HealthyHearts NYC Study
At NYU Langone’s HealthyHearts NYC, our researchers use an array of quantitative and qualitative data and analytic techniques to measure the effectiveness of an intervention to reduce heart disease among high-risk patients in hundreds of New York City primary care practices.
About the Program
Primary care practices participate in a 12-month practice facilitation program based on the fundamental components of the Chronic Care Model. The program helps practices implement evidence-based treatment guidelines for heart health as part of their patients’ care. These guidelines, called the ABCS of cardiovascular disease prevention, are taken from the U.S. Department of Health and Human Services’ Million Hearts® initiative: aspirin as appropriate, blood pressure control, cholesterol management, and smoking cessation.
Trained practice facilitators from our partner organizations, the New York City Department of Health and Mental Hygiene’s Primary Care Information Project and the Community Health Care Association of New York State, help practices build their capacity to implement the ABCS using a range of organizational development, project management, quality improvement, and practice improvement approaches and methods. We provide this support both virtually—through phone conferences and webinars—and on-site.
Our Study of Practice Facilitation
HealthyHearts NYC researchers study the effectiveness of practice facilitation as a quality improvement strategy, using the results to develop evidence that could help other providers adopt this approach as well. We collect data measuring the practices’ processes and health outcomes from patients’ electronic health records, using our partners’ well-developed information technology infrastructures and the efficiencies offered by their centralized data warehouses. We also survey lead clinicians and other staff to collect data on their practices’ characteristics and their readiness for and ability to adapt to change, and we track and monitor practice facilitation program activities in real time.
We describe our methodology and study design in a protocol paper published in the journal Implementation Science.
As one of seven cooperatives in the EvidenceNOW: Advancing Heart Health in Primary Care initiative from the Agency for Healthcare Research and Quality, HealthyHearts NYC is being evaluated in a cross-cooperative national study, known as Evaluating System Change to Advance Learning and Take Evidence to Scale (ESCALATES). This large-scale study will be used to disseminate and implement evidence from the initiative.