About EvidenceNOW

EvidenceNOW Advancing Heart Health in Primary Care


What Is EvidenceNOW?

EvidenceNOW is an AHRQ grant initiative dedicated to helping small- and medium-sized primary care practices across the country use the latest evidence to improve the heart health of millions of Americans. This initiative aligns with the U.S. Department of Health and Human Services Million Hearts®, a national effort to prevent 1 million heart attacks and strokes by 2017.

What Are the Goals of EvidenceNOW?

The overarching goal of EvidenceNOW is to improve the delivery of heart health care at over 1,500 primary care practices across the country. Our goal is that each of these practices will meet the national target of 70 percent of all patients adopting the ABCS of heart disease prevention: Aspirin use by high-risk individuals, Blood pressure control, Cholesterol management, and Smoking cessation.

However, there is more that we hope to accomplish. Our second goal is to understand what type of supports help primary care practices achieve these improved health outcomes. Local and national evaluations will study how best to deliver new patient-centered outcomes research to primary care practices and how to assist practices in using the research to deliver care to their patients. EvidenceNOW will create a blueprint of how our nation can build a primary care system that delivers high-quality, patient-centered health care for everyone.

Where Is EvidenceNOW Taking Place?

EvidenceNOW established seven regional cooperatives composed of public and private health partnerships and multidisciplinary teams of experts. Learn more about the cooperatives.

Each cooperative is recruiting and engaging 250–300 small- and medium-sized primary care practices. The cooperatives then provide targeted support services to practices enrolled in the initiative.

EvidenceNOW has quality improvement services with on-site facilitation and coaching, health IT support, shared learning collaboratives, expert consultation, and data feedback and benchmarking.

The seven cooperatives have developed unique interventions designed to improve health care delivery. These interventions include a combination of five core services to help primary care practices improve quality of care—services that are typically not available to smaller practices because of their size:

  • On-site practice facilitation and coaching
  • Health information technology support
  • Shared learning collaboratives
  • Expert consultation
  • Data feedback and benchmarking

Each cooperative's approach to providing these services is tailored to their region and populations served.

How Will AHRQ Measure the Success of EvidenceNOW?

Each cooperative will evaluate the success of their interventions in changing primary care practice and improving heart health. AHRQ also has awarded a grant to the Oregon Health & Science University (OHSU) to conduct an independent national evaluation (EvidenceNOW national evaluation executive summary [PDF, 1.4 MB]) of the overall EvidenceNOW initiative. The national evaluation team, led by OHSU and comprised of researchers at multiple institutions, will study the impact of cooperatives’ interventions on practice improvement and the delivery of heart health care. In addition, the evaluation team will study which practice support services and quality improvement strategies are most effective in improving the implementation of new medical evidence.

Learn more about the EvidenceNOW evaluation.

What Is the Timeline for This Initiative?

EvidenceNOW launched in May 2015 and will continue through May 2018.

The timeline for the EvidenceNOW initiative began with a funding announcement in March 2014 followed by the launch of the initiative in May 2015. The practice recruitment period is May 2015 through January 2016, and baseline data are collected at the end of that period. Implementation of quality improvement initiatives and ongoing data collection will take place starting in February 2016, ending in November 2017. The post-intervention evaluation of the initiative will be completed from November 2017 through May 2018.



Page last reviewed January 2018
Page originally created October 2016
Internet Citation: About EvidenceNOW. Content last reviewed January 2018. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/evidencenow/about/index.html