Implementing cardiac risk-factor case management: Lessons learned in a county health system

Critical Pathways in Cardiology

Volumn 6, Issue 4, 2007, Pages 173-179

  Berra, Kathy ^a   Ma, Jun ^a,b   Klieman, Linda ^a   Hyde, Shauna ^a   Monti, Veronica ^a   Guardado, Angela ^c   Rivera, Silvana ^c   Stafford, Randall S ^a  

^a STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b PALO ALTO MEDICAL FOUNDATION RESEARCH INSTITUTE   (United States)

^c San Mateo Medical Center   (United States)

Author keywords

Case management; Coronary heart disease; Heart to Heart; Low income; Multiethnic

Indexed keywords

ADULT; AGED; ARTICLE; CARDIOVASCULAR RISK; CASE MANAGEMENT; DIETITIAN; EVIDENCE BASED MEDICINE; HEALTH CARE SYSTEM; HUMAN; ISCHEMIC HEART DISEASE; MAJOR CLINICAL STUDY; NURSE; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; STATISTICAL SIGNIFICANCE;

ADULT; AGED; AGED, 80 AND OVER; CASE MANAGEMENT; CHRONIC DISEASE; COMMUNITY HEALTH PLANNING; CORONARY ARTERY DISEASE; FEMALE; GUIDELINE ADHERENCE; HUMANS; MALE; MIDDLE AGED; POVERTY; PROGRAM EVALUATION; RISK ASSESSMENT; RISK FACTORS; RISK-TAKING;

EID: 37349103065     PISSN: 1535282X     EISSN: 15352811     Source Type: Journal    
DOI: 10.1097/HPC.0b013e31815b5609     Document Type: Article

References (25)

1. DeBusk RF, Miller NH, Superko HR, et al. A case-management system for coronary risk factor modification after acute myocardial infarction. Ann Intern Med. 1994;120:721-729.
2. Campbell NC, Ritchie LD, Thain J, et al. Secondary prevention in coronary heart disease: a randomised trial of nurse led clinics in primary care. Heart. 1998;80:447-452.
3. Berra K. The effect of lifestyle interventions on quality of life and patient satisfaction with health and health care. J Cardiovasc Nurs. 2003;18:319-325.
4. Smith PM, Reilly KR, Houston Miller N, et al. Application of a nurse-managed inpatient smoking cessation program. Nicotine Tob Res. 2002;4:211-222.
5. Rudd P, Miller NH, Kaufman J, et al. Nurse management for hypertension. A systems approach. Am J Hypertens. 2004;17:921-927.
6. Aubert RE, Herman WH, Waters J, et al. Nurse case management to improve glycemic control in diabetic patients in a health maintenance organization. A randomized, controlled trial. Ann Intern Med. 1998;129:605-612.
7. Taylor CB, Miller NH, Reilly KR, et al. Evaluation of a nurse-care management system to improve outcomes in patients with complicated diabetes. Diabetes Care. 2003;26:1058-1063.
8. Bodenheimer T. Interventions to improve chronic illness care: evaluating their effectiveness. Dis Manag. 2003;6:63-71.
9. Haskell WL, Alderman EL, Fair JM, et al. Effects of intensive multiple risk factor reduction on coronary atherosclerosis and clinical cardiac events in men and women with coronary artery disease. The Stanford Coronary Risk Intervention Project (SCRIP). Circulation. 1994;89:975-990.
10. Berra K, Clark A, Reilly K, et al. Risk reduction changes and participant satisfaction as a result of a cardiovascular risk reduction program. Circulation 2001;104(17 suppl II):11- 471. Abstract 2234.
11. Weingarten SR, Henning JM, Badamgarav E, et al. Interventions used in disease management programmes for patients with chronic illness - which ones work? Meta-analysis of published reports. BMJ. 2002;325:925.
12. Casalino L, Gillies RR, Shortell SM, et al. External incentives, information technology, and organized processes to improve health care quality for patients with chronic diseases. JAMA. 2003;289:434-441.
13. Rundall TG, Shortell SM, Wang MC, et al. As good as it gets? Chronic care management in nine leading US physician organisations. BMJ. 2002;325:958-961.
14. Bodenheimer T. Disease management - promises and pitfalls. N Engl J Med. 1999;340:1202-1205.
15. Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness. JAMA. 2002;288:1775-1779.
16. Ma J, Lee KV, Berra K, et al. Implementation of case management to reduce cardiovascular disease risk in the Stanford and San Mateo Heart to Heart randomized controlled trial: study protocol and baseline characteristics. Implement Sci. 2006;1:21.
17. Haskell WL, Berra K, Arias E, et al. Multifactor cardiovascular disease risk reduction in medically underserved, high-risk patients. Am J Cardiol. 2006;98:1472-1479.
18. Gallagher LP, Truglio-Londrigan M. Using the "Seven A's" assessment tool for developing competency in case management. J N Y State Nurses Assoc. 2004;35:26-31.
19. Califf RM, Armstrong PW, Carver JR, et al. 27th Bethesda Conference: matching the intensity of risk factor management with the hazard for coronary disease events. Task Force 5. Stratification of patients into high, medium and low risk subgroups for purposes of risk factor management. J Am Coll Cardiol. 1996;27:1007-1019.
20. Berra K, Miller NH, Fair JM. Cardiovascular disease prevention and disease management: a critical role for nursing. J Cardiopulm Rehabil. 2006;26:197-206.
21. Klieman L, Hyde S, Berra K. Cardiovascular disease risk reduction in older adults. J Cardiovasc Nurs. 2006;21(5 suppl 1):S27-S39.
22. Stafford RS, Ma J, Lee KV, et al. Case management of multiple CHD risk factors is effective in a low-income, ethnically diverse population. Circulation. 2006;114(18 suppl II):11-425. Abstract 2097.
23. Campbell MK, Hudson MA, Resnicow K, et al. Church-based health promotion interventions: evidence and lessons learned. Annu Rev Public Health. 2007;28:213-234.
24. Matheson DM, Robinson TN, Varady A, et al. Do Mexican-American mothers' food-related parenting practices influence their children's weight and dietary intake? J Am Diet Assoc. 2006;106:1861-1865.
25. Wellman NS, Kamp B, Kirk-Sanchez NJ, et al. Eat better and move more: a community-based program designed to improve diets and increase physical activity among older Americans. Am J Public Health. 2007;97:710-717.