The Standardization of Home Blood Pressure Monitoring in Primary Care: A Quality Improvement Project.

J Ambul Care Manage

Prime Healthcare, PC, West Hartford, Connecticut (Drs Knoll and Alexander); University of Connecticut School of Nursing, Storrs (Drs Elwell and Arcari-Couture); and Orthopedics and Sports Medicine, UCONN Health, Farmington, Connecticut (Dr Arcari-Couture).

Published: November 2023

Current guidelines recommend the use of home blood pressure monitoring (HBPM) to screen for and manage hypertension. In this study, a quality improvement project was designed to standardize the use of HBPM in a primary care setting and demonstrate improved blood pressure outcomes. Initial systolic and diastolic values were compared to averages from patient logs. Patient and provider feedback was collected. Only 40% of patients enrolled presented to follow-up with actionable HBPM data. Patients encountered logistical challenges in obtaining and presenting HBPM data. Interprofessional collaboration and improved information technology systems would improve outcomes. This will require increased policy and insurer support to make this possible in small settings.

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Source
http://dx.doi.org/10.1097/JAC.0000000000000482DOI Listing

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