Risk of developing heart diseases


Heart-related illness has and has undermined the older people in contemporary society globally compared to the young aged. For instance, in Chittenden County, Vermont, heart diseases have been declared a Public Health Issue, about 24, 686 people who are 65 years and older are at high risk of being infected heart-related diseases. Having realized that most of them can not pay for their medical bill relying on Government sponsorship prevention strategy is critical. Consequently, awareness will be fundamental to not only the elderly but also the whole community in general on how to prevent and deal with heart diseases.

Description of Proposed Program

The pilot program aims at targeting people aged over 65 years old, since the population is believed to be at risk of developing heart disease in Chittenden County, Vermont. The program aims at proposing for the community to engage in physical activities that will reduce the risk of people over 65 years of developing heart diseases. Additionally, the program aims at making sure that individuals adopt a healthier lifestyle (Esselstyn, 2008).  The program will ensure that there are health promotion efforts that will engage the at-risk population to go for screening for heart disease.  Besides, the program will have specific deliverables for the society on matters of them engaging prevention activities.

With a population of 24, 686 , mostly the aged 65 years and over and at-risk of developing heart diseases. The program aims at targeting the individuals to make sure they are aware of the risks they face so that they engage in activities the program will recommend that will reduce their chances of developing the condition (Centers for Disease Control, 2019). The main goals of the program are as follows

  1. create awareness for the heart diseases among the at-risk population
  2. screen individuals that are at risk
  3. strive to prevent risk factors in the population
  4. treatment of the risk factors among the people aged 65 years and older,
  5. early identification of symptoms for heart diseases, managing the condition among the population, and prevention of recurrent cardiovascular ailments in patients that already have cardiovascular ailments (Esselstyn, 2008). Even though the program is a prevention program, it is expected that some of the individuals piloted in the program will be found to be having cardiovascular diseases, and that is why there are efforts to deal with cases that are positive for any form of cardiovascular disease.


Initiative proposal

The small-scale program that will determine the feasibility of the program

The small program will target a sample of 30% (7406) of the target population in Chittenden County, Vermont. The sample will be used so that the findings are generated to the whole population.  This will be a pilot study of the sample so that the awareness program also integrates a health promotion project that will be used to find out the resources that can be used to target the whole 24, 686 people.

With access to data for awareness to be available to the population, there won’t be many resources in terms of health care experts to be involved in the program. However, there will some volunteer nurses and doctor that will be included in the health awareness program so that they offer expert knowledge of the health promotion initiates that the population will engage in to make sure the program is a success (Esselstyn, 2008).

The above discussion exposes a dire need for an awareness program that will significantly reduce the rate of heart disease infections for not only the elderly but also the young and the middle-aged.

Data Analysis

Using data collection methods such as Individual Interviews, focus groups, telephone surveys with the victims, face to face surveys for comprehensive observation, and web-based surveys, the information will be analyzed for determining the resources of an actual project. The approaches will enhance personal interaction with the victims to ascertain how and why the contracted heart diseases, how they have spent working on the medication, and the possible ways to minimize the risk. This can be done in maybe eight weeks at most

How participant’s staff and volunteers will be involved

The participants will have a team of 40 individuals that will have different roles to play for the program. The volunteers will engage the community in terms of identifying the people that will benefit from the awareness program.  Doctors will be involved in offering expert information about how to prevent heart diseases among the at-risk population (Centers for Disease Control, 2019).     Nurses will be at the front-line of making sure that the target population is screening for heart diseases, and they are also encouraged to adopt the healthy behaviors proposed in the program.

It is expected that the program will have five doctor, 25 nurses, and 23 community healthcare workers that will assist in the program.  Since participation in the program will be voluntary, only people that will consent to take part in the program will be contacted by nurses and healthcare workers.  The number of staff for the program will first off presents the reality and the current knowledge about heart disease to the at-risk population. After that, the at-risk population will be offered a vision for the future in form of a summary of the favorable circumstances for the at-risk population.

The program staff will also provide information on the intervention approaches that will be used against the target population. The volunteers will be educated on the Healthy People 2010 goals that aim at reducing the prevalence and incidence of heart diseases among people aged 65 years and older (Centers for Disease Control, 2019).  The program will employ the array of approaches that the Healthy People 2020 aims at achieving through reducing the prevalence of heart disease among the general population. However, the present program will target people aged 65 years and older.

SWOT Analysis

Strengths of the Initiative

Heart-related information has been studied for long now; hence there is diverse information on heart-related illness; therefore, the initiative will not require other academic resources. Consequently, the physical resources will also be minimized. Basing our merits on these points above, many non-profit organizations have focused on heart diseases among the aged, which can be a perfect platform for partnership.

The initiative will not require experts or professionals for implementation per se. This is because of the data resource available, which will self-direct the participants. Therefore, performance management will be excellent and effective because access to human resources will not be a challenge at all.

