Evidence-Based Interventions for High Blood Pressure and Glycemic Control Among Illinois Health Systems

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Price, Janae D. ; Jayaprakash, Manasi ; McKay, Cristina M. ; Amerson, Nancy L. ; Jimenez, Paula L. ; Barbour, Kamil E. ; Cunningham, Timothy J.
• Description:
  Introduction ; Evidence-based interventions (referral, team-based care, self-management, and self-monitoring) for chronic disease management are well documented and widely used by Federally Qualified Health Centers (FQHCs). However, how these interventions are implemented varies substantially. ; Methods ; The Illinois Health Information Systems Survey was deployed to 49 FQHCs. Responses were grouped into 4 distinct policies, systems, and processes (P/S/P) categories: internal policies/workflows, huddles (brief meetings), electronic health record alerts/tracking tools, and case manager/coordinator interaction. Responses were then direct-matched to the 2016 Health Resources and Services and Administration Uniform Data System clinical quality indicator (QI) percent scores. Descriptive statistics were generated and level of significance (P < .05) was tested for hypertension and type 2 diabetes mellitus. ; Results ; The total number of P/S/Ps in place for hypertension ranged from 0 to 13 (mean, 6.9) and 0 to 8 for diabetes (mean, 5.1). Meeting or exceeding the national mean QI percent score for controlled blood pressure (62.4%) was significant among FQHCs with 9 or more P/S/Ps compared with those with 8 or fewer P/S/Ps. A positive association in clinical QI percent score was found among organizations that had 3 or more P/S/Ps (for all 4 intervention areas), although none were significant. ; Conclusion ; An assessment of the types of P/S/Ps used to implement evidence-based interventions for hypertension and diabetes management is a first in Illinois. Initial results support some relationship between the number of P/S/Ps implemented and clinical QI percent score for both hypertension and diabetes.
• Subjects:
  • Blood Pressure
  • Diabetes Mellitus, Type 2
  • Evidence-Based Medicine
  • Glycated Hemoglobin A
  • Glycemic Control
  • Humans
  • Hypertension
  • Safety-net Providers
  • Surveys and Questionnaires
• Source:
  Prev Chronic Dis. 2020; 17
• ISSN:
  1545-1151
• Pubmed ID:
  31971896
• Pubmed Central ID:
  PMC6993779
• Document Type:
  Journal Article
• Place as Subject:
  Illinois
• Location:
  North America
• Volume:
  17
• Download URL:
  https://stacks.cdc.gov/view/cdc/84978/cdc_84978_DS1.pdf
• File Type:
  [PDF - 294.24 KB]
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:639b5d2d8d668281b1d8d5e664d2862ae75a70a655aa50cf0c949ac095b7532af77b5d54503ccf3f3791d06207b29a2fa415a2059f089d141314ce8f306df256