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Real-World Implications of Changing Blood Pressure Targets in Urban Primary Care

  • Shari D. Bolen
  • Douglas Einstadter
  • Thomas E. Love
  • Scott Husak
  • Jonathan Lever
  • Randall D. Cebul
Concise Research Reports

Introduction

The impact of the new ACC/AHA hypertension guideline1 in primary care is uncertain. We describe implications of the guideline for: (1) patients with diagnosed hypertension in a diverse regional health improvement collaborative (RHIC) and (2) patients without diagnosed hypertension at one safety-net health system within the RHIC.

Methods

We used data from Better Health Partnership (BHP), a Northeast Ohio RHIC that includes 80 primary care clinics across nine health systems.2 BHP member clinics use electronic health record data to report blood pressure (BP) results twice yearly for patients with hypertension using the last BP in the reporting period. In the full sample of hypertensive patients, BHP measures blood pressure control in two ways: (1) BP < 140/90 mmHg for most, and BP < 150/90 for those over age 60 without diabetes (based on Joint National Committee (JNC) 8 guidelines)3 and (2) BP < 140/90 mmHg for all patients (based on JNC 7).4In the second sample of patients...

KEY WORDS

hypertension primary care quality of care 

Notes

Acknowledgments

No external funding supported the current work for this manuscript. Dr. Bolen, Dr. Einstadter, and Mr. Lever’s time is supported by a CDC funded REACH (Racial and Ethnic Approaches to Community Health) grant and by grants from the Ohio Department of Medicaid to work on improving the cardiovascular health of Medicaid enrollees. Drs. Love and Cebul are also supported on related grants from the Ohio Department of Medicaid. Dr. Love and Mr. Husak time is supported by Better Health Partnership—a nonprofit regional health improvement collaborative.

Compliance with ethical standards

Conflicts of interest

The authors declare that they have no conflict of interest.

References

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    Better Health Partnership. Transforming health care together. Available at: http://www.betterhealthpartnership.org/. Accessed 06/09/2018.
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Copyright information

© Society of General Internal Medicine 2018

Authors and Affiliations

  • Shari D. Bolen
    • 1
    • 2
    • 3
    • 4
  • Douglas Einstadter
    • 1
    • 2
    • 3
    • 4
  • Thomas E. Love
    • 1
    • 2
    • 3
    • 4
  • Scott Husak
    • 1
    • 2
    • 4
  • Jonathan Lever
    • 2
  • Randall D. Cebul
    • 1
    • 2
    • 3
    • 4
  1. 1.Center for Health Care Research and PolicyCase Western Reserve University at The MetroHealth Medical CenterClevelandUSA
  2. 2.Better Health PartnershipClevelandUSA
  3. 3.Department of Population and Quantitative Health SciencesCase Western Reserve UniversityClevelandUSA
  4. 4.Department of MedicineThe MetroHealth Medical CenterClevelandUSA

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