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Oklahoma State Profile and Policy Report

Oklahoma State Profile and Policy Report

Heart Disease and Stroke Burden

Table of Contents

Oklahoma - State Deaths for Heart Disease and Stroke

  • More than 1 out of 4 deaths in Oklahoma are due to heart disease.

  • 9,798 Oklahomans died from heart disease in 2006 (27.7 percent of total deaths in Oklahoma).

  • 2,192 Oklahomans died from stroke in 2006 (6.2 percent of total deaths in Oklahoma).
    Source: National Vital Statistics Report, 2009.

Oklahoma - 2007 State Risk Factors for Heart Disease and Stroke

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Oklahoma - 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 Oklahoma’s estimated medical costs to treat heart disease, hypertension and stroke based on 2003 Medical Expenditure Panel Survey data.  

Oklahoma Annual Cost of Hypertension, Heart Disease and Stroke 

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

Hypertension 

$.40 billion

Heart Disease          

$.95 billion

Stroke                     

$.20 billion

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

 

Oklahoma - Estimated 2007 Medicaid Treatment Costs for Cardiovascular Diseases
 

Based on Oklahoma's 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, which was used to estimate the Medicaid costs below. 

 Heart Disease

 $48 million

 Hypertension

 $158.9 million

 Stroke

 $90 million

 Congestive Heart Failure

 $18.5 million

 

Funded CDC Heart Disease and Stroke Prevention Program in Oklahoma

The Centers for Disease Control and Prevention funds Oklahoma's 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.

Oklahoma State Highlights - Heart Disease and Stroke Prevention Program

  • The Oklahoma Turning Point Council and the Data Subcommittee of the Oklahoma Task Force to Eliminate Health Disparities published a four-page report about disparities in cardiovascular disease in Oklahoma. 
     
  • The Oklahoma Heart Disease and Stroke Prevention Program is partnering with the Oklahoma Primary Care Association to provide Chronic Disease Electronic Management System software and training to all Oklahoma community health centers in an effort to standardize and improve the quality of care provided to uninsured and underinsured people in Oklahoma.
     
  • The Oklahoma Heart Disease and Stroke Prevention Program funds the Oklahoma Stroke Coordinators Consortium to provide ongoing training and technical assistance to all hospitals designated or planning to become designated as a primary stroke center.

State Laws and Policies

Public Awareness of Heart Disease and Stroke

OK HR 1031 (2011, adopted) - Recognizes May 5, 2011, as “Wear Red Day.” Encourages all citizens to show their support for women and the fight against heart disease by wearing red.

OK HR 1054 (2009) - Proclaims Thursday, May 7, 2009, to be National Wear Red Day and urges all Oklahoma citizens to commemorate this day by wearing the color red.

SCR93 (2008) - The Oklahoma State Legislature recognizes May 30 and 31, 2008, as “Power to End Stroke Gospel Fest Days” in the State of Oklahoma.

HR1054 (2008) - A Resolution recognizing Go Red for Women Month in Oklahoma; extending appreciation to the American Heart Association for its efforts in reducing heart disease in Oklahoma; and directing distribution.

HR1111 (2006) - A Resolution declaring May 2006 as Stroke Awareness Month in Oklahoma; and directing distribution.

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

Tobacco Control

Oklahoma's 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 

  • Oklahoma also has a cigarette excise tax and quit line.  The $1.03 Oklahoma cigarette excise tax is used to fund the tobacco control programs.

  • Oklahoma's state Medicaid tobacco cessation program covers over-the-counter and prescription products, therapy, counseling and social support. A statewide public program is also available; coverage may vary from other programs. 

OK HR 1077/OK SR 109 (2010, adopted) - Recognizes April 7, 2010 as “National Start! Walking Day.”

OK HR 1037 (2009, adopted) - Proclaims April 8, 2009, as National Start! Walking Day. Cardiovascular diseases, including heart disease and stroke, are the nation's leading cause of death and disability, with 1.26 million Americans suffering a new or recurrent coronary attack each year and 795,000 suffering a new or recurrent stroke.


