A2 0p1r9e spiodi ennt st i taol ma duvl it si po lrey mf ri os sme dt ho ep pAomr teurni ci taine sHt oe ai mr t pAr sosvoec ci aa tridoino vpaus bc ul i lsahrecda ri ne aFnedb rauv ao ri dy unnecessary costs in six major categories:
LARGE MISSED OPPORTUNITIES AT EVERY STEP IN PREVENTION AND TREATMENT OF CARDIOVASCULAR DISEASE
Failure to Make Risk Factor Modifications Can reduce odds of CVD by 80% .
Failure to Elicit & Follow People's Goals & Needs Higher patient activation levels lead to better health care experience.
Failure to Diagnose
Failure to Use Proven First Line Treatments 43-67% of patients nonadherent to statins after 1 year. Over half of AF patients not on therapeutic anticoagulation.
Failure to Use Advanced Treatments 1/3 prescribed PCSK9s get Rx approved and filled. Variation in major CV procedures
Failure to Provide Supportive Care 5% of severe heart failure patients receive palliative care.
20-40% of heart attacks occur in undiagnosed CVD patients. 20% undiagnosed CVD. 30% undiagnosed hyperlipidemia.
Source: Call to Action: Urgent Challenges in Cardiovascular Disease: A Presidential Advisory From the American Heart Association | Circulation (ahajournals.org)
Employers can take steps including working with health plans, providers and oth - er healthcare stakeholders to help address these missed opportunities and improve outcomes. Important measures to pursue are • Moving care upstream to reduce modifiable risk factors such as high blood glucose, obesity in adults and children, smoking and vaping, lack of activity, hcaignhsLuDppLocrhtohleesatlethroielr, alinfedsptyoloers.diet. Employer-sponsored wellness programs • Engaging and involving women in their cardiovascular health through e(wduecaaratibolne, tsruapcpkeorrst)garnoudpcsa,rteecnhanvoiglaotgiyonto. track CV parameters and activity
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