patient blood pressure report program

by Mandy Dooley 4 min read

How to start a home blood pressure monitoring program

33 hours ago Blood pressure monitoring devices available for employees to do their own self assessments can also be provided at the worksite with information or training on how to use them; Worksite lifestyle programs can help … >> Go To The Portal


Is a blood pressure management program right for your practice?

To decide if this program is right for your practice, consider what’s involved. The program delivers measurable positive benefits for patients, but it does require dedication to the process for it to be effective-including proper communication with patients and a system for managing and interpreting their self-measured blood pressures.

What are employee programs for blood pressure screening?

Health-related programs for blood pressure screening and control1-3 Employee programs refer to activities that include active employee involvement, such as classes, seminars or competitions. Employee programs are frequently provided on-site at the workplace.

How are patients selected for the blood pressure monitor Loaner program?

Practice sites can consider the following criteria for selecting patients to participate in the blood pressure monitor loaner program: The patient has a measured blood pressure > 140/90 mmHg on the first and subsequent readings during an office visit. üThe patient has elevated readings persisting for two or more subsequent office visits.

What are the health-related program strategies and interventions for hypertension (high blood pressure)?

The health-related program strategies and interventions listed for physical activity, alcohol use, nutrition, stress, type 2 diabetes, and obesity include lifestyle activities recommended to control blood pressure 1. Pelletier KR.

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How do you create a blood pressure report?

We record this with the systolic pressure first (on the top) and the diastolic pressure second (below). For example, if the systolic pressure is 120 mmHg (millimetres of mercury) and the diastolic pressure is 80 mmHg, we would describe the blood pressure as '120 over 80', written 120/80.

How do I record my blood pressure daily?

How to measure your blood pressure at home using a home monitorFollow the instructions that came with your monitor. ... Place the arm cuff just above your elbow. ... Keep still and quiet while you take your reading. ... Take two or three readings, each about one to two minutes apart. ... Keep a record of your measurements.

What is a medical management program for high blood pressure?

The Hypertension Management Program (HMP) aims to improve the quality and management of patient care, and decrease the number of patients with uncontrolled hypertension.

How do you monitor a patient's blood pressure?

The patient should have the cuff positioned just above the elbow with the arm supported so the cuff is at the same level as their heart, which is about mid- chest. Let the patient know how often to measure. Patients should take two readings, one minute apart. Between readings, patients should not remove the cuff.

What is normal blood pressure PDF?

Normal blood pressure is below 120/80 mm Hg. If you're an adult and your systolic pressure is 120 to 139, or your diastolic pressure is 80 to 89 (or both), you have “prehypertension.” High blood pressure is a pressure of 140 systolic or higher and/or 90 diastolic or higher that stays high over time.

How do I create a blood pressure chart in Excel?

4:015:41Microsoft Excel - Blood Pressure Tracker Template - YouTubeYouTubeStart of suggested clipEnd of suggested clipAnd go to your chart tools on the chart tools tab. And we're going to do is we're going to select weMoreAnd go to your chart tools on the chart tools tab. And we're going to do is we're going to select we're going to select. The Select data button. And look in here.

What is the Million Hearts program?

Million Hearts® is a national initiative to prevent 1 million heart attacks and strokes within 5 years. It focuses on implementing a small set of evidence-based priorities and targets that can improve cardiovascular health for all.

What are the 4 best blood pressure drugs?

In terms of prescriptions written, here are the top 4 high blood pressure medications,the ACE inhibitor lisinopril (Prinivil, Zestril) tops the list,followed by amlodipine besylate (Norvasc),a calcium channel blocker, and.generic hydrochlorothiazide (HCTZ).

What are the 4 stages of hypertension?

High blood pressure is classified in one of several categories — and those designations can influence treatment. Doctors classify blood pressure into four categories: normal, prehypertension (mild), stage 1 (moderate) and stage 2 (severe).

What is 24 hour BP monitoring?

24-hour ambulatory blood pressure monitoring is a method to measure blood pressure on a continuous basis. Your BP is measured even as you sleep. The ongoing data helps your doctor get a more accurate picture of your blood pressure numbers.

What is normal blood pressure?

Normal blood pressure for most adults is defined as a systolic pressure of less than 120 and a diastolic pressure of less than 80. Elevated blood pressure is defined as a systolic pressure between 120 and 129 with a diastolic pressure of less than 80.

What are the methods of measuring blood pressure?

