Evaluation of the CardioSmart Population Health Management Initiative: changes in health risk and participant satisfaction

Document Type


Publication Date


Publication Title

Journal of the American College of Cardiology


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

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.


American College of Cardiology 77th Annual Scientific Session & Expo, Washington, DC, March 17-19, 2017

Session Title: Innovations in Cardiovascular Risk Assessment and Reduction