Quality Improvement Techniques to Improve Blood Pressure Readings
|
|
- Christine Hancock
- 6 years ago
- Views:
Transcription
1 June 7, 2016 Quality Improvement Techniques to Improve Blood Pressure Readings Rebecca Durham, HealthInsight Utah Susan Yelton, HealthInsight New Mexico
2 HealthInsight Quality Innovation Network (QIN) Quality Improvement Organization (QIO) CMS Quality Strategy: Eliminating disparities Strengthening infrastructure and data systems Enabling innovation Fostering learning organizations Quality Improvement Organizations About QIN-QIOs. Retrieved at: QIO Program Fact Sheet Handout. 2
3 We want to hear from you! Type questions into the Questions Pane at any time during this presentation
4 Speakers Rebecca Durham Project Manager HealthInsight (UT) Susan Yelton Project Manager HealthInsight (NM)
5 Speakers Amber Buchert Chronic Disease Program Coordinator Nevada Health Centers Jenni Wilson Business Intelligence Manager Nevada Health Centers
6 Learning Objectives Recall at least one quality improvement (QI) method to use in your work setting Articulate blood pressure (BP) measurement guidelines Explore ways to improve current blood pressure measurement process to improve the Million Hearts blood pressure control measures Create an action plan to improve and monitor change in blood pressure measurements
7 Agenda Introduction Review Blood Pressure (BP) Guidelines Walk through BP Assessment & EHR Guide Success Story: Nevada Health Centers Introduction to a few common QI tools Create an action plan Q&A
8 AHA Blood Pressure Categories AHA recommendation for healthy blood pressure: Systolic mm Hg less than 120 AND Diastolic mm Hg less than 80 AHA recommendation for prehypertension: Systolic mm Hg OR Diastolic mm Hg AHA recommended categorization for High Blood Pressure (Hypertension) Stage 1: Systolic mm Hg OR Diastolic mm Hg AHA recommended categorization for High Blood Pressure (Hypertension) Stage 2: Systolic mm Hg 160 or higher OR Diastolic mm Hg 100 or higher American Heart Association. (2016).
9 Measuring Blood Pressure the Right Way For patients: Limit physical activity 30 min before measurement No caffeine, alcohol or smoking 30 min before measurement Use restroom before Sit calmly for 5 min before For providers: Make sure device is calibrated according to manufacturers specifications Wash hands Choose proper cuff size for patient For both: Have patient sit in chair with back support and both feet on floor Rest arm at heart level No talking! Keep upper arm bare Check out clinical practice guidelines, tools and sample protocols on the MillionHearts.org website. New York City Health and Hospitals Corporation. (n.d).
10 Blood Pressure Assessment Created with local Million Hearts coalition members in Utah
11 Blood Pressure Assessment Designed to be an improvement tool Incorporates best practices in three categories Accuracy of Blood Pressure Readings Office Policies and Procedures Documentation, Alerts, EHR Clinics self-assess and create an action plan
12 Blood Pressure Assessment
13 Blood Pressure Assessment
14 Blood Pressure Assessment Corresponding resources are available Data drives change Use data from your EHR to inform and guide your efforts EHR Guide
15 EHR Guide Helps you run cardiacspecific reports Features screenshots and tutorials for commonly used EHRs: eclinicalworks, Greenway, emds Troubleshooting Quality measure selection PDSA support
16 SUCCESS STORY: NEVADA HEALTH CENTERS
17 Team Based Care: Addressing Hypertension Amber Buchert Chronic Disease Program Coordinator
18 Team Based Care: Addressing Hypertension Empowering Patients through Patient Centered Clinical Care
19 Nevada Health Center s Sierra Nevada Health Center, Virginia City Community Health Center, Carson City School Based Health Center 349 potential Patients 240 blood pressure cuffs for distribution A Community Health Worker completes the patient enrollment and training Patient Criteria: Males and females age 18 and above Diagnosed with hypertension Exhibited high blood pressure at least 2 of the last 3 appointments New patients that displayed high blood pressure at first 2 appointments
20 The Measures Being Collected The number of patients participating The number of patients with improved pressures (controlled) The number of patients whose pressure remained the same (difference is not statistically significant) The number of patients who reported worsening pressures The number of patients who followed their medication regimen The number of patient appointments needed when control gained
21 Implementation of this Program CHW calls identified patients to discuss the opportunity with them and, if they are interested, to schedule patients to receive the blood pressure monitor and training in the clinic
22 Patients Learn: To avoid bathing, drinking alcohol or caffeine, smoking, exercising and eating for 30 minutes before taking a measurement. Measurements should be taken in a quiet place. Stress raises blood pressure. To avoid taking measurements during stressful times. To remove tight fitting clothing from arm. The cuff should go around bare arm. To remain still and not talk during the measurement. To sit on a chair with their feet flat on the floor. To rest their arm on a table so that the arm cuff is at the same level as their heart.
