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Kansas State Profile and Policy Report

Kansas State Profile and Policy Report

Table of Contents

Heart Disease and Stroke Burden

Kansas - State Deaths for Heart Disease and Stroke

  • Nearly 1 out of 4 deaths in Kansas are due to heart disease.

  • 5,849 Kansans died from heart disease in 2006 (23.8 percent of total deaths in Kansas).

  • 1,489 Kansans died from stroke in 2006 (6.1 percent of total deaths in Kansas).
    Source: National Vital Statistics Report, 2009.

Kansas - 2007 State Risk Factors for Heart Disease and Stroke

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Kansas - 2003 State Costs for Cardiovascular Disease

In October 2007, the Milken Institute, an independent research group, released a study, An Unhealthy America: The Economic Impact of Chronic Disease. The study details the economic effects of treatment costs resulting from chronic disease in the United States. Below is a breakdown of Kansas’ estimated medical costs to treat heart disease, hypertension and stroke based on 2003 Medical Expenditure Panel Survey data.  

Kansas Annual Cost of Hypertension, Heart Disease and Stroke 

Treatment Expenditures (Direct Costs) - Total annual medical cost.      

Hypertension 

$.27 billion

Heart Disease          

$.67 billion

Stroke                     

$.13 billion

Source: Milken Institute, An Unhealthy America: The Economic Impact of Chronic Disease, October 2007. 
 

Kansas - Estimated 2007 Medicaid Treatment Costs for Cardiovascular Diseases

Based on Kansas' Medicaid population, economic estimates for 2007 were projected using Medical Expenditure Panel Survey data.  Medicaid spending has grown rapidly in recent years, placing a significant burden on state budgets.  To help states estimate the financial impact of cardiovascular diseases among their Medicaid beneficiaries, the Centers for Disease Control and Prevention (CDC) and RTI International developed the Chronic Disease Cost Calculator. 

 

 Heart Disease

 $27.3 million

 Hypertension

 $94.4 million

 Stroke

 $57.9 million

 Congestive Heart Failure

 $12 million

 

Funded CDC Heart Disease and Stroke Prevention Program in Kansas

The Centers for Disease Control and Prevention funds Kansas' Heart Disease and Stroke Prevention program to increase control of high blood pressure and cholesterol; increase awareness of the signs and symptoms of heart attack and stroke and the importance of promptly calling 911; improve emergency response; improve quality of care; and eliminate related health disparities.  These efforts are informed by monitoring heart disease, stroke, and related risk factors statewide.

 
Kansas State Highlights - Heart Disease and Stroke Prevention Program
  • The Community Initiative on Cardiovascular Health (CICV) - consisting of the Kansas Heart Disease and Stroke prevention program, the Missouri Heart Disease and Stroke Prevention Program, and the Mid-America Coalition on Healthcare (MACHC) -has implemented a pilot worksite wellness project in the Kansas City metropolitan area involving 14 large (more than 1,000 employees) and medium-sized (more than 500 employees) employers. The four-phase CICV project focuses on health, lifestyle and behavior issues of high blood pressure, high blood cholesterol and related risk factors.
     

  • The Kansas Heart Disease and Stroke Prevention Program partnered with the Kansas Advisory Committee on Trauma to implement policies to standardize training for Emergency Medical Dispatchers in the six Kansas trauma regions. A survey of all 133 Kansas communication centers was conducted, and an introduction letter with a survey was mailed to these centers. Of 133 centers, 117 (88 percent) responded (94 centers that dispatch Emergency Medical Services, 10 centers that dispatch other types of services such as fire and law enforcement, and 13 centers that do not dispatch EMS or other services).

State Laws and Policies

Public Awareness of Heart Disease and Stroke

KS HR 6014/KS SR 1814 (2010, adopted) - Encourages citizens to participate in the American Heart Association's Go Red for Women Campaign.

KS HR 6008/ SR 1811 (2009, adopted) - Declares Friday, February 6 as "National Wear Red Day for Women." This event is part of the Go Red for Women campaign, the American Heart Association's national call to increase awareness about heart disease, the leading cause of death for women. This movement celebrates the energy, passion and power women have to take charge of their heart health in order to live stronger, longer lives. The color red and the red dress symbol have become linked with the ability all women have to improve their heart health. The American Heart Association is encouraging everyone to wear red on February 6 in support of all women who have experienced heart disease or stroke.

HR6006/SR1085 (2006) - Be it resolved by the House of Representatives and the Senate of the State of Kansas: That we support the efforts of the American Heart Association in reducing women’s heart health problems and urge individual participation in the American Heart Association’s Go Red for Women campaign.

SR1836 (2006) - Friday, March 31, 2006, is Health Day at the Capitol, and the American Heart Association is participating in the event sponsored by the Kansas Public Health Association. [The Senate of Kansas] recognizes the importance of cholesterol management which is imperative to reduce the incidence of coronary heart disease and stroke—the largest killers of Americans, and we encourage all citizens to have their cholesterol tested.

HCR5007 (2001) - The Kansas Legislature endorses the national proclamation of National Heart Failure Awareness week. In addition, the Secretary of Health and Environment will transmit the treatment guidelines for congestive heart failure published by the Heart Failure Society of America, Inc. to the appropriate health care professionals in the state urging their adoption of these guidelines in their practice. Physicians will be encouraged to administer echocardiograms to all patients over 50 years of age with a history of heart disease and begin appropriate treatment as early as possible. Payers of medical expenses will be encouraged to provide reimbursement for the standard of care for congestive heart failure, including FDA approved ACE inhibitors and beta blockers, as well as other therapies that have been shown to reduce the mortality and morbidity associated with congestive heart failure. The Kansas Legislature endorses the inclusion of the latest treatment advances for congestive heart failure in the curriculum of the medical schools of the state of Kansas.

Prevention of Risk Factors (Nutrition, Physical Activity, Tobacco)

Tobacco Control

Kansas' state employee tobacco cessation program meets all three of the CDC guidelines that include:

1) Coverage for at least four counseling sessions of at least 30 minutes; YES 
2) Access to smoking cessation agents, including prescriptions and nicotine replacement; YES 
3) Counseling and medication coverage for at least two quit attempts annually; YES 

  • Kansas' also has a cigarette excise tax and quit line.  The $.79 Kansas cigarette excise tax is used to fund the tobacco control programs.

  • Kansas' state Medicaid tobacco cessation program covers over-the-counter and prescription products.

Increase Early Detection and Treatment of Risk Factors

 No policy listed at this time

State Employee Health and Wellness

  • In 2008, Kansas authorized a smoker surcharge that now charges or authorizes lower premiums to non-smoker state employees and higher premiums to smokers.

  • In September 2007, Kansas launched a program so that state workers will be able to volunteer for personal health-risk assessments. Health assessment program focuses on state employees. All state workers will be able to volunteer for personal health-risk assessments.  A variety of assistance will be offered to those wanting to lose weight, stop smoking and find services for dealing with chronic disease or other problems.

  • In October 2005, the headlines read: "Workers reap windfall on health premiums," as Kansas lowered health insurance premiums by $7 to $67 less per month, as of 01/06.

  • In 2006, Kansas added a Health Savings Account/High Deductible Health Plan (HAS/HDHP) choice with a $1,500/$3,000 deductible if network providers are used and a $2,000/$4,000 deductible if non-network providers are used.

Improve Quality of Care and Access to Care

SR1833 (2005) - Galichia Heart Hospital is ranked the No. 1 hospital in Kansas for overall cardiac care, for cardiology and for coronary interventions in HealthGrades’ 2005 analysis. Galichia Heart Hospital is the only hospital in Kansas to receive the HealthGrades 2005 Cardiac Care Excellence Award. Be it resolved by the Senate of the State of Kansas: That the body recognizes and is proud of the Galichia Heart Hospital in its delivery of premier, nationally acclaimed cardiac care.

