Hypertension Control Change Package, Second Edition

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The Hypertension Control Change Package (HCCP) was originally published in 2015 and has been used in the field to improve hypertension (HTN) control by a variety of health centers and clinics.1  New clinical guidelines, development of new resources, and general advances in quality improvement for HTN management prompted the need for this updated version.

For the second edition of the HCCP, published in 2020, we

  • Reached out to the Million Hearts® Hypertension Control Champions to gather their tested tools and resources that enabled them to reach high levels of HTN control with their patients.
  • Included more self-measured blood pressure (SMBP)-focused content with tools and resources.
  • Showcased more tools to find patients with potentially undiagnosed HTN.
  • Added new strategies that focus on chronic kidney disease testing and identification.
Hypertension Control Change Package 2nd edition

Download the Guide [PDF – 1.7 MB]

What Is the HCCP?

The HCCP presents a listing of process improvements that outpatient clinical settings can implement as they seek optimal HTN control.

The HCCP is composed of change concepts, change ideas, and evidence- or practice based-tools and resources.

  • Change concepts are general notions that are useful in the development of more specific ideas for changes that lead to improvement.
  • Change ideas are actionable, specific ideas for changing a process. Change ideas can be rapidly tested on a small scale to determine whether they result in improvements in the local environment.
  • With each change idea the HCCP lists evidence- or practice-based tools and resources that can be adapted or adopted in a health care setting to improve HTN control.

The HCCP is broken down into four main focus areas:

The focus areas for hypertension are connected here: Key Foundations leading to Equipping Care Teams leading to Population Health Management leading to Individual Patient Supports.

How Should We Use the HCCP?

Start by bringing together a team of physicians, nurse practitioners, physician assistants, nurses, medical assistants, pharmacists, quality improvement staff, and administration to discuss the aspects of HTN control that are most in need of improvement.

The team can then select corresponding interventions from the HCCP that best address those issues.

Each strategy you choose should first be tested on a small scale (i.e., conduct “small tests of change”) to assess feasibility and allow the team to evaluate and adjust before instituting the change on a broader, more permanent scale.

We do not recommend that any practice attempt to implement all of the interventions at once, nor is it likely that all interventions will be applicable to your clinical setting.

Spread the Word

Use the following sample social media messages and graphic to promote the HCCP through your personal or professional channels.

Facebook/LinkedIn

  • Only about 1 in 4 adults with #hypertension have their condition under control. The Million Hearts [tag] Hypertension Control Change Package can help health care professionals improve patient #BloodPressure control with evidence-based resources. https://bit.ly/2Net7xY #MillionHeartsQI
  • Health care professionals: Make hypertension control your goal! Check out the latest updates to the Million Hearts [tag] Hypertension Control Change Package for process improvements, tools, and resources to optimize control in clinical settings. https://bit.ly/2Net7xY #MillionHeartsQI
  • Nearly half of adults with uncontrolled #hypertension have a blood pressure of 140/90 mm Hg or higher. Improve patient #BloodPressure control with the updated Million Hearts [tag] Hypertension Control Change Package. https://bit.ly/2Net7xY #MillionHeartsQI

Twitter

  • Only about 1 in 4 adults with #hypertension have their condition under control. The @MillionHeartsUS Hypertension Control Change Package can help improve patient #BloodPressure control with evidence-based resources. https://bit.ly/2Net7xY #MillionHeartsQI
  • Check out the updated @MillionHeartsUS Hypertension Control Change Package! Explore process improvement tips and tools to optimize #hypertension control in health care settings. https://bit.ly/2Net7xY #MillionHeartsQI
  • Nearly half of adults with uncontrolled #hypertension have a blood pressure of 140/90 mm Hg or higher. Improve patient #BloodPressure control with the updated @MillionHeartsUS Hypertension Control Change Package. https://bit.ly/2Net7xY #MillionHeartsQI

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Hypertension Control Change Package

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