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Improving Blood Pressure Compliance in the Ambulatory Care Services

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Author(s): Christine Victorian, RN
Director of Quality Programs
Harris Health System

I am a Registered Nurse with thirty years of experience, serving as the Director of Quality Programs, a Daisy Award recipient, and a leadership coach at Harris Health System. I obtained a Bachelors and a Master of Science degree in Nursing Administration and Education and pursuing a Doctor of Nursing Practice. I have devoted twenty-five years to patients in managed care, population health, disease management, and healthcare quality. My certifications include Certified Professional in Healthcare Quality (CPHQ) and Certified Managed Care Nurse (CMCN). My professional affiliations include Sigma Theta Tau International Honor Society of Nursing, the American Nurses Association, the American Society of Quality, the National Association of Healthcare Quality, and a past board member: Texas Gulf Coast Association for Healthcare Quality. I currently serve on the Advisory Board for the National Quality Forum (NQF). This is why I am uniquely qualified to present this information to the NAHQ audience.
Competency Domain: Performance & Process Improvement
Description: A poster presentation describing the interventions implemented to improve hypertension for patients in a primary clinic setting. Problem: The high prevalence of uncontrolled hypertension in underserved populations is a major cause of health disparities in the United States and requires innovative healthcare delivery interventions (Pasha et al., 2021). The HTN compliance rate in a Texas public health clinic was 54.2%, below the national benchmark of 76%.Measurement:Tools utilized include run charts. Analysis: Statistical Analysis utilized include Tableau Dashboard. Implementation: PI bundle Clinical Decision Support: Enhance HTN documentation in EPIC. Clinical Quality Analytics: Analyzing data derived from the Business Intelligence (BI) report and the Tableau Dashboard. Focused Audits: Conducting HEDIS (CBP) focus audits. Education: HEDIS (CBP) compliance, HEDIS (CBP) focus audit data analytics and best practices. Results/Discussion The PI bundle significantly improved the HEDIS (CBP) quality metric for adult patients 18-85 years of age diagnosed with HTN in the ambulatory care setting.

Evaluation: Complete Poster Evaluation