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Improving Hypertension Control through a Standardized Workflow at the University of Kansas SOM-Wichita Department of

Diala Merheb1, Justin Moore1

  • 1The University of Kansas School of Medicine-Wichita, Wichita, Kansas, Department of Internal Medicine.

Kansas Journal of Medicine
|May 15, 2026
PubMed

Insights

Implementing a standardized workflow with home blood pressure (BP) monitoring improved hypertension control rates. This quality improvement initiative achieved better BP management, exceeding national averages.

Area of Science:

  • Cardiology
  • Public Health
  • Health Services Research

Background:

  • Uncontrolled hypertension is a major cause of cardiovascular disease and mortality.
  • Delayed blood pressure (BP) follow-up after medication changes hinders optimal patient management.
  • A quality improvement initiative addressed inconsistent BP rechecks at an internal medicine clinic.

Purpose of the Study:

  • To implement a standardized two-week BP recheck workflow.
  • To improve timely BP follow-up and medication titration.
  • To achieve a clinic-wide BP control rate at or above the 75th national percentile.

Main Methods:

  • A quality improvement initiative was conducted from August 2023 to March 2024.
  • A standardized hypertension follow-up and medication titration workflow was introduced.
  • Self-measured BP (SMBP) monitoring was offered to patients with elevated BP, supported by education and structured follow-up.

Main Results:

  • Hypertension control improved significantly, rising from 66% to 76% by October 2025, surpassing the national average of 62%.
  • Modest improvements were observed in same-visit (14%) and two-week (4%) BP rechecks.
  • Sustained staff education and workflow reinforcement correlated with improved outcomes.

Conclusions:

  • A standardized, team-based workflow integrating home BP monitoring enhances BP control.
  • This model demonstrates scalability for effective chronic disease management.
  • Improved BP control was achieved through structured protocols and patient engagement.
Abstract

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