Healthy Choices to Prepare for “Heart Health”
Elevate National Learning Forum | Tuesday, October 14, 2025, 1:00 PM – 2:00 PM ET
Evaluate Session Details and Objectives
- Topic: Heart Health
- Aim: Explore strategies, data tools, and best practices to enhance cardiovascular care in community health centers.
Gather Your Center’s Heart Health Data
- Pull recent metrics on hypertension prevalence, lipid screening rates, and BMI tracking.
- Identify two to three priority gaps or challenges your team faces in cardiovascular care.
- Prepare a one-slide summary or talking points to share during discussions https://copilot.microsoft.com/shares/24rRZvWUzgF3cJ85Q1haK
Evaluate Heart Health Resources
- New high blood pressure guideline emphasizes prevention, early treatment to reduce CVD risk | American Heart Association American Heart Association (@American_Heart) / X
- About the Division for Heart Disease and Stroke Prevention | National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) | CDC
- Heart Health Hub - NACHC
Plan for Active Participation
- Organize for the full hour and minimize distractions.
- Have a notepad or digital document ready for key takeaways and action items.
- Prepare questions or case examples to pose during live polls and breakout discussions.
Arriving prepared will help you maximize the session’s insights and leave with a concrete action plan for advancing heart health at your center.
Refresh Your PRAPARE Foundations
- Revisit the original PRAPARE (Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences) assessment tool to have context for the 2.0 updates with Elevate eJournal by nachc.com - Issuu
- Note any challenges your team has faced in implementing social determinants of health (SDOH) screening. https://copilot.microsoft.com/shares/U8T3BNsAhueYUNfUPgWLt These pain points may inform your questions during the forum. My closest location is TCCH Sebastian. When I visited TCCH Sebastian 9/10/25, I learned the importance of understanding how the PRAPARE assessment tool is only one of many assessment tools.
Map Out Your Nonclinical Data Landscape
- Create a one-page inventory of the non-clinical factors you currently capture or miss:
- housing stability
- education and literacy
- access to healthy food
- transportation barriers
- social and community context
- Identify your data collection methods (paper forms, EHR fields, patient portals) and highlight gaps where you want guidance on best practices. I learn with this blog post, X posts with email to encourage validated sources of health information. The technology used to collect data in community health centers with clinical data with health providers may create excess stress and therefore lose reliability for health results. I have learned about concerns for how excess stress may develop with different types of technology and the importance of updating my technology to reduce and balance excess stress with our ecological system of learning with God conundrums of where love is leading and how to encourage health relationships with all. With excess stress, identifying the most important factors to reduce stress depends on understanding how different factors affect each other and create patterns of behavior over time for each individual.
- Assemble any reports or dashboards you’ve generated on SDOH metrics, having real numbers accessible may spark more targeted discussion. Thriving Together: Empowering Healthier Communities: Heartwise Sebastian
Plan Your Post-Session Next Steps
- Organize 30 minutes the following business day to evaluate your notes and highlight three key actions.
- Circulate a one page summary to your team, including links to session slides or recordings https://copilot.microsoft.com/shares/1A2qVf4qa22P4SGSi53w5
- Incorporate forum insights into your workflow: update your EHR fields, update your screening protocol, or pilot a new community referral process https://copilot.microsoft.com/shares/9ChLQd6WPfUS8zkuoTXp8. With Week 1 of Heart Wise Sebastian community health campaign, I learned challenges of love.
With registering early, refreshing your SDOH background, organizing your data, and engaging with purpose, you may encourage healthy transformative practice. Mark your calendar for October 14 at 1 PM ET and get ready to elevate your approach to PRAPARE 2.0 and nonclinical factors of health or social drivers of health depending on the context of your conversation. *Please note PRAPARE 2.0 is only one tool among many assessment tools if not available at your local community health center.
With Using Digital Spaces to Strengthen Social Connections Webinar, I learned respect for curiosity about how to encourage engagement for democracy with focus on welcoming all, helping people to feel welcome, safe, comfortable, secure, publicly accessible and inviting everyone hospitably to connect with each other, with resources, power and people to bring people together with physical spaces with digital spaces. I have learned the importance of moving furniture as a possible learning opportunity to connect with my neighbors with careful moderation of who and what to ensure real people with real world community.
- How to integrate ideas from Health Department of IRC website to build social connections with smartphone?
- How to build social connections to improve the healthcare access gap with public libraries digital blood pressure kits?
- How to connect health surveys digitally to build healthy social connections?
- How to build social connections with digital mental health screenings available with Mental Health America's website?
- How to communicate to clarify the validity of AI health information?
- How to connect the NACHC's Elevated Learning Forum to the local community health centers to build healthy social connections with blood pressure kits with the public libraries with social health media with the health department?
- How to build healthy social connections with telehealth?
- How to build healthy social connections with people who do not use digital spaces with digital spaces?
- How to integrate values of love and kindness into digital design?
- How to share stories with digital spaces for people not communicating with digital spaces?
- Love: How may digital spaces nurture emotional safety and belonging?
- Self-Regulation: What design features help users pause before reacting?
- Kindness: How may platforms encourage acts of generosity and support?
- Thanksgiving: What rituals of thanksgiving could be built into internet communities?
- What friendly data tables do you recommend to measure health results of building social connections?
- How to connect with people who care with barriers of connections with digital spaces with email triage with Microsoft AI support?
- How to get started in Florida with the Front Porch Forum where I live with zip code 32958
- Thank you for your respect for inclusion and diversity. How do you recommend to encourage inclusion and diversity with our connections with each other?
