Healthy Communities-Severe Hypertension Outreach (SHO)

Project By-line:  Improving Severe Hypertension Outreach in FQHC

 Introduction Paragraph: Hypertension is a widespread chronic condition and a preeminent risk factor for heart disease, stroke, and other diseases that result in premature death. In N.C. heart disease and stroke are the number one cause of death. Blood pressure control can reduce the risk of heart disease that may subsequently result in heart attack and premature death, particularly among minority groups and vulnerable populations. Achieving hypertension control can decrease costs associated with preventable emergency room visits, inpatient hospital stays and complications. Of all adults with hypertension, 84% are aware of their condition and 76% are taking medication. Of those taking medication, only 53% have a blood pressure that is controlled.

 Primary Aim: To improve the rate of blood pressure control at Lincoln Community Health Center (FQHC).

 Design: Quality improvement design; 3 cycles of 3-months each

Metrics: The rate of uncontrolled hypertension will be measured at baseline using an EHR identification process.  Patient education and follow-up interventions will be conducted by the team, both by phone and in the clinic at a scheduled visit.  Post-intervention BP and medication access will be measured at the f/u visit.

Timeline: March –December 2017; 3 cycles of 3-months each

Project Team Lead: Holly Biola, MD (holly.biola@duke.edu) and Joan Chaplin (joan.chaplin@duke.edu)