Million Hearts Campaign to Prevent Heart Disease and Stroke
28 September 2011
New US public-private sector initiative aims to prevent 1 million heart attacks and strokes in five years
Million Hearts focuses on improving aspirin use, blood pressure, cholesterol control and tobacco prevention
The Department of Health and Human Services (HHS), with several key initial partners, on 13 Sept 2011 launched Million Hearts, an initiative that aims to prevent 1 million heart attacks and strokes over the next five years. Currently, cardiovascular disease costs $444 billion every year in medical costs and lost productivity in Americans. Building on work already underway thanks to the Affordable Care Act, Million Hearts will help improve Americans’ health and increase productivity.
Million Hearts is focused on two goals:
- Empowering Americans to make healthy choices such as preventing tobacco use and reducing sodium and trans fat consumption. This can reduce the number of people who need medical treatment such as blood pressure or cholesterol medications to prevent heart attacks and strokes.
- Improving care for people who do need treatment by encouraging a targeted focus on the “ABCS” – Aspirin for people at risk, Blood pressure control, Cholesterol management and Smoking cessation – which address the major risk factors for cardiovascular disease and can help to prevent heart attacks and strokes.
“Heart disease causes 1 of every 3 American deaths and constitutes 17-percent of overall national health spending,” said HHS Secretary Kathleen Sebelius. “By enlisting partners from across the health sector, Million Hearts will create a national focus on combating heart disease.”
By empowering Americans to make healthy choices and improving care, Million Hearts strives to achieve the following specific goals:
| Indicator | Baseline | 2017 goal |
| Aspirin use for people at high risk | 47% | 65% |
| Blood pressure control | 46% | 65% |
| Effective treatment of high cholesterol (LDL-C) | 33% | 65% |
| Smoking prevalence | 19% | 17% |
| Sodium intake (average) | 3.5g/day | 20% reduction |
| Artificial trans fat consumption (average) | 1% of calories/day | 50% reduction |
“Through this public-private partnership, Million Hearts focuses on the areas that will save the most lives. It leverages and aligns current investments and is a great example of getting more health value from our existing health investments,” said Centers for Disease Control and Prevention Director Thomas R. Frieden, M.D., M.P.H. “If we succeed in achieving our Million Hearts goals, 10 million more Americans with high blood pressure will have it under control, 20 million more Americans with high cholesterol will have it under control, and 4 million fewer Americans will smoke by 2017.”
“The treatment of heart disease and stroke account for about $1 of every $6 spent on health care in this country,” said Donald Berwick, M.D., M.P.P., Administrator of the Centers for Medicare and Medicaid Services (CMS). “By shifting our focus from paying for how much care is provided to how to get the best health for Americans and putting more tools into the hands of health care providers and patients, CMS can help prevent strokes, heart attacks and avoidable human suffering.”
Several partners from the private sector will work to achieve the Million Hearts goals by:
- Improving Americans’ diets, reducing tobacco use, and improving medication adherence through community innovations.
For example, America’s Health Insurance Plans and its members will amplify their ongoing commitment to reduce cardiovascular disease, which includes community-based collaborations to reduce the burden of obesity and other risk factors for heart disease (UnitedHealthcare), beneficiary fitness programs (WellPoint), initiatives to reduce ethnic and racial disparities in cardiovascular health (Aetna) and programs to better manage chronic disease (Cigna). >>>>Read More




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