Latest / Becker’s Healthcare Podcast / Community and Clinical Workflow Insights for Hypertension Care: Part 1

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Community and Clinical Workflow Insights for Hypertension Care: Part 1 · Becker’s Healthcare Podcast

• 0:00
  - Thanks so much for tuning in to the
• 0:01
  - Becker's Healthcare podcast.
• 0:03
  - This is the first episode of a three
• 0:05
  - part series produced in partnership with the American
• 0:07
  - Heart Association,
• 0:09
  - community and clinical workflow insights for hypertension care.
• 0:13
  - In this episode, we're joined by Aliyah Johnson,
• 0:15
  - senior program lead at the American Heart Association,
• 0:19
  - and Juliana Miklos,
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  - community health director at YMCA Buffalo Niagara.
• 0:24
  - Thanks for listening, and be sure to stay
• 0:26
  - tuned for episodes two and three.
• 0:29
  - Hello.
• 0:31
  - On behalf of the American Heart Association,
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  - I would like to welcome you to today's
• 0:35
  - webinar,
• 0:36
  - community and clinical workflow insights for hypertension care.
• 0:40
  - My name is Aaliyah Johnson, and I'm a
• 0:42
  - senior program lead at the American Heart Association.
• 0:46
  - In today's webinar, we will explore clinical and
• 0:49
  - community based models of hypertension care.
• 0:52
  - Attendees will learn about clinical care models that
• 0:55
  - include remote patient monitoring,
• 0:57
  - as well as explore how community based organizations
• 1:00
  - are supporting hypertension care efforts across the nation.
• 1:05
  - These model shares originated from a three year
• 1:07
  - hypertension
• 1:08
  - initiative
• 1:09
  - that focused on improving care across the journey
• 1:12
  - of patients with hypertension,
• 1:14
  - understanding the disparities
• 1:16
  - of care and associated biases,
• 1:19
  - and improving treatment recommendations
• 1:21
  - across all hypertensive
• 1:23
  - patient journeys.
• 1:26
  - The overall goal was to increase blood pressure
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  - control rates in participating
• 1:30
  - sites to seventy percent or greater.
• 1:33
  - In order to reach this goal, we use
• 1:35
  - the following framework and approach to uncover opportunities
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  - to improve hypertension care
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  - and educate both professionals
• 1:43
  - and patients on resources available
• 1:46
  - to support the journey.
• 1:48
  - Individual participating sites
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  - engage in one on one discovery conversation
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  - that highlight areas of challenge,
• 1:56
  - success,
• 1:57
  - and opportunity,
• 1:58
  - which are then explored in our market level
• 2:00
  - call for similarities and differences
• 2:03
  - among the sites that
• 2:05
  - in that specific area.
• 2:08
  - These conversations
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  - led to a model sharing of what is
• 2:11
  - working
• 2:12
  - and how so that sites can pilot these
• 2:16
  - interventions
• 2:17
  - in their own workflows.
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  - Larger all inclusive meetings were held quarterly to
• 2:23
  - educate on available resources,
• 2:25
  - data,
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  - support,
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  - that all sites could engage and implement.
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  - The final strategy that ties all parts together
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  - is our community clinical linkage opportunity
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  - within the initiative
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  - to connect with local community based organizations
• 2:41
  - or clinics
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  - in their respective markets through referrals,
• 2:45
  - education, and collaboration.
• 2:48
  - Thank you to our participants for multiple years
• 2:51
  - of robust discussions,
• 2:53
  - relationship building,
• 2:54
  - and patient client outcome improvement.
• 2:57
  - As we begin today's webinar presentations,
• 3:00
  - please note the recommendations
• 3:02
  - and opinions presented by our guest speakers
• 3:05
  - may not represent the official position of the
• 3:08
  - American Heart Association.
• 3:10
  - The materials are for educational purposes only
• 3:14
  - and do not constitute an endorsement or instruction
• 3:17
  - by the Heart Association.
• 3:19
  - The American Heart Association does not endorse any
• 3:22
  - product or device.
• 3:24
  - Our speakers for this presentations have no financial
• 3:28
  - disclosures
• 3:29
  - associated with this educational opportunity.
• 3:32
  - Now it is my pleasure to introduce our
• 3:35
  - speakers.
• 3:36
  - First, we have Juliana Miklos,
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  - who is the community health director for the
• 3:40
  - YMCA of Buffalo, Niagara in Buffalo, New York.
• 3:45
  - We have Gracie Garces,
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  - who is the chief strategy and external affairs
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  - officer of the Tejano Center for Community Concerns
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  - in Houston, Texas.