23 Patients Learn: How to fill out the self-monitoring blood pressure logs that we provide to them. How often to report their blood pressure logs (weekly). The different options for reporting available to them, including: By telephone or voic , Stopping by the clinic to have a copy of their log saved for the CHW By fax, By mail, or by , By using the free app included with their blood pressure monitor to
24 Patients Learn: How to operate their new Omron BP786 Blood Pressure Monitor, including: How to set the date and time Battery installation Applying the arm cuff Taking a measurement Using the memory function Error messages and troubleshooting
25 Patients are given materials and the opportunity to discuss the following: Definition of both systolic and diastolic Blood pressure numbers by category according to the American Heart Association
26 Patients are given materials and the opportunity to discuss the following: Risk factors that can be controlled, and those that can t: Risk Factors You Can Control: Stress Diabetes Too little Potassium Smoking Not being physically active Drinking too much alcohol Eating too much salt Risk Factors You Cannot Control: Age Race/ethnicity Gender Family history Being over a healthy body weight Natural ways to control blood pressure, such as enjoying a healthy diet, a low sodium diet, keeping weight down, physical activity, limiting alcohol, not smoking, and managing stress
27 What happens after the blood pressure logs are received from a patient? We enter the date, time, systolic measurement, diastolic measurement, and pulse for each patient into a database for data collection. We enter the range of dates, the systolic range, diastolic range, and heart rate range for each patient into the patient s electronic health record, so their provider has access to it. Providers may release patients from this program once the patient has shown consistent blood pressure measurements for a thirty day period that are in control. Thank you
28 June Updates 99 Patients Enrolled Enrollment Period of January 27 June 3, % Compliance Rate Patients who submit their blood pressure readings on a regular basis 8 Patients have reached control and have been released from the program, but encouraged to continue daily monitoring.
29 Questions?
30 QUALITY IMPROVEMENT TOOLS
31 Root Cause Analysis: 5 Whys Define problem, ask why five times, leads to root cause Problem statement Why is that? Why is that? Why is that? Why is that? Why is that? (this is root cause) Solution is:
32 5 Whys Example Problem statement: Uncontrolled hypertension is not addressed during visits Why is that? Providers overlook blood pressure reading Why is that? Focus is on specific symptoms leading to visit Why is that? Not enough time during visits to review all information Why is that? No way to quickly identify patients with uncontrolled hypertension Why is that? No system in place to flag these patients Solution is: Medical assistant will place a red flag on file when blood pressure reading is > 140/90
33 Fishbone Diagram
34 Fishbone Diagram Example
35 IHI Model for Improvement and PDSA Cycle The Institute for Healthcare Improvement (IHI) Model for Improvement consists of two parts: 1. Three fundamental questions, which can be addressed in any order. 2. The Plan-Do-Study-Act (PDSA) cycle to test changes in real work settings. The PDSA cycle guides the test of a change to determine if the change is an improvement. Langley GL, Nolan KM, Nolan TW, Norman CL, Provost LP. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance (2nd edition). San Francisco: Jossey-Bass Publishers; The Plan-Do-Study-Act (PDSA) cycle was originally developed by Walter A. Shewhart as the Plan-Do-Check-Act (PDCA) cycle. W. Edwards Deming modified Shewhart's cycle to PDSA, replacing "Check" with "Study." [See Deming WE. The New Economics for Industry, Government, and Education. Cambridge, MA: The MIT Press; 2000.]
36 Steps in Change Action 1. Form the Team 2. Plan: Set Aim, Establish Measures, Select Change 3. Do: Test Change 4. Study: Check Measures 5. Act: Implement Change, Spread Change and/or Try a Different Change
37 Action Plan What are you trying to accomplish? Who will be involved? What will be your measures? What will you change? When will you re-measure? How will you know if you ve succeeded?
