Using Active Choice and Peer Comparisons to Increase Statin Prescription Rates
Cardiovascular disease is the leading cause of morbidity and mortality in the United States. Statins are effective medications for reducing the risk of cardiovascular events. However, many patients that meet evidence-based guidelines for statins have never been prescribed one.
We designed an innovative population health approach to increase statin prescriptions. We randomly selected primary care physicians (PCPs) to be in control or one of two intervention arms. The PCPs in both intervention arms were given access to an active choice dashboard with list of their patients that met guidelines for being on a statin but had not been prescribed one. They were given a set of options and asked to decide whether or not to order a statin. In one of the intervention arms, PCPs also received peer comparison feedback on how their statin prescribing rate compared to other peer physicians at Penn.
This intervention was implemented at Penn Medicine in 2017 and is currently being evaluated