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Improving Hypertension Care & Outcomes

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About the Toolkit for Improving Hypertension Care & Outcomes

Hypertension, or high blood pressure, is a major risk factor for heart disease and stroke, the first and fourth leading causes of death for all Americans (CDC - High Blood Pressure). Approximately 1.3 million adults in Wisconsin have hypertension, and of those, two out of five are unaware of their condition (Wisconsin Department of Health Services - Heart Disease).

Healthcare providers achieve varying degrees of success in controlling hypertension. For example, the percent of adult patients with uncomplicated essential hypertension whose blood pressure is controlled (less than 140/90 mm Hg) ranges from 74% to 89% among the provider organizations – health systems, medical groups, and clinics – that publicly report data to the Wisconsin Collaborative for Healthcare Quality (WCHQ).  Collectively, the provider organizations in WCHQ’s membership represent over 65% of Wisconsin physicians and their patients.

WCHQ formed a Hypertension Quality Improvement Steering Team – composed of clinical, quality, and operational leaders from healthcare provider organizations, as well as subject-matter experts from other key stakeholders – to assess the performance variation in hypertension control rates and to promote across-the-board improvement.  The team took action:

  • Established a goal to improve hypertension control, and selected a metric to track progress using the data publicly reported to WCHQ. 
  • Recommended strategies to help achieve the improvement goal, that are proven best practices successfully adopted within the WCHQ member organizations. 
  • Compiled this comprehensive package of tools, resources, and supportive literature to guide organizations interested in implementing the improvement strategies to achieve better outcomes for patients.

What does the toolkit contain?

The Toolkit for Improving Hypertension Care & Outcomes presents several evidence-based strategies that healthcare provider organizations can use to improve hypertension control among their patients. 

The toolkit also provides a variety of resources – e.g., guidelines, workflows, protocols, templates, videos, web links – to support implementing the improvement strategies.   

Who should use the toolkit?

This toolkit is designed for administrators, clinicians, and staff within healthcare provider organizations who are seeking strategies and tools to improve hypertension control among their patients. 

The toolkit may also interest others – e.g., researchers, payers – involved with quality improvement activities for hypertension care in the ambulatory setting.    

Toolkit development and funding

This toolkit was developed by WCHQ’s Hypertension Quality Improvement Steering Team, representing clinical, quality, and operational leaders from healthcare provider organizations, as well as subject-matter experts from other key stakeholders.  Team members and their organizations are acknowledged within the toolkit.

The toolkit received financial support from the Cooperative Agreement 5U58DP004828-02, funded by the Centers for Disease Control and Prevention (CDC) Department of Health and Human Services received by the Wisconsin Department of Health Services, Division of Public Health. Its contents are solely the responsibility of the author and do not necessarily represent the official views of the Centers for Disease Control and Prevention or the Department of Health and Human Services.

Citation: Wisconsin Collaborative for Healthcare Quality. “Toolkit for Improving Hypertension Care & Outcomes.” Wisconsin Collaborative for Healthcare Quality; 2018. Available at: http://www.hipxchange.org/HypertensionCare. 

We welcome your questions and comments about this toolkit, which is intended to advance collaborative learning, open sharing, and collective improvement. Please contact the Wisconsin Collaborative for Healthcare Quality at info@wchq.org.