News & Latest research
Meet the 2018 Population Health Interns!
Danielle and Sarah were selected as the 2018 Population Health Interns. Both interns are graduate students at the University of Minnesota School of Public Health. Sarah was particularly interested in the internship here at MHIF because of the quality research done within the community. Sarah says, “My favorite part about my experience here at MHIF is the hands-on experience I’m getting. I feel directly involved with the communities we are impacting.” Danielle was drawn to the internship at MHIF in particular because of the groundbreaking health prevention work that is being done through the Heart of New Ulm Project. Her favorite experience thus far at her internship has been the opportunity to join a Food Environment Action Team meeting in New Ulm. Read their full profile and more about the Population Health Internship program here.
Study Reveals Evidence that Health Initiatives Implemented at a Population Level Can Help Residents Improve Blood Pressure and Cholesterol
In the study, published in the July issue of Preventive Medicine, MHIF and Allina Health researchers compared several heart disease risk factors for residents of rural New Ulm, Minn., over a six-year period with those for matched residents from another rural Minnesota community. The results showed that New Ulm residents are doing better in controlling their blood pressure, LDL cholesterol, total cholesterol and triglycerides than those in the other community.
“HONU has been a unique research project contributing significant evidence to answer the question of how we can best improve cardiovascular health at a population level,” said Rebecca Lindberg, MPH, MHIF’s director of population health and director for HONU. “Heart disease is the leading cause of death and a major contributor to increasing health care costs around the world. Cardiologists and heart disease prevention organizations such as the American Heart Association have long recognized that in order to effectively reduce heart disease, community-based programs addressing the social, behavioral and environmental determinants of heart disease are needed in addition to clinical care. Yet, limited research is available to identify the most effective community-based strategies. Our researchers have been rigorously tracking and evaluating health improvements in New Ulm for nearly 10 years and to date have published 18 articles in peer-reviewed journals showcasing the project’s outcomes in several different areas. We’re pleased with the results of this latest study that continue to build the strong case that investments in population-level health programs can drive positive changes in health outcomes across a community.” View the full press release here.
New Study Shows Additional Support from Telemedicine and RDN Helps Improve Risk Factor Control in Patients with Type 2 Diabetes
A team-based approach to diabetes care that incorporates supplemental support from a registered dietitian nutritionist (RDN) via telemedicine can help patients with type 2 diabetes better manage their disease than those who don’t receive additional support. That’s according to findings from a recent study by The Minneapolis Heart Institute Foundation® (MHIF) that were presented June 25 at the American Diabetes Association Scientific Sessions in Orlando, Fla.
“It’s well established that primary care physicians face significant time constraints when caring for patients, and that especially in rural areas, there is a growing shortage of physicians,” said Gretchen Benson, RD, CDE, a study investigator and population health program manager for MHIF. “Our study sought to investigate the impact of a collaborative, team-based approach to diabetes care that expanded prescribing rights for dietitian diabetes educators, since achieving optimal care often requires frequent visits, medication adjustments and ongoing support for making lifestyle changes." Download full press release here.
Nine Year Impact Report From Hearts Beat Back: The Heart of New Ulm
Health care is moving beyond hospital and clinic walls and out into communities. In New Ulm, Minn., an initiative from the Minneapolis Heart Institute Foundation® (MHIF) has been paving the way.
Since 2009, Hearts Beat Back: The Heart of New Ulm Project (HONU) has been helping people in New Ulm, Minn., improve their risk factors for heart disease and reduce the number of heart attacks. As a collaborative partnership of MHIF, Allina Health and the New Ulm community, the 10-year population health research project has offered a unique environment for studying how various interventions, systems and environmental improvements, along with policy changes, can impact the health of an entire community.
Results big and small have converged to transform the community and propel a shift to a culture where health is a shared value for all. The project’s success is a result of fostering an exceptional level of engagement among residents and partners; implementing an integrated, evidence-based approach; and nurturing supportive environments — especially food and built environments. Throughout the project, MHIF has rigorously measured and reported outcomes, and developed leadership approaches that are being replicated. Today, the project continues to capture the attention of health care thought leaders on regional, national and international levels.
Read our Nine Year Impact Report about the project to learn more.
Population-level Impact of a Community-wide Weight Challenge
Research published by the Minneapolis Heart Institute Foundation® online in Obesity Science and Practice in March 2018 shows that a weight management challenge targeting an entire community may help overweight or obese participants lose weight and healthy weight participants avoid weight gain. The research showed that a low-intensity weight management challenge in a rural Minnesota community was associated with a modest, but statistically significant, average weight loss of 2 percent (about 4 pounds) over one year among adults who were overweight or obese at enrollment.
