Article
Cardiac & Cardiovascular Systems
Sukruth A. Shashikumar, Jie Zheng, E. John Orav, Arnold M. Epstein, Karen E. Joynt Maddox
Summary: Participation in BPCM-A was not associated with spending reductions, changes in care utilization, or quality improvements for the cardiovascular medical events or procedures offered in the model.
Article
Cardiac & Cardiovascular Systems
Christoph Hochsmann, James L. Dorling, Corby K. Martin, Robert L. Newton, John W. Apolzan, Candice A. Myers, Kara D. Denstel, Emily F. Mire, William D. Johnson, Dachuan Zhang, Connie L. Arnold, Terry C. Davis, Vivian Fonseca, Carl J. Lavie, Eboni G. Price-Haywood, Peter T. Katzmarzyk
Summary: A pragmatic ILI delivered in primary care setting produced clinically relevant improvements in cardiometabolic health in underserved population over 24 months, including significant weight loss and improvements in blood glucose, cholesterol levels.
Article
Primary Health Care
Stephan R. Lindner, Bijal Balasubramanian, Miguel Marino, K. John McConnell, Thomas E. Kottke, Samuel T. Edwards, Sam Cykert, Deborah J. Cohen
Summary: This study estimated the reduction in 10-year ASCVD risk associated with EvidenceNOW, a multi-state initiative aimed at improving cardiovascular preventive care. The intervention focused on prescribing aspirin, controlling blood pressure, managing cholesterol, and providing smoking screening and cessation counseling. The study found that the intervention resulted in a decrease in 10-year ASCVD risk from 10.11% to 10.03%, with an absolute risk reduction of 0.08%.
JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Andres Rosende, Donald J. J. DiPette, Ramon Martinez, Jeffrey W. W. Brettler, Gonzalo Rodriguez, Eric Zuniga, Pedro Ordunez
Summary: This paper describes the results of a quality improvement intervention implemented by HEARTS in the Americas to support advances in hypertension treatment protocols and clinical pathway. The intervention was effective in improving implementation, treatment, and management of cardiovascular risk. The study confirms the feasibility and effectiveness of adopting the HEARTS Clinical Pathway in hypertension and cardiovascular disease risk management programs.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2023)
Review
Medicine, General & Internal
Magdalena Z. Raban, Gabriela Gonzalez, Amy D. Nguyen, Ben R. Newell, Ling Li, Karla L. Seaman, Johanna Westbrook
Summary: This systematic review explores the use of nudge interventions to reduce unnecessary antibiotic prescribing in primary care. The findings indicate that nudge interventions, particularly social norm nudges, are effective in reducing overall antibiotic prescribing. Policy-makers and managers should consider expanding the use of nudge interventions and carefully implement social norm nudges to optimize their effects.
Article
Peripheral Vascular Disease
Sue Jowett, Shahela Kodabuckus, Gary A. Ford, F. D. Richard Hobbs, Mark Lown, Jonathan Mant, Rupert Payne, Richard J. McManus, James P. Sheppard
Summary: This study assessed the cost-effectiveness of deprescribing antihypertensive medications for older patients with normal blood pressure. The findings suggest that reducing medication use is not advisable for many older patients with controlled systolic blood pressure, but may be beneficial for high-risk populations with targeted approaches.
Article
Cardiac & Cardiovascular Systems
Sara Momtazmanesh, Sahar Saeedi Moghaddam, Elaheh Malakan Rad, Sina Azadnajafabad, Narges Ebrahimi, Esmaeil Mohammadi, Mahtab Rouhifard, Negar Rezaei, Masoud Masinaei, Nazila Rezaei, Mohammad Keykhaei, Arya Aminorroaya, Azin Ghamari, Bagher Larijani, Farshad Farzadfar
Summary: This study describes the quality of care for endocarditis and analyzes changes in epidemiological features from 1990 to 2019. The incidence rate of endocarditis has significantly increased globally, while the mortality rate has remained unchanged. High-income countries have higher quality of care compared to low-income countries.
EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY
(2022)
Article
Primary Health Care
Wanchun Xu, Esther Yee Tak Yu, Weng Yee Chin, Ivy Lynn Mak, Cheyenne I. Ying Chan, Cindy Lo Kuen Lam, Eric Yuk Fai Wan
Summary: Team-based continuity of care (COC) is effective in reducing the risks of cardiovascular disease (CVD) and all-cause mortality in patients with hypertension, especially for those with unsatisfactory blood pressure control.
BRITISH JOURNAL OF GENERAL PRACTICE
(2023)
Article
Geriatrics & Gerontology
Irene Lambrinoudaki, Stavroula A. Paschou, Mary Ann Lumsden, Stephanie Faubion, Evangelos Makrakis, Sophia Kalantaridou, Nick Panay
Summary: POI is the loss of ovarian activity before the age of 40, which can have significant physical and emotional consequences for patients and their families. Diagnosing and treating POI in a timely manner is crucial, but often delayed, highlighting the need for increased awareness and education within the medical community.
Article
Public, Environmental & Occupational Health
Lily D. Yan, Jean Lookens Pierre, Vanessa Rouzier, Michel Theard, Alexandra Apollon, Stephano St Preux, Justin R. Kingery, Kenneth A. Jamerson, Marie Deschamps, Jean W. Pape, Monika M. Safford, Margaret L. McNairy
Summary: In this study conducted in Haiti, six existing cardiovascular disease (CVD) risk prediction models were compared, showing significant variation in identifying high-risk groups and statin eligibility. The findings suggest a need to develop and validate CVD risk prediction tools for low-middle income countries that incorporate locally relevant risk factors. The results have important implications for making appropriate treatment recommendations and public health policies.
Article
Public, Environmental & Occupational Health
Jose Carlos Prado Junior, Roberto de Andrade Medronho
Summary: This study conducted a cross-sectional analysis in Rio de Janeiro, Brazil, and found that TB cure rate was influenced by factors such as education level, alcohol consumption, contact investigation, HIV seropositivity, and elderly population density. Individuals covered by primary healthcare had higher odds of cure compared to those without coverage.
Article
Primary Health Care
Bijal A. Balasubramanian, Stephan Lindner, Miguel Marino, Rachel Springer, Samuel T. Edwards, K. John McConnell, Deborah J. Cohen
Summary: The EvidenceNOW initiative improved cardiovascular disease prevention quality metrics among small and medium sized primary care practices in the US. While the improvements were modest, they represented average changes across a large and diverse sample of practices.
JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE
(2022)
Article
Health Care Sciences & Services
C. M. Hespe, K. Giskes, M. F. Harris, D. Peiris
Summary: This study evaluated a quality improvement program (QPulse) aimed at addressing the discrepancies between evidence-based guidelines for cardiovascular disease screening and management and their implementation in Australian general practice. The study found considerable barriers associated with the program, including lack of time, technical support, internal capacity and leadership.
BMC HEALTH SERVICES RESEARCH
(2022)
Article
Medicine, General & Internal
Birgitta van Bodegraven, Victoria Palin, Chirag Mistry, Matthew Sperrin, Andrew White, William Welfare, Darren M. Ashcroft, Tjeerd Pieter van Staa
Summary: This study revealed an association between lower levels of practice level antibiotic prescribing and higher infection-related hospital admissions, particularly for lower respiratory tract infection and urinary tract infection. The association between antibiotic prescribing and hospital admission was strongest in patients aged 18-39 years and smallest in the elderly aged 75+ years, highlighting the importance of optimizing antibiotic use and targeting high-risk patients for appropriate antibiotic prescribing.
