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Implementing the Guidelines: Critical Pathways : ; :; : Awareness Is Not Enough! NCEP, National Cholesterol Education Program. Pearson TA, et al. Arch Intern Med. 2021。160:459467. 95% 38% 0 20 40 60 80 100 Physician Awareness of NCEP Guideline Patient Treated to Goal Sample (%) GUIDELINES Cardiology Acute Care Primary Care Secondary Prevention Smooth Transition From Acute to Longterm Management Why Develop Critical Pathways? “A treatment gap between therapy that is dictated by evidencebased medicine and therapy that occurs in practice is not a deficit of knowledge。 rather, it is a deficit of implementation.” Sidney Smith, MD Chief Scientific Officer, American Heart Association ? Standardized protocols ? Goal: optimize care ? Emerging Evidence— Pathways work: ? CHAMP ? Guidelines Applied in Practice (GAP) ? AHA Get with the Guidelines program CHAMP, Cardiac Hospitalization Atherosclerotic Management Program. UCLA: CHAMP Study ? Designed to determine whether phy