1. 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.
- Author
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Duckie, Charmaine L., Boston, Karen A., Champagne, Brittney, Thompson, Julie, Halpern, David J., and Granger, Bradi B.
- Subjects
HYPERTENSION ,STATISTICAL power analysis ,PATIENT participation ,PATIENT portals ,SELF-management (Psychology) ,SELF-evaluation ,SYSTOLIC blood pressure ,COMMUNITY health services ,WORKFLOW ,HEALTH literacy ,HUMAN services programs ,PRE-tests & post-tests ,COMPARATIVE studies ,T-test (Statistics) ,CONCEPTUAL structures ,QUALITY assurance ,DESCRIPTIVE statistics ,ELECTRONIC health records ,PATIENT education ,HEALTH equity ,DATA analysis software ,AFRICAN Americans ,EDUCATIONAL outcomes - 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. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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