This presentation provides a description of an interdisciplinary, collaborative care approach to improving blood pressure control for patients across service lines, including primary care, community psychiatric rehabilitation, and behavioral healthcare home services. The approach involves identification and communication of out-of-range blood pressure readings to the team, scheduling appointments across disciplines, and providing education to staff and patient. The goal was to intervene with sufficient frequency to get patients' blood pressure lower, and data from the PDSA cycle shows that at the 6 month follow up, 90% of patients showed a reduction in BP from baseline, with 17% falling within the normal range.
Nancy Gongaware MA,LPC, VP, Healthcare Home, Compass Health Network, Clinton, MO
Katherine Friedebach LCSW, Chief Medical Officer, Compass Health Network, Clinton, MO
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