For too long the news about high blood pressure for Americans has been dismal. Sixty-seven million Americans, that's one in three, have high blood pressure, including two out of three people over 65. More than half don't have it under control.
That's a huge problem because high blood pressure can lead to heart attack and stroke, two of the top causes of death for Americans.
This week, the news about blood pressure got much better. Kaiser Permanente Northern California reported on a remarkable success. They nearly doubled the rate, and nearly quadrupled the number, of patients with their blood pressure under control.
How did they make this dramatic improvement? Here are a few key lessons from one of most important medical articles of the year.
First: using standardized care is key. Standardizing care is not at odds with the clinician making decisions. The Kaiser approach meant care teams had evidence-based options and that made it easier to evaluate and compare different approaches.
Second: engaging the entire health care team is critical. For example, Kaiser authorized nurses, pharmacists and others to help with medication doses.
Third: an information system with accountability for every patient is essential. Kaiser used its internal registry to identify more than 600,000 patients and then tracked progress for each of them and provided feedback to their care team at least quarterly.
Fourth: the organization of care must be truly patient-centered. In Kaiser's case, single pill combination treatment was recommended as a first or second step. Inexpensive, widely available, once-a-day medication makes it easier for patients to take medications as they should.
Fifth: there must be continuous innovation, evaluation and improvement. Kaiser accomplished this by giving real-time feedback to their medical centers. The hypertension program evolved over time as they received new information about what worked, and what didn't.
Not part of this study, but over the same time period, they saw a decrease in heart attacks by 24 percent and fatal strokes by 42 percent, likely in significant part as a result of this program.
Their success is even more exciting because their winning approach aligns with our Million Hearts® focus on helping 10 million more Americans get their blood pressure under control and help prevent 1 million heart attacks and strokes by 2017. If more systems achieved results like these, we'd be there already.
A year ago, Million Hearts® recognized two other practices for getting high blood pressure under control for more than 80 percent of their patients: Kaiser Permanente Colorado in Denver and the Ellsworth Medical Clinic in rural, western Wisconsin.
Like Kaiser Permanente Northern California, they focused on three things:
- Blood pressure control: a common goal for the health care team and patient.
- A registry: health information technology that allowed them to track patient care over time, and incorporate prompts and reminders to improve care.
- Team-based care so that every member of the team provides patient support and follow-up care to help patients manage their medicines and stick to a blood pressure control plan.
This year, we want to recognize more high-performing champions of blood pressure control. Large or small, private or public, if you know about a practice or system with high blood pressure control rates greater than 70 percent, encourage them to share their success and compete in the 2013 Million Hearts®
. The challenge is open through September 30. When health care systems and their patients follow simple steps, they can lower blood pressure and save lives. Prevent many of the nearly 1,000 deaths a day in the U.S. as a result of high blood pressure? Yes, it can be done. What can you do to help?
Our 2024 Coverage Needs You
It's Another Trump-Biden Showdown — And We Need Your Help
The Future Of Democracy Is At Stake
Our 2024 Coverage Needs You
Your Loyalty Means The World To Us
As Americans head to the polls in 2024, the very future of our country is at stake. At HuffPost, we believe that a free press is critical to creating well-informed voters. That's why our journalism is free for everyone, even though other newsrooms retreat behind expensive paywalls.
Our journalists will continue to cover the twists and turns during this historic presidential election. With your help, we'll bring you hard-hitting investigations, well-researched analysis and timely takes you can't find elsewhere. Reporting in this current political climate is a responsibility we do not take lightly, and we thank you for your support.
Contribute as little as $2 to keep our news free for all.
Can't afford to donate? Support HuffPost by creating a free account and log in while you read.
The 2024 election is heating up, and women's rights, health care, voting rights, and the very future of democracy are all at stake. Donald Trump will face Joe Biden in the most consequential vote of our time. And HuffPost will be there, covering every twist and turn. America's future hangs in the balance. Would you consider contributing to support our journalism and keep it free for all during this critical season?
HuffPost believes news should be accessible to everyone, regardless of their ability to pay for it. We rely on readers like you to help fund our work. Any contribution you can make — even as little as $2 — goes directly toward supporting the impactful journalism that we will continue to produce this year. Thank you for being part of our story.
Can't afford to donate? Support HuffPost by creating a free account and log in while you read.
It's official: Donald Trump will face Joe Biden this fall in the presidential election. As we face the most consequential presidential election of our time, HuffPost is committed to bringing you up-to-date, accurate news about the 2024 race. While other outlets have retreated behind paywalls, you can trust our news will stay free.
But we can't do it without your help. Reader funding is one of the key ways we support our newsroom. Would you consider making a donation to help fund our news during this critical time? Your contributions are vital to supporting a free press.
Contribute as little as $2 to keep our journalism free and accessible to all.
Can't afford to donate? Support HuffPost by creating a free account and log in while you read.
As Americans head to the polls in 2024, the very future of our country is at stake. At HuffPost, we believe that a free press is critical to creating well-informed voters. That's why our journalism is free for everyone, even though other newsrooms retreat behind expensive paywalls.
Our journalists will continue to cover the twists and turns during this historic presidential election. With your help, we'll bring you hard-hitting investigations, well-researched analysis and timely takes you can't find elsewhere. Reporting in this current political climate is a responsibility we do not take lightly, and we thank you for your support.
Contribute as little as $2 to keep our news free for all.
Can't afford to donate? Support HuffPost by creating a free account and log in while you read.
Dear HuffPost Reader
Thank you for your past contribution to HuffPost. We are sincerely grateful for readers like you who help us ensure that we can keep our journalism free for everyone.
The stakes are high this year, and our 2024 coverage could use continued support. Would you consider becoming a regular HuffPost contributor?
Dear HuffPost Reader
Thank you for your past contribution to HuffPost. We are sincerely grateful for readers like you who help us ensure that we can keep our journalism free for everyone.
The stakes are high this year, and our 2024 coverage could use continued support. If circumstances have changed since you last contributed, we hope you'll consider contributing to HuffPost once more.
Support HuffPostAlready contributed? Log in to hide these messages.