effective in Regardless of criteria, think it was successful, however there will “I identifying providers hesitant to always be some patients that meet the truly diagnose hypertension. hypertension criteria but providers do not wish to hypertensive diagnose them for whatever reason.” patients. Too early in are in the beginning stages of “We implementation to assess implementation, so there has not been enough impact data to determine the effects of the protocol/program.” How might Electronic health record algorithms in EHR” your team (EHR) integration refine the Better visit coordination of previsit documentation and better “Completion algorithms to and refinement for coordination with RN [registered nurse] care be more providers to diagnose coordinator” effective in Develop recall process for have to include a recall process for “We your patients with elevated patients who have elevated readings but no organization? blood pressure (BP) but diagnosis.” no diagnosis No suggestions No suggestions What changes New places and ways to undiagnosed hypertension patients at “Identifying (interventions/ identify patients with dental and urgent care clinics” enhancements) hypertension use of ICD-9 code 796.2 before “Monitor did your team diagnosis” test? Please Huddles [hiding in sight] specific huddle “HIPS describe: approach” Assuring accuracy of BP verification for BP checks” “Competency machines and BP functioning of BP machines” “Proper measurements taken by staff Follow-up by RNs on patients with BP reading “Follow-up out of range” Which changes All changes made. changes are now policy” “Both became policy? Huddles HIPS patients during huddles” “Discussed Please Training on taking BP staff on proper BP taking techniques” “Trained describe: Which changes Follow-up was to schedule patients with a PCP [primary “Access didn’t work challenging. care provider] in a timely manner is an obstacle.” out? Please planning had been a challenge to “Previsit describe: institute” patients returning to health center sooner “Having for BP check” Continuous feedback to give continuous feedback on lack of “Having 2nd BP check when indicated.” Integrating the Health full utilization of the Health Educator was “The Educator not possible due to her schedule.”
effective in identifying truly hypertensive patients. Regardless of criteria, providers hesitant to diagnose hypertension. “I think it was successful, however there will always be some patients that meet the hypertension criteria but providers do not wish to diagnose them for whatever reason.” Too early in implementation to assess impact “We are in the beginning stages of implementation, so there has not been enough data to determine the effects of the protocol/program.” How might your team refine the algorithms to be more effective in your organization? Electronic health record (EHR) integration algorithms in EHR” Better visit coordination and refinement for providers to diagnose “Completion of previsit documentation and better coordination with RN [registered nurse] care coordinator” Develop recall process for patients with elevated blood pressure (BP) but no diagnosis “We have to include a recall process for patients who have elevated readings but no diagnosis.” No suggestions No suggestions What changes (interventions/ enhancements) did your team test? Please describe: New places and ways to identify patients with hypertension “Identifying undiagnosed hypertension patients at dental and urgent care clinics” “Monitor use of ICD-9 code 796.2 before diagnosis” Huddles “HIPS [hiding in sight] specific huddle approach” Assuring accuracy of BP machines and BP measurements taken by staff “Competency verification for BP checks” “Proper functioning of BP machines” Follow-up “Follow-up by RNs on patients with BP reading out of range” Which changes became policy? Please describe: All changes made. “Both changes are now policy” Huddles “Discussed HIPS patients during huddles” Training on taking BP “Trained staff on proper BP taking techniques” Which changes didn’t work out? Please describe: Follow-up was challenging. “Access to schedule patients with a PCP [primary care provider] in a timely manner is an obstacle.” “Previsit planning had been a challenge to institute” “Having patients returning to health center sooner for BP check” Continuous feedback “Having to give continuous feedback on lack of 2nd BP check when indicated.” Integrating the Health Educator “The full utilization of the Health Educator was not possible due to her schedule.”
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