38 PDSA Aim: Plan: Task 1 Task 2 Task 3 Prediction Process measures: Outcome measures:
39 Type questions into the Questions Pane at any time during this presentation QUESTIONS? COMMENTS? REFLECTIONS?
40 Thank You! Please complete post-webinar survey Next webinar: Cardiac Care Highlights Huddle Thursday, July 14, p.m. MT Noon 1 p.m. PT This material was prepared by HealthInsight, the Medicare Quality Innovation Network Quality Improvement Organization for Nevada, New Mexico, Oregon and Utah, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. 11SOW-B
41 References American Heart Association. (2016). Understanding Blood Pressure Readings. Retrieved from American Heart Association webpage at: nderstanding-blood-pressure-readings_ucm_301764_article.jsp#.v1xlivkrjd8 Deming WE. The New Economics for Industry, Government, and Education. Cambridge, MA: The MIT Press; Institute for Healthcare Improvement. (2016.) Plan-Do-Study-Act (PDSA) Worksheet. Retrieved from IHI Tools webpage at: Langley GL, Nolan KM, Nolan TW, Norman CL, Provost LP. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance (2nd edition). San Francisco: Jossey-Bass Publishers; Million Hearts Website: New York City Health and Hospitals Corporation. (n.d). Adult hypertension clinical practice guidelines: Managing high blood pressure. Retrieved from Million Hearts Tools & Protocols page at:
The Model for Improvement: A Method for Accelerating Change
The Model for Improvement: A Method for Accelerating Change Kathy Phipps, RN, BSN, CPUR QI Specialist Judith Hale, MSW QI Specialist Flex Webinar Learning Series October 2, 2007 (Adapted from Associates
More informationBenchmarking, MIPS and Arcade Games: Using Benchmarks in Quality. David Smith, MBA HIT Project Manager
Benchmarking, MIPS and Arcade Games: Using Benchmarks in Quality David Smith, MBA HIT Project Manager HealthInsight Quality Innovation Network (QIN) Quality Improvement Organization (QIO) CMS Quality Strategy:
More informationUNDERSTANDING BLOOD PRESSURE
UNDERSTANDING BLOOD PRESSURE A HANDY GUIDE TO UNDERSTANDING WHAT BLOOD PRESSURE IS, HOW IT AFFECTS YOU, AND HOW TO MEASURE IT AT HOME Authored by the Texas Department of State Health Services Health Promotion
More informationUnderstanding Blood Pressure. A handy guide to understanding what blood pressure is, how it affects you, and how to measure it at home
Understanding Blood Pressure A handy guide to understanding what blood pressure is, how it affects you, and how to measure it at home Acknowledgments page Special thanks to the following individuals and
More informationQUALITY IMPROVEMENT TOOLS
QUALITY IMPROVEMENT TOOLS QUALITY IMPROVEMENT TOOLS The goal of this section is to build the capacity of quality improvement staff to implement proven strategies and techniques within their health care
More informationMi-CCSI welcomes you to the 2 nd in our 4 part Basics of Disease Management Webinar Series
Our speaker today is: Susan Vos, BSN, RN, CCM Mi-CCSI welcomes you to the 2 nd in our 4 part Basics of Disease Management Webinar Series We will be starting shortly A few housekeeping items: We will be
More informationQuality Data for Beginners Using your Electronic Medical Record for Quality Reporting and Better Patient Care
Using your Electronic Medical Record for Quality Reporting and Better Patient Care Developed by HealthInsight with funding from the U.S. Centers for Disease Control and Prevention through the Utah Department
More informationDeveloping a QAPI Program for Cardiovascular Health Improvement
Developing a QAPI Program for Cardiovascular Health Improvement Ashley Green MetaStar WiAHC Annual Conference November 5 th, 2015 Objectives The audience will be able to: Describe the purpose of HHQI s
More informationQuality Improvement Methodology, Workflow Redesign and Outcomes Management
Quality Improvement Methodology, Workflow Redesign and Outcomes Management Jeffrey Hummel, MD, MPH Medical Director for Clinical Informatics, Qualis Health and UW Medicine Neighborhood Clinics July 28,
More informationPhysicians and QIOs Improving Health Outcomes Together. AHQA 2014 Annual Meeting
Physicians and QIOs Improving Health Outcomes Together AHQA 2014 Annual Meeting Aims for Today Introduce AMA focus on improving health outcomes Describe our work on: Preventing cardiovascular disease and
More informationHome Blood Pressure Log
Home Blood Pressure Log 2 You or your health care professional may want to monitor your blood pressure at home twice a day for a week or more before appointments to accurately confirm your average blood
More informationPatient Education. intermountainhealthcare.org/bp. BP Tracker A TOOL FOR KEEPING TRACK OF YOUR BLOOD PRESSURE
Patient Education intermountainhealthcare.org/bp BP Tracker A TOOL FOR KEEPING TRACK OF YOUR BLOOD PRESSURE My name / phone: Contact numbers Healthcare provider: After hours clinic: Pharmacy: Other contacts:
More informationCONCORD INTERNAL MEDICINE HYPERTENSION PROTOCOL
CONCORD INTERNAL MEDICINE HYPERTENSION PROTOCOL Douglas G. Kelling Jr., MD Carmella Gismondi-Eagan, MD, FACP George C. Monroe, III, MD Revised, April 8, 2012 The information contained in this protocol
More informationBlood Pressure Monitor User Manual
Blood Pressure Monitor User Manual Revision Date 9/8/17 THE healthio The Blood Pressure Monitor device is meant to be used along with your healthio app to record blood pressure and pulse rate measurements.
