Abstract 19368: Improving Hypertension Control Through the Million Hearts Learning Collaborative
Introduction: The CDC Division for Heart Disease and Stroke Prevention through a cooperative agreement with the Association of State and Territorial Health Officials selected state health agencies to participate in a Million Hearts State Learning Collaborative (MHSLC). The MHSLC works to achieve the goals of Million Hearts by supporting state and local agencies in integrating healthcare and community partners by implementing evidence-based strategies to identify, control, and improve blood pressure.
Purpose: A comprehensive overview of the MHSLC strategies, interventions, outcomes, and lessons learned will be provided. Several state examples will be offered demonstrating how the MHSLC successfully helped states to develop viable partnerships to standardize hypertension measures; adopt treatment protocols; identify, control and improve blood pressure; and increase use of home blood pressure monitoring with clinical support.
Results: Sixteen states were selected: ten the first year (2014) and six the second year (2015). The states implemented the Edward Deming Plan, Do, Study, Act (PDSA), a quality improvement process, to test strategies across 4 sectors (Data-driven action; financing and policy; community-clinical linkages; and standardizing clinical practice). For the first 2 years of the collaborative, 16 states had an estimated reach of 3.3 million individuals in health care system. During this time period more than 430 PDSA pilot cycles were conducted and more than 290 partners and stakeholders were convened. In Years One and Two of the learning collaborative state teams: 1) Identified 992,893 individuals in target populations; 2) Screened 57,475 individuals for hypertension who had been previously undiagnosed; 3) Identified 15,553 individuals with hypertension; 4) Referred 7,327 individuals with hypertension to clinical, public health, community, and self-management services and 5) Helped 3,167 individuals bring their blood pressure under control.
Conclusion: Key findings from the MHSLC demonstrate that collaborations among public health, health care systems, and the community through implementation of quality improvement processes can improve hypertension control.
Author Disclosures: L. Presley-Cantrell: None. M. Sells: None. C. Easley: None.
- © 2016 by American Heart Association, Inc.