Name
A03 - Impacting Blood Pressure through Collaborative Care in Community Behavioral Health
Description

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.

Date & Time
Thursday, October 24, 2024, 12:15 PM - 12:45 PM
Speakers
Paul Thomlinson, Executive Director--Research, Compass Health Network
Nancy Gongaware, VP, Healthcare Home, Compass Health Network
Katherine Friedebach, Chief Medical Officer, Compass Health Network
Paul Thomlinson Nancy Gongaware Katherine Friedebach
Co-Authors
Nancy Gongaware, MS, LPC
Content Level
All Audience
Tags
Bidirectional, Collaborative Care Model of Integrated Care, Medical, Quality improvement programs
Session Type
Concurrent
SIG or Committee
CoCM, Medical
Location Name
Bowie A
Objective 1
Describe a collaborative, interdisciplinary approach to blood pressure management.
Objective 2
Explain the prevalence and impact of high blood pressure on health outcomes for those with serious mental illness.
Objective 3
Describe the results of a collaborative pilot project (PDSA) in a healthcare home setting with 6-month follow up.
Content Reference 1

De Hert M, Correll CU, Bobes J, Cetkovich-Bakmas M, Cohen DAN, Asai I, et al. Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care. World Psychiatry. 2011;10(1):52–77.

Content Reference 2

Bradford DW, Kim MM, Braxton LE, Marx CE, Butterfield M, Elbogen EB. Access to medical care among persons with psychotic and major affective disorders. Psychiatr Serv. 2008;59(8):847–52.

Content Reference 3

Morrato EH, Newcomer JW, Kamat S, Baser O, Harnett J, Cuffel B. Metabolic screening after the American Diabetes Association's consensus statement on antipsychotic drugs and diabetes. Diabetes Care. 2009;32(6): 1037–42.

Content Reference 4

Wells, R., Kite, B., Breckenridge, E. & Sunbury, T. (2018). Community Mental Health Center Integrated Care Outcomes. Psychiatric Quarterly, 89:969–982