Improved Delivery of Cardiovascular Care Through Outreach Facilitation

Summary

The aim of the proposed study is to implement and evaluate Outreach Facilitation as a means to increase the uptake of evidence-based practice for secondary prevention and management of patients with established CVD and cardiovascular risk factors, in primary care practices throughout the Champlain LHIN. This initiative centers on the use of an Outreach Facilitation Model, in which skilled health professionals known as facilitators (Practice Change Consultants) serve as an expert resource to primary care practices in three areas: a) practice performance assessment, feedback, and consensus building towards goal setting and implementation; b) clinical, technical, organizational resources and practical advice; and c) encouragement to face and move through the challenges associated with implementing system change.

Conditions

• Hypertension
• Dyslipidemia
• Diabetes
• Chronic Kidney Disease
• Cardiovascular Disease
• Stroke
• Transient Ischemic Attacks

Interventions

OTHER

Outreach Facilitation implementing elements of the Chronic Care Model

An outreach facilitator helps the practice identify areas for improvement, set goals and targets, and agree on the processes needed to reach them in order to improve the care delivery within the practices. Each facilitator will be assigned up to 12 practice sites. The first year of program implementation will involve frequent (once every 3-4 weeks) visits to the practices. Afterwards, the intervention will move into a sustainability mode, during which the frequency of visits will decrease to one every 6-8 weeks during the second year, and one every 12-15 weeks during the third year and thereafter. After the first year of program implementation, each facilitator will be able to take on 12 new practices during the second year, while still being able to sustain contact with the previous 12 practices. Similarly, in the third year, another set of 12 practices will begin the "intense" phase of program implementation.

Sponsors & Collaborators

• Dept of Family Medicine, Faculty of Medicine, Hebrew University, Jerusalem, Israel

  collaborator OTHER

• Institute of Population Health, University of Ottawa

  collaborator OTHER

• Ottawa Heart Institute Research Corporation

  collaborator OTHER

• Ottawa Cardiovascular Centre

  collaborator UNKNOWN

• Ottawa Regional Stroke Program

  collaborator UNKNOWN

• Bruyère Health Research Institute.

  collaborator OTHER

• Champlain Primary Care Practices

  collaborator UNKNOWN

• C. T. Lamont Primary Care Research Centre

  lead OTHER

Principal Investigators

• Clare E Liddy, MD, MSc · University of Ottawa

• William Hogg, MD, MSc · University of Ottawa

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Model

SINGLE_GROUP

Eligibility

Min Age

40 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2007-04-30

Primary Completion

2013-02-28

Completion

2013-02-28

Countries

• Canada

Study Locations