Heart of Virginia Healthcare

NCT03054090 | Completed DMC

• 1 other identifier: 1R18HS023913-01
• Study Type: interventional
• Target: 231
• Locations: 0 countries
• Sites: N/A

Brief Summary

Most care for chronic conditions is provided by primary care clinicians. Although Virginia ranks 4th among the 50 states in average income, it ranks 27th in mortality due to heart attacks and strokes. The scope and focus of this project will materially improve the rates of screening and treatment of risk factors for heart attacks and strokes, and will give primary care clinicians the tools and training to improve the care of other chronic illnesses and the delivery of preventive services.

Conditions

Cardiovascular Diseases

Keywords

Cardiovascular Diseases; Primary Care

Outcome Measures

Primary Outcomes (5)

• Aspirin prescriptions

  Practice level rates of aspirin or other anti-thrombotics being prescribed. The outcome measure will be assessed from data extracted from practice EMR.

  3 month

• Blood pressure

  Blood pressure control for hypertensives. The outcome measure will be assessed from data extracted from practice EMR.

  3 months

• Statin prescriptions

  Practice level rates of Statins being prescribed for categories of higher risk cholesterol levels. The outcome measure will be assessed from data extracted from practice EMR.

  3 months

• Smoking

  Smoking assessment. The outcome measure will be assessed from data extracted from practice EMR.

  3 months

• Smoking

  Smoking cessation counseling. The outcome measure will be assessed from data extracted from practice EMR.

  3 months

Secondary Outcomes (3)

• Capacities to incorporate new patient centered outcome research

  1 year after intervention

• Capacities to incorporate new patient centered outcome research

  1 year after intervention

• Joy in practice

  1 year after intervention

Study Arms (1)

Quality Improvement support

OTHER

A blended support strategy will include practice facilitation, expert consultation, collaborative learning events, an online support center, and data feedback and benchmarking.

Other: Quality Improvement Support

Interventions

Quality Improvement Support OTHER

Practices will receive a blended strategy of quality improvement facilitation to help participating practices incorporate PCOR clinical and organizational findings while building their overall practice capabilities. Primary care practices will be provided tools and training to improve the rates of screening and treatment of risk factors for heart attacks and strokes, as well as other chronic illnesses and the delivery of preventive services.

Quality Improvement support

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• small to medium sized primary care practices in virginia that serve adults

You may not qualify if:

• large sized primary care practices
• pediatric practices

Sponsors & Collaborators

• Virginia Commonwealth University: lead
• Virginia Center for Health Innovation: collaborator
• Center for Health Policy Development: collaborator
• George Mason University: collaborator
• Health Quality Innovators: collaborator
• Agency for Healthcare Research and Quality (AHRQ): collaborator

Related Publications (1)

• Goldberg DG, Owens-Jasey C, Haghighat S, Kavalloor S. Implementation strategies for large scale quality improvement initiatives in primary care settings: a qualitative assessment. BMC Prim Care. 2023 Nov 17;24(1):242. doi: 10.1186/s12875-023-02200-8.

  PMID: 37978433 DERIVED

Related Links

• Quality improvement Guide
• Primary Care Facilitation Guide
• Vital Signs: Avoidable Deaths from Heart Disease, Stroke, and Hypertensive Disease - United States, 2001-2010

MeSH Terms

Conditions

Cardiovascular Diseases

Study Officials

• Anton Kuzel, MD

  Virginia Commonwealth University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 22, 2016
• First Posted: February 15, 2017
• Study Start: May 1, 2015
• Primary Completion: September 30, 2018
• Study Completion: September 30, 2018
• Last Updated: November 9, 2018

Record last verified: 2018-11

Data Sharing

• IPD Sharing: Will not share