Million Hearts Michigan State Learning Collaborative Focus on Hypertension Identification, Control, and Improvement
Methods: The 9-month project focused on patients in Muskegon County, Michigan, which has a higher poverty rate compared to the state. We engaged in on-site visits, monthly updates with the Core Planning Team, utilized census data to map the sample population, and created data sharing agreements. We established quality improvement processes using Plan-Do-Study-Act cycles to improve identification of undiagnosed patients, improve treatment and follow-up of diagnosed patients, and to increase reporting of NQF 0018 (measurement of patients 18-85 years of age with a diagnosis of HTN and whose BP was controlled).
Results: The project is in the implementation phase with preliminary data being collected. Michigan Million Hearts efforts continue to focus on increasing and tracking HTN control.
Conclusions: This collaborative method consisting of state and local partners may be a useful model for improving BP screening, diagnoses, and treatment among disparate populations. This method of providing necessary components for successful local health department structure, partnerships, and state-level policy support may serve as a promising practice for future HTN control initiatives.
Learning Areas:Administer health education strategies, interventions and programs
Chronic disease management and prevention
Planning of health education strategies, interventions, and programs
Systems thinking models (conceptual and theoretical models), applications related to public health
Identify factors that contribute to improved control of hypertension. Describe how local health agencies and state teams partnered to develop referrals, follow-up protocols, and blood pressure screening procedures. Discuss training techniques on methods for medication adherence and BP self-monitoring.
Keyword(s): Community-Based Partnership & Collaboration, Chronic Disease Management and Care
Qualified on the content I am responsible for because: I have been the program evaluator for the Heart Disease and Stroke Prevention unit of the Michigan Department of Health and Human Services since 2014.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.