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Health Care Final 11-16-11 -   3.1 - Coronary Heart Disease Death Rate

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Health Care Final 11-16-11
Healthy State
Action Plan

3.1 - Death Rates Due to Coronary Heart Disease
What is the trend for coronary heart disease death rate in Washington?

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Data Notes
Data Source: DOH Vital Statistics, 1999-2010, available annually in February. National data from CDC WONDER compressed death files, 1999-2007. Deaths: Preliminary Data 2009. National Vital Statistics Report; vol 50 no 4. Hyattsvill, MD: National Center for Health Statistics. 2011.
Measure Definition: Numerator is number of deaths of Washington residents with an underlying (or first listed) cause of coronary heart disease. Denominator is the total number of Washington residents. Data is age-adjusted.
Target Rationale:

Target setting method—projection (a 1.5 percent improvement per year from 2010 based on HP2020 target setting method). Given current resources, a modest decrease to 95 deaths per 100,000 people by 2013 is achievable. The Healthy People national target is 101 deaths per 100,000 people by 2020 (20 percent improvement from 2007).

Link to Agency Strategic Plan:

Goal #1: Improve health outcomes for the people of Washington.

Objective #1: Increase our focus on chronic disease and injury prevention.

Strategy #3: Get people the right care in the right place, in the right amount of time, by establishing a comprehensive emergency cardiac and stroke care system.



Though deaths from heart disease are declining in Washington and nationwide, it is still a significant cause of death and among the top causes of hospitalization and health care costs.

Notes: (optional)

Data reported is a total from death certificates that give one of six reporting codes as the underlying cause of death. These are conditions that can lead to heart complications (such as heart attack) and death. The specific diseases included in those codes are: angina pectoris, acute myocardial infarction, subsequent myocardial infarction, certain current complications following acute myocardial infarction, other acute ischemic heart diseases and chronic ischemic heart disease.

Also Available
Action Plan: Yes
Extended Analysis: No

 Drill Down Measures

 Summary Analysis

  • DOH, and three other entities in the state, will receive Community Transformation Grant funding as part of the Affordable Care Act’s Prevention and Wellness Fund. The goal is to reduce death and disability from leading chronic diseases, including coronary heart disease.
  • The grant will address the leading risk factors for coronary heart disease; tobacco use, poor diet and lack of physical activity by creating policies and improving environments that promote healthy eating, physical activity and tobacco free living. Funds will also be used to coordinate clinical preventive services to improve the control of high blood pressure and high cholesterol.
  • The rate of death from coronary heart disease has steadily declined in both Washington and the United States.
  • In Washington, the age-adjusted death rate has decreased by 39 percent from 163 deaths per 100,000 people in 1999 to 100 deaths per 100,000 people in 2010. Because we reached the previous 2013 target of 108 deaths per 100,000 people ahead of schedule, we reset the target to 95 deaths per 100,000 people by 2013.
  • Global factors contributing to the decrease in coronary heart disease deaths are successful prevention strategies such as tobacco cessation, improved adherence to blood pressure and cholesterol lowering medications and improved access to evidence-based treatment for heart attacks.
  • Currently, each day about 19 people die from coronary heart disease in Washington.
  • Washington has a lower coronary heart disease death rate than the United States (age-adjusted rate of 104 death per 100,000 people compared to 116 deaths per 100,000 people in 2009-latest data available for US).
  • In Washington, death from coronary heart disease dramatically increases with age and is more likely in men age 35 years or older, non-Hispanic American Indian/Alaska Natives and blacks and adults with lower levels of education.

Action Plan 

What:  Implement standards for heart attack treatment for use by emergency medical services and hospital staff.  The hospital standards may require legislation.

Who:   Kelley/DOH, Schmitt/DOH, Klein/DOH; Emergency Cardiac and Stroke Technical Advisory Committee

When: June 2012