Improvement and Implementation Science to Optimize Statin Therapy in Primary Prevention.
Supplemental Digital Content is Available in the Text. Introduction: Less than 1/5th of eligible patients are prescribed statins for primary prevention in the United States. Methods: We conducted a quality improvement program augmented by contextually responsive implementation strategies (IS), Plan-...
| Publicado en: | Journal for Healthcare Quality: Promoting Excellence in Healthcare Vol. 48; no. 1; pp. 1 - 12 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jan-Mar2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191585522&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191585522 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10622551 IM0 jtl: Journal for Healthcare Quality: Promoting Excellence in Healthcare issn: 10622551 maglogo: N pubinfo: dt: Jan-Mar2026 vid: 48 iid: 1 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 191585522 191585522 191585522 10.1097/JHQ.0000000000000501 191585522 ppf: 1 ppct: 11 formats: tig: atl: Improvement and Implementation Science to Optimize Statin Therapy in Primary Prevention. aug: au: Acharya, Sameer Senner, Jillian Ejaz, Kanwal Pokharel, Yashashwi sug: subj: Quality Improvement Implementation Science Statins Therapeutic Use Needs Assessment Health Services Accessibility Primary Health Care Preventive Health Care Human New York Adult Middle Age Aged Internal Medicine Group Processes Discussion Consensus Lipids Blood Descriptive Statistics Coronary Arteriosclerosis Risk Factors Risk Assessment Atherosclerosis Prevention and Control Hospitals, Community New York Mortality Prevention and Control Coronary Arteriosclerosis Prevention and Control Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years ab: Supplemental Digital Content is Available in the Text. Introduction: Less than 1/5th of eligible patients are prescribed statins for primary prevention in the United States. Methods: We conducted a quality improvement program augmented by contextually responsive implementation strategies (IS), Plan-Do-Study-Act cycles, and Lean Six Sigma Principles to optimize statin therapy among 40–75-year-old patients without atherosclerotic cardiovascular diseases (ASCVD) in primary prevention in resident internal medicine clinic. We conducted needs assessment; identified process measures, barriers to statin optimization using discussions; and rank ordered these barriers. We mapped multiple IS to the barriers using discussions/consensus over 2 years. We retrofitted the IS to the Expert Recommendations for Implementing Change (ERIC) taxonomy to facilitate IS reporting. Results: We noted significant improvement in process measures such as lipid panel orders (64.6% vs. 95.5%), its completion (78.6% vs. 95.3%), ASCVD risk score completion (3% vs. 91%), and statin therapy optimization (34.5% vs. 90%) over 2 years among eligible patients (baseline vs. final cohort, respectively; all p ≤.001). Conclusions: Using improvement and implementation science to identify needs assessment, process measures, and barriers in statin optimization and mapping IS to the barriers can help improve statin optimization in primary prevention. Our reporting of IS using the ERIC taxonomy should further help operationalize IS in other contexts. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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