Hypertension Example This worksheet describes the CDS configuration for blood pressure control for patients with a BP greater than 140/90, implemented by Dr. Christopher Tashjian and colleagues at Ellsworth Medical Clinic. Target Achieve better pressure (BP) control in patients with BP greater than 140/90. Current Performance on Target As of December 2012, 90% of patients diagnosed with hypertension, diabetes or stroke have their BP controlled to within the target range. Exhibit CDS/QI Approach Summary Not Visit Before Patient Daily Care Check-in/ Provider Encounter Encounter After Patient Leaves Outside Office Encounters Related Comes to Office Team Huddle Waiting/ Closing [Population Rooming management] Current Seek opportunities Use pre-visit Pre-assemble Gather and Use EHR filters and Recheck Use protocols to Generate lists of to identify need to planning sheet to data needed for document key templates to help elevated BPs ensure that follow-up patients not at BP Information Flow check and control highlight needed decision making BP-related highlight and and activate BPs, lab results, and goals, and execute BP when patient interventions. during the visit, patient data, document key protocols to follow-up provider protocols for contacts office and tee up flagging elevated hypertension-related ensure visits are addressed corrective actions. outside of provider needed BP’s for data, and other EHR appropriate as appropriate. visits. interventions. heightened tools to support patient and Leverage patient attention. ordering and patient follow-up and portal. education. action after the visit.
Hypertension Example This worksheet describes the CDS configuration for blood pressure control for patients with a BP greater than 140/90, implemented by Dr. Christopher Tashjian and colleagues at Ellsworth Medical Clinic. Target Achieve better pressure (BP) control in patients with BP greater than 140/90. Current Performance on Target As of December 2012, 90% of patients diagnosed with hypertension, diabetes or stroke have their BP controlled to within the target range. Exhibit CDS/QI Approach Summary Not Visit Related Before Patient Comes to Office Daily Care Team Huddle Check-in/ Waiting/ Rooming Provider Encounter Encounter Closing After Patient Leaves Office Outside Encounters [Population management] Current Information Flow Seek opportunities to identify need to check and control BP when patient contacts office outside of provider visits. Use pre-visit planning sheet to highlight needed interventions. Pre-assemble data needed for decision making during the visit, and tee up needed interventions. Gather and document key BP-related patient data, flagging elevated BP’s for heightened attention. Use EHR filters and templates to help highlight and document key hypertension-related data, and other EHR tools to support ordering and patient education. Recheck elevated BPs and activate protocols to ensure appropriate patient and follow-up and action after the visit. Use protocols to ensure that follow-up BPs, lab results, and follow-up provider visits are addressed as appropriate. Leverage patient portal. Generate lists of patients not at BP goals, and execute protocols for corrective actions.
clinical_decision_support_quality_improvement_worksheet_-_ambulatory.docx