Control High Blood Pressure
Each year in the United States, heart disease, stroke, and other vascular diseases contribute to 800,000 deaths. About 70 million American adults have high blood pressure and high cholesterol — the main causes of heart disease and stroke — yet only about half of adults with high blood pressure and one in three of those with high cholesterol have their condition under control.
High blood pressure costs the nation $46 billion each year — including the cost of health care services, medications to treat high blood pressure, and missed days of work.
CDC’s 6|18 Initiative In Action
Plan an Evidence-Based Intervention
Following are hypertension prevention interventions for payers identified by the CDC as having a proven evidence base for improving health outcomes and controlling health care costs:
- Implement strategies that improve adherence to anti-hypertensive and lipid-lowering prescription medications via expanded access to: (1) low cost medication copayments, fixed dose medication combinations, extended medication fills; (2) innovative pharmacy packaging; and (3) improved care coordination using standardized protocols, primary care team, medication therapy management programs and self-monitoring of blood pressure with clinical support.
- Provide home blood pressure monitors to patients with high blood pressure and reimburse for the clinical support services required for self-measured blood pressure monitoring.
Download the CDC’s evidence summary that outlines key cost and health information for payers and providers, as well as demonstrated outcomes for each of the above interventions.
Explore Implementation Resources
The following resources can help payers, state officials, and providers to implement high-opportunity interventions aimed at controlling high blood pressure. Does your state/program have resources to share? Send an email to firstname.lastname@example.org.
- Best Practices for Cardiovascular Disease Prevention Programs: A Guide to Effective Health Care System Interventions and Community Programs Linked to Clinical Services – Guide provides brief evidence summaries for effective blood pressure and cholesterol control strategies and highlights resources and tools useful for implementing these strategies. (CDC, 2017)
- Million Hearts Initiative – Website for the Million Hearts initiative provides an array of hands-on materials to help health care practitioners adopt strategies selected for their impact on heart disease, stroke, and related conditions. (CDC)
- ASTHO and Million Hearts: Transforming Systems, Saving Lives – Guide summarizes strategies and lessons from state teams that participated in a collaborative to help strengthen blood pressure control. (CDC, February 2017)
- High Blood Pressure Educational Materials – Patient and provider educational materials, ranging from fact sheets and podcasts to data maps and trainings. (CDC)
Hypertension Medication Adherence
- Blood Pressure Control: Helping Patients Take Their Medicine – Web page includes both barriers to and strategies for increasing medication adherence. (CDC)
- Million Hearts: Hypertension Treatment Protocols – Web page offers guidance for using standardized treatment protocols in new ways to improve blood pressure control and expanding the types of staff that can assist in timely follow-up with patients. (CDC)
- Million Hearts: Medication Adherence – Web page contains tools, tip sheets, resources, and success stories to assist clinicians in implementing strategies to improve hypertension medication adherence. (CDC)
- Using the Pharmacists’ Patient Care Process to Manage High Blood Pressure: A Resource Guide for Pharmacists – Resource guide assists pharmacists to prevent and manage high blood pressure through team-based care. (CDC, 2016)
Self-Measured Blood Pressure Monitoring
- Implementation Guide for Public Health Practitioners: The Shands Jacksonville Patient-Centered Medical Home Diabetes and Hypertension Self-Management Education Model – Implementation guide describes key lessons from the evaluation of the Diabetes and Hypertension Self-Management Education model. (CDC, December 2015)
- Million Hearts: Self-Measured Blood Pressure Monitoring – Web page contains tools, references, resources, and success stories about implementation of self-measured blood pressure monitoring, also known as home blood pressure monitoring. (CDC)
- Million Hearts: Undiagnosed Hypertension – Web page contains references, resources, and case studies to assist providers in identifying patients with undiagnosed hypertension. (CDC)
- Undiagnosed Hypertension – Issue brief highlights lessons and case studies from states that have implemented hypertension diagnosis strategies. (National Association of Chronic Disease Directors and CDC, June 2016)