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Hypertension Best Practice
Elements for Success
Successful implementation of the Hypertension Best Practice Model requires the following:
  1. Support from the executive leadership at the practice.
  2. Identify a practice champion to lead the “boots on the ground” implementation.
  3. A commitment to one hour monthly staff training sessions for 6 months using our Hypertension Best Practice On-Line Toolkit to educate your team.
  4. Develop reporting capabilities to abstract electronic health record (EHR) data and report on key measures of the Hypertension Best Practice.
    • Repeat Blood Pressure Reading.
    • Follow up appointment within 30 days if repeat BP is elevated.
    • Percentage of patients in the practice with uncontrolled BP.
  5. Share reports with your practice staff and develop goals that are meaningful to your practice.
  6. Develop a quality improvement team within the practice and commit to developing and implementing sustainable processes.
  7. Celebrate your success along the way!
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Approximately 75 million Americans 18 years and older have high blood pressure and only 37.5 million (54%) of them have their blood pressure under control. Uncontrolled high Blood Pressure (BP) increases the risk for heart disease and stroke, which are the leading causes of death in America. Minorities and those with low Social Economic Status (SES) experience greater complications and more deaths1. High blood pressure was the primary or contributing cause of death for more than 410,000 Americans in 2014; this equates to more than 1,100 deaths each day2. It does not have to be this way.

To address many of the challenges a practice may face in treating and managing high blood pressure, Better Health Partnership implemented a Hypertension Best Practice program within our region at diverse clinics covering insured and uninsured patients. We provided more intense practice coaching support to those clinics with the lowest blood pressure control rates. Clinics improved blood pressure control up to 13 percentage points after 1 year, with the greatest improvements seen in low income, minority, and Medicaid populations (See Graphs on slides 16-17 in the Online Toolkit Session #1, and the Better Health website data center for our updated data).

Even though we cannot totally eradicate high blood pressure, we can make sure all patients have the same access to high quality, evidence-based, and culturally sensitive care. Therefore, we developed an online toolkit to disseminate these hypertension best practices.
Made possible with funding from the Centers for Disease Control and Prevention.