title: Assessment of American Heart Association's Ideal Cardiovascular Health Metrics Among Employees of a Large Healthcare Organization: The Baptist Health South Florida Employee Study.
abstract: BACKGROUND
  Healthcare organizations and their employees are critical role models for healthy living in their communities. The American Heart Association (AHA) 2020 impact goal provides a national framework that can be used to track the success of employee wellness programs with a focus on improving cardiovascular (CV) health. This study aimed to assess the CV health of the employees of Baptist Health South Florida (BHSF), a large nonprofit healthcare organization.
  
  
  OBJECTIVE
  HRAs and wellness examinations can be used to measure the cardiovascular health status of an employee population.
  
  
  METHODS
  The AHA's 7 CV health metrics (diet, physical activity, smoking, body mass index, blood pressure, total cholesterol, and blood glucose) categorized as ideal, intermediate, or poor were estimated among employees of BHSF participating voluntarily in an annual health risk assessment (HRA) and wellness fair. Age and gender differences were analyzed using χ(2) test.
  
  
  RESULTS
  The sample consisted of 9364 employees who participated in the 2014 annual HRA and wellness fair (mean age [standard deviation], 43 [12] years, 74% women). Sixty (1%) individuals met the AHA's definition of ideal CV health. Women were more likely than men to meet the ideal criteria for more than 5 CV health metrics. The proportion of participants meeting the ideal criteria for more than 5 CV health metrics decreased with age.
  
  
  CONCLUSIONS
  A combination of HRAs and wellness examinations can provide useful insights into the cardiovascular health status of an employee population. Future tracking of the CV health metrics will provide critical feedback on the impact of system wide wellness efforts as well as identifying proactive programs to assist in making substantial progress toward the AHA 2020 Impact Goal.
authors.affiliation: Center for Healthcare Advancement and Outcomes Research, Baptist Health South Florida, Miami, FL.|Department of Epidemiology, Robert Stempel College of Public Health, Florida International University, Miami, FL.
authors.forename: Oluseye
authors.identifier: http://orcid.org/0000-0001-5216-2544
authors.initials: O
authors.lastname: Ogunmoroti
authors.affiliation: Center for Healthcare Advancement and Outcomes Research, Baptist Health South Florida, Miami, FL.
authors.forename: Adnan
authors.initials: A
authors.lastname: Younus
authors.affiliation: Wellness Advantage Administration, Baptist Health South Florida, Miami, FL.
authors.forename: Maribeth
authors.initials: M
authors.lastname: Rouseff
authors.affiliation: Center for Outcomes Research and Evaluation, Yale New Haven Hospital, New Haven, CT.
authors.forename: Erica S
authors.initials: ES
authors.lastname: Spatz
authors.affiliation: Wellness Advantage Administration, Baptist Health South Florida, Miami, FL.
authors.forename: Sankalp
authors.initials: S
authors.lastname: Das
authors.affiliation: Center for Research and Grants, Baptist Health South Florida, Miami, FL.
authors.forename: Don
authors.initials: D
authors.lastname: Parris
authors.affiliation: Center for Healthcare Advancement and Outcomes Research, Baptist Health South Florida, Miami, FL.
authors.forename: Ehimen
authors.initials: E
authors.lastname: Aneni
authors.affiliation: Wellness Advantage, Baptist Health South Florida, Miami, FL.
authors.forename: Leah
authors.initials: L
authors.lastname: Holzwarth
authors.affiliation: Employee Health Management, Baptist Health South Florida, Miami, FL.
authors.forename: Henry
authors.initials: H
authors.lastname: Guzman
authors.affiliation: Center for Performance and Excellence, Baptist Health South Florida, Miami, FL.
authors.forename: Thinh
authors.initials: T
authors.lastname: Tran
authors.affiliation: Center for Healthcare Advancement and Outcomes Research, Baptist Health South Florida, Miami, FL.
authors.forename: Lara
authors.initials: L
authors.lastname: Roberson
authors.affiliation: Center for Healthcare Advancement and Outcomes Research, Baptist Health South Florida, Miami, FL.
authors.forename: Shozab S
authors.initials: SS
authors.lastname: Ali
authors.affiliation: Center for Healthcare Advancement and Outcomes Research, Baptist Health South Florida, Miami, FL.|South Beach Preventive Cardiology, Miami Beach, FL.
authors.forename: Arthur
authors.initials: A
authors.lastname: Agatston
authors.affiliation: Department of Epidemiology, Robert Stempel College of Public Health, Florida International University, Miami, FL.
authors.forename: Wasim
authors.initials: W
authors.lastname: Maziak
authors.affiliation: Center for Healthcare Advancement and Outcomes Research, Baptist Health South Florida, Miami, FL.|Herbert Wertheim College of Medicine, Florida International University, Miami, FL.
authors.forename: Theodore
authors.initials: T
authors.lastname: Feldman
authors.affiliation: Center for Healthcare Advancement and Outcomes Research, Baptist Health South Florida, Miami, FL.|Department of Biostatistics, Robert Stempel College of Public Health, Florida International University, Miami, FL.
authors.forename: Emir
authors.initials: E
authors.lastname: Veledar
authors.affiliation: Center for Healthcare Advancement and Outcomes Research, Baptist Health South Florida, Miami, FL.|Department of Epidemiology, Robert Stempel College of Public Health, Florida International University, Miami, FL.|Herbert Wertheim College of Medicine, Florida International University, Miami, FL.|The Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, Baltimore, MD.|Miami Cardiac & Vascular Institute, Baptist Health South Florida, Miami, FL.
authors.forename: Khurram
authors.initials: K
authors.lastname: Nasir
mesh_terms: D000328:Adult; D000572:American Heart Association; D002318:Cardiovascular Diseases / Q000191:economics / Q000517:prevention & control*; D003430:Cross-Sectional Studies; D005260:Female; D006293:Health Promotion / Q000379:methods; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D016272:Occupational Health; D012111:Residence Characteristics; D040242:Risk Reduction Behavior; D014481:United States