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.
- Blood Pressure Log Book – This document provides general information on blood pressure, such as definitions, strategies on measuring blood pressure, and tips on healthy eating. (Commonwealth of the Northern Mariana Islands Department of Health, July 2019)
- Medicaid MCO Survey to Assess Hypertension Control Services – This sample survey, from Rhode Island’s Department of Health and Medicaid agency, is designed to help the state understand the landscape of covered benefits offered by managed care organizations that target hypertension control services for Medicaid members. (Rhode Island Department of Health, August 2019)
- 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
- How to Use Your Home Blood Pressure Monitor – This video provides a step-by-step process on how to use a home blood pressure monitor. (National Association of Community Health Centers, April 2018)
- Self-Measurement: How Patients and Care Teams are Bringing Blood Pressure to Control – This video showcases several community health centers’ work to implement self-measured blood pressure monitoring programs in their clinics. (National Association of Community Health Centers, June 2018)
- Taking Control of My Blood Pressure: Patient Stories – This website provides videos of patients speaking about their stories taking control of their blood pressure. (National Association of Community Health Centers)
- Self-Measured Blood Pressure Monitoring: Implementation Guide for Health Care Delivery Organizations – This implementation guide can help health care delivery organizations implement SMBP into practice or optimize their existing SMBP processes in a systematic way. (National Association of Community Health Centers, August 2018)
- Connecticut Department of Social Services’ Provider Bulletin – This provider bulletin from the Connecticut Department of Social Services provides information on how to obtain coverage for self-measured blood pressure monitoring devices, and additional resources available in Connecticut. (Connecticut Department of Social Services, October 2019)
- 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)