The Million Hearts® Hypertension Control Challenge is a competition to identify clinicians, practices, and health systems that have demonstrated exceptional achievements in working with their patients to control hypertension. The Challenge is open to public and private clinicians, medical practices, and health systems. Strategies used by Champions that support hypertension control may be written into a success story and posted on the Million Hearts® website.
In 2014, CDC recognized 30 Hypertension Control Champions.
AUTHORITY for the Private Sector (15 U.S.C. § 3719) COMPETES Act
AGENCY: Centers for Disease Control and Prevention (CDC), US Department of Health and Human Services (HHS)
AWARD APPROVING OFFICIAL: Thomas R. Frieden, MD, MPH, director, Centers for Disease Control and Prevention
WHO IS ELIGIBLE? The 2015 Million Hearts® Hypertension Control Challenge is intended to recognize public and private clinicians, practices and systems that are successful in working with their patients to achieve exemplary hypertension control rates, improve understanding of successful implementation strategies at the health system level, and motivate national improvement in hypertension control.
DEADLINE? The deadline to submit a nomination is Saturday, October 31, 2015, at 11:59 pm EST. The 2015 Champions will be posted on the Million Hearts® Web site in May 2016.
WHAT IS MILLION HEARTS®? Million Hearts® is a national initiative to prevent 1 million heart attacks and strokes by 2017. Achieving this goal means that 10 million more Americans will have their high blood pressure under control. Million Hearts® is working to control high blood pressure through clinical approaches, such as using health information technology to its fullest potential and integrating team-based approaches to health care, and community approaches, such as strengthening tobacco control and lowering sodium consumption. For more information about the initiative, visit http://millionhearts.hhs.gov.
Questions about the Challenge should be directed to firstname.lastname@example.org with the word "Challenge" in the subject line.
The Million Hearts® Hypertension Control Challenge is open topublic and private individual clinicians, practices, and health systems providing health care services to patients in a US state or territory. To be eligible to win the Challenge, the nominee must
In addition, the clinician, practice, or health system:
To enter the Challenge, participants must complete the nomination form by clicking the link at the bottom of this page. The nomination form is a combination of short answer responses, checkbox responses, and assurances.
Nomination information includes:
Nominees not agreeing to each of these items on the nomination form will be excluded from the Challenge.
Paper responses will not be accepted.
Nominees will be scored based on their reported hypertension control rate (95% of score); and sustainable systems in the practice that support hypertension control (5% of score).
Nominees with the highest score will be required to participate in a two-phase validation process. Nominees determined to be non-compliant with the validation submission requests or timelines will be removed from further consideration.
Phase 1 of validation includes an initial verification of the hypertension prevalence and blood pressure control rate data submitted in the nomination form. In addition, background checks will be conducted by an independent source for individual or small practice nominees to ensure there are no serious sanctions or other misconduct has occurred (as outlined in the “Eligibility section). For large providers or health systems, the background check policy and implementation will be reviewed for compliance with the individual background check protocol. Some nominees may be eliminated based on these reviews. In addition, a health system background check will include a search for the Joint Commission sanctions and current investigations for serious institutional misconduct (e.g., attorney general investigation).
Phase 2 of validation, for nominees whose Phase 1 data is verified as accurate, consists of hypertension management validation via medical chart review.
Nominees must provide documents showing the criteria used to include patients as “controlled” and a list with each hypertensive patient found to have blood pressure in control. Eight patients will be selected randomly for file review for compliance, along with 32 additional patients whose records may be requested for review if needed (described below). For the eight records selected, electronic copies of all of the pertinent medical records will be submitted through a secure FTP site with a secure login. Criteria for compliance with the measure include having documentation of having at least one outpatient encounter with a diagnosis of hypertension during the first 6 months of the measurement period and evidence that the patient’s most recent blood pressure is adequately controlled (a reading of <140/90 mmHg).
If all eight patients are determined to be in compliance, then the proposed nominee is determined to be in HIGH compliance and the validation process is complete. If one or more of the initial eight patients’ records is out of compliance, then 22 randomly selected patient records, from the 32 patients identified above, will be required for review. For these nominees, 30 total patients’ records will be reviewed to assess compliance. The remaining 10 patients will serve as alternates to replace patients with records that do not meet inclusion criteria.
Performance categories: HIGH (90% - 100% of the records are in compliance with the review criteria); MEDIUM (60% - 89% in compliance); or LOW (less than 60% in compliance).
Up to 35 Champions will be recognized.
Champions will be recognized by Centers for Disease Control and Prevention (CDC) Director Dr. Tom Frieden. In addition to recognition on the Million Hearts® and CDC websites, national press releases will be initiated to recognize and congratulate Champions. Documentation of clinical systems and strategies Champions adopted that support hypertension control will be housed on the Million Hearts® website and attributed to Champions.
No cash prize will be awarded this year.
The First Round Finalists will be selected based on a composite score generated from the information on the nomination form. These nominees will participate in a data validation process.
Nominations will be scored and judged separately by size and type of nominee in the three categories listed below. CDC does not guarantee that a specific proportion of Champions will be selected from each category.
Impact: 95% of score. The hypertension control rate for the provider/system�s entire hypertensive population based on recommended measurement and documentation protocols. Two data points are requested: 1) within three months of submission and 2) 9-12 months prior.
Sustainability: 5% of score. The type of systems or processes in place that support hypertension control and are likely to endure, such as electronic reminder systems or team based care.
If scores are tied, the patient population served and geographic location will be considered in breaking the tie. Providers or health systems that serve populations with greater challenges or barriers in controlling hypertension, will receive up to 5 points additional points. If a tie remains, the CDC Judges Panel will break the tie and may consider all of the information provided in the application.
Champion selection: Finalists whose reported hypertension control rate is validated will move on to the final selection round. The CDC Judges Panel has full and sole discretion in selecting the 2015 Champions. Judges will consider all of the information generated from the nomination, the validation process, and the background check. Judges will also consider the hypertension prevalence, patient population served (considering populations less likely to achieve hypertension control), and geographic region served (considering high need or high burden areas).
Judges will confirm that there are no conflicts of interest with any nominees being considered as a Champion.
Judges will be selected by CDC based on their knowledge of hypertension and hypertension control strategies. Judges may include at least three of the following:
Submit your Entry to the 2015 Hypertension Control Challenge