Canadian Heart Health Strategy and Action Plan CHHSAP

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Canadian Heart Health Strategy and Action Plan
(CHHS-AP)

• CONSULTATION WITH INDUSTRY
• December 14, 2007

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Context for a Canadian Strategy

• CVD is Canadas number one public health problem.
• Risk factors (unhealthy eating, inactivity), as
  well as obesity, diabetes and hypertension are
  increasing.
• Gaps between what we know and what we do exist in
  primary and secondary prevention as well as in
  treatment.
• The health care system lacks integration access
  is limited with significant disparities.
• Health human resources are deficient.
• Care delivery models have been relatively
  stagnant.
• Canada lacks a surveillance system for CVD.

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Age-Standardized Canadian Cardiovascular Disease
Mortality Rates, Males/Females, 1950-1999
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Percentage of Canadians Reporting Heart Disease
2001
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Age Standardized Cardiovascular Disease (CVD)
Mortality Rates per 100,000 Adults in Canada,
1995-1997
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Overweight/Obesity Among First Nations Communities
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Context Political

• Public concern about access
• Health accord
• Steven Fletcher, MP, introduced a private members
  bill calling for chronic disease strategies
  cancer, heart and mental health (May 2005)
• 2005 federal budget included CVD specific
  resources
• Representatives from CV community met in the fall
  of 2005 and with Steven Fletcher (April 2006)
• Presentation at health caucus meeting (June 2006)
• Funding announced by the Minister of health (Oct
  2006)

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CHHS-AP Leadership

• Leadership partners
• Heart and Stroke Foundation of Canada
• Canadian Cardiovascular Society
• Canadian Institutes of Health Research
• (Institute for Circulatory and Respiratory
  Health)
• Funder
• Public Health Agency of Canada

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CHHS-AP Steering Committee

• Primary policy decision-making body
• 29 thought leaders and experts
• Balance of expertise, knowledge, skills, regions,
  gender, research pillars, continuum of CV health

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CHHS-AP Management Group

• Executive Committee of Steering Committee
• Administrative body of CHHS-AP
• Operational responsibilities

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CHHS-AP Purpose and Description

• Purpose
• To reduce the growing burden and loss due to CV
  disease in Canada
• Description
• Independent, stakeholder driven
• Comprehensive, integrated strategy
• Continuum of the health system health
  policy/prevention to end-of-life care
• Continuum of life preconception to death
• Address disparities
• Evidence-based/best practices

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Framework for a Comprehensive Canadian Heart
Health Strategy and Action Plan
The Vision
HEALTH PROMOTION
PRIMARY
SECONDARY
Interventions Required
TREATMENT
Policy and environmental change
Behaviour change strategies
Prevention, detection management of risk factors
Timely access to quality (acute) care
Timely access to quality chronic disease
manage-ment/rehab
PREVENTION
Timely access to end oflife care
OUTCOMES

• Decreased burden of cardiovascular disease

• Healthier population

• Added quality life years

• Sustainable health system

• Reducedinequities

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CHHS-AP Theme Working Groups

• Structure
• Co-Chairs one to be member of SC
• Members selected on basis of expertise
• Charged with developing strategic recommendations
• Innovative, implementable and practical
• Based on best practices/evidence
• Integration with existing strategies

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CHHS-AP Theme Working Groups

• Strengthening information systems for monitoring,
  management, evaluation and policy development
• Creating environments conducive to cardiovascular
  health
• Preventing, detecting and controlling major risk
  factors
• Addressing and enhancing Aboriginal / indigenous
  cardiovascular health
• Timely access to quality (acute) care and
  diagnostics
• Timely access to quality chronic disease
  management, rehabilitation services and
  end-of-life care

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CHHS-AP Cross-Cutting Issues

• Reducing the impact on cardiovascular outcomes
  that result from disparities.
• Expanding the knowledge base.
• Translating knowledge into action.
• Addressing impact / outcomes of interventions.
• Addressing and enhancing Aboriginal / indigenous
  cardiovascular health.
• All groups will also consider workforce/education
  system needs

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CHHS-AP Integration and Partnerships Sub-committee

• Mandate To provide strategic advice to Steering
  Committee and Management Group related to
  stakeholder engagement, partnerships, and
  opportunities for collaboration and integration
  with other strategies and initiatives

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CHHS-AP

• Outcomes and Deliverables
• A Strategy and Action Plan using a collaborative
  approach
• A Business Plan to support implementation
• A plan for a system of CV surveillance
• Evaluation and monitoring protocol

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CHHS-AP

• Critical success factors
• Engage stakeholders
• Engage provincial/territorial governments
• Maintain timelines
• Innovative and practical strategies
• Sound implementation plan
• Successful integration with other strategies

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Related Initiatives

• F/P/T
• Cardiovascular Disease Surveillance Issue Group
  (reports to the Chronic Disease and Injury
  Prevention and Control Expert Group of the Public
  Health Network)
• Pan Canadian
• Canadian Stroke Strategy
• Diabetes Strategy, Cancer Strategy
• Pan-Canadian Healthy Living Strategy
• P/T Strategies
• Ontario, Nova Scotia
• Regional Strategies
• Champlain CV Disease Prevention Strategy

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WHERE ARE WE NOW?

• TWGs are completing their reports
• Steering Committee Meetings in Jan and May
• Continued consultation (NGOs)
• Focus Groups of Citizens
• Report in the fall of 2008

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What We Would Like to Hear

• Your views about major issues in cardiovascular
  health and disease
• How your company/industry can contribute to the
  Strategy
• What changes are needed to the CV health and
  healthcare systems in Canada
• How you can contribute to these changes

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CHHS-AP

• What it is
• Independent, stakeholder driven
• Comprehensive, integrated
• The continuum of the health system
• Healthy policy/prevention to palliation
• The continuum of life
• Preconception to death
• Evidence-based/best practices

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CHHS-AP

• Contact
• 613. 569.4361 ext 254
• info_at_chhs-scsc.ca
• www.chhs-scsc.ca