The community-wide weight challenge was conducted in conjunction with Hearts Beat Back: The Heart of New Ulm Project (HONU), which is designed to reduce community members’ risk factors for cardiovascular disease (CVD). HONU is a population health demonstration project of the Minneapolis Heart Institute Foundation in partnership with Allina Health’s New Ulm Medical Center and the community of New Ulm, Minn.
“Since the HONU Project began in 2009, we had observed some rather impressive improvements in CVD risk factors among community members, such as blood pressure and cholesterol control, as well as increased fruit and vegetable consumption. But we really had not seen a noticeable improvement in body weight,” said Rebecca Lindberg, MPH, RD, director of population health from Minneapolis Heart Institute Foundation, and member of the research team. “Given the single health care system in New Ulm and existing HONU population health surveillance activities using the electronic health record, this study offered an uncommon opportunity to gauge the impact of a weight management challenge across the entire community.” Access the study here.
Improving the Rural Restaurant Food Environment
In the January 2018 issue of Public Health Nutrition, new research published by the Minneapolis Heart Institute Foundation shows that a community-wide program aimed at improving the rural restaurant food environment may hold promise for increasing the availability, identification and promotion of healthier food and beverage options.
The research showed that over an 18-month period, across all restaurants in the rural Minnesota community of New Ulm, the availability of non-fried vegetable offerings increased from 63 percent to 84 percent. The availability of fruit offerings increased from 41 percent to 53 percent, and the offerings of smaller portions and whole grains also increased. While all restaurants evaluated in the community made improvements in healthy menu practices, restaurants that participated in a community-wide program with a simple-to-implement intervention were more likely to meet or adopt those healthy practices than those that did not participate in the program.
“In a community where obesity and low fruit and vegetable consumption have been identified as problems, we were very pleased to see an increase in the number of restaurants that offer fruit and vegetables and smaller portions,” said Rebecca Lindberg, MPH, RD, director of population health from Minneapolis Heart Institute Foundation, and member of the research team. “This represents a significant improvement in the food environment of this rural community.” Access the study here.
Metabolic Syndrome and Lifestyle Changes
In the June 2017 issue of Preventive Medicine Reports, researchers from the Minneapolis Heart Institute Foundation®(MHIF) and Allina Health published findings of a study that examined two-year changes in key lifestyle risk metrics and incident metabolic syndrome in adults. The retrospective cohort study used data on metabolic syndrome free adults from Hearts Beat Back: The Heart of New Ulm Project, which is a 10-year population health research project being conducted by MHIF in partnership with Allina Health’s New Ulm Medical Center in New Ulm, Minn.
Dr. Thomas Knickelbine, a cardiologist and MHIF research physician, said, “We found that a primary predictor for incident metabolic syndrome over a two-year study timeframe was change in optimal lifestyle score based on four behavioral risk factors, including smoking, alcohol use, fruit/vegetable consumption, and physical activity. As compared to improving poor lifestyle habits, maintaining a healthy lifestyle seemed to be most helpful in avoiding metabolic syndrome over the two-year study timeframe.” Read the full study results here.
Events & Presentations
The Heart of New Ulm Project: Population Health Takes a Village
Webinar: Hosted by The Public Health Foundation
In New Ulm, Minn., an exciting partnership focused on heart health was formed 11 years ago. Hearts Beat Back: The Heart of New Ulm Project has been a successful partnership to reduce heart attacks and improve heart disease risk in a rural Minnesota town. On March 21, 2018 the Public Health Foundation hosted a webinar to discuss this innovative program led by the New Ulm Medical Center in partnership with the Minneapolis Heart Institute Foundation, Brown County Public Health, city leaders and government, local public schools, chamber of commerce, and department of parks and recreation. View the archived webinar and discussion questions here.
Rural Health Care Transformation Webinar Series
The Minneapolis Heart Institute Foundation’s® (MHIF) population health team and Allina Health’s New Ulm Medical Center (NUMC) partnered with the National Rural Health Association to present a three-part webinar series on rural health care transformation. The series shared lessons learned from MHIF and NUMC’s collaborative work on the award-winning, 10-year population health research project called Hearts Beat Back: The Heart of New Ulm Project in rural New Ulm, Minn.
The webinars helped empower health care leaders to embrace health care solutions designed to achieve the Triple Aim of improving the care experience (quality and access), increasing value, and improving population health outcomes.
To listen to a recording of the three webinars, click here.