Basic techniques of blood pressure measurementLocation of measurement. The standard location for blood pressure measurement is the brachial artery. ... The auscultatory method. ... The oscillometric technique. ... Ultrasound techniques. ... The finger cuff method of Penaz.

How to provide blood pressure information to employees?

Periodic blood pressure screening and health risk assessment programs at the worksite through occupational health clinics, health fairs, and other activities can provide blood pressure information to employees. Employees who have elevated values should get therapeutic lifestyle counseling and be referred to clinical care for follow-up. Health care professionals or human resources staff can provide information about the benefits and availability of screening to encourage and motivate employees to be screened

What are the health related programs and interventions listed for physical activity, alcohol use, nutrition, stress, type 2 diabetes,?

The health-related program strategies and interventions listed for physical activity, alcohol use, nutrition, stress, type 2 diabetes, and obesity include lifestyle activities recommended to control blood pressure

What can be used as a planning guide to assess if a worksite has provided services, programs, policies?

Other surveys can be used as planning guides to assess if a worksite has provided services, programs, policies, and environmental interventions to support healthy lifestyles and prevent risk factors such as high blood pressure

What is the purpose of employee health survey?

Information from employee health surveys can be used to identify the percent of employees that have received blood pressure screening. Survey information can be used not only in obtaining baseline group data on employee health but also to educate individual employees to their needs for counseling and follow-up for specific health concerns.

What is employee program?

Employee programs refer to activities that include active employee involvement, such as classes, seminars or competitions. Employee programs are frequently provided on-site at the workplace.

Can you use blood pressure monitors at work?

Blood pressure monitoring devices available for employees to do their own self assessments can also be provided at the worksite with information or training on how to use them

How does SMBP help with hypertension?

4,5 The research literature has shown that, when combined with additional clinical support, SMBP is effective in reducing hypertension, improving patient knowledge, improving the health system process, and enhancing medication adherence.

What is SMBP in medical terms?

Self-measured blood pressure monitoring (SMBP) involves a patient’s regular use of personal blood pressure monitoring devices to assess and record blood pressure across different points in time outside of a clinical, community, or public setting, typically at home. 1,2

Does SMBP cover home blood pressure monitors?

Because of the clear financial and health benefits of SMBP, experts from the American Heart Association, American Society of Hypertension, and Preventive Cardiovascular Nurses Association recommend that payers cover the costs of home blood pressure monitors, patient training in SMBP techniques, and clinical support. 3. Settings.

Does SMBP affect health disparities?

Evidence is insufficient to show that SMBP affects health disparities. Some of this lack of evidence is related to minorities being underrepresented in comparative studies. 2 In current studies, some findings show that SMBP failed to improve blood pressure control for a largely minority, urban population of Hispanics and people without insurance, a population which is largely understudied. 6 A statistically significant difference in systolic blood pressure was found for white participants who used SMBP, but not for African Americans or Hispanics. Studies note the potential negative effect of barriers to SMBP for low-income and minority groups. For example, while validated blood pressure monitors for home use are generally considered affordable, the lack of reimbursement for these devices and additional out-of-pocket costs can be barriers for low-income populations.

Is SMBP effective in health care?

The evidence base for implementing SMBP in health care systems and practices is very strong. Studies demonstrate internal and external validity, and there has been independent replication with positive results. Several studies show the positive effect of SMBP in improving blood pressure control. Comprehensive implementation guidance is available to facilitate the adoption of this strategy by health care systems and practices.

Does SMBP cover office visits?

Coverage can vary by SMBP components (e.g., blood pressure measurement devices, clinical support, training). Traditional fee-for-service models often reimburse only for office-based visits and services.

Is SMBP coverage universal?

Policy and Law-Related Considerations. Insurance coverage for SMBP is not universal, but varies by state and individual insurance plans.

Why do you need an out of office BP test?

Out-of-office BP measurements are recommended to confirm the diagnosis of hypertension because significant numbers of patients have different blood pressures outside of the office compared to when they are in the office. White-coat hypertension is when people with high office blood pressures do not have high blood pressures outside of the office. Masked hypertension is when people with non-hypertensive blood pressures in the office have high blood pressures when measured outside of the office. For these reasons, out-of-office BP measurements are extremely important for accurately assessing a person’s blood pressure and making a diagnosis.

What is SMBP monitoring?

Self-measured blood pressure (SMBP) monitoring refers to the regular measurement of BP by a patient at their home or elsewhere outside the clinical setting. SMBP enables physicians to better diagnose and manage hypertension — and helps patients to take an active role in the process.