More informationHOME BP USER INSTRUCTIONS
HOME BP USER INSTRUCTIONS Questionable or Elevated Blood Readings: In the event you take a home blood pressure that is greater than 175 SBP or 105 DBP, please wait 5 minutes and repeat TAKING YOUR BLOOD
More informationMEASUREMENT FOR IMPROVEMENT. Pat Waniewski, RN, MS
MEASUREMENT FOR IMPROVEMENT Pat Waniewski, RN, MS In God we trust. All others bring data. W. E. Deming Learning Objectives Identify the purpose and general principles of measurement for quality improvement
More informationDescribe the overarching purpose of both
Cindy Sun, MSN, RN, COS C Crystal Welch, MSN, RN Misty Kevech, MSN, RN, COS C Describe the overarching purpose of both HHQI and the Million Hearts initiative Identify three (3) key tools from either of
More informationWebinar Team. University of Florida IFAS Extension. Essentials of Blood Pressure Management Series Part 1: Blood Pressure Basics
Please download session materials and view archived sessions at http://bit.ly/ufbpwebpage Webinar Team Upcoming Sessions: March 22: Physical Activity and Stress Management April 5: Beyond Sodium: Food
More information3. 7:35-8:00 Next Steps: Clinical Champion Provider & Community-Based Presentations All Project Coordination & Housed Funds Next Steps
RHIP Clinical Cardiovascular Disease Workgroup PacificSource (Moraine Lake Room: 4 th Floor) 2965 Conners Ave, Bend Agenda: January 8, 2019 from 7:00-8:00am Goals Clinical Goal: Improve hypertension control
More informationAdult Immunizations Toolkit «For Home Health Providers»
Adult «For Home Health Providers» This is an edited version of a document prepared by TMF Quality Innovation Network, a contractor of the Centers for Medicare & Medicaid Services (CMS), an agency of the
More informationHypertension, Hyperlipidemia and Obesity. Mi-CCSI
Hypertension, Hyperlipidemia and Obesity Mi-CCSI Objectives Review the prevalence of hypertension, hyperlipidemia and obesity Correlation of the 3 conditions Discuss why it is important to treat these
More informationBlood Pressure Competency Training
Blood Pressure Competency Training WORKBOOK Table of Contents 3..... Introduction 4..... Background 6..... Equipment Accurate blood pressure What impacts a patient s blood pressure Strategies for proper
More informationMEASURES AND QUALITY IMPROVEMENT
MEASURES AND QUALITY IMPROVEMENT CO-LOCATION OF PRIMARY CARE AND BEHAVIORAL HEALTH Date: August 15, 2017 Introduction Today s Presenter Jacqueline Delmont, MD, MBA Delmont Healthcare Grassi & Co. General
More informationWelcome to the New England QIN-QIO Webinar!
Welcome to the New England QIN-QIO Webinar! Thank you for joining. Our presentation will begin shortly. If you haven t already, please dial in to the audio line: 888-895-6448 Passcode: 519-6001 Slides
More informationMIPS TIPS What is HCC and How Does It Impact the MIPS Cost Category? Oct. 25, 2018
MIPS TIPS What is HCC and How Does It Impact the MIPS Cost Category? Oct. 25, 2018 Presented by HealthInsight and Mountain Pacific Quality Health Tina Morishima, CPC, Mountain-Pacific Practice Consultant
More informationMIPS, Scoring and Submission Methods. David H. Smith, MBA HIT Project Manager
MIPS, Scoring and Submission Methods David H. Smith, MBA HIT Project Manager HealthInsight Our business is redesigning health care systems for the better HealthInsight is a private, non-profit, community
More informationFast Track to FluFIT: Develop a FluFIT Workflow Amber Rogers, RN, MSN Mountain-Pacific Quality Health
Fast Track to FluFIT: Develop a FluFIT Workflow Amber Rogers, RN, MSN Mountain-Pacific Quality Health Presenter: Amber Rogers, RN, MSN Mountain-Pacific Quality Health Developed by the American Cancer Society
More informationBlood Pressure Monitor
AM/PM MEMORY WRIST Blood Pressure Monitor Trilingual Instruction Guide MODEL UB-512 English Français Español important information Please read this important information before using your monitor. Please
More informationCheck. Change. Control. Connecting Communities and Care
Check. Change. Control. Connecting Communities and Care Background Check It. Change It. Check It. Change It.* launched in Durham County, N.C. to help a targeted group (~76% African-American) maintain healthy
More informationEVERY DAY A GUIDE TO KNOW YOUR NUMBERS
EVERY DAY A GUIDE TO KNOW YOUR NUMBERS WHAT IS BMI? Measuring your Body Mass Index (BMI) is a useful way to determine if you are at a healthy weight. Excess weight can increase your risk of heart disease,
More informationPATIENT INFORMATION. Medicine To Treat: H ypertension. Patient Awareness and Self-Care
PATIENT INFORMATION Medicine To Treat: H ypertension Patient Awareness and Self-Care WHAT IS BLOOD PRESSURE AND HIGH BLOOD PRESSURE? Blood pressure is the force generated as your heart pumps blood and
More informationParticipants in the Program
Type 2 Diabetes Performance Improvement Initiative: Chart Reviews Participants in the Program 318 clinicians have registered 192 have started the program 126 have started their initial chart review 26
More informationWACMHC QI Roundtable QI Strategies to Address Diabetes and Hypertension. August 3, 2018
WACMHC QI Roundtable QI Strategies to Address Diabetes and Hypertension August 3, 2018 Welcome Thank you for joining us for our third quarterly roundtable of 2018! Facilitator: Hannah Stanfield WACMHC
More informationHypertension Screening and Health Evangelism
Hypertension Screening and Health Evangelism What You Should Know About Hypertension What Is High Blood Pressure? High blood pressure is present when excessive pressure is present inside blood vessels.
