Practice Facilitation and Clinical Performance Feedback Using the Electronic Health Record Improved Blood Pressure and Cholesterol Management in Small Primary Care Practices in New York City

Details

• Alternative Title:
  J Public Health Manag Pract
• Personal Author:
  Tabaei, Bahman P. ; De Leon, Samantha ; Glenn, Lily ; Pham-Singer, Hang
• Description:
  Cardiovascular disease (CVD) disproportionately affects people of color and those with lower household income. Improving blood pressure (BP) and cholesterol management for those with or at risk for CVD can improve health outcomes. The New York City Department of Health implemented clinical performance feedback with practice facilitation (PF) in 134 small primary care practices serving on average over 84% persons of color. Facilitators reviewed BP and cholesterol management data on performance dashboards and guided practices to identify and outreach to patients with suboptimal BP and cholesterol management. Despite disruptions from the COVID-19 pandemic, practices demonstrated significant improvements in BP (68%-75%, P < .001) and cholesterol management (72%-78%, P = .01). Prioritizing high-need neighborhoods for impactful resource investment, such as PF and data sharing, may be a promising approach to reducing CVD and hypertension inequities in areas heavily impacted by structural racism.
• Subjects:
  • Humans
  • New York City
  • Primary Health Care
  • Electronic Health Records
  • COVID-19
  • Cholesterol
  • SARS-CoV-2
  • Hypertension
  • Blood Pressure
  • Cardiovascular Diseases
  More +
• Keywords:
  • Electronic health record
  • practice facilitation
  • clinical performance feedback
  • hypertension
  • cardiovascular disease
  • blood pressure management
  • cholesterol management
• Source:
  J Public Health Manag Pract. 30:S96-S99
• Pubmed ID:
  38870366
• Pubmed Central ID:
  PMC11178242
• Document Type:
  Journal Article
• Funding:
  NU58DP006621/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  30
• Download URL:
  https://stacks.cdc.gov/view/cdc/157977/cdc_157977_DS1.pdf
• File Type:
  [PDF - 61.57 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:db2efd5f134953e5566efb993fcd6c84aea3b202c0b1fef8cf9371252111163e975cc0b9ef78d3f7f8d8f6f4a13546a73f09ac01347228c916355c40c82cd961