Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies, Volume 3--Hypertension Care

QualityTool

Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies, Volume 3--Hypertension Care

Description

The Agency for Healthcare Research and Quality sponsored a critical analysis of the existing literature on quality improvement (QI) strategies for hypertension care, to bring data to bear on QI opportunities. This report aims to help readers assess whether a QI strategy might work in their practice or patient population.

This report includes the following sections:

  • Introduction
    • Background
    • The quality gap
    • Evidence-based guidelines and quality of care measures
  • Methods
    • Types of QI strategies
    • Scope
    • Literature search and review process
    • Terminology to distinguish studies, interventions, and comparisons
    • Outcome measures
    • Analysis
  • Results
    • Search yield and results of literature review process
    • Analysis by outcome measures
      • Effect of QI strategies on disease identification and initial followup measures
      • Effect of QI strategies on measures of disease control
      • Effect of QI strategies on blood pressure control
      • Effect of QI strategies on provider adherence
      • Effect of QI strategies on patient adherence
    • Analysis by type of QI strategy
      • Provider reminders
      • Facilitated relay of clinical data
      • Audit and feedback
      • Provider education
      • Patient education
      • Promotion of self-management
      • Patient reminders
      • Organizational change
      • Substrategies of organizational change
      • Financial incentives
    • Other analyses
      • Clinical information systems
      • Analysis of number of QI strategies on outcomes
    • Effect of methodological features
  • Discussion
    • Which QI strategies improve screening for hypertension?
    • Which QI strategies are most effective at ensuring that blood pressure goals are achieved and maintained?
    • Effect of specific QI strategies on achieving and maintaining blood pressure goals
    • Which QI strategies improve provider adherence with recommendations for management of hypertension?
    • Which QI strategies improve patient adherence with treatment?
    • Importance of organizational setting for QI interventions
  • Conclusions

Developer:

Stanford University-UCSF Evidence-based Practice Center (EPC)

Funding Sources:

Agency for Healthcare Research and Quality

History

Release Date: 2005
Original Summary: April 2005
Last Updated: 05/07/14

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