Hypertension

Data Transparency Measure:
Hypertension Control
 
 
What is hypertension (high blood pressure)?
 
High blood pressure is a common condition in which the force of the blood against the artery walls is high enough that it may eventually cause health problems, such as heart disease.
       
Blood pressure is determined by the amount of blood the heart pumps and the amount of resistance to blood flow in the arteries. The more blood a heart pumps and the narrower the arteries, the higher the blood pressure.
 
UDS Definition 2017
 
Denominator (Universe)
  • Patients 18 through 85 years of age who had a diagnosis of essential hypertension within the first six months of the measurement period or any time prior to the measurement period with a medical visit during the measurement period
  • Note: Include patients who were born on or after January 1, 1932, and on or before December 31, 1998

Numerator:

  • Patients whose blood pressure at the most recent visit is adequately controlled (systolic blood pressure less than 140 mmHg and diastolic blood pressure less than 90 mmHg) during the measurement period

Exclusions/Exceptions:

  • Denominator Patients with evidence of end-stage renal disease (ESRD), dialysis, or renal transplant before or during the measurement period
  • Patients with a diagnosis of pregnancy during the measurement period
  • Numerator Not Applicable
Facts about hypertension:
 
The Centers for Disease Control and Prevention (CDC) reports that:
  • 67 million American adults (31 percent) have high blood pressure—that’s one in every three adults.
  • About half (47 percent) of people with high blood pressure have their condition under control.
  • Hypertension greatly increases the risk for heart disease and stroke, the first and third leading causes of death in the U.S.
  • Almost 30 percent of American adults have prehypertension—blood pressure numbers that are higher than normal, but not yet in the high blood pressure range. Prehypertension raises your risk of developing high blood pressure.
Organizations to Watch - Kaiser Permanente:
 
In 2000, Kaiser Permanente of Northern California (KPNC) launched an extensive population hypertension management program. By 2009, the percentage of patients with controlled hypertension at KPNC reached a staggering 80 percent - 16 percent higher than the average for California's commercial health patients.  Kaiser Colorado has developed a similar program and, as a result, has also improved the percentage of Kaiser Colorado patients with controlled hypertension (61% in 2008 to 78% by 2010).
 
How did they do it? The CDC highlights KPNC’s approach to hypertension in the following Field Notes article. Kaiser Permanente’s work on hypertension is one to take to heart as we work towards controlling hypertension in Oregon.
 
For more information on this measure, refer to the links below:

Resources and Tools for Reducing Hypertension Rates:

Files:
Name Date File size Hits    
Hypertension Resources - CHCs of Lane County 2017-06-12 323.78 KB 134
Healthy Hearts Northwest Resources - ORPRN 2017-03-16 299.27 KB 422
Learning & Sharing Session: Examples of Effective Chronic Disease Management Programs Across the Nation (Hypertension) - Sept. 2016 2016-12-28 1.24 MB 321
Hypertension Resources - Winding Waters 2017-01-12 204.72 KB 254
Learning & Sharing Session: Hypertension - May 2016 2016-05-25 2.41 MB 421
Data/QI Review Call: Hypertension Presentation - Sept. 2015 2015-09-29 2.93 MB 504
Tips for Obtaining Blood Pressure measurement - Measure Up/Pressure Down Campaign 2014-06-20 165.86 KB 699
Articles on Hypertension - Asher CHC 2017-01-12 549.98 KB 279
 

 
Have an article, workflow, tool or anything else that you would like to share with other clinics about this measure? Email the Data Transparency Team at .