• 3:56
  - Shay Swick is the lead pharmacist
• 3:58
  - of Rx Care
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  - at Charitable Pharmacy
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  - OhioHealth
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  - Riverside Community Medicine in Columbus, Ohio.
• 4:07
  - Erin Sims is the licensed vocational nurse at
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  - Avenue three sixty Health and Wellness in Houston,
• 4:13
  - Texas.
• 4:15
  - Lastly, Susan Bolin is the manager of nursing
• 4:18
  - operations for Avenue three sixty Health and Wellness
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  - in Houston, Texas.
• 4:23
  - Thank you all again for joining us today.
• 4:26
  - Juliana,
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  - the floor is now yours.
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  - Thank you, Aaliyah.
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  - Good morning, everyone. I am Juliana Miklos, and
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  - I am excited to be here today to
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  - talk about YMCA Buffalo Niagara's
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  - experience in the past three years in the
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  - CVS Hypertension
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  - Initiative here in Buffalo, New York.
• 4:44
  - Information on YMCA Buffalo Niagara's geographic reach is
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  - here. We have five wellness center locations,
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  - which also might be known as branches to
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  - you. This is where we host activities such
• 4:55
  - as our fitness center, our aquatic center, group
• 4:58
  - exercise classes,
• 5:00
  - youth sports, and social connection clubs.
• 5:03
  - We
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  - span two counties in our region and we
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  - have about 52,000
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  - members
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  - for YMCA Buffalo Niagara.
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  - We are also the largest provider of child
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  - care from UPK programs before and after school
• 5:17
  - and summer camp, which is quickly approaching for
• 5:19
  - us.
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  - We offer nine healthy living programs, which are
• 5:23
  - a variety of chronic disease prevention, management, and
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  - support programs for both members and non members
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  - across Western New York,
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  - and we serve both urban and suburban locations.
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  - One in twelve western New Yorkers are affected
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  - by YMCA Buffalo Niagara programs and membership services,
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  - so we have a wide reach over here
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  - in our part of New York. Buffalo Niagara
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  - is also celebrating our one hundred and seventy
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  - fourth year of service this year, so we've
• 5:52
  - been around for a little while.
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  - We positioned ourselves
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  - in this,
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  - hypertension initiative as a critical space for hypertension
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  - awareness and education.
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  - What we did is we placed a blood
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  - pressure kiosk station at all five of our
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  - branch locations
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  - and these are self use stations. They are
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  - in high traffic and easily accessible areas of
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  - our facilities
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  - and members and staff can use them as
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  - they wish.
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  - We read about 2,000
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  - plus blood pressure readings each month across our
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  - association.
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  - This station is really nice for our members
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  - and our staff to use where they don't
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  - feel pressure from someone looking over their shoulder,
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  - they don't have to disclose what their blood
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  - pressure readings are, they can keep track
• 6:43
  - on a daily or weekly or monthly basis.
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  - The kiosk does give a printout of their
• 6:48
  - reading,
• 6:50
  - which members do take for their own records.
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  - Each
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  - site has
• 6:55
  - American Heart Association educational materials
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  - as well. So we do provide
• 7:00
  - the appropriate materials to accompany the self use
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  - station,
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  - and these materials are taken, so we do
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  - have to refill
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  - our flyer stands pretty often.
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  - The most frequently replaced sheets are the rainbow
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  - chart for the blood pressure reading categories,
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  - the blood pressure logs,
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  - and then also the how to reduce blood
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  - pressure informational sheet.
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  - We have also benefited from being able to
• 7:24
  - use the translated documents from the American Heart
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  - Association,
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  - which was very helpful for us when we
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  - have members that use English as their second
• 7:33
  - language.
• 7:34
  - We also have the opportunity to be a
• 7:36
  - referral partner to a health care home. So
• 7:39
  - our staff team is prepared to offer
• 7:44
  - the contact information for our two federally qualified
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  - health centers in the Buffalo, Niagara area
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  - for those that do not have a health
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  - care home that want to get their readings
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  - looked at from a medical professional.
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  - We do find that the majority of our
• 8:00
  - members and staff that are using our kiosk
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  - stations
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  - do already have a health care home and
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  - they are also
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  - pretty well aware of if they have hypertension
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  - or not. Some of our members do seek
• 8:12
  - out staff to talk to about this and
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  - they are very forthcoming,
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  - knowing that they have high blood pressure, whether
• 8:18
  - they do or do not take their medication,
• 8:21
  - which sometimes is concerning, but we do have
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  - the opportunity to have these conversations with our
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  - members
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  - to direct them into making sure that they
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  - are keeping track on a regular basis and
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  - directing important questions
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  - to their healthcare home. I do just want
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  - to talk about how we leveraged February of
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  - Heart Health Month this past year
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  - to really push the awareness of our kiosks
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  - and heart health.
