Additional Resources and References

You may find it useful to start with the Ambulatory Health IT-enabled Quality Improvement Worksheet [DOCX-1.7M] available from the Department of Health and Human Services (HHS) Office of the National Coordinator for Health Information Technology (ONC). This worksheet, or a similar framework, can help document current information flows throughout the patient’s office experience and beyond. You can use the HCCP to find evidence-based enhancements for the areas where you have noticed improvement is needed.

The Institute for Healthcare Improvement (IHI) website has a number of quality improvement tools that support its Model for Improvement, including the Improvement Project Planning Form to help teams think systematically about their improvement project and the PDSA Worksheet for Testing Change, which walks the user through documenting a test of change. These resources may be helpful for planning, assigning responsibilities, and carrying out small tests of change for improving HTN control.

The Healthcare Information and Management Systems Society (HIMSS) publishes a guidebook series on improving care delivery and outcomes with clinical decision support (CDS). These guidebooks can help you apply the CDS Five Rights framework to ensure that all the right people (including patients) get the right information in the right formats via the right channels at the right times to optimize health-related decisions and actions. The guidebooks help health care practices and their partners set up programs that reliably deliver outcome-improving CDS interventions. They also provide detailed guidance on successfully developing, launching, and monitoring such interventions so that all stakeholders benefit.


AHRQ: Agency for Healthcare Research and Quality
BP: Blood pressure
CDC: Centers for Disease Control and Prevention
CDS: Clinical decision support
EHR: Electronic health record
HCCP: Hypertension Control Change Package
HHS: Department of Health and Human Services
HIMSS: Healthcare Information and Management Systems Society
HTN: Hypertension
IHI: Institute for Healthcare Improvement
ONC: Office of the National Coordinator for Health Information Technology
PCMH: Patient-centered medical home
VA: Department of Veterans Affairs


Institute for Healthcare Improvement. The Breakthrough Series: IHI’s Collaborative Model for Achieving Breakthrough Improvement. IHI Innovation Series white paper. Boston: Institute for Healthcare Improvement; 2003.

Osheroff JA, Teich JM, Levick D, et al. Improving Outcomes with Clinical Decision Support: An Implementer’s Guide. Second Edition. Chicago: HIMSS; 2012.

Osheroff JA, editor. Improving Medication Use and Outcomes with Clinical Decision Support: A Step-by-Step Guide. Chicago: HIMSS; 2009.


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