Dan River Regional Cardiovascular Health Initiative Program
Commonwealth of Virginia, Pittsylvania/Danville Health District,
Danville Health Department
The project's target population includes middle school students,
patients, health care providers, and the general Dan River community. The Dan
River region is endemic for cardiovascular diseases (CVD) with extremely high
heart disease and stroke mortality and morbidity rates.
This project will use both community- and clinic-based approaches
to reduce the incidence of coronary artery and other CVD morbidity and
mortality. Activities will include community screening and referral for medical
care, community- and school-based education activities, professional education
training, and emergency medical care improvement. Specific strategies include:
- Conducting community screening and referral services, using
case managers and community health workers.
- Conducting training programs for health care professionals,
based on the National Heart, Lung, and Blood Institute's (NHLBI) guidelines for
preventing and controlling high blood pressure, high blood cholesterol, and
overweight and obesity.
- Educating the community and schools, using model education
programs such as Heart Smart and Heart at Work, in ways to adopt healthier
behaviors (e.g., better nutrition/dietary intake, physical activity, smoking
cessation, and cooking and food preparation classes).
- Implementing systems and infrastructure changes to emergency
departments to improve the process of care and application of best practices to
improve CVD-related outcomes.
The proposed strategies will focus on all four NHLBI performance
- Prevent development of risk factors.
- Detect and treat risk factors.
- Recognize and treat acute coronary syndromes early.
- Prevent recurrence and complications of CVD.
This project aims to achieve the following:
Health Care Providers
- Development of a needs assessment instrument for health care
- Development of standardized continuing medical education
program that meets the needs and expectations of clinicians.
- Increased knowledge and skills related to management and
control of CVD risk factors.
Cardiovascular Risk Screening and Case Management
- Increased community awareness and knowledge of CVD risk
factors, prevention, and control.
- Increased number of people with CVD risk factors who are
screened, referred, and treated appropriately.
- Established collaborative relationships with specialty clinics
that provide state-of-the-art care to high-risk patients according to NHLBI
- Increased partnership among case managers, physicians, and
- Increased dialogue between case managers and primary care
- Increased community awareness and knowledge of CVD risk factors
and appropriate cardiovascular lifestyle behavior.
- Increased participation in cardiovascular health activities.
- Reduction in the number of patients presenting to the emergency
room or hospital for acute coronary syndromes and/or heart failure.
- Improved system to address rapid implementation of diagnostic
and therapeutic interventions.
- Reduction in death and disability from acute coronary syndromes
and/or heart failure.