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  - We have staff that are called Healthy Living
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  - Ambassadors in all of our locations and in
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  - the month of February we hosted fun lobby
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  - activities
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  - where we had things to give out such
• 8:55
  - as stress balls and water bottles and heart
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  - healthy snacks.
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  - We made sure that our members and staff
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  - knew how to use the kiosk appropriately,
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  - and then we had raffles involved for those
• 9:05
  - that were willing to try.
• 9:07
  - We also hosted a walking challenge that was
• 9:09
  - open for all of our members to participate
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  - in. We encouraged everyone to walk up to
• 9:14
  - or more than one mile per day throughout
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  - the whole month, and as long
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  - with the information of the walking challenge, we
• 9:21
  - provided heart health tips
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  - along the way.
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  - We also did a social media campaign where
• 9:27
  - our wellness Wednesday videos were all heart health
• 9:31
  - specific.
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  - We did a demonstration on using a blood
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  - pressure cuff at home, we had certain exercises
• 9:36
  - that were helpful helpful for cardiovascular
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  - endurance,
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  - and also a walking specific video.
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  - We hosted a heart health seminar and blood
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  - pressure cost monitoring demonstration
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  - during our Livestrong at the YMCA program, which
• 9:50
  - is an exercise program for cancer survivors.
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  - So we took time out of that program
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  - in February
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  - to really highlight the importance of hypertension care
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  - for those cancer survivor journeys.
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  - We launched a blood pressure self monitoring program,
• 10:05
  - which is a Y USA branded program in
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  - the month of March. So in February
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  - at our Canton location, we really
• 10:12
  - focused on promoting registrations.
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  - That is a four month program for members
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  - to participate in where they track their own
• 10:20
  - blood pressure at home. They go home with
• 10:22
  - a blood pressure cuff. They can also use
• 10:24
  - the kiosk stations at the YMCA.
• 10:26
  - And each month we have different nutrition conversations
• 10:30
  - as well, all using American Heart Association approved
• 10:33
  - materials, and they are all for general population,
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  - non
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  - person specific dietary recommendations.
• 10:41
  - We also participated in the walking challenge in
• 10:44
  - February,
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  - especially for a team that spends the majority
• 10:47
  - of their time in an office and at
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  - their desk. We really promoted walking with that
• 10:51
  - group and had raffles and incentives, of course,
• 10:55
  - at the end.
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  - And my hope with highlighting our work in
• 10:58
  - this initiative is to really
• 11:00
  - highlight the many ways that YMCAs
• 11:02
  - can promote and champion hypertension prevention, support, and
• 11:07
  - management. We are a trusted resource in the
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  - community that serves all
• 11:12
  - and we already capture the attention of those
• 11:16
  - that are
• 11:17
  - actively working towards improving their holistic
• 11:20
  - health and wellness.
• 11:21
  - So leveraging the strengths of your local YMCA
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  - programs,
• 11:26
  - staff, and services
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  - is
• 11:28
  - really an incredible way to link clinical and
• 11:32
  - community care.
• 11:33
  - Especially with hypertension,
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  - there are many ways at the YMCAs that
• 11:37
  - people can work towards reducing their hypertension and
• 11:39
  - preventing hypertension
• 11:41
  - and everything that comes along with it. So
• 11:43
  - I do encourage anyone to reach out to
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  - their local YMCA
• 11:47
  - and see what the opportunities are for educational
• 11:50
  - seminars or special events
• 11:52
  - and or potentially putting in a blood pressure
• 11:54
  - kiosk at their location.
• 11:56
  - I'm happy to also be a conductor for
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  - anyone looking to reach out to their local
• 12:00
  - YMCAs.
• 12:02
  - I appreciate your attention during, my presentation.
• 12:05
  - Thank you, Juliana.
• 12:07
  - A big thank you to our sponsor for
• 12:08
  - the series, the American Heart Association.
• 12:11
  - You can find more Becker's Healthcare podcast anytime
• 12:14
  - by visiting our podcast page at beccarshospitalreview.com.
• 12:18
  - Thanks again for joining us, and stay tuned
• 12:20
  - for the second and third episodes of the
• 12:22
  - series, community and clinical workflow insights for hypertension
• 12:26
  - care. Thank you.