Article
Medicine, General & Internal
Krzysztof Studzinski, Tomasz Tomasik, Adam Windak, Maciej Banach, Ewa Wojtowicz, Miroslaw Mastej, Maciej Tomaszewski, Dimitri P. Mikhailidis, Peter P. Toth, Alberico Catapano, Kausik K. Ray, George Howard, Gregory Y. H. Lip, Fadi J. Charchar, Naveed Sattar, Bryan Williams, Thomas M. MacDonald, Peter E. Penson, Jacek J. Jozwiak
Summary: The prevalence of hypertension, diabetes, dyslipidaemia, and CVD did not differ significantly between urban and rural areas in Poland. However, obesity and abdominal obesity were higher in rural areas, while LDL-C and non-HDL-C levels were slightly higher in rural populations. A significant proportion of patients in both urban and rural areas did not meet recommended targets for blood pressure, LDL-C, and HbA1c, indicating the need for improved CVD prevention programs.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Primary Health Care
Alison Huffstetler, Anton J. Kuzel, Roy T. Sabo, Alicia Richards, Marshall Brooks, Paulette Lail Kashiri, Gabriela Villalobos, Albert J. Arias, Dace Svikis, Beth A. Bortz, Ashley Edwards, John Epling, Deborah J. Cohen, Michael Parchman, Jonathan Winter, Patricia Wessler, Timothy J. Yu, Alex H. Krist
BMC FAMILY PRACTICE
(2020)
Article
Health Care Sciences & Services
Sarah Shoemaker-Hunt, Wesley Sargent, Holly Swan, Christina Mikosz, Kyle Cobb, Douglas McDonald, Nicole Keane, Michael von Korff, Michael Parchman, Jan Losby
AMERICAN JOURNAL OF MEDICAL QUALITY
(2021)
Article
Primary Health Care
Michael L. Parchman, Melissa L. Anderson, Robert B. Penfold, Elena Kuo, David A. Dorr
JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE
(2020)
Article
Primary Health Care
Leif Solberg, Anton Kuzel, Michael L. Parchman, Donna R. Shelley, W. Perry Dickinson, Theresa L. Walunas, Ann M. Nguyen, Lyle J. Fagnan, Samuel Cykert, Deborah J. Cohen, Bijal A. Balasubramanaian, Douglas Fernald, Leah Gordon, Abel Kho, Alex Krist, William Miller, Carolyn Berry, Daniel Duffy, Zsolt Nagykaldi
Summary: This study aimed to develop a taxonomy for external support interventions to improve communication and collaboration in practice change. The taxonomy includes domains such as conceptual models, support strategies, and types of change process, providing a comprehensive framework for documenting and characterizing external support interventions.
JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE
(2021)
Article
Primary Health Care
Kari A. Stephens, Brooke Ike, Laura-Mae Baldwin, Christine Packer, Michael Parchman
Summary: This study focuses on tracking and monitoring patients using long-term opioid therapy for CNCP in primary care, identifying common challenges and approaches to improve safe opioid-prescribing practices. Recommendations are provided to organizations to enhance tracking and monitoring capacity in primary care for CNCP patients.
JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE
(2021)
Article
Public, Environmental & Occupational Health
Leah Tuzzio, Ellen S. O'Meara, Erika Holden, Michael L. Parchman, James D. Ralston, Jennifer A. Powell, Laura-Mae Baldwin
Summary: This study identified barriers to the implementation of cardiovascular disease risk calculators in primary care, including time constraints, limitations in accessing necessary information for using the calculator, lack of buy-in from clinicians or staff, patient fear of statin medications, and absence of documented clinic workflow for using the calculator. Future research should consider tailoring interventions to address these common barriers in order to improve uptake of cardiovascular disease risk calculation.