Is SMBP good for health?

Patients who engage in SMBP may be more likely to take action to improve their health in other ways. “The new guideline calls for more emphasis on self-monitoring for high blood pressure diagnosis, treatment and management. Patients should be trained by healthcare providers to accurately monitor themselves at home.”.

How to use a competency form for blood pressure?

How to use the competency form: • Perform competencies at least twice a year. • Fill in the name of the employee and the trainer. • Follow the procedures step-by-step and determine if the employee is following them correctly. • Based on the trainer’s observation, place a check mark in either the column labeled “Meets competency” or “Needs more training.” • Use the following options to document the “Method of validation”:

What is the blood pressure threshold for hypertension?

The American Society of Hypertension recommends that when diagnosing or treating hypertension, providers and patients should consider a mean blood pressure >135/85 as the threshold for diagnosing hypertension or for treating high blood pressure. Resources . List of validated home blood pressure monitors .

What does 140 mm Hg mean?

An SBP of 140 mm Hg or higher indicates hypertension in most people. • Diastolic blood pressure (DBP) is the “bottom” number of your blood pressure measurement. It represents the pressure in the blood vessels when the heart is at rest. A diastolic blood pressure less than 80 mm Hg is considered normal.

What is SMBP monitoring?

Self-measured blood pressure (SMBP) monitoring, sometimes called home blood pressure monitoring, is a patient- performed measurement of their own blood pressure outside of a clinical setting. Research shows that SMBP: • Can improve adherence and health outcomes for hypertensive patients1

Is there a protocol for self monitoring blood pressure?

A universally accepted protocol for self-monitoring blood pressure does not exist. However, many patients and providers have found the following instructions useful. They are adapted from the Finn Protocol4by Michael Rakotz, MD, at Northwestern Medical Group.

Can you talk during a blood pressure cuff?

• Employees should also not talk during the procedure. See the “Self-measured blood pressure technique” patient handout for a graphical representation of measuring accurately.

How to use a blood pressure monitor?

Be still. Don't smoke, drink caffeinated beverages or exercise within 30 minutes before measuring your blood pressure. Empty your bladder and ensure at least 5 minutes of quiet rest before measurements. Sit correctly.

What happens if your blood pressure is higher than 180?

If your blood pressure is higher than 180/120 mm Hg and you are experiencing signs of possible organ damage such as chest pain, shortness of breath, back pain, numbness/weakness, change in vision, difficulty speaking, do not wait to see if your pressure comes down on its own. Call 911.

Is home monitoring a substitute for regular blood pressure?

Home monitoring (self-measured blood pressure) is not a substitute for regular visits to your physician.

Is it normal to have a high blood pressure?

A single high reading is not an immediate cause for alarm. If you get a reading that is slightly or moderately higher than normal, take your blood pressure a few more times and consult your healthcare professional to verify if there’ s a health concern or whether there may be any issues with your monitor.

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Ensure Clinical Competency

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Blood pressure measurement is a routine task in most practices, but it’s easy to get skewed results if clinicians and patients aren’t on the same page about how to take accurate blood pressure measurements. Clinical staff should be trained and tested on measuring blood pressure accurately to make sure they can effectively teach patients how to measure their own blood pressure. First, …
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Determine Whether You Want to Provide Blood Pressure Monitors

  • Patients can buy blood pressure monitors at drug stores. Prices for a typical high-quality device can range from $50 to $150. The AMA guide explains how to check a patient’s home blood pressure monitor for accuracy and ensure it has been approved under a formal validation protocol. Unfortunately, many public and private health insurance plans don’t cover the cost of self-monitoring devices. Some physicians choose to purchase monitors …
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Follow Criteria For Selecting Patients to Participate

  • Patients whose blood pressure is measured as greater than 140/90 mm Hg on the first and subsequent readings during an office visit should be screened for the following criteria before becoming part of a home monitoring program: 1. Elevated readings persist for two or more subsequent office visits. 2. The patient has a diagnosis of hypertension, is ...
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Additional Resources

  • Use the AMA guide to begin engaging your patients in their self-measurement. This resource has fact sheets, patient handouts and adaptable practice tools to help your practice establish and maintain a program for your patients. You also can use additional resources, including: 1. Evidence-based checklists to improve blood pressure control(log in) 2. Poster to demonstrate proper patient positioning when taking blood pressure Throug…
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