More informationHypertension and Hyperlipidemia. University of Illinois at Chicago College of Nursing
Hypertension and Hyperlipidemia University of Illinois at Chicago College of Nursing 1 Learning Objectives 1. Provide a basic level of knowledge regarding hypertension and hyperlipidemia and care coordinators/
More informationWebinar Series: Diabetes Epidemic & Action Report (DEAR) for Washington State Session 3
Webinar Series: Diabetes Epidemic & Action Report (DEAR) for Washington State Session 3 Clinical Interventions that Can Help Prevent and Manage Diabetes June 17, 2015 Qualis Health A leading national population
More informationInformation to Make your Visit at the Clinic Smoother
Being ALIVE! Newsletter Winter 2012 Letter from Lisa McCall, Director The ALIVE Study has reached its 25th year! In the world of research, that s a very long time. And it s also a long time for participants
More informationGetting to the Heart of the Matter: Hypertension and The Million Hearts Initiative
Click to edit Master title style Getting to the Heart of the Matter: Hypertension and The Million Hearts Initiative Laura Rappleye, Bruce Maki & Teri Wilson (MDCH) M-CEITA / Altarum Institute April 16,
More informationBatch Upload Instructions
Last Updated: Jan 2017 Workplace Health Solutions Center for Workplace Health Research & Evaluation Workplace Health Achievement Index 1 P A G E Last Updated: Jan 2017 Table of Contents Purpose.....Err
More informationlyondellbasell.com Managing Hypertension
Managing Hypertension Managing Hypertension There is a growing evidence that the good health of your heart and circulation will help you to age more successfully. A man is as old as his arteries Thomas
More informationBlood Pressure Protocol Training
Blood Pressure Protocol Training May 31, 2018 Pat Spier, RN-BC, PCMH-CCE Barb Rice, RN-BC BCBS of North Dakota Fargo, ND 2013 Template and icons provided by The Advisory Board Company. Hypertension Education
More informationPartnerships in primary care. December 1, 2015 Kristen Swafford, PhD, RN, CNS
Partnerships in primary care December 1, 2015 Kristen Swafford, PhD, RN, CNS Promote effective communication with primary care audience Elevator speech SBAR Address HIPAA misconceptions Discuss the use
More informationHigh Blood Pressure. Do You Have High Blood Pressure? What Is Blood Pressure?
High Blood Pressure You can have high blood pressure, or hypertension, and still feel just fine. That s because high blood pressure often does not cause signs of illness that you can see or feel. But,
More informationManaging your blood pressure
Managing your blood pressure Take action and reduce your risk High blood pressure: The #1 risk factor for stroke A major risk factor for heart disease What is blood pressure? Your heart pumps blood around
More informationHigh Blood Pressure Campaign 2017 Talking Points For Interviews & Other Opportunities
High Blood Pressure Campaign 2017 Talking Points For Interviews & Other Opportunities Basic Info What is high blood pressure? When a person has high blood pressure (also known as hypertension or HBP),
More informationBLOOD PRESSURE MONITORING AT HOME. La société québécoise D HYPERTENSION ARTÉRIELLE
BLOOD PRESSURE MONITORING AT HOME WHAT IS BLOOD PRESSURE? When you follow the protocol outlined below, your average blood pressure should be less than: 35 / 85 mm Hg Blood pressure is the force of your
More information!"#$ Blood Pressure Monitor. Instruction manual page 1 Gebrauchsanweisung Seite 17 Gebruiksaanwijzing pagina 33
!"#$ Blood Pressure Monitor Instruction manual page 1 Gebrauchsanweisung Seite 17 Gebruiksaanwijzing pagina 33 Mode d emploi page 49 Manuale de instructone pagina 65 Manual de instrucciones pagina 81 Introduction
More informationAbout this consent form
Protocol Title: Development of the smoking cessation app Smiling instead of Smoking Principal Investigator: Bettina B. Hoeppner, Ph.D. Site Principal Investigator: n/a Description of Subject Population:
More informationPlease do not hesitate to contact our dedicated service unit for more details regarding this program at
The Blue Cross and Blue Shield Federal Employee Program (FEP) and the American Medical Association (AMA) have come together in a collaborative effort to provide physicians with resources designed to improve
More informationMichigan Oncology Quality Consortium. Jeffrey Smerage, MD, PhD Physician Lead Jane Severson, RN, MHSA Project Manager
Michigan Oncology Quality Consortium Jeffrey Smerage, MD, PhD Physician Lead Jane Severson, RN, MHSA Project Manager I. MOQC Overview MOQC is the BCBSM coordinating center for practices participating in
More informationMonitoring Blood Pressure
Introduction Why monitor your own blood pressure? Low blood pressure symptoms How to choose a monitor How to record your blood pressure General tips Twenty-four hour monitoring Helpful contacts Monitoring
More informationBROUGHT TO YOU BY. Blood Pressure
BROUGHT TO YOU BY Blood Pressure High blood pressure usually has no warning signs or symptoms, so many people don't realize they have it. According to the Center of Disease Control, CDC, about 75 million
More informationImportance Of Taking Manual Blood Pressure In Both Arms
Importance Of Taking Manual Blood Pressure In Both Arms Its importance to health is now well-recognised, in that high blood pressure can lead to Have a look at our slide show on how to take a blood pressure
More informationGenetic factors. A number of genetic factors or interactions between genes play a major role in essential hypertension.
