Improving cardiovascular outcomes by using team-supported, EHR-leveraged, active management: Disseminating a successful quality improvement project.

dc.contributor.author

Lewinski, Allison A

dc.contributor.author

Bosworth, Hayden B

dc.contributor.author

Goldstein, Karen M

dc.contributor.author

Gierisch, Jennifer M

dc.contributor.author

Jazowski, Shelley

dc.contributor.author

McCant, Felicia

dc.contributor.author

White-Clark, Courtney

dc.contributor.author

Smith, Valerie A

dc.contributor.author

Zullig, Leah L

dc.date.accessioned

2024-01-02T20:43:55Z

dc.date.available

2024-01-02T20:43:55Z

dc.date.issued

2021-03

dc.description.abstract

Background

Uncontrolled blood pressure (BP) is common among Veterans. Rural Veterans are at risk for suboptimal care coordination as successful programs may be implemented at lower rates due to individual- and system-level factors. There is strong evidence to support the use of remotely delivered support and patient-generated data from home BP monitors and virtual BP visits to manage BP.

Objective

The purpose of this project is to augment the current approach to addressing uncontrolled BP so that existing clinical staff can reach a larger patient population.

Methods

Our project will address uncontrolled BP by leveraging team-based care, the Veteran's Health Administration Electronic Health Record, and patient-centered medical home data to address patient, provider, and system barriers to cardiovascular disease (CVD) preventive care. We will implement this project in cardiovascular disease practices in three rural Veterans Health Administration clinics. We will evaluate implementation processes as well as patient-level (e.g., clinical outcomes, referrals to specialty services) outcomes in a one-arm, pre-post design.

Discussion

This manuscript describes our process in expanding the implementation of a successful project to improve BP control in high-risk, rural Veterans. Findings from our study will inform an understanding of both implementation and clinical effectiveness outcomes of a potentially scalable BP intervention in rural, community-based clinics. Appropriate management of Veterans with uncontrolled BP can reduce morbidity and mortality related to CVD. In turn, improvements in BP, can lead to improved quality metrics and potentially decrease costs for a healthcare system.
dc.identifier

S2451-8654(21)00008-9

dc.identifier.issn

2451-8654

dc.identifier.issn

2451-8654

dc.identifier.uri

https://hdl.handle.net/10161/29642

dc.language

eng

dc.publisher

Elsevier BV

dc.relation.ispartof

Contemporary clinical trials communications

dc.relation.isversionof

10.1016/j.conctc.2021.100705

dc.rights.uri

https://creativecommons.org/licenses/by-nc/4.0

dc.subject

Cardiovascular diseases

dc.subject

Implementation science

dc.subject

Population health management

dc.subject

Quality improvement

dc.subject

Veterans

dc.title

Improving cardiovascular outcomes by using team-supported, EHR-leveraged, active management: Disseminating a successful quality improvement project.

dc.type

Journal article

duke.contributor.orcid

Lewinski, Allison A|0000-0002-1356-1857

duke.contributor.orcid

Bosworth, Hayden B|0000-0001-6188-9825

duke.contributor.orcid

Goldstein, Karen M|0000-0003-4419-5869

duke.contributor.orcid

Smith, Valerie A|0000-0001-5170-9819

duke.contributor.orcid

Zullig, Leah L|0000-0002-6638-409X

pubs.begin-page

100705

pubs.organisational-group

Duke

pubs.organisational-group

School of Medicine

pubs.organisational-group

School of Nursing

pubs.organisational-group

Basic Science Departments

pubs.organisational-group

Clinical Science Departments

pubs.organisational-group

Institutes and Centers

pubs.organisational-group

Medicine

pubs.organisational-group

Psychiatry & Behavioral Sciences

pubs.organisational-group

Medicine, General Internal Medicine

pubs.organisational-group

Duke Cancer Institute

pubs.organisational-group

Duke Clinical Research Institute

pubs.organisational-group

Institutes and Provost's Academic Units

pubs.organisational-group

Center for the Study of Aging and Human Development

pubs.organisational-group

Initiatives

pubs.organisational-group

Duke Science & Society

pubs.organisational-group

Population Health Sciences

pubs.organisational-group

Duke Innovation & Entrepreneurship

pubs.organisational-group

Psychiatry & Behavioral Sciences, Behavioral Medicine & Neurosciences

pubs.organisational-group

Duke - Margolis Center For Health Policy

pubs.publication-status

Published

pubs.volume

21

Files

Original bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Improving cardiovascular outcomes by using team-supported, EHR-leveraged, active management Disseminating a successful quali.pdf
Size:
7.07 MB
Format:
Adobe Portable Document Format