The regional prevention project launched to prevent the incidence of coronary heart disease, has shown a 25 percent reduction in the number of acute heart attacks among a population of 10,000 adults.
Hearts Beat Back: The Heart of New Ulm Project is a 10-year initiative seeking to prevent the occurrence of heart attacks among a population of approximately 10,000 adult residents who reside in the region of New Ulm, Minnesota, said study co-author Jackie Boucher, MS, Vice President of Education at the Minneapolis Heart Institute Foundation. This project is unique in that a healthcare system is supporting a community-driven project that encourages a large population to embrace lifestyle changes, such as smoking cessation and improved nutrition that could improve ong-term heart health, with the assistance of local employers and innovative healthcare technology.
Research, such as a 2007 study in the New England Journal of Medicine, has shown that preventive care is the number one factor responsible for reducing cardiovascular mortality in the United States over the past 20 years, explained Thomas Knickelbine, MD, cardiologist at the Minneapolis Heart Institute at Abbott Northwestern Hospital in Minneapolis. Knowing that preventive care is a critical component in reducing deaths from cardiovascular disease, which is consistently the number one killer in the U.S., was a major motivation behind the Heart of New Ulm Project, he said.
For the current analysis of the project, the researchers conducted a quality improvement analysis to quantify the absolute number of unique acute heart attack events (both incident and recurrent) over 10 quarterly periods between January 2008 and June 2010. The first five quarters represented the period before active interventions began and the last five quarters represented the period since active interventions began. The population included all the adult residents (approximately 10,000) of the 56073 zip code (i.e., New Ulm, Minn.). They recorded both fatal and non-fatal acute heart events via an electronic surveillance system.One unique aspect of this population is that more than 92 percent have their data in an electronic health record, which serves as a helpful surveillance database, Boucher said.