Practice Facilitation and Clinical Performance Feedback Using the Electronic Health Record Improved Blood Pressure and Cholesterol Management in Small Primary Care Practices in New York City

• Published in: Journal of public health management and practice Vol. 30; p. S96
• Main Authors: Tabaei, Bahman P, De Leon, Samantha, Glenn, Lily, Pham-Singer, Hang
• Format: Journal Article
• Language: English
• Published: United States 01.07.2024
• Subjects: Blood Pressure - drug effects; Cardiovascular Diseases - epidemiology; Cardiovascular Diseases - prevention & control; Cholesterol - blood; COVID-19 - epidemiology; Electronic Health Records - statistics & numerical data; Feedback; Female; Humans; Hypertension - drug therapy; Hypertension - epidemiology; Male; Middle Aged; New York City - epidemiology; Primary Health Care - standards; Primary Health Care - statistics & numerical data; Quality Improvement; SARS-CoV-2; New York City
• ISSN: 1550-5022
• DOI: 10.1097/PHH.0000000000001895

Cardiovascular disease (CVD) disproportionately affects people of color and those with lower household income. Improving blood pressure (BP) and cholesterol management for those with or at risk for CVD can improve health outcomes. The New York City Department of Health implemented clinical performance feedback with practice facilitation (PF) in 134 small primary care practices serving on average over 84% persons of color. Facilitators reviewed BP and cholesterol management data on performance dashboards and guided practices to identify and outreach to patients with suboptimal BP and cholesterol management. Despite disruptions from the COVID-19 pandemic, practices demonstrated significant improvements in BP (68%-75%, P < .001) and cholesterol management (72%-78%, P = .01). Prioritizing high-need neighborhoods for impactful resource investment, such as PF and data sharing, may be a promising approach to reducing CVD and hypertension inequities in areas heavily impacted by structural racism.