Research

Purpose of the Study

HealthyHearts NYC researchers at NYU School of Medicine are conducting a robust evaluation of the effectiveness of practice facilitation for implementing the Million Hearts' ABCS treatment guidelines to reduce cardiovascular disease among high-risk patients who receive care in New York City primary care practices, using an array of quantitative and qualitative data.

Data Collection and Evaluation

At NYU School of Medicine, we leverage our partners’ well-developed information technology infrastructures and the efficiencies offered by their centralized data warehouses to facilitate the collection of outcome and process measure data from practices’ varied electronic health records. In addition, NYU School of Medicine is collecting data on practice characteristics, adaptive reserve and readiness for change through surveys of lead clinicians and other staff at each study site, and we are tracking and monitoring intervention activities in real time.

In a recent protocol paper published in the journal Implementation Science, we introduce our methodology and study design for evaluating the effectiveness of practice facilitation as a quality improvement strategy. This paper is a great resource for learning about our practice facilitation intervention and various evaluation techniques.

National Evaluation

The EvidenceNOW Initiative includes a cross-cooperative, national evaluation, known as Evaluating System Change to Advance Learning and Take Evidence to Scale (ESCALATES). ESCALATES is partnering with AHRQ and the seven EvidenceNOW cooperatives to conduct an evaluation that will inform large-scale dissemination and implementation of evidence from the EvidenceNOW: Advancing Heart Health in Primary Care initiative.