In health and in life, the little things are the big things.

In This Issue In health and in life, the little things are the big things. Tools You Can Use Quick Fact Million Hearts® in the Community The Science of Million Hearts® Do This! Connect with Us Million Hearts @MillionHeartsUS

In health and in life, the little things are the big things. Big milestones and achievements often get the glory, but when it comes to a healthy life, it’s the little things that count—especially when they last a lifetime. For example, you don’t have to run a marathon to get healthy: Walking even 10 minutes a day on most days of the year will lead to all kinds of healthy returns over time. Likewise, health professionals can encourage people to make small, daily changes by supporting tobacco-free policies and walkable environments that make it easier—and safer—for everyone to be physically active. These healthy steps can also lower the dose of medicines needed to keep hypertension under control. And speaking of hypertension, even small reductions in blood pressure translate into many fewer heart attacks, strokes, heart failure, kidney disease, and even dementia. These little things are indeed the big things that can help us all make great strides in health. Million Hearts® is committed to helping people make small changes that can add up to long and healthy lives. Whether you’re just looking to boost your physical activity or you’re recovering from a cardiac event, start small and take the long view. Read on for tools, stories, and articles to help you and your community live your best lives—one step at a time. —Janet Wright, MD, FACC Executive Director, Million Hearts® Learn How to Reach Your Physical Activity Goals

Tools You Can Use Video highlights personal stories on the benefits of self-measured blood pressure monitoring. This patient- and professional-friendly video from the National Association of Community Health Centers (NACHC) highlights the profound impact of self-measured blood pressure monitoring programs on patients and clinical teams in three states. Watch the NACHC Video The FH Foundation’s toolkit breaks down the basics of familial hypercholesterolemia. Start planning for National Cholesterol Awareness Month in September! See the FH Foundation’s media toolkit for shareable resources to help educate people about familial hypercholesterolemia—an inherited, and often undiagnosed, cholesterol disorder that greatly increases the risk for heart disease. Download the FH Foundation Media Kit This toolkit helps practitioners build connections between communities and clinics. The Million Hearts® Collaboration developed the Community-Clinical Linkages Toolkit to complement the CDC Practitioner’s Guide. Together, these resources help state and local public health professionals collaborate and connect with clinical partners to improve health across communities.  Learn About the Toolkit Encourage activity-friendly built environments (BE) in your community with this ready-made slide presentation. The CDC's Division of Nutrition, Physical Activity, and Obesity released a package of BE Active resources to help community stakeholders foster activity-friendly built environments. Resources include real-word examples, implementation and visual guides, and a presentation with talking points to help local leaders educate others about the importance of designing activity-friendly communities. Download the BE Active Slide Set Quick Fact Regular physical activity can improve cholesterol levels, including increasing the “good” high-density lipoprotein cholesterol. However, between 2010 and 2015, only 23% of U.S. adults met federal guidelines for recreational aerobic and muscle-strengthening activities. Million Hearts® in the Community Federally qualified health centers (FQHCs) transform blood pressure control rates in underserved populations. FQHCs in Ohio and New Jersey became Million Hearts® Hypertension Control Challenge Champions after achieving incredible results for traditionally underserved populations by adopting patient-centered medical home care models. Learn the Champions' Success Strategies Allentown, Pennsylvania uses click-to-walk technology to inspire physical activity. Allentown's two year-old program, "Million Clicks for Million Hearts®" continues to grow and bring the community together. The program encourages residents to use local trails, "click" a box as the walk by, and enter for chances to win prizes.  Read About the Million Clicks for Million Hearts® Dartmouth Hitchcock Medical Center (DHMC) excels in improving cardiac rehabilitation (CR) participation rates. CR can improve people's chances for a healthly recovery after a cardiac event, but many people do not get referred to or enrolled in a local program. This medical center combined technology and a human touch to increase its CR participation rates.  Learn How DHMC Improved CR Participation Rates The Wisconsin Chronic Disease Prevention Program creates Framework to guide statewide heart health promotion efforts. Based on the Million Hearts® 2022 framework and supported by a robust network of partners, the Million Hearts® Wisconsin Framework helps build community-clinical linkages to improve cardiovascular health. Its complementary campaign Keeping It In the 80s encourages health systems and clinicians to strive for a patient hypertension control rate of 80% or higher.  Explore Wisconsin’s Framework The Science of Million Hearts® Evidence supports clinicians’ routine assessment and promotion of physical activity.(Circulation) Blacks have a much higher risk for hypertension than do whites of the same age.(JAHA) Women with hypertensive disorders during pregnancy are at risk for cardiovascular conditions years later. (Ann Intern Med)   People with hypertension spend nearly $2,000 more annually on health care than people without hypertension. (JAHA) Study shows opportunities for tobacco cessation treatment for people with mental or substance use disorders. (MMWR) Study finds that e-cigarette use is unlikely to be a sufficient solution to help smokers quit. (PLOS ONE) Do This! CDC’s September Vital Signs will report alarming news about cardiovascular events in 35-64 year olds. We have to act now. Get involved by telling your Million Hearts® story, attending the Vital Signs Town Hall, and sharing the Vital Signs report, available September 6 after 1 p.m. E.T. Bookmark the Vital Signs Website