Background: Cardiovascular diseases (CVD) are the leading cause of death globally, In the United States along, CVD is to blame for an estimated 17.8 million deaths in 2017. In Texas, 1.6 million adults had been diagnosed with Heart disease and stroke; they are the leading causes of death in Texas. According to TDHS, Heart disease claimed more than 43,000 lives and accounted for 22.8 percent of Texas deaths in 2015. About 336,462 hospitalizations of adult Texans are related to heart disease in 2016. Heart disease had cause Texans about $23 billion in 2016, and there is a likelihood that this problem will continue if care is not taken. The risk of CVD can be reduced by early detection, modifications on simple lifestyle changes such as tobacco cessation, blood pressure, cholesterol, diabetes monitoring, control, overweight and obesity management, physical activities, and healthy eating pattern. The Mediterranean diet pattern consists mostly of a plant-based diet with high amounts of fresh vegetables, fruits, nuts, dried beans, olive oil, fish, and salmon-rich in Omega-3 fatty acids. Herbs spices, wine have proven to reduce the risk. In additiona to lifestyle modification, primary care providers’ regular couseling can radically redue cardiovascular disease mobility and mortality in half. EBP Framework: Lewin Change Theory and Rosswurm and Larrabee Evidence-Based Practice (EBP) Model were used to guide the project framework. Unfreezing, moving, and refreezing guided the process of change, while 6 model EBP Model was used in different stages to guide the project. Methods: The purpose of this scholarly project was to standardize how PCPs provide dietary counseling to their patients and implement and evaluation and educational intervention to increase the frequency of nutritional couseling and documentation for CVD patients using the Mediterranean diet. Practitioners should be screened for cardiovascular diseases and providing counseling and interventions during an office visit. The electronic medical record was reviewed and documented with a “yes” or “no” for the presence of cardiovascular disease and Medi diet counseling provided through specific International Classification of Disease (ICD) 10 coding. The speciifc codes are ICD-10-CM, b)Z71.3, dietary counseling, and surveillance. The Chi-square goodness of fit test wasused to examine and determine if there were any changes in the Med diet counsling utilization post-intervention. Findings/Results: Following implementation of the Mediterranean diet brochure, a pre- and post- implementation data showed a significant increase in documentation from, 26.9% pre implementation to 95.8% post implementation. 26.9% to 95.7%, X2=264.9, df=1, p=<.05, indicating dietary counseling provided. Conclusion/Recommendations: The Mediterranean diet brochure’s introduction changed providers’ attitudes towards dietary counseling and health eating for patients with cardiovascular diseases. Subsequent studies are needed on a larger scale on the effect of dietary couseling and lifestyle modification for cardiovascular diseases.
