• Cardiometabolic risk;
  • cardiovascular disease (CVD) screening;
  • process improvement

PURPOSE:  Increased mortality among the seriously mentally ill is largely due to cardiovascular disease (CVD). This applied research project examined a process of CVD screening at a community mental health center, then implemented and evaluated an improved process of identifying and managing CVD risk factors.

DESIGN AND METHODS:  Patient records (n= 130) were reviewed at baseline and 6 months posteducational intervention and implementation of new monitoring tools.

FINDINGS:  Statistical analysis showed significant process improvement (p < .001).

PRACTICE IMPLICATIONS:  Advanced practice registered nurses can design and implement improved CVD screening to mitigate morbidity and mortality in the seriously mentally ill.