency response interventions.

Learning Areas:
Administer health education strategies, interventions and programs
Clinical medicine applied in public health
Conduct evaluation related to programs, research, and other areas of practice
Other professions or practice related to public health
Planning of health education strategies, interventions, and programs
Provision of health care to the public

Learning Objectives:
1. List essential elements of the Maine HeartSafe Communities initiative and how it is evaluated 2. Describe lessons learned from the implementation and evaluation of an emergency response initiative

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present as I am the lead evaluator for the cardiovascular health and diabetes components and a member of the evaluation team contracted to evaluate the Healthy Maine Partnerships initiative.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.