Key result
Outpatient lipid goals and testing are met in only ~35% of high-risk patients.
Cross-Sectional (n=1,385,242)
Yes
Absolute Event Rate: 35% vs 32%
To examine lipid management in a large national outpatient network, a cross-sectional study was conducted that included 1,385,242 active patients ages 20 to 79 years of age in a national network of over 5000 providers using electronic health records (EHRs). Adequate lipid testing, achievement of lipid goals, and appropriate use of lipid-lowering medication were defined according to National Cholesterol Education Program (NCEP) guidelines. Lipid testing was adequate for 62% of high-risk, 67% of moderate-risk, and 36% of low-risk patients. Lipid goals were achieved in 65%, 66%, and 90% of these 3 risk groups; 35%, 45%, and 32% achieved adequate testing and optimal goals. Medications were appropriately prescribed for 70%, 47%, and 48%. There is significant room for improvement in lipid management, particularly among high-risk patients. National EHR networks are excellent vehicles for large outpatient quality of care studies, particularly for measuring clinical outcomes such as lipid levels.
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Gill et al. (2008) conducted a cross-sectional in Outpatient lipid management (n=1,385,242). Cardiovascular risk status (high-risk and moderate-risk) vs. Low-risk patients was evaluated on Adequate lipid testing, achievement of lipid goals, and appropriate use of lipid-lowering medication according to NCEP guidelines. Outpatient lipid management across 1.38 million EHR patients achieved adequate testing and optimal lipid goals in only 35% of high-risk, 45% of moderate-risk, and 32% of low-risk patients.
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