Presentations

Abstract

Introduction:

Portsmouth, VA ranks among the least healthy counties in Virginia (113/124), with significantly higher death rates from stroke, hypertension, and heart disease compared to state and national averages. Inadequate follow-up and patient education have hindered previous screening measures. The Million Hearts Blood Pressure Control Community Continuous Quality Improvement (CQI) Project aims to address the pervasive cardiovascular issues by conducting city-wide blood pressure screenings, followed by post-screening activities, educational programs on blood pressure management, and self-monitoring and control classes. This project seeks to improve blood pressure control, reduce health disparities related to hypertension, and enhance access to care and medication management for residents with elevated blood pressure.

Methods:

The project engaged in a city-wide mass screening of blood pressure in trusted locations like churches, schools, workplaces, and community centers. Coordinated support activities assisted individuals in monitoring their situation and managing medication. Efforts were made to promote health literacy educational platforms, provide health insurance information to uninsured individuals, and offer education and support to participants. The project emphasized privacy and followed protocols to safeguard sensitive health information. Utilizing face-to-face and virtual approaches, the project included blood pressure screenings, education classes, and subsequent follow-up sessions.

Results:

Cohort 1 (February, n = 220) identified 108 participants (49.1%) with elevated blood pressure or hypertension according to American Heart Association guidelines. In Cohort 2 (n = 56), 39 participants (69.6%) had hypertension or elevated blood pressure. Most participants had a primary care physician, but a significant proportion did not self-monitor their blood pressure. Additionally, the majority did not use tobacco/nicotine-containing products, and many had co-existing conditions such as diabetes or hypertension. Notably, some individuals reported fruitful efforts in addressing their high blood pressure by consulting their primary care provider.

Conclusion:

Implementing a Plan, Do, Study Act (PDSA) model, the project aims to develop an improvement plan ensuring successful connections between participants and healthcare providers. Recommendations for screening site selection, based on data utilization, can optimize resource allocation and future screening efforts. The findings provide insights into the demographics and health indicators of individuals with high blood pressure. However, challenges remain in ensuring effective follow-up and engagement with healthcare providers. Overcoming these barriers may necessitate additional interventions or support systems. Addressing these issues will enhance the project's impact on blood pressure control, reduce health disparities, and improve the overall health of the community.