So million hearts work in clinical prevention is to develop a simple uniform measure set for the abcs and to ensure that the data that's used to calculate those measures move seamlessly within the flow of care, minimizing the burden of collecting and reporting on those measures. high performance on those measures should be linked to reward for clinicians for the health systems and for their patients. currently we're tracking some 47 interventions across the federal family that include and reward performance on one or more of the abcs. these interventions could range from an action that takes place in the physician's office to a program in the community, and to a policy. our second strategy is to fully deploy health information technology. clinicians need the registry functionality to be able to identify gaps in care, to intervene, and to track progress of people with high blood pressure or high blood lipids. point of care risk assessment tools ensure that the interventions are designed and targeted to the individuals most likely to benefit. clinical decision support, that is specific to the patient,ensures that the right care is delivered the first time and every single time. and for those of white house take medications and need a little help adopting and sticking to new health habit,hit can provide the nudges we need to get and to stay healthy. we live in historic times. it's when new care delivery models are being two and launched. million hearts is working to embed the abcs in these new models and to recognize and reward value over volume and outcomes. thus new models recognize the contributions of a large variety of pain member, pharmacist, cardiac rehab teams, health coaches, community health worker, pure wellness specialists are all among behavior change agents, powerful agents, to support and advise in the appropriate use of medications. so let's look to the future where the clinical and the community world converge. in this new world, and we want it to the not to be very long from now, we want -- we will have lots of lower sodium foods from which to choose. our taste buds actually prefer them and our wallets don't suffer as a result. blood pressure cups are everywhere. and readouts are simplified in red, yellow, and green, along with numbers for those of you who want them. a person can designate readings are automatically sent to a professional so advice and, if necessary, dose can be easily accomplished. access to medications is no longer an obstacle to control. this is not a fantasy. in fact, studies have shown that adding web-based pharmacy care to home blood pressure monitoring increased the control by over 50%. and in high risk folks. so here's the nation's current population wide performance on the abcs under the column marked baseline. under target is our goal for the population, by January 1st of2017, the numbers under the clinical target column reflect the goals of assistance care, those already in assistance care, and they are held to a higher standard. es that are the audacious goals that will prevent a million heart attacks and strokes by 2017. a goal that requires focused at text tension by all of us. we all have a piece to play in achieving the million hearts goal and creating a new future of cardiovascular health in the country. our next speakers will describe how these groups are building the new future. every agency on this slide is deeply engaged in substantive work to prevent heart attacks and strokes. we're delighted to have a wide array of private partners as-well including medical professional society, retailer, erer health plan, consumer groups with more coming in every day. so i ask, what will each of your groups do?i encourage you to visit the million hearts website, pledge your support, and encourage others to do the same. if you're hosting a viewing party today, please write us at million hearts at hhs. gov to tell us about it, we ask you to join us. it's now my pleasure to introduce my esteemed colleague dr. patrick conway. the cms chief medical officer and director of office of clinical stand dards and quality. cms is very excited to partner with the centers of disease control and other agencies and community to achieve our million hearts goal. today i will briefly discuss cms' overall purpose and healthcare society, cms' role in million hearts and build off the clinical prevention you heard from dr. janet wright. cms is the largest purchaser of health care in the world and provides health care coverage to approximately 150 million beneficiaries through medicare, medicaid, and the children's health insurance program. medicare alone pays out over 1. 5 billion in benefit payments per day, combined medicare and medicaid pay one-third of the health expenditure and a small proportion is focused on prevention. we want to increase our focus on health transportation and prevention. this is why a program like million hearts is so important. millions of consumers will see health coverage through healthcare exchanges authorized by the affordable care act and led out of cms. cms' aim is to provide better care for individuals and lower-costs through improvement. you can see that our aim is tied directly to the goals of million hearts. cms' partner with cdc, the offices of national coordinator for health information technology, health resources and services administration, communities and many, many more. we have convened meetings to identify agency wide standards,measure sets for 201 working collaborative with the cdc. one of our specific contributions is the development of the first measure that is monitored entirely via electronic health records by cholesterol screening and control. utilizes risk factor information for coronary heart disease to determine the appropriate ldl levels for each patient. many of our offices including my own office of clinical standards and quality is supporting million hearts through a number of programs and initiative. in the next few slides i'll highlight a few offices programs supporting million hearts and cms and in a later slide you will see greater detail of the work and quality and improvement organizations around the country. cms' center for medicaid ship and state services are working on medicaid smoking cessation and medicaid incentives to prevent chronic disease through programs like million hearts and these initiatives we can ensure smokers in the medicare system will do this. we include the essential health benefits in insurance exchanges. through the innovation center we're launching the care intervention exchange. we received an abundance of applications. we look forward to seeing the impact of these grants will have on our communities such an increasing use of registry,shared decision support tools and improving population health. for the rest of my speaking time i'll discuss cms' efforts and clinical preventions to optimize care for those who need it. the measures for these abcs have been identified and more detail is on this website. there are several measures used. there's enormous value in having line measures that cover the abcs for many providers. we need measures to set goals, Monday it or process. cms was with the national foreign quality measure 18 for blood pressure control and inclusion of physician supporting system and other programs in hospitals and outpatient settings through rule making and comments. electronic health records can improve the quality, safety, and efficiency of clinical care. cms are working together to incentive working together. they require providers to submit data and includes a number of proven features such as patient registries and computerized subscriptions. cms included the million hearts abc as part of the reporting requirement which will allow us to monitor the quality of care provided to patients can cardiovascular disease. we're also looking at these as core measure requirements. they will reduce redundancy and improve pop plar health all in a protected and secure fashion. one powerful requirement is the use of clinical decisions support tools. these tools make use of specific clinical information that is entered during a patient's visit and provide real time recommendations that support decision making. amp examples are alerts for high-blood pressure or cholesterol and require them to act on those values. these are efforts going on as part of the million hearts to develop evidence and guidelines-based clinical support tools that support the abcs. we look for more work in this area in the future. now let's talk about launching new models of innovation and care delivery.
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