Atrial Fibrillation (AF) and Electrocardiogram (EKG) Interpretation Project ECHO

Change Score on Provider Knowledge Assessment

This outcome measures the change in provider knowledge in Afib management using an internally developed knowledge test. The test includes 25 multiple choice questions based on clinical case scenarios. The number of questions answered correctly prior to the start of the program will be compared with the number of questions answered correctly after program completion.

Time frame: Baseline and 12 weeks post intervention session 12

Change in Provider Confidence Level

This outcome measures the change in provider confidence in managing patients with Afib. Confidence is measured using an internally developed confidence scale on 9 key areas of management related to Afib. Each of the 9 questions is measured on a 5 point likert scale from 1 (not at all confident) to 5 (extremely confident) for a total score ranging from 9 to 45 with the higher the score related to higher confidence in managing patients with Afib.

Time frame: Baseline and 12 weeks post intervention session 12

Change in Number of Patients Prescribed Appropriate Antiplatelet Therapy

This outcome measures the number of Afib patients prescribed appropriate antiplatelet therapy. Antiplatelet therapy is considered appropriate if the patient has a history of vascular disease. Antiplatelet therapy will be considered not appropriate if the patient has a history of Afib and no history of vascular disease. This information will be collected from electronic health records of patients cared for by providers who participated in the program.

Time frame: 1-year prior to intervention session 1 and 1-year post intervention session 12

Change in Number of Patients with Blood Pressure at Goal

This outcome measures the number of patients who achieve blood pressure at goal at outpatient primary care visits. Blood pressure at goal is determined by guidelines set forth by the American College of Cardiology (ACC) and American Heart Association (AHA) which is less than 130 mmHg systolic and less than 80 mmHg diastolic. This information will be collected from electronic health records of patients cared for by providers who participated in the program.

Time frame: 1-year prior to intervention session 1 and 1-year post intervention session 12

Change in Number of Patients with Heart Rate at Target

This outcome measures the number of patients who achieve heart rate at goal at outpatient primary care visits. Heart rate at goal is determined by guidelines set forth by the American Heart Association (AHA) and American College of Cardiology (ACC) which recommends a heart rate of less than 110 beats per minute. This information will be collected from electronic health records of patients cared for by providers who participated in the program.

Time frame: 1-year prior to intervention session 1 and 1-year post intervention session 12

Change in Number of Emergency Department Visits or Hospitalizations for AF or Stroke

This outcome measures the number of patient visits to the emergency department and number of hospitalizations for a primary diagnosis of Afib or stroke. The number of visits 1 year prior to the intervention will be compared to the number of visits during the 1 year following intervention session 12. This information will be collected from electronic health records of patients cared for by providers who participated in the program.

Time frame: 1-year prior to intervention session 1 and 1-year post intervention session 12