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

We report on the implementation of an evidence-based program for improving blood pressure (BP) control-the American Medical Association's MAP framework-across an integrated health system with almost 400 primary care providers. We developed dashboards to track key metrics: the number of patients with uncontrolled BP, the frequency of recording confirmatory BP measurements during office visits, and the follow-up rates within 30 days for patients with repeated elevated readings. Our findings highlight the complexity of incorporating confirmatory BP measurements into clinic encounters, revealing significant variability in adoption by clinic and by provider. The implementation of the evidence-based program demonstrates that clinic-to-clinic and week-to-week inconsistencies in repeating BP measurements necessitate a systemic approach for effective BP control.