Current quality of cardiovascular prevention for Million Hearts: An analysis of 147,038 outpatients from The Guideline Advantage

摘要: Background Million Hearts is a national initiative to prevent 1 million heart attacks and strokes over 5 years. The degree which outpatient providers are controlling risk factors has not been fully described. Methods We examined adherence the clinical quality measures using Guideline Advantage, nationwide improvement program for care. Specifically, we determined proportion of patients with (1) ischemic vascular disease who were prescribed an antiplatelet drug; (2) hypertension whose blood pressure was controlled; (3) diabetes mellitus most recent low-density lipoprotein cholesterol level Results From January 1, 2010, March 31, 2012, there 147,038 enrolled from 25 US practices. At practice level, prescription ranged 50.0% 82.3% (median 71.9%, interquartile range [IQR] 66.7-82.1), control 48.6% 75.3% 66.6%, IQR 60.1-70.9), hyperlipidemia among 53.3% 100.0% 75.8%, 65.8-83.0), tobacco use screening intervention 31.0% 98.8% 79.8%, 72.0-83.2). Black people color races associated lower likelihood control. Female gender Conclusions Compliance varies widely notable racial disparities. Our findings identify multiple opportunities improve cardiovascular prevention.