Data and measuresThe Health Index Initiative tracks and monitors a variety of data sources to measure progress being made to decrease cardiovascular deaths.
Death from all types of cardiovascular disease including heart disease, stroke, heart attack and heart failure have been steadily decreasing over the last several decades. In the case of heart attack, the age adjusted rate per 100,000 is almost half of what it was less than 20 years ago. The recent increase in cardiovascular deaths, while not yet a trend, is of concern.
The rates of all cardiovascular deaths in Maine and within the MaineHealth service area have consistently been below the national rate. For decades, age-adjusted rates for deaths due to cardiovascular disease steadily decreased across the U.S. However, this long-running decline in mortality has recently plateaued, and the most recent data is suggesting an uptick in cardiovascular death rates both nationally and in Maine.
Between 2014 and 2015, Maine was one of 35 states that had an increase in the rate of all cardiovascular deaths. Maine's increase from 193.3 to 201.5 per 100,000 was the fifth highest in the United States.
Taking action: Managing high blood pressure
We support a variety of clinical, community and policy actions to help decrease cardiovascular deaths throughout the MaineHealth service area. One of our clinical strategies focuses on managing high blood pressure.
Physician practices within the MaineHealth Accountable Care Organization (MaineHealth ACO) are focused on reducing cardiovascular disease and death by managing the high blood pressure of their patients.
Among patients diagnosed with hypertension, the percentage whose blood pressure was under control (<140/90 mmHg) increased from 68% in December 2015 to 71% in December 2016, surpassing the target goal of 70.5%. Five of six practice groups within the MaineHealth ACO saw improvement during this period.