Improving Patient and Provider Engagement in Hypertension Control
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Date
2022-07-13
Authors
Long, Alyssa
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Abstract
Hypertension is the second leading cause of death and costs the United States over $130 billion
annually. The Centers for Medicare and Medicaid promote control through the star rating system
and primary care reimbursement. The project site’s hypertension control rate for Medicare
patients was 70%, with a goal of 85% or more, and the follow-up rate was only 30%. A need was
identified to improve follow-up in Medicare patients with uncontrolled hypertensive.
The project implementation included strategies to increase follow-up frequency, decreasing the
number of prescribing and implementing a standardize protocol hypertension follow-up. The
current approach includes increasing follow-up frequency, decreasing the number of prescribers,
and implementing standardized protocols. In a 15-week implementation period, 238 Medicare
patients’ charts were reviewed. Overall, the control rate improved from 70% to 95%. The follow-
up rate improved to 75% of patients with a scheduled follow-up visit. Implementation of a
standardize protocol in follow-up improved hypertension control among Medicare patients.
Recommendations are to expand the project to other hypertensive patients in primary care.
Increasing continuity, implementing hypertension follow-up protocol, and reinforcing to the
providers to schedule a follow-up appointment were effective at improving hypertension control.
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Citation
Long, A. L. (2022). Improving Patient and Provider Engagement in Hypertension Control. [Doctor of Nursing Practice project report, East Carolina University College of Nursing]. The Scholarship.
End citation: (Long, 2022)
Narrative citation: Long (2022)