Featured Research

from universities, journals, and other organizations

Large-scale Kaiser Permanente program linked to improved blood pressure control

Date:
August 20, 2013
Source:
Kaiser Permanente
Summary:
The rate of blood pressure control among adult members with diagnosed hypertension nearly doubled between 2001 and 2009 through one of the largest, community-based hypertension programs in the nation.

Kaiser Permanente Northern California nearly doubled the rate of blood pressure control among adult members with diagnosed hypertension between 2001 and 2009 through one of the largest, community-based hypertension programs in the nation, as reported in the Journal of the American Medical Association.

The rate of hypertension control throughout Kaiser Permanente Northern California increased from 43.6 in 2001 to 80.4 percent in 2009, as measured by the Healthcare Effectiveness Data and Information Set quality measurement set by the National Committee for Quality Assurance.

In contrast, the national mean control rate increased from 55.4 percent to 64.1 percent during that period. Control rates throughout California, available since 2006, were similar but slightly higher than the national average -- 63.4 percent versus 69.4 percent from 2006 to 2009.

"This successful program is evidence that large-scale and comprehensive monitoring and intervention systems can improve blood pressure control," said lead author Marc G. Jaffe, MD, an endocrinologist and clinical leader of the Kaiser Permanente Northern California Cardiovascular Risk Reduction Program. "More importantly, this model has tremendous potential to improve the health of millions of people. High blood pressure is an important modifiable risk factor for life-threatening illnesses including heart disease, stroke and kidney disease. As the population ages, high blood pressure will become an even bigger problem unless we act now."

Hypertension affects 65 million adults in the United States, or 29 percent of Americans age 18 years or older, and is a major contributor to cardiovascular disease. Blood pressure control remains elusive nationally, despite widespread availability of effective therapies, and limited data exist about the implementation and results of large, sustained hypertension programs.

Kaiser Permanente Northern California introduced the hypertension program in 2001 as a multifaceted approach to blood pressure control and quality improvement. A number of differentiating practices drove the program's success, including a comprehensive hypertension patient registry, which increased from 349,937 or 15.4 percent of adult membership to 652,763 or 27.5 percent of adult membership between 2001 and 2009. By using frequent hypertension control quality reports, Kaiser Permanente was able to quickly identify high-performing medical centers and implement their successful practices and innovations system-wide. The program also supplied clinicians with a frequently updated evidence-based, four-step hypertension control algorithm.

The program encouraged single-pill combination therapy -- combining multiple drugs into one pill. This strategy has advantages, including improved adherence, lower patient cost and improved blood pressure control. Medical assistants also followed up with patients two to four weeks after medication adjustments and informed the primary-care physician, who then directed treatment decisions and follow-up planning. This process accelerated treatment intensification without significantly increasing the need for repeat clinician visits, while simultaneously improving patient convenience and affordability.

"This is the first successful, large-scale program sustained over a long period of time," said Dr. Jaffe. "Following the study period, our hypertension control rates have continued to improve from nearly 84 percent in 2010 to 87 percent in 2011. This has huge implications for the health of our members because this success translates into reduced risk of stroke and heart disease."

This study is part of Kaiser Permanente's ongoing work to address hypertension and cardiovascular health overall. Last year, the U.S. Department of Health and Human Services recognized Kaiser Permanente Colorado for its success in controlling hypertension across its entire patient population. And for the last few years, Kaiser Permanente has encouraged diabetes patients who are at least 55 years old to participate in an aggressive initiative to prevent heart attacks and strokes. The ALL initiative is a therapeutic program that includes the use of aspirin, lisinopril and a lipid-lowering medication. The initiative, which also now includes the use of a beta blocker, is also actively promoted and shared with other health systems outside Kaiser Permanente.


Story Source:

The above story is based on materials provided by Kaiser Permanente. Note: Materials may be edited for content and length.


Cite This Page:

Kaiser Permanente. "Large-scale Kaiser Permanente program linked to improved blood pressure control." ScienceDaily. ScienceDaily, 20 August 2013. <www.sciencedaily.com/releases/2013/08/130820185655.htm>.
Kaiser Permanente. (2013, August 20). Large-scale Kaiser Permanente program linked to improved blood pressure control. ScienceDaily. Retrieved April 23, 2014 from www.sciencedaily.com/releases/2013/08/130820185655.htm
Kaiser Permanente. "Large-scale Kaiser Permanente program linked to improved blood pressure control." ScienceDaily. www.sciencedaily.com/releases/2013/08/130820185655.htm (accessed April 23, 2014).

Share This



More Health & Medicine News

Wednesday, April 23, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Big Pharma Braces for M&A Wave

Big Pharma Braces for M&A Wave

Reuters - Business Video Online (Apr. 22, 2014) Big pharma on the move as Novartis boss, Joe Jimenez, tells Reuters about plans to transform his company via an asset exchange with GSK, and Astra Zeneca shares surge on speculation that Pfizer is looking for a takeover. Joanna Partridge reports. Video provided by Reuters
Powered by NewsLook.com
Study Says Most Crime Not Linked To Mental Illness

Study Says Most Crime Not Linked To Mental Illness

Newsy (Apr. 22, 2014) A new study finds most crimes committed by people with mental illness are not caused by symptoms of their illness or disorder. Video provided by Newsy
Powered by NewsLook.com
Hagel Gets Preview of New High-Tech Projects

Hagel Gets Preview of New High-Tech Projects

AP (Apr. 22, 2014) Defense Secretary Chuck Hagel is given hands-on demonstrations Tuesday of some of the newest research from DARPA _ the military's Defense Advanced Research Projects Agency program. (April 22) Video provided by AP
Powered by NewsLook.com
How Smaller Plates And Cutlery Could Make You Feel Fuller

How Smaller Plates And Cutlery Could Make You Feel Fuller

Newsy (Apr. 22, 2014) NBC's "Today" conducted an experiment to see if changing the size of plates and utensils affects the amount individuals eat. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins