Hypertension is a major risk factor of heart disease, which is the number one killer of Missouri residents. Research has shown that when combined with additional clinical support, self-measured blood pressure monitoring (SMBP) is effective in reducing hypertension, improving patient knowledge and engagement, and initiating and sustaining lifestyle modifications.
Clinics submitted baseline and quarterly data for hypertension prevalence, controlling high blood pressure, and number of patients enrolled in SMBP. Our project used an SMBP Action Planning document, data report cards, and a Plan Do Study Act (PDSA) case presentation template.
MPRO compiled quarterly data and plotted progress over time for each clinic to see how both hypertension prevalence and controlling high blood pressure measures were impacted after implementation of an SMBP program. MPRO shared data in the form of clinic report cards.
Implementation included: care team training, teleECHO series, and personalized technical assistance. Obstacles included: staff turnover and capacity, and data collection. Other healthcare quality professionals can apply similar framework to train and support care team members to enroll patients to SMBP and impact their hypertension quality measures.
The 27 participating clinics enrolled 1,662 patients to SMBP to date, improved both hypertension prevalence and controlling high blood pressure measures, and showed a change in knowledge after training. The Action Planning document was critical in the quick implementation of SMBP. All project activities highlighted sustainability strategies and tools.