Evaluation of the CardioSmart Population Health Management Initiative: changes in health risk and participant satisfaction
Background: Rapidly escalating healthcare costs have led to increasing attention on population health management (PHM). CardioSmart (CS) is a patient education and empowerment initiative of the American College of Cardiology that includes worksite wellness (CS@Work) and telehealth (CS OnCall) PHM components. In this study, we evaluated the clinical effectiveness of CS@Work/CS OnCall and participant satisfaction with CS OnCall in an employee population.
Methods: A cohort of 19,022 adult (mean age = 42 years) male (n = 7,784) and female (n = 11,238) employees were evaluated at baseline and after a mean follow-up of 3.1 years. CS@Work included access to: the CardioSmart.orgpatient education website; a health risk assessment; prevention-related challenges/activities; online lifestyle management programs; and the CS OnCall telehealth coaching program. Outcome variables included changes in 13 health risks that are predictive of future healthcare costs and the 10-year coronary heart disease (CHD) risk score. Participants in CS OnCall (n = 2,370) were also asked to respond (5 = most favorable; 1 = least favorable rating) to statements related to their overall satisfaction with the program and whether they would likely recommend it to others.
Results: The total number of health risks decreased by 4.9% and the magnitude of decrease was greater in those who participated in CS OnCall compared with those who did not (Decrease = 10.5% versus 3.6%; p = 0.001). For employees with a baseline CHD risk ≥10%, the score decreased by 2.9% (relative risk reduction) and the decrease was greater in those who participated in CS OnCall compared with those who did not (Relative risk reduction = 13.7% versus 1.4%; p <0.001). For participants in CS OnCall, statements regarding overall satisfaction with the program (mean = 4.62) and recommending it to others (mean = 4.66) received very high ratings.
Conclusions: These unique data demonstrate that: 1) the CS@Work and, especially, CS OnCall PHM programs elicit significant improvements in multiple risk factors and reduce overall CHD risk; and 2) CS OnCall is associated with very high participant satisfaction ratings. Collectively, these findings have important implications for PHM.
Gordon, N. F., Salmon, R. D., Wright, B. S., Faircloth, G. C., Gordon, T. L., Hargrett, M., . . . Gulati, M. (2017). Evaluation of the cardiosmart population health management initiative: Changes in health risks and participant satisfaction. Journal of the American College of Cardiology, 69(11), 1836. doi:10.1016/S0735-1097(17)35225-7