A novel outreach approach for identification of familial hypercholesterolemia: Interview-based formative evaluation to improve healthcare access and quality.

Journal: PEC innovation
Published Date: Jun 2, 2025

Abstract

BACKGROUND: Familial hypercholesterolemia (FH) is a genetic condition which elevates cholesterol levels and increases risk of premature cardiac events. Medical treatment greatly reduces those risks. However, in the United States, FH is markedly underdiagnosed. We aimed to design and evaluate direct outreach and referral to specialty care for patients with an elevated risk of FH identified through application of a machine learning model and expert review of the electronic health record in a rural United States health system.

Authors

  • Rachel C Forcino
    Department of Population Health, University of Kansas School of Medicine, Kansas City, KS, USA.
  • Terry Sturke
    Patient partner, Dartmouth Health, Lebanon, NH; Patient advocate, The Family Heart Foundation, Fernandina Beach, FL.
  • Mary P McGowan
    Section of Cardiovascular Medicine, Heart and Vascular Center, Dartmouth Health, Lebanon, NH; The Family Heart Foundation, Fernandina Beach, FL.
  • Amanda N Perry
    The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth Geisel School of Medicine, Hanover, NH, USA.
  • Shoshana H Bardach
    Section of Cardiovascular Medicine, Heart and Vascular Center, Dartmouth Health, Lebanon, NH; The Family Heart Foundation, Fernandina Beach, FL; The Dartmouth Institute for Health Policy & Clinical Practice, Geisel School of Medicine, Dartmouth College, Hanover, NH.
  • Vikrant S Vaze
    Thayer School of Engineering at Dartmouth, Hanover, NH, USA.
  • Kerrilynn C Hennessey
    Section of Cardiovascular Medicine, Heart and Vascular Center, Dartmouth Health, Lebanon, NH. Electronic address: Kerrilynn.c.hennessey@hitchcock.org.

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