Medscape May 11, 2021
Operational changes are linked to improvements in smoking and blood pressure outcomes in primary care practice settings, new research indicates.
The qualitative analysis, published in Annals of Family Medicine, included smoking and blood pressure as separate outcome measures.
The outcomes were calculated using Clinical Quality Measure improvements, with targets of at least 10-point absolute improvements in the proportion of patients with smoking screening, if relevant, counseling, and in the proportion of hypertensive patients with adequately controlled BP. The results were obtained from practices participating in Evidence-NOW, a multisite cardiovascular disease prevention initiative. Configurational Comparative Methods were used to evaluate the joint effects of multiple factors on outcomes.
The majority of practices in the analysis were clinician owned, small (fewer than...