About the Best Practices Guide

Public health strategies to detect, prevent, and control chronic disease can be implemented at many levels, from individual behavioral interventions to environmental or cultural strategies affecting entire communities. Making changes to health system practices can eliminate barriers to quality care and improve the health of many people. Nowhere is the need for such approaches more apparent than in the efforts to prevent heart disease, the leading cause of death in men and women in the United States. Although treatments for hypertension and hyperlipidemia—two key risk factors for cardiovascular disease (CVD)—are very effective and relatively inexpensive, most people with these conditions do not have them under control. Research on strategies to lower blood pressure and cholesterol levels in health care settings offers insights about effective practices, but more work is needed to translate this evidence into action.

Best Practices for Cardiovascular Disease Prevention Programs: A Guide to Effective Health Care System Interventions and Community Programs Linked to Clinical Services is intended as a translation resource. It highlights strategies that have been found to be effective—but are not yet widely used as standard practice—for control of hypertension and hyperlipidemia.

A Replicable Approach to Promoting Best Practices: Translating Cardiovascular Disease Prevention Researchexternal icon
J Public Health Manag Pract. 2020 Jan 30.
This article describes the approach taken to create the Best Practices Guide, including how existing frameworks and translation tools guided the development process. It also describes how early reach of the guide was achieved through intentional design and targeted dissemination.

Best Practices Guide Lunch and Learn pdf icon[PDF – 3 MB]
This webinar builds on the information from the December 2017 Coffee Break Presentation and takes a deeper dive into the content of the Best Practices Guide while also walking the audience through a demo of the guide in its PDF and web-based versions.

Learn more about the Best Practices Guide in the Executive Summary pdf icon[PDF – 110 KB].

Summary of Effective CVD Strategies

A table summary of effective CVD prevention strategies. Column 1, Evidence of Effectiveness, has 6 subcategories: effect, internal validity, research design, independent replication, implementation guidance, external and ecological validity. Each strategy is rated 1, 2, or 3: 1=unsupported/harmful; 2=promising/emerging; 3=well-supported/supported. Column 2, Evidence of Impact, has 3 subcategories: health impact, health disparity impact, and economic impact. Each strategy is rated 1, 2 or 3: 1=insufficient; 2=moderate; 3=supported. The rows are Domain 3: Health Care Systems with 6 strategies and Domain 4: Community-Clinical Links with 2 strategies. Strategy 1: Promoting Team-Based Care to Improve Hypertension Control, all effectiveness and impact subcategories=3. Strategy 2: Pharmacy Collaborative Practice Agreements to Enable Collaborative Drug Therapy Management, 5 effectiveness subcategories=3; implementation guidance=2. 2 impact subcategories=3; health disparity impact=1. Strategy 3: Self-Measured Blood Pressure Monitoring with Clinical Support, all effectiveness subcategories=3. 2 impact subcategories=3; health disparity impact=1. Strategy 4: Self-Management Support and Education, 5 effectiveness subcategories=3, implementation guidance=2; health impact=3, health disparity impact=1, and economic impact=2. Strategy 5: Reducing Out-of-Pocket Costs for Medications, 5 effectiveness subcategories=3; implementation guidance=2. 2 impact subcategories=3; economic impact=1. Strategy 6: Implementing Clinical Decision Support Systems, all effectiveness subcategories=3; health impact and health disparity impact=2, and economic impact=1. Strategy 7: Integrating Community Health Workers on Clinical Care Teams and in the Community, all effectiveness and impact subcategories=3. Strategy 8: Community Pharmacists and Medication Therapy Management, all effectiveness subcategories=3; 2 impact subcategories=3; health disparity impact=1.

Best Practices for Cardiovascular Disease Prevention Programs Presentation

This 13-slide PowerPoint presentation ppt icon[PPT – 4 MB] summarizes and highlights strategies of the Best Practices Guide. Use this presentation to support your efforts in cardiovascular disease prevention and management.

References
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