Rheumatoid Arthritis

Screen, Refer and Track: A Personalized Medicine and Systems-Based Approach to Improve the Outcomes of Patients with Rheumatoid Arthritis at Risk for Cardiovascular Disease at an Academic Medical Center

National Jewish Health

The goal of this initiative is to implement a novel rheumatology-focused cardiology consultation service and intervention program for rheumatoid arthritis (RA) patients with increased risk for cardiovascular (CV) disease. Our aims include: 1) increasing patient awareness of CV risks; 2) improving the practice for screening and documenting CV risk factors; 3) increasing referrals to systems-based resources that target modifiable risk factors; 4) promoting collaboration between rheumatology and cardiology departments; and  5) demonstrating improved patient outcomes related to modifiable risk factors.

To accomplish our goals of the program, we will implement systems-based changes and provide multidisciplinary education and resources to health care providers and patients with RA at risk for CV disease. Data from the electronic medical record (EMR), FitLogix® and Quitline® weight management and smoking cessation reporting systems, and patient surveys will be collected and tracked in a project-specific data registry. This effort will provide preventive care that is patient-centered and cost-effective for the health care system, and demonstrate a systemsbased process that can be replicated by other institutions nationwide.

Full ProposalInterim ReportsFinal Report
Approval Date:
July 2014
Amount Awarded:
Start Date:
End Date:
CV Risk in Rheumatoid Arthritis