TEXAS CVD AND STROKE DIGEST
                                     September 2009
This Digest is provided by the Cardiovascular Health and Wellness Program at the Texas Department of
State Health Services in support of the Texas CVD and Stroke Partnership. If you did not receive this
Digest as a subscriber and would like to subscribe, please visit
http://wwwstage.dshs.state.tx.us/wellness/partnershipdigest.shtm. Information about educational
opportunities, resources, tools, and reports is compiled from national, state, and local partners. The
Digest does not reflect endorsements by DSHS or the Partnership.

                                                  REPORTS and DATA

Aggregated district-level data from the 2008-2009 Physical Fitness Assessment Initiative is now
posted on the TEA website at http://www.tea.state.tx.us./index4.aspx?id=3975. This data is being
made available for district-planning purposes for the 2009-2010 school year.

Heart trouble rated third most prevalent cause of disability with estimated 3 million affected. Prevalence
and Most Common Causes of Disability Among Adults -- United States, 2005. MW Brault; J
Hootman, PhD; CG Helmick, MD; KA Theis, MPH; BS Armour, PhD On-line 08/21/2009 In Medscape
Today. http://www.medscape.com/viewarticle/706253?src=mp&spon=17&uac=122388MJ

Big drop in heart attacks after smoking bans, studies say. By Theresa Tamkins. CNNHealth.com.

FDA ban on flavored cigs takes effect.

MMWR - QuickStats: Average Total Cholesterol Level Among Men and Women Aged 20--74 Years
--- National Health and Nutrition Examination Survey, United States, 1959--1962 to 2007--2008*.

From American Journal of Cardiovascular Drugs : Drugs, Devices, and Other Interventions Medscape
Today. Effects on Coronary Atherosclerosis by Targeting Low-density Lipoprotein Cholesterol
with Statins. Jean Ferrières. Published: 09/11/2009.

Release of Small Area Health Insurance and Low-Income Population Estimates (2006). The “eligible
population” data set has now been updated with 2006 estimates. The data set, Health Insurance
Coverage Status by Age, Race, Hispanic Origin, Sex and Income for Counties and States: 2006, was just
released by the US Census Bureau’s Small Area Health Insurance Estimates (SAHIE) program.

C o s t o f r a ci a l d i s pa r i t i e s i n he a l t h c ar e p u t a t $ 2 2 9 bi l l i o n b e tw e e n 2 0 0 3, 20 0 6 .
September 18, 2009. The Baltimore Sun. Downloaded from Health Policy Institute.

From the Community Action Network -
Texas Gets $50 Million to Expand Health Insurance for Working Poor

The Texas Health and Human Services Commission has received a $50 million grant to provide cost
sharing accounts to help low-income working Texans purchase health insurance. Starting in 2010, the
cost sharing accounts will be available to eligible employees receiving coverage though one of three new
        Healthy Texas is a new statewide initiative that helps small businesses offer affordable health
insurance to employees. It lowers premiums by using a state-funded pool to help cover employees with
high health care costs. It will begin enrollment in the summer of 2010.
        TexHealth Coalition provides affordable health coverage to small businesses in Galveston and
Central Texas. It will expand to Houston, Dallas, El Paso and the Brazos Valley within a year.
        Community First Health Plan will begin offering a new coverage for small employers in Bexar
County and seven surrounding counties in January.
The cost sharing accounts will help low-income employees pay for insurance premiums or co-pays and
deductibles. The account is managed by the health plan, and the employee directs how the funding is
used to best meet their health care needs.
Most Uninsured Working-Age Texans Are Employed

Recently released U.S. Census Bureau statistics on the medically uninsured show that Texas continues
to have the highest uninsured rate in the nation with over 6 million people with no public or private health
insurance. An analysis of the Texas data by the Center for Public Policy Priorities (CPPP) reveals that
the rate of uninsured children in Texas has decreased while the number of uninsured working-age adults
has increased. The CPPP analysis of U.S. Census data also showed that two-thirds of working-age
Texans who have no health insurance do have a job. Texans aged 19 - 24 have the highest uninsured
rate of 46%. Visit the Center for Public Policy Priorities for more data, charts and analysis.

