Collaborative, Interdisciplinary Quality Improvement Initiative Aimed at Hypertension Compliance in a Clinic Setting

2.50
Hdl Handle:
http://hdl.handle.net/10755/290934
Category:
Abstract
Type:
Presentation
Title:
Collaborative, Interdisciplinary Quality Improvement Initiative Aimed at Hypertension Compliance in a Clinic Setting
Author(s):
Overstreet, Linda; White, Donald; Thomas, Emily; Ince-Mercer, Leia; Berry, Michael; Loughry, Kevin; Akers, Penny C; Sharp, Melody F.
Lead Author STTI Affiliation:
Non-member
Author Details:
Linda Overstreet, RN, ldoverstreet@carilionclinic.org; Donald White, MD, Emily Thomas, DO; Leia Ince-Mercer, MD; Michael Berry, MD; Kevin Loughry, DO; Penny C. Akers, DNP, RN; Melody F. Sharp, DNP, RN;
Abstract:

Poster presented on Friday, April 12, 2013, Saturday, April 13, 2013

Background: Nurses, residents and faculty physicians at a residency clinic determined through a chart review that compliance of 884 patients diagnosed with hypertension and blood pressure (BP) of 140/90 or less was 35%, while the national standard is 65% (NCQA). The interdisciplinary clinic team employed true collaboration and appropriate staffing to design a quality initiative using evidence-based medicine to increase patient compliance. Review of 2010 data revealed that of 7,509 patient visits, only 1,899 visits were covered by private insurance, while 75% were uninsured, underinsured or indigent. Patient interviews indicated that BP medications were unaffordable for many, hampering compliance.Objective: To see 45% of patients achieve a measured BP of 140/90 or less over 6 months. Outcome: Preliminary data shows project is on track to achieve goal. Hypertension compliance increased 10% over 6 months. Over 12 months, 50% of patients attained the pre-defined BP goal. Conclusions: Effective decision-making/authentic leadership undertaken by staff to improve compliance included: 1) accurate baseline recording of BP; 2) patients with a BP greater than 140/90, medication compliance reviewed by a physician during follow-up appointment; and 3) meaningful recognition/skilled communication: the patient's BP was recorded in the electronic medical record, those greater than 140/90 flagged with standardized documentation. Interventions included inquiry into patients' finances, establishing medication regimen targeting affordability, patient and staff education involving a BP control algorithm. By introducing this quality initiative using an evidence-based, effective decision-making, interdisciplinary collaborative process, the team achieved quality patient outcomes.
Keywords:
Interdisciplinary; Communication; Collaboration
Repository Posting Date:
13-May-2013
Date of Publication:
13-May-2013
Conference Date:
2013
Conference Name:
Creating Healthy Work Environments
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
Creating Healthy Work Environments. Held at the JW Marriott, Indianapolis
Note:
This is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleCollaborative, Interdisciplinary Quality Improvement Initiative Aimed at Hypertension Compliance in a Clinic Settingen_GB
dc.contributor.authorOverstreet, Lindaen_GB
dc.contributor.authorWhite, Donalden_GB
dc.contributor.authorThomas, Emilyen_GB
dc.contributor.authorInce-Mercer, Leiaen_GB
dc.contributor.authorBerry, Michaelen_GB
dc.contributor.authorLoughry, Kevinen_GB
dc.contributor.authorAkers, Penny Cen_GB
dc.contributor.authorSharp, Melody F.en_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsLinda Overstreet, RN, ldoverstreet@carilionclinic.org; Donald White, MD, Emily Thomas, DO; Leia Ince-Mercer, MD; Michael Berry, MD; Kevin Loughry, DO; Penny C. Akers, DNP, RN; Melody F. Sharp, DNP, RN;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/290934-
dc.description.abstract<p>Poster presented on Friday, April 12, 2013, Saturday, April 13, 2013</p><b>Background: </b>Nurses,<b> </b>residents and faculty physicians at a residency clinic determined through a chart review that compliance of 884 patients diagnosed with hypertension and blood pressure (BP) of 140/90 or less was 35%, while the national standard is 65% (NCQA). The interdisciplinary clinic team employed <b>true collaboration</b> and <b>appropriate staffing</b> to design a quality initiative using evidence-based medicine to increase patient compliance. Review of 2010 data revealed that of 7,509 patient visits, only 1,899 visits were covered by private insurance, while 75% were uninsured, underinsured or indigent. Patient interviews indicated that BP medications were unaffordable for many, hampering compliance.<b>Objective:</b> To see 45% of patients achieve a measured BP of 140/90 or less over 6 months.&nbsp;<b>Outcome: </b>Preliminary data shows project is on track to achieve goal. Hypertension compliance increased 10% over 6 months. Over 12 months, 50% of patients attained the pre-defined BP goal. C<b>onclusions: Effective decision-making/authentic leadership</b> undertaken by staff to improve compliance included: 1) accurate baseline recording of BP; 2) patients with a BP greater than 140/90, medication compliance reviewed by a physician during follow-up appointment; and 3) <b>meaningful recognition/skilled communication:</b> the patient's BP was recorded in the electronic medical record, those greater than 140/90 flagged with standardized documentation. Interventions included inquiry into patients' finances, establishing medication regimen targeting affordability, patient and staff education involving a BP control algorithm. By introducing this quality initiative using an evidence-based, effective decision-making, interdisciplinary collaborative process, the team achieved quality patient outcomes.en_GB
dc.subjectInterdisciplinaryen_GB
dc.subjectCommunicationen_GB
dc.subjectCollaborationen_GB
dc.date.available2013-05-13T10:23:35Z-
dc.date.issued2013-05-13-
dc.date.accessioned2013-05-13T10:23:35Z-
dc.conference.date2013en_GB
dc.conference.nameCreating Healthy Work Environmentsen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.descriptionCreating Healthy Work Environments. Held at the JW Marriott, Indianapolisen_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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