In 2011, the US Department of Health and Human Services launched the Million Hearts initiative, led by the Centers for Disease Control and Prevention (CDC) and Centers for Medicare & Medicaid Services (CMS) with participation from a wide range of federal agencies, state governments, clinical consortia, community and professional organizations, and other partners. The goal of the initiative was to prevent 1 million myocardial infarctions and strokes over 5 years.
To achieve this goal, community-wide preventive interventions were to reduce tobacco use and sodium consumption and eliminate artificial
trans fats from the food supply. In clinical care, the initiative focused on improving the “ABCS”: aspirin use, blood pressure control, cholesterol management, and smoking cessation treatment. A second phase, Million Hearts 2022, aims to reduce tobacco use, sodium intake, and physical inactivity by 20%; achieve 80% performance on the ABCS and 70% participation in cardiac rehabilitation; and focus on priority populations.