The Clinical Prevention Initiative (CPI) is a collaboration of the New Mexico Medical Society and the New Mexico Department of Health and HealthInsight New Mexico. Its mission is to maximize the effectiveness and reach of high priority, evidence-based clinical preventive services delivered by New Mexico health care professionals, practices and health care systems. This mission includes reduction in health disparities of New Mexico’s diverse population.

Created in 2000, CPI promotes and supports practice commitment and systems to best provide preventive care in physician offices. After a brief hiatus, CPI reorganized its program in 2014 with new funding from the NM Department of Health.  A small executive committee, with two representatives from each of the sponsoring partners, operates under a new set of Governance Guidelines. The current focus of CPI is support of clinical preventive services that reduce Cardiovascular and Geriatric Risks of New Mexicans.

A published article provides more information on the early history and accomplishments of CPI “The New Mexico Clinical Prevention Initiative: A Statewide Prevention Partnership” Public Health Reports/May-June 2007/Vol 122″.  In 2014 CPI completed a review of medical practice reporting needs and evidence-based strategies for reducing cardiovascular and geriatric risk.

Members of the Executive Council
Lynn Bryant MD – New Mexico Medical Society
Richard Kozoll MD – New Mexico Medical Society
Susan Baum MD – New Mexico Department of Health
Michael Landen MD – New Mexico Department of Health
Margy Weinbar – HealthInsight New Mexico
Renee Sussman – HealthInsight New Mexico

Staff
Annie Jung – New Mexico Medical Society
Melissa Davis – New Mexico Medical Society

Links

Report on the Medical Practice Reporting Needs and Evidence-Based Strategies for Cardiovascular and Geriatric Risk Interventions (April 2014)

Reducing Cardiovascular Risk

The multiple and interrelated  long term risk factors of aspirin use, blood pressure, cholesterol levels, diabetes, diet, sedentary living, smoking, unhealthy weight remain powerful predictors of an individual’s risk for premature cardiovascular disease.  Evidence-based guidelines now exist to guide medical practice strategies that can successfully address this risk in both the office and the community.  CPI is committed to making sample strategies available to all New Mexico practices as well as their patients and communities. Check back to this page frequently, as we anticipate adding materials on a regular basis for many years.

Behaviors

Aspirin Prophylaxis

Guidelines:
JAMA Online: 2014 Evidence-Based Guideline for Management of High Blood Pressure in Adults (Report from JNC 8) (12/18/2013)

Healthful Diet/Physical Activity

Suggested Strategies:
CPI/DOH Healthy Weight Tool Kit – order kit by email at info@nmms.org

Using Physical Activity to Gain the Most Public Health Bang for the Buck[JAMA Internal Medicine, June 2015, Volume 175, Number 6]

Guidelines:
USPSTF B Recommendation – Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults With Cardiovascular Risk Factors: Behavioral Counseling.

2008 Physical Activity Guidelines for Americans [US Department of Health and Human Services]

Tobacco Use

Suggested Strategies:
New Mexico Clinical Prevention Initiative Tobacco Use Prevention and Cessation Program: A Continuing Education Program for Healthcare Practitioners in New Mexico – 4th Edition – 2011

CPI/DOHTobacco Pharmacotherapy Patient Guides
No – Not Ready to Quit
Maybe Ready to Quit
Yes – Ready to Quit

CPI/DOH Health Professional “Pocket Guide to Quitting”

Other Resources:

Tobacco Use Prevention and Control (TUPAC) Program [NM Department of Health]

University of NM Tobacco Control Program:

Guidelines:
USPSTF A Recommendation – Tobacco Use in Adults and Pregnant Women: Counseling and Interventions

DHHS: Treating Tobacco Use and Dependence-Clinical Practice Guideline 2008

Conditions

Abdominal Aortic Aneurysm

Guidelines:
USPSTF B Recommendation – Male Smokers

Diabetes and Prediabetes

Suggested Strategies:
S.T.A.T. — Screen/Test/Act/Today [American Medical Association]

S.T.A.T. – Health Professional Tool Kit

Health Care Professionals: Prediabetes [Chronic Disease Prevention Council New Mexico, 2014]

Guidelines:
USPSTF B Recommendation – asymptomatic adults, BP>135/80 w/ or w/o hypertensive Rx

Hypertension and Prehypertension

Suggested Strategies:
M.A.P.  —  Measure/Act/Partner [American Medical Association]
AMA Improving Health Outcomes – Hypertension
M.A.P. Checklist [for health care providers]
M.A.P. technique to measure blood pressure [for patients]

CDC Million Hearts – Hypertension Change Package

Guidelines:
USPSTF Recommendation A – Adults 18+

JAMA Online: 2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults (Report from JNC 8) (12/18/2013)

Other Recommendations:
Blood Pressure Control is a CDC Million Hearts Clinical Quality Measure

Adults with hypertension whose blood pressure is controlled ia a Healthy People 2020 Clinical Preventive Service Leading Health Indicator.

Lipid Disorders

Guidelines:
USPSTF A Recommendation – Men 35+, At-risk Women 45+

USPSTF B Recommendation – Other At-Risk Men & Women 20+

Circulation Online:  ACC/AHA Guideline on the treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults (11/12/2013)

Obesity and Overweight

Suggested Strategies:
CPI/DOH Healthy Weight Tool Kit – order kit by email at info@nmms.org

Guidelines:
USPSTF B Recommendation –  Obesity in Adults: Screening and Management

Circulation Online: AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults (11/12/2013)

Other Related Resources

American Diabetes Association [ADA]

American Heart Association [AHA]

Centers for Disease Prevention and Control [CDC]

United States Preventive Services Task Force [USPSTF] – Recommendation Index

New Mexico Clinical Prevention Initiative Tobacco Use Prevention and Cessation Program: A Continuing Education Program for Healthcare Practitioners in New Mexico – 4th Edition – 2011

Tobacco Use Prevention and Control (TUPAC) Program at the NM Department of Health

University of NM Tobacco Control Program