Connecting and Sharing:
Promising Practices for Heart Disease and Stroke
Sixth Annual Meeting
Hoagland-Pincus Conference Center, Shewsbury, MA
Keynote speaker: Senator Richard Moore 
Congratulations, Awardees!
Community Service Award - Rosemary Akin and Stacey Schakel
Community Service Award - Albert Pless, Jr. and The Men's Health League
Public Policy Award - Senator Richard Moore
Media Partnership Award - CBS Radio and Grace Sage
Click here for a list of Awardees through the years.
Data Brief Presentation
Katrina D'Amore, MPH, Epidemiologist, Department of Public Health
Download her presentation here:  Review of Data Brief June 4, 2010
Lead Partner Presentations
Department of Public Health
Jewel Mullen, MD, MPH, MPA, Director, Bureau of Community Health Access and Promotion
Download her presentation here: DPH Update June 4, 2010
American Heart Association/American Stroke Association
David Day, Vice President, Government Relations and Public Health
Department of Mental Health
Dale Rauch, MD, Central Massachusetts Area Medical Director and Co-Chair of the Healthy Changes Task Force
Download his presentation here: DMH Update June 4, 2010
Tufts Clinical and Translational Science Institute
Denise Daudelin, RN, MPH, Assistant Director, Quality Improvement
Download her presentation here: Tufts CTSI Update June 4, 2010
University of Massachusetts Lowell
Shortie McKinney, PhD, Dean, School of Health and Environment
Download her presentation here: UML Update June 4, 2010
Making Connections: Sharing Massachusetts Experiences
Presentations are organized around five of the seven Statewide Plan goals.
Statewide Plan Goal: Promote policy and environmental changes that increase healthy eating and active, smoke-free living.
Body Mass Index (BMI) and the Massachusetts Experience
Marge Rossi, RN, BSN, MEd, Nurse Leader, Scituate Public Schools
781-545-8750 x342
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Pat Small, RN, BSN, MEd, Nurse Leader, Stoughton Public Schools
781-344-4000 x1258
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School districts are using The Coordinated School Health Model to implement the new Commonwealth of Massachusetts BMI regulations. Nurse Leaders from two school districts report their experiences and lessons learned in the implementation of the BMI initiative. This presentation includes the promotion of health and wellness through education. It also highlights the utilization of community, business, and media resources to support new and innovative approaches to wellness.
Mass in Motion
Karin Valentine Goins, MPH, Coordinator, Worcester Mass in Motion
508-752-9742
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Worcester Mass in Motion (MiM) is a grant-funded project to build municipal capacity to address the problem of obesity and overweight through policy, systems, and environmental changes that increase opportunities for active living and healthy eating. Year 1 of this two-year grant focused on partnership development, assessment, and action plan development. Year 2 goals include integrating MiM into City structure and coordinating with community coalitions to maximize sustainability, laying the groundwork for changes to City policies and practice that will consider the health impact of the built environment, and increasing physical activity and healthy eating in the community at large through short-term policy or environmental changes. Two short-term changes include improving winter walking conditions through City-community collaboration to increase resident/business compliance with the snow clearance ordinance and organizational linkages to improve access to the abundant opportunities for outdoor physical activity in Worcester.
Statewide Plan Goal: Reduce the incidence and prevalence of high blood pressure, high cholesterol, stress, diabetes, and unhealthy weight.
Cardiac Metabolic Syndrome Program
Ginny Dow, RN, BSN, BC, Cardiac Manager, and Julia Elliott, RD, LDN, Cardiac Rehab and Prevention Dietician, Emerson Hospital
978-287-3732
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The Cardiac Metabolic Syndrome Program at Emerson Hospital Cardiac Rehabilitation was started in 2008 as a prevention program that targeted the highest risk population to develop coronary artery disease. We will share our difficulties and triumphs of getting the program off the ground, our patient outcomes, and how this intervention can make a difference in preventing heart disease by lowering blood pressure, weight, waist circumference, and stress and increasing exercise levels.
The Men's Health League
Albert Pless, Jr., MS, Manager, The Men's Health League
617-665-3830
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Disparities in healthcare are felt by men of color, who suffer higher rates of chronic disease and are less likely to engage in preventive health behaviors. In 2007, three Cambridge institutions jointly created The Men's Health League, an effort to reduce the risk of diabetes, cardiovascular diseases, and stroke among men of color and impact health disparities in this population. During the first 18 months of the program, the partnership successfully engaged over 900 men in various program components in order to (a) increase their knowledge about men's health, physical activity, and nutrition; (b) increase their engagement in physical activity and healthy eating; (c) help men to better navigate the healthcare system; and (d) identify and train grass-roots leadership around men's health in order to sustain the program beyond the three-year cycle of this demonstration project.
Blood Pressure Measurement
Barbara Proffitt, RN, BHA, CPHQ, Community Health Connections - Family Health Centers
978-878-8313
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Blood pressure is the most important vital sign and diagnostic tool used in the outpatient setting. Proper patient preparation is essential to an accurate B/P reading using validated calibrated equipment. Clinicians benefit from a review of the basics on how to take a proper B/P. This presentation will be interactive with a summary of key points to remember while utilizing a standardized training plan. Aclinical champion is essential.
SBIRT: Screening for Unhealthy Alcohol/Drug Use
Carol Girard, MA, SBIRT Coordinator, Bureau of Substance Abuse Services
617-624-5189
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Unhealthy alcohol and drug use has been implicated in elevated blood pressures and triglycerides, heart attacks, and strokes. Screening, Brief Intervention, Referral and Treatment (SBIRT) focuses on the large group of people who may use alcohol or drugs in unhealthy ways but who are not dependent. They can successfully change their use with early intervention. Routine universal screening in hospitals, clinics, or emergency departments is one way to catch risky use early. Brief interventions (short non-judgmental conversations) can help people think about how they use alcohol or drugs, and decide best ways to stay healthy. Screening can reveal that some people need a referral for anassessment or treatment.
