Online Program

Million hearts campaign: Using evidence-based guidelines and specialized care bundle to improve cardiovascular health among people living with HIV/AIDS

Monday, November 4, 2013

Jyll Stevens, MPH, CHES, Managed Care Division, AIDS Healthcare Foundation, Los Angeles, CA
Christy L. Beaudin, PhD, LCSW, CPHQ, Managed Care Division, AIDS Healthcare Foundation, Los Angeles, CA
Rebecca Colon, DO, Managed Care Division, AHF MCO Florida, Fort Lauderdale, FL
Robin Lankton, MPH, CHES, Managed Care Division, AIDS Healthcare Foundation, Los Angeles, CA
Donna Stidham, RN, Managed Care Division, AIDS Healthcare Foundation, Los Angeles, CA
ISSUES: People living with HIV/AIDS (PLWHA) have increased cardiovascular risks due complications arising from treatment and advancing age. These risks contribute to heart attacks and strokes. DESCRIPTION:In 2012, the Centers for Medicare & Medicaid Services mandated the implementation of the Million Hearts™ Campaign intended to bring together communities, health systems, nonprofit organizations, federal agencies, and private-sector partners from across the country to fight heart disease and stroke. AIDS Healthcare Foundation (AHF) Medicare Plans are among the organizations currently implementing Million Hearts. There is a high prevalence of co-morbid conditions associated with cardiac risk among Plan members who are people living with HIV/AIDS (PLWHA): • Hypertension (55.1%); • Diabetes mellitus (22.1%) • Ischemic vascular disease (8.4%) AHF developed an HIV/AIDS Care Bundle encompassing evidence-based guidelines. It is delivered through multidimensional channels at every level of health care delivery. • Patient education and self-assessment • Provider Grand Rounds • Information technology including disease registries • Staff training • Community awareness media messaging Care Bundle strengths are scientific evidence and concentration of efforts around a single health condition. Plan-Do-Study-Act (PDSA) is the quality improvement model used to determine program effectiveness. LESSONS LEARNED:PDSA model promotes improvement through systematic evaluation. The Care Bundle intends to decrease the incidence of heart attack and stroke through prevention. RECOMMENDATIONS: Measure effectiveness of HIV/AIDS Care Bundle. Continue PDSA. Redesign CCIP to achieve near and long term goals.

Learning Areas:

Administer health education strategies, interventions and programs
Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
List two co-morbidities found among PLWHA Describe two benefits of using a Care Bundle to reduce risk of cardiovascular disease for PLWHA.

Keyword(s): Evidence Based Practice, Quality Improvement

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been involved in federally funded programs for the care and support of people living with HIV/AIDS for 5 years. I am the principal investigator of this chronic care improvement program to improve cardiac health of PLWHA. My professional experience with health education, healthcare quality improvement and integrated health services qualify me as a subject matter expert for the topics included in this abstract.
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.