高血压英文ppt精品课件cardiovasculardisease （cvd） in

Cardiovascular Disease (CVD) in Texas Philip Huang, MD, MPH Texas Department of State Health Services Overview n Burden of CVD n Mortality n Morbidity n Economic Cost n Risk Factors n Quality/Performance n HEDIS n EMS n Strategies to Address Burden of CVD n Leading cause of death in Texas and in the United States n 34% of all deaths in Texas n 1,422,000 Texas adults reported that they have had heart disease or stroke in 2005 MORTALITY DATA Mortality Data n Death certificate data were compiled and tabulated by the Statistical Services Division of the Texas Vital Statistical Unit (VSU) n All death rates are age-adjusted using the 2000 US standard population Data Source: Texas Vital Statistical Unit (VSU), Texas Department of State Health Services, 2004 Data Source: Texas Vital Statistical Unit (VSU), Texas Department of State Health Services, 2004 Data Source: Texas Vital Statistical Unit (VSU), Texas Department of State Health Services, 2004 Data Source: Texas Vital Statistical Unit (VSU), Texas Department of State Health Services, 2004 Trends of Heart Disease Data Source: Texas Vital Statistical Unit (VSU), Texas Department of State Health Services, 1969-2004 Trends of Stroke Data Source: Texas Vital Statistical Unit (VSU), Texas Department of State Health Services, 1969-2004 Data Source: Texas Vital Statistical Unit (VSU), Texas Department of State Health Services, 1990-2004 Data Source: Texas Vital Statistical Unit (VSU), Texas Department of State Health Services, 1999-2004 Mortality Data-Ischemic Heart Disease Data Source: Texas Vital Statistical Unit (VSU), Texas Department of State Health Services, 1999-2004 Ischemic Heart Disease 6 Year Average Age-Adjusted Mortality Rates, 1999-2004 Data Source: Texas Vital Statistical Unit (VSU), Texas Department of State Health Services, 1999-2004 Mortality Data-Stroke Data Source: Texas Vital Statistical Unit (VSU), Texas Department of State Health Services, 1999-2004 Stroke 6-Year Average Age-Adjusted Mortality Rates,1999-2004 Hospital Discharge Data 2000 - 2004 Hospital Discharge Data Data Source: Texas Health Care Information Collection (THCIC), Department of State Health Services, 2005 Data Source: Texas Health Care Information Collection (THCIC), Department of State Health Services, 2000-2003 Estimated Hospital Charges Data Source: Texas Health Care Information Collection (THCIC), Department of State Health Services, 2000-2003 Data Source: Texas Health Care Information Collection (THCIC), Department of State Health Services, 2000-2003 Medicaid Claims Data for Cardiovascular Disease Texas, 2005 The data is based on paid Medicaid claims for Fee-For- Service (FFS) and Patient Care Case Management (PCCM) clients. It does not include information on individuals served by Medicaid HMOs or those served by STAR+PLUS. This information is derived from paid or partially paid Medicaid claims and does not include data on denied or pending claims. Primary CVD Diagnoses, Inpatient Cost, Texas, 2005 Source: Fee for Service (FFS) and Patient Care Case Management (PCCM) clients Hypertension $2,132,630 Hypertensive heart disease $1,655,524 Ischemic Heart Disease $47,697,130 Stroke $20,071,425 Congestive Heart Failure $30,885,743 Primary CVD Diagnoses, Outpatient Cost, Texas, 2005 Hypertension $1,640,395 Hypertensive heart disease $1,061,310 Ischemic Heart Disease $18,415,949 Stroke $9,944,830 Congestive Heart Failure $11,801,680 Source: Fee for Service (FFS) and Patient Care Case Management (PCCM) clients Primary CVD Diagnoses, Emergency Department Cost Texas, 2005 Source: Fee for Service (FFS) and Patient Care Case Management (PCCM) clients Hypertension $6,561,670 Ischemic Heart Disease $7,348,006 Stroke $3,248,339 Congestive Heart Failure $3,762,690 Total Medicaid Paid Claims Due to CVD, Texas, 2005 Inpatient Emergenc y Departmen t Outpatient Medicaid Paid Amount for CVD $182,524,8 52.67 $42,641,91 9.19 $103,351,6 22.91 Source: Fee for Service (FFS) and Patient Care Case Management (PCCM) clients Risk Factor Surveillance BRFSS n Ongoing telephone survey sponsored by DSHS in partnership with CDC n Conducted on a monthly basis of 500 randomly selected Texans 18 years or older are asked questions about their health habits BRFSS n Behavioral Risk