Healthy Hearts in the Heartland
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Peripheral Vascular Disease |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | 18 - 89 |
| Updated: | 8/31/2018 |
| Start Date: | January 2016 |
| End Date: | December 2018 |
Midwest Small Practice Care Transformation Research Alliance (MSPCTRA)
This study evaluates the ability of small primary care practices to 1) implement
point-of-care and population management quality improvement strategies to improve
cardiovascular quality of care (e.g., clinical decision support, patient education and
counseling, or referral to smoking quit lines), and 2) implement the PopHealth performance
measurement software to evaluate performance on the ABCS (aspirin when appropriate, blood
pressure control, cholesterol management, and when applicable, smoking cessation) and allow
regional benchmarking. This minimal risk study is a practice-randomized trial to determine a)
whether point of care strategies improve ABCS performance measures compared to baseline, and
b) whether adding locally tailored population management strategies to POC strategies
improves performance on the ABCS measures more than POC strategies alone.
point-of-care and population management quality improvement strategies to improve
cardiovascular quality of care (e.g., clinical decision support, patient education and
counseling, or referral to smoking quit lines), and 2) implement the PopHealth performance
measurement software to evaluate performance on the ABCS (aspirin when appropriate, blood
pressure control, cholesterol management, and when applicable, smoking cessation) and allow
regional benchmarking. This minimal risk study is a practice-randomized trial to determine a)
whether point of care strategies improve ABCS performance measures compared to baseline, and
b) whether adding locally tailored population management strategies to POC strategies
improves performance on the ABCS measures more than POC strategies alone.
The investigators specific aims are to:
1. Evaluate the ability of small practices in the investigators region to 1) implement
point-of-care (POC) and population management (PM) quality improvement strategies to
improve the ABCS, and 2) implement the popHealth quality measurement software to
evaluate performance on the ABCS and allow regional benchmarking.
2. Conduct a practice-randomized trial to determine a) whether POC strategies improve ABCS
performance measures (i.e. aspirin prescribing, blood pressure control, cholesterol
management, and smoking cessation counseling) compared to baseline, and b) whether
adding locally-tailored PM strategies to POC strategies improves performance on the ABCS
measures more than POC strategies alone.
3. Deploy an open source quality measurement platform (popHealth) to establish a regional
QI benchmark based on participating practice ABCS measures and enable longitudinal
tracking of electronic clinical quality measures (eCQMs) across the investigators
region. The investigators will perform a mixed-methods evaluation to examine changes in
practices' perceived capacity for quality improvement and whether access to comparative
quality data within a region improves the capacity of practices to sustain their quality
improvement program around the ABCS and provides a long-term framework for practices to
implement new QI activities.
1. Evaluate the ability of small practices in the investigators region to 1) implement
point-of-care (POC) and population management (PM) quality improvement strategies to
improve the ABCS, and 2) implement the popHealth quality measurement software to
evaluate performance on the ABCS and allow regional benchmarking.
2. Conduct a practice-randomized trial to determine a) whether POC strategies improve ABCS
performance measures (i.e. aspirin prescribing, blood pressure control, cholesterol
management, and smoking cessation counseling) compared to baseline, and b) whether
adding locally-tailored PM strategies to POC strategies improves performance on the ABCS
measures more than POC strategies alone.
3. Deploy an open source quality measurement platform (popHealth) to establish a regional
QI benchmark based on participating practice ABCS measures and enable longitudinal
tracking of electronic clinical quality measures (eCQMs) across the investigators
region. The investigators will perform a mixed-methods evaluation to examine changes in
practices' perceived capacity for quality improvement and whether access to comparative
quality data within a region improves the capacity of practices to sustain their quality
improvement program around the ABCS and provides a long-term framework for practices to
implement new QI activities.
Inclusion Criteria:
- Providers practicing in Wisconsin, Illinois, and Indiana.
- Practice is adult primary care-focused; [Further defined: health care organization
dedicated to the provision of primary care, and a significant proportion of their
patients are adults. Includes, but not limited to, family medicine, general internal
medicine, general practice, geriatricians, nurse practitioners and physician
assistants.]
- Practice has 20 or fewer primary care providers; [Community health centers with 20 or
fewer lead clinicians may be included; multi-specialty practices that provide primary
care and have ≤ 20 lead clinicians may be included.]
- Providers must provide informed consent.
Exclusion Criteria:
- Non-English speaking providers
We found this trial at
5
sites
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