Self-Monitoring Blood Pressure Programs: Raising Patient Engagement - - PowerPoint PPT Presentation
Steve Sisolak Richard Whitley Governor Director State of Nevada Department of Health and Human Services Self-Monitoring Blood Pressure Programs: Raising Patient Engagement While Lowering Blood Pressure Division of Public and Behavioral
Helping People. It’s who we are and what we do.
Steve Sisolak Governor Richard Whitley Director
State of Nevada Department of Health and Human Services
Division of Public and Behavioral Health Lisa Sherych, Administrator October 15, 2019
Helping People. It’s who we are and what we do.
Lisa Sheretz Policy and Health Systems Manager Chronic Disease Prevention and Health Promotion Section lsheretz@health.nv.gov
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Helping People. It’s who we are and what we do.
Hypertension Man anagement an and Self Self- Mon
lood Pressure (SM (SMBP)
Ne Nevada Prog
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Q Q & A
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circulatory system is a significant contributing factor to heart attack, stroke, and other health threats.
vascular diseases) is the leading cause of death in the United States and Nevada.
30% of the adult population. (US Preventative Taskforce, 2019)
BRFSS)
Helping People. It’s who we are and what we do. Helping People. It’s who we are and what we do.
5 https://www.heart.org/en/health-topics/heart-attack/understand-your-risks-to-prevent-a-heart-attack
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https://youtu.be/IFqDj 3dNN7s heart.org/hbp
Helping People. It’s who we are and what we do. Helping People. It’s who we are and what we do.
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h-topics/high-blood- pressure/high-blood-pressure- toolkit-resources
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in collaboration with Nevada Health Centers and the Nevada Division of Public and Behavioral Health
racial/ethnic groups. This Self-Monitoring Blood Pressure (SMBP) Program Guide for clinicians is a clinical support resource for implementation with patients at-risk for
help empower patients to make hypertension control a priority .
https://gethealthyclarkcounty.org /wp- content/uploads/2018/09/SMBP_ Guide-Final-PDF.pdf
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content/uploads/2018/09/SMBP_Guide-Final- PDF.pdf
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Care Teams Support SMBP
Integrate Clinical Support Systems
Empower patients to Use SMBP
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for 30 minutes
/media/files/health-topics/high- blood-pressure/tylenol- hbp/aha_toolkit_poster_final_
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Hypertension Gui uideline Too
ealthcare Providers Am American Hea eart Ass Association http://aha-clinical- review.ascendeventmedia.com /books/aha-high-blood- pressure-toolkit/
Helping People. It’s who we are and what we do. Helping People. It’s who we are and what we do.
Clin linic ical l sup support fee eedback loop loop be between pa patients and and cl clin inic icians s in in SM SMBP
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Helping People. It’s who we are and what we do. Helping People. It’s who we are and what we do.
population served at NVHCs (66%) when compared to the Nevada’s state prevalence (32.7%) (BRFSS 2017)
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Helping People. It’s who we are and what we do. Helping People. It’s who we are and what we do.
controlled by leading a heart healthy lifestyle including following a low- sodium diet, participating in physical activity, limit alcohol consumption, avoid the use of tobacco products and maintaining a healthy weight.
prescribed medications, maintaining schedules for taking medications, and the possible effects of other medications on their blood pressure, both over the counter and prescribed.
treatment by asking providers questions, setting goals, and developing a plan to lead a heart healthy lifestyle.
Helping People. It’s who we are and what we do. Helping People. It’s who we are and what we do.
Helping People. It’s who we are and what we do. Helping People. It’s who we are and what we do.
Goal 3: Promote the adoption of evidence-based quality measurement
Objective 4.1: Implement and report on key quality measures and identify areas for quality improvement
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Table 1. Blood Pressure Severity Classification - ACC BP Category Systolic BP Diastolic BP Normal <120 mmHg and <80 mmHg Elevated 120-129 mmHg and <80 mmHg Hypertension Stage 1 130-139 mmHg
80-89 mmHg Hypertension Stage 2 ≥140 mmHg
≥90 mmHg
2017 Report of the American College of Cardiology
according to the NVHC.
measured and recorded blood pressures for at least 3 consecutive quarters (six month between pre-test and post-test).
blood pressure measured and recorded, the first six months data after enrolled (referred) to the program was used for the analysis.
errors in recording, values of systolic blood pressures greater than 200 mmHg and less than 90 mmHg were not included. Similarly, diastolic pressures greater than 150 mmHg and less than 30 mmHg were not included.
