Blood Pressure Control and Compliance: What Can We Achieve and How?
- Shonta Chambers, CVHI Program Manager, Georgia Department of Human Resources and Public Health, Chronic Disease and Health Promotion Branch
- William Cushman, Professor of Medicine and Preventive Medicine, University of Tennessee, Chief, Preventive Medicine, VA Medical Center, Memphis
Session Objective
Upon completion of the training, participants will be able to identify action steps that they can take in their own states to control hypertension, through systems changes, to improve quality of care using clinical practice guidelines and lifestyle modification.
Supporting Skills and Knowledge
- Discuss the public health role in quality improvement systems changes. (SC)
- Describe the ALLHAT study, its results and the JNC 7 guidelines. (BC)
- Describe the ALLHAT dissemination project, including 4 components (BC)
- Describe goals and implementation of SHAPP (Stroke and Heart Attack Prevention Program) Describe ways SHAPP can work with the ALLHAT Dissemination project as an example of how state programs can do so. (SC)
Activity
- Create a list of barriers in participants’ home states.
- Describe state plan components that match ALLHAT dissemination project components.
- Describe gaps in state plans that could be filled by using ALLHAT components.
- Create a list of action steps needed to implement ALLHAT Dissemination component(s) in each participant’s home state.
- Provide contact information to ALLHAT Dissemination project.
Session Summary
Dr. Cushman will present the ALLHAT results and JNC7 guidelines, as well as the blood pressure control data in ALLHAT and the Veterans’ Administration. He will then describe the ALLHAT dissemination project and discuss the advantages of using ALLHAT dissemination presentations, tools and materials in interventions tailored to individual state health plans.
Transforming research into clinical practice has been a challenge for many years. The Georgia Stroke and Heart Attack Prevention Program (SHAPP) is a model program that has achieved outcomes using Joint National Committee guidelines as the framework for the development of nursing protocol to address hypertension diagnosis, management and treatment. Ms. Chambers will provide an overview of SHAPP and components of a successful hypertension program resulting in policy and system change.
Session Materials
