Atherosclerotic Cardiovascular Disease Screening in the Primary Care Setting
Research Subject Categories::INTERDISCIPLINARY RESEARCH AREAS::Caring sciences::Nursing , Cardiovascular Diseases , Atherosclerosis , Patient Education
Problem: Cardiovascular disease (CVD) and associated atherosclerosis cardiovascular disease (ASCVD) is the leading cause of death for all people residing in the United States. Early detection of CVD through formal screenings during primary care visits is lacking despite being one the best ways to decrease associated mortality and morbidity. The purpose of this quality-improvement (QI) project was to implement an evidence-based ASCVD screening tool in a primary care office, to improve use of an ASCVD screening tool to ensure detection and treatment of ASCVD. Methods: A quantitative design method utilizing a retrospective chart review to evaluate changes in provider documentation of ASCVD screenings and the patient’s associated risk scores. A statistical analysis using the Chi-square test was conducted to examine the potential influence of the atherosclerotic cardiovascular disease (ASCVD) tool outcomes on healthcare providers’ treatment plans and patient education. Results: Providers completed ASCVD screenings and documented risk scores on patients who met criteria in 100% of cases after implementation and in 0% of the cases prior to implementation. A Chi-square analysis revealed significant relationships between the patient’s risk category and tool usefulness based on a p <0.001. Furthermore, the results revealed statistically significant associations between the usefulness of the ASCVD tool and the extent of patient education provided by healthcare providers, with a p-value of less than 0.001. Conclusion: The ASCVD program increased the provider’s screening and documentation of ASCVD risk. This allows the providers to develop an individualized, data-driven, evidence-based care plan for patients at risk for ASCVD events.