AMERICAN JOURNAL OF PREVENTIVE MEDICINE
(2021)
Article
Primary Health Care
Robert L. Phillips, Lars Peterson, Ted E. Palen, Scott A. Fields, Michael L. Parchman, John Johannides
Summary: The Trial of Aggregate Data Exchange for Maintenance of Certification and Raising Quality aimed to test if quality reporting could be a by-product of clinical care. Family physicians from four health systems participated in the study, with identified errors including data delivery interruptions and nonsensical measure results. Only one system had no identified errors, highlighting the difficulties in secure transfer of standardized quality measures.
ANNALS OF FAMILY MEDICINE
(2021)
Article
Primary Health Care
Lyle J. Fagnan, Katrina Ramsey, Caitlin Dickinson, Tara Kline, Michael L. Parchman
Summary: The study compared rural and urban primary care practices in terms of quality improvement capacity and performance under external support, finding that rural independent practices made significant improvements in blood pressure control and smoking cessation.
JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE
(2021)
Article
Medicine, General & Internal
Michael L. Parchman, Lorella G. Palazzo, Jessica M. Mogk, Janna C. Webbon, Lauren Demosthenes, Elizabeth Vossenkemper, George Hoke, Joshua Moskovitz, Leslie Dunlap, Roberto Diaz del Carpio
Summary: This study aims to explore the strategies used by clinician champions in reducing the use of low-value care. The findings suggest that clinician champions use various important strategies, such as engaging in conversations with stakeholders, including patients in intervention design, and investing time in planning and launching initiatives.
SAGE OPEN MEDICINE
(2022)
Article
Health Care Sciences & Services
Michael L. Parchman, Jennifer Perloff, Grant Ritter
Summary: This study protocol outlines a 24-month clinical trial to assess the effectiveness of a clinician champion intervention on de-implementing potentially inappropriate medications in people with dementia. The trial will also examine the impact of the intervention on reducing emergency department visits and hospitalizations attributed to falls, as well as the implementation outcomes of appropriateness, feasibility, fidelity, penetration, and equity.
IMPLEMENTATION SCIENCE
(2022)
Article
Health Care Sciences & Services
Ellen Childs, Colette A. Tano, Christina A. Mikosz, Michael L. Parchman, Catherine L. Hersey, Nicole Keane, Sarah J. Shoemaker-Hunt, Jan L. Losby
Summary: To improve patient safety and pain management, the CDC released a guideline for prescribing opioids for chronic pain. They supported an opioid quality improvement collaborative consisting of 10 healthcare systems to implement the guidelines. The research team used the iPARIHS implementation science framework to identify factors affecting successful implementation.
JOINT COMMISSION JOURNAL ON QUALITY AND PATIENT SAFETY
(2023)
Article
Health Policy & Services
Linnaea Schuttner, Katie Coleman, James Ralston, Michael Parchman
Summary: The study found a significant positive association between practice adaptive reserve (AR) and quality improvement (QI) capacity, suggesting that AR may be a precondition to growth in QI capacity.
HEALTH CARE MANAGEMENT REVIEW
(2021)
Article
Health Policy & Services
Ileana Ponce-Gonzalez, Carlos Mejia Rodriguez, Allen Cheadle, Stacy Torrance, Michael Parchman
Summary: Migrants and refugees, particularly Hispanic migrant workers, lack basic knowledge about the census and require more information and education to improve participation rates. A coordinated outreach approach, including structured conversations and community events, is recommended to educate migrant communities about the census.
JOURNAL OF HEALTH CARE FOR THE POOR AND UNDERSERVED
(2021)
Article
Medicine, Research & Experimental
Michael L. Parchman, Brooke Ike, Katherine P. Osterhage, Laura-Mae Baldwin, Kari A. Stephens, Sarah Sutton
JOURNAL OF CLINICAL AND TRANSLATIONAL SCIENCE
(2020)
Meeting Abstract
Health Care Sciences & Services
Laura-Mae Baldwin, Leah Tuzzio, Allison Cole, Erika Holden, Jennifer Powell, Michael Parchman
IMPLEMENTATION SCIENCE
(2020)