The lifestyle issues discussed in the Prevention of Risk Factors section (physical inactivity, poor nutrition, and tobacco use) are critical in the management of high blood pressure. Refer to these sections for strategies to reduce these risk factors.
- Improve access to screening and early diagnosis
- Improve access to treatment and control opportunities.
A. Improve access to screening and early diagnosis
Sample Strategies:
Program Services
- Provide training to health professionals to ensure diagnosis, treatment, and control is consistent with the newly revised hypertension recommendations (JNC VII). (Lead agency: HDSP Program)
- Integrate Starting the Conversation Tools into hypertension control protocols and encourage reimbursement for the use of these tools. (Lead agency: NCPP)
Public Awareness
- Improve the link between screening and care resources through the G.I.S. mapping initiative. (Lead agency: TSSN.)
- Build on the new phase of the Start With Your Heart campaign focusing on "Know Your Numbers" for hypertension and cholesterol.
Research and Surveillance
- Monitor the progress of the WFUBMC Emergency-Room Hypertension Registry, to determine the number of undiagnosed individuals, strengthen referrals, and explore replication.
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B. Improve access to treatment and control opportunities.
Sample Strategies:
Program Services
- Continue support of state-based Chronic Disease Management Collaborative.
- Disseminate information about existing prescription drug assistance programs (i.e. Senior PharmASSIST, Senior Care).
- Create a resource tool for discharged patients and their providers through GIS mapping to communicate locations of community health care resources (Lead Agency: TSSN)
- Support training sessions and continuing education for health professionals to improve quality of care and promote adoption of new hypertension treatment and control guidelines. (Lead agency HDSP Program)
Policy
- BASIC Preventive Benefits Initiative to include quality measures for hypertension treatment and control. (Lead agency: NCPP)
Research and Surveillance
- Assess health plans for current hypertension and cholesterol control services and coverage. Use results to explore cost containment opportunities for health plans and employers; and inform the development of a health plan purchasing guide for businesses. (Lead Agency: NCPP)
Responsible Parties and Partnering Organizations: NC Heart Disease and Stroke Prevention Branch; Tri-State Stroke Network; Consortium for Southeastern Hypertension Control; NC Prevention Partners; Hypertension and Vascular Disease Center at Wake Forest University Baptist Medical Center; Carolina’s/Georgia Chapter of the American Society for Hypertension (ASH); Chronic Disease Management Collaborative; Medical Review of NC; NC Community Health Center Association (NCHCA); Bureau of Primary Health Care (BPHC); Diabetes Prevention and Control Program; NC WiseWoman Program.
Last Updated 01/05/09
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