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H H S Department of Health and Human Services
U.S. Department of Health and Human Services
Health Resources and Services Administration

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Hypertension Control

Part 1: Introduction

Part 2: Characteristics for Success: Hypertension Control

Part 3: Implementation of Quality Measure: Hypertension Control

Part 4: Improvement Strategies: Hypertension Control

Part 5: Holding the Gains and Spreading Improvement

Part 6: Supporting Information


Part 6: Supporting Information 

Case Study

To gain insight into how a fictional QI team approached this measure, review a case study highlighting the Sunshine Health Care Center and its approach to improving Hypertension Control.

References
  1. American Heart Association. Exit Disclaimer. Heart disease and stroke statistics—2006 update. Circulation. 2009. 
  2. Ostchega Y, Yoon SS, Hughes J, Louis T. Hypertension awareness, treatment, and control -- continued disparities in adults: United States, 2005-2006. NCHS Data Brief No. 3. Hyattsville, Maryland: National Center for Health Statistics. 2008. 
  3. Centers for Disease Control and Prevention (CDC), National Center for Health Statistics. National Health and Nutrition Examination Survey 2005-2006. Hyattsville, Maryland: US Department of Health and Human Services, Centers for Disease Control and Prevention. 2007. 
  4. Lewington S, Clarke R, Qizilbash N, Peto R, Collins R. Age-specific relevance of usual blood pressure to vascular mortality: A meta-analysis of individual data for one million adults in 61 prospective studies. Prospective Studies Collaboration. Lancet 2002;360:1903-13. 
  5. American Heart Association. Heart disease and stroke statistics—2006 update. Circulation. 2009. 
  6. Cooper R, Rotimi C. Hypertension in Blacks. Am J Hypertens 1997;10:804-12. 
  7. National Heart, Lung, and Blood Institute. Strong Heart Study Data Book: A Report to American Indians Communities. Bethesda, MD: National Institutes of Health, National Heart, Lung, and Blood Institute. NIH Publication [PDF | 582KB] No. 01-3285, 2001. pp. 19. 
  8. Crespo CJ, Loria CM, Burt VL. Hypertension and other cardiovascular disease risk factors among Mexican Americans, Cuban Americans, and Puerto Ricans from the Hispanic Health and Nutrition Examination Survey. Public Health Rep 1996;111:7-10. 
  9. Whelton PK, He J, Appel LJ, Cutler JA, Havas S, Kotchen TA, et al. Primary prevention of hypertension: Clinical and public health advisory from The National High Blood Pressure Education Program. JAMA 2002;288:1882-8. Stamler R. Implications of the INTERSALTstudy. Hypertension 1991;17:I16-20. 
  10. Institute of Medicine. Breakthrough Series College Aim Statement Checklist Boston: Institute for Healthcare Improvement. Exit Disclaimer. February 2004. 
  11. Adapted from pre-work manual used in HRSA sponsored Health Disparities Collaborative Exit Disclaimer. 
  12. NQC "A Guide to Consumer Involvement" Exit Disclaimer. 
  13. Timmermans S, Mauck A (2005). "The promises and pitfalls of evidence-based medicine". Health Aff (Millwood) 24 (1): 18–28. doi:10.1377/hlthaff.24.1.18. PMID 15647212. 
  14. NQF-Endorsed™ National Voluntary Consensus Standards for Physician-Focused Ambulatory Care: APPENDIX A –NCQA Measure Technical Specifications April, 2008 V.7 Page 50 
  15. NQF-Endorsed™ National Voluntary Consensus Standards for Physician-Focused Ambulatory Care: APPENDIX A –NCQA Measure Technical Specifications April, 2008 V.7 Page 50 
  16. Adapted from Chronic Care Model. 
  17. Langley G., Nolan K., Nolan T., Norman C., Provost L. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. San Francisco. Jossey-Bass, 1996 
Additional Resources
  1. Physician Performance Measures
  2. Joint Commission Exit Disclaimer.
  3. NQF-Endorsed™ National Voluntary Consensus Standards for Physician-Focused Ambulatory Care APPENDIX A –NCQA Measure Technical Specifications, Exit Disclaimer. April, 2008 V.7
  4. AHRQ Innovations Exchange. - Strategies and quality-related tools to improve an organization's ability to innovate and adopt new ideas, and interact with innovators and adopters.
  5. Health IT Adoption Toolbox
  6. Improving Chronic Illness Care. Exit Disclaimer. - Dedicated to sharing strategies for improving how care teams deliver care for chronic illness
  7. Institute for Healthcare Improvement. Exit Disclaimer. - General topics and strategies for improvement, including diabetes care.
  8. National Heart, Lung and Blood Institute
  9. CDC - DHDSP - High Blood Pressure Home



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