Insurer to Partner with Texas Medical Clinic to Launch Chronic Disease Care Coordination Pilot -
News digest - Public Health newsroom - Public Health - RWJF
Link: http://www.rwjf.org/publichealth/digest.jsp?id=22005

MMWR - QuickStats: Percentage of Adults Aged ≥18 Years Who Engaged in Leisure-Time
Strengthening Activities,* by Age Group and Sex --- National Health Interview Survey, United
States, 2008†. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5834a6.htm?s_cid=mm5834a6_e

Science in Brief: Turning Science into Action. The Division for Heart Disease and Stroke at the
Centers for Disease Control and Prevention (DHDSP) recently released their first edition of the Science
in Brief: Turning Science into Action publication. This short synopsis includes newly published articles
authored by DHDSP staff, along with ideas from the Applied Research and Translation Team and
Program Development and Services Branch for how findings might be applied to the work you are doing
in cardiovascular health promotion. http://www.hearthealthystrokefree.org/documents/Science-in-


Company Wellness Programs Improve Health, Cut Costs. CNN, 09/01/09
Employee wellness programs just may be the cure for companies struggling to keep up with rapidly rising
health care costs. And proponents say that in addition to saving companies money, the programs are an
effective way to help employees live healthier lives.

TMF Health Quality Institute - Be in the Know: Feature Story - How to Avoid Fumbled Handoffs
When Discharging Patients. Poor communication can lead to serious medical errors. Project RED
(reengineering discharge) promotes useful discharge discussion points for hospitals concerned about
poor handoffs, which can often lead to patients being readmitted shortly after discharge.

Walk Appeal: Homes in Walkable Neighborhoods Sell for More. MarketWatch, 08/18/09
Homes located within walking distance of amenities such as schools, parks, and shopping aren't only
more convenient for their owners, often they're also worth more than homes in neighborhoods where
driving is the rule, according to a new study…commissioned by CEOs for Cities, a national network of
urban leaders from the civic, business, academic, and philanthropic sectors.

Visit CDC's Healthy Communities Program Web site for community resources and other helpful
information: www.cdc.gov/HealthyCommunitiesProgram
Featured Web site: Listen to keynote speakers from CDC's 2009 National Conference on Chronic
Disease Prevention and Control: Cultivating Healthy Communities at this Web site:

Read the Institute of Medicine's report, Local Government Actions to Prevent Childhood Obesity, at

To find out what’s being done in Texas to fight obesity by making healthy eating and active living the
easy choice, watch The Growing Community videos at

Rethinking the Street Space: Toolkits and Street Design Manuals. Planetizen, 08/31/09
Cities are taking charge when it comes to their streets. A number of big American cities have come out
with manuals and toolkits to guide their design. The primary goals of the new street design manuals are
often quite similar, [including] minimizing negative environmental effects and creating places that
encourage walking and exercise. http://www.planetizen.com/node/40394

The CDC’s Division of Adult and Community Health, National Center for Chronic Disease Prevention and
Health Promotion, is pleased to announce the release of updated data for the Chronic Disease
Indicators Web site, providing users with an online tool that now allows them to compare data on the
prevalence of chronic diseases in large metropolitan areas, as well as at state and national levels. The
web site is available at www.cdc.gov/nccdphp/cdi.

CMS to Focus on Stroke Care in U.S. Hospitals. Hospitals can meet the new CMS requirement by
participating in the American Heart Association's Get With The Guidelines-Stroke quality
improvement program DALLAS, Aug. 27 /PRNewswire-USNewswire/ -- A new rule from the U.S.
< http://www.redorbit.com/news/display/?id=1744102 >

                                      EDUCATION AND TRAINING

TIME SENSITIVE: Following is the 2nd colloquium in CHPR's colloquia series of 2009-10: Emerging
Research Topics & Methods.
TITLE: Social Justice and Health Care Administration - Can they Coexist?
SPEAKER: Dr. Linda Yoder, PhD, AOCN, FAAN, School of Nursing, The University of Texas at Austin
DATE: Friday, October 2, 2009
TIME: 12:00 - 1:00 P.M.
WHERE: NUR 4.180, 1700 Red River
ABSTRACT: In this presentation the general concept of Social Justice will be discussed as it relates to
healthcare organizations, specifically hospitals. Issues such as market justice, community benefit, the
Children's' Insurance Program, and healthcare reform will be discussed as they relate to social justice.
Dialogue by attendees about these subjects is encouraged!
For more information, contact:
Center for Health Promotion Research
The University of Texas at Austin School of Nursing
1700 Red River
Austin, TX 78701-1499
512-471-9910; 512-471-4673 fax

