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Commitment to Hypertension Control During the COVID-19 Pandemic: Million Hearts Initiative Exemplars

Amena Abbas1,2,3, Judy Hannan1, Haley Stolp1,4

  • 1Division for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.

Preventing Chronic Disease
|August 4, 2022
PubMed

Insights

Many US adults struggle with hypertension control. Organizations adapted care using telemedicine and patient monitoring during the COVID-19 pandemic to improve blood pressure management.

Area of Science:

  • Public Health
  • Cardiovascular Medicine
  • Health Services Research

Background:

  • Hypertension is a significant risk factor for cardiovascular diseases, with a high prevalence of inadequately controlled blood pressure in US adults.
  • The Million Hearts initiative aims to improve cardiovascular disease management, including hypertension.
  • The COVID-19 pandemic significantly disrupted routine healthcare delivery and preventive services.

Purpose of the Study:

  • To identify and document adaptive strategies used by clinical and health organizations to maintain hypertension control during the COVID-19 pandemic.
  • To provide examples of successful adaptations that can inform future public health emergencies and routine care.

Main Methods:

  • Identification of eight "Hypertension Control Exemplars" (clinical and health organizations).
  • Interviews with representatives from these exemplar organizations to gather information on adapted care strategies.
  • Analysis of reported strategies focusing on service and care process adaptations.

Main Results:

  • Exemplars implemented diverse strategies, including telemedicine for remote consultations.
  • Patient engagement in self-measured blood pressure monitoring was a key adaptation.
  • Medication management services were adapted or implemented, alongside activated partnerships to meet patient needs.
  • Unique patient outreach approaches were developed and utilized.

Conclusions:

  • Organizations successfully adapted hypertension control services during the pandemic through innovative strategies.
  • Documented adaptive approaches can enhance the adoption of effective hypertension management during public health crises.
  • These strategies offer valuable insights for improving routine hypertension care and patient outcomes.

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