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Member Research and Reports

Member Research and Reports

NYU: Using Practice Facilitation to Increase Cardiovascular Disease Guideline Adherence

A study co-authored by Dr. Donna Shelley, Professor of Public Health Policy and Management, and Dr. Olugbenga Ogedegbe, professor, at the New York University School of Global Public Health, was published in The American Journal of Preventive Medicine titled “Cardiovascular Disease Guideline Adherence: An RCT Using Practice Facilitation.” 

Practice facilitation (PF) is a promising practice transformation strategy, but further examination of its effectiveness in improving adoption of guidelines for multiple cardiovascular disease risk factors is needed. The objective of this study is to determine whether practice facilitation is effective in increasing the proportion of patients meeting the Million Hearts ABCS outcomes: (A) aspirin when indicated, (B) blood pressure control, (C) cholesterol management, and (S) smoking screening and cessation intervention.

Findings indicate that PF was associated with improvements in the 2 smoking-related outcomes only: the smoking composite and smokers counseled. The S measure improved when comparing follow-up with the control period and when comparing follow-up with intervention. Smokers counseled improved when comparing the intervention period with control. Overall, increasing the impact of practice facilitation programs that target multiple risk factors may require a longer, more intense intervention and greater attention to external policy and practice context.

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