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Strategies for Success: Million Hearts Hypertension Control Champions
Jessica Barnett1,2, Adam S Vaughan2, Judith Hannan2
1ASRT Inc., Smyrna, GA, USA.
American Journal of Hypertension
|March 25, 2025
Summary
Million Hearts® Hypertension Control Champions achieved high blood pressure control rates using evidence-based strategies. Key methods included electronic medical records, patient support, and team-based care, demonstrating achievable hypertension control.
Area of Science:
- Public Health
- Cardiovascular Medicine
- Health Systems Management
Background:
- Hypertension affects over 119 million U.S. adults, with a significant portion having uncontrolled blood pressure.
- The Million Hearts® initiative, co-led by the CDC and CMS, aims to improve hypertension control nationwide.
- Hypertension Control Champions are recognized for achieving validated control rates of 80% or higher.
Purpose of the Study:
- To summarize the characteristics of Million Hearts® Hypertension Control Champions.
- To quantify the evidence-based strategies employed by these champions.
- To identify successful approaches for achieving high hypertension control rates.
Main Methods:
- Analysis of application data from recognized Hypertension Control Champions across multiple five-year cycles (2012-2024).
- Summary statistics were calculated for champion characteristics and reported strategy usage.
- Data from 199 champions across 44 states were analyzed.
Main Results:
- Champions reported a mean blood pressure control rate of 82% (systolic < 140 mm Hg, diastolic < 90 mm Hg).
- The most frequently utilized evidence-based strategies included electronic medical record (EMR) systems, patient support (e.g., self-measured blood pressure monitoring), and team-based care.
- Recognized champions demonstrated consistent high performance over multiple operational cycles.
Conclusions:
- The Million Hearts® Hypertension Control Champions highlight the feasibility of achieving high hypertension control rates.
- Implementation of evidence-based strategies is crucial for success across diverse clinical settings.
- These findings provide a model for improving population-level hypertension management.
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