1、Cardiovascular Disease (CVD) in Texas,Philip Huang, MD, MPH Texas Department of State Health Services,Overview,Burden of CVD Mortality Morbidity Economic Cost Risk Factors Quality/Performance HEDIS EMS Strategies to Address,Burden of CVD,Leading cause of death in Texas and in the United States 34% o
2、f all deaths in Texas 1,422,000 Texas adults reported that they have had heart disease or stroke in 2005,MORTALITY DATA,Mortality Data,Death certificate data were compiled and tabulated by the Statistical Services Division of the Texas Vital Statistical Unit (VSU) All death rates are age-adjusted us
3、ing 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 S
4、tate 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 Statisti
5、cal 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 Hea
6、rt 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,Mortali
7、ty 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),
8、 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 Sourc
9、e: 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 inf
10、ormation 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 Ca
11、re Case Management (PCCM) clients,Primary CVD Diagnoses, Outpatient Cost, Texas, 2005,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) clien
12、ts,Total Medicaid Paid Claims Due to CVD, Texas, 2005,Source: Fee for Service (FFS) and Patient Care Case Management (PCCM) clients,Risk Factor Surveillance,BRFSS,Ongoing telephone survey sponsored by DSHS in partnership with CDC Conducted on a monthly basis of 500 randomly selected Texans 18 years
13、or older are asked questions about their health habits,BRFSS,Behavioral Risk Factors Medical Risk Factors 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
14、 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 (E
15、xcluding 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
16、 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:
17、 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 e
18、xercise? % 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 pa
19、rticipate 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,*
20、 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,P
21、oor 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 re
22、ported 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 Ris
23、k 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, Te
24、xas 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, T
25、exas 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
26、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 Fac
27、tor Surveillance System, Texas Department of State Health Services, 1995-2005,High Blood Pressure Prevalence - 2005,Data Source: Texas Behavioral Risk Factor Surveillance System, Texas Department of State Health Services, 2005,High Blood Pressure Health Service Region- 2005,Data Source: Texas Behavi
28、oral Risk Factor Surveillance System, Texas Department of State Health Services, 2005,HEDIS Health Plan Employer Data and Information Set,HEDIS,Standardized performance measures designed for comparing the quality of care of managed care organizations,Result from HEDIS. Texas, 2001-2006,Data Source: http:/www.opic.state.tx.us/page.php?p_sub_page_id=582001-2006,STRATEGIES,Surveillance, Data and Outcome Management Health Education and Outreach Clinical Prevention and Treatment Services Community Policy and Environmental Changes,
