Heart Health Equity - Cuyahoga

The MetroHealth System—in collaboration with Better Health Partnership, Cleveland Clinic, The Centers, University Hospitals, Case Western Reserve University, and other community partners—has been awarded funding through The Innovative Cardiovascular Health Program by the Centers for Disease Control and Prevention. This five-year cooperative agreement, led by Shari Bolen, MD, MPH, and Aleece Caron, PhD, started in October 2023. The project aims to improve heart health equity in Cuyahoga County, specifically for those with hypertension and high cholesterol.

The target population for Heart Health Equity—Cuyahoga (HHEC) is adults aged 18 and older with uncontrolled hypertension living within census tracts with a hypertension prevalence of 53% or higher. In Ohio, 31 census tracts met this criteria—15 of which are on the east side of Cuyahoga County. Census tracts in red on the map below are the focus of this grant. This population is disproportionately affected by cardiovascular disease due to structural racism.


Heart Health Equity - Cuyahoga (HHEC) has three overarching strategies to improve cardiovascular health outcomes and eradicate health disparities, which will be accomplished through collaboration, quality improvement, and data sharing:
  1. Track and Monitor Clinical Measures
    • Goal: To Improve Health and Wellness and Health Care Quality.
  2. Implement Team-Based Care
    • Goal: To Prevent, Detect, Control, and Manage Hypertension and High Cholesterol.
  3. Link Community and Clinical Services
    • Goal: To Support Comprehensive Bidirectional Referral and Follow-Up Systems Aimed at Mitigating Social Services and Support Barriers for Optimal Health Outcomes.
Change Packages and Resources
We encourage participating health systems to use the hypertension control and cholesterol management change packages and Cardi-OH resources to develop rapid Plan-Do-Study-Act (PDSA) cycles to test interventions designed to improve blood pressure control and eradicate health disparities.


To learn more, contact:

Funding for Heart Health Equity-Cuyahoga was made possible by Award # NU58DP007584 from Centers for Disease Control and Prevention (CDC). The views expressed on this website do not necessarily reflect the official policies of the CDC or the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.

Contact Information