52
Improving Quality of Care for Patients With Hypertension
COR LOE
Recommendations
Antihypertensive Medication Adherence Strategies
I B-R In adults with hypertension, dosing of antihypertensive
medication once daily rather than multiple times daily is
beneficial to improve adherence.
IIa B-NR Use of combination pills rather than free individual components
can be useful to improve adherence to antihypertensive therapy.
Strategies to Promote Lifestyle Modification
I C-EO Effective behavioral and motivational strategies to achieve a
healthy lifestyle (i.e., tobacco cessation, weight loss, moderation
in alcohol intake, increased physical activity, reduced sodium
intake, and consumption of a healthy diet) are recommended for
adults with hypertension.
Structured, Team-Based Care Interventions for Hypertension Control
I A A team-based care approach is recommended for adults with
hypertension.
Electronic Health Record (EHR) and Patient Registries
I B-NR Use of the EHR and patient registries is beneficial for
identification of patients with undiagnosed or undertreated
hypertension.
I B-NR Use of the EHR and patient registries is beneficial for guiding
quality improvement efforts designed to improve hypertension
control.
Telehealth Interventions to Improve Hypertension Control
IIa A Telehealth strategies can be useful adjuncts to interventions
shown to reduce BP for adults with hypertension.
Performance Measures
IIa B-NR Use of performance measures in combination with other quality
improvement strategies at patient-, provider-, and system-based
levels is reasonable to facilitate optimal hypertension control.
Quality Improvement Strategies
IIa B-R Use of quality improvement strategies at the health system,
provider, and patient levels to improve identification and control
of hypertension can be effective.
Patients With Hypertension