University of Iowa

MEDication Focused Outpatient Care for Underutilization of Secondary Prevention

active

MedFocus

MEDication Focused Outpatient Care for Underutilization of Secondary Prevention (MedFocus) is a multi-center, cluster-randomized study using a centralized cardiovascular risk service (CVSR) in medical offices with large geographic, racial and ethnic diversity to determine the extent to which the CVRS model will be implemented. Sixteen primary care offices have been randomized to the CVRS or usual care, and 400 subjects were enrolled (240 from racial minorities). The central hypothesis of this study is that a centralized CVRS managed by clinical pharmacists will significantly improve CVD guideline adherence using the Guideline Advantage metrics. The rationale for this study is that implementation of a novel strategy to improve secondary prevention of CVD will lead to innovative strategies for broader adoption by health systems throughout the United States. The CTSDMC is the data coordinating center for this study, and supports data collection, data management, clinical site support and monitoring, statistical analyses and data sharing. The study is currently in the final year of analyses. 

This trial is available on ClinicalTrials.gov: NCT02215408.