HOME BLOOD PRESSURE MONITORING FOR HYPERTENSION MANAGEMENT
Abstract INTRODUCTION: Management of hypertension continues to challenge providers in the delivery of healthcare. The incidence of hypertension will continue to increase as the population ages. Therefore, hypertension management remains an important ongoing public health issue in healthcare. PURPOSE: The purpose of this project was to evaluate the effectiveness of a currently implemented home blood pressure monitoring program using a program evaluation model. METHODS: A retrospective chart review was used to identify the clinical documentation of adult patients enrolled in the home blood pressure monitoring program. The Patient Self-Management Support Program developed by the Agency for Healthcare Research & Quality was used as the foundation for the program evaluation. Three program metrics were used to perform the program evaluation: patient behavior, disease control, and health outcomes. RESULTS: Of the total participants (n=8), 7 (87.5%) patients telephoned blood pressure readings to the practice and 1 (12.5%) uploaded using the patient portal. Of the total participants, 5 (62.5%) patients had documented medication changes and 1 (12.5%) patient achieved blood pressure control or documented blood pressures less than 120/80. CONCLUSIONS: Patients enrolled in the home blood pressure monitoring program are not using the program as anticipated. As currently implemented, the home blood pressure monitoring program is not an effective method for management of hypertensive patients. Patient engagement and blood pressure control have not improved hypertension management. A program redesign is warranted to determine opportunities to improve the program and increase engagement.
Penn State Only
Files are only accessible to users logged-in with a Penn State Access ID.
|HOME BLOOD PRESSURE MONITORING FOR HYPERTENSION MANAGEMENT
|All rights reserved
|April 02, 2019
This resource is currently not in any collection.