implementing a plan of care for hypertension
TRANSCRIPT
Providence St. Joseph Health Providence St. Joseph Health
Providence St. Joseph Health Digital Commons Providence St. Joseph Health Digital Commons
Articles, Abstracts, and Reports
12-12-2019
Implementing a Plan of Care for Hypertension Implementing a Plan of Care for Hypertension
Rebecca Hamlin Providence St. Joseph Health
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Recommended Citation Recommended Citation Hamlin, Rebecca, "Implementing a Plan of Care for Hypertension" (2019). Articles, Abstracts, and Reports. 2872. https://digitalcommons.psjhealth.org/publications/2872
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Implementing a Plan of Care for Hypertension
PMG Oregon City Primary Care
References:American Heart Association (2017, November 30). The Effects of High Blood Pressure. Retrieved from https://www.heart.org/en/health-topics/high-blood-pressure/the-facts-about-high-blood-pressureBasile, J., & Bloch, M. (2019). Overview of hypertension in adults. In J. Forman & L. Kunins (Ed.), UpToDate. Retrieved October 25, 2019, from https://www.uptodate.com/contents/overview-of-hypertension-in-adults?search=overview%20of%20hypertension%20in%20adults&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1
IntroductionProviders routinely document what the next steps in treatment will be for patients who have elevated blood pressure during their office visit. In order for the plan to implemented, the patient must return to see the provider again and often wait up to 6 months before they return. This results in potentially sustained uncontrolled blood pressure.
Why does it matter?When left untreated, the damage that high blood pressure does to your circulatory system is a significant contributing factor to heart attack, stroke and other health threats (American Heart Association, 2017).Quantitatively, hypertension is the most important modifiable risk factor for premature cardiovascular disease, being more common than cigarette smoking, dyslipidemia, or diabetes, which are the other major risk factors (Basile & Bloch, 2019)
ConclusionsBy having patients return sooner for RN visit to implement plan of care, patients achieve improved blood pressure control in a shorter amount of time.Secondary benefits include lower cost of care, improved access for providers, and patient engagement.
Implementing a Plan of Care
Method
PRIMARY DRIVERS
Develop dot phrase with specifics
Follow-up instructions in After VisitSummary
Pilot with one provider
Share idea at provider meeting
Identify appropriate patient population
Plan of Care
RN has acceptancefrom providers to act
Adopt RN plan of care into clinic culture
Follow-up RN visitscheduled
Share benefits andchallenges
of RN participation
Communicate withcare team Huddles
AIM STATEMENT SECONDARY DRIVERS Change Ideas
RN put a patient’s
(hypertension)
plan of care in
action without
delay