Increase Early Detection and Treatment of Heart Disease and Stroke 

 No policy listed at this time

 

State Employee Health and Wellness

OK HR 1050 (2009, adopted) - The Oklahoma House of Representatives resolves to act in a strategic and concerted effort to impede and reverse negative health trends in Oklahoma's state government by promoting policies and programs and by pursuing workplace changes that encourage healthy eating and promote active living. To further these goals, we intend to take voluntary actions, individually and collectively. Such actions may include, but are not limited to, the following: (a) participating in the OK Health Mentoring Program and projects that promote healthy eating and active living; (b) agencies will promote the OK Health Mentoring Program and incentivize employees to participate with reduced cost; (c) adopt policies that promote healthy eating and active living; (d) create and/or modify work environments at no cost to the state that support healthy eating and active living within fully smoke-free workplaces and campuses; (e) encourage agencies to make employees' time more flexible to facilitate walking breaks and other wellness activities; and (f) insist on better, healthier choices in snack bars and vending areas. These actions will support Oklahoma state employees' determination to become the healthiest in the nation by creating a culture of change within state government.

In 2006, Oklahoma launched "OK Health wellness program," providing "All active state employees the opportunity to participate in the state's wellness mentoring program offered by the Employees Benefits Council State Wellness Program.  The goal of OK Health is to give you the right tools to help you feel better and improve your health."  Enrollment in the OK Health Program,  involves completing an online health risk assessment. An OK Health representative will call and arrange an initial visit with your primary care physician for some basic measurements and labs.  They say, "As a program participant, the initial cost to visit your physician and receive lab work (specific to OK Health) will be waived by your health care provider.  Following your initial PCP visit, you will receive your first orientation call from a professional health mentor."

Oklahoma's employee and teacher retirement system has become a federally qualified PDP (Medicare Prescription Drug Plan) in order to coordinate prescription services to its members while obtaining federal reimbursement for virtually all transactions. 

Administrative Code 310:667-59 - Each employee and/or worker (with or without patient care responsibilities, paid or volunteer, full-time or part time: physicians, nurses, emergency medical personnel, dental professionals and students, medical and nursing students, laboratory and pharmacy workers, hospital volunteers, and administrative staff, including food service workers) in the hospital will have a pre-employment health examination, which include but are not limited to the following, immunization history, periodic health examinations to test for tuberculosis. Hospitals will host an annual influenza vaccination program onsite and evaluate the program with documentation of vaccinations, including reasons for non-participation with signed record refusing vaccination for other than medical contraindication.

Improve Quality of Care and Access to Care 

 No policy listed at this time

 

Address and Eliminate Disparities 

 No policy listed at this time

 

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

SB923 (2008) - An Act relating to schools; creating the Zachary Eckles and Luke Davis Automated External Defibrillators in Schools Act; mandating that automated external defibrillators be made available at schools, if funding is available; authorizing school districts to make automated external defibrillators available at high school athletic practices and competitions; providing certain immunity from liability to school districts; requiring the State Department of Education to develop certain lists and to provide public recognition to certain organizations; providing for codification; providing an effective date; and declaring an emergency.

Oklahoma Statutes 76-5A (2008) - Any person who is qualified pursuant to this subsection and who, in good faith and without expectation of compensation, renders emergency care or treatment outside of a medical facility by the use of an automated external defibrillator shall be immune from civil liability for personal injury which results from the use of the device, except for acts of gross negligence or willful or wanton misconduct in the use of such device.

Stroke Systems of Care 

SB1420 (2008) - An Act relating to public health and safety; creating the Oklahoma Health Information Exchange Act; providing short title; stating legislative findings and purpose of act; defining terms; directing the State Board of Health to adopt and distribute certain form and instructions; directing certain entities to accept certain form; clarifying requirements of certain entities; providing certain immunity; clarifying applicability of certain protections; directing the State Department of Health to establish a statewide coordinated system of care for stroke; stating components of system; directing the State Board of Health to promulgate certain rules; permitting owners of certain facilities to use specified proceeds for business expenses; providing for codification; and declaring an emergency.

SB1655 (2008) - There is hereby created within the State Department of Health a statewide coordinated system of care for stroke, which shall include special focus and attention on timely access to care, diagnosis, and the most advanced treatment for persons most disproportionately affected by stroke. Such system, within existing funding limits, shall include, but shall not be limited to: 1. Partnerships with relevant associations; 2. Measures to raise awareness about the effects of uncontrolled high blood pressure and diabetes; and 3. Promotion of adherence to primary and secondary stroke recognition and prevention guidelines by health care professionals, including emergency medical services providers such as emergency medical responders and transport providers, and hospital emergency room and health clinic personnel.

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

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