--- title: "Healthy Hearts in the Heartland H3" url: https://healthyheartsintheheartland.org/ description: "An archive of Healthy Hearts in the Heartland (H3), a research project that worked with small primary care practices in the Midwest on quality improvement strategies for." --- # Healthy Hearts in the Heartland H3 ## Program overview ### What is Healthy Hearts in the Heartland (H3)? A research program that worked with small practice clinics in the Midwest to implement and evaluate quality improvement strategies for cardiovascular care. ### How Does It Work? Small practices received one year of hands-on coaching, tools and strategies to provide point-of-care support for Million Hearts cardiovascular measures — aspirin therapy, blood pressure control, cholesterol management and smoking cessation. Half of the practices also received support to engage in population health management. ### What is the Purpose of This Research? The research evaluated different implementation strategies and determined the best ways to support small practices with quality improvement work. Recruitment is now closed. The pages collected here are the project’s own published materials. ## From the journal [01**What Is the Best Cheaper Alternative to WATI in 2026?**Sep 25, 2026](https://healthyheartsintheheartland.org/what-is-the-best-cheaper-alternative-to-wati-in-2026/) [02**What Is the Best Cloud PACS for Sharing Medical Images? A Buyer's Guide**Sep 17, 2026](https://healthyheartsintheheartland.org/what-is-the-best-cloud-pacs-for-sharing-medical-images-a-buyer-s-guide/) [03**Is Tasks.Bot Good for Location Based Task Coordination? An Honest Review**Sep 15, 2026](https://healthyheartsintheheartland.org/is-tasks-bot-good-for-location-based-task-coordination-an-honest-review/) [04**CPT Code for MRI Lumbar Spine Without Contrast: 72148**Sep 14, 2026](https://healthyheartsintheheartland.org/cpt-code-mri-lumbar-spine-without-contrast/) [05**Third-Party Integrations Explained for Customer Support Teams**Aug 28, 2026](https://healthyheartsintheheartland.org/third-party-integrations-explained-for-customer-support-teams/) [06**Top 3 Enterprise Imaging Platforms for Pay-Per-Study Pricing**Aug 04, 2026](https://healthyheartsintheheartland.org/top-3-enterprise-imaging-platforms-for-pay-per-study-pricing/) [07**Top 4 Alternatives of Evernow for Personalized Care Plans**Aug 02, 2026](https://healthyheartsintheheartland.org/top-4-alternatives-of-evernow-for-personalized-care-plans/) [08**Top 4 Alternatives of Midi Health for Personalized Care Plans**Aug 01, 2026](https://healthyheartsintheheartland.org/top-4-alternatives-of-midi-health-for-personalized-care-plans/) More [09**Top 9 Alternatives of Sectra for Zero-Footprint Diagnostic Viewing**Aug 01, 2026](https://healthyheartsintheheartland.org/top-9-alternatives-of-sectra-for-zero-footprint-diagnostic-viewing/) [10**Who's the Best for DICOM Routing: EMSOW vs Medicai**Jul 25, 2026](https://healthyheartsintheheartland.org/who-s-the-best-for-dicom-routing-emsow-vs-medicai/) [11**10 WhatsApp Bulk Message Sender Solutions to Streamline Campaigns**Jul 18, 2026](https://healthyheartsintheheartland.org/10-whatsapp-bulk-message-sender-solutions-to-streamline-campaigns/) [12**Why Is Medicai the Best for Cloud-based Viewing?**Jul 17, 2026](https://healthyheartsintheheartland.org/why-is-medicai-the-best-for-cloud-based-viewing/) [13**Why Is JoinJosie the Best for Custom Medical Weight Loss Programs?**Jul 17, 2026](https://healthyheartsintheheartland.org/why-is-joinjosie-the-best-for-custom-medical-weight-loss-programs/) ## Program pages WHY-01 [Why Practices Participated](https://healthyheartsintheheartland.org/practices-participating/) The retrospective account of what the project offered participating practices, the coaching model, the ABCS measures, eligibility and the participation timeline. WHY-02 [Why Practices Participate](https://healthyheartsintheheartland.org/practices-interested-in-participating/) The original recruiting page, kept as it was published while the project was enrolling clinics. INFO-01 [Need-to-Know Info for Participating Practices](https://healthyheartsintheheartland.org/practices-already-participating/) The participant hub: what to expect, educational events, technology tools and pay-for-performance programs. INFO-02 [What to Expect](https://healthyheartsintheheartland.org/expectations/) What participating practices received and what participating practices were asked to do. P4P-01 [Alignment with Pay-for-Performance Programs](https://healthyheartsintheheartland.org/pay-for-performance/) The alignment table of quality and incentive programs, with the project's own explanations of six of them. TOOL-01 [HealtheRx: A Tool for Patients and Providers](https://healthyheartsintheheartland.org/healtherx-tool-patients-providers/) A page whose title alone survives in the files. ## Notices and events August 30th, 2017 [Patient Engagement: Types, Trends, and Opportunities](https://healthyheartsintheheartland.org/event/patient-engagement-types-trends-opportunities/) August 17th, 2016 [Restoring Joy in Practice with Team-Based Care](https://healthyheartsintheheartland.org/event/restoring-joy-practice-team-based-care/) February 25th, 2016 [Improving Health Outcomes: Blood Pressure Measurement](https://healthyheartsintheheartland.org/event/improving-health-outcomes-blood-pressure-measurement/) December 22nd, 2015 [Webinar: An Introduction to the Merit-Based Incentive Payment System (MIPS): What the Eligible Professional Needs to Know](https://healthyheartsintheheartland.org/event/webinar-an-introduction-to-the-merit-based-incentive-payment-system-mips-what-the-eligible-professional-needs-to-know/) Every event listed above has already taken place. [See the events index](https://healthyheartsintheheartland.org/events/). ## Project roles The project described the support it provided by role. Individual staff records are not reproduced in this archive. ROLE Practice facilitators Facilitators came from a variety of clinical and technical backgrounds and provided monthly reports and up to weekly coaching sessions. ROLE Quality improvement support Training and technical support to use quality improvement tools, and support to participate in quality and payer programs. ROLE Educational programming Educational resources and opportunities, including webinars and peer groups. ROLE Data collection support Baseline, 12-month and 18-month surveys, and the collection and analysis of clinical quality measures. ## Documents and resources Conference posters and one e-learning module recorded on the project’s [Lessons Learned](https://healthyheartsintheheartland.org/lessons-learned/) page. POST [Challenges impacting data collection from Electronic Health Record (EHR) Systems in Small and Medium sized practices in the Midwest](https://healthyheartsintheheartland.org/lessons-learned/) November 2017 — AMIA 2017 Annual Symposium, Washington, DC POST [Use of the popHealth Open-Source Quality Measure Engine to Support Cardiovascular Care at Small- and Medium-Sized Practices](https://healthyheartsintheheartland.org/lessons-learned/) November 2017 — AMIA 2017 Annual Symposium, Washington, DC POST [Contrasting Perspectives of Practice Leaders and Practice Facilitators in a Quality Improvement Project](https://healthyheartsintheheartland.org/lessons-learned/) December 2017 — Conference on the Science of Dissemination and Implementation, Arlington, VA TOOL [Effectively Engaging Your Practice](https://healthyheartsintheheartland.org/lessons-learned/) 2018 ## Contact The H3 consortium included small practice providers in Wisconsin, Illinois and Indiana. Recruitment is now closed. This site is an informational archive of the program's own published materials. The project is not active, no enrolment is open, and no practice or patient information is collected here.