Cholesterol Management Change Package

What Is the Cholesterol Management Change Package (CMCP)?

Download the PDF guide [PDF – 1.3 MB]

The CMCP was developed in partnership with the National Association of Community Health Centers (NACHC) and the American Medical Association (AMA). It presents a list of evidence-based process improvements that outpatient clinical settings can implement as they seek optimal cholesterol management. The CMCP is composed of change concepts, change ideas, and evidence- or practice-based tools and resources.

• Change concepts are general notions that are useful in the development of more specific ideas for changes that lead to improvement.
• Change ideas are specific, actionable ideas for changing a process. Change ideas can be rapidly tested on a small scale to determine whether they result in improvements in the local environment.
• Within each change idea, the CMCP lists evidence- or practice-based tools and resources that can be adapted or adopted in a health care setting to improve cholesterol management.

Although the science behind cardiovascular risk reduction is continually evolving, there is strong evidence that a systematic approach to cholesterol management can significantly improve cholesterol-related care processes and outcomes. The purpose of the CMCP is to help health care practices put more efficient and effective systems in place to care for patients with hyperlipidemia.

The CMCP is broken down into four focus areas:

How Should We Use the CMCP?

Start by assembling a team of physicians, pharmacists, nurses, medical assistants, and administrators to discuss the aspects of cholesterol management that are most in need of improvement. The team can then select corresponding interventions from the CMCP that best address those issues.

Each strategy you choose should first be tested on a small scale (i.e., with “small tests of change”) to assess feasibility and allow the team to evaluate and adjust before the change is instituted on a broader, more permanent scale.

We do not recommend that any practice attempt to implement all of the interventions at once, nor is it likely that all interventions will be applicable to your clinical setting.

Learn More

Acknowledgments and ContributorsAuthors

The Million Hearts® Cholesterol Management Change Package was originally conceptualized and authored by Hilary K. Wall, MPH*; Lauren Owens, MPH (IHRC, Inc.); Angela Ryan Lee, MD, FACC; Taylor Streeter, MPH (ASRT, Inc.); Meg Meador, MPH, C-PHI, CPHQ†; Michael Rakotz, MD, FAHA, FAAFP‡; Kate Kirley, MD, MS‡; Linda Murakami, RN, BSN, MSHA‡; and Brent Egan, MD.‡

**Contributors **

The following individuals contributed subject matter expertise, identified tools and resources, and reviewed the document: Amanda Sheldon (The FH Foundation); Jacqueline Elkins, MPH*; and Natsuko Tokieda, MPH, RN (ORISE).*

Reviewers

The following individuals provided review and feedback on the document: Laurence Sperling, MD, FACC, FACP, FAHA, FASPC*; Janet S. Wright, MD, FACC*; and Judy Hannan, MPH, RN.*

Web Hosting Assistance

Website hosting support of tools and resources was provided by the National Association of Chronic Disease Directors.

**Graphic Design and Editorial Assistance **

Graphic and HTML design support was provided by Booker Daniels, MPH*; Susan Davis (Peraton)*; and Palladian Partners, Inc.

We would like to extend special thanks to the following organizations for developing the tools and resources showcased in the change package. Individual health care settings are in bold.

• Aliados Health (formerly Redwood Community Health Coalition)
• American Academy of Family Physicians (AAFP)
• American College of Cardiology (ACC)
• American Dietetic Association (ADA)
• American Heart Association (AHA)
• American Medical Association (AMA)
• Association of Black Cardiologists, Inc. (ABC)
• Azara Healthcare
• CardioSmart
• Community Preventive Services Task Force (CPSTF)
• US Department of Veterans Affairs (VA)
• US Department of Veterans Affairs/U.S. Department of Defense (VA/DoD)
• Family Health Centers of San Diego
• The Family Heart (FH) Foundation
• findhelp (formerly known as Aunt Bertha)
• US Food and Drug Administration (FDA)
• Foundation of the National Lipid Association
• Health Information Translations
• HealthyHearts NYC
• Institute for Healthcare Improvement (IHI)
• Intermountain Healthcare
• Kaiser Family Foundation (KFF)
• **Kaiser Permanente **
• Kaiser Permanente Northern California
• Keystone Rural Health Consortia, Inc.
• London Health Sciences Centre
• Mayo Clinic
• Mended Hearts
• Miami Beach Community Health Center
• Minnesota Department of Health
• National Association of Community Health Centers (NACHC)
• National Center for Complementary and Integrative Health (NCCIH)
• National Lipid Association (NLA)
• New York City Department of Health and Mental Hygiene (NYC DOHMH)
• Office of the National Coordinator for Health Information Technology (ONC)
• Oregon Primary Care Association (OPCA)
• Petaluma Health Center
• Preventive Cardiovascular Nurses Association (PCNA)
• US Preventive Services Task Force (USPSTF)
• The Primary Care Team: Learning from Effective Ambulatory Practices (LEAP)
• Sinai Urban Health Institute, Sinai Health System
• ** Charles Health System**
• University of California, San Francisco (UCSF)
• Winding Waters Health Center

*Centers for Disease Control and Prevention
† National Association of Community Health Centers
‡ American Medical Association

For More InformationHilary K. Wall, MPH
Division for Heart Disease and Stroke Prevention
Centers for Disease Control and Prevention
hwall@cdc.gov

Suggested CitationCenters for Disease Control and Prevention. Cholesterol Management Change Package. Atlanta, GA: Centers for Disease Control and Prevention, US Department of Health and Human Services; 2024.

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