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Blood Pressure and the New ACC/AHA Hypertension Guidelines (ACC/AHA): The ACC/AHA hypertension guidelines cover virtually all aspects of the diagnosis, evaluation, monitoring, secondary causes as well as drug and non-drug treatment of hypertension. Substantial and appropriate emphasis has been given to the strategies necessary for accurate measurement of blood pressure in any setting where valid blood pressure measurements are desired.
Blood Pressure Control Evidence and Resources (EvidenceNOW): High blood pressure is a major risk factor for heart attack, heart failure, stroke and chronic kidney disease. High blood pressure is very common, affecting about 30 percent of adults in the United States. In 2013, high blood pressure was the main or a contributing cause of death for more than 360,000 people in the United States. Substantial clinical evidence shows that controlling high blood pressure results in a significant reduction in heart attacks and strokes .
Brent M. Egan, Jiexiang Li, Susan E. Sutherland, Michael K. Rakotz, Gregory D. Wozniak. Hypertension Control in the U.S. 2009 to 2018: Factors Underlying Falling Control Rates During 2015 to 2018 Across Age and Race-Ethnicity Groups. Hypertension. June 2021. DOI.org/10.1161/HYPERTENSIONAHA.120.16418 (AMA)
Alejandro Arrieta, John Woods, Gregory Wozniak, Stavros Tsipas, Michael Rakotz, Stephen Jay. Return on Investment of Self-Measured Blood Pressure Is Associated with Its Use in Preventing False Diagnoses, not Monitoring Hypertension, PLOS ONE. June 18, 2021. https://doi.org/10.1371/journal.pone.0252701 (AMA)
Jing Fang, Cecily Luncheon, Hilary K Wall, Gregory Wozniak, Fleetwood Loustalot. Self-measured blood pressure monitoring among adults with self-reported hypertension in 20 US states and the District of Columbia, 2019. American Journal of Hypertension, June 7, 2021. doi.org/10.1093/ajh/hpab091. (AMA)
Muntner P, Hardy ST, Fine LJ, Jaeger BC, Wozniak G, Levitan EB, Colantonio LD. Trends in blood pressure control among US adults with hypertension, 1999-2000 to 2017-2018.JAMA. Published online September 9, 2020. DOI.org/10.1001/jama.2020.14545 (AMA)
Shimbo D, Artinian NT, Basile JN, Krakoff LR, Margolis KL, Rakotz MK, Wozniak G; on behalf of the American Heart Association and the American Medical Association. Self-measured blood pressure monitoring at home: a joint policy statement from the American Heart Association and American Medical Association. Circulation. 2020. https://www.ahajournals.org/doi/10.1161/CIR.0000000000000803 (AMA)
^ QI Program Tools
QI Program Tools
A Facilitator’s Primary Care Toolkit to Improve Heart Health (EvidenceNOW): This toolkit introduces the ABCS of heart health and provides checklists, action plans, and other instructions to guide primary care practices to implement evidence-based guidelines, transform health care delivery, and improve patients’ heart health.
A Team Approach to Documenting Electronic Health Records (EHRs) (EvidenceNOW): This online continuing medical education (CME) module explains how to implement a team-based approach to enter documentation (scribe) and how it can be supported and improved by electronic health record (EHR) systems.
Advantages and Disadvantages of Registries: Population Health (EvidenceNOW): Registries can complement paper records or electronic health records (EHRs), which frequently do not have the functions needed for population management. This resource discusses the advantages and disadvantages of creating and using registries.
Aspirin Workflow: Ensuring Evidence-Based Care with Medical Assistants (EvidenceNOW): This workflow shows how medical assistants can provide a check to ensure that evidence-based care is delivered by identifying patients with heart disease who, according to protocol, should have, but have not, been prescribed aspirin.
Hypertension Control Change Package (Million Hearts): The Hypertension Control Change Package presents a listing of process improvements that outpatient clinical settings can implement as they seek optimal hypertension control. It is composed of change concepts, change ideas, and evidence- or practice-based tools and resources.
Taking Control of My Blood Pressure: D’Angelo’s Story (NACHC via Million Hearts)
Target: BP - SMBP Infographic: How to measure your blood pressure at home. (AHA/AMA via Million Hearts)
Targeting Hypertension (AMA): Patient-focused hypertension control materials available to AMA members.
High Blood Pressure (NLM/Medline Plus)
Assessment of Studies of Quality Improvement Strategies to Enhance Outcomes in Patients with Cardiovascular Disease (JAMA): What are effective quality improvement strategies (patient-, clinician-, and health system–level) for improving outcomes in patients with cardiovascular disease (CVD), and how are these strategies best implemented?
U.S. Health Care Should Follow This Blueprint to Boost BP Control (AMA): There has been inadequate and worsening control of high blood pressure in the United States. This has likely been exacerbated by the COVID-19 pandemic, which exposed shortcomings of the health care delivery system. But there is a blueprint for change that clinicians and health care delivery systems can follow to improve blood-pressure control, says a new article.
Assessment of hypertension QI approaches JAMA: "QI strategies such as patient support, community support, strengthening infrastructure, and technology-delivered strategies were all found to be cost-effective."
^Software / Applications / Executable CDS Interventions
Executable CDS Interventions