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REPEAT BP: Reviewing Effective Practices for Elevating Adherence in Treatment of Hypertension

Kevin Ly1, Seneca Harberger1, Alexander Chang1

  • 1Geisinger Medical Center, Danville, PA.

AMIA ... Annual Symposium Proceedings. AMIA Symposium
|February 23, 2026
PubMed

Insights

Implementing the American Medical Association

Area of Science:

  • Cardiovascular Health
  • Health Systems Management
  • Primary Care Medicine

Background:

  • High blood pressure (BP) remains a significant public health concern.
  • Effective BP control requires consistent measurement and follow-up protocols.
  • The American Medical Association's MAP framework offers evidence-based strategies for BP management.

Purpose of the Study:

  • To assess the implementation of the American Medical Association's MAP framework for BP control.
  • To evaluate the integration of confirmatory BP measurements within a large integrated health system.
  • To identify challenges and variations in adopting new BP management protocols.

Main Methods:

  • Implementation of the MAP framework across nearly 400 primary care providers.
  • Development of dashboards to monitor uncontrolled BP, confirmatory measurements, and follow-up rates.
  • Analysis of adoption variability by clinic and provider.

Main Results:

  • Significant variability observed in the adoption of confirmatory BP measurements.
  • Challenges identified in integrating these measurements into routine clinic encounters.
  • Inconsistencies noted in BP measurement repetition across different clinics and over time.

Conclusions:

  • Systemic approaches are crucial for effective blood pressure control.
  • Addressing clinic-to-clinic and week-to-week variations in BP measurement is essential.
  • Successful implementation of evidence-based programs requires tailored strategies to overcome adoption barriers.

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