August 2024

WCHQ Chronic Disease Assembly Inspires Action Among Attendees

The "Breaking Barriers: Advancing Care for Chronic Diseases – A Focus on Cardiometabolic Health" assembly on August 15, 2024, offered invaluable insights that health system members can directly apply to improve care in their health systems.

Dr. Mikhail Kosiborod, Executive Director, Cardiometabolic Center Alliance and Vice President of Research at St. Luke’s Mid- America Heart Institute, emphasized the importance of a holistic approach to treatment as metabolic disorders continue to increase in prevalence. Obesity and insulin resistance are not isolated issues, but they are central to a cascade of health complications, including cardiovascular and kidney diseases.

All participants were moved by the personal story shared by Ottis Anderson, a former NFL player and two-time Super Bowl Champion. Mr. Anderson spoke candidly about his journey with Type 2 Diabetes, underscoring that patient education and support are essential components of effective chronic disease management. Anderson’s message, "Knowledge is power," was a reminder that empowering patients with the right information and resources can make a profound difference in their health outcomes.

A major theme was the significant role that social determinants play in health outcomes. Presentations by Dr. Brenda Rooney, Epidemiologist, Gundersen Health System and Dr. Courtney Jordan Baechler, Medical Director of Health Equity and Promotion, Minneapolis Heart Health Institute, highlighted how factors like environment, race, and socioeconomic status can impact everything from obesity rates to heart disease outcomes. Health providers need to integrate social determinants of health into care planning and work closely with community health services to close the gaps in care and ensure equitable access for all patients.

The discussions on chronic kidney disease (CKD) highlighted the crucial need for practical application of life-saving guidelines. Dr. Andrew Bland, Nephrologist, Medical Associates Clinic and Dr. Mark Meeker, Vice President of Community Medicine, OSF HealthCare, emphasized that knowing the guidelines isn’t enough; disciplined integration into daily practice is essential for improving patient outcomes. Finally, the importance of data in improvement is crucial. Dr. Christopher Weber, Internist and Obesity Medicine Specialist from Ascension and Dr. Bret Pasiuk, Nephrologist, SSM Health, Fond du Lac Regional Clinic provided analysis of CKD and obesity trends in Wisconsin, highlighting significant geographic disparities. We have the tools and the responsibility to use data to identify care gaps, guide interventions, and improve patient outcomes.

The insights shared at this event were a call to action to integrate new treatments, considering patient’s broader social context, and leverage data to refine care strategies. Anyone interested in collaborating further on this work should contact Jen Koberstein at jkoberstein@wchq.org.

Funding for this assembly provided in part by Bayer and Novo Nordisk.

SPOTLIGHT: Immunization Improvement Despite Pandemic

As WCHQ celebrates its 20th anniversary, we are reviewing our measurement results achieved over that time. August is Immunization Awareness Month. We are highlighting two of our immunization measures: Human Papillomavirus Vaccinations (by age 15) and Pneumococcal Vaccinations in Adults (see our May newsletter for additional immunization results).  

Human Papillomavirus (HPV) Vaccinations (by age 15)

In 2017, when we began measuring HPV vaccination, only 52% of adolescents received 2 doses of the vaccine by their fifteenth birthday. Today, nearly 70%, or an additional approximately 4,700 adolescents were vaccinated on schedule, receiving protection from HPV and the cancers it can cause.

Adults with Pneumococcal Vaccinations

The Adults with Pneumococcal Vaccinations measure is our longest-standing immunization-based measure. In 2007, approximately 70% of eligible adults received the vaccine but within a decade, this number climbed to 89%, a 27.9% increase. As of 2023, due to increased patient volumes, WCHQ member growth, and improved vaccination rates, nearly 366,000 additional adults are protected by the pneumococcal vaccine compared to 2007. Following the COVID-19 pandemic, these rates began declining slightly, however our most recent data indicates the rates are starting to go back up.

COVID-19 had a large effect on all immunization measures. Our most recent data, through 2023 indicate that we may be turning a corner in getting patients current with their vaccinations and reducing the effects of COVID-19 had on vaccination hesitancy. If you or your organization are looking for methods to make sure your patients are protected via vaccinations, check out the Childhood and Adolescent Immunization Toolkit, created by WCHQ members.

Thank You to Our WCHQ Partners for Their Support of Our Work

GOLD LEVEL

Novo Nordisk

SILVER LEVEL

Genentech

Merck

Myriad

Pfizer

BRONZE LEVEL

AboutHealth • The Alliance • Alliance of Health Insurers (AHI)

Bayer • Business Health Care Group • Epic • Exact Sciences

GSK • Health Payment Systems • MetaStar • Moderna

Otsuka  • Rogers Behavioral Health

Sanofi • WellStack • Wipfli • Wisconsin Hospital Association