Hypertension Blood pressure is a measurement of the force against the walls of your arteries as your heart pumps blood through your body. Hypertension is another term used to describe high blood pressure.
More informationFind Your Perfect 10 Challenge
Find Your Perfect 0 Challenge To meet our community goal,* each hospital has to avoid 0 readmissions per month. That s doable if the community works together! Identify 0 patients who are most at risk for
More informationData Collection Worksheet
Data Collection Worksheet 1. Has a doctor or nurse ever said that you have: High blood pressure or hypertension? [ ] No [ ] Yes [ ] Not Sure 1.a. If Yes, then at what age were you first told this? Age
More informationCalifornia Colon Cancer Control Program (CCCCP)
California Colon Cancer Control Program (CCCCP) Diane Keys, CCCCP Program Director Chronic Disease Control Branch MISSION OF THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH Dedicated to optimizing the health
More informationMEDICARE ANNUAL WELLNESS VISIT QUESTIONNAIRE
PATIENT NAME: Date of Birth: MEDICARE ANNUAL WELLNESS VISIT QUESTIONNAIRE Today s Date: The Annual Wellness Visit is for preventative health and provided by Medicare. This is not a visit to evaluate new
More informationVanderbilt & Qsource Webinar Series
Vanderbilt & Qsource Webinar Series Vanderbilt Medical Center Vanderbilt University Center for Quality Aging Qsource Session #1: Introduction to Dementia Care & QAPI Session #2: Dementia & Behavioral Disturbances
More information9/27/2016. Adherence and Monitoring of Hypertensive Patients. Conflicts of Interest. Brought to you though a partnership:
Adherence and Monitoring of Hypertensive Patients. Conflicts of Interest Speaker has no conflicts of interest to disclose I have had no financial relationship over the past 12 months with any commercial
More informationLeonard Wonnenberg, PA-C May 18, 2016
Using EHR to Establish a Workflow Process for Referring Patients to Diabetes Self- Management/Chronic Disease Self-Management Programs Leonard Wonnenberg, PA-C May 18, 2016 Horizon Proprietary = Data +
More informationALCOHOL AND MENTAL HEALTH AWARENESS (DEPRESSION) MONTHS APRIL & MAY 2017
TOOLKIT: ALCOHOL AND MENTAL HEALTH AWARENESS (DEPRESSION) MONTHS APRIL & MAY 2017 AUDIENCE: YOUR PATIENTS Purpose: To increase awareness during Alcohol Awareness Month (April 2017) and Mental Health Awareness
More informationTaking and recording blood pressure and pulse. City Gate Training Centre all rights reserved
Taking and recording blood pressure and pulse City Gate Training Centre all rights reserved Course Content: Definition of Blood Pressure Normal Blood Pressure Readings Systolic and Diastolic Blood Pressure
More informationSubstance Use Disorders: Diagnosis and Treatment in Primary Care
Substance Use Disorders: Diagnosis and Treatment in Primary Care October 27, 2016 Agenda Opening Remarks Housekeeping Presentation Q&A Closing Remarks 2 Introduction to the atom Alliance Multi-state alliance
More informationQuality Innovation Network - Quality Improvement Organization Adult Immunization Task. May 14, Agenda
Quality Innovation Network - Quality Improvement Organization Adult Immunization Task National Adult and Influenza Immunization Summit Centers for Medicare & Medicaid Services 1 May 14, 2015 Agenda Quick
More informationAggregate Report Instructions
Version 2018_v4 Workplace Health Solutions Center for Workplace Health Research & Evaluation Version 2018_v4 Table of Contents Purpose.....3 Data Privacy....3 About Life's Simple 7....4 Table 1. Life's
More information3/19/2015. Million Hearts : An Exemplary Platform for Teaching Interprofessional Practice & Population Health in Advanced Practice Nursing Curricula
Million Hearts : An Exemplary Platform for Teaching Interprofessional Practice & Population Health in Advanced Practice Nursing Curricula Presenters Alice Teall MS, RN, FNP/PNP, FAANP Kate Gawlik, MS,
More informationHypertension. Risk Factors
Hypertension September 2016, ½ hour The National Institute of Health (NIH) estimates that about two-thirds of people in the United States over the age of 65 have high blood pressure, also known as hypertension.