Nurturing Belonging, Emotional Well-being, and Safety in a New School Year
Evaluate AI resources with recommended readings or toolkits on social-emotional learning, trauma-informed practices, or inclusive classroom strategies. Note questions with scenarios from your own context to help you apply insights. https://copilot.microsoft.com/shares/pK1gbBxK56qmKv6pkA5eq, https://copilot.microsoft.com/shares/CE4rpsM3QZaGp4AHxoBCn, https://copilot.microsoft.com/shares/SfBMJbTUjrFdQYqsqHch3 With Mental Health America conference encouragement to turn awareness into action in October, I am interested in learning how to prioritize safely nurturing belonging with emotional well-being with learning creativity with accessible public libraries with Google's free recommended video friendship songs with Mayo Clinic's The Fall Into Wellness program offered with recommendations to complete 31 daily challenges with 7 to 9 hours sleep, 50 ounces of water, 20 minutes of exercise and write one thankful with a checklist with library media check-ins morning, midday and evening for evaluation of emotional well-being and engaging people with play. With The Way of Play, I am learning to play with play strategies of hypothesizing, mirroring, feelings, dial play intensity up or down, scaffold stretch, narrate to integrate with play parameters with multi-tiered support with blog posts, X posts and email. What Mental Health Association resources do you recommend to prevent and reduce heart disease with mental health perspectives with the new school year?
Set Intentions and goals with evaluation of one or two outcomes you have learned from the session, such as adopting a new welcoming ritual or evaluation of your school’s safety audit process.
Resources
Back to school with mental health in mind | Mental Health AmericaTake a Mental Health Test – Mental Health America
10/14/25 I have learned the importance of heart health with the NACHC's Elevated Learning Forum "Heart Health" webinar and feel concern for how to prevent and reduce heart disease because heart disease is the leading cause of death in Indian River County, Florida. How do you recommend triage for Immediate Health Concerns to integrate the process improvement strategies highlighted in the recent NACHC Heart Health webinar?
What do you recommend for Immediate Health Concern Protocol?
- How to Identify triggers? How to support patient intake prompts to quickly surface the most urgent symptom or concern?
- How to prioritize the highest concern? How may triage flow emphasize identifying the single most critical issue first, before layering in secondary needs?
- How to support navigator engagement? Whenever possible, with immediate health concerns, how to encourage a call to a navigator within 30 minutes? If the patient cannot connect, how to connect to AI to evaluate urgency and, if necessary, escalate to possible emergency services?
- How to develop documentation & outreach? I have received your alert about the importance of hypertension control in our communities. I am calling now to check in, who may help?
Integration with Microsoft AI Support
- AI may assist in evaluating the concern, suggesting next steps, and flagging potential emergencies.
- Outcomes may be logged in a structured format for both clinical and quality improvement review.
Process Improvement with Heart Health Webinar Alignment
Drawing from the NACHC Heart Health session, how to integrate
- Accurate measurement practices (repeat readings, calm environment) into navigator scripts.
- Data-driven improvement loops by linking triage outcomes to hypertension and cardiovascular risk dashboards.
- Care escalation algorithms that align with the Three Pillars approach to hypertension control.
- Teach-back loops for patients to confirm understanding of next steps, reinforcing adherence and safety.
Next Steps for Collaboration
- Co-develop a scorecard that tracks both immediate concern resolution and alignment with heart health measures (BP control, statin use, tobacco cessation).
- Pilot a navigator + AI co-triage model with real-time feedback loops.
- Share learnings with the Elevate/NACHC community to strengthen collective practice.
Here is a one-page triage + improvement scorecard template aligned with the Immediate Health Concern workflow and the NACHC Heart Health process improvement lens.
Immediate Health Concern + Heart Health Scorecard
Patient/Community Member: ______________________
Date/Time of Alert: _______________________
Navigator/AI Support: _____________________
1. Trigger & Priority
- Reported Symptom/Trigger: _____________
______________ - Highest Concern Identified: __________________
_________ - Urgency Level: ☐ Low ☐ Moderate ☐ High
2. Navigator Engagement
- Navigator Contacted Within 30 Minutes? ☐ Yes ☐ No
- If No, AI Escalation Triggered? ☐ Yes ☐ No
- Emergency Services Considered? ☐ Yes ☐ No
3. Standardized Outreach Message
“We received your alert about [symptom]. I am calling now to check in, are you near someone who may help?”
☐ Message Sent
☐ Response Documented
4. Outcome & Documentation
- Resolution Path: ☐ Self-Managed ☐ Navigator Support ☐ Emergency Referral
- Teach-Back Confirmed? ☐ Yes ☐ No
- Follow-Up Scheduled? ☐ Yes ☐ No
5. Heart Health Alignment (NACHC Webinar Insights)
- BP Measurement Accuracy Reinforced? ☐ Yes ☐ No
- Cardiovascular Risk Factors Addressed? ☐ Yes ☐ No
- Lifestyle/Medication Adherence Discussed? ☐ Yes ☐ No
- Data Logged for QI Dashboard? ☐ Yes ☐ No
6. Process Improvement Notes
- What worked well in this triage?
- What could be improved for next time?
Scorecard Use: This sheet doubles as both a real-time triage tool and a quality improvement log, ensuring every immediate concern is linked back to Heart Health outcomes and system learning.
Microsoft AI may create a fillable digital version (like a Google Form or Excel-style table) to capture this data consistently.
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