| Clinical Information Systems (CIS) | Creating a practice level list and monthly reports of patients with HTN and uncontrolled HTN Creating lists of hypertensive patients without recent visits or with uncontrolled HTN at their last visit for outreach
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| Standard Care Processes (SCP) | Instructing practice staff on guideline-concordant blood pressure measurements, including use of sound reduction equipment to provide a calm environment for patients during BP assessments and use of posters throughout the clinics demonstrating proper technique and engaging in refresher sessions to maintain focus on proper measurement technique Working with staff to document BP in EHRs such that the data would populate HTN reports Standardizing staff behaviors to repeat BP measurements for patients with SBP and DBP values ≥ 140 and/or ≥ 90 mm Hg
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| Optimized Team Care processes (OTC) | Holding group QI meetings with attendance where data review and improvement activities were devised Creating HTN control educational videos for patients related to nutrition, lifestyle, and medication adherence Weekly huddles to identify patients with uncontrolled BP and those requiring extra support; instituting processes for making follow-up phone calls to check on patient's engagement in their own care and reporting out of office BP measurements back to staff Having all clinic staff wear different HTN control messages on their clothing such that a unique message is shared by each staff member who interacts with patients during visits.
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| Patient Self-Management Support (SMS) | Patients' use of BP log cards to document out-of-office BPs and instructing clinical staff on how to address noted BP trends that may be related to stress, lack of medication adherence, etc. Use of refrigerator magnets to remind patients to check their BPs, know their goal BPs, and engage in healthy lifestyle activities Use of “kudos” cards given to patients at subsequent office visits when BP's were improved Use of “Teach Back” methods with patients Engaging in patient goal setting activities Providing a raffle in clinic waiting rooms to receive a home BP monitor as a way to promote home monitoring and self-management
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