a diagnosis of inadequately controlled hypertension, as defined by an outpatient icd-9 code of 401.x and a most recent blood pressure with either systolic > 140 mmhg or diastolic > 90 mmhg

or (2) inadequately controlled dyslipidemia, as defined by most recent total cholesterol > 200 mg/dl or hdl cholesterol < 35 mg/dl

or (3) current smoking, which can be identified using the cprs health factor tied to the smoking clinical reminder.

medication-taking status for these illnesses is neither required nor excluded.

subjects with very high risk of cardiovascular event, as determined by any personal history of cad or other major cardiovascular disease (icd-9 code of 410-414, or 425-429)

cerebrovascular disease (code 433-438)

peripheral arterial disease (codes 440.x or 443.x)

or diabetes (codes 250.x)

or use of a medication in formulary classes oh501 or oh502 (diabetic medications)