Improving Hypertension Control in the Black Patient Population: A Quality Improvement Study of Workflow Redesign Using the Electronic Health Record to Integrate Self-Monitoring, Education, and Reporting.
Charmaine L Duckie, Karen A Boston, Brittney Champagne, Julie Thompson, David J Halpern, Bradi B Granger
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引用次数: 0
Abstract
Background: Nearly half of American adults have hypertension (HTN), and non-Hispanic Black patients are diagnosed at a higher rate than others.
Local problem: Our local clinic population reflected disproportionate rates of uncontrolled HTN among Black patients.
Methods: A quality improvement pre-/postintervention design was used to evaluate an educational intervention to reduce blood pressure (BP) and improve self-monitoring of BP in Black patients using the Chronic Care Model.
Interventions: A team-based approach was used to redesign clinic workflows and patient education, prescribe self-paced videos from an electronic health record (EHR) patient portal, and provide home BP cuffs.
Results: Black participants (n = 79) improved viewing of prescribed videos (7.9% to 68.5%), knowledge scores (67.9 to 75.2), and mean systolic BP (-20.3 mm Hg; P > .001).
Conclusions: This team-based approach enhanced patient engagement, self-monitoring skills, EHR-reported BP, and overall BP control for a cohort of Black patients with uncontrolled BP.
背景:近一半的美国成年人患有高血压,非西班牙裔黑人患者的诊断率高于其他人。当地问题:我们当地诊所的人群反映出黑人患者中HTN失控率不成比例。方法:采用质量改进干预前/干预后设计,使用慢性护理模型评估降低血压(BP)和改善黑人患者血压自我监测的教育干预。干预措施:采用基于团队的方法重新设计诊所工作流程和患者教育,从电子健康记录(EHR)患者门户网站上发布自定节奏的视频,并提供家庭血压袖带。结果:黑人参与者(n=79)改善了处方视频的观看率(7.9%至68.5%)、知识评分(67.9至75.2)和平均收缩压(-20.3 mm Hg;P>.001)。
期刊介绍:
Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.