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Published on: January 15, 2017
Improving hypertension control: a team approach in a primary care setting
R J Stroebel1, J K Broers, S K Houle
1Division of Community Internal Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA.
The Joint Commission Journal on Quality Improvement
|December 1, 2000
Summary
Implementing a new care model significantly improved blood pressure control rates in hypertensive patients. This practice redesign led to sustained improvements, offering a scalable solution for hypertension management.
Area of Science:
- Cardiovascular Medicine
- Primary Care Practice Redesign
- Hypertension Management
Background:
- Blood pressure control rates in the U.S. have stagnated over the last decade.
- Limited research exists on improving hypertension care through guideline implementation and care model changes.
Purpose of the Study:
- To evaluate the impact of a modified care model on hypertension control rates.
- To assess the sustainability of improved blood pressure control following practice changes.
Main Methods:
- Five physician (MD)/registered nurse (RN)/licensed practical nurse (LPN) teams adopted a new care model for hypertensive patients.
- A control group of 25 MD teams continued usual care but received guideline recommendations.
- Blood pressure control rates were monitored monthly for patients in both groups.
Main Results:
- The pilot group demonstrated a statistically significant improvement in hypertension control from 33.1% to 49.7%.
- This improvement was significantly greater than in the control group after adjusting for age (p = 0.033).
- Improved blood pressure control was sustained for at least 12 months in the pilot group.
Conclusions:
- A revised care model in primary care significantly improved and sustained blood pressure control rates.
- Practice redesign, aligning with the chronic care model, was a key factor in successful hypertension management.
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