OUR STORY. who we are & what we do you & our mission. Resource Center 03.17

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OUR STORY who we are & what we do you & our mission Resource Center 03.17

Who we are The American Heart Association and American Stroke Association is dedicated to fighting heart disease and stroke, our No. 1 and No. 5 killers. What we do We build healthier lives, free of cardiovascular diseases and stroke. 2

2020 Strategic Impact Goal Updated 02/17 3

Facts about heart disease Heart disease is the No. 1 cause of death in the U.S. and in the world. Risks Facts 83% 72% 58% believe that heart attacks and strokes can be prevented, but aren t motivated to do anything. of Americans don t consider themselves at risk for heart disease. put no effort into improving their heart health. 1 of every 3 deaths in the United States is caused by heart disease or stroke. Every 25 seconds, an American will have a coronary event. Every 39 seconds, someone dies from heart disease or stroke. Every year, an estimated 785,000 Americans will have their first heart attack, and 470,000 will have another. Statistics from the American Heart Association/American Stroke Association. American Heart Association. 4/12DS5479 4

Facts about stroke Stroke is the No. 5 cause of death in the U.S. & the No. 1 debilitating disease. Facts Spot a stroke F.A.S.T. (VIDEO) Stroke is an interruption of blood flow to the brain. Without oxygen-rich blood, brain cells die. 800,000 strokes occur in the U.S. each year. Ischemic Stroke - Blockage Hemorrhagic Stroke - Bleeding F. A. S. T. Face Drooping Arm Weakness Speech Difficulty Time to Call 9-1-1 5

Progress against heart disease and stroke Reduction of cardiovascular death Heart Disease Deaths (per 100,000) Stroke Deaths (per 100,000) Since 1960, Americans have a : 69% 79% Lower risk of dying from heart disease. Lower risk of dying from stroke. Stroke has dropped to the No. 5 killer. Heart disease remains the No. 1 killer. 6

Our levels of work SD National Based in Dallas National education Research management National project launches Federal advocacy D.C. based Affiliate - 7 affiliates State advocacy State & affiliate education Quality improvement Regional projects Local Grassroots Fundraising & education Building partnerships Recruiting volunteers Community health 7

Impact Strategy BUILD AN EQUITABLE, SUSTAINABLE CULTURE OF HEALTH Resource Center 03.17 8

Workplace Health Solutions Building a culture of health in the community 9

Building a Healthy Community HEALTH EDUCATION & TECH ENVIRONMENT ECONOMY INFRASTRUCTURE HOUSING & SAFETY 10

Social Determinants of Health EmPOWERED to Serve builds healthy environments within faith-based organizations and affordable housing. We re advocating for better health care through Medicaid expansion and other reforms. 19 million 23.5 million Americans live in unstable housing situations. without access to healthy foods. 11

EmPOWERED To Serve A national strategic initiative partnering with faith based organizations to impact health and improve health outcomes in multicultural communities. Our Vision: Engaging faith based organizations to transform multicultural communities and create a culture of health Together, We Are Transforming cultural norms for a healthier environment Engaging communities, building powerful relationships, and meeting people where they are

Join today! www.empoweredtoserve.org

COMMUNITY VOICE CHAIN OF SURVIVAL HEALHTY LIVING ETS Health Lessons ETS HEALTH LESSONS Own It- Keep Your BP in Check Don t Go Breakin Your Heart Produce-ing Health Make Life Sweet Not Your Drinks Let s Get Physical Keep the Beat Secrets of the Heart Don t Miss a Stroke Got Fruit? How Bout Vegetables? Taking Fit to the Streets Just What the Doctor Ordered Clearing the Air Easy way to engage and motivate community members: 12, 60-minute interactive health lessons. Single session or health education series. Complete in 12 consecutive weeks or spread across 12 months. Learn important heart health and healthy living lessons with our NEW curriculum! Topics include Life s Simple 7 (the American Heart Association s recommendations for healthy living), life-saving CPR, and more!

ETS Health Lessons S n a p s h o t o f E T S L e s s o n s E a c h l e s s o n i n c l u d e s : 1. L e s s o n P l a n 2. S l i d e s w i t h T a l k i n g P o i n t s 3. R e s o u r c e L i s t 4. F e e d b a c k F o r m

ETS Health Lessons C u s t o m i z a b l e, u s e r - f r i e n d l y l e s s o n s w i t h a l t e r n a t i v e A m e r i c a n H e a r t A s s o c i a t i o n r e s o u r c e s Organized by key takeaway. Type of resource (icon). Time to budget to employ the resource during the lesson. Targeted materials. Links to resources.

