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July 2015Campaign Updates
Q1 2015 Campaign Data
Q1 Comparative Reports
Early next week, Measure Up/Pressure Down® and Anceta will release blinded feedback and comparative reports to participating groups• Groups that reported data received
codes with their unique identifier• Groups that have not yet reported
data received a reminder email
Questions? Email [email protected]
Progress Towards Goal
Based on the 91 groups currently reporting data through the campaign portal:• Average prevalence rate: 27.3%• Average control rate: 69.7%* (increase of 1.2% since initial reporting period of Q1 2013 to
Q1 2015)• Number of patients with improved hypertension detection or control since start of the
campaign (Q1 2013 to Q1 2015): 447,764 (adjusted for seasonality)
For technical assistance or coaching support, please contact Shannon Walsh at [email protected].
*Note: Because the set of medical groups who submit data differs slightly from quarter to quarter, the averages may not be directly comparable.
Q2 2015 Reporting Open
• Q2 2015 data is currently accepted through the campaign portal• To report your data, please visit:
https://members.measureuppressuredown.com/
National Day of Action: Roll Up Your Sleeves!
May 7, 2015
“Action” Photos
“Action” Media Coverage
National Day of Action Participants
National Day of Action Participants
National Day of Action Participants
National Day of Action Progress
Next National Day of Action:Thursday, May 5, 2016
Other Campaign Activities
Upcoming Campaign Webinars
2015 Institute for Quality Leadership Conference
The Baton Rouge Clinic, AMC
The Baton Rouge Clinic, AMC
• We serve the Metropolitan Baton Rouge Area as well as communities in Southern Louisiana and some from Southern Mississippi
• 96 Physicians
• 48 Primary Care Physicians
– 16 Pediatricians
– 32 Internists
• 48 Subspecialists Representing 12 Specialties
The Baton Rouge Clinic, AMC
• Our Journey began about 3-4 years ago with a more focused attention to Blood Pressure and the development of a Hypertensive Protocol
• We have are now in our 2nd iteration of the BRC Hypertension protocol
• It is shared with all members of the Department of Internal Medicine with a copy for each exam room
The Baton Rouge Clinic, AMC
The Baton Rouge Clinic, AMC
The Baton Rouge Clinic, AMC
The Baton Rouge Clinic, AMC
Combination Agents
Single Agents
The Baton Rouge Clinic, AMC
Support the Providers
A Disease Cannot be Treated if it Cannot be Identified
The Baton Rouge Clinic, AMC
Be Sure that Your Staff is Properly Trained to Obtain
Accurate Blood Pressures in the Rooming Process
The Baton Rouge Clinic, AMC
Rooming Process for Nurses• We Use Standard Sphygmomanometers
• Patient to be Seated in a Chair with Both Feet on the Floor
• Not Talking While Blood Pressure is Taken
• If Initial Blood Pressure is High, Repeat after Patient Has Been Sitting Quietly for 5 minutes
• Nurses Have had In Service Education and BP Skills Checked Out by Nursing Supervisors and new Hires are Trained and Checked Out
The Baton Rouge Clinic, AMC
• When a patient is seen and the patient’s blood pressure is > 140 systolic or > 90 diastolic a BPA (best practices advisory) fires
Best practice advisory
The Baton Rouge Clinic, AMC
The Baton Rouge Clinic, AMC
Educate the Patients
A Disease Cannot be Successfully Treated if it is not Understood by the
Patient who has it
The Baton Rouge Clinic, AMC
Patient Education
We use articles that are embedded into our Health Library and offered to patients to help guide diet choices and disease awareness• Dash Diet• Low Sodium Diet • Hypertension• Kidney Disease: High Blood Pressure
• Smartphrase created by one of our Doctors that can also be used
The Baton Rouge Clinic, AMC
Best practice advisory
The Baton Rouge Clinic, AMC
Transparency is Important to Leverage:
–Provider Awareness of their Individual Data because Physicians are Concerned about providing High Quality Care
–The Naturally Competitive Nature of Physicians to Excel in Comparison to Their Peers
The Baton Rouge Clinic, AMC
Data Transparency
Don’t Let Perfection get in the
way of progress
The Baton Rouge Clinic, AMC
What is Next for the Baton Rouge Clinic?
The Baton Rouge Clinic, AMC
New Pilot Program – The Steps We Will be Taking
1. Patient Recalls for a Free Nurse Visit for a Blood Pressure Check for those whose blood pressure was elevated at the most recent visit
2. If well received by the Patients consider adding a dedicated nurse vital sign station to perform this function
3. Depending upon the number of patients that are found to have elevated blood pressure on the recheck, start Nurse managed protocols
The Baton Rouge Clinic, AMC
New Pilot Program Patient Recall for Free Nurse Visit For a Blood Pressure Recheck
• Under age 65 systolic >140 or diastolic >90• 65 and older with a systolic >150 or diastolic >90• Reports run to identify those whose BP exceeded
the above parameters• MD to review list for those whose blood pressure
should not be lowered further• Patient contacted and instructed to take usual
medications when coming for their blood pressure recheck with a nurse
The Baton Rouge Clinic, AMC
• 146-160 – patient will be appointed with MD within 3-4 weeks for further medication management and reassessment of BP management plan
• 160-179 – Patient will be scheduled to see MD within 1-2 weeks for further medication management and assessment of BP Management plan
• 180 and greater - Patient will be referred for same day assessment with primary care MD or if primary MD not available then first available MD with opening
The Baton Rouge Clinic, AMC
15 July 2014 Annals of Internal Medicine Volume 161 • Number 2 Page 113
