Improving Clinical Care for CVD

succcess story post thubnail

Submission Date: December 2012

Entry Type: Case Study

State/Territory Submitted on the Behalf of: Rhode Island

States/Territories Involved: Rhode Island

Domain Addressed:

Health Systems Strategies

Public Health Issue:

Not specified

Project Objectives:

System change through quality improvement & re-engineering clinical functions using EMR to track outcomes.

Program Action:

This project targets primary care practices serving primarily low-income & minority populations. The Cardiovascular Rhode Island Chronic Care Collaborative (CVD/RICCC) will improve clinical care for CVD using existing RICCC sites that have been working since 2008 to improve pre-diabetes, diabetes, asthma & colorectal cancer care in primary care practices serving primarily low-income & minority populations. Sites are integrating the Care & Improvement Models which is effecting system change by implementing evidence-based quality improvement & re-engineering clinical functions using EMR to track outcomes.

Partners include other RI Department of Health chronic care & disease mgmt programs.

Data/Other Information Collected:

Required measures:

% active patients, age 18-85, with diagnosed HTN who have been seen for at least 2 office visits with BP recorded

% active patients, age 18-85, with diagnosed HTN who’s BP controlled (<140/90) in measurement year

% CVD patients age 18-85, with self-mgmt goals set

% active patients with CAD, age 18-85, with most recent LDL-C<100 during measurement year

% active patients with CAD, age 18-85, with documented use of aspirin or other antithrombotic during measurement year, if not contraindicated.

Impact/Accomplishments:

The CVD/RICCC registry grew from data on 627 CVD patients in 2008 to 12,189 as of Oct 2011.

Patients with BP in control (less than 130/80; in 2010 RICCC changed the measure to <140/90) increase from 20.4% to 30.75%,

Patients with LDL-C < 100 increased from 18.3% to 46.4%

Patients with documented smoking status increased from 0.6% to 59.3%

Program Areas:

Heart Disease and Stroke

State Contact Information:

RI

<< Back to All Success Stories