 This project aims to reduce disparities in cardiovascular disease CVD risk factor control and in rates of heart attacks and strokes among the low-income, racially ethnically diverse Americans who receive primary care at safety net community health centers CHCs. To achieve this important objective, the investigators will adapt a successful clinical decision support CDS system currently used in CVD care at several large, integrated health care systems, to meet the patient needs and workflow processes of 60 CHCs. The investigators will determine if use of this CDS improves CVD care, reduces disparities in CVD care and outcomes, and increases patient engagement in CVD treatment choices, in CHCs. Results of this randomized trial will help accelerate the translation of major investments in health informatics systems into substantial clinical benefits for large numbers of high-risk, low-income patients. Results will also provide a template for CVD care improvement that can be spread to other CHCs and extended to other clinical conditions. 