Focus Area: Key Foundations

change concept, change idea, tools and resources.Key foundations are ways to establish practice foundations for effective hypertension (HTN) control efforts and is likely the best place on which to focus initial quality improvement efforts. These include identifying a champion to provide leadership on focused quality improvement efforts and making HTN a practice priority.

Note: 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 ideas for changing a process. Each change idea lists evidence- or practice-based tools and resources that can be adapted or adopted in a health care setting to improve HTN control.

Key Foundations: Change Concepts

Make HTN Control a Practice Priority

Change Idea:
Designate an HTN Champion in the practice

Tools & Resources:


Change Idea:
Ensure care team engagement in HTN control

Tools & Resources:


Change Idea:
Provide BP checks without appointment or co-pay

Tools & Resources:

Implement a Policy and Process to Address BP for Every Patient with HTN at Every Visit

Change Idea:
Develop HTN control policy and procedures

Tools & Resources:


Change Idea:
Leverage local Patient Centered Medical Home (PCMH) activities to help drive comprehensive approach to HTN management

Tools & Resources:


Change Idea:
Develop a flowchart for how hypertensive patients will be proactively tracked and managed

Tools & Resources:

Systematically Use Evidence-Based HTN Guidelines and Treatment Protocols

Change Idea:
Implement HTN guidelines effectively, using the most appropriate information and recommendations

Tools & Resources:


Change Idea:
Deploy HTN protocols and algorithms

Tools & Resources:


Change Idea:
Overcome treatment inertia

Tools & Resources:


Change Idea:
Manage resistant HTN effectively

Tools & Resources:

Equip Direct Care Staff to Facilitate Patient Self-Management

Change Idea:
Put a prevention, engagement, and self-management program in place

Tools & Resources:


Change Idea:
Ensure that the team is skilled in identifying/promoting patient medication adherence

Tools & Resources:


Change Idea:
Establish a program to support home BP monitoring

Tools & Resources:

* Source: American Medical Group Foundation’s Measure Up/Pressure Down® 2013 Provider Toolkit.

For patient-facing tools, see Individual Patient Supports.


Additional Focus Areas

Learn more about the other HCCP focus areas:



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