Improving Hypertension Control: Implementation of Self-measured Blood Pressure Monitoring Plus Clinical Support
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Wu, Yuping
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- Embargoed until 2026-05-13
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Abstract
Problem: There is no standardized hypertension management process at a senior center, leading to over 40% of seniors with hypertension having inadequate blood pressure control. This underscores the need for evidence-based intervention. Purpose: The purpose of this quality improvement project is to improve hypertension control rates at the center by implementing and measuring a self-measured blood pressure monitoring plus clinical support process, an evidence- based, research-supported intervention. The project aimed to benefit approximately 127 seniors with hypertension over a 15-week period in the fall of 2024. Methods: The intervention involved a collaborative team, including a project lead, informatics technician, nurse leader, medical assistant, and appointment scheduler. The implementation launched following device setup and education sessions, and it involved monitoring seniors' blood pressure, scheduling follow-ups, sharing blood pressure data with providers, and conducting motivational interviews to promote adherence to care plans. Results: At the start of the project, 32 seniors (25.2%) were identified as having uncontrolled hypertension, with an additional 24 seniors identified during the project. By its conclusion, all seniors with uncontrolled hypertension had participated in the newly implemented blood pressure management process, with an average adherence rate of over 90%. The final blood pressure data demonstrated a reduction in uncontrolled hypertension from 25.2% to 11.9%. Conclusions: The project team demonstrated high adherence to the new hypertension management process, identified uncontrolled hypertension early, and improved blood pressure control. These findings support the feasibility and effectiveness of this approach for managing hypertension in a senior center setting, aligning with existing research.
