Date of Award

Spring 5-6-2022

Document Type

DNP Project

Project Team Faculty Member

Amy Hamilton, DNP

Project Team Faculty Member

Bernadette Sobczak, DNP


Primary Care, Hypertension, Telemedicine, Blood Pressure


Hypertensive disease is a global problem impacting millions of individuals aged 18 years and above. Uncontrolled hypertension management can lead to significant complications and death . Primary care providers are challenged to improve patient outcomes in patients with hypertensive disease while complying with clinical quality measures for high blood pressure as outlined by the Center for Medicare and Medicaid Services Merit-based Incentive Payment System (MIP) performance measures. The purpose of this project was to improve high blood pressure in patients diagnosed with primary hypertension utilizing the American Heart Association (AHA) and the American Medical Association (AMA) Target: Blood Pressure (BP) program in conjunction with telemedicine. Telemedicine offered a patient/provider connection to address this global problem and engage in patient education and follow up. The AHA/AMA Target BP program provided a backdrop for patient education, guidance, and standardized tools for primary care providers to improve patient outcomes and (MIP) performance measures as well as the system levels Best in Class Goals for hypertension management. Since project implementation, the overall average improvement in hypertension management comparatively from 2020 to 2021 was 2.8% with improved internal quality reporting Best in Class scores from 1.19 to 1.52 through SMBP and telemedicine visits. By implementing SMBP with the use of telemedicine, providers can improve hypertension management, thus improving patient care and quality measures outlined by the Center for Medicare and Medicaid’s Shared Savings Program.

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