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.

Autor:	Duckie, Charmaine L., Boston, Karen A., Champagne, Brittney, Thompson, Julie, Halpern, David J., Granger, Bradi B.
Předmět:	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
Zdroj:	Journal of Nursing Care Quality; Apr-Jun2024, Vol. 39 Issue 2, p175-182, 8p
Abstrakt:	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]
Databáze:	Supplemental Index
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