Solutions for Atrial Fibrillation Edvocacy (SAFE)

Study Overview
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Brief Summary
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The aim of this demonstration project is to create an additional access point in the community at local pharmacies for atrial fibrillation screening, detection, and referral to physicians for follow-up and initiation of evidence-based therapy when appropriate.

Detailed Description
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The APhA Foundation will implement the Solutions for Atrial Fibrillation Edvocacy (SAFE) demonstration project integrating atrial fibrillation (Afib) screening, detection, and referral services as a routine component of care in community-based pharmacies. The SAFE solution is designed to improve awareness about Afib, increase access to screening and education opportunities related to Afib, and offer a team-based approach to care that will ultimately improve public health outcomes. This multi-site study will utilize community pharmacies to identify patients at-risk for Afib through point-of-care patient encounters, proactive patient profile reviews, risk assessment tools, and AliveCor's FDA-cleared EKG technology. As part of their usual and customary care, pharmacists can identify patients potentially at-risk for Afib through routine patient encounters, proactive patient profile reviews, and subsequent discussions with the patient. Identified patients will then be asked to complete a stroke risk assessment which will help determine the patient's risk level. The pharmacist will utilize the results from the stroke risk assessment to educate the patient on why these factors could add risk, why it's important to monitor these factors, and how the patient can work to reduce or improve upon certain modifiable risk factors. All patients will be educated about the risks of Afib and the importance of future monitoring based on their risk level. Patients will then be offered the opportunity to utilize the AliveCor EKG technology to capture an EKG reading at the point-of-care. This FDA-cleared device is easy for patients to use and a pharmacy team member will be available to guide the patient to ensure proper use. Patients who are identified as having an abnormal heart rhythm, based on their EKG reading, will be referred to their physician for evaluation and follow-up. Pharmacists will follow-up with the patients that were referred to the physician to facilitate the transition of care and inquire about confirmation of Afib and initiation of treatment. Coordination and communication among patients, pharmacists, and physicians is the foundation of this patient-centered team-based care approach.

Official Title
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Solutions for Atrial Fibrillation Edvocacy (SAFE) Improving Awareness and Access to Atrial Fibrillation Screening for Detection and Referral for Treatment

Conditions
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Cardiovascular Diseases, Cardiac Arrhythmia, Atrial Fibrillation

Intervention / Treatment
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* Device: Screening, detection and referral for atrial fibrillation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Any person at least 18 years of age Person who is able to present to a pharmacist for usual and customary care Exclusion Criteria: Persons who are pregnant Persons who are lacking in capacity Persons who have a pacemaker or implantable cardioverter defibrillator (ICD) or other implanted electronic devices

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Observational Cohort<br>Screening, detection, and referral for atrial fibrillation | Device: Screening, detection and referral for atrial fibrillation<br>* In-pharmacy cardiovascular risk assessment plus AliveCor KardiaMobile reading<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Completion of atrial fibrillation screenings by pharmacists | Number of Afib screening tests performed in the pharmacy | September through December 2021 | 
| Abnormal rhythm detections identified by pharmacists | Number of abnormal rhythm detections identified by AliveCor KardiaMobile technology | September through December 2021 | 
| Physician referrals made by pharmacists | Number of physician follow-up referrals made by the pharmacist | September through December 2021 |