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57.17 52.15 42.83 47.85
10 20 30 40 50 60 70
Control Intervention
%
Self-Monitoring Blood Pressure (SMBP) Program Data Analysis and Evaluation CSES-UNR 2019
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12.76 15.53 39.08 37.86 48.16 46.6
10 20 30 40 50 60
Control Intervention
%
age18-45 age45-59 age60-85
Self-Monitoring Blood Pressure (SMBP) Program Data Analysis and Evaluation CSES-UNR 2019
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7.97 1.55 47.91 41.24 47.91 41.24
10 20 30 40 50 60
Control Intervention
%
Black White Other/Unknown
Self-Monitoring Blood Pressure (SMBP) Program Data Analysis and Evaluation CSES-UNR 2019
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11.5 4.31 88.5 95.69
20 40 60 80 100 120
Control Intervention
%
Normal Abnormal
Self-Monitoring Blood Pressure (SMBP) Program Data Analysis and Evaluation CSES-UNR 2019
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39.98 49.28 60.02 50.72
10 20 30 40 50 60 70
Control Intervention
%
Yes No
Self-Monitoring Blood Pressure (SMBP) Program Data Analysis and Evaluation CSES-UNR 2019
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69.09 74.64 30.91 25.36
10 20 30 40 50 60 70 80
Control Intervention
%
Non-Diabetic Diabetic
Self-Monitoring Blood Pressure (SMBP) Program Data Analysis and Evaluation CSES-UNR 2019
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15.33 14.42 53.64 61.06 31.03 24.52
10 20 30 40 50 60 70
Control Intervention
%
Normal Obese Overweight
Self-Monitoring Blood Pressure (SMBP) Program Data Analysis and Evaluation CSES-UNR 2019
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88.5 86.57 11.5 13.43
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Quarter 1 Quarter 3 Normal Abnorm
Self-Monitoring Blood Pressure (SMBP) Program Data Analysis and Evaluation CSES-UNR 2019
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95.69 86.6 4.31 13.4
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Quarter 1 Quarter 3 Normal Abnorm
Self-Monitoring Blood Pressure (SMBP) Program Data Analysis and Evaluation CSES-UNR 2019
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impacts readings
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https://gethealthyclarkcounty.org/wp- content/uploads/2018/09/SMBP_Guide-Final-PDF.pdf https://www.heart.org/en/health-topics/high-blood- pressure/high-blood-pressure-toolkit-resources
Helping People. It’s who we are and what we do.
Lisa Lisa She Sheretz Ls Lsheretz@health.nv.gov
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Helping People. It’s who we are and what we do.
Murphy SL, Kochanek KD, Xu JQ, Arias E. Mortality in the United States, 2014. NCHS data brief, no 229. Hyattsville, MD: National Center for Health Statistics. 2015 Piper MA, Evans CV, Burda BU, Margolis KL, O'Connor E, Smith N, et al. Screening for High Blood Pressure in Adults: A Systematic Evidence Review for the U.S. Preventive Services Task Force. Evidence Synthesis No. 121. AHRQ Publication No. 13-05194-EF-1. Rockville, MD: Agency for Healthcare Research and Quality; 2014. Behavioral Risk Factor Surveillance System, 2017. Office of Public Health Informatics and Epidemiology. Division of Public and Behavioral Health. Minority Health Report: 2010-2014. Carson City, Nevada e1.0. December 2015. Wei Yang, Ph.D., M.D., Fannie Zhang, Ph.D., Peter Gao, B.S. Self-Monitoring Blood Pressure (SMBP) Program Data Analysis and Evaluation, Center for Surveys, Evaluation, and Statistics CSES-UNR; 2019.
The 2017 high blood pressure clinical practice guideline - NCBI https://www.ncbi.nlm.nih.gov › pmc › articles › PMC6291197 http://aha-clinical-review.ascendeventmedia.com/books/aha-high-blood-pressure-toolkit/2/ https://www.nhlbi.nih.gov/health-topics/dash-eating-plan https://gethealthyclarkcounty.org/wp-content/uploads/2018/09/SMBP_Guide-Final-PDF.pdf https://www.heart.org/en/health-topics/high-blood-pressure/high-blood-pressure-toolkit-resources
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