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Collaborative Approach to Reach Everyone With Familial Hypercholesterolemia (CARE-FH)
Sponsor: Geisinger Clinic
Summary
Diagnosis rates of familial hypercholesterolemia (FH) are low in the United States, despite multiple guidelines and recommendations for screening and treatment of high cholesterol, to prevent heart attacks in those affected. Using a stepped-wedge design, the investigators plan to utilize tools from implementation science to improve uptake, acceptability, and sustainability of FH diagnostic programs in primary care settings. If successful, this study will provide tools generalizable to other health care systems to improve FH diagnosis rates.
Key Details
Gender
All
Age Range
26 Years - Any
Study Type
INTERVENTIONAL
Enrollment
532
Start Date
2022-09-09
Completion Date
2027-01
Last Updated
2025-12-22
Healthy Volunteers
No
Conditions
Interventions
FH diagnosis program
Uptake of screening, diagnosis, and initiation of care management for FH
Implementation strategy package: Develop and implement tools for quality monitoring
EHR tools to order labs, record results, and document FH care
Implementation strategy package: Develop educational materials
Education regarding guidelines for identification and treatment of FH
Implementation strategy package: Conduct educational outreach visits
Continuing medical education (CME) material for FH that is presented to
Implementation strategy package: Intervene with clinicians and patients to enhance
Notify patients simultaneously with clinicians about the need for screening
Behavioral (e.g., Psychotherapy, Lifestyle Counseling) Implementation strategy package: Identify and prepare champions Clinical lipid champions
Clinical lipid champions
Implementation strategy package: Audit and provide feedback
Provide aggregate level feedback to clinics on diagnosing FH
Implementation strategy package: Stage implementation scale up
Develop the timeline for the stepped-wedge rollout to primary care
Locations (1)
Geisinger Clinic
Multiple Locations, Pennsylvania, United States