MA Interlocal Insurance Association
Claire Alemian, BS, HSMI, and Carrie Milardo, BS, AFFA, MA Interlocal Insurance Association
617-426-7272
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The Massachusetts Interlocal Insurance Association (MIIA), located within the Massachusetts Municipal Association, offers health insurance to member cities and towns. Municipalities opting to use MIIA for their health insurance may take advantage of "Well Aware," a wellness program staffed by six specialists. A wide range of programs is offered, ranging from "Heart Matters" to exercise to nutrition, to promote healthy practices and reduce the incidence of chronic disease, which in turn reduces the medical costs to MIIA member groups.
Statewide Plan Goal: Improve recognition of and response to heart attack and stroke signs and symptoms.
Cardiac Rehabilitation for Seniors
Jeanne Colbath, ANP, AHN, BC, Director of Cardiac Rehab Services, Wingate Healthcare
781-707-9525
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Wingate Healthcare initiated a Cardiac Rehabilitation Program in May 2009 to focus on the needs of seniors who require short-term rehab following their cardiac event. This program involves formal American Heart Association-based education classes for the patients and structured cardiovascular disease education for the nursing staff. The nursing staff education includes an assessment of "routine and emergent" symptoms and the management of each. Even though there are no formal data to evaluate how the education program is affecting nursing practice, verbal reports identify nurses now being able to discern the difference between muscular skeletal and ischemic chest discomfort. This has led to continued care for the patient at the facility versus calling 9-1-1.
Stroke Education for Survivors, At-Risk Patients, and Their Families
Paula Bigelow, MS, RN, Director of Quality, Fairlawn Rehabilitation Hospital
508-471-9425
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Joanne Calista, Executive Director, Central MA Area Health Education Center
508-756-6676 x10
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Patient education is an importance performance indicator at Fairlawn Rehabilitation hospital, which admits approximately 25 acute stroke patients for rehabilitation services each month. FAST materials are utilized in conjunction with other patient/family education materials to provide written documentation to patient/family regarding the risk factors, the signs and symptoms of stroke, and the importance of calling 9-1-1. Audits completed demonstrate marked improvement in rehabilitation.
Statewide Plan Goal: Improve emergency medical systems' response to heart attack and stroke.
EMS Quality Improvement Stroke Initiative
Sander Schultz, EMS Coordinator, City of Gloucester Fire Department
978-281-9760
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The EMS Stroke Quality Improvement Initiative aims to improve the quality of prehospital care for patients with stroke-like symptoms. It uses evidence-based prehospital stroke care quality measures to help ambulance services evaluate and improve patient care. The QI measures are: stroke screen performed, blood glucose performed, time last known well and tiime of symptom discovery documented, and hospital notification of patient with a possible stroke. Urban, suburban, and rural participating ambulance services are trained on all stroke measures and QI tools and techniques. Each ambulance service uses feedback reports on the measures to improve patient care for stroke over time.
Supporting a Heart Safe Community
Paula Dobrow, RN, MSN, School Health Advisor, MA Department of Public Health
617-994-9813
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Marblehead became a Heart Safe Community in 2004 following a community-wide effort to place AEDs in all town-owned buildings (including schools) and to offer other community businesses, fitness centers, and houses of worship the opportunity to purchase AEDs at a discounted price. A major component of the Public Access Defibrillator Project is CPR and AED training. Town employees, including school personnel, are offered training and recertification throughout the year. All custodians and bus drivers have been trained, numerous staff have been certified as AHA instructors, and CPR/AED instruction has been integrated into the school. Discussions include reducing risk factors, establishing good health habits as youth, and recognizing signs of heart attack and stroke.
9-1-1 and Emergency Medical Dispatch (EMD)
Monna Wallace, Director of Programs, MA State 9-1-1 Department
508-828-2911
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Update on the development of Emergency Medical Dispatch standards and guidelines.
Statewide Plan Goal: Improve access to health care for heart disease, stroke, and related risk factors for all populations.
A Health Systems Change Approach for Reducing Tobacco Use Prevalence and Improving Population Health
Jo-Ann Kwass, MDIV, MS, MA Tobacco Cessation and Prevention Program
617-624-5453
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Elena List, MSW, LICSW, Center for Tobacco Research, Education and Training
508-856-4427
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The US Public Health Service Clinical Practice Guideline for Treating Tobacco Use and Dependence: 2008 Update describes how clinicians and health care systems can significantly reduce tobacco use prevalence - and risk of tobacco-caused disease - by delivering evidence-based interventions to their patients who smoke. Ensuring that all Massachusetts residents who use tobacco have access to effective cessation resources is one of MTCP's major policy priorities. This presentation will review MTCP's work with healthcare delivery organizations to improve their capacity to consistently identify and document tobacco use status and provide evidence-based treatments to every tobacco user seen in the health care setting.
Black Legacy
Keesha LaTulippe, MNPM
508-799-0702 x133
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Black Legacy is a group of individuals and organizations that have come together to address the health disparities experienced by the Black community in the city of Worcester. After an extensive needs assessment, we selected a primary social determinant, educational attainment, as the most effective prevention strategy to address a number of identified health disparities including cardio-vascular mortality. Legacy is focused on increasing parental involvement in the policy-making bodies of the primary local school system to address structural barriers to academic achievement.
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