246228 Living for Health: A Cardiovascular Community Health Program for the Underserved

Tuesday, November 1, 2011

Tori Gabriel, MBA-HA , Department of Education & Prevention, Florida Heart Research Institute, Miami, FL
Mary Comerford, MSPH , Department of Epidemiology and Public Health, Retired - University of Miami, Miami, FL
Background –Living for Health® is a cardiovascular community health program that screens underserved and uninsured adults to identify those with risk factors for heart disease, stroke, and diabetes. Participants receive culturally appropriate health coaching and referrals for medical follow up when needed. Those without a primary care practitioner are referred to a Federally Qualified Healthcare Clinic in their area.

Methods – Intervention teams travel throughout South Miami-Dade into designated poverty areas to screen for risk factors including blood pressure, cholesterol and glucose. A baseline lifestyle survey was administered at screening. All participants received clinical results as well as coaching to reduce risk factors. At risk participants were urged to seek treatment and those without a medical home were referred to clinic. They were also followed at 1, 3 and 6 months to determine if lifestyle changes were made.

Results – 4,838 underserved adults were screened. Of those, 2,919 (60%) were found to have risk factors that required referral. Of those referred, 1,521 (52%) were referred to the FQHC; 782 of these were new patients to the clinic. 113 (14%) sought treatment and were successfully connected to a new medical home

Conclusions – One of the most important aspects of the program has been finding medical homes for 113 participants. Preliminary 3-month follow up data have indicated both positive changes in lifestyle and clinical values. Participants will continue to be followed to assess if lifestyle changes are sustained. This program will be rigorously evaluated to determine efficacy and sustainability of outcomes.

Learning Areas:
Chronic disease management and prevention

Learning Objectives:
1. Describe how the Living for Health program increases access to care for the underserved. 2. List CVD risk factors identified through screening in the Living for Health program.

Keywords: Heart Disease, Access to Health Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: As the Director of Education & Prevention for the Florida Heart Research Institute, I am qualified to present because this is my field of expertise. I have successfully developed and managed other health promotion / disease prevention programs and have been doing so for more than 12 years. I am past Chair and current Vice Chair of the HPDP committee of the Consortium for a Healthier Miami-Dade which is a current receipient of the CDC's CPPW grant through the Miami-Dade County Health Department.
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.