Laura Lee Hall, Ph.D. Director, Strategic Educational Initiatives and credo

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1 Laura Lee Hall, Ph.D. Director, Strategic Educational Initiatives and credo Equitable Cardiovascular Care: What Cardiologists Think; What Education Can Do An Update from the Coalition to Reduce Disparities in CVD Outcomes (credo)

2 Advisory Group Members Clyde W. Yancy, MD, FACC, FAHA, MACP Co- Chair Baylor Heart and Vascular Institute Baylor University Medical Center Tracy Y. Wang, MD, MHS, MSc, FACC Co-Chair Duke Clinical Research Institute Dee Baker Amos Cultural Health Initiatives American Heart Association Paul S. Chan, MD, MSc Mid America Heart Institute Adolph P. Falcón, MPP The National Alliance for Hispanic Health Hector O. Ventura, MD, FACC, FACP, FASH Co- Chair National Hispanic Cardiologists Leadership Network Tulane University School of Medicine Paul N. Casale, MD, FACC Chapter President, Pennsylvania ACC Lancaster General Hospital Marshall Chin, MD, MPH Finding Answers: Disparities Research for Change University of Chicago Keith C. Ferdinand, MD, FACC, FAHA Emory University Association of Black Cardiologists, Inc.

3 Advisory Group Members, continued Gordon L. Fung, MD, MPH, PhD, FACC UCSF Governor, Northern CA, ACC President, California Chapter, ACC Marcia Jackson, PhD CME by Design Aravinda Nanjundappa, MD, FACC, FSCAI, RVT West Virginia University Ileana L. Piña, MD, MPH, FACC, FAHA National Hispanic Cardiologists Leadership Network Case Western Reserve University Louis Stokes VA Medical Center Tawara D. Goode, MA National Center for Cultural Competence Georgetown University Center for Child & Human Development Robert C. Like, MD, MS Center for Healthy Families and Cultural Diversity UMDNJ-Robert Wood Johnson Medical School Eric D. Peterson, MD, MPH, FACC, FAHA Duke University Medical Center Duke Clinical Research Institute Sarah H. Scholle, DrPH, MPH National Committee for Quality Assurance

4 Advisory Group Members, continued Yabiz Sedghi, MD Chief Cardiology Fellow Ochsner Clinic Foundation Krishnaswami Vijayaraghavan, MD, MS, FACC, FACP Chapter President-Elect/ACC Governor-Elect for Arizona Scottsdale Clinical Research Institute Joanna D. Sikkema, MSN, ARNP University of Miami Whole Health Management Past President Preventive Cardiology Nurses Association Mary Norine Walsh, MD, FACC Director, CHF & Nuclear Cardiology The Care Group LLC Indianapolis, IN Karol E. Watson. MD, PhD, FACC, FAHA David Geffen School of Medicine at UCLA 4

5 Program Support credo sponsors: Additional independent educational grant support for credo educational initiatives have been provided by: AstraZeneca, Daiichi Sankyo, Inc., Eli Lilly USA, LLC, Medtronic, and Novartis

6 credo: Why, What and How CVD disparities exist and lead to avoidable, premature morbidity and mortality Trends in population and cardiology compound CVD disparities Evidence-based approach to reducing disparities available for further testing and implementation

8 Do ACC Members Think There Are Disparities?

9 What Do ACC Members Think Contributes to Disparities?

10 What Physician Factors Do ACC Members Say Lead to Disparities?

11 What Works in Reducing Disparities? Data-driven performance improvement Provider education: cultural competency Patient education and outreach Team- based care and community resources

12 What Works in Reducing Disparities? Data-driven performance improvement Provider education: cultural competency Patient education and outreach Team- based care and community resources

13 Keeping PACE: Patient-centered ACS Care Education

14 What Works in Reducing Disparities? Data-driven performance improvement Provider education: cultural competency Patient education and outreach Team- based care and community resources

17 What Works in Reducing Disparities? Data-driven performance improvement Provider education: cultural competency Patient education and outreach Team- based care and community resources

18 Gender and Race-based Variation in Afib Patient Satisfaction and Perceived Quality of Care Male Female White Non-White

21 What Works in Reducing Disparities? Data-driven performance improvement Provider education: cultural competency Patient education and outreach Team- based care and community resources

22 credo at ACC11 CVD, Disparities, and Louisiana Diversity in Louisiana: In Louisiana: 64% White, 32% Black, 3% Hispanic/Latino In New Orleans: 32% White, 63% Black, 4% Hispanic/Latino CVD in Louisiana: 1 in 4 residents will die from CVD CVD death rate is 230 per 100,000: 213 in Whites and 267 in Blacks Diabetes death rate is 33.3 per 100,000: 25.2 in Whites and 57.0 Blacks 32.4 % of women have hypertension versus 27.2 % nationwide In 2003, Louisiana was first state to include legislation specific to improving health literacy by establishing the Interagency Task Force on Health Literacy To learn more about credo and access tools and resources to help you with your patients, visit today!

23 CVD PACT (Patient-Centered Team) Regional Learning Communities for Improving Cardiovascular Disease Outcomes

credo: Why, What and How Laura Lee Hall, Ph.D. Associate Director, Strategic Educational Initiatives American College of Cardiology

credo: Why, What and How Laura Lee Hall, Ph.D. Associate Director, Strategic Educational Initiatives American College of Cardiology National Minority Quality Forum Washington, DC April 19 th, 2010 Disclosures