Check. Change. Control. Self-Monitoring Blood Pressure Control 103.3 Million Adults have High Blood Pressure Based on 2017 AHA/ACC Hypertension Clinical Guidelines 17

Our Goal for Better Control Nearly half (46%) of adult Americans have HBP 18 KEY LIFESTYLE OPPORTUNITIES TO LOWER BLOOD PRESSURE: REDUCE WEIGHT 5 mm Hg MODERATION OF ALCOHOL CONSUMPTION 4 mm Hg AEROBIC PHYSICAL ACTIVITY 5-8 mm Hg LOWER SODIUM INTAKE 5-6 mm Hg ADOPT D.A.S.H. EATING PLAN 11 mm Hg

Check. Change. Control. Evidence based high blood pressure management program that utilizes a tracker to empower patients to take ownership of their cardiovascular health. Incorporates the concepts of remote monitoring, mentoring, tracking as key features to improve HBP management, physical activity and weight reduction. Four month education sessions are recommended along with incentives for participation. Encourage participants to take weekly readings or 8 readings at least once/month over 4 months. 19

Check. Change. Control. Check. Change. Control. was founded on successful evidencebased practices from the American Heart Association pilot program, Check It, Change It. The Check It, Change It program proved to be especially effective among the target population of African- Americans (Thomas et al. (2012). Check It, Change It: A Community-Based Intervention to Improve Blood Pressure Control). 20

Check. Change. Control. Engages Participants Developed to support hypertension management among the adult population, Check. Change. Control. engages participants, emphasizing 3 important aspects of managing hypertension: 1. Checking for high blood pressure and symptoms; 2. Changing lifestyle and seeking treatment; 3. Controlling hypertension by taking preventative measures. 21

Why it works? Key Evidence-Based Scientific Principles Self Monitoring Makes a Difference Proven track record for taking blood pressure readings at home or outside of the healthcare provider office setting. Use of digital self-monitoring and communication tool Charting & tracking improves self-management skills related to blood pressure management. Personal Interaction Makes a Difference Coaches can motivate and encourage participants. 22

Our Strategic Multi-modal Approach to BP management Management Equipping Providers Motivating & Connecting Consumers Activating Communities Help providers do the right thing within current HC system Protocol Standardization Incentives Increasing role of other Rph and others Create innovative solutions to empower consumers, strengthen connections to HCPs and create urgency for change Ubiquitous BP devices Worksite programs/support for lifestyle change Technology to connect consumers w/hcps Incentives Provide communities with ownable, sustainable, scalable and customizable programs Health ambassadors Pharmacy infrascructure Apps to integrate consumers w/hcps Community health worker curriculum Enhancing Systems of Care Create accountability at all levels of care Create accountability at all levels of care Performance measures Surveillance system

COACHES NEEDED: Reducing BP through Healthier Habit Coaching Provides ongoing social support Encourages gradual lifestyle modification Supports the need to adhere to medication strategies Offers a proven track record

Results Aug 2012 to June 30, 2017 Enrollment: 71,145 individuals (Using AHA digital trackers) Blood Pressure Readings: 280,051 AVERAGE DROP IN SYSTOLIC & DIASTOLIC BLOOD PRESSURE Fiscal Year Average Drop in Systolic BP* Average Drop in Diastolic BP* Aug. 12-June 13 (Heart360 Campaigns) 5.68 mmhg 2.87 mmhg July 13-June 14 (Heart360 Campaigns) 13.95 mmhg 9.48 mmhg July 14-June 15 (Heart360 Campaigns) 12.04 mmhg 8.75 mmhg July 14-June 15 (ihealth sites) 11.65 mmhg 8.69 mmhg July 15-June 16 (Heart360 Campaigns) 11.99 mmhg 8.67 mmhg July 16-June 17(Heart360 Campaigns) 11.24 mmhg 7.31 mmhg July 16-June 17 (CCC Tracker Campaigns) 12.90 mmhg 9.10 mmhg July 16-June 17 (Heka app) 12.34 mmhg 8.30 mmhg Overall Avg. (pilot year to present) 11.47 mmhg 7.89 mmhg *Based on users with at least 2 BP readings taken, with at least 7 days between first and last reading 25

