Using the Million Hearts Change Package to Improve Diagnosis and Management of Hypertension
Patients with undiagnosed hypertension are “hiding in plain sight.”
There is clear evidence that patients at risk for undiagnosed hypertension make regular visits to their primary care physician and have a blood pressure measurement that should raise red flags, but doesn’t. Clinical inertia is a symptom of physician, patient and system factors. The physician and patient consider the measurement episodic and there are no system tools (i.e., pre-visit planning, decision support) to indicate past high measurements in the patient record.
Practical difficulties to detecting and managing hypertension require practical solutions: processes and tools that have a basis in the Chronic Care Model. Using reports and algorithms, family physicians can identify undiagnosed patients; implement protocols for testing and diagnosis, and develop registries for sustainable population management and quality improvement.
This session will provide the tools you need to identify these patients and improve patient outcomes.
- Discuss the newest HTN Guidelines and BP classifications
- Identify elevated BP/masked HTN in office
- Discuss how to continually reduce the rate of being at risk for undiagnosed hypertension
- Implement specific strategies named in change concept: “use a registry to identify, track and manage patients with HTN”
- Choose at least one change idea to be tested in practice
Dr. Rocco Caveng is a family physician with Cooper University Health Care-Camden. He received his medical degree from A.T. Still University Kirksville College of Osteopathic Medicine.
Fran Griffin has been working in patient safety and quality improvement for nearly 20 years, directly in the acute care setting and as an advisor, coach and teacher to many health care leaders and clinicians. She has been faculty at The Institute for Healthcare Improvement (IHI) since 2000.
AAFP Accreditation: This Live activity, Act Now! Hypertension Control in Primary Care, from 07/27/2018 - 07/27/2019, has been reviewed and is acceptable for up to .75 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
AMA Accreditation: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the New Jersey of Academy of Family Physicians. The New Jersey Academy of Family Physicians is accredited by the ACCME to provide continuing medical education for physicians.
The New Jersey Academy of Family Physicians designates this live activity for a maximum of 0.75 AMA PRA Category 1 Credit(s)™.
Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 0.75 AAFP Prescribed
- 0.75 AMA PRA Category 1™