Cardiovascular
Transformative Impact: Evaluating Cardiovascular Health through Mississippi’s Chronic Disease Quality Improvement Initiative (CDQII) – A 2019-2023 Analysis Sudheer Koutha* Sudheer Koutha Chandana Namburi Kaithlyn Hawkins Sai Kurmana
Background:
Cardiovascular disease is the leading cause of death in the United States and Mississippi with mortality rates in Mississippi surpassing the national average. Hypertension and high blood cholesterol are prominent risk factors for cardiovascular disease, affecting a significant prevalence percentage of the adult population in Mississippi (43.9%: high blood pressure;38.3%: high blood cholesterol). Mississippi State Health Department’s (MSDH) Chronic Disease Quality Improvement Initiative (CDQII), initially designed to target heart disease and stroke. This study evaluates the impact of CDQII from 2019 to 2023 across 13 healthcare systems in Mississippi.
Methods:
For this study, thirteen healthcare systems collaborated with the MSDH, reporting data securely through platforms such as dashboards and Redcap from 2019 through 2023, focusing on the total number of participants with hypertension and trends in hypertension control. Disease burden and healthcare systems are studied with Geo-Spatial Technology using Arc GIS Pro.
Discussion:
Approximately out of 90,000 individuals each year from CDQII health care systems, about 30% reported hypertension. Among those with hypertension, a significant increase in the percentage of individuals who achieved hypertension control was observed (2020: 48.15%; 2023: 61.94%). The percentage increase among individuals with hypertension in control significantly increased by 4.6 %, 15% and 6.9% for three consecutive years (2021, 2022, 2023). Overall, about 62% (n=20,178) of participants had their hypertension in control during the final year of the project.
Conclusion:
The CDQII intervention demonstrated positive impacts, particularly in the identification and management of hypertension. The findings highlighted the significance of collaborative efforts in addressing cardiovascular health outcomes in Mississippi. Further research is imperative to refine strategies and enhance health outcomes related to cardiovascular disease.