Improving Hypertension _ Diabetes Control and Prevention
An e-NEWSLETTER from Quality Insights                                                                                  February 17, 2017

In This Issue

action icon ACTThe objective of the Measure-Act-Partner (M.A.P.) framework is to help improve blood pressure (BP) control in patients with hypertension by facilitating improvements in care at ambulatory medical practices and health centers. 

The three key areas of focus of the M.A.P. framework include:
  • Measure BP accurately, every time it is measured.
  • Act rapidly to manage uncontrolled hypertension.
  • Partner with patients, families and communities to promote self-management.
The "Act" step requires rapid action during a patient visit to address any problems related to high BP. Scheduling follow-up appointments and developing a clear treatment plan to help patients achieve BP control are the priorities of this step.

Included below are several resources that are included in the "Act" portion of the M.A.P. framework. Quality Insights encourages you to download and use these resources in your practice.
take a look at these evidence-based hypertension treatment protocols  

blood pressure monitor protocolsAs a part of the American Heart Association (AHA) and American Medical Association's (AMA) Target BP national initiative, this fact sheet and podcast were developed to show how your practice or health center can use an evidence-based hypertension protocol to guide treatment.

get the facts about how clinical inertia and patient engagement contribute to uncontrolled bp

clinicianThis Target BP fact sheet and podcast cover why patients may have uncontrolled blood pressure and how to overcome these common hurdles in your practice. Click here to download.
video features practice that successfully implemented the m.a.p. framework

videoIn this Target BP  video , Gittelman Primary Care shares how it successfully implemented the M.A.P. framework to improve blood pressure control among its patients.
algorithm2customize this hypertension treatment algorithm for your practice
algorithm This  treatment algorithm determines treatment based on BP goals set according to scientific evidence, clinical judgment and patient tolerance, emphasizing the importance of patient engagement.  Download it now .

Also,  click here to watch the High BP Algorithm Clinical Video.

resources to educate patients about hypertension control, treatment, and monitoring

patient and nurse patientresourcesA key part of the M.A.P. framework is partnering with patients. As healthcare providers, our goal is to help patients understand their risks and teach them how to manage their BP in order to have better overall health.

Share the following resources with your patients to help them better understand the basics of high BP, as well as treatment and monitoring options.
  • Steps to Improve Blood Pressure - This patient resource identifies five lifestyle modifications that can be made to improve BP.
  • Blood Pressure MedicationThis patient resource discusses the different medicines prescribed to help lower BP, as well as possible side effects.
  • Managing Medication - This handout addresses questions about taking BP medication. It also includes a chart to help track medication use.
  • Sodium and Your Blood PressureThis handout discusses how the body uses sodium and why too much salt can be problematic. It also offers tips on foods to avoid and how to cook with less.
CDCCDC to live stream Medication Adherence for Chronic Diseases webinar on facebook

Tuesday, February 21, 2017 - 1:00 p.m. ET
Join the live session at:

pills Medications save lives for countless Americans. People with chronic illnesses like high BP, coronary artery disease, and HIV can enjoy a good quality of life when they routinely take their medicine. Poor medication adherence is linked with poor clinical outcomes. While these facts may seem obvious, a staggering one half of patients in the US stop taking their medications within one year of being prescribed.

The reasons for "medication non-adherence" are varied. Affordability, a lack of understanding of the importance of the medications, and unpleasant side effects are some examples patients cite for for not taking their medications as directed. Beyond increased mortality, the resulting costs are great. Medication non-adherence costs the United States billions of dollars a year. Hospital admission rates increase for non-adherent patients with chronic illness by up to 69 percent.

Join this Centers for Disease Control and Prevention (CDC) session as the speakers discuss research, interventions, education, and emerging tools and technologies that may help overcome these barriers to medication non-adherence.
CMS QPP News banner
CMSMIPSMany of you will be attesting for the Centers for Medicare & Medicaid Services (CMS) Electronic Health Record (EHR) Incentive programs for 2016 and preparing for changes that are forthcoming with the Merit-based Incentive Payment System (MIPS)/Quality Payment Program. This information will be of value to you and Quality Insights is poised to assist you as you navigate the various programs.

Please find the most recent MIPS/Quality Payment Program announcements from the Centers for Medicare & Medicaid Services (CMS) below.    

computer mouse The Centers for Medicare & Medicaid Services (CMS) has extended the attestation deadline for providers participating in the Medicare EHR Incentive Program to Monday, March 13, 2017, at 11:59 p.m. PT.
Providers participating in the Medicare EHR Incentive Program must attest to the 2016 program requirements by March 13, 2017 to avoid a 2018 payment adjustment. 

If you are participating in the Medicaid EHR Incentive Program, please refer to your state's deadlines for attestation information.
If you are eligible to participate in both the Medicare and Medicaid EHR Incentive Programs, you MUST demonstrate meaningful use to avoid the Medicare payment adjustment. You may demonstrate meaningful use under either Medicare or Medicaid. If you are eligible to participate in both the Medicare and Medicaid EHR Incentive Programs, you MUST demonstrate meaningful use to avoid the Medicare payment adjustment. You may demonstrate meaningful use under either Medicare or Medicaid.
Attestation Resources
contact information

For more details about the Improving Hypertension and Diabetes Care & Prevention project, please email Rhonda Dodson or call 1.800.642.8686, Ext. 7711.
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