A Newsletter for the HHQI Underserved Populations (UP) Network            
November 2013 
UP Network Announcements  


There will be only one UP Network Webinar in the month of November. Registration is now open for the November 13 webinar - click here or on the date of the session.



Advice and Tips from Home Health Experts on 3 Key Topics  (Panel Presentation) 

  • If you are in charge of your PI/QI Program, do you know what the essentials are?
  • Does your pulse race when it comes time for a survey?
  • Do you have palpitations when your mail is delivered with ADRs?

If you answered yes to any of those questions, then this session is for you. An expert panel of consultants will provide valuable information on these topics for agencies of all sizes, but this is a must attend session for smaller and medium size agencies.


Speakers:  Cheryl Pacella, DNP(c), HHCNS-BC, CPHQ, owner of CAP Consulting, LLC, Nancy Allen, BSN, RNC, CMC, founder and CEO of Solutions for Care, Inc., and  Barbara Piskor, MPH, BSN, RN, NEA-BC, owner of BKP HealthCare Resources 


Registration is now open! 


NOTE:   Due to holiday season scheduling conflicts, UP Events will NOT be scheduled for December 2013 or January 2014. Calls will resume in February 2014.

UP News & Highlights

November is National Native American Month, World Diabetes Day (11/14/13), and the Great American Smokeout (11/21/13).  This month's UPDate will highlight the many issues that American Indians and Native Alaskans face with chronic diseases.
There are more than 4.5 million American Indians (AI) and Alaska Natives (AN) in the United States (CDC, 2006). Life style changes over time especially related to diet and activity levels have increased risk factors for many chronic diseases.  There is an increased incidence of heart disease, stroke, and Diabetes in the AI/AN population, as well as increased at-risk issues including smoking, alcohol, obesity that increases cardiovascular risk. 
The following are key statistics related to the AI/AN population:
  • Prevalence of diabetes (2002 age-adjusted) was over twice that for all U.S. adults (CDC, 2012)
  • Mortality rates from chronic disease was nearly three times higher (CDC, 2012)
  • Counties with the highest heart disease death rates are primarily located in SD and ND (CDC, 2012)
  • Counties with the highest stroke death rates are primarily located in AK, WA, ID, MT, WY, SD, WI, and MN (CDC, 2012)
  • Cigarette smoking is highest in the Northern Plains (44.1%) and Alaska (39.0%) and the lowest in the Southwest (21.2%) among AI/AN people (CDC, 2003) 
This article explores several studies that review research related to risk factors including diet, activity, diabetes, and tobacco use.  Five different preventative trials are highlighted in this article, which most focus on family-centered approaches to reduce risks for chronic diseases.
Jobe, J.B., Adams, A.K., Henderson, J.A., Karanja, N., Lee, E.T., & Walters, K.L.  (2010). Community-Responsive interventions to reduce cardiovascular risk in American Indians. Journal of Primary Prevention. 33(4):153-159. Retrieved from Medscape Nurses. 2012. 

Tools/Resources of the Month


HHQI's Cardiovascular Health Part 1 Best Practice Intervention Package (BPIP)- Aspirin as appropriate & Blood pressure control

  •  Heart Health Resources for AI/AN populations (p.33)
  •  Hypertension Resources for AI/AN population (p.70) 

HHQI's Cardiovascular Health Part 2 BPIP - Cholesterol management & Smoking Cessation

  • Strong Heart Study Data Book (p.42)
  • Smoking breakdown by race/ethnicity (p. 51) 
  • AI/NA Dietary Habits UP BPIP (p. 57)
  • My Native Plate and Education Tip Sheet located with UP Resources 
HHQI's Underserved Population Networking Call 
CDC Resources 
  • Many different types of resources including "for Patients" - Health Care including Behavior Health (alcohol abuse, substance abuse, mental health), Diabetes Management, Health Education, etc.
For more information or to suggest future UP topics or speakers, please contact us at hhqi@wvmi.org.
Join the HHQI UPDate mailing list. 
Click here for more information about the HHQI National Campaign.