Weaknesses of the Initiative

Technology is a more recent phenomenon that may not be associated with our targeted age. Infusing technology with the initiative will be challenging as the 65 years and above may be ‘technology-illiterate.’ Our core goal is the premises of treatment and not the actual cure; hence it will not be relevant to the already ill. Public Trust involves a lot, professionalism, and experts are some of the factors that increase Public Trust. On the contrary, our initiative will be reinforced with fewer professionals and volunteers who may or may not have medical expertise; hence the public trust will not be earned. As pointed above, we will focus on a particular sample that will represent the whole population, which might significantly reduce its efficacy.

Opportunities for the Initiative

Unlike other health programs, no well-planned programs that promote heart disease awareness per se have been instituted; therefore, this program is unique in nature, and its objectives are aimed at the elderly population, which at times are neglected. The initiative also has grounds to partner with well established non-profit organizations that have the same objectives. Heart-related information is freely accessible because of the vast resources associated with it; hence the initiative will not minimize expenditure and focus more on the initiative. Finally, the vast population aged 65 years and above will benefit from this initiative.

Threats of this initiative

The initiative will face competition as well as opposition from primary care providers who deal with heart diseases as we will be against their business. The initiative may lack a sustainable source of funds; funds are very fundamental to innovative ideas such as finding a cure and not awareness. Because of age and geographical location, the targeted population may show an uncooperative response. Heart diseases may well induce complications that may make the patient not to process information. Such health issues may include dementia.

Evaluation of the Program

The program will be evaluated using the health outcomes that will be achieved before and after the program has been implemented. The pre-evaluation will aim at looking at the resources that are available for the program and whether the human and physical resources will be enough for the program to be successful.  More specifically, the lean six sigma will be used for the evaluation process of the program (Bookboon, 2018).  Lean six sigma will be used to ensure that the procedures that will be used in the program will be streamlined so that no wastage is realized throughout the program (Bookboon, 2018).

The lean sigma principles s will also be followed to ensure that the process in the program is efficient. The process that will be used will also be evaluated to find out if they are standardized in terms of making sure the program goals are met inconsistent manner (Centers for Disease Control, 2019).  Six Sigma will also be used to make sure that lead times are increased so that the capacity of the program is improved and goals are met within the set timelines.



Community Partnership

What Other Organizations Have Been Doing

Other organizations such as the CDC, community organizations, and tribal organization have resorted to health education as one of the ways that can be used to prevent the incidence and prevalence rate of heart diseases in people aged 65 years and older. Most organizations in the community have resorted to using health promotion programs to create awareness on the risk factors and actions that people should take to deal with the burden of heart diseases among people aged 65 years and older (Esselstyn, 2008).

Other organizations have also used collaboration with regional and global partners to ensure they have resources that can be used to create awareness on the risk factors for heart disease among the elderly population (Centers for Disease Control, 2019).  Most of the organizations that have been working in the community have used the Health People 20202 objectives as the threshold for their health promotion activities to prevent heart diseases in Chittenden County, Vermont (Esselstyn, 2008).  The most organization has been suggesting the use of lifestyle interventions as the best way for people to prevent themselves from cardiac conditions. The lifestyle interventions are dietary and encourage the elderly to engage in physical activities as a preventive measure.

Social change

The core reason that will drive this initiative is associated with evaluating to address promoting heart disease awareness among people aged 65 and above in Chittenden County, Vermont. This awareness will be aimed at educating the already ill with heart diseases on how to reduce the effects of the disease and also encourage health checkups often.

The volunteers who will primarily be sourced from doctors and nurses will give their expert opinions regarding heart disease. Further, following the availability of information regarding heart diseases, answering questions regarding heart diseases will be very easy as the volunteers will be ready with the data. Therefore, the awareness program will best fit the elderly, the volunteers, because they will be gaining experience, the young, because they will know how to mitigate hence preventing themselves from heart diseases.

24, 686 people who suffer from heart disease is somehow a large population following the fact that the disease can be mitigated. Awareness will sensitize the elderly and the other ages to reduce heart-related diseases, which will have saved lots of hospital bills and deaths. Following the rate at which heart-related non-profit organization has risen, indicates a real problem associated with heart diseases with the elderly. Using volunteers in the stipulated sample, we will evaluate short term outcomes, which will later reflect on the entire population, which will be easier to formulate long term strategies on preventive measures associated with heart diseases.  With enough volunteers, funding, and awareness materials, the whole process will be easy to run, and therefore, the project is feasible as

To sum, the initiative will be critical to the whole communities because of its essential information to the already ill and the young ‘generation.’ As part of developing the community, the initiative will boost a health society because of support in changing the face of Vermont on heart-related diseases. Further, the awareness program will make both patients and health practitioners build confidence and reduce judgmental thoughts. Patients, as such, will be open-minded by the vast solutions offered during the awareness period and the realization of the actual burden of heart diseases


Bookboon (2018). Six Sigma. Boston: Bookboon.

Centers for Disease Control (2019).  A Public Health Action Plan to Prevent Heart Disease and Stroke A Public   A Public Health Action Plan to Prevent Heart Disease and Stroke. New York:  CDC.

Esselstyn, C., B. (2008).  Prevent and Reverse Heart Disease: The Revolutionary, Scientifically Proven, nutrition-based Cure. New York

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