Address and Eliminate Disparities 

KS HR 6024 (2009, adopted) - Designates the month of April as Minority Health Awareness Month. Despite the growing scientific evidence documenting the importance of fruits and vegetables to a healthy diet, four out of five Kansans, regardless of race and ethnicity, do not eat the daily recommended five servings of fruits and vegetables, under-scoring the importance of raising awareness about healthy lifestyle choices. Thousands of Kansas children, adults and elders suffer from poor health as a result of lack of access to appropriate health care because of race, ethnicity, cultural differences, gender, socioeconomic status, geographical location and disabilities. These health disparities are compounded by factors including poverty, health care provider shortages, patient health care preferences and lifestyle choices and activities such as research, improved public policy and appropriate legislation can help to remove health related barriers and disparities facing racial, ethnic and tribal populations and increase awareness of the importance of managing our health and well-being. Regardless of race, age, gender, disability or socioeconomic status, all Kansans should have the opportunity to actively participate in the management of their personal health and well-being through proper nutrition, moderate exercise and regular health screenings.

 

Emergency Medical Services (EMS) and Automated External Defibrillators (AED)

KSA 65-6119 (2004) - Notwithstanding any other provision of law, mobile intensive care technicians may: (a) perform all the authorized activities identified in K.S.A. 65-6121, and amendments thereto; (b) perform cardiopulmonary resuscitation and defibrillation; (c) when voice contact or a telemetered electrocardiogram is monitored by a physician, physician assistant where authorized by a physician or licensed professional nurse where authorized by a physician and direct communication is maintained, and upon order of such person may administer such medications or procedures as may be deemed necessary by a person identified in subsection (c); (d) perform, during an emergency, those activities specified in subsection (c) before contacting a person identified in subsection (c) when specifically authorized to perform such activities by medical protocols; and (e) perform, during non-emergency transportation, those activities specified in this section when specifically authorized to perform such activities by medical protocols.

 

KSA 65-6149a/SB132 (2003) - Any qualified person who gratuitously and in good faith renders emergency care or treatment by the use of or provision of an automated external defibrillator shall not be held liable for any civil damages as a result of such care or treatment or as a result of any act or failure to act in providing or arranging further medical treatment where the person acts as an ordinary reasonably prudent person would have acted under the same or similar circumstances. No person or entity which teaches or provides a training program for cardiopulmonary resuscitation that includes training in the use of automated external defibrillators shall be held liable for any civil damages as a result of such training or use if such person or entity has provided such training in a manner consistent with the usual and customary standards for the providing of such training. Pursuant to the provisions of this subsection, persons or entities which purchase or otherwise acquire an automated external defibrillator shall notify the emergency medical service which operates in the geographic area of the location of the automated external defibrillator. The secretary of administration, in conjunction with the Kansas highway patrol, shall develop guidelines for the placement of automated external defibrillators in state owned or occupied facilities.

 

KSA 65-6121 (2002) - Notwithstanding any other provision of law to the contrary, an emergency medical technician may perform any of the following activities: (a) Patient assessment and vital signs; (b) airway maintenance; (c) Oxygen therapy; (d) oropharyngeal suctioning; (e) cardiopulmonary resuscitation procedures; (f) control accessible bleeding; (g) apply pneumatic anti-shock garment; (h) manage outpatient medical emergencies; (i) extricate patients and utilize lifting and moving techniques; (j) manage musculoskeletal and soft tissue injuries including dressing and bandaging wounds or the splinting of fractures, dislocations, sprains or strains; (k) use of backboards to immobilize the spine; (l) administer syrup of ipecac, activated charcoal and glucose; (m) monitor peripheral intravenous line delivering intravenous fluids during interfacility transport; (n) use automated external defibrillators; (o) administer epinephrine auto-injectors; (p) perform, during non-emergency transportation, those activities specified in this section when specifically authorized to perform such activities by medical protocols; or (q) when authorized by medical protocol, assist the patient in the administration of the following medications which have been prescribed for that patient: Auto-injection epinephrine, sublingual nitroglycerin and inhalers for asthma and emphysema.

Stroke Systems of Care

 No policy listed at this time


Sources: CDC Division for Heart Disease and Stroke Prevention | CDC WISEWOMAN Program | Milken Institute
 
NCSL Resources: Heart Disease and Stroke Overview | State Employee Health Benefits | Tobacco Cessation, 2009

NOTE:  NCSL provides links to other Web sites from time to time for information purposes only. Providing these links does not necessarily indicate NCSL's support or endorsement of the site.

For questions or information please contact the Health Program Health-info@ncsl.org

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