Percentage of Clinics Adherent to US Preventive Services Task Force Recommendations
| USPSTF Recommendation6 | Utah Million Hearts Assessment Question | Clinics Adherent to Recommendation, % (95% CI) |
|---|---|---|
| In-office blood pressure measurement | ||
| Use the mean of 2 measurements | Q11: Repeat the measurement within 1 to 2 minutes and use the mean of 2 measures | 58.5 (49.7–67.4) |
| Measure while the patient is seated | Q5: Patient seated in a chair with back support | 87.0 (81.0–93.0) |
| Allow for ≥5 minutes between entry into office and BP measurement | Q8: Measure BP after the patient has rested quietly for 5 minutes before measurement | 57.7 (48.9–66.6) |
| Use an appropriately sized arm cuff | Q10: Use a cuff size appropriate to the patient's midarm circumference | 93.5 (89.1–97.9) |
| Place the patient's arm at the level of the right atrium | Q7: Measure BP with the patient arm and cuff at midsternal level | 84.6 (78.1–91.0) |
| Out-of-office hypertension diagnosis confirmation | ||
| ABPM may be used to confirm a diagnosis after initial screening | Q18: Practice has access to 24-hour ABPM studies | 25.2 (17.4–33.0) |
| HBPM may be used to confirm a diagnosis after initial screening | Q15: Practice has a written policy for training patients on accurate HBPM | 27.6 (19.6–35.7) |
| Q16: Staff distribute materials for HBPM for newly diagnosed patients or those with uncontrolled hypertension | 36.6 (28.0–45.2) | |
| Q17: Practice designates at least 1 member of the care team to provide individualized training in accurate HBPM | 48.8 (39.8–57.7) | |
| Recommends use of a regular screening interval | Q23: Practice has a system to alert patients with uncontrolled hypertension of a missed appointment or overdue BP check | 55.3 (46.4–64.2) |
ABPM, 24-hour ambulatory blood pressure monitoring; CI, confidence interval; BP, blood pressure; HBPM, home blood pressure monitoring; USPSTF, US Preventive Services Task Force.