Implementation of Systematic Community Resource Referrals at Small Primary Care Practices to Promote Cardiovascular Disease Self-Management
| Autor: | Kelly Boyd, Stacy Tessler Lindau, Megan DePumpo, Abel N. Kho, Tiffany Brown, Jennifer A. Makelarski, Chenab Navalkha |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Quality management Referral MEDLINE Primary care 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Electronic health record Humans Operations management 030212 general & internal medicine Community Health Services Referral and Consultation Aged Aged 80 and over Primary Health Care 030503 health policy & services Health Policy Self-Management Public Health Environmental and Occupational Health Disease self management Middle Aged United States Workflow Cardiovascular Diseases Practice Guidelines as Topic Community resource Female Business 0305 other medical science Risk Reduction Behavior |
| Zdroj: | Journal for healthcare quality : official publication of the National Association for Healthcare Quality. 42(5) |
| ISSN: | 1945-1474 |
| Popis: | Quality improvement (QI) models and evidence-based self-management guidelines for reducing cardiovascular disease (CVD) risk require patients to access community resources. The purpose of this study is to describe outcomes from implementation of a community resource referral system into small clinical practices to reduce CVD risk. Practices were given the opportunity to complete an inventory of local CVD-related resources; these data were used to create a printed list of resources for patients ("HealtheRx-H3"). Practices could request updates to HealtheRx-H3s. We assessed implementation outcomes, including appropriateness, feasibility, and adoption. Practice populations were at high risk for CVD. It was feasible to create practice-specific HealtheRx-H3s. Systematic distribution of HealtheRx-H3s using digital electronic health record (EHR) integration was infeasible due to inconsistent use of EHR systems, workflow variation, and lacking data-sharing infrastructure. Of 76 practices, 38 completed the inventory; completion was similar by patient and practice characteristics. HealtheRx-H3 updates were requested by 39% of practices; practices that completed the inventory were significantly more likely to request an update compared with those that did not (61% vs. 18%, p-value |
| Databáze: | OpenAIRE |
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