HuangStateofState102307课件.ppt

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% of 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 using the 2000 US standard population Trends of Heart Disease Trends of Stroke Mortality Data-Ischemic Heart Disease Mortality Data-Stroke  Hospital Discharge Data 2000 - 2004 Hospital Discharge Data  Estimated Hospital Charges Medicaid Claims Data for Cardiovascular Disease Texas, 2005 Primary CVD Diagnoses, Inpatient Cost, Texas, 2005 Primary CVD Diagnoses, Outpatient Cost, Texas, 2005 Primary CVD Diagnoses, Emergency Department Cost Texas, 2005 Total Medicaid Paid Claims Due to CVD, Texas, 2005  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 or older are asked questions about their health habits BRFSS Behavioral Risk Factors Medical Risk Factors Preventive Health Practices Adult Cigarette SmokingPrevalence – 2006 Adult Cigarette SmokingHealth Service Region – 2006 Cigarette Smoking  Among Youth – 2001 2005 Overweight/Obesity Overweight or Obesity Texas and US Adults, 1995-2006 Overweight or Obesity Texas, BRFSS,- 2006 Overweight or Obesity Health Service Region-2006 Lack of Physical Activity Lack of Physical Activity*  Texas US Adults, 1995-2006 Lack of Physical Activity* Adults, Prevalence – 2006 Lack of Physical Activity* Adults, Prevalence – 2006 Poor Nutrition Poor Nutrition*  Adults, Prevalence – 2005 Poor Nutri