Electronic health record-based assessment of cardiovascular health: The stroke prevention in healthcare delivery environments (SPHERE) study

Simple item page
dc.contributor.authorForaker, Randi
dc.contributor.authorShoben, Abigail
dc.contributor.authorKelley, Marjorie
dc.contributor.authorLai, Albert
dc.contributor.authorLopetegui, Marcelo
dc.contributor.authorJackson, Rebecca
dc.contributor.authorLangan, Michael
dc.contributor.authorPayne, Philip
dc.date.accessioned2017-12-29T15:22:22Z
dc.date.available2017-12-29T15:22:22Z
dc.date.issued2016
dc.description.abstract< 3% of Americans have ideal cardiovascular health (CVH). The primary care encounter provides a setting in which to conduct patient-provider discussions of CVH. We implemented a CVH risk assessment, visualization, and decision-making tool that automatically populates with electronic health record (EHR) data during the encounter in order to encourage patient-centered CVH discussions among at-risk, yet under-treated, populations. We quantified five of the seven CVH behaviors and factors that were available in The Ohio State University Wexner Medical Center's EHR at baseline (May–July 2013) and compared values to those ascertained at one-year (May–July 2014) among intervention (n = 109) and control (n = 42) patients. The CVH of women in the intervention clinic improved relative to the metrics of body mass index (16% to 21% ideal) and diabetes (62% to 68% ideal), but not for smoking, total cholesterol, or blood pressure. Meanwhile, the CVH of women in the control clinic either held constant or worsened slightly as measured using those same metrics. Providers need easy-to-use tools at the point-of-care to help patients improve CVH. We demonstrated that the EHR could deliver such a tool using an existing American Heart Association framework, and we noted small improvements in CVH in our patient population. Future work is needed to assess how to best harness the potential of such tools in order to have the greatest impact on the CVH of a larger patient population. Abbreviations: 95% CI, 95% confidence interval; ACC, American College of Cardiology; AHA, American Heart Association; CDS, clinical decision support; CVH, cardiovascular health; EHR, electronic health record; GEE, generalized estimation equation; OSUWMC, Ohio State University Wexner Medical Center; SD, standard deviation; SPHERE, stroke prevention in healthcare delivery environments.
dc.format.extent6
dc.identifier.citationForaker RE, Shoben AB, Kelley MM, Lai AM, Lopetegui MA, Jackson RD, Langan MA, Payne PR. Electronic health record-based assessment of cardiovascular health: The stroke prevention in healthcare delivery environments (SPHERE) study. Prev Med Rep. 2016 Jul 13;4:303-8
dc.identifier.urihttp://hdl.handle.net/11447/1819
dc.identifier.urihttp://dx.doi.org/10.1016/j.pmedr.2016.07.006
dc.language.isoen_US
dc.publisherElsevier
dc.subjectPrevention
dc.subjectPrimary care
dc.subjectMedical informatics
dc.subjectHealth outcomes
dc.subjectDisease management
dc.titleElectronic health record-based assessment of cardiovascular health: The stroke prevention in healthcare delivery environments (SPHERE) study
dc.typeArtículo

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Electronic health record-based assessment of cardiovascular health The stroke prevention in healthcare delivery environments (SPHERE) study.pdf
Size:
789.48 KB
Format:
Adobe Portable Document Format
Description:
Texto completo
Download

Collections

Artículos Medicina y Ciencias de la Salud

Implementado por OpenGeek Services