A Medicaid Statewide Hypertension Quality Improvement Project: Initial Results.

Background Hypertension control is critical to reducing cardiovascular disease, challenging to achieve, and exacerbated by socioeconomic inequities. Few states have established statewide quality improvement (QI) infrastructures to improve blood pressure (BP) control across economically disadvantaged populations. In this study, we aimed to improve BP control by 15% for all Medicaid recipients and by 20% for non-Hispanic Black participants.

Improving Regional Blood Pressure Control: a Positive Deviance Tiered Intensity Approach.

Background: Accelerated translation of real-world interventions for hypertension management is critical to improving cardiovascular outcomes and reducing disparities.

Objective: To determine whether a positive deviance approach would improve blood pressure (BP) control across diverse health systems.

Design: Quality improvement study using 1-year cross sections of electronic health record data over 5 years (2013-2017).