Start Date

5-3-2024 9:10 AM

End Date

5-3-2024 11:00 AM

Description

Problem Definition

Hypertension (HTN), defined by the American Heart Association as systolic blood pressure (SBP) over 130 mm Hg or diastolic blood pressure (DBP) over 80 mm Hg, remains a major health concern worldwideas it leads tocongestive heart failure, chronic kidney disease, and stroke. Blood pressure control is an important task for the primary care physician (PCP). However, adequate management remains suboptimal as nearly half of US adults have uncontrolled high blood pressure.

After reviewing selected patients in our primary care office and discussing with our stakeholders, we found that more than two-thirds (69%) of uncontrolled hypertensive patients from a representative sample did not follow-up with their PCP in 3 months. This limits the PCP's ability to gauge the effectiveness of treatments and offer solutions for better control.

Part of this problem rests on residents’ limited schedules.

Luckily, our clinic staff includes two licensed pharmacists who are knowledgeable about medication management and titration. Pharmacist appointments do not require a co-pay.

Keywords

hypertension management, follow up

Comments

Presented at the 2024 Jefferson Health Equity and Quality Improvement (HEQI) Summit.

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May 3rd, 9:10 AM May 3rd, 11:00 AM

Procedural Realignment to Ensure Superb Hypertension Regulation: The PRESHER Study

Problem Definition

Hypertension (HTN), defined by the American Heart Association as systolic blood pressure (SBP) over 130 mm Hg or diastolic blood pressure (DBP) over 80 mm Hg, remains a major health concern worldwideas it leads tocongestive heart failure, chronic kidney disease, and stroke. Blood pressure control is an important task for the primary care physician (PCP). However, adequate management remains suboptimal as nearly half of US adults have uncontrolled high blood pressure.

After reviewing selected patients in our primary care office and discussing with our stakeholders, we found that more than two-thirds (69%) of uncontrolled hypertensive patients from a representative sample did not follow-up with their PCP in 3 months. This limits the PCP's ability to gauge the effectiveness of treatments and offer solutions for better control.

Part of this problem rests on residents’ limited schedules.

Luckily, our clinic staff includes two licensed pharmacists who are knowledgeable about medication management and titration. Pharmacist appointments do not require a co-pay.