miércoles, 27 de mayo de 2015

EvidenceNOW: Advancing Heart Health in Primary Care | Agency for Healthcare Research & Quality (AHRQ)

EvidenceNOW: Advancing Heart Health in Primary Care | Agency for Healthcare Research & Quality (AHRQ)

HHS Announces $112 million in AHRQ Awards To Help 5,000 Primary Care Professionals Advance Heart Health

HHS Secretary Sylvia M. Burwell has announced awards of $112 million to regional cooperatives to work with about 5,000 primary care professionals in 12 states to improve the heart health of nearly 8 million patients. The grants represent one of the largest research investments to date by AHRQ. The initiative, EvidenceNOW: Advancing Heart Health in Primary Care, establishes seven regional cooperatives composed of multidisciplinary teams of experts that will provide quality improvement services to up to 300 small primary care practices. An eighth awardee will receive a grant to conduct an independent external evaluation of the initiative. The awards are aligned with the Department’s Million Hearts® national initiative to prevent heart attacks and stroke and will incorporate the most recent evidence on how best to deliver the ABCS of cardiovascular prevention into their patients’ care - aspirin use by high-risk individuals, blood pressure control, cholesterol management and smoking cessation. Services provided as part of the EvidenceNOW initiative include onsite coaching, consultation from experts in health care delivery improvement, sharing best practices, and electronic health record support. 
AHRQ--Agency for Healthcare Research and Quality: Advancing Excellence in Health Care

EvidenceNOW: Advancing Heart Health in Primary Care

EvidenceNOW Logo
This AHRQ grant initiative to transform health care delivery will build critical infrastructure to help smaller primary care practices, which often do not have internal resources for quality improvement, apply the latest medical research in the care they provide. Aligned with broad U.S. Department of Health and Human Services efforts for Better Care, Smarter Spending and Healthier People and Million Hearts®, this initiative will focus on helping thousands of primary care practices use the latest evidence to improve the heart health of millions of Americans.

Heart disease is the leading cause of death for men and women in the United States. To prevent heart attacks, health care professionals can work with their patients to adopt the ABCS of cardiovascular disease prevention: Aspirin use by high risk individuals, Blood pressure control, Cholesterol management, and Smoking cessation. New evidence continually surfaces about how best to deliver the ABCS. The goal of EvidenceNOW is to ensure that primary care practices have the latest evidence and that they use it to help their patients live healthier and longer lives.

EvidenceNOW establishes seven regional cooperatives composed of public and private health partnerships and multidisciplinary teams of experts. Each cooperative is recruiting and engaging 250-300 small- and medium-sized, independent primary care practices and providing quality improvement services typically not available to the practices because of their size. The services include onsite practice facilitation and coaching, expert consultation, shared learning collaboratives, and electronic health record support.

The cooperatives span 12 States that deliver health care in a range of metropolitan and rural settings and serve diverse populations. EvidenceNOW will reach Native Americans in Oklahoma, Hispanics in New Mexico and Colorado, medically underserved communities in New York City and the Chicago Tri-State region, and rural communities in the Pacific Northwest, Virginia, and North Carolina. EvidenceNOW will ultimately reach over 5,000 primary care professionals serving approximately 8 million people.

The seven cooperatives, the principal investigators, and the regions they serve are listed below.

  • Midwest Cooperative 
    Principal Investigator: Abel Kho, M.D.
    Serving: Tri-State Chicago area of Wisconsin, Illinois and Indiana
  • New York City Cooperative
    Principal Investigator: Donna Shelley, M.D.
    Serving: New York City
  • North Carolina Cooperative 
    Principal Investigator: Samuel Cykert, M.D.
    Serving: North Carolina
  • Northwest Cooperative
    Prinicipal Investigator: Michael Parchman, M.D.
    Serving: Washington, Oregon, and Idaho
  • Oklahoma Cooperative
    Principal Investigator: Daniel Duffy, M.D.
    Serving: Oklahoma
  • Southwest Cooperative
    Principal Investigator: W. Perry Dickinson, M.D.
    Serving: Colorado and New Mexico
  • Virginia Cooperative
    Principal Investigator: Anton Kuzel, M.D.
    Serving: Virginia
Each cooperative will conduct an internal evaluation. AHRQ also has awarded a grant to the Oregon Health Sciences University to conduct an independent national evaluation of the overall EvidenceNOW initiative. The team will study the impact of the EvidenceNOW interventions on practice improvement and the delivery of cardiovascular care. In addition, the external evaluation team will study which practice supports and quality improvement strategies are most effective in improving the implementation of new evidence.

EvidenceNOW supports AHRQ’s overall mission to ensure that evidence is understood and used. Funding for this initiative comes from the Patient-Centered Outcomes Research Trust Fund, which was created by the Affordable Care Act, and supports AHRQ’s mandate to disseminate and implement patient-centered outcomes research findings so that new findings are integrated into the delivery of health care.
Page last reviewed May 2015
Internet Citation: EvidenceNOW: Advancing Heart Health in Primary Care. May 2015. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/primary-care/evidencenow.html

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