Tennessee Heart Health Network: Implementing Patient-Centered Practices in Primary Care to Improve Cardiovascular Health
Project Number5U18HS027952-02
Contact PI/Project LeaderBAILEY, JAMES E Other PIs
Awardee OrganizationUNIVERSITY OF TENNESSEE HEALTH SCI CTR
Description
Abstract Text
Abstract
Cardiovascular disease (CVD) is the primary cause of premature morbidity and mortality in the United States.
Tennessee ranks 3rd in the U.S. in CVD event rates, 6th in CVD mortality, and 5th in stroke mortality. The
state’s high prevalence of CVD is primarily linked to its disproportionate burden of CVD risk factors including
obesity, diabetes, and hypertension, and their associated modifiable health behaviors, including poor nutrition,
sedentary lifestyle, and tobacco use. Patient-centered medical home initiatives hold some promise for reducing
the burden of CVD in Tennessee. But these value-based purchasing endeavors have been insufficient by
themselves to support busy primary care practices in implementing patient-centered outcomes research
(PCOR) approaches that reach beyond the traditional doctor-patient visit. An insufficient pipeline of primary
care providers has made it even more critical to implement team-based care approaches that employ
telehealth and lay community health workers to engage patients in better self-care. Yet primary care providers
and their team members have little time, knowledge, or resources to identify and implement these proven and
financially sustainable PCOR evidence-based population health approaches. The goal of the Tennessee Heart
Health Network is to leverage existing infrastructure by identifying and implementing appropriate evidence-
based interventions to improve quality and outcomes of CVD care across Tennessee. We will particularly
target hypertension control and smoking cessation as two of the most potent CVD risk factors to reduce and/or
eliminate disparities in CVD outcomes and risks. We aim to: 1) Establish a statewide Cooperative external
quality improvement (QI) support infrastructure, 2) Build a Network of primary care practices and related
stakeholders who can utilize the Cooperative as a resource for QI support, 3) Develop a comprehensive,
multicomponent, evidence-based approach for a heart health improvement project to improve delivery of
PCOR and build internal improvement capacity, 4) Conduct a robust evaluation of all phases of the project, 5)
Disseminate interim findings, and 6) Integrate sustainability planning and develop a plan to maintain the
Cooperative and its Network of practices and professionals beyond the conclusion of the project. We expect to
help primary care practices implement PCOR findings for Tennessee’s priority populations (e.g. African
Americans with hypertension and people with obesity, diabetes, and CVD) to transform primary care and
measurably improve heart health care and outcomes.
Public Health Relevance Statement
Narrative
Cardiovascular (CVD) disease is the leading cause of death in the U.S., and Tennessee ranks 3rd in the US in
CVD event rates, 6th in CVD mortality, and 5th in stroke mortality. This high prevalence of CVD is primarily
linked to the state’s disproportionate burden of modifiable CVD risk factors including obesity, diabetes, and
hypertension, and tobacco use. This proposal aims to develop a statewide network to improve the ability of
primary care practices to help patients manage risk factors and improve health outcomes.
No Sub Projects information available for 5U18HS027952-02
Publications
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Outcomes
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