Tailored Communication to Reduce Cardiovascular Risk

Inclusion Criteria: * Age 40 to 79 years * medication list does not include an active lipid lowering medication * the patient does not have a diagnosis in the past medical history, active problem list or past visit encounter of coronary heart disease, heart failure, stroke, diabetes mellitus, or peripheral arterial disease * the patient has an enrolled study physician recorded as his/her primary care physician * the patient has an LDL cholesterol that meets one or more of the criteria listed below. LDL cholesterol \>= 130 mg/dl and estimated Framingham Risk Score 10-20% LDL cholesterol \>= 100 mg/dl and estimated Framingham Risk Score \>20% LDL cholesterol \>= 160 mg/dl and estimated Framingham Risk Score 5% to \<10%. Exclusion Criteria: * Age \<40 or \>79 years * medication list includes an active lipid lowering medication * the patient hase a diagnosis in the past medical history, active problem list or past visit encounter of coronary heart disease, heart failure, stroke, diabetes mellitus, or peripheral arterial disease * the patient does not have an enrolled study physician recorded as his/her primary care physician * the patient does not have an LDL cholesterol that meets one or more of the criteria listed below. LDL cholesterol \>= 130 mg/dl and estimated Framingham Risk Score 10-20% LDL cholesterol \>= 100 mg/dl and estimated Framingham Risk Score \>20% LDL cholesterol \>= 160 mg/dl and estimated Framingham Risk Score 5% to \<10%.