The Sentinel

Innovation is the key to improving health in rural areas

by The American Heart Association

Dallas, TX - Cardiovascular mortality is on the rise in rural areas of the United States, where more than 60 million Americans live, according to an American Heart Association presidential advisory. Understanding and addressing the unique health needs of people in rural America is critical to the Association’s pursuit of a world of longer, healthier lives.

Today — on National Rural Health Day — the Association, the world’s leading nonprofit organization focused on heart and brain health for all, announces two new collaborative efforts to help close the gap between rural and urban hospital care and bring equitable care to all, regardless of where you live.

“Addressing the unique health needs of people in rural America is critical to achieving the American Heart Association’s 2024 impact goal for equitably increasing healthy life expectancy nationwide,” said Karen Joynt-Maddox, M.D., MPH, American Heart Association volunteer, associate professor at the Washington University School of Medicine and co-director of the Washington University in St. Louis Center for

Advancing Health Services, Policy & Economics Research. “Innovative collaborations like these are key to improving rural health across the nation.”

Sharing clinical educational resources

The American Heart Association is collaborating with the National Rural Health Association (NRHA) to highlight and share cardiovascular and stroke clinical educational resources such as model practices, collaborative learnings and rural quality research findings with NRHA membership.

Through this collaboration, the American Heart Association will submit content for NRHA’s magazine Rural Horizons, weekly e-newsletter NRHA Today and Journal of Rural Health, as well as participate in NRHA’s 2024 Annual Rural Health Conference and 2024 Rural Health Clinic and Critical Access Hospital Conference.

“NRHA is excited to partner with the American Heart Association to share resources and education to help reduce rural cardiovascular health disparities,” said NRHA CEO Alan Morgan.

Harmonizing quality data for analysis and validation

The American Heart Association and the American College of Emergency Physicians (ACEP) are collaborating on efforts to resolve outcomes gaps and identify model practices for hospitals and health systems in the rural setting. This effort will identify sites participating in both organizations’ respective quality programs and cross-promote their data registries, as well as explore data harmonization and opportunities for shared data analysis and validation.

The Association and ACEP share common priorities in addressing outcomes gaps in rural areas and building the knowledge base needed for evidence-based clinical practice. Reaching clinicians and providers and other key constituents with important messages is foundational to these efforts.

ACEP’s E-QUAL stroke initiative strives to make stroke quality improvement strategies accessible for emergency departments of all shapes and sizes. The E-QUAL data submission activities have been designed to allow hospitals who are already participating in the American Heart Association’s Get With The Guidelines® programs to seamlessly meet all E-QUAL reporting requirements.

“Through ACEP’s E-QUAL stroke initiative, we strive to make stroke quality improvement strategies accessible for emergency departments of all shapes and sizes,” said Kori Zachrison, M.D., MSc, E-QUAL Stroke Initiative co-lead. “While many rural EDs may be working with fewer resources at their disposal, they remain the anchor of the community’s stroke chain of survival. We’re thrilled to work side-by-side with the AHA in investing in these communities.”

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Lack of representation significant barrier for optimal health in Hispanic Latino community

by The American Heart Association

Dallas, TX - Disparities in health care persist, with Hispanic and Black adults reporting less satisfaction with their interactions with physicians, leading to poorer quality of care and health outcomes.^[1],[2],[3] While 19% of people in the U.S. identify as Hispanic, fewer than 7% of physicians do.^[4]

This lack of representation in the delivery of health care has been shown to exacerbate health disparities among underrepresented groups and is a significant barrier to the Hispanic Latino community achieving optimal health.^[5] In response to this challenge, the American Heart Association, a global force for healthier lives for all, has established the National Hispanic Latino Cardiovascular Collaborative (NHLCC). This initiative specifically unites Hispanic Latino volunteers, professional staff and allied supporters committed to bridging the gap in health care disparities and ensuring that equitable health is a reality for everyone everywhere.

The group launched its second cohort of the National Hispanic Latino Cardiovascular Collaborative Scholars Program during the American Heart Association’s annual Scientific Sessions the world’s preeminent scientific meeting focused on cardiovascular disease. This NHLCC mentorship and professional development program aims to leverage the global gathering of scientific thought leadership to cultivate the next generation of Hispanic Latino researchers and health care leaders, in turn actively addressing longstanding systemic inequities in health care.

“The important of representation within health care and research cannot be overstated. As the American Heart Association strives for equity in cardiovascular health outcomes, we are excited to support the National Hispanic Latino Cardiovascular Collaborative to uplift the voices and experiences of the Hispanic Latino community, in an effort to eliminate health disparities and improve health and well-being,” said Eduardo Sanchez, M.D., M.P.H., FAHA, the American Heart Association’s chief medical officer for prevention, and the executive staff sponsor of the National Hispanic Latino Cardiovascular Collaborative.

Scientific Sessions 2023 also featured the inaugural NHLCC Symposium. The symposium, Scientific Sessions’ first ever session dedicated solely to Hispanic Latino health, focused on leading community figures in medicine, clinical research and the social sciences. The session enabled meaningful dialogue about the state of Hispanic Latino health and health care in the United States, while examining emerging trends and identifying strategies for cultivating the next generation of Hispanic Latino health care leaders.

Scientific studies confirm that diversity among nurses, physicians and health care teams enhances overall patient outcomes and dismantles cultural barriers.^[6] Specific research conducted by Penn State University emphasizes the significance of addressing implicit biases within health systems and diversifying the physician workforce to better meet patients' preferences.^{[7] ,[8]}