Improving Health Check. Change. Control. & Target: BP Nearly 86 million Americans have high blood pressure. 163,000 blood pressure readings were taken as of June 2016. Systolic BP dropped an average of 11 mmhg. CPR 19 million people learn the lifesaving skill of CPR every year. 2 million high school students learn CPR every year. Heart-Check Mark 72 million adults choose healthy foods and beverages through the Heart-Check Mark. 11 million Visit heart.org for recipes. 26

Together to End Stroke Every 40 seconds someone has a stroke. We Prevent Stroke: by empowering Americans to live healthier lives. We Treat Stroke: by enabling faster, better stroke response and treatment. We Beat Stroke: by enhancing support for survivors, loved ones and caregivers. 27

Healthy Workplace Workplace Health Solutions We work with thousands of companies to improve the health of their employees. Workplace Health Solutions tracks the progress of a health program by using Life s Simple 7 TM data. Many services are free for companies. 13 percent of U.S. companies offer a comprehensive health promotion program as a benefit. 28

Through our advocacy efforts: 1 million 202 million 2 million babies are screened for congenital heart defects. Americans live in smoke-free communities. students are trained in CPR every year. Local Priorities Ensuring Smoke-Free Workplaces for all in the region Improving Healthy Food Access in the region 29

Outreach Strategy ENGAGING COMMUNITIES THROUGH EVENTS Resource Center 03.17 30

Healthy For Good is the American Heart Association s movement to help people make simple, healthy choices and create sustainable habits all rooted in science-based information served up with you-based motivation. EAT SMART. ADD COLOR. MOVE MORE. BE WELL. UPCOMING HEALTHY FOR GOOD EVENTS Metro St. Louis Heart Walk Saturday, May 12 31

Go Red For Women is about educating women that heart disease and stroke are their number one health threat. 293 Fewer women in the U.S. die from heart disease and stroke every day since 2004! Know your numbers: Total Cholesterol HDL (good) Cholesterol Blood Sugar Blood Pressure Body Mass Index (BMI) UPCOMING GO RED FOR WOMEN EVENTS National Wear Red Day February 2 nd 32

Students learn how to develop heart-healthy habits while being physically active. Kids learn the value of community service. Children join together in helping other kids with special hearts. Participants learn skills like jump rope and basketball that they can use for the rest of their lives. Kids raise funds for research and outreach programs that can save lives. 19 million Kids participate in one of our healthy living programs in school. 33

Encourages students to move more before, during and after school for 60 minutes. 112,000 Youth engaged in more than 130 million minutes of physical activity through NFL PLAY 60 Challenge. 1 Million + NFL PLAY 60 app downloads. We re energizing a nation to get brain and heart healthy through the power of the bicycle. Communities can get active by logging miles on either stationary or road bikes. CycleNation.org 34

SUPPORTING PATIENTS 35

36 www.heart.org/supportnetwork OR www.strokeassociation.org/supportnetwork

My Cardiac Coach New mobile app to help heart attack survivors navigate recovery The App educates and engages heart attack survivors in secondary prevention through: Learning Goal setting Health management

LEARNING Interactive lessons help patients learn about their condition, associated risk factors, and necessary lifestyle changes 12 total lessons Topics include nutrition, physical activity, blood pressure, cholesterol and more Patients can also use My Cardiac Coach to connect to the Support Network

GOAL SETTING Personal goal-setting helps patients adopt better selfmanagement skills and healthier lifestyles

Health Management Patients can use My Cardiac Coach to manage medications and track health data

Access/Download You can access and download My Cardiac Coach www.heart.org/mycardiaccoach

SUPPORTING OUR MISSION 42

Improving your cardiovascular health SMOKING HEALTHY DIET PHYSICAL ACTIVITY BMI BLOOD PRESSURE CHOLESTEROL mylifecheck.heart.org GLUCOSE 43

Dates to Remember DATE/MONTH February February 1 March April May May June 1 7 October 29 EVENT American Heart Month National Wear Red Day National Nutrition Month Move More Month American Stroke Month High Blood Pressure Awareness Month Nat l CPR & AED Awareness Week World Stroke Day November Eat Smart Month 44

Ways you can support our mission VOLUNTEER ADVOCATE FOR HEALTHY POLICIES ENCOURAGE OTHERS TO JOIN YOU! 45

THANK YOU www.heart.org Rachelle Bartnick Senior Director, Community Health Rachelle.Bartnick@heart.org 314.692.5674 46