Characteristics of Health Care Practices and Systems That Excel in Hypertension Control
- PMID: 29885674
- PMCID: PMC6016404
- DOI: 10.5888/pcd15.170497
Characteristics of Health Care Practices and Systems That Excel in Hypertension Control
Abstract
Approximately 1 in 3 US adults has hypertension, but only half have their blood pressure controlled. We identified characteristics of health care practices and systems (hereinafter practices) effective in achieving control rates at or above 70% by using data collected via applications submitted from April through June 2017 for consideration in the Million Hearts Hypertension Control Challenge. We included 96 practices serving 635,000 patients with hypertension across 34 US states in the analysis. Mean hypertension control rate was 77.1%; 27.1% of practices had a control rate of 80% or greater. Although many practices served large populations with multiple risk factors for uncontrolled hypertension, high control rates were achieved with implementation of evidenced-based strategies.
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References
-
- Go AS, Bauman MA, Coleman King SM, Fonarow GC, Lawrence W, Williams KA, et al. An effective approach to high blood pressure control: a science advisory from the American Heart Association, the American College of Cardiology, and the Centers for Disease Control and Prevention. J Am Coll Cardiol 2014;63(12):1230–8. 10.1016/j.jacc.2013.11.007 - DOI - PubMed
-
- Centers for Disease Control and Prevention. Million Hearts: hypertension control challenge rules and eligibility. 2017. [cited 2017 Oct 10]. Available from: https://millionhearts.hhs.gov/partners-progress/champions/rules.html. Accessed October 10, 2017.
-
- Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, et al.; National Heart, Lung, and Blood Institute Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure; National High Blood Pressure Education Program Coordinating Committee. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA 2003;289(19):2560–72. 10.1001/jama.289.19.2560 - DOI - PubMed
-
- National Quality Forum. Controlling high blood pressure, measure specification 0018. 2017. http://www.qualityforum.org/. Accessed October 10, 2017.
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