Forming Cardi-OH: A Statewide Collaborative to Improve Cardiovascular Health in Ohio


Forming Cardi-OH: A Statewide Collaborative to Improve Cardiovascular Health in Ohio


Shari D Bolen
Elizabeth A Beverly
Shireen Khoury
Saundra Regan
Jackson T Wright Jr
Siran Koroukian
Randell Wexler
Goutham Rao
Daniel Hargraves
Dean Bricker
Glen D Solomon
Michael Holliday
Stacey Gardner-Buckshaw
Lance Dworkin
Adam T Perzynski
Elizabeth Littman
Ann Nevar
Shannon M Swiatkowski
Mary Applegate
Michael W Konstan




Background Cardiovascular risk factor control is challenging, especially in disadvantaged populations. However, few statewide efforts exist to tackle this challenge. Therefore, our objective is to describe the formation of a unique statewide cardiovascular health collaborative so others may learn from this approach. Methodology With funding from the Ohio Department of Medicaid's Ohio Medicaid Technical Assistance and Policy Program, we used a collective impact model to link the seven medical schools in Ohio, primary care clinics across the state, the Ohio Department of Medicaid, and Ohio's Medicaid Managed Care Plans in a statewide health improvement collaborative for expanding primary care capacity to improve cardiovascular health in Ohio. Results Initial dissemination activities for primary care teams included a virtual case-based learning series focused on hypertension and social determinants of health, website resources, a monthly newsletter with clinical tips, webinars, and in-person conferences. The collaborative is aligned with a separately funded hypertension quality improvement project for paired implementation. Conclusions The collective impact model is a useful framework for developing a statewide collaborative focused on the dissemination and implementation of evidence-based best practices for cardiovascular health improvement and disparity reduction. Statewide collaboratives bringing payers, clinicians, and academic partners together have the potential to substantially impact cardiovascular health.


. 2022 Aug 25;14(8):e28381. doi: 10.7759/cureus.28381. eCollection 2022 Aug.




Shari D Bolen et al., “Forming Cardi-OH: A Statewide Collaborative to Improve Cardiovascular Health in Ohio,” NEOMED Bibliography Database, accessed September 30, 2023,