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Hypertension Best Practice Session 3 Timely Follow-Up and Continuous QI

Hypertension Best Practice Session 3 Timely Follow-Up and Continuous QI. Hypertension Best Practice Elements. BP measurement: include two BP readings if first is high (≥140/90 mmHg) Timely follow-up: monthly visits until BP controlled Treatment algorithm: low-cost, once-daily meds

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Hypertension Best Practice Session 3 Timely Follow-Up and Continuous QI

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  1. Hypertension Best Practice Session 3 Timely Follow-Up and Continuous QI

  2. Hypertension Best Practice Elements BP measurement:include two BP readings if first is high (≥140/90 mmHg) Timely follow-up: monthly visits until BP controlled Treatment algorithm: low-cost, once-daily meds Communication:building trusting relationships Outreach: using a registry

  3. Hypertensive Adults with Elevated Blood Pressure

  4. Two BP Readings When 1st Elevated

  5. Two BP Readings When 1st Elevated • What is the current process? • How is it working? • Refine goal for repeat blood pressure readings. • What action(s) will it take to achieve the goal?

  6. Timely Follow-up and Nurse/MA-led visits

  7. Timely Follow-Up Process Process to ensure follow-up is scheduled within one month (with nurse or provider), when repeat BP still is elevated.

  8. Timely Follow-up

  9. Timely Follow-Up Process • What is the current process? • How is it working? • Develop a goal for scheduling timely follow-up visits. • What action(s) are needed to achieve the goal?

  10. Sample RN/MA HTN Follow-up Visit Referral Process

  11. Nurse or MA-led Appointment • Nurse visit template • Review common BP meds and side effects • Review DASH diet • Patient educational brochures

  12. Observation Feedback Complete staff observation using a checklist, and provide feedback

  13. Treatment Algorithm

  14. Treatment Algorithm Review and finalize treatment algorithm.

  15. Review Next Steps Second BP measurement Timely follow-up process to schedule HTN follow-up visits

  16. Disclaimer Use of these slides alone will not improve blood pressure control within your practice. Blood pressure control will be achieved through active quality improvement efforts in conjunction with these slides. Practice coach consultation is available to assist you in improving outcomes.

  17. Acknowledgements This work was made possible with funding from: The Mount Sinai Health Care Foundation U.S. Centers for Disease Control and Prevention Special thanks to: Better Health Partnership participating clinics Health Improvement Partnership-Cuyahoga (HIP-Cuyahoga)

  18. Contact Info For questions about the online toolkit or assistance with implementation, please contact our coaching team: info@betterhealthpartnership.org.

  19. Thank You! Discussion/Questions?

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