More informationHow To Measure Vital Signs
How To Measure Vital Signs How to Use This Tutorial This tutorial is intended for healthcare providers or students to teach basic vital signs skills Use the navigation buttons below to move through the
More informationActivity. Activity. Heart & Stroke Living with Heart Failure
Activity Join our Community of Survivors, to share, learn and connect with others who are living with heart failure. Sign up at heartandstroke.ca/connect 18 Why People With Heart Failure Should Keep Active
More informationDigital Blood Pressure Monitor. Model UA-767 BT
Digital Blood Pressure Monitor Model UA-767 BT Instruction Manual WM+PD4001054B 13 Contents Dear Customers... 2 Preliminary Remarks... 2 Precautions... 2 Parts Identification... 3 Symbols... 4 Using The
More informationUsing Health IT to Support Oral Health Integration: Dealing with Common Barriers. Jeff Hummel, MD, MPH Qualis Health November 5, 2015
Using Health IT to Support Oral Health Integration: Dealing with Common Barriers Jeff Hummel, MD, MPH Qualis Health November 5, 2015 Goals for this Session Understand 3 aspects of oral health information
More informationTarget: BP Overview with Lake Superior QIN Wednesday, February 22, :00 PM 1:00 PM CST
Target: BP Overview with Lake Superior QIN Wednesday, February 22, 2017 12:00 PM 1:00 PM CST Presenters American Heart Association Stefanie Worth, Senior Community Health Director, Michigan Sueling Schardin,
More informationHigh Blood Pressure. A Guide to Understanding Blood Pressure...
A Guide to Understanding Blood... About Understanding The Causes Recognizing The Symptoms Treating Living With Frequently Asked Questions [2] A Guide to Understanding Blood... About High Blood What Is
More informationRepetitive transcranial magnetic stimulation (rtms) at Toronto Western Hospital
Repetitive transcranial magnetic stimulation (rtms) at Toronto Western Hospital Information for patients and families Read this resource to learn: What rtms is How to prepare What to expect during and
More informationBiology 236 Spring 2002 Campos/Wurdak/Fahey Laboratory 4. Cardiovascular and Respiratory Adjustments to Stationary Bicycle Exercise.
BACKGROUND: Cardiovascular and Respiratory Adjustments to Stationary Bicycle Exercise. The integration of cardiovascular and respiratory adjustments occurring in response to varying levels of metabolic
More informationMANUAL BLOOD PRESSURE MONITOR BPM 168B Contents Blood Pressure Monitor Intended Use What is blood pressure?
MANUAL BLOOD PRESSURE MONITOR BPM 168B Contents 01... Blood Pressure Monitor Intended Use 02... 1. What is blood pressure? 02... 2. Why is it useful measure blood pressure at home?... A. WHO blood pressure
More informationExemplary Primary Care Practices 80% by 2018 Mini Webinar Series. November 10th, :00pm EST
Exemplary Primary Care Practices 80% by 2018 Mini Webinar Series November 10th, 2015 1:00pm EST Purpose of Today s Webinar Examine best practices that primary care providers and practices can undertake
More informationAmbulatory Services Orientation & Skill Review Skill Performance Checklist: Vital Signs. Name: Date:
Evaluation Levels Behavior Level 3 Met Performed all skills competently. No behaviors omitted. Level 2 Satisfactory Omitted no more than three (3) non-critical behaviors. Level 1 Unsatisfactory Omitted
More informationEXAMPLES OF MEDIA RELATIONS TOOLS
EXAMPLES OF MEDIA RELATIONS TOOLS Think of all the tools that you can use to reach out to the media. You can use these in any combination. Below, we ve identified the typical uses and value of each. Each
More informationHeart Health. Team Member Workbook Session 1 LEARN IDENTIFY ACT. Learn about HTHU Level 3 and the point system
LEARN Learn about HTHU Level 3 and the point system 01 IDENTIFY Identify the major risk factors for cardiovascular disease and how to improve our cardiovascular health 03 02 ACT Begin our Session 1 Goal
More informationLEADING LEADING WELLBEING.
