PUBLICATIONS & CONFERENCES

September 3, 2025

Practice Facilitation and Clinical Performance Feedback Using the Electronic Health Record Improved Blood Pressure and Cholesterol Management in Small Primary Care Practices in New York City

Cardiovascular disease (CVD) disproportionately affects people of color and those with lower household income. Improving blood pressure (BP) and cholesterol management for those with or at […]
September 3, 2025

Impact of a Telephonic Intervention to Improve Diabetes Control on Health Care Utilization and Cost for Adults in South Bronx, New York

Self-management education and support are essential for improved diabetes control. A 1-year randomized telephonic diabetes self-management intervention (Bronx A1C) among a predominantly Latino and African American […]
September 3, 2025

Quality of Cardiovascular Disease Care in Small Urban Practices

We wanted to describe small, independent primary care practices’ performance in meeting the Million Hearts ABCSs (aspirin use, blood pressure control, cholesterol management, and smoking screening […]
September 3, 2025

Facilitation of team-based care to improve HTN management and outcomes: a protocol for randomized stepped wedge trial

There are well-established guidelines for treating hypertension (HTN), yet only half of patients with HTN meet the defined target of<140/90. Team-based care (TBC) is an evidence-based […]
September 3, 2025

Using a Customer Relationship Management System to Manage a Quality Improvement Intervention

HealthyHearts New York City (HHNYC), one of 7 cooperatives funded through the Agency for Healthcare Research and Quality’s EvidenceNOW initiative, evaluated the impact of practice facilitation […]
September 3, 2025

Attributes of High-Performing Small Practices in a Guideline Implementation: A Multiple-Case Study

HealthyHearts NYC was a stepped wedge randomized control trial that tested the effectiveness of practice facilitation on the adoption of cardiovascular disease guidelines in small primary […]
September 3, 2025

A practice facilitation-guided intervention in primary care settings to reduce cardiovascular disease risk: a cost analysis

A stepped-wedge, cluster randomized controlled trial assessed the effectiveness of practice facilitation(PF) for adoption of guidelines for prevention and treatment of cardiovascular disease risk factors. This […]
September 3, 2025

Engaging Nonphysician Staff in Practice Facilitation-Mediated Quality Improvement to Improve Health Outcomes in Under-Resourced Clinical Practices in New York City

In New York City (NYC), hypertension and high cholesterol disproportionately affect residents with low household income and people of color. The NYC Health Department employed practice […]
September 3, 2025

Practice facilitation for scale up of clinical decision support for hypertension management: study protocol for a cluster randomized control trial

Only half of patients with hypertension have adequately controlled blood pressure. Clinical decision support (CDS) has the potential to overcome barriers to delivering guideline-recommended care and […]
September 3, 2025

Measuring Implementation Strategy Fidelity in HealthyHearts NYC: A Complex Intervention Using Practice Facilitation in Primary Care

Few studies have assessed the fidelity of practice facilitation (PF) as an implementation strategy, and none have used an a priori definition or conceptual framework of […]
July 5, 2023

Payers and Public Health: A Novel Collaboration to Support Covid-19 Vaccination Uptake

NYC REACH and the NYC Health Department partnered with payers to increase COVID-19 vaccine uptake – The Vaccine Outreach and Counseling Program. This model was adopted […]
July 5, 2023

Embedding Health Equity in a Public Health Emergency Response: New York City’s Covid-19 Vaccination Experience

Achieving health equity requires a harnessing of talent, dedication, and understanding. The beginning of the COVID-19 pandemic highlighted the inequitable and disproportionate impact of COVID on […]
October 11, 2022

PCIP Applications, Ideas, and Research 2014

Learn about NYC REACH historical research on trends in health information technology (HIT), increasing the delivery of clinical preventative services, and leveraging HIT for public health […]