Control High Blood Pressure
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.
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
- SMBP is Worth It: Increasing Hypertension Self-Management to Accelerate Blood Pressure Control – This brochure provides information on how states partnered with local, and community partners to increase the use of self-managed blood pressure for those with high blood pressure, as well as state-level findings. Access state-specific fact sheets for Kentucky, Missouri, and New York. (ASTHO)
- 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)