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
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:639b5d2d8d668281b1d8d5e664d2862ae75a70a655aa50cf0c949ac095b7532af77b5d54503ccf3f3791d06207b29a2fa415a2059f089d141314ce8f306df256
• Download URL:
  https://stacks.cdc.gov/view/cdc/84978/cdc_84978_DS1.pdf
• File Type:
  [PDF - 294.24 KB ]