Increasing Duration of Chest Compressions During CPR May Lead to Better Survival for Patients
in Cardiac Arrest News Author: Deborah Brauser, CME Author: Désirée Lie, MD, MSEd.
CME Released: 09/21/2009; Valid for credit through 09/21/2010. This article is intended for primary care
clinicians, emergency clinicians, emergency medicine service providers, and other specialists who care
for patients with out-of-hospital ventricular fibrillation or ventricular tachycardia.

MedscapeCME Internal Medicine . Assessing Risk and Enhancing Response in Patients With
Coronary Artery Disease: The Role of Genetics CME/CE. Marc S. Sabatine, MD, MPH.
CME/CE Released: 09/15/2009; Valid for credit through 09/15/2010. This activity is intended for
internists, endocrinologists, cardiologists, nurse practitioners, and physician assistants.

Patients With STEMI: Guideline-based Diagnosis and Treatment CME. Luis Gruberg, MD; Glenn A.
Peirce; Douglas D. Blevins, MD. CME Released: 09/11/2009; Valid for credit through 09/11/2010. This
activity is intended for cardiologists. This may also be of interest to other healthcare professionals who
are involved in treating patients who have STEMI.

Snuff and Chewing Tobacco Linked to Increased Risk of Fatal MI or Stroke CME. News Author:
Marlene Busko, CME Author: Désirée Lie, MD, MSEd. CME Released: 08/31/2009; Valid for credit
through 08/31/2010. This article is intended for primary care clinicians, cardiologists, neurologists, and
other specialists who care for patients who use smokeless tobacco products.

Smoking, High Blood Pressure, and Diabetes May Lead to Dementia CME/CE. News Author: Allison
Gandey, CME Author: Charles P. Vega, MD, FAAFP. CME/CE Released: 09/01/2009; Valid for credit
through 09/01/2010. This article is intended for primary care clinicians, cardiologists, neurologists,
geriatricians, and other specialists who care for patients at risk for the development of dementia.

Warfarin Use in Patients With End-Stage Renal Disease May Increase Stroke Risk CME. News
Author: Laurie Barclay, MD, CME Author: Penny Murata, MD. CME Released: 09/03/2009; Valid for
credit through 09/03/2010. This article is intended for primary care clinicians, nephrologists, cardiologists,
and other specialists who provide care to patients with atrial fibrillation who are receiving hemodialysis.

                                         FUNDING AVAILABLE

TIME SENSITIVE: Awards for Excellence in Texas School Health - Call for Applications -
Deadline: October 2, 2009
This cash awards program for public and private schools is celebrating its 20th year of funding schools
that "demonstrate effective school health programs and initiatives that strive to continually improve the
lifelong health of students, staff or the greater school community." Awards are available in recognition of
programs already in place or as seed money for programs you would like to start up - eleven awards in
all, totaling over $13,000. Winners will be announced on October 16, 2009. Award winners receive their
cash gift at the awards ceremony in Austin on January 29, 2010. For more information and to access an
application, go to www.dshs.state.tx.us/schoolhealth/awards.shtm. Contact Ellen Smith at
ellen.smith@dshs.state.tx.us or 512-458-7111, Ext. 2140 with questions.

Cancer Prevention and Research Institute of Texas - Prevention Awards - Funding Opportunities
Evidence-Based Prevention Programs and Services | Instructions for Applicants (to be posted)
This RFA seeks grant applications from qualified organizations located in the State of Texas that would
provide services aimed toward prevention and reduction of the risk of cancer, early detection, and
improving the lives of those living with the disease. These projects would provide services that are based
on scientific evidence of their effectiveness in prevention of cancer or improvement in quality of life.
CPRIT expects measurable outcomes of supported activities that demonstrate impact on incidence,
mortality, or morbidity or interim measures related to the outcomes. Successful applicants are eligible for
a grant award of up to $1 million for up to 24 months.