Factors n Medical Risk Factors n Preventive Health Practices Adult Cigarette Smoking Prevalence 2006 Data Source: Texas Behavioral Risk Factor Surveillance System, Texas Department of State Health Services, 2006 Adult Cigarette Smoking Health Service Region 2006 Data Source: Texas Behavioral Risk Factor Surveillance System, Texas Department of State Health Services, 2006 Cigarette Smoking Among Youth 2001 & 2005 Data Source: Texas Youth Risk Behavior Surveys (YRBS), Texas Department of State Health Services, 2001, 2005 (Excluding Houston ISD) High School Survey Overweight/Obesity Overweight or Obesity Texas and US Adults, 1995-2006 Data Source: Texas Behavioral Risk Factor Surveillance System, Texas Department of State Health Services, 1995-2006 Overweight or Obesity Texas, BRFSS,- 2006 Data Source: Texas Behavioral Risk Factor Surveillance System, Texas Department of State Health Services, 2006 Overweight or Obesity Health Service Region-2006 Data Source: Texas Behavioral Risk Factor Surveillance System, Texas Department of State Health Services, 2006 Overweight among Youth Prevalence 2001 & 2005 Data Source: Texas Youth Risk Behavior Surveys (YRBS), Texas Department of State Health Services, 2001, 2005 (Excluding Houston ISD) High School Survey Lack of Physical Activity Lack of Physical Activity* Texas & US Adults, 1995-2006 * During the past 30 days, did you participate in any physical activities or exercise? % of adults who did not participate in any physical activities during the past 30 days Data Source: Texas Behavioral Risk Factor Surveillance System, Texas Department of State Health Services, 1995-2006 Lack of Physical Activity* Adults, Prevalence 2006 * During the past 30 days, did you participate in any physical activities or exercise? % of adults who did not participate in any physical activities during the past 30 days Data Source: Texas Behavioral Risk Factor Surveillance System, Texas Department of State Health Services, 2006 Lack of Physical Activity* Adults, Prevalence 2006 * During the past 30 days, did you participate in any physical activities or exercise? % of adults who did not participate in any physical activities during the past 30 days Data Source: Texas Behavioral Risk Factor Surveillance System, Texas Department of State Health Services, 2006 Poor Nutrition Poor Nutrition* Adults, Prevalence 2005 *% of adults who reported eating fewer than 5 servings of fruits and vegetables per day Data Source: Texas Behavioral Risk Factor Surveillance System, Texas Department of State Health Services, 2005 Poor Nutrition* Health Service Region 2005 *% of adults who reported eating fewer than 5 servings of fruits and vegetables per day Data Source: Texas Behavioral Risk Factor Surveillance System, Texas Department of State Health Services, 2005 *% of students who reported eating 5 or more servings of fruits and vegetables per day Data Source: Texas Behavioral Risk Factor Surveillance System, Texas Department of State Health Services, 2005 Nutrition* Public High School Students 2001,2005 Medical Risk Factors Diabetes High Cholesterol High Blood Pressure Diabetes Texas and U.S Adult - 1995- 2006 Data Source: Texas Behavioral Risk Factor Surveillance System, Texas Department of State Health Services, 1995-2006 Diabetes Prevalence - 2006 Data Source: Texas Behavioral Risk Factor Surveillance System, Texas Department of State Health Services, 2006 Diabetes Prevalence Health Service Region 2006 Data Source: Texas Behavioral Risk Factor Surveillance System, Texas Department of State Health Services, 2006 High Cholesterol Texas and U.S Adult-1995-2005 Data Source: Texas Behavioral Risk Factor Surveillance System, Texas Department of State Health Services, 1995-2005 High Cholesterol Prevalence - 2005 Data Source: Texas Behavioral Risk Factor Surveillance System, Texas Department of State Health Services, 2005 High Cholesterol Health Service Region 2005 Data Source: Texas Behavioral Risk Factor Surveillance System, Texas Department of State Health Services, 2005 High Blood Pressure Texas and U.S Adult -1995-2005 Data Source: Texas Behavioral Risk Factor Surveillance System, Texas Department of State Health Services, 1995-2005 High Blood Pressure Prevalence - 2005 Data Source: Texas Behavioral Risk Factor Surveillance