Healthy Hearts California is a dynamic alliance of individuals and organizations working together to reduce the burden of heart disease and stroke in the state of California. Healthy Hearts California was created specifically to achieve goals outlined by
- Let’s Get Healthy California: https://letsgethealthy.ca.gov/,
- The California Wellness Plan: bit.ly/1gLpVoI, the Million Hearts Initiative: http://millionhearts.hhs.gov/,
- American Heart Association’s Target: Blood Pressure (BP) Initiative http://connectingcommunities.heart.org/targetbp/
Contact: Alexandria Simpson : Alexandria.Simpson@cdph.ca.gov Cardiovascular Disease; Health Systems Interventions Lead; Chronic Disease Control Branch; California Department of Health
American Heart Association and American Medical Association
The toolkit is divided into the following sections:
This webpage provides information and supporting materials for the Community Preventive Services Task Force (Task Force) recommendation on interventions engaging community health workers to prevent cardiovascular disease including the Task Force finding and rationale statement and a summary of the evidence that serves as the basis for this recommendation.
This webpage provides information and supporting materials for the Community Preventive Services Task Force (Task Force) recommendation on team-based care to improve blood pressure control including the Task Force finding and rationale statement and a summary of the evidence that serves as the basis for this recommendation.
A Community Health Worker Training Resource for Preventing Heart Disease and Stroke (2015) is an evidence-based, plain-language training resource and reference for CHWs as well as a curriculum that health educators, nurses, and other instructors can use to train CHWs.
This resource serves as a support tool for funded state partners who are implementing CHW strategies in health systems and community-clinical linkages. Others working in these areas might also find the information useful.
Addressing Chronic Disease through Community Health Workers
This resource provides evidence demonstrating the value and impact of CHWs in preventing and managing a variety of chronic diseases. In addition, descriptions of chronic disease programs that are engaging CHWs are offered, examples of state legislative action are provided, recommendations for an integrated and sustainable CHW workforce in the public health arena are made, and resources that can assist state health departments and others in making progress with CHWs are described.
This resource is a comprehensive overview of the core elements of the St. Johnsbury, Vermont Community Health Team (CHT) Model. This guide provides information on how to start a CHT in your community along with steps for planning an evaluation for a CHW program.
This resource was designed for community health workers and Promotoras de Salud to read with community members and help them learn about how to control sodium in their diets.
This resource serves as a job aide for community health workers and Promotoras de Salud to use in conjunction with the Fotonovela: Controlling Hypertension by Learning to Control Sodium Intake.
This resource was designed for community health workers and Promotoras de Salud to read with community members and help them learn about how to control their cholesterol.
This resource serves as a job aide for community health workers and Promotoras de Salud to use in conjunction with the Fotonovela: How to Control Your Fat and Cholesterol.
Community Health Workers Role in Million HeartsTM Initiative. This resource provides information on how CHWs/promotores de salud, can work together with CDC and the Centers for Medicare and Medicaid Services to help reach the program’s goals of the Million HeartsTM Initiative. Specifically, it provides examples of roles CHWs can play with people at risk for high blood pressure and cholesterol by supporting them in their health care needs and promote better lifestyle choices.
This resource highlights the structure, processes, and outcomes of an initiative in the Mississippi Delta that integrates CHWs in healthcare facilities, barbershops, and churches. Also outlined are the goals and objectives of the initiative and the reach and impact as of 2014.
This resource highlights structure, processes, and outcomes of the St. Johnsbury, Vermont Community Health Team, which includes community health workers, to improve the coordination of care in an effort to address chronic disease conditions. Also outlined are the goals and objectives of the initiative and the reach and impact as of 2012.
The second half of this page provides links to factsheets and training resources for CHWs working on hypertension prevention.
This resource highlights a mixed-method evaluation intended to: describe the program; identify practices and lessons that other programs might consider using; and determine the effect the Community Health Team (including CHWs) model has on patient outcomes related to quality of life, hypertension, and health care use.
This resource is a synopsis of the article “Do State Community Health Worker Laws Align with Best Available Evidence?” published in October 2015 in the Journal of Community Health. The authors of this article sought to help states make informed decisions by identifying the core policy components of effective CHW policies, and assessing the extent to which existing state laws include these components.
This resource is a synopsis of the article “Community Health Workers ‘101’ for Providers and Other Stakeholders” published in the July/September issue of Journal of Ambulatory Care Management.
This resource is asynopsis of the article, “A Cost Analysis of a Rural Community Health Worker Program in Rural Vermont” published in June 2013 in the Journal of Community Health. In this article, the authors described the cost analysis conducted as a part of the first phase of a comprehensive evaluation of a CHW program in rural Vermont. This CHW program helps people access social and economic services to improve their life conditions and thus reduce the risk of or effectively manage chronic conditions.
This resource is asynopsis of the article “Cost-Effectiveness of Nurse Practitioner/ Community Health Worker Care to Reduce Cardiovascular Health Disparities” published in April 2013 in the Journal of Cardiovasuclar Nursing. In this article, the authors summarize the outcomes and cost-effectiveness analysis of a CVD risk reduction program (the intervention) delivered by NP/CHW teams versus enhanced usual care in improving cholesterol, blood pressure, and hemoglobin (Hb) A1C levels (a measure of diabetes control) among patients in federally qualified community health centers located in major cities.
This resource is asynopsis of the article “The Impact of Community Health Workers on Cardiovascular Risk Reduction Program in Public Health and Health Care Settings” published in January 2013 in the American Journal of Public Health. In this artilce, the authors describe the Colorado Heart Healthy Solutions CHW program that was implemented by the Colorado Department of Public Health and Environment in clinical and community settings with the goal of reducing risk for coronary heart disease among residents in 34 Colorado counties.
This resource is a synopsis of the article “Community Outreach and Cardiovascular Health (COACH) Trial: A Randomized Controlled Trial of Nurse Practitioner/ Community Health Worker Cardiovascular Disease Risk Reduction in Urban Community Health Centers” published in September 2011 in the Circulation: Cardivascular Quality Outcomes. In this artilce, the authors describe the Community Outreach and Cardiovascular Health (COACH) trial that engaged 525 patients in urban community health centers to evaluate the effectiveness of a cardiovascular disease (CVD) risk reduction intervention.