CORPORATE CORPORATE LEADERSHIP LEADERSHIP PROGRAM PROGRAM LEADING LEADING WELLBEING. WELLBEING. ENHANCING WELLBEING IN OUR TEAM. ENHANCING WELLBEING IN OUR TEAM. Team Workshop November 2016 WHAT WE WANT
More informationtgc care news January 2016 Welcome to the first edition of TGC Care News, a newsletter for the patients of Texas Gulf Coast Medical System.
tgc care news January 2016 Welcome to the first edition of TGC Care News, a newsletter for the patients of Texas Gulf Coast Medical System. Our goal is to bring you helpful and timely information to better
More informationiworx Sample Lab Experiment HC-5: Body Position, Exercise, and Cardiac Output
Experiment HC-5: Body Position, Exercise, and Cardiac Output Exercise 1: Cardiac Output While Reclining Aim: To determine the cardiac output of a subject through the measurement of blood pressures and
More informationAccess to Medicaid for Breast & Cervical Cancer Treatment:
Access to Medicaid for Breast & Cervical Cancer Treatment: What s New for Women s Health Connection and Your Patients? Presented by: Nevada Cancer Coalition This webinar supported by Nevada State Health
More informationAchieve Your Best Health
Achieve Your Best Health for Heart Failure BlueChoiceSC.com What is health coaching? Health coaching is a voluntary program for members diagnosed with certain health conditions. We take a personalized
More informationUnleashing the Power of Data Follow-up Event
National Learning & Action Network Sharing Knowledge, Improving Health Care Series December 15, 2015 Unleashing the Power of Data Follow-up Event 1 Welcome & Reminders Welcome! Thank you for joining us
More informationWebEx Quick Reference
Gordon Gordy Schiff, MD Kathy Duncan, RN These presenters have nothing to disclose WebEx Quick Reference Welcome to today s session! Please use Chat to All Raise your hand Participants for questions For
More informationWEEKLY ING April 17, 2018 Table of Contents
WEEKLY E-MAILING April 17, 2018 Table of Contents ACL News & Information Link NASUAD Information Senior Connections Seeking Finance and Administration Director Two Alzheimer s Workshops sponsored by the
More informationTelligen s Diabetes Self-Management Programs LeadingAge Illinois Fall Conference September 27, 2016
Telligen s Diabetes Self-Management Programs LeadingAge Illinois Fall Conference September 27, 2016 This material was prepared by Telligen, the Medicare Quality Innovation Network Quality Improvement Organization,
More informationGETTING THE NUMBERS RIGHT: ACCURATE MEASUREMENT OF BLOOD PRESSURE
GETTING THE NUMBERS RIGHT: ACCURATE MEASUREMENT OF BLOOD PRESSURE Pamela B. Morris, MD, FACC, FAHA, FASPC, FNLA Professor Medicine and Cardiovascular Diseases Director, Seinsheimer Cardiovascular Health
More informationPOPULATION HEALTH INNOVATION PILOT PROJECT (PHIPP)
POPULATION HEALTH INNOVATION PILOT PROJECT (PHIPP) Webinar 3 June 25 and 29, 2015 OBJECTIVES Review project progress Discuss patient discussion group activity Preview Vaccination Awareness Campaign Establish
More informationFree Yourself Tips for living without back pain
spring 2010 Free Yourself Tips for living without back pain - Log on to live healthier - Diabetes do s and don ts - How to appeal a claim best friends enjoying Idaho's city of rocks one TO one newsletter
More informationAGENDA for 04/04/14 AGENDA: HOMEWORK: Due Tues, Online Quiz: OBJECTIVES:
AGENDA for 04/04/14 AGENDA: 1. Pump Your Blood Performances 2. 4.2.2: Blood Pressure Experimental Design and Writing a Formal Lab Report OBJECTIVES: 1. Measure blood pressure and use the reading to indicate
More informationNoCVA Preventing Avoidable Readmissions Collaborative. Pre-work: Assessing Risk April 21, 2014
NoCVA Preventing Avoidable Readmissions Collaborative Pre-work: Assessing Risk April 21, 2014 Agenda Context Collaborative Overview Setting up to succeed Why assess risk of readmission Methods to assess
More informationAssessment of Fitness to Drive to be completed by medical practitioner
COMMERCIAL VEHICLE DRIVER MEDICAL ASSESSMENT This Medical Assessment meets the requirements of the following Western Australian Government Authorities; Department of Commerce, WorkSafe - Occupational Safety
More informationA Guide to Behavioral Health Screenings: Utilizing Screening tools to Improve Identification of Depression and Alcohol Misuse in Primary Care
A Guide to Behavioral Health Screenings: Utilizing Screening tools to Improve Identification of Depression and Alcohol Misuse in Primary Care HealthInsight New Mexico Team John Siebel, MD Medical Director
More informationNIATx Process Improvement for SBIRT Implementation. Overview. Learning Cluster March 5, 2010 TPCA, Nashville TN. Reality
NIATx Process Improvement for SBIRT Implementation Overview Tennessee & Virginia SBIRT Learning Cluster March 5, 2010 TPCA, Nashville TN Reality 23 million Americans need treatment 25% are able to access
More informationHigh Blood Pressure Blood Pressure Monitoring at Home -- F...
Return to Web version High Blood Pressure Blood Pressure Monitoring at Home Why should I measure my blood pressure at home and keep a record of it? Measuring your blood pressure at home and keeping a record
More information