Improvement in Blood Pressure Control in Safety Net Clinics Receiving 2 Versions of a Scalable Quality Improvement Intervention: BP MAP A Pragmatic Cluster Randomized Trial

Background Uncontrolled blood pressure (BP) remains a leading cause of death in the United States. The American Medical Association developed a quality improvement program to improve BP control, but it is unclear how to efficiently implement this program at scale across multiple health systems. Meth...

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Bibliographic Details
Published in:Journal of the American Heart Association 2023-02, Vol.12 (3), p.e024975
Main Authors: Fontil, Valy, Modrow, Madelaine Faulkner, Cooper-DeHoff, Rhonda M, Wozniak, Gregory, Rakotz, Michael, Todd, Jonathan, Azar, Kristen, Murakami, Linda, Sanders, Margaret, Chamberlain, Alanna M, O'Brien, Emily, Lee, April, Carton, Thomas, Pletcher, Mark J
Format: Article
Language:English
Subjects:
Blood Pressure
Blood Pressure Monitoring, Ambulatory
comparative effectiveness
Humans
hypertension
Hypertension - diagnosis
Hypertension - therapy
Original Research
Quality Improvement
quasi‐experimental design
Safety-net Providers
United States - epidemiology
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Summary:Background Uncontrolled blood pressure (BP) remains a leading cause of death in the United States. The American Medical Association developed a quality improvement program to improve BP control, but it is unclear how to efficiently implement this program at scale across multiple health systems. Methods and Results We conducted BP MAP (Blood Pressure Measure Accurately, Act Rapidly, and Partner With Patients), a comparative effectiveness trial with clinic-level randomization to compare 2 scalable versions of the quality improvement program: Full Support (with support from quality improvement expert) and Self-Guided (using only online materials). Outcomes were clinic-level BP control (
ISSN:2047-9980
2047-9980
DOI:10.1161/JAHA.121.024975