Health Promotion, Public Education, and Outreach Programs | Instructions for Applicants (to be posted)
This RFA seeks grant applications from qualified organizations located in the State of Texas that would
provide services aimed toward prevention and reduction of the risk of cancer, early detection, and
improving the lives of those living with the disease. These projects would provide services that are based
on scientific evidence of their effectiveness in prevention of cancer or improvement in quality of life.
CPRIT expects measurable outcomes of supported activities that demonstrate impact on incidence,
mortality, or morbidity or interim measures related to the outcomes. Successful applicants are eligible for
a grant award of up to $1 million for up to 24 months.

For more information, please visit the CPRIT website: www.cprit.state.tx.us

The Texas Fitness Now Grant for the 2009-2010 School Year is now available at
After linking to this webpage, scroll to the 2009-2010 Texas Fitness Now Application and click “select”.

                             NEWS FROM AND ABOUT OUR PARTNERS

On behalf of our partners at the U.S. Department of Health and Human Services, Center for Faith-Based
and Neighborhood Partnerships, guide to educate your community about H1N1.
"The HHS Partnership Center is proud to bring to you, H1N1 Flu: A Guide for Community & Faith-based
Organizations. This guide provides specific action steps that community and faith-based organizations
can take to help keep communities healthy during flu season, including:
       Communicating important information about flu,
       Supporting vaccination efforts,
       Linking vulnerable and hard-to-reach populations to vital information and resources,
       Expanding and adjusting organizational activities to help people stay healthy.
You and your organization are crucial leaders and resources in your community, and essential partners in
comprehensive state and local flu response. We hope you utilize this guide as you and your community
take steps to prepare for, and respond to, flu."

The American Association for Health Education (AAHE) is pleased to announce the Blue Apple
Health Education Awards. Applications for the 2010 Awards are due from Schools November 6,
2009. The award program provides up to 12 schools annually with national recognition for their
leadership and commitment in providing quality health education that promotes healthy behaviors and
increased student learning for all students. These schools will serve as models of excellence for others
across the nation. Complete information is at www.blueappleaward.org

The Institute for Health Promotion Research (IHPR) at the UT Health Science Center at San
Antonio has compiled news and blurbs in its latest newsletter on health disparities:

                Seton Hospitals & PTES presents a video on the Power to End Stroke
                Flight for Life that Seton helped sponsor. Over 5000 people went to the Kirk
                Franklin concert and took the PTES pledge.

                                                                                            Watch the video and
                                                                                            leave a comment!

Austin & Central Texas Hispanic Nurses
Association (ACTHNA) received the Capital of
Texas Award at the Greater Austin Hispanic
Chamber of Commerce 1st Annual Awards
Banquet. The Austin & Central Texas Hispanic
Nurses Association was selected as one of three
finalists under the education-nonprofit category.
 "This very special event recognizes successful,
dedicated small businesses and organizations that
lend their valuable time, talent and resources to a
variety of programs and initiatives in the Greater
Austin area to make Austin a better place to live".
The Austin and Central Texas Hispanic Nurses
Association is committed to improving and
maintaining the Health and Wellness of the Hispanic
community through education and promotion of a
healthier lifestyle. We are also committed to promoting the recruitment and retention of Hispanics into
the nursing profession through scholarships, networking, and mentoring. www.acthispanicnurses.org.
Second from the right is Marci Wilson, Seton Family of Hospitals and active member of the Texas CVD
and Stroke Partnership, accepting the award.

From the American Heart Association-South Central Affiliate. .A new law will reduce PE and
remove Health as a requirement from some degree plans for high school students. These classes
teach knowledge and skills that promote good nutrition and regular physical activity. They also help lay
the foundation for healthy habits that can last a lifetime. Help us urge the SBOE keep strong standards
for PE and Health.
We believe all students would benefit from these basic courses and are looking to get them put back
into all degree plans.

Disclaimer: Content is selected solely on the basis of newsworthiness and potential interest to readers. DSHS assumes no responsibility for
the factual accuracy of the items presented. The selection, omission, or content of items does not imply any endorsement or other position
taken by DSHS. Opinions expressed by the original authors of these items, or persons quoted therein, are strictly their own and are in no way
meant to represent the official position of DSHS. References to products, trade names, publications, news sources, and non-DSHS Web sites
are provided solely for informational purposes and do not imply endorsement.


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